Source: https://www.richmondsunlight.com/bill/2019/hb1033/fulltext/
Timestamp: 2020-01-22 00:37:30
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Richmond Sunlight » HB1033: Testing of bodily fluids; deemed consent.
HB1033: Testing of bodily fluids; deemed consent.
HB1033H1
HOUSE BILL NO. 1033 AMENDMENT IN THE NATURE OF A SUBSTITUTE (Proposed by the House Committee for Courts of Justice on February 5, 2018) (Patron Prior to Substitute--Delegate Price) A BILL to amend and reenact §§ 32.1-45.1 and 32.1-45.2 of the Code of Virginia, relating to deemed consent to testing of bodily fluids.
1. That §§ 32.1-45.1 and 32.1-45.2 of the Code of Virginia are amended and reenacted as follows:
§ 32.1-45.1. Deemed consent to testing and release of test results related to infection with human immunodeficiency virus or the hepatitis B or C virus.
A. Whenever any health care provider, or any person employed by or under the direction and control of a health care provider, is directly exposed to body fluids of a patient in a manner that may, according to the then current then-current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or the hepatitis B or C viruses virus, the patient whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or the hepatitis B or C viruses virus. Such patient shall also be deemed to have consented to the release of such test results to the person who was exposed. In other than emergency situations, it shall be the responsibility of the health care provider to inform patients of this provision prior to providing them with health care services which create a risk of such exposure.
B. Whenever any patient is directly exposed to body fluids of a health care provider, or of any person employed by or under the direction and control of a health care provider, in a manner that may, according to the then current then-current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or the hepatitis B or C viruses virus, the person whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or the hepatitis B or C viruses virus. Such person shall also be deemed to have consented to the release of such test results to the patient who was exposed.
E. Whenever any law-enforcement officer, salaried or volunteer firefighter, or salaried or volunteer emergency medical services provider is directly exposed to body fluids of a person in a manner that may, according to the then current then-current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or the hepatitis B or C viruses virus, the person whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or the hepatitis B or C viruses virus. Such person shall also be deemed to have consented to the release of such test results to the person who was exposed.
F. Whenever a person is directly exposed to the body fluids of a law-enforcement officer, salaried or volunteer firefighter, or salaried or volunteer emergency medical services provider in a manner that may, according to the then current then-current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or the hepatitis B or C viruses virus, the person whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or the hepatitis B or C viruses virus. The law-enforcement officer, salaried or volunteer firefighter, or salaried or volunteer emergency medical services provider shall also be deemed to have consented to the release of such test results to the person who was exposed.
H. Whenever any school board employee is directly exposed to body fluids of any person in a manner that may, according to the then current then-current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or the hepatitis B or C viruses virus, the person whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or the hepatitis B or C viruses virus. Such person shall also be deemed to have consented to the release of such test results to the school board employee who was exposed. If the person whose blood specimen is sought for testing is a minor, the parent, guardian, or person standing in loco parentis of such minor shall be notified prior to initiating such testing. In other than emergency situations, it shall be the responsibility of the school board employee to inform the person of this provision prior to the contact that creates a risk of such exposure.
I. Whenever any person is directly exposed to the body fluids of a school board employee in a manner that may, according to the then current then-current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or the hepatitis B or C viruses virus, the school board employee whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or the hepatitis B or C viruses virus. The school board employee shall also be deemed to have consented to the release of such test results to the person.
K. For purposes of this section, if the person whose blood specimen is sought for testing is a minor, and that minor refuses to provide such specimen, consent for obtaining such specimen shall be obtained from the parent, guardian, or person standing in loco parentis of such minor prior to initiating such testing. If the parent or guardian or person standing in loco parentis withholds such consent, or is not reasonably available, the person potentially exposed to the human immunodeficiency virus or the hepatitis B or C viruses virus, or the employer of such person, may petition the juvenile and domestic relations district court in the county or city where the minor resides or resided, or, in the case of a nonresident, the county or city where the health care provider, law-enforcement agency or school board has its principal office or, in the case of a health care provider rendering emergency care pursuant to subsection D, the county or city where the exposure occurred, for an order requiring the minor to provide a blood specimen or to submit to testing and to disclose the test results in accordance with this section.
