Senate Bill sb0370

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    Florida Senate - 2007                                   SB 370

    By Senator Wilson





    33-53-07

  1                      A bill to be entitled

  2         An act relating to the testing of inmates for

  3         HIV infection in certain county detention

  4         facilities; amending s. 951.27, F.S.; requiring

  5         the Department of Health to designate certain

  6         counties, if approved by the county's governing

  7         body, to participate in a program to test each

  8         inmate for HIV before the inmate is released if

  9         the inmate's HIV status is unknown; providing

10         certain exceptions; requiring that certain

11         county detention facilities notify the

12         Department of Health and the county health

13         department in the county where the inmate plans

14         to reside following release if the inmate is

15         HIV positive; requiring certain  detention

16         facilities to provide special transitional

17         assistance to an inmate who is HIV positive;

18         providing for immunity for complying entities;

19         amending s. 381.004, F.S.; providing that

20         informed consent is not required for an HIV

21         test of an inmate before the inmate's release

22         from a municipal or county detention facility;

23         providing an effective date.

24  

25  Be It Enacted by the Legislature of the State of Florida:

26  

27         Section 1.  Section 951.27, Florida Statutes, is

28  amended to read:

29         951.27  Blood tests of inmates.--

30         (1)  Each county and each municipal detention facility

31  shall have a written procedure developed, in consultation with

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 1  the facility medical provider, establishing conditions under

 2  which an inmate will be tested for infectious disease,

 3  including human immunodeficiency virus pursuant to s.

 4  775.0877, which procedure is consistent with guidelines of the

 5  Centers for Disease Control and Prevention and recommendations

 6  of the Correctional Medical Authority. It is not unlawful for

 7  the person receiving the test results to divulge the test

 8  results to the sheriff or chief correctional officer.

 9         (2)(a)  The Department of Health shall designate two

10  counties having a population of 1.2 million or more and five

11  counties having a population of fewer than 1.2 million to

12  participate in the testing program provided in this

13  subsection, if participation in the testing program is

14  authorized by a majority of the county's governing body. Each

15  county detention facility that lies within the authority of

16  any participating county shall, consistent with s. 381.004(3),

17  perform an HIV test as defined in s. 381.004(2) on each

18  sentenced inmate who is to be released from the facility

19  unless the facility knows that the inmate is HIV positive or

20  unless, within 120 days before the release date, the inmate

21  has been tested for HIV and does not request retesting. The

22  required test must be performed not less than 30 days before

23  the release date of the inmate. A test is not required under

24  this paragraph if an inmate is released due to an emergency or

25  a court order and the detention facility receives less than 30

26  days' notice of the release date or if the inmate is

27  transferred to the custody of the Department of Corrections

28  for incarceration in the state correctional system.

29         (b)  Each county detention facility in a county that

30  participates in the testing program authorized in paragraph

31  (a) must comply with the requirements of this paragraph. If

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 1  the county detention facility knows that an inmate who is to

 2  be released from the facility is HIV positive or has received

 3  a positive HIV test result, that facility shall, before the

 4  inmate is released:

 5         1.  Notify, consistent with s. 381.004(3), the

 6  Department of Health and the county health department in the

 7  county where the inmate being released plans to reside of the

 8  release date and HIV status of the inmate.

 9         2.  Provide special transitional assistance to the

10  inmate which must include:

11         a.  Education on preventing the transmission of HIV to

12  others and on the importance of receiving followup medical

13  care and treatment.

14         b.  A written, individualized discharge plan that

15  includes records of all laboratory and diagnostic test

16  results, medication and treatment information, and referrals

17  to and contacts with the county health department and local

18  primary medical care services for the treatment of HIV

19  infection which are available in the area where the inmate

20  plans to reside.

