Title 24, Chapter 9, Section 47
( 24-9-47)
(a) Any term used in this Code section and defined in Code Section 31-22-9.1 shall have the meaning provided for such term in Code Section 31-22-9.1. (b) Except as otherwise provided in this Code section: (1) No person or legal entity which receives AIDS confidential
information pursuant to this Code section or which is responsible
for recording, reporting, or maintaining AIDS confidential
information shall: (A) Intentionally or knowingly disclose that information to
another person or legal entity; or (B) Be compelled by subpoena, court order, or other judicial
process to disclose that information to another person or legal
entity; and (2) No person or legal entity which receives AIDS confidential
information which that person or legal entity knows was disclosed
in violation of paragraph (1) of this subsection shall: (A) Intentionally or knowingly disclose that information to
another person or legal entity; or (B) Be compelled by subpoena, court order, or other judicial
process to disclose that information to another person or legal
entity. (c) AIDS confidential information may be disclosed to the person
identified by that information or, if that person is a minor or
incompetent person, to that person's parent or legal guardian. (d) AIDS confidential information may be disclosed to any person or
legal entity designated to receive that information when that
designation is made in writing by the person identified by that
information or, if that person is a minor or incompetent person, by
that person's parent or legal guardian. (e) AIDS confidential information may be disclosed to any agency or
department of the federal government, this state, or any political
subdivision of this state if that information is authorized or
required by law to be reported to that agency or department. (f) The results of an HIV test may be disclosed to the person, or
that person's designated representative, who ordered such tests of
the body fluids or tissue of another person. (g) When the patient of a physician has been determined to be
infected with HIV and that patient's physician reasonably believes
that the spouse or sexual partner or any child of the patient,
spouse, or sexual partner is a person at risk of being infected with
HIV by that patient, the physician may disclose to that spouse,
sexual partner, or child that the patient has been determined to be
infected with HIV, after first attempting to notify the patient that
such disclosure is going to be made. (h)(1) An administrator of an institution licensed as a hospital
by the Department of Human Resources or a physician having a
patient who has been determined to be infected with HIV may
disclose to the Department of Human Resources: (A) The name and address of that patient; (B) That such patient has been determined to be infected with
HIV; and (C) The name and address of any other person whom the disclosing
physician or administrator reasonably believes to be a person at
risk of being infected with HIV by that patient. (2) When mandatory and nonanonymous reporting of confirmed
positive HIV tests to the Department of Human Resources is
determined by that department to be reasonably necessary, that
department shall establish by regulation a date on and after which
such reporting shall be required. On and after the date so
established, each health care provider, health care facility, or
any other person or legal entity which orders an HIV test for
another person shall report to the Department of Human Resources
the name and address of any person thereby determined to be
infected with HIV. No such report shall be made regarding any
confirmed positive HIV test provided at any anonymous HIV test
site operated by or on behalf of the Department of Human
Resources. (3) The Department of Human Resources may disclose that a person
has been reported, under paragraph (1) or (2) of this subsection,
to have been determined to be infected with HIV to the board of
health of the county in which that person resides or is located if
reasonably necessary to protect the health and safety of that
person or other persons who may have come in contact with the body
fluids of the HIV infected person. The Department of Human
Resources or county board of health to which information is
disclosed pursuant to this paragraph or paragraph (1) or (2) of
this subsection: (A) May contact any person named in such disclosure as having
been determined to be an HIV infected person for the purpose of
counseling that person and requesting therefrom the name of any
other person who may be a person at risk of being infected with
HIV by that HIV infected person; (B) May contact any other person reasonably believed to be a
person at risk of being infected with HIV by that HIV infected
person for the purposes of disclosing that such infected person
has been determined to be infected with HIV and counseling such
person to submit to an HIV test; and (C) Shall contact and provide counseling to the spouse of any
HIV infected person whose name is thus disclosed if both persons
are reasonably likely to have engaged in sexual intercourse or
any other act determined by the department likely to have
resulted in the transmission of HIV between such persons within
the preceding seven years and if that spouse may be located and
contacted without undue difficulty. (i) Any health care provider authorized to order an HIV test may
disclose AIDS confidential information regarding a patient thereof