L. Except as provided in subsection K, if the person whose blood specimen is sought for testing refuses to provide such specimen, any person potentially exposed to the human immunodeficiency virus or the hepatitis B or C viruses virus, or the employer of such person, may petition the general district court of or a magistrate serving the county or city in which the person whose specimen is sought resides or resided, or, in the case of a nonresident, the county or city where the health care provider, law-enforcement agency or school board has its principal office or, in the case of a health care provider rendering emergency care pursuant to subsection D, the county or city where the exposure occurred, for an order requiring the person to provide a blood specimen or to submit to testing and to disclose the test results in accordance with this section. At any hearing before the court, the person whose specimen is sought or his counsel may appear. The court shall be advised by the Commissioner or his designee prior to entering any testing order. If the general district court or the magistrate determines that there is probable cause to believe that an exposure has occurred, he shall issue a testing order. If a testing order is issued, both the petitioner and the person from whom the blood specimen is sought shall receive counseling and opportunity for face-to-face disclosure of any test results by a licensed practitioner or trained counselor. Any person who is subject to a testing order may appeal the order of the general district court or magistrate to the circuit court of the same jurisdiction within 10 days of receiving notice of the order. Any hearing conducted pursuant to this subsection shall be held in camera as soon as practicable. The record shall be sealed. The order of the circuit court shall be final and nonappealable.
M. No specimen obtained pursuant to this section shall be tested for any purpose other than that provided for in this section, nor shall the results of any testing pursuant to this section be used as evidence in any criminal matter.
D. If consent is refused under subsection B of this section, the public safety agency or the employee may petition the general district court of or a magistrate serving the city or county in which the person resides or resided, or in the case of a nonresident, the city or county of the public safety agency's principal office, to determine whether an exposure prone incident has occurred and to order testing and disclosure of the test results.
If consent is refused under subsection C of this section, the person involved in the possible exposure prone incident may petition the general district court of or a magistrate serving the city or county of the public safety agency's principal office to determine whether an exposure prone incident has occurred and to order testing and disclosure of the test results.
E. If the court finds by a preponderance of the evidence or a magistrate determines that there is probable cause to believe that an exposure prone incident has occurred, it he shall order testing for hepatitis B or C virus and human immunodeficiency virus and disclosure of the test results. The court shall be advised by the Commissioner or his designee in making this finding. The hearing shall be held in camera as soon as practicable after the petition is filed. The record shall be sealed.
F. A party who is subject to a testing order may appeal an the order of the general district court or magistrate to the circuit court of the same jurisdiction within ten 10 days from the date of receiving notice of the order. Any such appeal shall be de novo, hearing conducted pursuant to this section shall be held in camera, and shall be heard as soon as possible by the circuit court. The circuit court shall be advised by the Commissioner or his designee practicable. The record shall be sealed. The order of the circuit court shall be final and nonappealable.
"Exposure prone incident" means a direct exposure to body fluids of another person in a manner which may, according to the then current then-current guidelines of the Centers for Disease Control and Prevention, transmit hepatitis B or C virus or human immunodeficiency virus and which occurred during the commission of a criminal act, during the performance of emergency procedures, care or assistance, or in the course of public safety or law-enforcement duties.
HOUSE BILL NO. 1033 Offered January 10, 2018 Prefiled January 9, 2018 A BILL to amend and reenact §§ 32.1-45.1, 32.1-48.015, and 32.1-116.3 of the Code of Virginia, and to repeal § 32.1-45.2 of the Code of Virginia, relating to deemed consent to testing of bodily fluids.
Patrons-- Price, Bourne and Boysko
1. That §§ 32.1-45.1, 32.1-48.015, and 32.1-116.3of the Code of Virginia is amended and reenacted as follows:
A. Whenever any health care provider, or any person employed by or under the direction and control of a health care provider, is directly exposed to body fluids of a patient in a manner that may, according to the then current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or the hepatitis B or C viruses virus, the patient whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or the hepatitis B or C viruses virus. Such patient shall also be deemed to have consented to the release of such test results to the person who was exposed. In other than emergency situations, it shall be the responsibility of the health care provider to inform patients of this provision prior to providing them with health care services which create a risk of such exposure.
B. Whenever any patient is directly exposed to body fluids of a health care provider, or of any person employed by or under the direction and control of a health care provider, in a manner that may, according to the then current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or the hepatitis B or C viruses virus, the person whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or the hepatitis B or C viruses virus. Such person shall also be deemed to have consented to the release of such test results to the patient who was exposed.
