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PAG LIN 1 1 SENATE FILE 2314 1 2 1 3 AN ACT 1 4 RELATING TO COMMUNICABLE AND INFECTIOUS DISEASES AND PROVIDING 1 5 PENALTIES. 1 6 1 7 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 1 8 1 9 Section 1. NEW SECTION. 139A.1 TITLE. 1 10 This chapter shall be known as the "Communicable and 1 11 Infectious Disease Reporting and Control Act". 1 12 Sec. 2. NEW SECTION. 139A.2 DEFINITIONS. 1 13 For purposes of this chapter, unless the context otherwise 1 14 requires: 1 15 1. "Business" means and includes every trade, occupation, 1 16 or profession. 1 17 2. "Communicable disease" means any disease spread from 1 18 person to person or animal to person. 1 19 3. "Contagious or infectious disease" means hepatitis in 1 20 any form, meningococcal disease, tuberculosis, and any other 1 21 disease, with the exception of AIDS or HIV infection as 1 22 defined in section 141A.1, determined to be life-threatening 1 23 to a person exposed to the disease as established by rules 1 24 adopted by the department, based upon a determination by the 1 25 state epidemiologist and in accordance with guidelines of the 1 26 centers for disease control and prevention of the United 1 27 States department of health and human services. 1 28 4. "Department" means the Iowa department of public 1 29 health. 1 30 5. "Designated officer" means a person who is designated 1 31 by a department, agency, division, or service organization to 1 32 act as an infection control liaison officer. 1 33 6. "Emergency care provider" means a person who is trained 1 34 and authorized by federal or state law to provide emergency 1 35 medical assistance or treatment, for compensation or in a 2 1 voluntary capacity, including but not limited to all of the 2 2 following: 2 3 a. An emergency medical care provider as defined in 2 4 section 147A.1. 2 5 b. A health care provider. 2 6 c. A fire fighter. 2 7 d. A peace officer. 2 8 "Emergency care provider" also includes a person who 2 9 renders direct emergency aid without compensation. 2 10 7. "Exposure" means the risk of contracting disease. 2 11 8. "Exposure-prone procedure" means a procedure performed 2 12 by a health care provider which presents a recognized risk of 2 13 percutaneous injury to the health care provider and if such an 2 14 injury occurs, the health care provider's blood is likely to 2 15 contact a patient's body cavity, subcutaneous tissues, or 2 16 mucous membranes, or exposure-prone procedure as defined by 2 17 the centers for disease control and prevention of the United 2 18 States department of health and human services. 2 19 9. "HBV" means hepatitis B virus. 2 20 10. "Health care facility" means a health care facility as 2 21 defined in section 135C.1, an ambulatory surgical center, or a 2 22 clinic. 2 23 11. "Health care provider" means a person licensed to 2 24 practice medicine and surgery, osteopathic medicine and 2 25 surgery, osteopathy, chiropractic, podiatry, nursing, 2 26 dentistry, optometry, or as a physician assistant, dental 2 27 hygienist, or acupuncturist. 2 28 12. "HIV" means HIV as defined in section 141A.1. 2 29 13. "Hospital" means hospital as defined in section 2 30 135B.1. 2 31 14. "Isolation" means the separation of persons or animals 2 32 presumably or actually affected with a communicable disease or 2 33 who are disease carriers for the usual period of 2 34 communicability of that disease in such places, marked by 2 35 placards if necessary, and under such conditions as will 3 1 prevent the direct or indirect conveyance of the infectious 3 2 agent or contagion to susceptible persons. 3 3 15. "Local board" means the local board of health. 3 4 16. "Local department" means the local health department. 3 5 17. "Placard" means a warning sign to be erected and 3 6 displayed on the periphery of a quarantine area, forbidding 3 7 entry to or exit from the area. 3 8 18. "Quarantinable disease" means any communicable disease 3 9 designated by rule adopted by the department as requiring 3 10 quarantine or isolation to prevent its spread. 3 11 19. "Quarantine" means the limitation of freedom of 3 12 movement of persons or animals that have been exposed to a 3 13 communicable disease within specified limits marked by 3 14 placards for a period of time equal to the longest usual 3 15 incubation period of the disease in such manner as to prevent 3 16 the spread of a communicable disease which affects people. 3 17 20. "Reportable disease" means any disease designated by 3 18 rule adopted by the department requiring its occurrence to be 3 19 reported to an appropriate authority. 3 20 21. "Sexually transmitted disease or infection" means a 3 21 disease or infection as identified by rules adopted by the 3 22 department, based upon a determination by the state 3 23 epidemiologist and in accordance with guidelines of the 3 24 centers for disease control and prevention of the United 3 25 States department of health and human services. 3 26 22. "Terminal cleaning" means cleaning procedures defined 3 27 in the isolation guidelines issued by the centers for disease 3 28 control and prevention of the United States department of 3 29 health and human services. 3 30 Sec. 3. NEW SECTION. 139A.3 REPORT TO DEPARTMENT. 3 31 1. The health care provider or public, private, or 3 32 hospital clinical laboratory attending a person infected with 3 33 a reportable disease shall immediately report the case to the 3 34 department. However, when a case occurs within the 3 35 jurisdiction of a local health department, the report shall be 4 1 made to the local department and to the department. A health 4 2 care provider or public, private, or hospital clinical 4 3 laboratory who files such a report which identifies a person 4 4 infected with a reportable disease shall assist in the 4 5 investigation by the department, a local board, or a local 4 6 department. The department shall publish and distribute 4 7 instructions concerning the method of reporting. Reports 4 8 shall be made in accordance with rules adopted by the 4 9 department and shall require inclusion of all the following 4 10 information: 4 11 a. The patient's name. 4 12 b. The patient's address. 4 13 c. The patient's date of birth. 4 14 d. The sex of the patient. 4 15 e. The race and ethnicity of the patient. 4 16 f. The patient's marital status. 4 17 g. The patient's telephone number. 4 18 h. The name and address of the laboratory. 4 19 i. The date the test was found to be positive and the 4 20 collection date. 4 21 j. The name of the health care provider who performed the 4 22 test. 4 23 k. If the patient is female, whether the patient is 4 24 pregnant. 