Text: HSB00616 Text: HSB00618 Text: HSB00600 - HSB00699 Text: HSB Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. NEW SECTION. 139A.1 TITLE. 1 2 This chapter shall be known as the "Communicable and 1 3 Infectious Disease Reporting and Control Act". 1 4 Sec. 2. NEW SECTION. 139A.2 DEFINITIONS. 1 5 For purposes of this chapter, unless the context otherwise 1 6 requires: 1 7 1. "Business" means and includes every trade, occupation, 1 8 or profession. 1 9 2. "Communicable disease" means any contagious or 1 10 infectious disease spread from person to person or animal to 1 11 person. 1 12 3. "Contagious or infectious disease" means hepatitis in 1 13 any form, meningococcal disease, tuberculosis, and any other 1 14 disease, with the exception of AIDS or HIV infection as 1 15 defined in section 141A.1, determined to be life-threatening 1 16 to a person exposed to the disease as established by rules 1 17 adopted by the department, based upon a determination by the 1 18 state epidemiologist and in accordance with guidelines of the 1 19 centers for disease control and prevention of the United 1 20 States department of health and human services. 1 21 4. "Department" means the Iowa department of public 1 22 health. 1 23 5. "Designated officer" means a person who is designated 1 24 by a department, agency, division, or service organization to 1 25 act as an infection control liaison officer. 1 26 6. "Emergency care provider" means a person who is trained 1 27 and authorized by federal or state law to provide emergency 1 28 medical assistance or treatment, for compensation or in a 1 29 voluntary capacity, including but not limited to all of the 1 30 following: 1 31 a. An emergency medical care provider as defined in 1 32 section 147A.1. 1 33 b. A health care provider. 1 34 c. A fire fighter. 1 35 d. A peace officer. 2 1 "Emergency care provider" also includes a person who renders 2 2 direct emergency aid without compensation. 2 3 7. "Exposure" means the risk of contracting disease. 2 4 8. "Exposure-prone procedure" means a procedure performed 2 5 by a health care provider which presents a recognized risk of 2 6 percutaneous injury to the health care provider and if such an 2 7 injury occurs, the health care provider's blood is likely to 2 8 contact a patient's body cavity, subcutaneous tissues, or 2 9 mucous membranes, or exposure-prone procedure as defined by 2 10 the centers for disease control and prevention of the United 2 11 States department of health and human services. 2 12 9. "HBV" means hepatitis B virus. 2 13 10. "Health care facility" means a health care facility as 2 14 defined in section 135C.1, an ambulatory surgical center, or a 2 15 clinic. 2 16 11. "Health care provider" means a person licensed to 2 17 practice medicine and surgery, osteopathic medicine and 2 18 surgery, osteopathy, chiropractic, podiatry, nursing, 2 19 dentistry, optometry, or as a physician assistant, dental 2 20 hygienist, or acupuncturist. 2 21 12. "HIV" means HIV as defined in section 141A.1. 2 22 13. "Hospital" means hospital as defined in section 2 23 135B.1. 2 24 14. "Isolation" means the separation of persons or animals 2 25 presumably or actually affected with a communicable disease or 2 26 who are disease carriers for the usual period of 2 27 communicability of that disease in such places, marked by 2 28 placards if necessary, and under such conditions as will 2 29 prevent the direct or indirect conveyance of the infectious 2 30 agent or contagion to susceptible persons. 2 31 15. "Local board" means the local board of health. 2 32 16. "Local department" means the local health department. 2 33 17. "Placard" means a warning sign to be erected and 2 34 displayed on the periphery of a quarantine area, forbidding 2 35 entry to or exit from the area. 3 1 18. "Quarantinable disease" means any communicable disease 3 2 designated by rule adopted by the department as requiring 3 3 quarantine or isolation to prevent its spread. 3 4 19. "Quarantine" means the limitation of freedom of 3 5 movement of persons or animals that have been exposed to a 3 6 communicable disease within specified limits marked by 3 7 placards for a period of time equal to the longest usual 3 8 incubation period of the disease in such manner as to prevent 3 9 the spread of a communicable disease which affects people. 3 10 20. "Reportable disease" means any disease designated by 3 11 rule adopted by the department requiring its occurrence to be 3 12 reported to an appropriate authority. 3 13 21. "Sexually transmitted disease or infection" means a 3 14 disease or infection as identified by rules adopted by the 3 15 department, based upon a determination by the state 3 16 epidemiologist and in accordance with guidelines of the 3 17 centers for disease control and prevention of the United 3 18 States department of health and human services. 3 19 22. "Terminal cleaning" means cleaning procedures defined 3 20 in the isolation guidelines issued by the centers for disease 3 21 control and prevention of the United States department of 3 22 health and human services. 3 23 Sec. 3. NEW SECTION. 139A.3 REPORT TO DEPARTMENT. 3 24 1. The health care provider or public, private, or 3 25 hospital clinical laboratory attending a person infected with 3 26 a reportable disease shall immediately report the case to the 3 27 department. However, when a case occurs within the 3 28 jurisdiction of a local health department, the report shall be 3 29 made to the local department and to the department. A health 3 30 care provider or public, private, or hospital clinical 3 31 laboratory who files such a report which identifies a person 3 32 infected with a reportable disease shall assist in the 3 33 investigation by the department, a local board, or a local 3 34 department. The department shall publish and distribute 3 35 instructions concerning the method of reporting. Reports 4 1 shall be made in accordance with rules adopted by the 4 2 department and shall require inclusion of all the following 4 3 information: 4 4 a. The patient's name. 4 5 b. The patient's address. 4 6 c. The patient's date of birth. 4 7 d. The sex of the patient. 4 8 e. The race and ethnicity of the patient. 4 9 f. The patient's marital status. 4 10 g. The patient's telephone number. 4 11 h. The name and address of the laboratory. 4 12 i. The date the test was found to be positive and the 4 13 collection date. 4 14 j. The name of the health care provider who performed the 4 15 test. 4 16 k. If the patient is female, whether the patient is 4 17 pregnant. 4 18 2. Failure to file the report required pursuant to 4 19 subsection 1 shall result in a report being made to the 4 20 licensing board governing the professional activities of the 4 21 individual failing to have made the report. Any public, 4 22 private, or hospital clinical laboratory failing to file the 4 23 report required under this section is subject to a civil fine 4 24 of one thousand dollars per occurrence. 4 25 3. a. Any person who, in good faith, files a report under 4 26 this section is immune from any liability, civil or criminal, 4 27 which might otherwise be incurred or imposed for making a 4 28 report. 4 29 b. A report to the department, to a local board, or to a 4 30 local department, which identifies a person infected with a 4 31 reportable disease, is confidential and shall not be 4 32 accessible to the public. 