21         (3)(2)  Except as otherwise provided in this

22  subsection, serologic blood test results obtained pursuant to

23  subsection (1) or subsection (2) are confidential and exempt

24  from the provisions of s. 119.07(1) and s. 24(a), Art. I of

25  the State Constitution. However, such results may be provided

26  to employees or officers of the sheriff or chief correctional

27  officer who are responsible for the custody and care of the

28  affected inmate and have a need to know such information, and

29  as provided in ss. 381.004(3), 775.0877, and 960.003. In

30  addition, upon request of the victim or the victim's legal

31  guardian, or the parent or legal guardian of the victim if the

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 1  victim is a minor, the results of any HIV test performed on an

 2  inmate who has been arrested for any sexual offense involving

 3  oral, anal, or vaginal penetration by, or union with, the

 4  sexual organ of another, shall be disclosed to the victim or

 5  the victim's legal guardian, or to the parent or legal

 6  guardian of the victim if the victim is a minor. In such

 7  cases, the county or municipal detention facility shall

 8  furnish the test results to the Department of Health, which is

 9  responsible for disclosing the results to public health

10  agencies as provided in s. 775.0877 and to the victim or the

11  victim's legal guardian, or the parent or legal guardian of

12  the victim if the victim is a minor, as provided in s.

13  960.003(3).

14         (4)(3)  The results of any serologic blood test on an

15  inmate are a part of that inmate's permanent medical file.

16  Upon transfer of the inmate to any other correctional

17  facility, such file is also transferred, and all relevant

18  authorized persons must be notified of positive HIV test

19  results, as required in s. 775.0877.

20         (5)  Notwithstanding any statute providing for a waiver

21  of sovereign immunity, the state, its agencies, or

22  subdivisions, and employees of the state, its agencies, or

23  subdivisions, are not liable to any person for negligently

24  causing death or personal injury arising out of complying with

25  this section.

26         Section 2.  Subsection (3) of section 381.004, Florida

27  Statutes, is amended to read:

28         381.004  HIV testing.--

29         (3)  HUMAN IMMUNODEFICIENCY VIRUS TESTING; INFORMED

30  CONSENT; RESULTS; COUNSELING; CONFIDENTIALITY.--

31  

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 1         (a)  No person in this state shall order a test

 2  designed to identify the human immunodeficiency virus, or its

 3  antigen or antibody, without first obtaining the informed

 4  consent of the person upon whom the test is being performed,

 5  except as specified in paragraph (h). Informed consent shall

 6  be preceded by an explanation of the right to confidential

 7  treatment of information identifying the subject of the test

 8  and the results of the test to the extent provided by law.

 9  Information shall also be provided on the fact that a positive

10  HIV test result will be reported to the county health

11  department with sufficient information to identify the test

12  subject and on the availability and location of sites at which

13  anonymous testing is performed. As required in paragraph

14  (4)(c), each county health department shall maintain a list of

15  sites at which anonymous testing is performed, including the

16  locations, phone numbers, and hours of operation of the sites.

17  Consent need not be in writing provided there is documentation

18  in the medical record that the test has been explained and the

19  consent has been obtained.

20         (b)  Except as provided in paragraph (h), informed

21  consent must be obtained from a legal guardian or other person

22  authorized by law when the person:

23         1.  Is not competent, is incapacitated, or is otherwise

24  unable to make an informed judgment; or

25         2.  Has not reached the age of majority, except as

26  provided in s. 384.30.

27         (c)  The person ordering the test or that person's

28  designee shall ensure that all reasonable efforts are made to

29  notify the test subject of his or her test result.

30  Notification of a person with a positive test result shall

31  include information on the availability of appropriate medical

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 1  and support services, on the importance of notifying partners

 2  who may have been exposed, and on preventing transmission of

 3  HIV. Notification of a person with a negative test result

 4  shall include, as appropriate, information on preventing the

 5  transmission of HIV. When testing occurs in a hospital

 6  emergency department, detention facility, or other facility

 7  and the test subject has been released before being notified

 8  of positive test results, informing the county health

 9  department for that department to notify the test subject

10  fulfills this responsibility.

11         (d)  A positive preliminary test result may not be

12  revealed to any person except in the following situations:

13         1.  Preliminary test results may be released to

14  licensed physicians or the medical or nonmedical personnel

15  subject to the significant exposure for purposes of

16  subparagraphs (h)10., 11., and 12.

