SB-1129, As Passed Senate, July 1, 2004                                     

SUBSTITUTE FOR

SENATE BILL NO. 1129

                                                                             A bill to amend 1978 PA 368, entitled                                             

"Public health code,"                                                       

by amending sections 5114 and 5114a (MCL 333.5114 and 333.5114a),           

as added by 1988 PA 489.                                                    

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

1       Sec. 5114.  (1) Except as otherwise provided in this                        

2   section,  and except for a licensed clinical laboratory,  a                 

3   person or governmental entity that obtains from a test subject a            

4   test result that indicates that the test subject is HIV infected            

5   or from a test subject who has already been diagnosed as HIV                

6   infected a test result ordered for the management and                       

7   surveillance of the infection or the detection of the HIV                   

8   infection or the acquired immunodeficiency syndrome shall, within           

9   7 days after obtaining the test result, report to the appropriate           

10  local health department or, if requested by the local health                

1   department, to the department on a form provided by the                     

2   department or through electronic methods approved by the                    

3   department all of the following information, if available:                  

4       (a) The name and address of the person or governmental entity               

5   that submits the report.                                                    

6   (b) The name, address, and telephone number of the health                   

7   care provider who diagnosed the test subject or who ordered the             

8   test.                                                                       

9       (c)  (b)  The  age name, date of birth, race, sex,  and                    

10  county of residence address, and telephone number of the test              

11  subject.                                                                    

12  (d)  (c)  The date on which the  test was performed specimen               

13  was collected for testing.                                                  

14  (e) The type of test performed.

15  (f)  (d)  The test result.                                                  

16  (g)  (e)  If known, whether or not the test subject has                     

17  tested positive for the presence of HIV or an antibody to HIV on            

18  a previous occasion.                                                        

19  (h)  (f)  The probable method of transmission.                              

20  (i)  (g)  The purpose of the test.                                          

21  (j)  (h)  Any other medical or epidemiological information                  

22  considered necessary by the department for the surveillance,                

23  control, and prevention of HIV infections.  Information added by            

24  the department under this subdivision shall be promulgated as               

25  rules.                                                                      

26  (2) Except as otherwise provided in this section and except                 

27  for a licensed clinical laboratory, a person or governmental                

1   entity that obtains from a test subject a test result that                  

2   indicates that the test subject is HIV infected shall, within 7             

3   days after obtaining the test result, report to the appropriate             

4   local health department, on a form provided by the department,              

5   all of the information required under subsection (1), but                   

6   including the name, address, and telephone number of the test               

7   subject.

8   (2)  (3)  An individual who undergoes a test for HIV or an                  

9   antibody to HIV in a physician's private practice office or the             

10  office of a physician employed by or under contract to a health             

11  maintenance organization or who submits a specimen for either of            

12  those tests to that physician may request that the report made by           

13  the physician under this section not include the name, address,             

14  and telephone number of the test subject.  Except as otherwise              

15  provided in section 5114a, if such a request is made under this             

16  subsection, the physician shall comply with the request and                 

17  submit the specimen to the laboratory without the name, address,            

18  or telephone number of the test subject.                                    

19  (3)  (4)  A local health department shall not maintain a                    

20  roster of names obtained under this section, but shall maintain             

21  individual case files that are encoded to protect the identities            

22  of the individual test subjects.                                            

23      Sec. 5114a.  (1) A person or governmental entity that                       

24  administers a test for HIV or an antibody to HIV to an individual           

25  shall refer the individual to the appropriate local health                  

26  department for assistance with partner notification if both of              

27  the following conditions are met:                                           

1       (a) The test results indicate that the individual is HIV                    

2   infected.                                                                   

3       (b) The person or governmental entity that administered the                 

4   test determines that the individual needs assistance with partner           

5   notification.                                                               

6       (2) A person or governmental entity that refers an individual               

7   to a local health department under subsection (1) shall provide             

8   the local health department with information determined necessary           

9   by the local health department to carry out partner                         

10  notification.  Information required under this subsection may               

11  include, but is not limited to, the name, address, and telephone            

12  number of the individual test subject.                                      