4 33 c. Notwithstanding paragraph "b", information contained in 4 34 the report may be reported in public health records in a 4 35 manner which prevents the identification of any person or 5 1 business named in the report. If information contained in the 5 2 report concerns a business, information disclosing the 5 3 identity of the business may be released to the public when 5 4 the state epidemiologist or the director of public health 5 5 determines such a release of information necessary for the 5 6 protection of the health of the public. 5 7 Sec. 4. NEW SECTION. 139A.4 TYPE AND LENGTH OF ISOLATION 5 8 OR QUARANTINE. 5 9 1. The type and length of isolation or quarantine imposed 5 10 for a specific communicable disease shall be in accordance 5 11 with rules adopted by the department. 5 12 2. The department and the local boards may impose and 5 13 enforce isolation and quarantine restrictions. 5 14 3. The department shall adopt rules governing terminal 5 15 cleaning. 5 16 Sec. 5. NEW SECTION. 139A.5 ISOLATION OR QUARANTINE 5 17 SIGNS ERECTED. 5 18 When isolation or a quarantine is established, appropriate 5 19 placards prescribed by the department shall be erected to mark 5 20 the boundaries of the place of isolation or quarantine. 5 21 Sec. 6. NEW SECTION. 139A.6 COMMUNICABLE DISEASES. 5 22 If a person, whether or not a resident, is infected with a 5 23 communicable disease dangerous to the public health, the local 5 24 board shall issue orders in regard to the care of the person 5 25 as necessary to protect the public health. The orders shall 5 26 be executed by the designated officer as the local board 5 27 directs or provides by rules. 5 28 Sec. 7. NEW SECTION. 139A.7 DISEASED PERSONS MOVING 5 29 RECORD FORWARDED. 5 30 If a person known to be suffering from a communicable 5 31 disease dangerous to the public health moves from the 5 32 jurisdiction of a local board into the jurisdiction of another 5 33 local board, the local board from whose jurisdiction the 5 34 person moves shall notify the local board into whose 5 35 jurisdiction the person is moving. 6 1 Sec. 8. NEW SECTION. 139A.8 IMMUNIZATION OF CHILDREN. 6 2 1. A parent or legal guardian shall assure that the 6 3 person's minor children residing in the state are adequately 6 4 immunized against diphtheria, pertussis, tetanus, 6 5 poliomyelitis, rubeola, and rubella, according to 6 6 recommendations provided by the department subject to the 6 7 provisions of subsections 3 and 4. 6 8 2. a. A person shall not be enrolled in any licensed 6 9 child care center or elementary or secondary school in Iowa 6 10 without evidence of adequate immunizations against diphtheria, 6 11 pertussis, tetanus, poliomyelitis, rubeola, and rubella. 6 12 b. Evidence of adequate immunization against haemophilus 6 13 influenza B shall be required prior to enrollment in any 6 14 licensed child care center. 6 15 c. Evidence of hepatitis type B immunization shall be 6 16 required of a child born on or after July 1, 1994, prior to 6 17 enrollment in school in kindergarten or in a grade. 6 18 d. Immunizations shall be provided according to 6 19 recommendations provided by the department subject to the 6 20 provisions of subsections 3 and 4. 6 21 3. Subject to the provision of subsection 4, the state 6 22 board of health may modify or delete any of the immunizations 6 23 in subsection 2. 6 24 4. Immunization is not required for a person's enrollment 6 25 in any elementary or secondary school or licensed child care 6 26 center if that person submits to the admitting official either 6 27 of the following: 6 28 a. A statement signed by a physician, who is licensed by 6 29 the state board of medical examiners, that, in the physician's 6 30 opinion, the immunizations required would be injurious to the 6 31 health and well-being of the applicant or any member of the 6 32 applicant's family or household. 6 33 b. An affidavit signed by the applicant or, if a minor, by 6 34 a legally authorized representative, stating that the 6 35 immunizations conflict with the tenets and practice of a 7 1 recognized religious denomination of which the applicant is an 7 2 adherent or member; however, this exemption does not apply in 7 3 times of emergency or epidemic as determined by the state 7 4 board of health and as declared by the director of public 7 5 health. 7 6 5. A person may be provisionally enrolled in an elementary 7 7 or secondary school or licensed child care center if the 7 8 person has begun the required immunizations and if the person 7 9 continues to receive the necessary immunizations as rapidly as 7 10 is medically feasible. The department shall adopt rules 7 11 relating to the provisional admission of persons to an 7 12 elementary or secondary school or licensed child care center. 7 13 6. The local board shall furnish the department, within 7 14 sixty days after the first official day of school, evidence 7 15 that each person enrolled in any elementary or secondary 7 16 school has been immunized as required in this section subject 7 17 to subsection 4. The department shall adopt rules pursuant to 7 18 chapter 17A relating to the reporting of evidence of 7 19 immunization. 7 20 7. Local boards shall provide the required immunizations 7 21 to children in areas where no local provision of these 7 22 services exists. 7 23 8. The department, in consultation with the director of 7 24 the department of education, shall adopt rules for the 7 25 implementation of this section and shall provide those rules 7 26 to local school boards and local boards. 7 27 Sec. 9. NEW SECTION. 139A.9 FORCIBLE REMOVAL 7 28 ISOLATION QUARANTINE. 7 29 The forcible removal and isolation or quarantine of any 7 30 infected person shall be accomplished according to the rules 7 31 and regulations of the local board or the rules of the state 7 32 board of health. 7 33 Sec. 10. NEW SECTION. 139A.10 FEES FOR REMOVING. 7 34 The officers designated by the magistrate shall receive 7 35 reasonable compensation for their services as determined by 8 1 the local board. The amount determined shall be certified and 8 2 paid in the same manner as other expenses incurred under this 8 3 chapter. 8 4 Sec. 11. NEW SECTION. 139A.11 MEDICAL ATTENDANCE AND 8 5 SUPPLIES ISOLATION QUARANTINE. 8 6 If a person under isolation or quarantine or the persons 8 7 liable for the support of the person shall, in the opinion of 8 8 the local board, be financially unable to secure proper care, 8 9 provisions, or medical attendance, the local board shall 8 10 furnish supplies and services during the period of isolation 8 11 or quarantine and may delegate the duty, by rules, to one of 8 12 its designated officers. 8 13 Sec. 12. NEW SECTION. 139A.12 COUNTY LIABILITY FOR 8 14 SUPPLIES. 8 15 The local board shall provide proper care, provisions, and 8 16 medical attendance for any person removed and isolated or 8 17 quarantined in a separate house or hospital for detention and 8 18 treatment, and the care, provisions, and medical attendance 8 19 shall be paid for by the county in which the infected person 8 20 has a legal settlement, if the patient or legal guardian is 8 21 unable to pay. 8 22 Sec. 13. NEW SECTION. 