if that disclosure is made to a health care provider or health care
facility which has provided, is providing, or will provide any
health care service to that patient and as a result of such
provision of service that health care provider or facility: (1) Has personnel or patients who may be persons at risk of being
infected with HIV by that patient, if that patient is an HIV
infected person and such disclosure is reasonably necessary to
protect any such personnel or patients from that risk; or (2) Has a legitimate need for that information in order to provide
that health care service to that patient. (j) A health care provider or any other person or legal entity
authorized but not required to disclose AIDS confidential
information pursuant to this Code section shall have no duty to make
such disclosure and shall not be liable to the patient or any other
person or legal entity for failing to make such disclosure. A health
care provider or any other person or legal entity which discloses
information as authorized or required by this Code section or as
authorized or required by law or rules or regulations made pursuant
thereto shall have no civil or criminal liability therefor. (k) When any person or legal entity is authorized or required by
this Code section or any other law to disclose AIDS confidential
information to a person at risk of being infected with HIV and that
person at risk is a minor or incompetent person, such disclosure may
be made to any parent or legal guardian of the minor or incompetent
person, to the minor or incompetent person, or to both the minor or
incompetent person and any parent or legal guardian thereof. (l) When an institutional care facility is the site at which a
person is at risk of being infected with HIV and as a result of that
risk a disclosure of AIDS confidential information to any person at
risk at that site is authorized or required under this Code section
or any other law, such disclosure may be made to the person at risk
or to that institutional care facility's chief administrative or
executive officer, or such officer's designee, in which case that
officer or designee is authorized to make such disclosure to the
person at risk. (m) When a disclosure of AIDS confidential information is authorized
or required by this Code section to be made to a physician, health
care provider, or legal entity, that disclosure may be made to
employees of that physician, health care provider, or legal entity
who have been designated thereby to receive such information on
behalf thereof. Those designated employees may thereafter disclose
to and provide for the disclosure of that information among such
other employees of that physician, health care provider, or legal
entity, but such disclosures among those employees are only
authorized when reasonably necessary in the ordinary course of
business to carry out the purposes for which that disclosure is
authorized or required to be made to that physician, health care
provider, or legal entity. (n) Any disclosure of AIDS confidential information authorized or
required by this Code section or any other law and any unauthorized
disclosure of such information shall in no way destroy the
confidential nature of that information except for the purpose for
which the authorized or required disclosure is made.
(o) Any person or legal entity which violates subsection (b) of this
Code section shall be guilty of a misdemeanor. (p) Nothing in this Code section or any other law shall be construed
to authorize the disclosure of AIDS confidential information if that
disclosure is prohibited by federal law, or regulations promulgated
thereunder, nor shall anything in this Code section or any other law
be construed to prohibit the disclosure of information which would
be AIDS confidential information except that such information does
not permit the identification of any person. (q) A public safety agency or district attorney may obtain the results from an HIV test to which the person named in the request has submitted under Code Section 15-11-66.1, 17-10-15, 42-5-52.1, or 42-9-42.1, notwithstanding that the results may be contained in a sealed record. (r) Any person or legal entity required by an order of a court to
disclose AIDS confidential information in the custody or control of
such person or legal entity shall disclose that information as
required by that order. (s) AIDS confidential information may be disclosed as medical information pursuant to Code Section 24-9-40, relating to the release of medical information, or pursuant to any other law which authorizes or requires the disclosure of medical information if: (1) The person identified by that information: (A) Has consented in writing to that disclosure; or (B) Has been notified of the request for disclosure of that
information at least ten days prior to the time the disclosure
is to be made and does not object to such disclosure prior to
the time specified for that disclosure in that notice; or (2) A superior court in an in camera hearing finds by clear and
convincing evidence a compelling need for the information which
cannot be accommodated by other means. In assessing compelling
need, the court shall weigh the public health, safety, or welfare
needs or any other public or private need for the disclosure
against the privacy interest of the person identified by the
information and the public interest which may be disserved by
disclosures which may deter voluntary HIV tests. If the court
determines that disclosure of that information is authorized under
