HIV AIDS Resource Guide/HIV-AIDS Resource Guide.iso/STAT/STATE/NEV-AD.ASC

Text File | 1993-01-14 | 12KB | 295 lines

/* The Nevada Administrative Code follows. */

SERVICES PROVIDED BY NURSES OF THE BUREAU OF COMMUNITY HEALTH
SERVICES

439.500   Fees and donations for provision of services and
medications.
1.   For persons who are able to pay, the fees to be charged and
collected by the bureau of community health services of the
health division for the services and medications provided by the
nurses of the bureau are as follows:

     Services and medications Category I     Category II

     Testing and counseling for human
     immunodeficiency  virus  (a
     person in category II must
     also pay the costs for the
     laboratory analysis)               15             20
     Testing for a sexually transmitted
     disease  other  than  human
     immunodeficiency  virus,  in
     addition to the cost for the
     laboratory analysis                is             20
2.   A person who is not able to pay a fee listed in subsection 1
will be asked to make a donation to help cover the cost of the
service or medication.
3.   For the purposes of this section, a person will be charged
the fees listed in:
(a)  Category I if the - annual gross income of his immediate
family is not more than 249 percent of the poverty level
designated by the United State Department of Health and Human
Services.
(b)  Category II if the annual gross income of his immediate
family is at least 250 percent of the poverty level designated by
the United State Department of Health and Human Services.
(Added to NAC by Bd. of Health, eff. 10-14-82; A 7-16-85; eff. 8-
1-85; 1-31-90; 9-6-91)


FEES FOR SERVICES PERFORMED~BY STATE
HYGIENIC LABORATORY


439.510   Applicability, collection and waiver of fees.
1.   In NAC 439.520 to 439.590, inclusive, the state board of
health prescribes fees to be charged and collected for certain
services performed in the laboratory.
2.   Except as otherwise provided in subsections 3 and 4, the fee
for each test specified in NAC 439.520 to 439.590, inclusive,
must be collected before the analysis is started unless
arrangements are made in advance with the approval of the
administrator.
3.   If an applicant for any test specified in NAC 439.520 to
439.590, inclusive, declares under penalty of perjury that he
does not have the money to pay the fee prescribed, the fee may be
waived by the administrator.
4.   A sample submitted to the laboratory that is required for
certification or used for quality control is not subject to a
fee.
(Added to NAC by Bd. of Health, eff. 10-14-82; A 9-1-8911-26-90)

Miscellaneous Communicable Diseases

441A.450 Acquired immune deficiency syndrome; human
immunodeficiency virus infection.
1.   The health authority shall encourage:
(a)  A case having acquired immune deficiency syndrome (AIDS); or
(b)  A person reported to have a human immunodeficiency virus
infection (HIV), as identified by a confirmed positive human
immunodeficiency virus infection (HlV) blood test administered by
a medical laboratory, to notify each person with whom he has had
sexual relations and each person with whom he has shared a
needle, of their potential exposure, of the availability  of
counseling  and  of  testing  for  the  presence  of  human
immunodeficiency virus infection (HIV). If a person reported
pursuant to this section fails to provide such notice the health
authority shall make reasonable efforts to provide the notice and
counseling.

2.   If the person reported pursuant to subsection 1 has donated
or sold blood, plasma, sperm or other bodily tissues during the
year preceding the diagnosis, the health authority shall make
reasonable efforts to notify the recipient that the person has
been reported to have human immunodeficiency virus infection
(HIV).

3.   If a person is reported pursuant to subsection 1 because of
a sexual offense, the health authority shall seek the identity
and location of the victim and make reasonable efforts to notify
him of his possible exposure and to advise  him  of  the
availability  of  counseling  and  testing  for  human
immunodeficiency virus infection (Hlv).

4.   If a person reported pursuant to subsection 1 has current
tuberculosis, the health authority shall make reasonable efforts
to ensure that appropriate remedial and medical treatment of the
tuberculosis is provided.

5.   If the case  has requested assistance from the health
authority for notifying and counseling persons with whom the case
has had sexual relations or persons with whom the case has shared
a needle, the health authority shall provide that service.

6.   If a person reported pursuant to subsection 1 is in a
medical facility, the medical facility shall provide care to the
person in accordance with blood and body fluid precautions, and,
if another communicable disease is present, universal precautions
or the appropriate disease specific precautions.
(Added to NAC by Bd. of Health, eff. 1-24-92)

7.   If the health authority determines that there is a case
having a communicable disease against which immunity is required
for admission to the college or university, at a college or
university attended by a student who has not submitted proof of
immunity to that disease, the president or other person in charge
of the college or university shall require that:

(a)  The student be immunized; or

(b)  The student be excluded from the college or university until
allowed to return by the health authority.

8.   A student shall not attend a college or university from
which he is excluded until allowed to return by the health
authority. The parent or legal guardian of a student, if the
student is a minor, shall not allow the student to attend a
college or university from which he is excluded until allowed to
return by the health authority.