139A.13 RIGHTS OF ISOLATED OR 8 23 QUARANTINED PERSONS. 8 24 Any person removed and isolated or quarantined in a 8 25 separate house or hospital may, at the person's own expense, 8 26 employ the health care provider of the person's choice, and 8 27 may provide such supplies and commodities as the person may 8 28 require. 8 29 Sec. 14. NEW SECTION. 139A.14 SERVICES OR SUPPLIES. 8 30 All services or supplies furnished to persons under this 8 31 chapter must be authorized by the local board or an officer of 8 32 the local board, and a written order designating the person 8 33 employed to furnish such services or supplies, issued before 8 34 the services or supplies are furnished, shall be attached to 8 35 the bill when presented for audit and payment. 9 1 Sec. 15. NEW SECTION. 139A.15 FILING OF BILLS. 9 2 All bills incurred under this chapter in establishing, 9 3 maintaining, and terminating isolation and quarantine, in 9 4 providing a necessary house or hospital for isolation or 9 5 quarantine, and in making terminal cleanings, shall be filed 9 6 with the local board. The local board at its next regular 9 7 meeting or special meeting called for this purpose shall 9 8 examine and audit the bills and, if found correct, approve and 9 9 certify the bills to the county board of supervisors for 9 10 payment. 9 11 Sec. 16. NEW SECTION. 139A.16 ALLOWING CLAIMS. 9 12 All bills for supplies furnished and services rendered for 9 13 persons removed and isolated or quarantined in a separate 9 14 house or hospital, or for persons financially unable to 9 15 provide their own sustenance and care during isolation or 9 16 quarantine, shall be allowed and paid for only on a basis of 9 17 the local market price for such provisions, services, and 9 18 supplies in the locality furnished. A bill for the terminal 9 19 cleaning of premises or effects shall not be allowed, unless 9 20 the infected person or those liable for the person's support 9 21 are financially unable to pay. 9 22 Sec. 17. NEW SECTION. 139A.17 APPROVAL AND PAYMENT OF 9 23 CLAIMS. 9 24 The board of supervisors is not bound by the action of the 9 25 local board in approving the bills, but shall pay the bills 9 26 for a reasonable amount and within a reasonable time. 9 27 Sec. 18. NEW SECTION. 139A.18 REIMBURSEMENT FROM COUNTY. 9 28 If any person receives services or supplies under this 9 29 chapter who does not have a legal settlement in the county in 9 30 which the bills were incurred and paid, the amount paid shall 9 31 be certified to the board of supervisors of the county in 9 32 which the person claims settlement or owns property, and the 9 33 board of supervisors of that county shall reimburse the county 9 34 from which the claim is certified, in the full amount 9 35 originally paid. 10 1 Sec. 19. NEW SECTION. 139A.19 EMERGENCY CARE PROVIDER 10 2 NOTIFICATION. 10 3 1. a. A hospital licensed under chapter 135B shall have 10 4 written policies and procedures for notification of an 10 5 emergency care provider who renders assistance or treatment to 10 6 an individual when in the course of admission, care, or 10 7 treatment of the individual, the individual is diagnosed or is 10 8 confirmed as having a contagious or infectious disease. 10 9 b. If an individual is diagnosed or confirmed as having a 10 10 contagious or infectious disease, the hospital shall notify 10 11 the designated officer of an emergency care provider service 10 12 who shall notify persons involved in attending or transporting 10 13 the individual. For blood-borne contagious or infectious 10 14 diseases, notification shall only take place upon filing of an 10 15 exposure report form with the hospital. The exposure report 10 16 form may be incorporated into the Iowa prehospital care 10 17 report, the Iowa prehospital advanced care report, or a 10 18 similar report used by an ambulance, rescue, or first response 10 19 service or law enforcement agency. 10 20 c. A person who renders direct emergency aid without 10 21 compensation and is exposed to an individual who has a 10 22 contagious or infectious disease shall also receive 10 23 notification from the hospital upon the filing with the 10 24 hospital of an exposure report form developed by the 10 25 department. 10 26 d. The notification shall advise the emergency care 10 27 provider of possible exposure to a particular contagious or 10 28 infectious disease and recommend that the provider seek 10 29 medical attention. The notification shall be provided as soon 10 30 as is reasonably possible following determination that the 10 31 individual has a contagious or infectious disease. 10 32 e. This subsection does not require a hospital to 10 33 administer a test for the express purpose of determining the 10 34 presence of a contagious or infectious disease. The 10 35 notification shall not include the name of the individual with 11 1 the contagious or infectious disease unless the individual 11 2 consents. 11 3 f. The department shall adopt rules pursuant to chapter 11 4 17A to administer this subsection. 11 5 2. A health care provider may provide the notification 11 6 required of hospitals in this section to emergency care 11 7 providers if an individual who has a contagious or infectious 11 8 disease is delivered by an emergency care provider to the 11 9 office or clinic of a health care provider for treatment. The 11 10 notification shall not include the name of the individual who 11 11 has the contagious or infectious disease unless the individual 11 12 consents. 11 13 3. This section does not preclude a hospital from 11 14 providing notification to an emergency care provider or health 11 15 care provider under circumstances in which the hospital's 11 16 policy provides for notification of the hospital's own 11 17 employees of exposure to a contagious or infectious disease 11 18 that is not life-threatening if the notice does not reveal a 11 19 patient's name unless the patient consents. 11 20 4. A hospital, health care provider, or other person 11 21 participating in good faith in complying with provisions 11 22 authorized or required under this section, is immune from any 11 23 liability, civil or criminal, which may otherwise be incurred 11 24 or imposed. 11 25 5. A hospital's or health care provider's duty of 11 26 notification under this section is not continuing but is 11 27 limited to a diagnosis of a contagious or infectious disease 11 28 made in the course of admission, care, and treatment following 11 29 the rendering of emergency assistance or treatment to which 11 30 notification under this section applies. 11 31 Sec. 20. NEW SECTION. 139A.20 EXPOSING TO COMMUNICABLE 11 32 DISEASE. 11 33 A person who knowingly exposes another to a communicable 11 34 disease, or who knowingly subjects another to the danger of 11 35 contracting a communicable disease from a child or other 12 1 legally incapacitated person, shall be liable for all 12 2 resulting damages and shall be punished as provided in this 12 3 chapter. 12 4 Sec. 21. NEW SECTION. 139A.21 REPORTABLE POISONINGS AND 12 5 ILLNESSES EMERGENCY INFORMATION SYSTEM. 