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9 | 9 | | Page 1 of 18 |
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10 | 10 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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13 | 13 | | |
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14 | 14 | | A bill to be entitled 1 |
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15 | 15 | | An act relating to transmission and screening of HIV 2 |
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16 | 16 | | and sexually transmissible diseases; amending s. 3 |
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17 | 17 | | 775.0877, F.S.; deleting offenses relating to 4 |
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18 | 18 | | prostitution from the offenses under which certain 5 |
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19 | 19 | | offenders must undergo HIV testing; reducing criminal 6 |
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20 | 20 | | penalties for the commission of criminal transmission 7 |
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21 | 21 | | of HIV; amending s. 796.08, F.S.; deleting 8 |
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22 | 22 | | requirements relating to the screening, treatment, and 9 |
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23 | 23 | | counseling for sexually transmissible diseases of 10 |
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24 | 24 | | certain offenders; deleting criminal penalties for 11 |
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25 | 25 | | related violations; making technical changes; amending 12 |
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26 | 26 | | s. 960.003, F.S.; conforming cross -references; 13 |
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27 | 27 | | amending ss. 98.0751 and 381.004, F.S.; conforming 14 |
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28 | 28 | | provisions to changes made by the act; providing an 15 |
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29 | 29 | | effective date. 16 |
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30 | 30 | | 17 |
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31 | 31 | | Be It Enacted by the Legislature of the State of Florida: 18 |
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32 | 32 | | 19 |
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33 | 33 | | Section 1. Subsections (1), (3), and (6) of section 20 |
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34 | 34 | | 775.0877, Florida Statutes, are amended to read: 21 |
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35 | 35 | | 775.0877 Criminal transmission of HIV; procedures; 22 |
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36 | 36 | | penalties.— 23 |
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37 | 37 | | (1) In any case in which a person has been convicted of or 24 |
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38 | 38 | | has pled nolo contendere or guilty to, regardless of whether 25 |
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46 | 46 | | Page 2 of 18 |
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47 | 47 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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51 | 51 | | adjudication is withheld, any of the following offenses, or the 26 |
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52 | 52 | | attempt thereof, which offense or atte mpted offense involves the 27 |
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53 | 53 | | transmission of body fluids from one person to another: 28 |
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54 | 54 | | (a) Section 794.011, relating to sexual battery; 29 |
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55 | 55 | | (b) Section 826.04, relating to incest; 30 |
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56 | 56 | | (c) Section 800.04, relating to lewd or lascivious 31 |
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57 | 57 | | offenses committed upon or in the presence of persons less than 32 |
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58 | 58 | | 16 years of age; 33 |
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59 | 59 | | (d) Sections 784.011, 784.07(2)(a), and 784.08(2)(d), 34 |
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60 | 60 | | relating to assault; 35 |
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61 | 61 | | (e) Sections 784.021, 784.07(2)(c), and 784.08(2)(b), 36 |
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62 | 62 | | relating to aggravated assault; 37 |
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63 | 63 | | (f) Sections 784.03, 784.07(2)(b), and 784.08(2)(c), 38 |
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64 | 64 | | relating to battery; 39 |
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65 | 65 | | (g) Sections 784.045, 784.07(2)(d), and 784.08(2)(a), 40 |
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66 | 66 | | relating to aggravated battery; 41 |
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67 | 67 | | (h) Section 827.03(2)(c), relating to child abuse; 42 |
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68 | 68 | | (i) Section 827.03(2)(a), relating to aggravated child 43 |
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69 | 69 | | abuse; 44 |
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70 | 70 | | (j) Section 825.102(1), relating to abuse of an elderly 45 |
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71 | 71 | | person or disabled adult; 46 |
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72 | 72 | | (k) Section 825.102(2), relating to aggravated abuse of an 47 |
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73 | 73 | | elderly person or disabled adult; 48 |
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74 | 74 | | (l) Section 827.071, relating to sexual performance by 49 |
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75 | 75 | | person less than 18 years of age; 50 |
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84 | 84 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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88 | 88 | | (m) Sections 796.07 and 796.08, relating to prostitution; 51 |
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89 | 89 | | (m)(n) Section 381.0041(11)(b), relating to donation of 52 |
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90 | 90 | | blood, plasma, organs, skin, or other human tissue; or 53 |
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91 | 91 | | (n)(o) Sections 787.06(3)(b), (d), (f), and (g), relating 54 |
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92 | 92 | | to human trafficking, 55 |
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93 | 93 | | 56 |
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94 | 94 | | the court shall order the offender to undergo HIV testing, to be 57 |
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95 | 95 | | performed under the direction of the Department of Health in 58 |
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96 | 96 | | accordance with s. 381.004, unless the offender has undergone 59 |