4 25 2. a. Any person who, acting reasonably and in good 4 26 faith, files a report under this section is immune from any 4 27 liability, civil or criminal, which might otherwise be 4 28 incurred or imposed for making a 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 either of the following applies: 6 27 a. The applicant, or if the applicant is a minor, the 6 28 applicant's parent or legal guardian, submits to the admitting 6 29 official a statement signed by a physician, who is licensed by 6 30 the state board of medical examiners, that, in the physician's 6 31 opinion, the immunizations required would be injurious to the 6 32 health and well-being of the applicant or any member of the 6 33 applicant's family. 6 34 b. The applicant, or if the applicant is a minor, the 6 35 applicant's parent or legal guardian, submits an affidavit 7 1 signed by the applicant, or if the applicant is a minor, the 7 2 applicant's parent or legal guardian, stating that the 7 3 immunization conflicts with the tenets and practices of a 7 4 recognized religious denomination of which the applicant is an 7 5 adherent or member. 7 6 The exemptions under this subsection do not apply in times 7 7 of emergency or epidemic as determined by the state board of 7 8 health and as declared by the director of public health. 7 9 5. A person may be provisionally enrolled in an elementary 7 10 or secondary school or licensed child care center if the 7 11 person has begun the required immunizations and if the person 7 12 continues to receive the necessary immunizations as rapidly as 7 13 is medically feasible. The department shall adopt rules 7 14 relating to the provisional admission of persons to an 7 15 elementary or secondary school or licensed child care center. 7 16 6. The local board shall furnish the department, within 7 17 sixty days after the first official day of school, evidence 7 18 that each person enrolled in any elementary or secondary 7 19 school has been immunized as required in this section subject 7 20 to subsection 4. The department shall adopt rules pursuant to 7 21 chapter 17A relating to the reporting of evidence of 7 22 immunization. 7 23 7. Local boards shall provide the required immunizations 7 24 to children in areas where no local provision of these 7 25 services exists. 7 26 8. The department, in consultation with the director of 7 27 the department of education, shall adopt rules for the 7 28 implementation of this section and shall provide those rules 7 29 to local school boards and local boards. 7 30 Sec. 9. NEW SECTION. 139A.9 FORCIBLE REMOVAL 7 31 ISOLATION QUARANTINE. 7 32 The forcible removal and isolation or quarantine of any 7 33 infected person shall be accomplished according to the rules 7 34 and regulations of the local board or the rules of the state 7 35 board of health. 8 1 Sec. 10. NEW SECTION. 139A.10 FEES FOR REMOVING. 8 2 The officers designated by the magistrate shall receive 8 3 reasonable compensation for their services as determined by 8 4 the local board. The amount determined shall be certified and 8 5 paid in the same manner as other expenses incurred under this 8 6 chapter. 8 7 Sec. 11. NEW SECTION. 139A.11 MEDICAL ATTENDANCE AND 8 8 SUPPLIES ISOLATION QUARANTINE. 8 9 If the person under isolation or quarantine or the person 8 10 liable for the support of the person, in the opinion of the 8 11 local board, is financially unable to secure proper care, 8 12 provisions, or medical attendance, the local board shall 8 13 furnish supplies and services during the period of isolation 8 14 or quarantine and may delegate the duty, by rules, to one of 8 15 its designated officers. 8 16 Sec. 12. NEW SECTION. 139A.12 COUNTY LIABILITY FOR 8 17 SUPPLIES. 8 18 The local board shall provide proper care, provisions, and 8 19 medical attendance for any person removed and isolated or 8 20 quarantined in a separate house or hospital for detention and 8 21 treatment, and the care, provisions, and medical attendance 8 22 shall be paid for by the county in which the infected person 8 23 has a legal settlement, if the patient or legal guardian is 8 24 unable to pay. 8 25 Sec. 13. NEW SECTION. 139A.13 RIGHTS OF ISOLATED OR 8 26 QUARANTINED PERSONS. 8 27 Any person removed and isolated or quarantined in a 8 28 separate house or hospital may, at the person's own expense, 8 29 employ the health care provider of the person's choice, and 8 30 may provide such supplies and commodities as the person may 8 31 require. 8 32 Sec. 14. NEW SECTION. 139A.14 SERVICES OR SUPPLIES. 8 33 All services or supplies furnished to persons under this 8 34 chapter must be authorized by the local board or an officer of 8 35 the local board, and a written order designating the person 9 1 employed to furnish such services or supplies, issued before 9 2 the services or supplies are furnished, shall be attached to 9 3 the bill when presented for audit and payment. 9 4 Sec. 15. NEW SECTION. 139A.15 FILING OF BILLS. 9 5 All bills incurred under this chapter in establishing, 9 6 maintaining, and terminating isolation and quarantine, in 9 7 providing a necessary house or hospital for isolation or 9 8 quarantine, and in making terminal cleanings, shall be filed 9 9 with the local board. The local board at its next regular 9 10 meeting or special meeting called for this purpose shall 9 11 examine and audit the bills and, if found correct, approve and 9 12 certify the bills to the county board of supervisors for 9 13 payment. 9 14 Sec. 16. NEW SECTION. 139A.16 ALLOWING CLAIMS. 9 15 All bills for supplies furnished and services rendered for 9 16 persons removed and isolated or quarantined in a separate 9 17 house or hospital, or for persons financially unable to 9 18 provide their own sustenance and care during isolation or 9 19 quarantine, shall be allowed and paid for only on a basis of 9 20 the local market price for such provisions, services, and 9 21 supplies in the locality furnished. A bill for the terminal 9 22 cleaning of premises or effects shall not be allowed, unless 9 23 the infected person or those liable for the person's support 9 24 are financially unable to pay. 9 25 Sec. 17. NEW SECTION. 139A.17 APPROVAL AND PAYMENT OF 9 26 CLAIMS. 9 27 The board of supervisors is not bound by the action of the 9 28 local board in approving the bills, but shall pay the bills 9 29 for a reasonable amount and within a reasonable time. 9 30 Sec. 18. NEW SECTION. 139A.18 REIMBURSEMENT FROM COUNTY. 9 31 If any person receives services or supplies under this 9 32 chapter who does not have a legal settlement in the county in 9 33 which the bills were incurred and paid, the amount paid shall 9 34 be certified to the board of supervisors of the county in 9 35 which the person claims settlement or owns property, and the 10 1 board of supervisors of that county shall reimburse the county 10 2 from which the claim is certified, in the full amount 10 3 originally paid. 10 4 Sec. 19. NEW SECTION. 