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Senate Bill No. 218

Public Act No. 02-63

AN ACT REQUIRING THE TESTING OF INMATES FOR TUBERCULOSIS.

Be it enacted by the Senate and House of Representatives in General Assembly convened:

Section 1. (NEW) (Effective October 1, 2002) (a) As used in this section:

(1) "Active tuberculosis" shall have the same meaning as "active tuberculosis", as defined in subdivision (1) of subsection (a) of section 19a-265 of the general statutes;

(2) "Infectious tuberculosis" shall have the same meaning as "infectious tuberculosis", as defined in subdivision (2) of subsection (a) of section 19a-265 of the general statutes; and

(3) "Latent tuberculosis" means having a positive tuberculin skin test with no clinical, bacteriologic or radiologic evidence of active tuberculosis.

(b) Any person who has been committed to the custody of the Commissioner of Correction and remains in custody for a period of at least five consecutive days shall be tested to determine if such person has active tuberculosis or latent tuberculosis infection. Any person testing positive for active or infectious tuberculosis shall be subject to the provisions of sections 19a-255, 19a-256 and 19a-262 to 19a-265, inclusive, of the general statutes. Any person testing positive for latent tuberculosis infection shall be first medically evaluated for infectious tuberculosis and then offered treatment for latent tuberculosis infection as recommended at the time by the National Centers for Disease Control and Prevention, provided that the scheduled period of custody of such a person is such that said treatment may be completed prior to the release of such person from custody.

Sec. 2. (NEW) (Effective October 1, 2002) In facilities operated by the Department of Correction, the medical director, contractor and chief administrator of the facility shall ensure that: (1) Each incarcerated inmate, upon incarceration, has a tuberculin skin test, unless already known to be positive, a symptom evaluation and if indicated according to the most recent recommendations from the National Centers for Disease Control and Prevention, a chest radiograph for tuberculosis, provided that each inmate who is asymptomatic and who has had a chest radiography in a correctional facility within six months of incarceration need not have an additional chest radiograph; (2) each incarcerated inmate has an evaluation for active or infectious tuberculosis whenever a cough lasting more than two weeks develops; (3) each incarcerated inmate has at least an annual tuberculin skin test, unless already known to be positive; and (4) information on the results of testing for infectious tuberculosis and latent tuberculosis infection as described in subdivisions (1) to (3), inclusive, of this section and all efforts to treat each inmate for active tuberculosis or latent tuberculosis infection and discharges of inmates who have not completed therapy for tuberculosis or latent tuberculosis infection are reported promptly to the central Department of Correction tuberculosis registry.

Sec. 3. (NEW) (Effective October 1, 2002) (a) The Department of Correction shall establish a tuberculosis infection control committee. Said committee shall include, but not be limited to, the following members: (1) The Commissioner of Correction or said commissioner's designee; (2) the medical director for the Department of Correction; (3) a medical contractor or consultant currently executing any tuberculosis control contract with the Department of Correction. Said committee may consult with the Commissioner of Public Health or said commissioner's designee.

(b) The committee established pursuant to subsection (a) of this section shall develop guidelines and protocols for the purpose of implementing section 2 of this act. Said guidelines shall include, but not be limited to, the following tuberculosis infection control activities: (1) Screening of inmates; (2) containment; and (3) assessment of guidelines implementation. Any guidelines established shall be consistent with the most recent recommendations from the National Centers for Disease Control and Prevention.

Sec. 4. (NEW) (Effective October 1, 2002) (a) Any inmate found to have evidence of infectious tuberculosis shall be isolated from any public contact until such time as the inmate has received treatment and has been evaluated and found to be free of infection.

(b) If an inmate found to have infectious tuberculosis is believed, based on subsequent investigation, to have exposed visitors or employees to tuberculosis, efforts shall be made to inform such persons and encourage such persons to have an evaluation for tuberculosis infection.

Sec. 5. (NEW) (Effective October 1, 2002) The Department of Correction may enter into a contract agreement with an appropriate health care provider to manage the responsibilities as it relates to testing, screening or treatment of inmates for tuberculosis.

Approved May 23, 2002