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97 | 97 | | HIV testing voluntarily or pursuant to procedures establishe d in 60 |
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98 | 98 | | s. 381.004(2)(h)6. or s. 951.27, or any other applicable law or 61 |
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99 | 99 | | rule providing for HIV testing of criminal offenders or inmates, 62 |
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100 | 100 | | subsequent to her or his arrest for an offense enumerated in 63 |
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101 | 101 | | paragraphs (a)-(m) (a)-(n) for which she or he was convicted or 64 |
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102 | 102 | | to which she or he pled nolo contendere or guilty. The results 65 |
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103 | 103 | | of an HIV test performed on an offender pursuant to this 66 |
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104 | 104 | | subsection are not admissible in any criminal proceeding arising 67 |
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105 | 105 | | out of the alleged offense. 68 |
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106 | 106 | | (3) An offender who has undergone HIV testing pursuant to 69 |
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107 | 107 | | subsection (1), and to whom positive test results have been 70 |
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108 | 108 | | disclosed pursuant to subsection (2), who commits a second or 71 |
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109 | 109 | | subsequent offense enumerated in paragraphs (1)(a)-(m) (1)(a)-72 |
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110 | 110 | | (n), commits criminal transmission of HIV, a misdemeanor of the 73 |
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111 | 111 | | first felony of the third degree, punishable as provided in s. 74 |
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112 | 112 | | 775.082 or, s. 775.083, or s. 775.084. A person may be convicted 75 |
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121 | 121 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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125 | 125 | | and sentenced separately for a violation of this subsection and 76 |
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126 | 126 | | for the underlying crime enumerated in paragraphs (1)(a)-(m) 77 |
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127 | 127 | | (1)(a)-(n). 78 |
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128 | 128 | | (6) For an alleged violation of any offense enumerated in 79 |
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129 | 129 | | paragraphs (1)(a)-(m) (1)(a)-(n) for which the consent of the 80 |
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130 | 130 | | victim may be raised as a defense in a criminal prosecution, it 81 |
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131 | 131 | | is an affirmative defense to a charge of violating this section 82 |
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132 | 132 | | that the person exposed knew that the offender was infected with 83 |
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133 | 133 | | HIV, knew that the action being t aken could result in 84 |
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134 | 134 | | transmission of the HIV infection, and consented to the action 85 |
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135 | 135 | | voluntarily with that knowledge. 86 |
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136 | 136 | | Section 2. Section 796.08, Florida Statutes, is amended to 87 |
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137 | 137 | | read: 88 |
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138 | 138 | | 796.08 Screening for HIV and sexually transmissible 89 |
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139 | 139 | | diseases; providing penalties.— 90 |
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140 | 140 | | (1)(a) As used in this section, the term For the purposes 91 |
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141 | 141 | | of this section, "sexually transmissible disease" means a 92 |
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142 | 142 | | bacterial, viral, fungal, or parasitic disease, determined by 93 |
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143 | 143 | | rule of the Department of Health to be sexually transmissibl e, a 94 |
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144 | 144 | | threat to the public health and welfare, and a disease for which 95 |
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145 | 145 | | a legitimate public interest is served by providing for 96 |
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146 | 146 | | regulation and treatment. 97 |
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147 | 147 | | (b) In considering which diseases are designated as 98 |
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148 | 148 | | sexually transmissible diseases, the Department of Health shall 99 |
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149 | 149 | | consider such diseases as chancroid, gonorrhea, granuloma 100 |
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158 | 158 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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162 | 162 | | inguinale, lymphogranuloma venereum, genital herpes simplex, 101 |
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163 | 163 | | chlamydia, nongonococcal urethritis (NGU), pelvic inflammatory 102 |
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164 | 164 | | disease (PID)/acute salpingitis, syphilis, and human 103 |
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165 | 165 | | immunodeficiency virus infection for designation and shall 104 |
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166 | 166 | | consider the recommendations and classifications of the Centers 105 |
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167 | 167 | | for Disease Control and Prevention and other nationally 106 |
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168 | 168 | | recognized authorities. Not all diseases that are sexually 107 |
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169 | 169 | | transmissible need be des ignated for purposes of this section. 108 |
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170 | 170 | | (2) A person arrested under s. 796.07 may request 109 |
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171 | 171 | | screening for a sexually transmissible disease , including human 110 |
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172 | 172 | | immunodeficiency virus, under direction of the Department of 111 |
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173 | 173 | | Health and, if infected, shall submit to appropriate treatment 112 |
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174 | 174 | | and counseling. A person who requests screening for a sexually 113 |