E. Whenever any law-enforcement officer, salaried or volunteer firefighter, or salaried or volunteer emergency medical services provider, or other employee of a law-enforcement agency engaged in the course of his normal employment is directly exposed to body fluids of a person in a manner that may, according to the then current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or the hepatitis B or C viruses virus, the person whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or the hepatitis B or C viruses virus. Such person shall also be deemed to have consented to the release of such test results to the person who was exposed.
F. Whenever a person is directly exposed to the body fluids of a law-enforcement officer, salaried or volunteer firefighter, or salaried or volunteer emergency medical services provider, or other employee of a public safety agency engaged in the course of his normal employment in a manner that may, according to the then current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or the hepatitis B or C viruses virus, the person whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or the hepatitis B or C viruses virus. The law-enforcement officer, salaried or volunteer firefighter, or salaried or volunteer emergency medical services provider, or other employee of a public safety agency shall also be deemed to have consented to the release of such test results to the person who was exposed.
G. For the purposes of this section, "law-enforcement officer"
"Law-enforcement officer" means a person who is both (i) engaged in his public duty at the time of such exposure and (ii) employed by any sheriff's office, any adult or youth correctional facility, or any state or local law-enforcement agency, or any agency or department under the direction and control of the Commonwealth or any local governing body that employs persons who have law-enforcement authority.
"Public safety agency" means any sheriff's office, adult youth or correctional facility, state or local law-enforcement agency, or fire safety organization; the Department of Forensic Science; or any agency or department that employs persons who have law-enforcement authority and that is under the direction and control of the Commonwealth or any local governing body.
H. Whenever any school board employee is directly exposed to body fluids of any person in a manner that may, according to the then current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or the hepatitis B or C viruses virus, the person whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or the hepatitis B or C viruses virus. Such person shall also be deemed to have consented to the release of such test results to the school board employee who was exposed. If the person whose blood specimen is sought for testing is a minor, the parent, guardian, or person standing in loco parentis of such minor shall be notified prior to initiating such testing. In other than emergency situations, it shall be the responsibility of the school board employee to inform the person of this provision prior to the contact that creates a risk of such exposure.
I. Whenever any person is directly exposed to the body fluids of a school board employee in a manner that may, according to the then current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or the hepatitis B or C viruses virus, the school board employee whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or the hepatitis B or C viruses virus. The school board employee shall also be deemed to have consented to the release of such test results to the person.
L. Except as provided in subsection K, if the person whose blood specimen is sought for testing refuses to provide such specimen, any person potentially exposed to the human immunodeficiency virus or the hepatitis B or C viruses virus, or the employer of such person, may petition the general district court of a magistrate in the county or city in which the person whose specimen is sought resides or resided, or, in the case of a nonresident, the county or city where the health care provider, law-enforcement agency or school board has its principal office or, in the case of a health care provider rendering emergency care pursuant to subsection D, the county or city where the exposure occurred, for an order requiring the person to provide a blood specimen or to submit to testing and to disclose the test results in accordance with this section. At any hearing before the court, the person whose specimen is sought or his counsel may appear. The court magistrate shall be advised by the Commissioner or his designee prior to entering any testing order. If the magistrate determines by a preponderance of the evidence that an exposure incident has occurred, he shall issue a testing order. If a testing order is issued, both the petitioner and the person from whom the blood specimen is sought shall receive counseling and opportunity for face-to-face disclosure of any test results by a licensed practitioner or trained counselor. Any person who is the subject of a testing order may appeal such order within 24 hours of receiving notice of the order by filing a petition with the general district court.
M. No specimen obtained pursuant to this section shall be tested for any purpose other than that provided for in this section, nor shall results of any testing pursuant to this section be used as evidence in any criminal matter.
C. Pursuant to subsection G of § 32.1-116.3, any person requesting or requiring any employee of a public safety agency as defined in subsection J of § 32.1-45.2§ 32.1-45.1 to arrest, transfer, or otherwise exercise custodial supervision over an individual known to the requesting person (i) to be infected with any communicable disease or (ii) to be subject to an order of quarantine or an order of isolation pursuant to Article 3.02 (§ 32.1-48.05 et seq.) of Chapter 2 shall inform such employee of a public safety agency of the potential risk of exposure to a communicable disease.
