‘‘(1) 
FACILITY
ASCERTAINING
CAUSE
OF 
DEATH.—If a victim described in subsection (a) dies 
at or before reaching the medical facility involved, 
and the medical facility receives a request under 
subsection (c), the medical facility shall provide a 
copy of the request to the medical facility 
ascertaining the cause of death of the victim, if such 
facility is a different medical facility than the facility 
that received the original request. 
‘‘(2) RESPONSIBILITY OF FACILITY.—Upon the 
receipt of a copy of a request for purposes of para-
graph (1), the duties otherwise established in this 
subpart regarding medical facilities shall apply to 
the medical facility ascertaining the cause of death 
of the victim in the same manner and to the same 
extent as such duties apply to the medical facility 
originally receiving the request. 
‘‘(g) ASSISTANCE OF PUBLIC HEALTH OFFICER.— 
‘‘(1) EVALUATION OF RESPONSE OF MEDICAL 
FACILITY REGARDING INSUFFICIENT FACTS.— 
‘‘(A) In the case of a request under sub-
section (c) to which a medical facility has made 
the response specified in subsection (d)(4)(A) 
regarding the insufficiency of facts, the public 
health officer for the community in which the 
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medical facility is located shall evaluate the re-
quest and the response, if the designated officer 
involved submits such documents to the officer 
with the request that the officer make such an 
evaluation. 
‘‘(B) As soon as is practicable after a pub-
lic health officer receives a request under sub-
paragraph (A), but not later than 48 hours 
after receipt of the request, the public health 
officer shall complete the evaluation required in 
such paragraph and inform the designated offi-
cer of the results of the evaluation. 
‘‘(2) FINDINGS OF EVALUATION.— 
‘‘(A) If an evaluation under paragraph 
(1)(A) indicates that the facts provided to the 
medical facility pursuant to subsection (c) were 
sufficient for purposes of determinations under 
subsection (d)(1)— 
‘‘(i) the public health officer shall, on 
behalf of the designated officer involved, 
resubmit the request to the medical facil-
ity; and 
‘‘(ii) the medical facility shall provide 
to the designated officer the applicable re-
sponse specified in subsection (d). 
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‘‘(B) If an evaluation under paragraph 
(1)(A) indicates that the facts provided in the 
request to the medical facility were insufficient 
for purposes of determinations specified in sub-
section (c)— 
‘‘(i) the public health officer shall pro-
vide advice to the designated officer re-
garding the collection and description of 
appropriate facts; and 
‘‘(ii) if sufficient facts are obtained by 
the designated officer— 
‘‘(I) the public health officer 
shall, on behalf of the designated offi-
cer involved, resubmit the request to 
the medical facility; and 
‘‘(II) the medical facility shall 
provide to the designated officer the 
appropriate response under subsection 
(c). 
‘‘SEC. 2695C. PROCEDURES FOR NOTIFICATION OF EXPO-
SURE. 
‘‘(a) CONTENTS OF NOTIFICATION TO OFFICER.—In 
making a notification required under section 2695A or 
section 2695B(d)(2), a medical facility shall provide— 
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‘‘(1) the name of the infectious disease involved; 
and 
‘‘(2) the date on which the victim of the emer-
gency involved was transported by emergency re-
sponse employees to the medical facility involved. 
‘‘(b) MANNER OF NOTIFICATION.—If a notification 
under section 2695A or section 2695B(d)(2) is mailed or 
otherwise indirectly made— 
‘‘(1) the medical facility sending the notification 
shall, upon sending the notification, inform the des-
ignated officer to whom the notification is sent of 
the fact that the notification has been sent; and 
‘‘(2) such designated officer shall, not later 
than 10 days after being informed by the medical fa-
cility that the notification has been sent, inform 
such medical facility whether the designated officer 
has received the notification. 
‘‘SEC. 2695D. NOTIFICATION OF EMPLOYEE. 
‘‘(a) IN GENERAL.—After receiving a notification for 
purposes of section 2695A or 2695B(d)(2), a designated 
officer of emergency response employees shall, to the ex-
tent practicable, immediately notify each of such employ-
ees who— 
‘‘(1) responded to the emergency involved; and 
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‘‘(2) as indicated by guidelines developed by the 
Secretary, may have been exposed to an infectious 
disease. 
‘‘(b) CERTAIN CONTENTS OF NOTIFICATION TO EM-
PLOYEE.—A notification under this subsection to an emer-
gency response employee shall inform the employee of— 
‘‘(1) the fact that the employee may have been 
exposed to an infectious disease and the name of the 
disease involved; 
‘‘(2) any action by the employee that, as indi-
cated by guidelines developed by the Secretary, is 
medically appropriate; and 
‘‘(3) if medically appropriate under such cri-
teria, the date of such emergency. 