this paragraph, the court shall order that disclosure and impose
appropriate safeguards against any unauthorized disclosure. The
records of that hearing otherwise shall be under seal. (t)(1) A superior court of this state may order a person or legal
entity to disclose AIDS confidential information in its custody or
control to: (A) A prosecutor in connection with a prosecution for the alleged commission of reckless conduct under subsection (c) of Code Section 16-5-60; (B) Any party in a civil cause of action; or (C) A public safety agency or the Department of Human Resources
if that agency or department has an employee thereof who has, in
the course of that employment, come in contact with the body
fluids of the person identified by the AIDS confidential
information sought in such a manner reasonably likely to cause
that employee to become an HIV infected person and provided the
disclosure is necessary for the health and safety of that
employee, and for purposes of this subsection the term "petitioner for
disclosure" means any person or legal entity specified in
subparagraph (A), (B), or (C) of this paragraph. (2) An order may be issued against a person or legal entity
responsible for recording, reporting, or maintaining AIDS
confidential information to compel the disclosure of that
information if the petitioner for disclosure demonstrates by clear
and convincing evidence a compelling need for the information
which cannot be accommodated by other means. In assessing
compelling need, the court shall weigh the public health, safety,
or welfare needs or any other public or private need for the
disclosure against the privacy interest of the person identified
by the information and the public interest which may be disserved
by disclosures which may deter voluntary HIV tests. (3) A petition seeking disclosure of AIDS confidential information
under this subsection shall substitute a pseudonym for the true
name of the person concerning whom the information is sought. The
disclosure to the parties of that person's true name shall be
communicated confidentially, in documents not filed with the
court. (4) Before granting any order under this subsection, the court
shall provide the person concerning whom the information is sought
with notice and a reasonable opportunity to participate in the
proceedings if that person is not already a party. (5) Court proceedings as to disclosure of AIDS confidential
information under this subsection shall be conducted in camera
unless the person concerning whom the information is sought agrees
to a hearing in open court. (6) Upon the issuance of an order that a person or legal entity be
required to disclose AIDS confidential information regarding a
person named in that order, that person or entity so ordered shall
disclose to the ordering court any such information which is in
the control or custody of that person or entity and which relates
to the person named in the order for the court to make an in
camera inspection thereof. If the court determines from that
inspection that the person named in the order is an HIV infected
person, the court shall disclose to the petitioner for disclosure
that determination and shall impose appropriate safeguards against
unauthorized disclosure which shall specify the persons who may
have access to the information, the purposes for which the
information shall be used, and appropriate prohibitions on future
disclosure. (7) The record of the proceedings under this subsection shall be
sealed by the court. (8) An order may not be issued under this subsection against the
Department of Human Resources, any county board of health, or any
anonymous HIV test site operated by or on behalf of that
department. (u) A health care provider, health care facility, or other person or
legal entity who, in violation of this Code section, unintentionally
discloses AIDS confidential information, notwithstanding the
maintenance of procedures thereby which are reasonably adopted to
avoid risk of such disclosure, shall not be civilly or criminally
liable, unless such disclosure was due to gross negligence or wanton
and willful misconduct. (v) AIDS confidential information may be disclosed when that disclosure is otherwise authorized or required by Code Section 42-1-6, if AIDS or HIV infection is the communicable disease at issue, or when that disclosure is otherwise authorized or required by any law which specifically refers to "AIDS confidential information," "HIV test results," or any similar language indicating a legislative intent to disclose information specifically relating to AIDS or HIV. (w) A health care provider who has received AIDS confidential
information regarding a patient from the patient's health care
provider directly or indirectly under the provisions of subsection
(i) of this Code section may disclose that information to a health
care provider which has provided, is providing, or will provide any
health care service to that patient and as a result of that
provision of service that health care provider: (1) Has personnel or patients who may be persons at risk of being
infected with HIV by that patient, if that patient is an HIV
infected person and such disclosure is reasonably necessary to
protect any such personnel or patients from that risk; or (2) Has a legitimate need for that information in order to provide
that health care service to that patient. (x) Neither the Department of Human Resources nor any county board
of health shall disclose AIDS confidential information contained in
