2023 Texas Statutes › Health and Safety Code › Title 2 - Health › Subtitle D - Prevention, Control, and Reports of Diseases; Public Health Disasters and Emergencies › Chapter 81 - Communicable Diseases; Public Health Disasters; Public Health Emergencies › Subchapter C. Reports and Reportable Diseases › Section 81.050. Mandatory Testing of Persons Suspected of Exposing Certain Other Persons to Reportable Diseases, Including HIV Infection

Sec. 81.050.  MANDATORY TESTING OF PERSONS SUSPECTED OF EXPOSING CERTAIN OTHER PERSONS TO REPORTABLE DISEASES, INCLUDING HIV INFECTION.  (a)  The executive commissioner by rule shall prescribe the criteria that constitute exposure to reportable diseases.  The criteria must be based on activities that the United States Public Health Service determines pose a risk of infection.
(b)  A person whose occupation or whose volunteer service is included in one or more of the following categories may request the department or a health authority to order testing of another person who may have exposed the person to a reportable disease:
(1)  a law enforcement officer;
(2)  a fire fighter;
(3)  an emergency medical service employee or paramedic;
(4)  a correctional officer;
(5)  an employee, contractor, or volunteer, other than a correctional officer, who performs a service in a correctional facility as defined by Section 1.07, Penal Code, or a secure correctional facility or secure detention facility as defined by Section 51.02, Family Code;
(6)  an employee of a juvenile probation department; or
(7)  any other emergency response employee or volunteer.
(c)  A request under this section may be made only if the person:
(1)  has experienced the exposure in the course of the person's employment or volunteer service;
(2)  believes that the exposure places the person at risk of a reportable disease; and
(3)  presents to the department or health authority a sworn affidavit that delineates the reasons for the request.
(d)  The department or the department's designee who meets the minimum training requirements prescribed by department rule shall review the person's request and inform the person whether the request meets the criteria establishing risk of infection with a reportable disease.
(e)  The department or the department's designee shall give the person who is subject to the order prompt and confidential written notice of the order.  The order must:
(1)  state the grounds and provisions of the order, including the factual basis for its issuance;
(2)  refer the person to appropriate health care facilities where the person can be tested for reportable diseases; and
(3)  inform the person who is subject to the order of that person's right to refuse to be tested and the authority of the department or health authority to ask for a court order requiring the test.
(f)  If the person who is subject to the order refuses to comply, the prosecuting attorney who represents the state in district court, on request of the department or the department's designee, shall petition the district court for a hearing on the order.  The person who is subject to the order has the right to an attorney at the hearing, and the court shall appoint an attorney for a person who cannot afford legal representation.  The person may not waive the right to an attorney unless the person has consulted with an attorney.
(g)  In reviewing the order, the court shall determine whether exposure occurred and whether that exposure presents a possible risk of infection as defined by department rule.  The attorney for the state and the attorney for the person subject to the order may introduce evidence at the hearing in support of or opposition to the testing of the person.  On conclusion of the hearing, the court shall either issue an appropriate order requiring counseling and testing of the person for reportable diseases or refuse to issue the order if the court has determined that the counseling and testing of the person is unnecessary.  The court may assess court costs against the person who requested the test if the court finds that there was not reasonable cause for the request.
(h)  The department or the department's designee shall inform the person who requested the order and the designated infection control officer of the person who requested the order, if that person is an emergency response employee or volunteer, of the results of the test.  If the person subject to the order is found to have a reportable disease, the department or the department's designee shall inform that person and the person who requested the order of the need for medical follow-up and counseling services.  The department or the department's designee shall develop protocols for coding test specimens to ensure that any identifying information concerning the person tested will be destroyed as soon as the testing is complete.
(i)  Repealed by Acts 2015, 84th Leg., R.S., Ch. 1, Sec. 3.1639(28), eff. April 2, 2015.
(j)  For the purpose of qualifying for workers' compensation or any other similar benefits for compensation, an employee who claims a possible work-related exposure to a reportable disease must provide the employer with a sworn affidavit of the date and circumstances of the exposure and document that, not later than the 10th day after the date of the exposure, the employee had a test result that indicated an absence of the reportable disease.
(k)  A person listed in Subsection (b) who may have been exposed to a reportable disease may not be required to be tested.
(l)  In this section, "test result" has the meaning assigned by Section 81.101.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 17, eff. Sept. 1, 1991.
Amended by:
Acts 2005, 79th Leg., Ch. 320 (S.B. 665), Sec. 1, eff. September 1, 2005.
Acts 2009, 81st Leg., R.S., Ch. 925 (H.B. 3005), Sec. 1, eff. June 19, 2009.
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.0228, eff. April 2, 2015.
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.1639(28), eff. April 2, 2015.
Acts 2015, 84th Leg., R.S., Ch. 1278 (S.B. 1574), Sec. 9, eff. September 1, 2015.