12 6 1. If the results of an examination by a public, private, 12 7 or hospital clinical laboratory of a specimen from a person in 12 8 Iowa yield evidence of or are reactive for a reportable 12 9 poisoning or a reportable illness from a toxic agent, 12 10 including methemoglobinemia, the results shall be reported to 12 11 the department on forms prescribed by the department. If the 12 12 laboratory is located in Iowa, the person in charge of the 12 13 laboratory shall report the results. If the laboratory is not 12 14 in Iowa, the health care provider submitting the specimen 12 15 shall report the results. 12 16 2. The health care provider attending a person infected 12 17 with a reportable poisoning or a reportable illness from a 12 18 toxic agent, including methemoglobinemia, shall immediately 12 19 report the case to the department. The department shall 12 20 publish and distribute instructions concerning the method of 12 21 reporting. Reports shall be made in accordance with rules 12 22 adopted by the department. 12 23 3. A person in charge of a poison control information 12 24 center shall report to the department cases of reportable 12 25 poisoning, including methemoglobinemia, about which inquiries 12 26 have been received. 12 27 4. The department shall adopt rules designating reportable 12 28 poisonings, including methemoglobinemia, and illnesses which 12 29 must be reported under this section. 12 30 5. The department shall establish and maintain a central 12 31 registry to collect and store data reported pursuant to this 12 32 section. 12 33 6. The department shall timely provide copies of all 12 34 reports of pesticide poisonings or illnesses received pursuant 12 35 to this section to the secretary of agriculture who shall 13 1 timely forward these reports and any reports of pesticide 13 2 poisonings or illnesses received pursuant to section 206.14 to 13 3 the registrant of a pesticide which is the subject of any 13 4 reports. 13 5 7. The department shall adopt rules specifying the 13 6 requirements for the operation of an emergency information 13 7 system operated by a registrant pursuant to section 206.12, 13 8 subsection 2, paragraph "c", which shall not exceed 13 9 requirements adopted by a poison control center as defined in 13 10 section 206.2. The rules shall specify the qualifications of 13 11 individuals staffing an emergency information system and shall 13 12 specify the maximum amount of time that a registrant may take 13 13 to provide the information to a poison control center or an 13 14 attending physician treating a patient exposed to the 13 15 registrant's product. 13 16 Sec. 22. NEW SECTION. 139A.22 PREVENTION OF TRANSMISSION 13 17 OF HIV OR HBV TO PATIENTS. 13 18 1. A hospital shall adopt procedures requiring the 13 19 establishment of protocols applicable on a case-by-case basis 13 20 to a health care provider determined to be infected with HIV 13 21 or HBV who ordinarily performs exposure-prone procedures as 13 22 determined by an expert review panel, within the hospital 13 23 setting. The protocols established shall be in accordance 13 24 with the recommendations issued by the centers for disease 13 25 control and prevention of the United States department of 13 26 health and human services. The expert review panel may be an 13 27 established committee of the hospital. The procedures may 13 28 provide for referral of the health care provider to the expert 13 29 review panel established by the department pursuant to 13 30 subsection 3 for establishment of the protocols. The 13 31 procedures shall require reporting noncompliance with the 13 32 protocols by a health care provider to the examining board 13 33 with jurisdiction over the relevant health care providers. 13 34 2. A health care facility shall adopt procedures in 13 35 accordance with recommendations issued by the centers for 14 1 disease control and prevention of the United States department 14 2 of health and human services, applicable to a health care 14 3 provider determined to be infected with HIV or HBV who 14 4 ordinarily performs or assists with exposure-prone procedures 14 5 within the health care facility. The procedures shall require 14 6 referral of the health care provider to the expert review 14 7 panel established by the department pursuant to subsection 3. 14 8 3. The department shall establish an expert review panel 14 9 to determine on a case-by-case basis under what circumstances, 14 10 if any, a health care provider determined to be infected with 14 11 HIV or HBV practicing outside the hospital or referred to the 14 12 panel by a hospital or health care facility setting may 14 13 perform exposure-prone procedures. If a health care provider 14 14 determined to be infected with HIV or HBV does not comply with 14 15 the determination of the expert review panel, the panel shall 14 16 report the noncompliance to the examining board with 14 17 jurisdiction over the health care provider. A determination 14 18 of an expert review panel pursuant to this section is a final 14 19 agency action appealable pursuant to section 17A.19. 14 20 4. The health care provider determined to be infected with 14 21 HIV or HBV, who works in a hospital setting, may elect either 14 22 the expert review panel established by the hospital or the 14 23 expert review panel established by the department for the 14 24 purpose of making a determination of the circumstances under 14 25 which the health care provider may perform exposure-prone 14 26 procedures. 14 27 5. A health care provider determined to be infected with 14 28 HIV or HBV shall not perform an exposure-prone procedure 14 29 except as approved by the expert review panel established by 14 30 the department pursuant to subsection 3, or in compliance with 14 31 the protocol established by the hospital pursuant to 14 32 subsection 1 or the procedures established by the health care 14 33 facility pursuant to subsection 2. 14 34 6. The board of medical examiners, the board of physician 14 35 assistant examiners, the board of podiatry examiners, the 15 1 board of nursing, the board of dental examiners, and the board 15 2 of optometry examiners shall require that licensees comply 15 3 with the recommendations issued by the centers for disease 15 4 control and prevention of the United States department of 15 5 health and human services for preventing transmission of human 15 6 immunodeficiency virus and hepatitis B virus to patients 15 7 during exposure-prone invasive procedures, with the 15 8 recommendations of the expert review panel established 15 9 pursuant to subsection 3, with hospital protocols established 15 10 pursuant to subsection 1 and with health care facility 15 11 procedures established pursuant to subsection 2, as 15 12 applicable. 