17         2.  Preliminary test results may be released to health

18  care providers and to the person tested when decisions about

19  medical care or treatment of, or recommendation to, the person

20  tested and, in the case of an intrapartum or postpartum woman,

21  when care, treatment, or recommendations regarding her

22  newborn, cannot await the results of confirmatory testing.

23  Positive preliminary HIV test results may not be characterized

24  to the patient as a diagnosis of HIV infection. Justification

25  for the use of preliminary test results must be documented in

26  the medical record by the health care provider who ordered the

27  test.

28         3.  The results of rapid testing technologies shall be

29  considered preliminary and may be released in accordance with

30  the manufacturer's instructions as approved by the federal

31  Food and Drug Administration.

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 1         4.  Corroborating or confirmatory testing must be

 2  conducted as followup to a positive preliminary test.  Results

 3  shall be communicated to the patient according to statute

 4  regardless of the outcome. Except as provided in this section,

 5  test results are confidential and exempt from the provisions

 6  of s. 119.07(1).

 7         (e)  Except as provided in this section, the identity

 8  of any person upon whom a test has been performed and test

 9  results are confidential and exempt from the provisions of s.

10  119.07(1).  No person who has obtained or has knowledge of a

11  test result pursuant to this section may disclose or be

12  compelled to disclose the identity of any person upon whom a

13  test is performed, or the results of such a test in a manner

14  which permits identification of the subject of the test,

15  except to the following persons:

16         1.  The subject of the test or the subject's legally

17  authorized representative.

18         2.  Any person, including third-party payors,

19  designated in a legally effective release of the test results

20  executed prior to or after the test by the subject of the test

21  or the subject's legally authorized representative. The test

22  subject may in writing authorize the disclosure of the test

23  subject's HIV test results to third party payors, who need not

24  be specifically identified, and to other persons to whom the

25  test subject subsequently issues a general release of medical

26  information.  A general release without such prior written

27  authorization is not sufficient to release HIV test results.

28         3.  An authorized agent or employee of a health

29  facility or health care provider if the health facility or

30  health care provider itself is authorized to obtain the test

31  results, the agent or employee participates in the

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 1  administration or provision of patient care or handles or

 2  processes specimens of body fluids or tissues, and the agent

 3  or employee has a need to know such information.  The

 4  department shall adopt a rule defining which persons have a

 5  need to know pursuant to this subparagraph.

 6         4.  Health care providers consulting between themselves

 7  or with health care facilities to determine diagnosis and

 8  treatment. For purposes of this subparagraph, health care

 9  providers shall include licensed health care professionals

10  employed by or associated with state, county, or municipal

11  detention facilities when such health care professionals are

12  acting exclusively for the purpose of providing diagnoses or

13  treatment of persons in the custody of such facilities.

14         5.  The department, in accordance with rules for

15  reporting and controlling the spread of disease, as otherwise

16  provided by state law.

17         6.  A health facility or health care provider which

18  procures, processes, distributes, or uses:

19         a.  A human body part from a deceased person, with

20  respect to medical information regarding that person; or

21         b.  Semen provided prior to July 6, 1988, for the

22  purpose of artificial insemination.

23         7.  Health facility staff committees, for the purposes

24  of conducting program monitoring, program evaluation, or

25  service reviews pursuant to chapters 395 and 766.

26         8.  Authorized medical or epidemiological researchers

27  who may not further disclose any identifying characteristics

28  or information.

29         9.  A person allowed access by a court order which is

30  issued in compliance with the following provisions:

31  

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 1         a.  No court of this state shall issue such order

 2  unless the court finds that the person seeking the test

 3  results has demonstrated a compelling need for the test

 4  results which cannot be accommodated by other means.  In

 5  assessing compelling need, the court shall weigh the need for

 6  disclosure against the privacy interest of the test subject

 7  and the public interest which may be disserved by disclosure

 8  which deters blood, organ, and semen donation and future human

 9  immunodeficiency virus-related testing or which may lead to

10  discrimination.  This paragraph shall not apply to blood bank

11  donor records.