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175 | 175 | | transmissible disease under this subsection must pay any costs 114 |
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176 | 176 | | associated with such screening . 115 |
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177 | 177 | | (3) A person convicted under s. 796.07 of prostitution or 116 |
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178 | 178 | | procuring another to commit prostitution must undergo screening 117 |
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179 | 179 | | for a sexually transmissible disease, including, but not limited 118 |
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180 | 180 | | to, screening to detect exposure to the human immunodeficiency 119 |
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181 | 181 | | virus, under direction of the Department of Health. If the 120 |
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182 | 182 | | person is infected, h e or she must submit to treatment and 121 |
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183 | 183 | | counseling prior to release from probation, community control, 122 |
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184 | 184 | | or incarceration. Notwithstanding the provisions of s. 384.29, 123 |
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185 | 185 | | the results of tests conducted pursuant to this subsection shall 124 |
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186 | 186 | | be made available by the De partment of Health to the offender, 125 |
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195 | 195 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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199 | 199 | | medical personnel, appropriate state agencies, state attorneys, 126 |
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200 | 200 | | and courts of appropriate jurisdiction in need of such 127 |
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201 | 201 | | information in order to enforce the provisions of this chapter. 128 |
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202 | 202 | | (4) A person who commits prostituti on or procures another 129 |
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203 | 203 | | for prostitution and who, prior to the commission of such crime, 130 |
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204 | 204 | | had tested positive for a sexually transmissible disease other 131 |
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205 | 205 | | than human immunodeficiency virus infection and knew or had been 132 |
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206 | 206 | | informed that he or she had tested posit ive for such sexually 133 |
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207 | 207 | | transmissible disease and could possibly communicate such 134 |
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208 | 208 | | disease to another person through sexual activity commits a 135 |
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209 | 209 | | misdemeanor of the first degree, punishable as provided in s. 136 |
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210 | 210 | | 775.082 or s. 775.083. A person may be convicted and s entenced 137 |
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211 | 211 | | separately for a violation of this subsection and for the 138 |
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212 | 212 | | underlying crime of prostitution or procurement of prostitution. 139 |
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213 | 213 | | (5) A person who: 140 |
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214 | 214 | | (a) Commits or offers to commit prostitution; or 141 |
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215 | 215 | | (b) Procures another for prostitution by engaging i n 142 |
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216 | 216 | | sexual activity in a manner likely to transmit the human 143 |
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217 | 217 | | immunodeficiency virus, 144 |
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218 | 218 | | 145 |
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219 | 219 | | and who, prior to the commission of such crime, had tested 146 |
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220 | 220 | | positive for human immunodeficiency virus and knew or had been 147 |
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221 | 221 | | informed that he or she had tested positive for hu man 148 |
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222 | 222 | | immunodeficiency virus and could possibly communicate such 149 |
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223 | 223 | | disease to another person through sexual activity commits 150 |
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232 | 232 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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233 | 233 | | |
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236 | 236 | | criminal transmission of HIV, a felony of the third degree, 151 |
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237 | 237 | | punishable as provided in s. 775.082, s. 775.083, or s. 775.084. 152 |
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238 | 238 | | A person may be convicted and sentenced separately for a 153 |
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239 | 239 | | violation of this subsection and for the underlying crime of 154 |
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240 | 240 | | prostitution or procurement of prostitution. 155 |
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241 | 241 | | Section 3. Paragraphs (a) and (b) of subsection (2) and 156 |
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242 | 242 | | paragraph (a) of subsection (3) of section 960.003, Florida 157 |
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243 | 243 | | Statutes, are amended to read: 158 |
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244 | 244 | | 960.003 Hepatitis and HIV testing for persons charged with 159 |
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245 | 245 | | or alleged by petition for delinquency to have committed certain 160 |
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246 | 246 | | offenses; disclosure of results to victims. — 161 |
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247 | 247 | | (2) TESTING OF PERSON CHARGED WITH OR ALLEGED BY PETITION 162 |
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248 | 248 | | FOR DELINQUENCY TO HAVE COMMITTED CERTAIN OFFENSES. — 163 |
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249 | 249 | | (a) In any case in which a person has been charged by 164 |
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250 | 250 | | information or indictment with or alleged by petition for 165 |
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251 | 251 | | delinquency to have committed any offense enumerated in s. 166 |
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252 | 252 | | 775.0877(1)(a)-(m) s. 775.0877(1)(a)-(n), which involves the 167 |
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253 | 253 | | transmission of body fluids from one person to another, upon 168 |