13      (3) A local health department to which an individual is                     

14  referred under subsection (1) shall inform the individual that he           

15  or she has a legal obligation to inform each of his or her sexual           

16  partners of the individual's HIV infection before engaging in               

17  sexual relations with that sexual partner, and that the                     

18  individual may be subject to criminal sanctions for failure to so           

19  inform a sexual partner.                                                    

20      (4) A partner notification program operated by a local health               

21  department shall include notification of individuals who are                

22  sexual or hypodermic needle-sharing partners of the individual              

23  tested under subsection (1).  Partner notification shall be                 

24  confidential and conducted in the form of a direct, one-to-one              

25  conversation between the employee of the local health department            

26  and the partner of the test subject.                                        

27      (5) If a local health department receives a report under                    

1   section  5114(2) 5114(1) that indicates that a resident of this            

2   state or an individual located in this state is HIV infected, the           

3   local health department shall make it a priority to do all of the           

4   following:                                                                  

5       (a) Attempt to interview the individual and offer to contact                

6   the individual's sexual partners and, if applicable, hypodermic             

7   needle-sharing or drug-sharing partners.  If the subject of the             

8   report is determined to have been infected with HIV in utero, the           

9   local health department shall attempt to interview the                      

10  individual's parent or legal guardian, or both.  The interview              

11  conducted under this subdivision shall be voluntary on the part             

12  of the individual being interviewed.  The interview or attempted            

13  interview required under this subdivision shall be performed by a           

14  local health department within 14 days after receipt of a report            

15  under section  5114(2) 5114(1).                                            

16      (b) Within 35 days after the interview conducted pursuant to                

17  subdivision (a), confidentially, privately, and in a discreet               

18  manner contact each individual identified as a sexual or                    

19  hypodermic needle-sharing or drug-sharing partner regarding the             

20  individual's possible exposure to HIV.  The local health                    

21  department shall not reveal to an individual identified as a                

22  partner the identity of the individual who has tested positive              

23  for HIV or an antibody to HIV except if authorized to do so by              

24  the individual who named the contact, and if needed to protect              

25  others from exposure to HIV or from transmitting HIV.  The local            

26  health department shall provide each individual interviewed under           

27  subdivision (a) and each individual contacted under this                    

1   subdivision with all of the following information:                          

2                                                                                (i) Available medical tests for HIV, an antibody to HIV, and                        

3   any other indicator of HIV infection.                                       

4       (ii) Steps to take in order to avoid transmission of HIV.                    

5       (iii) Other information considered appropriate by the                        

6   department.                                                                 

7       (6) The reports, records, and data of a local health                        

8   department pertaining to information acquired under this section            

9   shall be retained by the local health department for not more               

10  than 90 days after the date of receipt or for a period                      

11  established by rule of the department.                                      

12      (7) Information acquired by the department or a local health                

13  department under this section or section 5114 is exempt from                

14  disclosure under the freedom of information act,  Act No. 442 of            

15  the Public Acts of 1976, being sections 15.231 to 15.246 of the             

16  Michigan Compiled Laws 1976 PA 442, MCL 15.231 to 15.246.                  

17      (8) The department in consultation with local health                        

18  departments shall submit a biennial report to the standing                  

19  committees in the senate and house of representatives responsible           

20  for legislation pertaining to public health on the effect of this           

21  section on the department's efforts to monitor and control HIV              

22  infection and acquired immunodeficiency syndrome.  The report               

23  shall include, but not be limited to, statistics on the total               

24  number of index cases reported, the total number of index cases             

25  reported with information identifying the test subject or a                 

26  partner of the test subject, and the total number of partners               

27  actually contacted under this section, and an assessment of the             

1   effectiveness of the program, and recommendations to improve the            

2   effectiveness of the program, if any.  The statistics included in           

3   the report shall be broken down by local health department                  

4   jurisdiction.