15 13 7. Information relating to the HIV status of a health care 15 14 provider is confidential and subject to the provisions of 15 15 section 141A.9. A person who intentionally or recklessly 15 16 makes an unauthorized disclosure of such information is 15 17 subject to a civil penalty of one thousand dollars. The 15 18 attorney general or the attorney general's designee may 15 19 maintain a civil action to enforce this section. Proceedings 15 20 maintained under this section shall provide for the anonymity 15 21 of the health care provider and all documentation shall be 15 22 maintained in a confidential manner. Information relating to 15 23 the HBV status of a health care provider is confidential and 15 24 shall not be accessible to the public. Information regulated 15 25 by this section, however, may be disclosed to members of the 15 26 expert review panel established by the department or a panel 15 27 established by hospital protocol under this section. The 15 28 information may also be disclosed to the appropriate examining 15 29 board by filing a report as required by this section. The 15 30 examining board shall consider the report a complaint subject 15 31 to the confidentiality provisions of section 272C.6. A 15 32 licensee, upon the filing of a formal charge or notice of 15 33 hearing by the examining board based on such a complaint, may 15 34 seek a protective order from the board. 15 35 8. The expert review panel established by the department 16 1 and individual members of the panel shall be immune from any 16 2 liability, civil or criminal, for the good faith performance 16 3 of functions authorized or required by this section. A 16 4 hospital, an expert review panel established by the hospital, 16 5 and individual members of the panel shall be immune from any 16 6 liability, civil or criminal, for the good faith performance 16 7 of functions authorized or required by this section. 16 8 Complaints, investigations, reports, deliberations, and 16 9 findings of the hospital and its panel with respect to a named 16 10 health care provider suspected, alleged, or found to be in 16 11 violation of the protocol required by this section, constitute 16 12 peer review records under section 147.135, and are subject to 16 13 the specific confidentiality requirements and limitations of 16 14 that section. 16 15 Sec. 23. NEW SECTION. 139A.23 CONTINGENT REPEAL. 16 16 If the provisions of Pub. L. No. 102-141 relating to 16 17 requirements for prevention of transmission of HIV or HBV to 16 18 patients in the performance of exposure-prone procedures are 16 19 repealed, section 139A.22 is repealed. 16 20 Sec. 24. NEW SECTION. 139A.24 BLOOD DONATION OR SALE 16 21 PENALTY. 16 22 A person suffering from a communicable disease dangerous to 16 23 the public health who knowingly gives false information 16 24 regarding the person's infected state on a blood plasma sale 16 25 application to blood plasma-taking personnel commits a serious 16 26 misdemeanor. 16 27 Sec. 25. NEW SECTION. 139A.25 PENALTIES. 16 28 1. Unless otherwise provided in this chapter, a person who 16 29 knowingly violates any provision of this chapter, or of the 16 30 rules of the department or a local board, or any lawful order, 16 31 written or oral, of the department or board, or of their 16 32 officers or authorized agents, is guilty of a simple 16 33 misdemeanor. 16 34 2. Notwithstanding subsection 1, failure of an individual 16 35 to file any mandatory report specified in this chapter shall 17 1 result in a report being made to the licensing board governing 17 2 the professional activities of the individual failing to have 17 3 made the report. 17 4 3. Notwithstanding subsection 1, any public, private, or 17 5 hospital clinical laboratory failing to make the mandatory 17 6 report specified in this chapter is subject to a civil fine of 17 7 one thousand dollars per occurrence. 17 8 SUBCHAPTER I 17 9 CONTROL OF SEXUALLY TRANSMITTED DISEASES AND INFECTIONS 17 10 Sec. 26. NEW SECTION. 139A.30 CONFIDENTIAL REPORTS. 17 11 Reports to the department which include the identity of 17 12 persons infected with a sexually transmitted disease or 17 13 infection, and all such related information, records, and 17 14 reports concerning the person shall be confidential and shall 17 15 not be accessible to the public. However, such reports, 17 16 information, and records shall be confidential only to the 17 17 extent necessary to prevent identification of persons named in 17 18 such reports, information, and records; the other parts of 17 19 such reports, information, and records shall be public 17 20 records. The preceding sentence shall prevail over any 17 21 inconsistent provision of this chapter. 17 22 Sec. 27. NEW SECTION. 139A.31 REPORT TO DEPARTMENT. 17 23 Immediately after the first examination or treatment of any 17 24 person infected with any sexually transmitted disease or 17 25 infection, the health care provider who performed the 17 26 examination or treatment shall transmit to the department a 17 27 report stating the name of the infected person, the address of 17 28 the infected person, the infected person's date of birth, the 17 29 sex of the infected person, the race and ethnicity of the 17 30 infected person, the infected person's marital status, the 17 31 infected person's telephone number, if the infected person is 17 32 female, whether the infected person is pregnant, the name and 17 33 address of the laboratory that performed the test, the date 17 34 the test was found to be positive and the collection date, and 17 35 the name of the health care provider who performed the test. 18 1 However, when a case occurs within the jurisdiction of a local 18 2 health department, the report shall be made directly to the 18 3 local health department which shall immediately forward the 18 4 information to the department. Reports shall be made in 18 5 accordance with rules adopted by the department. Reports 18 6 shall be confidential. Any person filing a report of a 18 7 sexually transmitted disease or infection in good faith is 18 8 immune from any liability, civil or criminal, which might 18 9 otherwise be incurred or imposed as a result of such report. 18 10 Sec. 28. NEW SECTION. 139A.32 EXAMINATION RESULTS. 18 11 A person in charge of a public, private, or hospital 18 12 clinical laboratory shall report to the department, on forms 18 13 prescribed by the department, results obtained in the 18 14 examination of all specimens which yield evidence of or are 18 15 reactive for those diseases defined as sexually transmitted 18 16 diseases or infections, and listed in the Iowa administrative 18 17 code. The report shall state the name of the infected person 18 18 from whom the specimen was obtained, the address of the 18 19 infected person, the infected person's date of birth, the sex 18 20 of the infected person, the race and ethnicity of the infected 18 21 person, the infected person's marital status, the infected 18 22 person's telephone number, if the infected person is female 18 23 whether the infected person is pregnant, the name and address 18 24 of the laboratory that performed the test, the laboratory 18 25 results, the test employed, the date the test was found to be 18 26 positive and the collection date, the name of the health care 18 27 provider who performed the test, and the name and address of 18 28 the person submitting the specimen. 18 29 Sec. 29. NEW SECTION. 139A.33 DETERMINATION OF SOURCE. 18 30 The local board or the department shall use every available 18 31 means to determine the source and spread of any infectious 18 32 case of sexually transmitted disease or infection which is 18 33 reported. 18 34 Sec. 30. NEW SECTION. 139A.34 EXAMINATION OF PERSONS 18 35 SUSPECTED. 