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Senate File 2161

Partial Bill History

Bill Text

PAG LIN
  1  1                                             SENATE FILE 2161
  1  2 
  1  3                             AN ACT
  1  4 RELATING TO THE REPORTING AND PARTNER NOTIFICATION REQUIRE-
  1  5    MENTS RELATIVE TO THE HUMAN IMMUNODEFICIENCY VIRUS.
  1  6 
  1  7 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 
  1  8 
  1  9    Section 1.  Section 141.4, unnumbered paragraph 2, Code
  1 10 1997, is amended to read as follows:
  1 11    Counseling and testing shall be provided at alternative
  1 12 testing and counseling sites and at sexually transmitted
  1 13 disease clinics.  The Iowa department of public health shall
  1 14 assist local boards of health in the development of programs
  1 15 which provide free anonymous testing to the public.
  1 16    Sec. 2.  Section 141.6, subsection 3, Code 1997, is amended
  1 17 to read as follows:
  1 18    3.  In administering the program, the Iowa department of
  1 19 public health shall provide for the following:
  1 20    a.  A person who tests positive for the human
  1 21 immunodeficiency virus infection shall receive posttest
  1 22 counseling, during which time the person shall be encouraged
  1 23 on a strictly confidential basis to refer for counseling and
  1 24 human immunodeficiency virus testing any person with whom the
  1 25 person has had sexual relations or has shared intravenous
  1 26 equipment.
  1 27    b.  If, following counseling, a person who tests positive
  1 28 for the human immunodeficiency virus infection chooses to
  1 29 disclose the identity of any sexual partners or persons with
  1 30 whom the person has shared intravenous equipment, the
  1 31 physician or health practitioner attending the person shall
  1 32 obtain written consent which acknowledges that the person is
  1 33 making the disclosure voluntarily.
  1 34    c. b.  The physician or health practitioner attending the
  1 35 person shall forward any written consent forms may provide any
  2  1 relevant information provided by the person regarding any
  2  2 person with whom the tested person has had sexual relations or
  2  3 has shared intravenous equipment to the Iowa department of
  2  4 public health.  The department disease prevention staff shall
  2  5 then conduct partner notification in the same manner as that
  2  6 utilized for sexually transmitted diseases.
  2  7    d. c.  Devise a procedure, as a part of the partner
  2  8 notification program, to provide for the notification of an
  2  9 identifiable third party who is a sexual partner of or who
  2 10 shares intravenous equipment with a person who has tested
  2 11 positive for the human immunodeficiency virus, by the
  2 12 department or a physician, when all of the following
  2 13 situations exist:
  2 14    (1)  A physician for the infected person is of the good
  2 15 faith opinion that the nature of the continuing contact poses
  2 16 an imminent danger of human immunodeficiency virus infection
  2 17 transmission to the third party.
  2 18    (2)  When the physician believes in good faith that the
  2 19 infected person, despite strong encouragement, has not and
  2 20 will not warn the third party and will not participate in the
  2 21 voluntary partner notification program.
  2 22    Notwithstanding subsection 4, the department or a physician
  2 23 may reveal the identity of a person who has tested positive
  2 24 for the human immunodeficiency virus infection pursuant to
  2 25 this subsection only to the extent necessary to protect a
  2 26 third party from the direct threat of transmission.
  2 27 Notification of a person pursuant to this paragraph is subject
  2 28 to the disclosure provisions of section 141.23, subsection 3.
  2 29 This subsection shall not be interpreted to create a duty to
  2 30 warn third parties of the danger of exposure to human
  2 31 immunodeficiency virus through contact with a person who tests
  2 32 positive for the human immunodeficiency virus infection.
  2 33    Prior to notification of a third party, the physician
  2 34 proposing to cause the notification to be made shall make
  2 35 reasonable efforts to inform, in writing, the person who has
  3  1 tested positive for the human immunodeficiency virus
  3  2 infection.  The written information shall state that due to
  3  3 the nature of the person's continuing contact with a third
  3  4 party, the physician is forced to take action to provide
  3  5 notification to the third party.  The physician, when
  3  6 reasonably possible, shall provide the following information
  3  7 to the person who has tested positive for the human
  3  8 immunodeficiency virus infection:
  3  9    (a)  The nature of the disclosure and the reason for the
  3 10 disclosure.
  3 11    (b)  The anticipated date of disclosure.
  3 12    (c)  The name of the party or parties to whom disclosure is
  3 13 to be made.
  3 14    The department shall adopt rules pursuant to chapter 17A to
  3 15 implement this paragraph.  The rules shall provide a detailed
  3 16 procedure by which the department or a physician may directly
  3 17 notify an endangered third party.
  3 18    Sec. 3.  Section 141.8, subsections 1, 4, and 6, Code 1997,