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254 | 254 | | request of the victim or the victim's legal guardian, or of the 169 |
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255 | 255 | | parent or legal guardian of the victim if the victim is a minor, 170 |
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256 | 256 | | the court shall order such person to undergo hepatitis and HIV 171 |
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257 | 257 | | testing within 48 hours after the information, indictment, or 172 |
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258 | 258 | | petition for delinquency is filed. In the event the victim or, 173 |
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259 | 259 | | if the victim is a minor, the victim's parent or legal guardian 174 |
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260 | 260 | | requests hepatitis and HIV testing after 48 hours have elapsed 175 |
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269 | 269 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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273 | 273 | | from the filing of the indictment, information, or petition for 176 |
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274 | 274 | | delinquency, the testing shall be done within 48 hours after the 177 |
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275 | 275 | | request. 178 |
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276 | 276 | | (b) However, when a victim of any sexual offense 179 |
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277 | 277 | | enumerated in s. 775.0877(1)(a)-(m) s. 775.0877(1)(a)-(n) is 180 |
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278 | 278 | | under the age of 18 at the time the offense was committed or 181 |
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279 | 279 | | when a victim of any sexual offense enumerated in s. 182 |
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280 | 280 | | 775.0877(1)(a)-(m) s. 775.0877(1)(a)-(n) or s. 825.1025 is a 183 |
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281 | 281 | | disabled adult or elderly person as defi ned in s. 825.1025 184 |
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282 | 282 | | regardless of whether the offense involves the transmission of 185 |
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283 | 283 | | bodily fluids from one person to another, then upon the request 186 |
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284 | 284 | | of the victim or the victim's legal guardian, or of the parent 187 |
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285 | 285 | | or legal guardian, the court shall order such p erson to undergo 188 |
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286 | 286 | | hepatitis and HIV testing within 48 hours after the information, 189 |
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287 | 287 | | indictment, or petition for delinquency is filed. In the event 190 |
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288 | 288 | | the victim or, if the victim is a minor, the victim's parent or 191 |
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289 | 289 | | legal guardian requests hepatitis and HIV testi ng after 48 hours 192 |
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290 | 290 | | have elapsed from the filing of the indictment, information, or 193 |
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291 | 291 | | petition for delinquency, the testing shall be done within 48 194 |
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292 | 292 | | hours after the request. The testing shall be performed under 195 |
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293 | 293 | | the direction of the Department of Health in accor dance with s. 196 |
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294 | 294 | | 381.004. The results of a hepatitis and HIV test performed on a 197 |
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295 | 295 | | defendant or juvenile offender pursuant to this subsection shall 198 |
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296 | 296 | | not be admissible in any criminal or juvenile proceeding arising 199 |
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297 | 297 | | out of the alleged offense. 200 |
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306 | 306 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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309 | 309 | | |
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310 | 310 | | (3) DISCLOSURE OF RESULTS.— 201 |
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311 | 311 | | (a) The results of the test shall be disclosed no later 202 |
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312 | 312 | | than 2 weeks after the court receives such results, under the 203 |
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313 | 313 | | direction of the Department of Health, to the person charged 204 |
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314 | 314 | | with or alleged by petition for delinquency to have committed or 205 |
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315 | 315 | | to the person convicted of or adjudicated delinquent for any 206 |
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316 | 316 | | offense enumerated in s. 775.0877(1)(a)-(m) s. 775.0877(1)(a)-207 |
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317 | 317 | | (n), which involves the transmission of body fluids from one 208 |
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318 | 318 | | person to another, and, upon request, to the victim or the 209 |
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319 | 319 | | victim's legal guardian, or the parent or legal guardian of the 210 |
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320 | 320 | | victim if the victim is a minor, and to public health agencies 211 |
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321 | 321 | | pursuant to s. 775.0877. If the alleged offender is a juvenile, 212 |
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322 | 322 | | the test results shall also be disclosed to the parent or 213 |
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323 | 323 | | guardian. When the v ictim is a victim as described in paragraph 214 |
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324 | 324 | | (2)(b), the test results must also be disclosed no later than 2 215 |
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325 | 325 | | weeks after the court receives such results, to the person 216 |
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326 | 326 | | charged with or alleged by petition for delinquency to have 217 |
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327 | 327 | | committed or to the person co nvicted of or adjudicated 218 |
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328 | 328 | | delinquent for any offense enumerated in s. 775.0877(1)(a)-(m) 219 |
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329 | 329 | | s. 775.0877(1)(a)-(n), or s. 825.1025 regardless of whether the 220 |
