Substitute House Bill No. 6540 Public Act No. 19-109 AN ACT CONCERNING TH E PREVENTION OF THE HUMAN IMMUNODEFICIENCY VIR US. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Section 19a-592 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2019): (a) Any licensed physician or advanced practice registered nurse may examine and provide prophylaxis or treatment for human immunodeficiency virus infection, or acquired immune deficiency syndrome for a minor, only with the consent of the parents or guardian of the minor unless the physician or advanced practice registered nurse determines that notification of the parents or guardian of the minor will result in prophylaxis or treatment being denied or the physician or advanced practice registered nurse determines the minor will not seek, pursue or continue prophylaxis or treatment if the parents or guardian are notified and the minor requests that his or her parents or guardian not be notified. The physician or advanced practice registered nurse shall fully document the reasons for the determination to provide prophylaxis or treatment without the consent or notification of the parents or guardian of the minor and shall include such documentation, signed by the minor, in the minor's clinical record. The fact of consultation, examination and prophylaxis Substitute House Bill No. 6540 Public Act No. 19-109 2 of 2 or treatment of a minor under the provisions of this section shall be confidential and shall not be divulged without the minor's consent, including the sending of a bill for the services to any person other than the minor until the physician or advanced practice registered nurse consults with the minor regarding the sending of a bill, except (1) for purposes of any report made pursuant to section 19a-215, or (2) if the minor is twelve years of age or younger, the physician or advanced practice registered nurse shall report the name, age and address of the minor to the Commissioner of Children and Families, or the commissioner's designee, who shall classify and evaluate such report pursuant to the provisions of section 17a-101g. As used in this subsection, "prophylaxis" means the use of medication, but does not include the administration of any vaccine, to prevent disease. (b) A minor shall be personally liable for all costs and expenses for services afforded the minor at his or her request under this section.