139A.19 EMERGENCY CARE PROVIDER 10 5 NOTIFICATION. 10 6 1. a. A hospital licensed under chapter 135B shall have 10 7 written policies and procedures for notification of an 10 8 emergency care provider who renders assistance or treatment to 10 9 an individual when in the course of admission, care, or 10 10 treatment of the individual, the individual is diagnosed or is 10 11 confirmed as having a contagious or infectious disease. 10 12 b. If an individual is diagnosed or confirmed as having a 10 13 contagious or infectious disease, the hospital shall notify 10 14 the designated officer of an emergency care provider service 10 15 who shall notify persons involved in attending or transporting 10 16 the individual. For blood-borne contagious or infectious 10 17 diseases, notification shall only take place upon filing of an 10 18 exposure report form with the hospital. The exposure report 10 19 form may be incorporated into the Iowa prehospital care 10 20 report, the Iowa prehospital advanced care report, or a 10 21 similar report used by an ambulance, rescue, or first response 10 22 service or law enforcement agency. 10 23 c. A person who renders direct emergency aid without 10 24 compensation and is exposed to an individual who has a 10 25 contagious or infectious disease shall also receive 10 26 notification from the hospital upon the filing with the 10 27 hospital of an exposure report form developed by the 10 28 department. 10 29 d. The notification shall advise the emergency care 10 30 provider of possible exposure to a particular contagious or 10 31 infectious disease and recommend that the provider seek 10 32 medical attention. The notification shall be provided as soon 10 33 as is reasonably possible following determination that the 10 34 individual has a contagious or infectious disease. 10 35 e. This subsection does not require a hospital to 11 1 administer a test for the express purpose of determining the 11 2 presence of a contagious or infectious disease. The 11 3 notification shall not include the name of the individual with 11 4 the contagious or infectious disease unless the individual 11 5 consents. 11 6 f. The department shall adopt rules pursuant to chapter 11 7 17A to administer this subsection. 11 8 2. A health care provider shall provide the notification 11 9 required of hospitals in this section to emergency care 11 10 providers if an individual who has a contagious or infectious 11 11 disease is delivered by an emergency care provider to the 11 12 office or clinic of a health care provider for treatment. The 11 13 notification shall not include the name of the individual who 11 14 has the contagious or infectious disease unless the individual 11 15 consents. 11 16 3. This section does not preclude a hospital from 11 17 providing notification to an emergency care provider or health 11 18 care provider under circumstances in which the hospital's 11 19 policy provides for notification of the hospital's own 11 20 employees of exposure to a contagious or infectious disease 11 21 that is not life-threatening if the notice does not reveal a 11 22 patient's name unless the patient consents. 11 23 4. A hospital, health care provider, or other person 11 24 acting reasonably and in good faith in complying with 11 25 provisions authorized or required under this section, is 11 26 immune from any liability, civil or criminal, which may 11 27 otherwise be incurred or imposed. 11 28 5. A hospital's or health care provider's duty of 11 29 notification under this section is not continuing but is 11 30 limited to a diagnosis of a contagious or infectious disease 11 31 made in the course of admission, care, and treatment following 11 32 the rendering of emergency assistance or treatment to which 11 33 notification under this section applies. 11 34 Sec. 20. NEW SECTION. 139A.20 EXPOSING TO COMMUNICABLE 11 35 DISEASE. 12 1 A person who knowingly exposes another to a communicable 12 2 disease or who knowingly subjects another to a child or other 12 3 legally incapacitated person who has contracted a communicable 12 4 disease, with the intent that another person contract the 12 5 communicable disease, shall be liable for all resulting 12 6 damages and shall be punished as provided in this chapter. 12 7 Sec. 21. NEW SECTION. 139A.21 REPORTABLE POISONINGS AND 12 8 ILLNESSES EMERGENCY INFORMATION SYSTEM. 12 9 1. If the results of an examination by a public, private, 12 10 or hospital clinical laboratory of a specimen from a person in 12 11 Iowa yield evidence of or are reactive for a reportable 12 12 poisoning or a reportable illness from a toxic agent, 12 13 including methemoglobinemia, the results shall be reported to 12 14 the department on forms prescribed by the department. If the 12 15 laboratory is located in Iowa, the person in charge of the 12 16 laboratory shall report the results. If the laboratory is not 12 17 in Iowa, the health care provider submitting the specimen 12 18 shall report the results. 12 19 2. The health care provider attending a person infected 12 20 with a reportable poisoning or a reportable illness from a 12 21 toxic agent, including methemoglobinemia, shall immediately 12 22 report the case to the department. The department shall 12 23 publish and distribute instructions concerning the method of 12 24 reporting. Reports shall be made in accordance with rules 12 25 adopted by the department. 12 26 3. A person in charge of a poison control information 12 27 center shall report to the department cases of reportable 12 28 poisoning, including methemoglobinemia, about which inquiries 12 29 have been received. 12 30 4. The department shall adopt rules designating reportable 12 31 poisonings, including methemoglobinemia, and illnesses which 12 32 must be reported under this section. 12 33 5. The department shall establish and maintain a central 12 34 registry to collect and store data reported pursuant to this 12 35 section. 13 1 6. The department shall timely provide copies of all 13 2 reports of pesticide poisonings or illnesses received pursuant 13 3 to this section to the secretary of agriculture who shall 13 4 timely forward these reports and any reports of pesticide 13 5 poisonings or illnesses received pursuant to section 206.14 to 13 6 the registrant of a pesticide which is the subject of any 13 7 reports. 