(Added to NAC by Bd. of Health, eff. 1-24-92)


SEXUALLY TRANSMITTED DISEASES


441A.775 "Sexually transmitted disease" defined for purpose of
NRS. As used in NRS 44lA.240 to 441A.330, inclusive, "sexually
transmitted disease" means a bacterial, viral, fungal or
parasitic disease which may be transmitted through sexual
contact, including but not limited to:

1.   Acquired immune deficiency syndrome (AIDS).

2.   Acute pelvic inflammatory disease.

3.   Chancroid.

4.   Chlamydia trachomatis infection of the genital tract.

5.   Genital herpes simplex.

6.   Genital human papilloma virus infection.

7.   Gonorrhea.

8.   Granuloma inguinale.

9.   Hepatitis B infection.

10.  Human immunodeficiency virus infection (HIV).

11.  Lymphogranuloma venereum.

12.  Nongonococcal urethritis.

13.  Syphilis.

(Added to NAC by Bd. of Health, eff. 1-24-92)

PROSTITUTION


441A.800 Testing  of prostitutes;  prohibition  of certain
persons  from employment as prostitute.

1.   A person seeking employment as a prostitute in a licensed
house of prostitution shall submit to the state hygienic
laboratory in the division or a medical laboratory licensed
pursuant to chapter 652 of NRS and certified by the Health Care
Financing Administration of the Department of Health and Human
Services:

(a)  A sample of blood for a test to confirm the presence or
absence of human immunodeficiency virus infection (HIV) and
syphilis; and

(b)  A cervical specimen for a test to confirm the presence or
absence of gonorrhea and Chlamydia trachomatis by culture or
antigen detection or DNA probe.

2.   A person must not be employed as a prostitute in a licensed
house of prostitution until the state hygienic laboratory in the
division or a medical laboratory licensed pursuant to chapter 652
of NRS and certified by the Health Care Financing Administration
of the Department of Health and Human Services has reported that
the tests required pursuant to subsection 1 do not show the
presence of infectious syphilis, gonorrhea, Chiamydia trachomatis
or infection with the human immunodeficiency virus (HI V).

3.   A person employed as a prostitute in a licensed house of
prostitution shall submit to the state hygienic laboratory in the
division or a medical laboratory licensed pursuant to chapter 652
of NRS and certified by the Health Care Financing Administration
of the Department of Health and Human Services:

(a)  Once each month, a sample of blood, identified by the name
of the prostitute as it appears on her local work permit card,
for a test to confirm the presence or absence of:

(1)Infection with the human immunodeficiency virus (HIV); and

(2)                    Syphilis.

(b)  Once each week, a cervical specimen, identified by the name
of the prostitute as it appears on her local work permit card,
for a test to confirm the presence or absence of gonorrhea and
Chiamydia trachomatis by culture or antigen detection or DNA
probe.

4.   If a test required pursuant to this section shows the
presence of infectious syphilis, gonorrhea, Chiamydia trachomatis
or infection with the human immunodeficiency virus (HI V), the
person shall immediately cease and desist from employment as a
prostitute in a licensed house of prostitution.
(Added to NAC by Bd. of Health, eff. 1-24-92)

441A.805 Use of latex prophylactic required. A person employed as
a prostitute in a licensed house of prostitution shall require
each patron to wear and use a latex prophylactic while engaging
in sexual intercourse, oral-genital contact or any touching of
the sexual organs or other intimate parts of a person.
(Added to NAC by Bd. of Health, eff. 1-24-92)

441A.810 House of prostitution required to post health notice.
The person in charge of a licensed house of prostitution shall
post a health notice provided by the division. The cost and
mounting of the notice is the responsibility of the house of
prostitution. The notice must be posted in a prominent location
which is readily noticeable by patrons of the establishment and
is approved by the division.
(Added to NAC by Bd. of Health, eff. 1-24-92)

441A.815 Person in charge of house of prostitution: Report of
presence of communicable disease required; cooperation with
health authority required.

1.   The person in charge of a licensed house of prostitution who
knows of or suspects the presence of a communicable disease
within the house of prostitution shall report the disease to the
health authority having jurisdiction where the house of
prostitution is located.

2.   A report of a communicable disease must be made to the
health authority in accordance with the provisions set forth in
NAC 44lA.225.

3.   A report must include:

(a)  The communicable disease or suspected communicable disease;

(b)  The name and the address or telephone number of the case or
suspected case;

(c)  The name, address and telephone number of the person making
the report;

(d)  The age, sex, race, date of birth, occupation and employer
of the case or suspected case, if available;

(e)  The date of onset and the date of diagnosis of the disease;
and

(f)  Any other information requested by the health authority, if
available.

4.   The person in charge of a licensed house of prostitution
shall promptly cooperate with the health authority during:

(a)  The investigation of the circumstances or cause of a case or
suspected case, or of an outbreak or suspected outbreak; and

(b)  The carrying out of measures for the prevention, suppression
or control of a communicable disease, including procedures of
exclusion, isolation anJ quarantine.
(Added to NAC by Bd. of Health, eff. 1-24-92)

442.745   Services for children testing positive for human
immunodeficiency virus.  Evaluation and diagnostic services will
be provided pursuant to NAC 442.600 to 442.785, inclusive, for
children testing positive for the human immunodeficiency virus.
(Added to NAC by Bd. of Health, eff. 11-27-89)