12         b.  Pleadings pertaining to disclosure of test results

13  shall substitute a pseudonym for the true name of the subject

14  of the test.  The disclosure to the parties of the subject's

15  true name shall be communicated confidentially in documents

16  not filed with the court.

17         c.  Before granting any such order, the court shall

18  provide the individual whose test result is in question with

19  notice and a reasonable opportunity to participate in the

20  proceedings if he or she is not already a party.

21         d.  Court proceedings as to disclosure of test results

22  shall be conducted in camera, unless the subject of the test

23  agrees to a hearing in open court or unless the court

24  determines that a public hearing is necessary to the public

25  interest and the proper administration of justice.

26         e.  Upon the issuance of an order to disclose test

27  results, the court shall impose appropriate safeguards against

28  unauthorized disclosure which shall specify the persons who

29  may have access to the information, the purposes for which the

30  information shall be used, and appropriate prohibitions on

31  future disclosure.

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 1         10.  A person allowed access by order of a judge of

 2  compensation claims of the Division of Administrative

 3  Hearings. A judge of compensation claims shall not issue such

 4  order unless he or she finds that the person seeking the test

 5  results has demonstrated a compelling need for the test

 6  results which cannot be accommodated by other means.

 7         11.  Those employees of the department or of

 8  child-placing or child-caring agencies or of family foster

 9  homes, licensed pursuant to s. 409.175, who are directly

10  involved in the placement, care, control, or custody of such

11  test subject and who have a need to know such information;

12  adoptive parents of such test subject; or any adult custodian,

13  any adult relative, or any person responsible for the child's

14  welfare, if the test subject was not tested under subparagraph

15  (b)2. and if a reasonable attempt has been made to locate and

16  inform the legal guardian of a test result. The department

17  shall adopt a rule to implement this subparagraph.

18         12.  Those employees of residential facilities or of

19  community-based care programs that care for developmentally

20  disabled persons, pursuant to chapter 393, who are directly

21  involved in the care, control, or custody of such test subject

22  and who have a need to know such information.

23         13.  A health care provider involved in the delivery of

24  a child can note the mother's HIV test results in the child's

25  medical record.

26         14.  Medical personnel or nonmedical personnel who have

27  been subject to a significant exposure during the course of

28  medical practice or in the performance of professional duties,

29  or individuals who are the subject of the significant exposure

30  as provided in subparagraphs (h)10.-12.

31  

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 1         15.  The medical examiner shall disclose positive HIV

 2  test results to the department in accordance with rules for

 3  reporting and controlling the spread of disease.

 4         (f)  Except as provided in this section, the identity

 5  of a person upon whom a test has been performed is

 6  confidential and exempt from the provisions of s. 119.07(1).

 7  No person to whom the results of a test have been disclosed

 8  may disclose the test results to another person except as

 9  authorized by this subsection and by ss. 951.27 and 960.003.

10  Whenever disclosure is made pursuant to this subsection, it

11  shall be accompanied by a statement in writing which includes

12  the following or substantially similar language: "This

13  information has been disclosed to you from records whose

14  confidentiality is protected by state law.  State law

15  prohibits you from making any further disclosure of such

16  information without the specific written consent of the person

17  to whom such information pertains, or as otherwise permitted

18  by state law.  A general authorization for the release of

19  medical or other information is NOT sufficient for this

20  purpose." An oral disclosure shall be accompanied by oral

21  notice and followed by a written notice within 10 days, except

22  that this notice shall not be required for disclosures made

23  pursuant to subparagraphs (e)3. and 4.

24         (g)  Human immunodeficiency virus test results

25  contained in the medical records of a hospital licensed under

26  chapter 395 may be released in accordance with s. 395.3025

27  without being subject to the requirements of subparagraph

28  (e)2., subparagraph (e)9., or paragraph (f); provided the

29  hospital has obtained written informed consent for the HIV

30  test in accordance with provisions of this section.