13 8 7. The department shall adopt rules specifying the 13 9 requirements for the operation of an emergency information 13 10 system operated by a registrant pursuant to section 206.12, 13 11 subsection 2, paragraph "c", which shall not exceed 13 12 requirements adopted by a poison control center as defined in 13 13 section 206.2. The rules shall specify the qualifications of 13 14 individuals staffing an emergency information system and shall 13 15 specify the maximum amount of time that a registrant may take 13 16 to provide the information to a poison control center or an 13 17 attending physician treating a patient exposed to the 13 18 registrant's product. 13 19 Sec. 22. NEW SECTION. 139A.22 PREVENTION OF TRANSMISSION 13 20 OF HIV OR HBV TO PATIENTS. 13 21 1. A hospital shall adopt procedures requiring the 13 22 establishment of protocols applicable on a case-by-case basis 13 23 to a health care provider determined to be infected with HIV 13 24 or HBV who ordinarily performs exposure-prone procedures as 13 25 determined by an expert review panel, within the hospital 13 26 setting. The protocols established shall be in accordance 13 27 with the recommendations issued by the centers for disease 13 28 control and prevention of the United States department of 13 29 health and human services. The expert review panel may be an 13 30 established committee of the hospital. The procedures may 13 31 provide for referral of the health care provider to the expert 13 32 review panel established by the department pursuant to 13 33 subsection 3 for establishment of the protocols. The 13 34 procedures shall require reporting noncompliance with the 13 35 protocols by a health care provider to the examining board 14 1 with jurisdiction over the relevant health care providers. 14 2 2. A health care facility shall adopt procedures in 14 3 accordance with recommendations issued by the centers for 14 4 disease control and prevention of the United States department 14 5 of health and human services, applicable to a health care 14 6 provider determined to be infected with HIV or HBV who 14 7 ordinarily performs or assists with exposure-prone procedures 14 8 within the health care facility. The procedures shall require 14 9 referral of the health care provider to the expert review 14 10 panel established by the department pursuant to subsection 3. 14 11 3. The department shall establish an expert review panel 14 12 to determine on a case-by-case basis under what circumstances, 14 13 if any, a health care provider determined to be infected with 14 14 HIV or HBV practicing outside the hospital or referred to the 14 15 panel by a hospital or health care facility setting may 14 16 perform exposure-prone procedures. If a health care provider 14 17 determined to be infected with HIV or HBV does not comply with 14 18 the determination of the expert review panel, the panel shall 14 19 report the noncompliance to the examining board with 14 20 jurisdiction over the health care provider. A determination 14 21 of an expert review panel pursuant to this section is a final 14 22 agency action appealable pursuant to section 17A.19. 14 23 4. The health care provider determined to be infected with 14 24 HIV or HBV, who works in a hospital setting, may elect either 14 25 the expert review panel established by the hospital or the 14 26 expert review panel established by the department for the 14 27 purpose of making a determination of the circumstances under 14 28 which the health care provider may perform exposure-prone 14 29 procedures. 14 30 5. A health care provider determined to be infected with 14 31 HIV or HBV shall not perform an exposure-prone procedure 14 32 except as approved by the expert review panel established by 14 33 the department pursuant to subsection 3, or in compliance with 14 34 the protocol established by the hospital pursuant to 14 35 subsection 1 or the procedures established by the health care 15 1 facility pursuant to subsection 2. 15 2 6. The board of medical examiners, the board of physician 15 3 assistant examiners, the board of podiatry examiners, the 15 4 board of nursing, the board of dental examiners, and the board 15 5 of optometry examiners shall require that licensees comply 15 6 with the recommendations issued by the centers for disease 15 7 control and prevention of the United States department of 15 8 health and human services for preventing transmission of human 15 9 immunodeficiency virus and hepatitis B virus to patients 15 10 during exposure-prone invasive procedures, with the 15 11 recommendations of the expert review panel established 15 12 pursuant to subsection 3, with hospital protocols established 15 13 pursuant to subsection 1 and with health care facility 15 14 procedures established pursuant to subsection 2, as 15 15 applicable. 15 16 7. Information relating to the HIV status of a health care 15 17 provider is confidential and subject to the provisions of 15 18 section 141A.9. A person who intentionally or recklessly 15 19 makes an unauthorized disclosure of such information is 15 20 subject to a civil penalty of one thousand dollars. The 15 21 attorney general or the attorney general's designee may 15 22 maintain a civil action to enforce this section. Proceedings 15 23 maintained under this section shall provide for the anonymity 15 24 of the health care provider and all documentation shall be 15 25 maintained in a confidential manner. Information relating to 15 26 the HBV status of a health care provider is confidential and 15 27 shall not be accessible to the public. Information regulated 15 28 by this section, however, may be disclosed to members of the 15 29 expert review panel established by the department or a panel 15 30 established by hospital protocol under this section. The 15 31 information may also be disclosed to the appropriate examining 15 32 board by filing a report as required by this section. The 15 33 examining board shall consider the report a complaint subject 15 34 to the confidentiality provisions of section 272C.6. A 15 35 licensee, upon the filing of a formal charge or notice of 16 1 hearing by the examining board based on such a complaint, may 16 2 seek a protective order from the board. 16 3 8. The expert review panel established by the department 16 4 and individual members of the panel shall be immune from any 16 5 liability, civil or criminal, for reasonable actions taken in 16 6 the good faith performance of functions authorized or required 16 7 by this section. A hospital, an expert review panel 16 8 established by the hospital, and individual members of the 16 9 panel shall be immune from any liability, civil or criminal, 16 10 for reasonable actions taken in the good faith performance of 16 11 functions authorized or required by this section. Complaints, 16 12 investigations, reports, deliberations, and findings of the 16 13 hospital and its panel with respect to a named health care 16 14 provider suspected, alleged, or found to be in violation of 16 15 the protocol required by this section, constitute peer review 16 16 records under section 147.135, and are subject to the specific 16 17 confidentiality requirements and limitations of that section. 