LD 1791
pg. 1
LD 1791 Title Page An Act to Promote Effective Management of Occupational Exposure to HIV Page 2 of 2
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LR 2581
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 5 MRSA §19201, sub-§2-A is enacted to read:

 
2-A.__Health care setting.__"Health care setting" means any
location where there is provision of preventive, diagnostic,
therapeutic, rehabilitative, maintenance or palliative care,
services, procedures or counseling, including appropriate
assistance with disease or symptom management and maintenance
that affects an individual's physical, mental or behavioral
condition, including the process of banking blood, sperm, organs
or any other tissue.

 
Sec. 2. 5 MRSA §19203-A, sub-§4-A is enacted to read:

 
4-A.__Occupational exposure in health care setting.__When an
occupational exposure occurs in a health care setting,
authorization to test the source patient for HIV must be obtained
from that patient if the patient is available at the time of
exposure and capable of providing consent.__At the time of
exposure, if the source patient is unavailable or unable to
provide authorization, then any available member of the following
classes of individuals, in descending order of priority, may
authorize an HIV test on an available blood or tissue sample from
the source patient:

 
A.__The patient's legal guardian;

 
B.__An individual known to have power of attorney for health
care for the patient;

 
C.__An adult relative, by blood, marriage or adoption;

 
D.__Another adult with whom the patient has a meaningful
social and emotional relationship; and

 
E.__A physician who is familiar with occupational exposures
to HIV.

 
The individual authorizing the HIV test must be informed of the
nature, reliability and significance of the HIV test and the
confidential nature of the test.

 
The patient may choose not to be informed about the result of the
HIV test.__Without express patient authorization, the results of
the HIV test and the fact that an HIV test was done as a result
of an occupational exposure in a health care setting may not
appear in the patient's health care records.__The exposed
individual's health care record may include documentation of the
occupational exposure and, if the record does not reveal the


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