19 1 The local board shall cause an examination to be made of 19 2 every person reasonably suspected, on the basis of 19 3 epidemiological investigation, of having any sexually 19 4 transmitted disease or infection in the infectious stages to 19 5 ascertain if such person is infected, and if infected, to 19 6 cause such person to be treated. A person who is under the 19 7 care and treatment of a health care provider for the suspected 19 8 condition shall not be subjected to such examination. If a 19 9 person suspected of having a sexually transmitted disease or 19 10 infection refuses to submit to an examination voluntarily, 19 11 application may be made by the local board to the district 19 12 court for an order compelling the person to submit to 19 13 examination and, if infected, to treatment. The person shall 19 14 be treated until certified as no longer infectious to the 19 15 local board or to the department. If treatment is ordered by 19 16 the district court, the attending health care provider shall 19 17 certify that the person is no longer infectious. 19 18 Sec. 31. NEW SECTION. 139A.35 MINORS. 19 19 A minor who seeks diagnosis or treatment for a sexually 19 20 transmitted disease or infection shall have the legal capacity 19 21 to act and give consent to medical care and service for the 19 22 sexually transmitted disease or infection by a hospital, 19 23 clinic, or health care provider. Such medical diagnosis and 19 24 treatment shall be provided by a physician licensed to 19 25 practice medicine and surgery, osteopathy, or osteopathic 19 26 medicine and surgery. Consent shall not be subject to later 19 27 disaffirmance by reason of such minority. The consent of 19 28 another person, including but not limited to the consent of a 19 29 spouse, parent, custodian, or guardian, shall not be 19 30 necessary. 19 31 Sec. 32. NEW SECTION. 139A.36 CERTIFICATE NOT TO BE 19 32 ISSUED. 19 33 A certificate of freedom from sexually transmitted disease 19 34 or infection shall not be issued to any person by any official 19 35 health agency. 20 1 Sec. 33. NEW SECTION. 139A.37 PREGNANT WOMEN. 20 2 A physician attending a pregnant woman in this state shall 20 3 take or cause to be taken a sample of blood of the woman 20 4 within fourteen days of the first examination, and shall 20 5 submit the sample for standard serological tests for syphilis 20 6 to the university hygienic laboratory of the state university 20 7 at Iowa City or other laboratory approved by the department. 20 8 Every other person attending a pregnant woman in this state, 20 9 but not permitted by law to take blood tests, shall cause a 20 10 sample of blood of the woman to be taken by a duly licensed 20 11 physician, who shall submit such sample for standard 20 12 serological tests for syphilis to the state hygienic 20 13 laboratory of the state university at Iowa City or other 20 14 laboratory approved by the department. If the blood of the 20 15 pregnant woman reacts positively to the test if the woman is 20 16 married, the husband and other biological children of the 20 17 woman shall be subjected to the same blood tests. If the 20 18 pregnant woman is single, the person responsible for 20 19 impregnating the woman and other biological children by the 20 20 same woman shall be subjected to the same blood tests. 20 21 Sec. 34. NEW SECTION. 139A.38 BLOOD TESTS IN PREGNANCY 20 22 CASES. 20 23 Physicians and others attending pregnancy cases and 20 24 required to report births and still births shall state on the 20 25 appropriate birth or stillbirth certificate whether a blood 20 26 test for syphilis was made during the pregnancy upon a 20 27 specimen of blood taken from the mother of the subject child 20 28 and if made, the date when the test was made, and if not made, 20 29 the reason why the test was not made. The birth certificate 20 30 shall not state the result of the test. 20 31 Sec. 35. NEW SECTION. 139A.39 MEDICAL TREATMENT OF NEWLY 20 32 BORN. 20 33 A physician attending the birth of a child shall cause to 20 34 be instilled into the eyes of the newly born infant a 20 35 prophylactic solution approved by the department. This 21 1 section shall not be construed to require medical treatment of 21 2 the child of any person who is a member of a church or 21 3 religious denomination and whose religious convictions, in 21 4 accordance with the tenets or principles of the person's 21 5 church or religious denomination, oppose medical prophylaxis 21 6 or treatment for disease. 21 7 Sec. 36. NEW SECTION. 139A.40 RELIGIOUS EXCEPTIONS. 21 8 A provision of this chapter shall not be construed to 21 9 require or compel any person whose religious convictions are 21 10 as described in section 139A.39 to take or follow a course of 21 11 medical treatment prescribed by law or a health care provider. 21 12 However, such person while in an infectious stage of disease 21 13 shall be subject to isolation and such other measures 21 14 appropriate for the prevention of the spread of the disease to 21 15 other persons. 21 16 Sec. 37. NEW SECTION. 139A.41 FILING FALSE REPORTS. 21 17 Any person who falsely makes any of the reports required by 21 18 this subchapter concerning persons infected with any sexually 21 19 transmitted disease or infection, or who discloses the 21 20 identity of such person, except as authorized by this 21 21 subchapter, shall be punished as provided in section 139A.25. 21 22 Sec. 38. Section 135.11, subsections 8, 16, and 20, Code 21 23 Supplement 1999, are amended to read as follows: 21 24 8. Exercise general supervision over the administration 21 25 and enforcement of thevenereal diseasesexually transmitted 21 26 diseases and infections law, chapter140139A, subchapter I. 21 27 16. Administer chapters 125, 136A, 136C,139139A,140,21 28 142, 144, and 147A. 21 29 20. Establish, publish, and enforce rules requiring prompt 21 30 reporting of methemoglobinemia, pesticide poisoning, and the 21 31 reportable poisonings and illnesses established pursuant to 21 32 section139.35139A.21. 21 33 Sec. 39. Section 141A.6, Code Supplement 1999, is amended 21 34 by adding the following new subsection: 21 35 NEW SUBSECTION. 7. Failure to file the report required 22 1 under this section shall result in a report being made to the 22 2 licensing board governing the professional activities of the 22 3 individual failing to have made the report. Any public, 22 4 private, or hospital clinical laboratory failing to make the 22 5 report required under this section shall be subject to a civil 22 6 fine of one thousand dollars per occurrence. 22 7 Sec. 40. Section 141A.9, Code Supplement 1999, is amended 22 8 to read as follows: 22 9 141A.9 CONFIDENTIALITY OF INFORMATION. 22 10 1. Any information, including reports and records, 22 11 obtained, submitted, and maintained pursuant to this chapter 22 12 is strictly confidential medical information. The information 22 13 shall not be released, shared with an agency or institution, 22 14 or made public upon subpoena, search warrant, discovery 22 15 proceedings, or by any other means except as provided in this 22 16 chapter. A person shall not be compelled to disclose the 22 17 identity of any person upon whom an HIV-related test is 22 18 performed, or the results of the test in a manner which 22 19 permits identification of the subject of the test, except to 22 20 persons entitled to that information under this chapter. 