16 18 Sec. 23. NEW SECTION. 139A.23 CONTINGENT REPEAL. 16 19 If the provisions of Pub. L. No. 102-141 relating to 16 20 requirements for prevention of transmission of HIV or HBV to 16 21 patients in the performance of exposure-prone procedures are 16 22 repealed, section 139A.22 is repealed. 16 23 Sec. 24. NEW SECTION. 139A.24 BLOOD DONATION OR SALE 16 24 PENALTY. 16 25 A person suffering from a communicable disease dangerous to 16 26 the public health who knowingly gives false information 16 27 regarding the person's infected state on a blood plasma sale 16 28 application to blood plasma-taking personnel commits a serious 16 29 misdemeanor. 16 30 Sec. 25. NEW SECTION. 139A.25 PENALTIES. 16 31 1. Unless otherwise provided in this chapter, a person who 16 32 knowingly violates any provision of this chapter, or of the 16 33 rules of the department or a local board, or any lawful order, 16 34 written or oral, of the department or board, or of their 16 35 officers or authorized agents, is guilty of a simple 17 1 misdemeanor. 17 2 2. Notwithstanding subsection 1, an individual who 17 3 repeatedly fails to file any mandatory report specified in 17 4 this chapter is subject to a report being made to the 17 5 licensing board governing the professional activities of the 17 6 individual. The department shall notify the individual each 17 7 time that the department determines that the individual has 17 8 failed to file a required report. The department shall inform 17 9 the individual in the notification that the individual may 17 10 provide information to the department to explain or dispute 17 11 the failure to report. 17 12 3. Notwithstanding subsection 1, a public, private or 17 13 hospital clinical laboratory that repeatedly fails to file a 17 14 mandatory report specified in this chapter is subject to a 17 15 civil penalty of not more than one thousand dollars per 17 16 occurrence. The department shall not impose the penalty under 17 17 this subsection without prior written notice and opportunity 17 18 for hearing. 17 19 SUBCHAPTER I 17 20 CONTROL OF SEXUALLY TRANSMITTED DISEASES AND INFECTIONS 17 21 Sec. 26. NEW SECTION. 139A.30 CONFIDENTIAL REPORTS. 17 22 Reports to the department which include the identity of 17 23 persons infected with a sexually transmitted disease or 17 24 infection, and all such related information, records, and 17 25 reports concerning the person shall be confidential and shall 17 26 not be accessible to the public. However, such reports, 17 27 information, and records shall be confidential only to the 17 28 extent necessary to prevent identification of persons named in 17 29 such reports, information, and records; the other parts of 17 30 such reports, information, and records shall be public 17 31 records. The preceding sentence shall prevail over any 17 32 inconsistent provision of this chapter. 17 33 Sec. 27. NEW SECTION. 139A.31 REPORT TO DEPARTMENT. 17 34 Immediately after the first examination or treatment of any 17 35 person infected with any sexually transmitted disease or 18 1 infection, the health care provider who performed the 18 2 examination or treatment shall transmit to the department a 18 3 report stating the name of the infected person, the address of 18 4 the infected person, the infected person's date of birth, the 18 5 sex of the infected person, the race and ethnicity of the 18 6 infected person, the infected person's marital status, the 18 7 infected person's telephone number, if the infected person is 18 8 female, whether the infected person is pregnant, the name and 18 9 address of the laboratory that performed the test, the date 18 10 the test was found to be positive and the collection date, and 18 11 the name of the health care provider who performed the test. 18 12 However, when a case occurs within the jurisdiction of a local 18 13 health department, the report shall be made directly to the 18 14 local health department which shall immediately forward the 18 15 information to the department. Reports shall be made in 18 16 accordance with rules adopted by the department. Reports 18 17 shall be confidential. Any person filing a report of a 18 18 sexually transmitted disease or infection who is acting 18 19 reasonably and in good faith is immune from any liability, 18 20 civil or criminal, which might otherwise be incurred or 18 21 imposed as a result of such report. 18 22 Sec. 28. NEW SECTION. 139A.32 EXAMINATION RESULTS. 18 23 A person in charge of a public, private, or hospital 18 24 clinical laboratory shall report to the department, on forms 18 25 prescribed by the department, results obtained in the 18 26 examination of all specimens which yield evidence of or are 18 27 reactive for those diseases defined as sexually transmitted 18 28 diseases or infections, and listed in the Iowa administrative 18 29 code. The report shall state the name of the infected person 18 30 from whom the specimen was obtained, the address of the 18 31 infected person, the infected person's date of birth, the sex 18 32 of the infected person, the race and ethnicity of the infected 18 33 person, the infected person's marital status, the infected 18 34 person's telephone number, if the infected person is female 18 35 whether the infected person is pregnant, the name and address 19 1 of the laboratory that performed the test, the laboratory 19 2 results, the test employed, the date the test was found to be 19 3 positive and the collection date, the name of the health care 19 4 provider who performed the test, and the name and address of 19 5 the person submitting the specimen. 19 6 Sec. 29. NEW SECTION. 139A.33 DETERMINATION OF SOURCE. 19 7 The local board or the department shall use every available 19 8 means to determine the source and spread of any infectious 19 9 case of sexually transmitted disease or infection which is 19 10 reported. 19 11 Sec. 30. NEW SECTION. 139A.34 EXAMINATION OF PERSONS 19 12 SUSPECTED. 19 13 The local board shall cause an examination to be made of 19 14 every person reasonably suspected, on the basis of 19 15 epidemiological investigation, of having any sexually 19 16 transmitted disease or infection in the infectious stages to 19 17 ascertain if such person is infected, and if infected, to 19 18 cause such person to be treated. A person who is under the 19 19 care and treatment of a health care provider for the suspected 19 20 condition shall not be subjected to such examination. If a 19 21 person suspected of having a sexually transmitted disease or 19 22 infection refuses to submit to an examination voluntarily, 19 23 application may be made by the local board to the district 19 24 court for an order compelling the person to submit to 19 25 examination and, if infected, to treatment. The person shall 19 26 be treated until certified as no longer infectious to the 19 27 local board or to the department. If treatment is ordered by 19 28 the district court, the attending health care provider shall 19 29 certify that the person is no longer infectious. 