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330 | 330 | | offense involves the transmission of bodily fluids from one 221 |
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331 | 331 | | person to another, and, upon request, to th e victim or the 222 |
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332 | 332 | | victim's legal guardian, or the parent or legal guardian of the 223 |
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333 | 333 | | victim, and to public health agencies pursuant to s. 775.0877. 224 |
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334 | 334 | | Otherwise, hepatitis and HIV test results obtained pursuant to 225 |
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343 | 343 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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346 | 346 | | |
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347 | 347 | | this section are confidential and exempt from the provisions of 226 |
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348 | 348 | | s. 119.07(1) and s. 24(a), Art. I of the State Constitution and 227 |
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349 | 349 | | shall not be disclosed to any other person except as expressly 228 |
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350 | 350 | | authorized by law or court order. 229 |
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351 | 351 | | Section 4. Paragraph (b) of subsection (2) of section 230 |
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352 | 352 | | 98.0751, Florida Statut es, is amended to read: 231 |
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353 | 353 | | 98.0751 Restoration of voting rights; termination of 232 |
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354 | 354 | | ineligibility subsequent to a felony conviction. — 233 |
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355 | 355 | | (2) For purposes of this section, the term: 234 |
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356 | 356 | | (b) "Felony sexual offense" means any of the following: 235 |
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357 | 357 | | 1. Any felony offense that serves as a predicate to 236 |
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358 | 358 | | registration as a sexual offender in accordance with s. 237 |
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359 | 359 | | 943.0435; 238 |
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360 | 360 | | 2. Section 491.0112; 239 |
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361 | 361 | | 3. Section 784.049(3)(b); 240 |
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362 | 362 | | 4. Section 794.08; 241 |
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363 | 363 | | 5. Section 796.08; 242 |
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364 | 364 | | 5.6. Section 800.101; 243 |
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365 | 365 | | 6.7. Section 826.04; 244 |
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366 | 366 | | 7.8. Section 847.012; 245 |
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367 | 367 | | 8.9. Section 872.06(2); 246 |
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368 | 368 | | 9.10. Section 944.35(3)(b)2.; 247 |
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369 | 369 | | 10.11. Section 951.221(1); or 248 |
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370 | 370 | | 11.12. Any similar offense committed in another 249 |
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371 | 371 | | jurisdiction which would be an offense listed in this paragraph 250 |
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384 | 384 | | if it had been committed in violation of the la ws of this state. 251 |
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385 | 385 | | Section 5. Paragraph (h) of subsection (2) of section 252 |
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386 | 386 | | 381.004, Florida Statutes, is amended to read: 253 |
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387 | 387 | | 381.004 HIV testing. — 254 |
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388 | 388 | | (2) HUMAN IMMUNODEFICIENCY VIRUS TESTING; INFORMED 255 |
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389 | 389 | | CONSENT; RESULTS; COUNSELING; CONFIDENTIALITY. — 256 |
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390 | 390 | | (h) Paragraph (a) does not apply: 257 |
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391 | 391 | | 1. When testing for sexually transmissible diseases is 258 |
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392 | 392 | | required by state or federal law, or by rule, including the 259 |
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393 | 393 | | following situations: 260 |
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394 | 394 | | a. HIV testing pursuant to s. 796.08 of persons convicted 261 |
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395 | 395 | | of prostitution or of procuri ng another to commit prostitution . 262 |
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396 | 396 | | b. HIV testing of inmates pursuant to s. 945.355 before 263 |
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397 | 397 | | their release from prison by reason of parole, accumulation of 264 |
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398 | 398 | | gain-time credits, or expiration of sentence. 265 |
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399 | 399 | | c. Testing for HIV by a medical examiner in accordan ce 266 |
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400 | 400 | | with s. 406.11. 267 |
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401 | 401 | | d. HIV testing of pregnant women pursuant to s. 384.31. 268 |
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402 | 402 | | 2. To those exceptions provided for blood, plasma, organs, 269 |
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403 | 403 | | skin, semen, or other human tissue pursuant to s. 381.0041. 270 |
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404 | 404 | | 3. For the performance of an HIV -related test by licensed 271 |
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405 | 405 | | medical personnel in bona fide medical emergencies if the test 272 |
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406 | 406 | | results are necessary for medical diagnostic purposes to provide 273 |
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407 | 407 | | appropriate emergency care or treatment to the person being 274 |
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408 | 408 | | tested and the patient is unable to consent, as supported by 275 |
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417 | 417 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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418 | 418 | | |
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419 | 419 | | |
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420 | 420 | | |
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421 | 421 | | documentation in the medical record. Notification of test 276 |