22 21 Information shall be made available for release to the 22 22 following individuals or under the following circumstances: 22 231.a. To the subject of the test or the subject's legal 22 24 guardian subject to the provisions of section 141A.7, 22 25 subsection 3, when applicable. 22 262.b. To any person who secures a written release of test 22 27 results executed by the subject of the test or the subject's 22 28 legal guardian. 22 293.c. To an authorized agent or employee of a health 22 30 facility or health care provider, if the health facility or 22 31 health care provider ordered or participated in the testing or 22 32 is otherwise authorized to obtain the test results, the agent 22 33 or employee provides patient care or handles or processes 22 34 samples, and the agent or employee has a medical need to know 22 35 such information. 23 14.d. To a health care provider providing care to the 23 2 subject of the test when knowledge of the test results is 23 3 necessary to provide care or treatment. 23 45.e. To the department in accordance with reporting 23 5 requirements for an HIV-related condition. 23 66.f. To a health facility or health care provider which 23 7 procures, processes, distributes, or uses a human body part 23 8 from a deceased person with respect to medical information 23 9 regarding that person, or semen provided prior to July 1, 23 10 1988, for the purpose of artificial insemination. 23 117.g. Release may be made of medical or epidemiological 23 12 information for statistical purposes in a manner such that no 23 13 individual person can be identified. 23 148.h. Release may be made of medical or epidemiological 23 15 information to the extent necessary to enforce the provisions 23 16 of this chapter and related rules concerning the treatment, 23 17 control, and investigation of HIV infection by public health 23 18 officials. 23 199.i. Release may be made of medical or epidemiological 23 20 information to medical personnel to the extent necessary to 23 21 protect the health or life of the named party. 23 2210.j. Release may be made of test results concerning a 23 23 patient pursuant to procedures established under section 23 24 141A.5, subsection 3, paragraph "c". 23 2511.k. To a person allowed access to a record by a court 23 26 order which is issued in compliance with the following 23 27 provisions: 23 28a.(1) A court has found that the person seeking the test 23 29 results has demonstrated a compelling need for the test 23 30 results which need cannot be accommodated by other means. In 23 31 assessing compelling need, the court shall weigh the need for 23 32 disclosure against the privacy interest of the test subject 23 33 and the public interest which may be disserved by disclosure 23 34 due to its deterrent effect on future testing or due to its 23 35 effect in leading to discrimination. 24 1b.(2) Pleadings pertaining to disclosure of test results 24 2 shall substitute a pseudonym for the true name of the subject 24 3 of the test. The disclosure to the parties of the subject's 24 4 true name shall be communicated confidentially in documents 24 5 not filed with the court. 24 6c.(3) Before granting an order, the court shall provide 24 7 the person whose test results are in question with notice and 24 8 a reasonable opportunity to participate in the proceedings if 24 9 the person is not already a party. 24 10d.(4) Court proceedings as to disclosure of test results 24 11 shall be conducted in camera unless the subject of the test 24 12 agrees to a hearing in open court or unless the court 24 13 determines that a public hearing is necessary to the public 24 14 interest and the proper administration of justice. 24 15e.(5) Upon the issuance of an order to disclose test 24 16 results, the court shall impose appropriate safeguards against 24 17 unauthorized disclosure, which shall specify the persons who 24 18 may gain access to the information, the purposes for which the 24 19 information shall be used, and appropriate prohibitions on 24 20 future disclosure. 24 2112.l. To an employer, if the test is authorized to be 24 22 required under any other provision of law. 24 2313.m. To a convicted or alleged sexual assault offender; 24 24 the physician or other health care provider who orders the 24 25 test of a convicted or alleged offender; the victim; the 24 26 parent, guardian, or custodian of the victim if the victim is 24 27 a minor; the physician of the victim; the victim counselor or 24 28 person requested by the victim to provide counseling regarding 24 29 the HIV-related test and results; the victim's spouse; persons 24 30 with whom the victim has engaged in vaginal, anal, or oral 24 31 intercourse subsequent to the sexual assault; members of the 24 32 victim's family within the third degree of consanguinity; and 24 33 the county attorney who may use the results as evidence in the 24 34 prosecution of sexual assault under chapter 915, subchapter 24 35 IV, or prosecution of the offense of criminal transmission of 25 1 HIV under chapter 709C. For the purposes of this paragraph, 25 2 "victim" means victim as defined in section 915.40. 25 314.n. To employees of state correctional institutions 25 4 subject to the jurisdiction of the department of corrections, 25 5 employees of secure facilities for juveniles subject to the 25 6 department of human services, and employees of city and county 25 7 jails, if the employees have direct supervision over inmates 25 8 of those facilities or institutions in the exercise of the 25 9 duties prescribed pursuant to section 80.9, subsection 2, 25 10 paragraph "d". 25 11 2. Medical information secured pursuant to subsection 1 25 12 may be shared between employees of the department who shall 25 13 use the information collected only for the purposes of 25 14 carrying out their official duties in preventing the spread of 25 15 the disease or the spread of other reportable diseases as 25 16 defined in section 139A.2. 25 17 Sec. 41. Section 206.12, subsection 2, paragraph c, 25 18 subparagraph (2), Code 1999, is amended to read as follows: 25 19 (2) The registrant operates an emergency information 25 20 system as provided in section139.35139A.21 that is available 25 21 to poison control centers twenty-four hours a day every day of 25 22 the year. The emergency information system must provide 25 23 information to medical professionals required for the sole 25 24 purpose of treating a specific patient for exposure or adverse 25 25 reaction to the registrant's product, including the 25 26 identification of all ingredients which are toxic to humans, 25 27 and toxicological and medical management information. 25 28 Sec. 42. Section 232.69, subsection 1, paragraph a, Code 25 29 Supplement 1999, is amended to read as follows: 25 30 a. Every health practitioner who in the scope of 25 31 professional practice, examines, attends, or treats a child 25 32 and who reasonably believes the child has been abused. 25 33 Notwithstanding section140.3139A.30, this provision applies 25 34 to a health practitioner who receives information confirming 25 35 that a child is infected with a sexually transmitted disease. 