19 30 Sec. 31. NEW SECTION. 139A.35 MINORS. 19 31 A minor who seeks diagnosis or treatment for a sexually 19 32 transmitted disease or infection shall have the legal capacity 19 33 to act and give consent to medical care and service for the 19 34 sexually transmitted disease or infection by a hospital, 19 35 clinic, or health care provider. Such medical diagnosis and 20 1 treatment shall be provided by a physician licensed to 20 2 practice medicine and surgery, osteopathy, or osteopathic 20 3 medicine and surgery. Consent shall not be subject to later 20 4 disaffirmance by reason of such minority. The consent of 20 5 another person, including but not limited to the consent of a 20 6 spouse, parent, custodian, or guardian, shall not be 20 7 necessary. 20 8 Sec. 32. NEW SECTION. 139A.36 CERTIFICATE NOT TO BE 20 9 ISSUED. 20 10 A certificate of freedom from sexually transmitted disease 20 11 or infection shall not be issued to any person by any official 20 12 health agency. 20 13 Sec. 33. NEW SECTION. 139A.37 PREGNANT WOMEN. 20 14 The department shall adopt rules which incorporate the 20 15 prenatal guidelines established by the centers for disease 20 16 control and prevention of the United States department of 20 17 health and human services as the state guidelines for prenatal 20 18 testing and care relative to infectious disease. 20 19 Sec. 34. NEW SECTION. 139A.38 MEDICAL TREATMENT OF NEWLY 20 20 BORN. 20 21 A physician attending the birth of a child shall cause to 20 22 be instilled into the eyes of the newly born infant a 20 23 prophylactic solution approved by the department. This 20 24 section shall not be construed to require treatment of the 20 25 infant's eyes with a prophylactic solution if the infant's 20 26 parent or legal guardian states that such treatment conflicts 20 27 with the tenets and practices of a recognized religious 20 28 denomination of which the parent or legal guardian is an 20 29 adherent or member. 20 30 Sec. 35. NEW SECTION. 139A.39 RELIGIOUS EXCEPTIONS. 20 31 A provision of this chapter shall not be construed to 20 32 require or compel any person to take or follow a course of 20 33 medical treatment prescribed by law or a health care provider 20 34 if the person is an adherent or member of a church or 20 35 religious denomination and in accordance with the tenets or 21 1 principles of the person's church or religious denomination 21 2 the person opposes the specific course of medical treatment. 21 3 However, such person while in an infectious stage of disease 21 4 shall be subject to isolation and such other measures 21 5 appropriate for the prevention of the spread of the disease to 21 6 other persons. 21 7 Sec. 36. NEW SECTION. 139A.40 FILING FALSE REPORTS. 21 8 A person who knowingly makes a false statement in any of 21 9 the reports required by this subchapter concerning persons 21 10 infected with any sexually transmitted disease or infection, 21 11 or who discloses the identity of such person, except as 21 12 authorized by this subchapter, shall be punished as provided 21 13 in section 139A.25. 21 14 Sec. 37. Section 135.11, subsections 8, 16, and 20, Code 21 15 Supplement 1999, are amended to read as follows: 21 16 8. Exercise general supervision over the administration 21 17 and enforcement of thevenereal diseasesexually transmitted 21 18 diseases and infections law, chapter140139A, subchapter I. 21 19 16. Administer chapters 125, 136A, 136C,139139A,140,21 20 142, 144, and 147A. 21 21 20. Establish, publish, and enforce rules requiring prompt 21 22 reporting of methemoglobinemia, pesticide poisoning, and the 21 23 reportable poisonings and illnesses established pursuant to 21 24 section139.35139A.21. 21 25 Sec. 38. Section 135G.14, subsection 2, Code 1999, is 21 26 amended to read as follows: 21 27 2. A prophylactic shall be instilled in the eyes of each 21 28 newborn in accordance with section140.13139A.38. 21 29 Sec. 39. Section 141A.6, Code Supplement 1999, is amended 21 30 by adding the following new subsections: 21 31 NEW SUBSECTION. 7. An individual who repeatedly fails to 21 32 file the report required under this section is subject to a 21 33 report being made to the licensing board governing the 21 34 professional activities of the individual. The department 21 35 shall notify the individual each time the department 22 1 determines that the individual has failed to file a required 22 2 report. The department shall inform the individual in the 22 3 notification that the individual may provide information to 22 4 the department to explain or dispute the failure to report. 22 5 NEW SUBSECTION. 8. A public, private or hospital clinical 22 6 laboratory that repeatedly fails to make the report required 22 7 under this section is subject to a civil penalty of not more 22 8 than one thousand dollars per occurrence. The department 22 9 shall not impose the penalty under this subsection without 22 10 prior written notice and opportunity for hearing. 22 11 Sec. 40. Section 141A.9, Code Supplement 1999, is amended 22 12 to read as follows: 22 13 141A.9 CONFIDENTIALITY OF INFORMATION. 22 14 1. Any information, including reports and records, 22 15 obtained, submitted, and maintained pursuant to this chapter 22 16 is strictly confidential medical information. The information 22 17 shall not be released, shared with an agency or institution, 22 18 or made public upon subpoena, search warrant, discovery 22 19 proceedings, or by any other means except as provided in this 22 20 chapter. A person shall not be compelled to disclose the 22 21 identity of any person upon whom an HIV-related test is 22 22 performed, or the results of the test in a manner which 22 23 permits identification of the subject of the test, except to 22 24 persons entitled to that information under this chapter. 22 25 Information shall be made available for release to the 22 26 following individuals or under the following circumstances: 22 271.a. To the subject of the test or the subject's legal 22 28 guardian subject to the provisions of section 141A.7, 22 29 subsection 3, when applicable. 22 302.b. To any person who secures a written release of test 22 31 results executed by the subject of the test or the subject's 22 32 legal guardian. 