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422 | 422 | | results in accordance with paragraph (c) is required. 277 |
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423 | 423 | | 4. For the performance of an HIV -related test by licensed 278 |
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424 | 424 | | medical personnel for medical di agnosis of acute illness where, 279 |
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425 | 425 | | in the opinion of the attending physician, providing 280 |
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426 | 426 | | notification would be detrimental to the patient, as supported 281 |
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427 | 427 | | by documentation in the medical record, and the test results are 282 |
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428 | 428 | | necessary for medical diagnostic purposes t o provide appropriate 283 |
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429 | 429 | | care or treatment to the person being tested. Notification of 284 |
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430 | 430 | | test results in accordance with paragraph (c) is required if it 285 |
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431 | 431 | | would not be detrimental to the patient. This subparagraph does 286 |
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432 | 432 | | not authorize the routine testing of patient s for HIV infection 287 |
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433 | 433 | | without notification. 288 |
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434 | 434 | | 5. If HIV testing is performed as part of an autopsy for 289 |
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435 | 435 | | which consent was obtained pursuant to s. 872.04. 290 |
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436 | 436 | | 6. For the performance of an HIV test upon a defendant 291 |
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437 | 437 | | pursuant to the victim's request in a prosecutio n for any type 292 |
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438 | 438 | | of sexual battery where a blood sample is taken from the 293 |
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439 | 439 | | defendant voluntarily, pursuant to court order for any purpose, 294 |
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440 | 440 | | or pursuant to s. 775.0877, s. 951.27, or s. 960.003; however, 295 |
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441 | 441 | | the results of an HIV test performed shall be disclosed s olely 296 |
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442 | 442 | | to the victim and the defendant, except as provided in ss. 297 |
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443 | 443 | | 775.0877, 951.27, and 960.003. 298 |
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444 | 444 | | 7. If an HIV test is mandated by court order. 299 |
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445 | 445 | | 8. For epidemiological research pursuant to s. 381.0031, 300 |
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454 | 454 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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455 | 455 | | |
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456 | 456 | | |
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457 | 457 | | |
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458 | 458 | | for research consistent with institutional review boards created 301 |
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459 | 459 | | by 45 C.F.R. part 46, or for the performance of an HIV -related 302 |
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460 | 460 | | test for the purpose of research, if the testing is performed in 303 |
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461 | 461 | | a manner by which the identity of the test subject is not known 304 |
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462 | 462 | | and may not be retrieved by the researcher. 305 |
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463 | 463 | | 9. If human tissue is collected lawfully without the 306 |
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464 | 464 | | consent of the donor for corneal removal as authorized by s. 307 |
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465 | 465 | | 765.5185 or enucleation of the eyes as authorized by s. 765.519. 308 |
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466 | 466 | | 10. For the performance of an HIV test upon an individual 309 |
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467 | 467 | | who comes into conta ct with medical personnel in such a way that 310 |
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468 | 468 | | a significant exposure has occurred during the course of 311 |
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469 | 469 | | employment, within the scope of practice, or during the course 312 |
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470 | 470 | | of providing emergency medical assistance to the individual. The 313 |
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471 | 471 | | term "medical personnel" i ncludes a licensed or certified health 314 |
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472 | 472 | | care professional; an employee of a health care professional or 315 |
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473 | 473 | | health care facility; employees of a laboratory licensed under 316 |
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474 | 474 | | chapter 483; personnel of a blood bank or plasma center; a 317 |
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475 | 475 | | medical student or other studen t who is receiving training as a 318 |
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476 | 476 | | health care professional at a health care facility; and a 319 |
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477 | 477 | | paramedic or emergency medical technician certified by the 320 |
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478 | 478 | | department to perform life -support procedures under s. 401.23. 321 |
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479 | 479 | | a. The occurrence of a significant exposu re shall be 322 |
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480 | 480 | | documented by medical personnel under the supervision of a 323 |
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481 | 481 | | licensed physician and recorded only in the personnel record of 324 |
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482 | 482 | | the medical personnel. 325 |
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491 | 491 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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492 | 492 | | |
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493 | 493 | | |
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494 | 494 | | |
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495 | 495 | | b. Costs of an HIV test shall be borne by the medical 326 |
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496 | 496 | | personnel or the employer of the medical p ersonnel. However, 327 |