31  

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 1         (h)  Notwithstanding the provisions of paragraph (a),

 2  informed consent is not required:

 3         1.  When testing for sexually transmissible diseases is

 4  required by state or federal law, or by rule including the

 5  following situations:

 6         a.  HIV testing pursuant to s. 796.08 of persons

 7  convicted of prostitution or of procuring another to commit

 8  prostitution.

 9         b.  HIV testing of inmates pursuant to s. 945.355 prior

10  to their release from prison by reason of parole, accumulation

11  of gain-time credits, or expiration of sentence.

12         c.  Testing for HIV by a medical examiner in accordance

13  with s. 406.11.

14         d.  HIV testing of pregnant women pursuant to s.

15  384.31.

16         e.  HIV testing of inmates pursuant to s. 951.27 before

17  their release from a county or municipal detention facility.

18         2.  Those exceptions provided for blood, plasma,

19  organs, skin, semen, or other human tissue pursuant to s.

20  381.0041.

21         3.  For the performance of an HIV-related test by

22  licensed medical personnel in bona fide medical emergencies

23  when the test results are necessary for medical diagnostic

24  purposes to provide appropriate emergency care or treatment to

25  the person being tested and the patient is unable to consent,

26  as supported by documentation in the medical record.

27  Notification of test results in accordance with paragraph (c)

28  is required.

29         4.  For the performance of an HIV-related test by

30  licensed medical personnel for medical diagnosis of acute

31  illness where, in the opinion of the attending physician,

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 1  obtaining informed consent would be detrimental to the

 2  patient, as supported by documentation in the medical record,

 3  and the test results are necessary for medical diagnostic

 4  purposes to provide appropriate care or treatment to the

 5  person being tested. Notification of test results in

 6  accordance with paragraph (c) is required if it would not be

 7  detrimental to the patient.  This subparagraph does not

 8  authorize the routine testing of patients for HIV infection

 9  without informed consent.

10         5.  When HIV testing is performed as part of an autopsy

11  for which consent was obtained pursuant to s. 872.04.

12         6.  For the performance of an HIV test upon a defendant

13  pursuant to the victim's request in a prosecution for any type

14  of sexual battery where a blood sample is taken from the

15  defendant voluntarily, pursuant to court order for any

16  purpose, or pursuant to the provisions of s. 775.0877, s.

17  951.27, or s. 960.003; however, the results of any HIV test

18  performed shall be disclosed solely to the victim and the

19  defendant, except as provided in ss. 775.0877, 951.27, and

20  960.003.

21         7.  When an HIV test is mandated by court order.

22         8.  For epidemiological research pursuant to s.

23  381.0032, for research consistent with institutional review

24  boards created by 45 C.F.R. part 46, or for the performance of

25  an HIV-related test for the purpose of research, if the

26  testing is performed in a manner by which the identity of the

27  test subject is not known and may not be retrieved by the

28  researcher.

29         9.  When human tissue is collected lawfully without the

30  consent of the donor for corneal removal as authorized by s.

31  

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 1  765.5185 or enucleation of the eyes as authorized by s.

 2  765.519.

 3         10.  For the performance of an HIV test upon an

 4  individual who comes into contact with medical personnel in

 5  such a way that a significant exposure has occurred during the

 6  course of employment or within the scope of practice and where

 7  a blood sample is available that was taken from that

 8  individual voluntarily by medical personnel for other

 9  purposes.  The term "medical personnel" includes a licensed or

10  certified health care professional; an employee of a health

11  care professional or health care facility; employees of a

12  laboratory licensed under chapter 483; personnel of a blood

13  bank or plasma center; a medical student or other student who

14  is receiving training as a health care professional at a

15  health care facility; and a paramedic or emergency medical

16  technician certified by the department to perform life-support

17  procedures under s. 401.23.

18         a.  Prior to performance of an HIV test on a

19  voluntarily obtained blood sample, the individual from whom

20  the blood was obtained shall be requested to consent to the

21  performance of the test and to the release of the results.