22 333.c. To an authorized agent or employee of a health 22 34 facility or health care provider, if the health facility or 22 35 health care provider ordered or participated in the testing or 23 1 is otherwise authorized to obtain the test results, the agent 23 2 or employee provides patient care or handles or processes 23 3 samples, and the agent or employee has a medical need to know 23 4 such information. 23 54.d. To a health care provider providing care to the 23 6 subject of the test when knowledge of the test results is 23 7 necessary to provide care or treatment. 23 85.e. To the department in accordance with reporting 23 9 requirements for an HIV-related condition. 23 106.f. To a health facility or health care provider which 23 11 procures, processes, distributes, or uses a human body part 23 12 from a deceased person with respect to medical information 23 13 regarding that person, or semen provided prior to July 1, 23 14 1988, for the purpose of artificial insemination. 23 157.g. Release may be made of medical or epidemiological 23 16 information for statistical purposes in a manner such that no 23 17 individual person can be identified. 23 188.h. Release may be made of medical or epidemiological 23 19 information to the extent necessary to enforce the provisions 23 20 of this chapter and related rules concerning the treatment, 23 21 control, and investigation of HIV infection by public health 23 22 officials. 23 239.i. Release may be made of medical or epidemiological 23 24 information to medical personnel to the extent necessary to 23 25 protect the health or life of the named party. 23 2610.j. Release may be made of test results concerning a 23 27 patient pursuant to procedures established under section 23 28 141A.5, subsection 3, paragraph "c". 23 2911.k. To a person allowed access to a record by a court 23 30 order which is issued in compliance with the following 23 31 provisions: 23 32a.(1) A court has found that the person seeking the test 23 33 results has demonstrated a compelling need for the test 23 34 results which need cannot be accommodated by other means. In 23 35 assessing compelling need, the court shall weigh the need for 24 1 disclosure against the privacy interest of the test subject 24 2 and the public interest which may be disserved by disclosure 24 3 due to its deterrent effect on future testing or due to its 24 4 effect in leading to discrimination. 24 5b.(2) Pleadings pertaining to disclosure of test results 24 6 shall substitute a pseudonym for the true name of the subject 24 7 of the test. The disclosure to the parties of the subject's 24 8 true name shall be communicated confidentially in documents 24 9 not filed with the court. 24 10c.(3) Before granting an order, the court shall provide 24 11 the person whose test results are in question with notice and 24 12 a reasonable opportunity to participate in the proceedings if 24 13 the person is not already a party. 24 14d.(4) Court proceedings as to disclosure of test results 24 15 shall be conducted in camera unless the subject of the test 24 16 agrees to a hearing in open court or unless the court 24 17 determines that a public hearing is necessary to the public 24 18 interest and the proper administration of justice. 24 19e.(5) Upon the issuance of an order to disclose test 24 20 results, the court shall impose appropriate safeguards against 24 21 unauthorized disclosure, which shall specify the persons who 24 22 may gain access to the information, the purposes for which the 24 23 information shall be used, and appropriate prohibitions on 24 24 future disclosure. 24 2512.l. To an employer, if the test is authorized to be 24 26 required under any other provision of law. 24 2713.m. To a convicted or alleged sexual assault offender; 24 28 the physician or other health care provider who orders the 24 29 test of a convicted or alleged offender; the victim; the 24 30 parent, guardian, or custodian of the victim if the victim is 24 31 a minor; the physician of the victim; the victim counselor or 24 32 person requested by the victim to provide counseling regarding 24 33 the HIV-related test and results; the victim's spouse; persons 24 34 with whom the victim has engaged in vaginal, anal, or oral 24 35 intercourse subsequent to the sexual assault; members of the 25 1 victim's family within the third degree of consanguinity; and 25 2 the county attorney who may use the results as evidence in the 25 3 prosecution of sexual assault under chapter 915, subchapter 25 4 IV, or prosecution of the offense of criminal transmission of 25 5 HIV under chapter 709C. For the purposes of this paragraph, 25 6 "victim" means victim as defined in section 915.40. 25 714.n. To employees of state correctional institutions 25 8 subject to the jurisdiction of the department of corrections, 25 9 employees of secure facilities for juveniles subject to the 25 10 department of human services, and employees of city and county 25 11 jails, if the employees have direct supervision over inmates 25 12 of those facilities or institutions in the exercise of the 25 13 duties prescribed pursuant to section 80.9, subsection 2, 25 14 paragraph "d". 25 15 2. Medical information secured pursuant to subsection 1 25 16 may be shared between employees of the department who shall 25 17 use the information collected only for the purposes of 25 18 carrying out their official duties in preventing the spread of 25 19 the disease or the spread of other reportable diseases as 25 20 defined in section 139A.2. 25 21 Sec. 41. Section 206.12, subsection 2, paragraph c, 25 22 subparagraph (2), Code 1999, is amended to read as follows: 25 23 (2) The registrant operates an emergency information 25 24 system as provided in section139.35139A.21 that is available 25 25 to poison control centers twenty-four hours a day every day of 25 26 the year. The emergency information system must provide 25 27 information to medical professionals required for the sole 25 28 purpose of treating a specific patient for exposure or adverse 25 29 reaction to the registrant's product, including the 25 30 identification of all ingredients which are toxic to humans, 25 31 and toxicological and medical management information. 25 32 Sec. 42. Section 232.69, subsection 1, paragraph a, Code 25 33 Supplement 1999, is amended to read as follows: 25 34 a. Every health practitioner who in the scope of 25 35 professional practice, examines, attends, or treats a child 26 1 and who reasonably believes the child has been abused. 26 2 Notwithstanding section140.3139A.30, this provision applies 26 3 to a health practitioner who receives information confirming 26 4 that a child is infected with a sexually transmitted disease. 