  3 19 are amended to read as follows:
  3 20    1.  Prior to withdrawing blood for the purpose of
  3 21 performing a human immunodeficiency virus-related test, the
  3 22 physician or other practitioner shall inform the subject of
  3 23 the test that the test is voluntary and may be performed
  3 24 anonymously if requested.  Within seven days after the testing
  3 25 of a person with a test result indicating human
  3 26 immunodeficiency virus infection which has been confirmed as
  3 27 positive according to prevailing medical technology, the
  3 28 physician or other practitioner at whose request the test was
  3 29 performed shall make a report to the Iowa department of public
  3 30 health on a form provided by the department.  Prior to making
  3 31 the required report, the physician or other practitioner shall
  3 32 provide written information regarding the partner notification
  3 33 program and shall inquire if the person wishes to initiate
  3 34 participation in the program by agreeing to have identifying
  3 35 information reported to the department on a confidential
  4  1 basis.
  4  2    4.  Within seven days of the testing of a person with a
  4  3 test result indicating human immunodeficiency virus infection
  4  4 which has been confirmed as positive according to prevailing
  4  5 medical technology, the director of a blood plasma center or
  4  6 blood bank shall make a report to the Iowa department of
  4  7 public health on a form provided by the department.
  4  8    6.  a.  The forms provided by the department pursuant to
  4  9 subsections 2 and 3 shall contain the name, date of birth,
  4 10 sex, and address of the subject of the report and the name and
  4 11 address of the physician or other person making the report.
  4 12 The forms provided by the department pursuant to subsections
  4 13 1, 4, and 5 may include the subject's age, race, marital
  4 14 status, or other information deemed necessary by the
  4 15 department for epidemiological purposes, but shall not include
  4 16 the subject's name or address without the written
  4 17 authorization of the subject. require inclusion of all of the
  4 18 following information:
  4 19    (1)  The name of the patient.
  4 20    (2)  The address of the patient.
  4 21    (3)  The patient's date of birth.
  4 22    (4)  The sex of the patient.
  4 23    (5)  The race or ethnicity of the patient.
  4 24    (6)  The patient's marital status.
  4 25    (7)  The patient's telephone number.
  4 26    (8)  The name and address of the laboratory, plasma center,
  4 27 or blood center.
  4 28    (9)  The date the test was found to be positive and the
  4 29 collection date.
  4 30    (10)  The name of the physician or medical provider who
  4 31 performed the test.
  4 32    (11)  If the patient is female, whether the patient is
  4 33 pregnant.
  4 34    b.  The subject patient shall be provided with information
  4 35 regarding the confidentiality measures followed by the
  5  1 department and may request that the department maintain the
  5  2 subject's patient's confidential file for the purposes of
  5  3 partner notification, or for the inclusion of the subject
  5  4 patient in research or treatment programs.
  5  5    c.  The department shall develop an informational brochure
  5  6 for patients who may have blood withdrawn for the purpose of
  5  7 performing an HIV test.  The information, at a minimum, shall
  5  8 include a summary of the patient's rights and responsibilities
  5  9 under the law.
  5 10    Sec. 4.  Section 141.10, subsection 1, paragraph d, Code
  5 11 1997, is amended to read as follows:
  5 12    d.  Release may be made of test results concerning a
  5 13 patient pursuant to procedures established under section
  5 14 141.6, subsection 3, paragraph "d" "c".
  5 15    Sec. 5.  Section 141.22, subsection 4, Code 1997, is
  5 16 amended to read as follows:
  5 17    4.  Prior to withdrawing blood for the purpose of
  5 18 performing an HIV-related test, the subject shall be given
  5 19 written notice of the provisions of this section and of
  5 20 section 141.6, subsection 3, paragraph "d" "c".  
  5 21 
  5 22 
  5 23                                                             
  5 24                               MARY E. KRAMER
  5 25                               President of the Senate
  5 26 
  5 27 
  5 28                                                             
  5 29                               RON J. CORBETT
  5 30                               Speaker of the House
  5 31 
  5 32    I hereby certify that this bill originated in the Senate and
  5 33 is known as Senate File 2161, Seventy-seventh General Assembly.
  5 34 
  5 35 
  6  1                                                             
  6  2                               MARY PAT GUNDERSON
  6  3                               Secretary of the Senate
  6  4 Approved                , 1998
  6  5 
  6  6 
  6  7                         
  6  8 TERRY E. BRANSTAD
  6  9 Governor
     

Text: SF02160                           Text: SF02162
Text: SF02100 - SF02199                 Text: SF Index
Bills and Amendments: General Index     Bill History: General Index

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