22  The individual's refusal to consent and all information

23  concerning the performance of an HIV test and any HIV test

24  result shall be documented only in the medical personnel's

25  record unless the individual gives written consent to entering

26  this information on the individual's medical record.

27         b.  Reasonable attempts to locate the individual and to

28  obtain consent shall be made, and all attempts must be

29  documented. If the individual cannot be found, an HIV test may

30  be conducted on the available blood sample. If the individual

31  does not voluntarily consent to the performance of an HIV

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 1  test, the individual shall be informed that an HIV test will

 2  be performed, and counseling shall be furnished as provided in

 3  this section.  However, HIV testing shall be conducted only

 4  after a licensed physician documents, in the medical record of

 5  the medical personnel, that there has been a significant

 6  exposure and that, in the physician's medical judgment, the

 7  information is medically necessary to determine the course of

 8  treatment for the medical personnel.

 9         c.  Costs of any HIV test of a blood sample performed

10  with or without the consent of the individual, as provided in

11  this subparagraph, shall be borne by the medical personnel or

12  the employer of the medical personnel. However, costs of

13  testing or treatment not directly related to the initial HIV

14  tests or costs of subsequent testing or treatment may not be

15  borne by the medical personnel or the employer of the medical

16  personnel.

17         d.  In order to utilize the provisions of this

18  subparagraph, the medical personnel must either be tested for

19  HIV pursuant to this section or provide the results of an HIV

20  test taken within 6 months prior to the significant exposure

21  if such test results are negative.

22         e.  A person who receives the results of an HIV test

23  pursuant to this subparagraph shall maintain the

24  confidentiality of the information received and of the persons

25  tested.  Such confidential information is exempt from s.

26  119.07(1).

27         f.  If the source of the exposure will not voluntarily

28  submit to HIV testing and a blood sample is not available, the

29  medical personnel or the employer of such person acting on

30  behalf of the employee may seek a court order directing the

31  source of the exposure to submit to HIV testing.  A sworn

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 1  statement by a physician licensed under chapter 458 or chapter

 2  459 that a significant exposure has occurred and that, in the

 3  physician's medical judgment, testing is medically necessary

 4  to determine the course of treatment constitutes probable

 5  cause for the issuance of an order by the court.  The results

 6  of the test shall be released to the source of the exposure

 7  and to the person who experienced the exposure.

 8         11.  For the performance of an HIV test upon an

 9  individual who comes into contact with medical personnel in

10  such a way that a significant exposure has occurred during the

11  course of employment or within the scope of practice of the

12  medical personnel while the medical personnel provides

13  emergency medical treatment to the individual; or who comes

14  into contact with nonmedical personnel in such a way that a

15  significant exposure has occurred while the nonmedical

16  personnel provides emergency medical assistance during a

17  medical emergency.  For the purposes of this subparagraph, a

18  medical emergency means an emergency medical condition outside

19  of a hospital or health care facility that provides physician

20  care. The test may be performed only during the course of

21  treatment for the medical emergency.

22         a.  An individual who is capable of providing consent

23  shall be requested to consent to an HIV test prior to the

24  testing. The individual's refusal to consent, and all

25  information concerning the performance of an HIV test and its

26  result, shall be documented only in the medical personnel's

27  record unless the individual gives written consent to entering

28  this information on the individual's medical record.

29         b.  HIV testing shall be conducted only after a

30  licensed physician documents, in the medical record of the

31  medical personnel or nonmedical personnel, that there has been

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 1  a significant exposure and that, in the physician's medical

 2  judgment, the information is medically necessary to determine

 3  the course of treatment for the medical personnel or

 4  nonmedical personnel.

 5         c.  Costs of any HIV test performed with or without the

 6  consent of the individual, as provided in this subparagraph,

 7  shall be borne by the medical personnel or the employer of the

 8  medical personnel or nonmedical personnel. However, costs of

 9  testing or treatment not directly related to the initial HIV

10  tests or costs of subsequent testing or treatment may not be

11  borne by the medical personnel or the employer of the medical

12  personnel or nonmedical personnel.

