1. HIV/STD/TB SECTION Center for Public Health Practice HIV TEST CONSENT LAWS IN OREGON Sean Schafer, MD MPH Medical Epidemiologist Josh Ferrer STD/HIV Prevention Technical Consultant

2. HIV/STD/TB SECTION Center for Public Health Practice 2 True or False? Under Oregon law, a separate written consent for HIV testing is required.

3. HIV/STD/TB SECTION Center for Public Health Practice 3 Consent for HIV Testing Under Oregon law, a separate written consent for HIV testing is required. –FALSE Previously Oregon law required special informed consent for HIV testing. Senate Bill 1502 passed in 2012 removed this requirement.

4. HIV/STD/TB SECTION Center for Public Health Practice 4 Consent for HIV Testing Now patients must be: –Notified testing may occur –Given the opportunity to decline if they wish Notification may be done in any of the following ways: –Verbally through health care provider or their designee –In writing through a general medical consent form, brochure, fact sheet, or signage in a waiting area Oregon Revised Statute 433.045 (§3) Oregon Administrative Rule, Chapter 333, Division 22, Section 0205

5. HIV/STD/TB SECTION Center for Public Health Practice 5 Consent for HIV Testing The following language is compliant with the law and could be inserted into a general medical consent form: This one of several acceptable approaches you could use. You are free to decide what procedure will work best for your practice as long as the patient is notified testing may occur and allowed to decline. You may be tested for HIV. If you want to decline HIV testing, check this box [ ].

6. HIV/STD/TB SECTION Center for Public Health Practice 6 Occupational Exposure If a healthcare provider or safety worker has a substantial exposure to bodily fluids, testing of the source patient can be requested provided the exposure was work-related and substantial. If the source patient is deceased or incapable of providing consent, it may be granted by next-of-kin. Oregon Administrative Rule, Chapter 333, Division 22, Sections 0300-0305

7. Routine HIV Screening Consider routine screening of all adult patients in your health care facility. U.S. Preventive Services Task Force issued an “A” recommendation for HIV screening among patients 15-65 years of age. Consistent with recommendations from the Centers for Disease Control and Prevention and many other organizations. HIV/STD/TB SECTION Center for Public Health Practice 7

8. Further Information HIV/STD/TB SECTION Center for Public Health Practice 8 www.HealthOregon.org/HIV 971-673-0153