CHAPTER 6-400. MISCELLANEOUS STANDARDS AND REQUIREMENTS
§6-405. Requirements for HIV Antibody Tests of Individual Persons. [26]
(1) Definitions.
(a) AIDS. Acquired
immunodeficiency syndrome -- the most serious stage of disease caused by human
immunodeficiency virus infection.
(b) HIV. Human
immunodeficiency virus (formerly called human T-cell lymphotropic virus type III
-- HTLV-III), the organism that causes AIDS.
(c) HIV Antibody
Test. A blood test for the presence of antibody to HIV, which is considered
as evidence of infection.
(d) Seronegative or Negative. Someone
testing negatively on a serologic (blood) test for HIV
antibody.
(e) Seropositive or Positive. Someone testing
positively on a serologic (blood) test for HIV
antibody.
(2) Requirements. All persons who conduct the HIV
Antibody Test on individuals shall, in all cases:
(a) obtain an
informed consent form signed by the individual to be tested;
and,
(b) provide pre- and post-test counseling to the individual
tested, regarding the implications of a positive or negative
test.
(3) Elements of Required Counseling. The counseling
required under this Section shall be in accordance with protocols established by
the United States Centers for Disease Control, available upon request from the
Philadelphia Health Department, "The Department."
(a) Counselors must
either be trained by the Department, or be trained by a contractor or agent
authorized by the Department, or they must have a combination of training and
experience deemed acceptable by The Department.
(4) Pre-test
Counseling Required for a Valid Informed Consent. Pre-test counseling
leading to a valid informed consent under this Section shall be rendered by a
counselor qualified in accordance with subsection (3)(a) of this Section 6-405,
and shall include as a minimum, and in addition to all other requirements of the
Section, the following elements:
(a) the purpose of the
test;
(b) the type of confidentiality pertaining both to the test
result and the fact that the test has occurred;
(c) an explanation of
the test;
(d) the degree of test accuracy and the possibility of a
false negative or positive result;
(e) the implications of a positive
or negative result;
(f) the benefits versus the risks of the
test;
(g) the possible impact of knowing one’s
serostatus;
(h) the assurance that a patient’s health services
will not legally be adversely affected by the test results or the
patient’s willingness to be tested; and,
(i) if applicable, an
explanation of confidential versus anonymous testing and the implications of
both.
(5) Language Requirement. All counseling shall be done in a
language understood by the person to be tested.
(6) Penalties.
Any person who violates the provisions of this Section shall be subject to the
penalties imposed by Subsection 6-103(1) of this Title.