13         d.  In order to utilize the provisions of this

14  subparagraph, the medical personnel or nonmedical personnel

15  shall be tested for HIV pursuant to this section or shall

16  provide the results of an HIV test taken within 6 months prior

17  to the significant exposure if such test results are negative.

18         e.  A person who receives the results of an HIV test

19  pursuant to this subparagraph shall maintain the

20  confidentiality of the information received and of the persons

21  tested.  Such confidential information is exempt from s.

22  119.07(1).

23         f.  If the source of the exposure will not voluntarily

24  submit to HIV testing and a blood sample was not obtained

25  during treatment for the medical emergency, the medical

26  personnel, the employer of the medical personnel acting on

27  behalf of the employee, or the nonmedical personnel may seek a

28  court order directing the source of the exposure to submit to

29  HIV testing.  A sworn statement by a physician licensed under

30  chapter 458 or chapter 459 that a significant exposure has

31  occurred and that, in the physician's medical judgment,

                                  17

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    Florida Senate - 2007                                   SB 370
    33-53-07




 1  testing is medically necessary to determine the course of

 2  treatment constitutes probable cause for the issuance of an

 3  order by the court.  The results of the test shall be released

 4  to the source of the exposure and to the person who

 5  experienced the exposure.

 6         12.  For the performance of an HIV test by the medical

 7  examiner or attending physician upon an individual who expired

 8  or could not be resuscitated while receiving emergency medical

 9  assistance or care and who was the source of a significant

10  exposure to medical or nonmedical personnel providing such

11  assistance or care.

12         a.  HIV testing may be conducted only after a licensed

13  physician documents in the medical record of the medical

14  personnel or nonmedical personnel that there has been a

15  significant exposure and that, in the physician's medical

16  judgment, the information is medically necessary to determine

17  the course of treatment for the medical personnel or

18  nonmedical personnel.

19         b.  Costs of any HIV test performed under this

20  subparagraph may not be charged to the deceased or to the

21  family of the deceased person.

22         c.  For the provisions of this subparagraph to be

23  applicable, the medical personnel or nonmedical personnel must

24  be tested for HIV under this section or must provide the

25  results of an HIV test taken within 6 months before the

26  significant exposure if such test results are negative.

27         d.  A person who receives the results of an HIV test

28  pursuant to this subparagraph shall comply with paragraph (e).

29         13.  For the performance of an HIV-related test

30  medically indicated by licensed medical personnel for medical

31  diagnosis of a hospitalized infant as necessary to provide

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    Florida Senate - 2007                                   SB 370
    33-53-07




 1  appropriate care and treatment of the infant when, after a

 2  reasonable attempt, a parent cannot be contacted to provide

 3  consent. The medical records of the infant shall reflect the

 4  reason consent of the parent was not initially obtained.  Test

 5  results shall be provided to the parent when the parent is

 6  located.

 7         14.  For the performance of HIV testing conducted to

 8  monitor the clinical progress of a patient previously

 9  diagnosed to be HIV positive.

10         15.  For the performance of repeated HIV testing

11  conducted to monitor possible conversion from a significant

12  exposure.

13         Section 3.  This act shall take effect July 1, 2007.

14  

15            *****************************************

16                          SENATE SUMMARY

17    Requires the Department of Health to designate certain
      counties, if approved by the county's governing body, to
18    participate in a program to test each inmate for HIV
      before the inmate is released if the inmate's HIV status
19    is unknown. Provides certain exceptions. Requires that
      certain county detention facilities notify the Department
20    of Health and the county health department in the county
      where the inmate plans to reside following release if the
21    inmate is HIV positive. Requires certain detention
      facilities to provide special transitional assistance to
22    an inmate who is HIV positive. Provides for immunity for
      complying entities. Provides that informed consent is not
23    required for an HIV test of an inmate before the inmate's
      release from a municipal or county detention facility.
24  

25  

26  

27  

28  

29  

30  

31  

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