26 5 Sec. 43. Section 239B.12, subsection 1, Code 1999, is 26 6 amended to read as follows: 26 7 1. To the extent feasible, the department shall determine 26 8 the immunization status of children receiving assistance under 26 9 this chapter. The status shall be determined in accordance 26 10 with the immunization recommendations adopted by the Iowa 26 11 department of public health under section139.9139A.8, 26 12 including the exemption provisions in section139.9139A.8, 26 13 subsection 4. If the department determines a child is not in 26 14 compliance with the immunization recommendations, the 26 15 department shall refer the child's parent or guardian to a 26 16 local public health agency for immunization services for the 26 17 child and other members of the child's family. 26 18 Sec. 44. Section 252.24, unnumbered paragraph 2, Code 26 19 1999, is amended to read as follows: 26 20 When assistance is furnished by any governmental agency of 26 21 the county, township, or city, the assistance shall be deemed 26 22 to have been furnished by the county in which the agency is 26 23 located and the agency furnishing the assistance shall certify 26 24 the correctness of the costs of the assistance to the board of 26 25 supervisors of that county and that county shall collect from 26 26 the county of the person's settlement. The amounts collected 26 27 by the county where the agency is located shall be paid to the 26 28 agency furnishing the assistance. This statute applies to 26 29 services and supplies furnished as provided in section139.3026 30 139A.18. 26 31 Sec. 45. Section 299.4, Code 1999, is amended to read as 26 32 follows: 26 33 299.4 REPORTS AS TO PRIVATE INSTRUCTION. 26 34 The parent, guardian, or legal custodian of a child who is 26 35 of compulsory attendance age, who places the child under 27 1 competent private instruction under either section 299A.2 or 27 2 299A.3, not in an accredited school or a home school 27 3 assistance program operated by a public or accredited 27 4 nonpublic school, shall furnish a report in duplicate on forms 27 5 provided by the public school district, to the district by the 27 6 earliest starting date specified in section 279.10, subsection 27 7 1. The secretary shall retain and file one copy and forward 27 8 the other copy to the district's area education agency. The 27 9 report shall state the name and age of the child, the period 27 10 of time during which the child has been or will be under 27 11 competent private instruction for the year, an outline of the 27 12 course of study, texts used, and the name and address of the 27 13 instructor. The parent, guardian, or legal custodian of a 27 14 child, who is placing the child under competent private 27 15 instruction, for the first time, shall also provide the 27 16 district with evidence that the child has had the 27 17 immunizations required under section139.9139A.8. The term 27 18 "outline of course of study" shall include subjects covered, 27 19 lesson plans, and time spent on the areas of study. 27 20 Sec. 46. Section 455E.11, subsection 2, paragraph a, 27 21 subparagraph (2), subparagraph subdivision (a), subparagraph 27 22 subdivision part (i), Code 1999, is amended to read as 27 23 follows: 27 24 (i) Eight thousand dollars shall be transferred to the 27 25 Iowa department of public health for departmental duties 27 26 required under section 135.11, subsections 20 and 21, and 27 27 section139.35139A.21. 27 28 Sec. 47. Section 455E.11, subsection 2, paragraph b, 27 29 subparagraph (1), Code 1999, is amended to read as follows: 27 30 (1) Nine thousand dollars of the account is appropriated 27 31 to the Iowa department of public health for carrying out the 27 32 departmental duties under section 135.11, subsections 20 and 27 33 21, and section139.35139A.31. 27 34 Sec. 48. Section 455E.11, subsection 2, paragraph c, 27 35 unnumbered paragraph 1, Code 1999, is amended to read as 28 1 follows: 28 2 A household hazardous waste account. The moneys collected 28 3 pursuant to section 455F.7 and moneys collected pursuant to 28 4 section 29C.8A which are designated for deposit, shall be 28 5 deposited in the household hazardous waste account. Two 28 6 thousand dollars is appropriated annually to the Iowa 28 7 department of public health to carry out departmental duties 28 8 under section 135.11, subsections 20 and 21, and section 28 9139.35139A.21. The remainder of the account shall be used to 28 10 fund toxic cleanup days and the efforts of the department to 28 11 support a collection system for household hazardous materials, 28 12 including public education programs, training, and 28 13 consultation of local governments in the establishment and 28 14 operation of permanent collection systems, and the management 28 15 of collection sites, education programs, and other activities 28 16 pursuant to chapter 455F, including the administration of the 28 17 household hazardous materials permit program by the department 28 18 of revenue and finance. 28 19 Sec. 49. Section 455E.11, subsection 2, paragraph d, 28 20 subparagraph (1), Code 1999, is amended to read as follows: 28 21 (1) One thousand dollars is appropriated annually to the 28 22 Iowa department of public health to carry out departmental 28 23 duties under section 135.11, subsections 20 and 21, and 28 24 section139.35139A.21. 28 25 Sec. 50. POSTSECONDARY EDUCATION STUDENTS IMMUNIZATION 28 26 REQUIREMENTS TASK FORCE. The director of public health 28 27 shall establish a task force to review and recommend 28 28 appropriate immunization requirements for postsecondary 28 29 education students. The task force shall include 28 30 representatives of the Iowa department of public health and 28 31 the department of education, postsecondary education students, 28 32 and others with interest and expertise in the areas of public 28 33 health and education. The task force shall submit a report of 28 34 its findings and recommendations to the governor and the 28 35 general assembly on or before December 1, 2000. 29 1 Sec. 51. Chapters 139, 139B, 139C, and 140, Code 1999 and 29 2 Code Supplement 1999, are repealed. 29 3 Sec. 52. Section 137C.19, Code 1999, is repealed. 29 4 29 5 29 6 29 7 MARY E. KRAMER 29 8 President of the Senate 29 9 29 10 29 11 29 12 BRENT SIEGRIST 29 13 Speaker of the House 29 14 29 15 I hereby certify that this bill originated in the Senate and 29 16 is known as Senate File 2314, Seventy-eighth General Assembly. 29 17 29 18 29 19 29 20 MICHAEL E. MARSHALL 29 21 Secretary of the Senate 29 22 Approved , 2000 29 23 29 24 29 25 29 26 THOMAS J. VILSACK 29 27 Governor
Text: SF02313 Text: SF02315 Text: SF02300 - SF02399 Text: SF Index Bills and Amendments: General Index Bill History: General Index
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