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497 | 497 | | costs of testing or treatment not directly related to the 328 |
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498 | 498 | | initial HIV tests or costs of subsequent testing or treatment 329 |
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499 | 499 | | may not be borne by the medical personnel or the employer of the 330 |
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500 | 500 | | medical personnel. 331 |
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501 | 501 | | c. In order to use the provisio ns of this subparagraph, 332 |
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502 | 502 | | the medical personnel must be tested for HIV pursuant to this 333 |
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503 | 503 | | section or provide the results of an HIV test taken within 6 334 |
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504 | 504 | | months before the significant exposure if such test results are 335 |
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505 | 505 | | negative. 336 |
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506 | 506 | | d. A person who receives the res ults of an HIV test 337 |
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507 | 507 | | pursuant to this subparagraph shall maintain the confidentiality 338 |
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508 | 508 | | of the information received and of the persons tested. Such 339 |
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509 | 509 | | confidential information is exempt from s. 119.07(1). 340 |
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510 | 510 | | e. If the source of the exposure is not available and w ill 341 |
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511 | 511 | | not voluntarily present himself or herself to a health facility 342 |
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512 | 512 | | to be tested for HIV, the medical personnel or the employer of 343 |
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513 | 513 | | such person acting on behalf of the employee may seek a court 344 |
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514 | 514 | | order directing the source of the exposure to submit to HIV 345 |
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515 | 515 | | testing. A sworn statement by a physician licensed under chapter 346 |
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516 | 516 | | 458 or chapter 459 that a significant exposure has occurred and 347 |
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517 | 517 | | that, in the physician's medical judgment, testing is medically 348 |
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518 | 518 | | necessary to determine the course of treatment constitutes 349 |
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519 | 519 | | probable cause for the issuance of an order by the court. The 350 |
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528 | 528 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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529 | 529 | | |
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530 | 530 | | |
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531 | 531 | | |
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532 | 532 | | results of the test shall be released to the source of the 351 |
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533 | 533 | | exposure and to the person who experienced the exposure. 352 |
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534 | 534 | | 11. For the performance of an HIV test upon an individual 353 |
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535 | 535 | | who comes into contact wi th nonmedical personnel in such a way 354 |
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536 | 536 | | that a significant exposure has occurred while the nonmedical 355 |
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537 | 537 | | personnel provides emergency medical assistance during a medical 356 |
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538 | 538 | | emergency. For the purposes of this subparagraph, a medical 357 |
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539 | 539 | | emergency means an emergency me dical condition outside of a 358 |
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540 | 540 | | hospital or health care facility that provides physician care. 359 |
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541 | 541 | | The test may be performed only during the course of treatment 360 |
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542 | 542 | | for the medical emergency. 361 |
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543 | 543 | | a. The occurrence of a significant exposure shall be 362 |
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544 | 544 | | documented by medica l personnel under the supervision of a 363 |
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545 | 545 | | licensed physician and recorded in the medical record of the 364 |
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546 | 546 | | nonmedical personnel. 365 |
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547 | 547 | | b. Costs of any HIV test shall be borne by the nonmedical 366 |
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548 | 548 | | personnel or the employer of the nonmedical personnel. However, 367 |
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549 | 549 | | costs of testing or treatment not directly related to the 368 |
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550 | 550 | | initial HIV tests or costs of subsequent testing or treatment 369 |
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551 | 551 | | may not be borne by the nonmedical personnel or the employer of 370 |
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552 | 552 | | the nonmedical personnel. 371 |
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553 | 553 | | c. In order to use the provisions of this subparagraph , 372 |
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554 | 554 | | the nonmedical personnel shall be tested for HIV pursuant to 373 |
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555 | 555 | | this section or shall provide the results of an HIV test taken 374 |
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556 | 556 | | within 6 months before the significant exposure if such test 375 |
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566 | 566 | | |
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567 | 567 | | |
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568 | 568 | | |
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569 | 569 | | results are negative. 376 |
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570 | 570 | | d. A person who receives the results of an HI V test 377 |
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571 | 571 | | pursuant to this subparagraph shall maintain the confidentiality 378 |
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572 | 572 | | of the information received and of the persons tested. Such 379 |
