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HIV Policy Review
The State Board of Health has filed public notice of its intent to review rules
adopted in 1999 requiring public health officials to convert the names of
asymptomatic HIV cases to a code within 90 days of receipt of a complete case
report. Case reports for symptomatic HIV cases, including AIDS cases, would
continue to be maintained as standard named reports. In addition, current Board
rules require the reporting of CD4+ (T4) lymphocyte counts less than 200 and/or
CD4+ (T4) percents less than 14 percent of total lymphocytes (patients aged
thirteen or older) and positive HIV viral culture tests.
As federal funds are at risk if case reports are not maintained as standard
named reports, drafts of both a limited emergency rule and a broader permanent
rule have been prepared.
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Proposed Draft
Emergency
Rules - February 2006
Washington State will likely lose a portion of federal Ryan
White CARE Act (RWCA) funding for the care and treatment of
persons with HIV or AIDS if State Board of Health rules are not
changed. This funding supports HIV case management, anti-HIV
treatment regimens and HIV specific medical care in Washington
State. Washington’s HIV case reports are not accepted by the CDC
into the national HIV database because of the name to code
reporting system that is in place.
The proposed emergency rule:
(1) Requires Department review of available records to
reascertain the names of previously reported asymptomatic
HIV cases.
(2) Allows the Department to maintain those cases in a
named-based surveillance system, to comply with Centers for
Disease Control and Prevention’s HIV reporting requirements.
(3) Permits local health jurisdiction's to assist
Department in reascertaining names. Names must be destroyed
at local level within 3 days of reporting the names to the
Department.
The text of
draft
1 of the emergency rule is available. (Acrobat
printable version)
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Proposed Draft Permanent
Rules - February 2006
Names Retention of
Asymptomatic HIV Case Reports and Expanded HIV Laboratory Test
Reporting
The State Board of Health has filed
public notice of its intent to review rules adopted in 1999
requiring public health officials to convert the names of
asymptomatic HIV cases to a code within 90 days of receipt of a
complete case report. Case reports for symptomatic HIV cases,
including AIDS cases, would continue to be maintained as standard
named reports. In addition, current Board rules require the
reporting of CD4+ (T4) lymphocyte counts less than 200 and/or CD4+
(T4) percents less than 14 percent of total lymphocytes (patients
aged thirteen or older) and positive HIV viral culture tests.
Background information and an
announcement of stakeholder meetings to be held in February are
available below. (Acrobat printable versions)
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Counseling & Testing
Adopted Rule Changes as of June 18, 2005
The Washington State Board of Health adopted rule changes addressing
HIV at their April 13, 2005 meeting. These new rules address:
- consent for testing;
- pre-test counseling;
- post-test counseling;
- notification of sexual and/or needle-sharing partners;
- testing in persons who have another STD;
- additional counseling for persons with HIV; and
- rapid testing information.
A copy of the rule changes as published in the Washington State
Register can be obtained below. The revised rules are effective June
18, 2005. Below are documents describing the purpose for the
rule changes, discussing some of the important policy changes,
and providing a sample flow chart for HIV testing services
according to the new rules. |
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Adopted Rule
Changes
(Acrobat printable version) |
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State Board
of Health Meeting Announcements, Dates, and Locations |
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Background and Timeline Descriptions |
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Tackling HIV Policy Issues: Process and Step 1 -
April 2003
(Acrobat printable version) |
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Tackling HIV Policy Issues: Process and Step 2 -
November 2003 (Acrobat printable version) |
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Existing Documents for Review
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HIV/AIDS
Prevention & Education Services