"Communicable diseases" means any airborne infection or disease, including, but not limited to, tuberculosis, measles, certain meningococcal infections, mumps, chicken pox and Hemophilus Influenzae Type b, and those transmitted by contact with blood or other human body fluids, including, but not limited to, human immunodeficiency virus, Hepatitis B and Non-A, Non-B Hepatitis.
B. Every licensed health care facility that transfers or receives patients via emergency medical services vehicles shall notify the emergency medical services agencies providing such patient transport of the name and telephone number of the individual who is the infection control practitioner with the responsibility of investigating exposure to infectious diseases in the facility.
Every emergency medical services agency that holds a valid license issued by the Commissioner and that is established in the Commonwealth shall notify all facilities to which it transports patients or from which it transfers patients of the names and telephone numbers of the members, not to exceed three persons, who have been appointed to serve as the exposure control officers. Every emergency medical services agency that holds a valid license issued by the Commissioner shall implement universal precautions and shall ensure that these precautions are appropriately followed and enforced.
C. Upon requesting any emergency medical services agency that holds a valid license issued by the Commissioner to transfer a patient who is known to be positive for or who suffers from any communicable disease, the transferring facility shall inform the attendant-in-charge of the transferring crew of the general condition of the patient and the types of precautions to be taken to prevent the spread of the disease. The identity of the patient shall be confidential.
D. If any firefighter, law-enforcement officer, or emergency medical services provider has an exposure of blood or body fluid to mucous membrane or non-intact skin or a contaminated needlestick injury, his exposure control officer shall be notified, a report completed, and the infection control practitioner at the receiving facility notified.
E. If, during the course of medical care and treatment, any physician determines that a patient who was transported to a receiving facility by any emergency medical services agency that holds a valid license issued by the Commissioner (i) is positive for or has been diagnosed as suffering from an airborne infectious disease or (ii) is subject to an order of quarantine or an order of isolation pursuant to Article 3.02 (§ 32.1-48.05 et seq.) of Chapter 2, then the infection control practitioner in the facility shall immediately notify the exposure control officer who represents the transporting emergency medical services agency of the name of the patient and the date and time of the patient's admittance to the facility. The exposure control officer for the transporting emergency medical services agency shall investigate the incident to determine if any exposure of emergency medical services personnel or other emergency personnel occurred. The identity of the patient and all personnel involved in any such investigation shall be confidential.
F. If any firefighter, law-enforcement officer, or emergency medical services provider is exposed to a communicable disease, the exposure control officer shall immediately notify the infection control practitioner of the receiving facility. The infection control practitioner of the facility shall conduct an investigation and provide information concerning the extent and severity of the exposure and the recommended course of action to the exposure control officer of the transporting agency.
G. Any person requesting or requiring any employee of a public safety agency as defined in subsection J of § 32.1-45.2§ 32.1-45.1 to arrest, transfer, or otherwise exercise custodial supervision over an individual known to the requesting person (i) to be infected with any communicable disease or (ii) to be subject to an order of quarantine or an order of isolation pursuant to Article 3.02 (§ 32.1-48.05 et seq.) of Chapter 2 shall inform such public safety agency employee of a potential risk of exposure to a communicable disease.
H. Local or state correctional facilities which transfer patients known to have a communicable disease or to be subject to an order of quarantine or an order of isolation pursuant to Article 3.02 (§ 32.1-48.05 et seq.) of Chapter 2 shall notify the emergency medical services agency providing transportation services of a potential risk of exposure to a communicable disease, including a communicable disease of public health threat. For the purposes of this section, the chief medical person at a local or state correctional facility or the facility director or his designee shall be responsible for providing such information to the transporting agency.
I. Any person who, as a result of this provision, becomes aware of the identity or condition of a person known to be (i) positive for or to suffer from any communicable disease, or to have suffered exposure to a communicable disease or (ii) subject to an order of quarantine or an order of isolation pursuant to Article 3.02 (§ 32.1-48.05 et seq.) of Chapter 2, shall keep such information confidential, except as expressly authorized by this provision.
J. No person known to be (i) positive for or to suffer from any communicable disease, including any communicable disease of public health threat, or (ii) subject to an order of quarantine or an order of isolation pursuant to Article 3.02 (§ 32.1-48.05 et seq.) of Chapter 2, shall be refused transportation or service for that reason by an emergency medical services, law-enforcement, or public safety agency.
2. That § 32.1-45.2 of the Code of Virginia is repealed.