26 1 Sec. 43. Section 239B.12, subsection 1, Code 1999, is 26 2 amended to read as follows: 26 3 1. To the extent feasible, the department shall determine 26 4 the immunization status of children receiving assistance under 26 5 this chapter. The status shall be determined in accordance 26 6 with the immunization recommendations adopted by the Iowa 26 7 department of public health under section139.9139A.8, 26 8 including the exemption provisions in section139.9139A.8, 26 9 subsection 4. If the department determines a child is not in 26 10 compliance with the immunization recommendations, the 26 11 department shall refer the child's parent or guardian to a 26 12 local public health agency for immunization services for the 26 13 child and other members of the child's family. 26 14 Sec. 44. Section 252.24, unnumbered paragraph 2, Code 26 15 1999, is amended to read as follows: 26 16 When assistance is furnished by any governmental agency of 26 17 the county, township, or city, the assistance shall be deemed 26 18 to have been furnished by the county in which the agency is 26 19 located and the agency furnishing the assistance shall certify 26 20 the correctness of the costs of the assistance to the board of 26 21 supervisors of that county and that county shall collect from 26 22 the county of the person's settlement. The amounts collected 26 23 by the county where the agency is located shall be paid to the 26 24 agency furnishing the assistance. This statute applies to 26 25 services and supplies furnished as provided in section139.3026 26 139A.18. 26 27 Sec. 45. Section 299.4, Code 1999, is amended to read as 26 28 follows: 26 29 299.4 REPORTS AS TO PRIVATE INSTRUCTION. 26 30 The parent, guardian, or legal custodian of a child who is 26 31 of compulsory attendance age, who places the child under 26 32 competent private instruction under either section 299A.2 or 26 33 299A.3, not in an accredited school or a home school 26 34 assistance program operated by a public or accredited 26 35 nonpublic school, shall furnish a report in duplicate on forms 27 1 provided by the public school district, to the district by the 27 2 earliest starting date specified in section 279.10, subsection 27 3 1. The secretary shall retain and file one copy and forward 27 4 the other copy to the district's area education agency. The 27 5 report shall state the name and age of the child, the period 27 6 of time during which the child has been or will be under 27 7 competent private instruction for the year, an outline of the 27 8 course of study, texts used, and the name and address of the 27 9 instructor. The parent, guardian, or legal custodian of a 27 10 child, who is placing the child under competent private 27 11 instruction, for the first time, shall also provide the 27 12 district with evidence that the child has had the 27 13 immunizations required under section139.9139A.8. The term 27 14 "outline of course of study" shall include subjects covered, 27 15 lesson plans, and time spent on the areas of study. 27 16 Sec. 46. Section 455E.11, subsection 2, paragraph a, 27 17 subparagraph (2), subparagraph subdivision (a), subparagraph 27 18 subdivision part (i), Code 1999, is amended to read as 27 19 follows: 27 20 (i) Eight thousand dollars shall be transferred to the 27 21 Iowa department of public health for departmental duties 27 22 required under section 135.11, subsections 20 and 21, and 27 23 section139.35139A.21. 27 24 Sec. 47. Section 455E.11, subsection 2, paragraph b, 27 25 subparagraph (1), Code 1999, is amended to read as follows: 27 26 (1) Nine thousand dollars of the account is appropriated 27 27 to the Iowa department of public health for carrying out the 27 28 departmental duties under section 135.11, subsections 20 and 27 29 21, and section139.35139A.31. 27 30 Sec. 48. Section 455E.11, subsection 2, paragraph c, 27 31 unnumbered paragraph 1, Code 1999, is amended to read as 27 32 follows: 27 33 A household hazardous waste account. The moneys collected 27 34 pursuant to section 455F.7 and moneys collected pursuant to 27 35 section 29C.8A which are designated for deposit, shall be 28 1 deposited in the household hazardous waste account. Two 28 2 thousand dollars is appropriated annually to the Iowa 28 3 department of public health to carry out departmental duties 28 4 under section 135.11, subsections 20 and 21, and section 28 5139.35139A.21. The remainder of the account shall be used to 28 6 fund toxic cleanup days and the efforts of the department to 28 7 support a collection system for household hazardous materials, 28 8 including public education programs, training, and 28 9 consultation of local governments in the establishment and 28 10 operation of permanent collection systems, and the management 28 11 of collection sites, education programs, and other activities 28 12 pursuant to chapter 455F, including the administration of the 28 13 household hazardous materials permit program by the department 28 14 of revenue and finance. 28 15 Sec. 49. Section 455E.11, subsection 2, paragraph d, 28 16 subparagraph (1), Code 1999, is amended to read as follows: 28 17 (1) One thousand dollars is appropriated annually to the 28 18 Iowa department of public health to carry out departmental 28 19 duties under section 135.11, subsections 20 and 21, and 28 20 section139.35139A.21. 28 21 Sec. 50. Chapters 139, 139B, 139C, and 140, Code 1999 and 28 22 Code Supplement 1999, are repealed. 28 23 Sec. 51. Section 137C.19, Code 1999, is repealed. 28 24 EXPLANATION 28 25 This bill combines the existing communicable and reportable 28 26 diseases and poisonings Code chapter (139), emergency care 28 27 providers exposure to disease Code chapter (139B), 28 28 exposure-prone procedures Code chapter (139C), and venereal 28 29 disease control Code chapter (140) into a new Code chapter 28 30 (139A), entitled the communicable and infectious disease 28 31 reporting and control Act. 28 32 The bill makes minor changes in the existing language in 28 33 combining the chapters. Definitions used in the four chapters 28 34 are combined. The current term "disinfection" is replaced 28 35 with "terminal cleaning" and is defined. "Venereal disease" 29 1 is replaced with the broader term "sexually transmitted 29 2 disease or infection". 29 3 With regard to reporting of reportable diseases, the bill 29 4 retains the same process, but also specifies information to be 29 5 included in any report made. 29 6 The bill repeals Code section 137C.19 which prohibits a 29 7 person with a communicable disease from being employed in a 29 8 hotel. 29 9 Code chapter 140, which applies only to venereal disease 29 10 control, is replaced with subchapter I of new Code chapter 29 11 139A and is expanded to cover sexually transmitted diseases 29 12 and infections. 29 13 The remainder of the bill makes conforming changes 29 14 throughout the Code resulting from the repeal of Code chapters 29 15 139, 139B, 139C, and 140. 29 16 LSB 5321DP 78 29 17 pf/gg/8.1
Text: HSB00616 Text: HSB00618 Text: HSB00600 - HSB00699 Text: HSB Index Bills and Amendments: General Index Bill History: General Index
© 2000 Cornell College and League of Women Voters of Iowa
Comments about this site or page?
webmaster@legis.iowa.gov.
Please remember that the person listed above does not vote on bills. Direct all comments concerning legislation to State Legislators.
Last update: Fri Feb 4 03:35:35 CST 2000
URL: /DOCS/GA/78GA/Legislation/HSB/00600/HSB00617/000203.html
jhf