‘‘(c) RESPONSES OTHER THAN NOTIFICATION OF 
EXPOSURE.—After receiving a response under paragraph 
(3) or (4) of subsection (d) of section 2695B, or a re-
sponse under subsection (g)(1) of such section, the des-
ignated officer for the employee shall, to the extent prac-
ticable, immediately inform the employee of the response. 
‘‘SEC. 2695E. SELECTION OF DESIGNATED OFFICERS. 
‘‘(a) IN GENERAL.—For the purposes of receiving no-
tifications and responses and making requests under this 
subpart on behalf of emergency response employees, the 
public health officer of each State shall designate 1 official 
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or officer of each employer of emergency response employ-
ees in the State. 
‘‘(b) PREFERENCE IN MAKING DESIGNATIONS.—In 
making the designations required in subsection (a), a pub-
lic health officer shall give preference to individuals who 
are trained in the provision of health care or in the control 
of infectious diseases. 
‘‘SEC. 2695F. LIMITATION WITH RESPECT TO DUTIES OF 
MEDICAL FACILITIES. 
‘‘The duties established in this subpart for a medical 
facility— 
‘‘(1) shall apply only to medical information 
possessed by the facility during the period in which 
the facility is treating the victim for conditions aris-
ing from the emergency, or during the 60-day period 
beginning on the date on which the victim is trans-
ported by emergency response employees to the facil-
ity, whichever period expires first; and 
‘‘(2) shall not apply to any extent after the ex-
piration of the 30-day period beginning on the expi-
ration of the applicable period referred to in para-
graph (1), except that such duties shall apply with 
respect to any request under section 2695B(c) re-
ceived by a medical facility before the expiration of 
such 30-day period. 
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‘‘SEC. 2695G. MISCELLANEOUS PROVISIONS. 
‘‘(a) LIABILITY
OF
MEDICAL
FACILITIES, DES-
IGNATED OFFICERS, AND PUBLIC HEALTH OFFICERS.— 
This subpart may not be construed to authorize any cause 
of action for damages or any civil penalty against any 
medical facility, any designated officer, or any other public 
health officer for failure to comply with the duties estab-
lished in this subpart. 
‘‘(b) TESTING.—This subpart may not, with respect 
to victims of emergencies, be construed to authorize or re-
quire a medical facility to test any such victim for any 
infectious disease. 
‘‘(c) CONFIDENTIALITY.—This subpart may not be 
construed to authorize or require any medical facility, any 
designated officer of emergency response employees, or 
any such employee, to disclose identifying information 
with respect to a victim of an emergency or with respect 
to an emergency response employee. 
‘‘(d) FAILURE TO PROVIDE EMERGENCY SERV-
ICES.—This subpart may not be construed to authorize 
any emergency response employee to fail to respond, or 
to deny services, to any victim of an emergency. 
‘‘(e) NOTIFICATION AND REPORTING DEADLINES.— 
In any case in which the Secretary determines that, wholly 
or partially as a result of a public health emergency that 
has been determined pursuant to section 319(a), individ-
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uals or public or private entities are unable to comply with 
the requirements of this part, the Secretary may, notwith-
standing any other provision of law, temporarily suspend, 
in whole or in part, the requirements of this part as the 
circumstances reasonably require. Before or promptly 
after such a suspension, the Secretary shall notify the 
Congress of such action and publish in the Federal Reg-
ister a notice of the suspension. 
‘‘(f) CONTINUED
APPLICATION
OF
STATE
AND 
LOCAL LAW.—Nothing in this part shall be construed to 
limit the application of State or local laws that require 
the provision of data to public health authorities. 
‘‘SEC. 2695H. INJUNCTIONS REGARDING VIOLATION OF 
PROHIBITION. 
‘‘(a) IN GENERAL.—The Secretary may, in any court 
of competent jurisdiction, commence a civil action for the 
purpose of obtaining temporary or permanent injunctive 
relief with respect to any violation of this subpart. 
‘‘(b) FACILITATION
OF INFORMATION
ON VIOLA-
TIONS.—The Secretary shall establish an administrative 
process for encouraging emergency response employees to 
provide information to the Secretary regarding violations 
of this subpart. As appropriate, the Secretary shall inves-
tigate alleged such violations and seek appropriate injunc-
tive relief. 
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‘‘SEC. 2695I. APPLICABILITY OF SUBPART. 
‘‘This subpart shall not apply in a State if the chief 
executive officer of the State certifies to the Secretary that 
the law of the State is substantially consistent with this 
subpart.’’. 
Æ 
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