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573 | 573 | | confidential information is exempt from s. 119.07(1). 380 |
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574 | 574 | | e. If the source of the exposure is not available and will 381 |
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575 | 575 | | not voluntarily present himself or herself to a health facility 382 |
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576 | 576 | | to be tested for HIV, the nonmedical personnel or the employer 383 |
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577 | 577 | | of the nonmedical personnel acting on behalf of the employee may 384 |
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578 | 578 | | seek a court order directing the source of the exposure to 385 |
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579 | 579 | | submit to HIV testing. A sworn statement by a physician licensed 386 |
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580 | 580 | | under chapter 458 or chapter 459 that a significant exposure has 387 |
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581 | 581 | | occurred and that, in the physician's medical judgment, testing 388 |
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582 | 582 | | is medically necessary to determine the course of treatment 389 |
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583 | 583 | | constitutes probable cause for the issuance of an order by the 390 |
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584 | 584 | | court. The results of the test shall be released to the source 391 |
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585 | 585 | | of the exposure and to the person who experienced the exposure. 392 |
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586 | 586 | | 12. For the performance of an HIV test by the medical 393 |
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587 | 587 | | examiner or attending phys ician upon an individual who expired 394 |
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588 | 588 | | or could not be resuscitated while receiving emergency medical 395 |
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589 | 589 | | assistance or care and who was the source of a significant 396 |
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590 | 590 | | exposure to medical or nonmedical personnel providing such 397 |
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591 | 591 | | assistance or care. 398 |
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592 | 592 | | a. HIV testing may be conducted only after appropriate 399 |
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593 | 593 | | medical personnel under the supervision of a licensed physician 400 |
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603 | 603 | | |
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604 | 604 | | |
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605 | 605 | | |
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606 | 606 | | documents in the medical record of the medical personnel or 401 |
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607 | 607 | | nonmedical personnel that there has been a significant exposure 402 |
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608 | 608 | | and that, in accordance with the written protocols based on the 403 |
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609 | 609 | | National Centers for Disease Control and Prevention guidelines 404 |
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610 | 610 | | on HIV postexposure prophylaxis and in the physician's medical 405 |
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611 | 611 | | judgment, the information is medically necessary to determine 406 |
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612 | 612 | | the course of treatment for the m edical personnel or nonmedical 407 |
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613 | 613 | | personnel. 408 |
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614 | 614 | | b. Costs of an HIV test performed under this subparagraph 409 |
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615 | 615 | | may not be charged to the deceased or to the family of the 410 |
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616 | 616 | | deceased person. 411 |
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617 | 617 | | c. For this subparagraph to be applicable, the medical 412 |
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618 | 618 | | personnel or nonmedic al personnel must be tested for HIV under 413 |
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619 | 619 | | this section or must provide the results of an HIV test taken 414 |
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620 | 620 | | within 6 months before the significant exposure if such test 415 |
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621 | 621 | | results are negative. 416 |
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622 | 622 | | d. A person who receives the results of an HIV test 417 |
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623 | 623 | | pursuant to this subparagraph shall comply with paragraph (e). 418 |
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624 | 624 | | 13. For the performance of an HIV -related test medically 419 |
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625 | 625 | | indicated by licensed medical personnel for medical diagnosis of 420 |
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626 | 626 | | a hospitalized infant as necessary to provide appropriate care 421 |
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627 | 627 | | and treatment of the infant if, after a reasonable attempt, a 422 |
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628 | 628 | | parent cannot be contacted to provide consent. The medical 423 |
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629 | 629 | | records of the infant must reflect the reason consent of the 424 |
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630 | 630 | | parent was not initially obtained. Test results shall be 425 |
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640 | 640 | | |
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641 | 641 | | |
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642 | 642 | | |
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643 | 643 | | provided to the parent when the parent is located. 426 |
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644 | 644 | | 14. For the performance of HIV testing conducted to 427 |
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645 | 645 | | monitor the clinical progress of a patient previously diagnosed 428 |
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646 | 646 | | to be HIV positive. 429 |
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647 | 647 | | 15. For the performance of repeated HIV testing conducted 430 |
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648 | 648 | | to monitor possible conversion from a signifi cant exposure. 431 |
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649 | 649 | | Section 6. This act shall take effect July 1, 2022. 432 |
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