its records unless such disclosure is authorized or required by this
Code section or any other law, except that such information in those
records shall not be a public record and shall not be subject to
disclosure through subpoena, court order, or other judicial process. (y) The protection against disclosure provided by Code Section 24-9-40.1 shall be waived and AIDS confidential information may be disclosed to the extent that the person identified by such information, his heirs, successors, assigns, or a beneficiary of such person, including but not limited to an executor, administrator, or personal representative of such person's estate: (1) Files a claim or claims other entitlements under any insurance
policy or benefit plan or is involved in any civil proceeding
regarding such claim; (2) Places such person's care and treatment, the nature and extent
of his injuries, the extent of his damages, his medical condition,
or the reasons for his death at issue in any civil or criminal
proceeding; or
(3) Is involved in a dispute regarding coverage under any
insurance policy or benefit plan. (z) AIDS confidential information may be collected, used, and
disclosed by an insurer in accordance with the provisions of Chapter
39 of Title 33, relating to the collection, use, and disclosure of
information gathered by insurance institutions. (aa) In connection with any civil or criminal action in which AIDS confidential information is disclosed as authorized or required by this Code section, the party to whom that information is thereby disclosed may subpoena any person to authenticate such AIDS confidential information, establish a chain of custody relating thereto, or otherwise testify regarding that information, including but not limited to testifying regarding any notifications to the patient regarding results of an HIV test. The provisions of this subsection shall apply as to records, personnel, or both of the Department of Human Resources or a county board of health notwithstanding Code Section 50-18-72, but only as to test results obtained by a prosecutor under subsection (q) of this Code section and to be used thereby in a prosecution for reckless conduct under subsection (c) of Code Section 16-5-60. (bb) AIDS confidential information may be disclosed as a part of any
proceeding or procedure authorized or required pursuant to Chapter
3, 4, or 7 of Title 37, regarding a person who is alleged to be or
who is mentally ill, mentally retarded, or alcoholic or drug
dependent, or as a part of any proceeding or procedure authorized or
required pursuant to Title 29, regarding the guardianship of a
person or that person's estate, as follows: (1) Any person who files or transmits a petition or other document
which discloses AIDS confidential information in connection with
any such proceeding or procedure shall provide a cover page which
contains only the type of proceeding or procedure, the court in
which the proceeding or procedure is or will be pending, and the
words "CONFIDENTIAL INFORMATION" without in any way otherwise
disclosing thereon the name of any individual or that such
petition or other document specifically contains AIDS confidential
information; (2) AIDS confidential information shall only be disclosed pursuant
to this subsection after disclosure to and with the written
consent of the person identified by that information, or that
person's parent or guardian if that person is a minor or has
previously been adjudicated as being incompetent, or by order of
court obtained in accordance with subparagraph (C) of paragraph
(3) of this subsection; (3) If any person files or transmits a petition or other document
in connection with any such proceeding or procedure which
discloses AIDS confidential information without obtaining consent
as provided in paragraph (2) of this subsection, the court
receiving such information shall either obtain written consent as
set forth in that paragraph (2) for any further use or disclosure
of such information or: (A) Return such petition or other document to the person who
filed or transmitted same, with directions against further
filing or transmittal of such information in connection with
such proceeding or procedure except in compliance with this
subsection; (B) Delete or expunge all references to such AIDS confidential
information from the particular petition or other document; or (C)(i) If the court determines there is a compelling need for
such information in connection with the particular proceeding
or procedure, petition a superior court of competent
jurisdiction for permission to obtain or disclose that
information. If the person identified by the information is
not yet represented by an attorney in the proceeding or
procedure in connection with which the information is sought,
the petitioning court shall appoint an attorney for such
person. The petitioning court shall have both that person and
that person's attorney personally served with notice of the
petition and time and place of the superior court hearing
thereon. Such hearing shall not be held sooner than 72 hours
after service, unless the information is to be used in
connection with an emergency guardianship proceeding under
Chapter 5 of Title 29, in which event the hearing shall not be
held sooner than 48 hours after service. (ii) The superior court in which a petition is filed pursuant
to division (i) of this subparagraph shall hold an in camera
hearing on such petition. The purpose of the hearing shall be
to determine whether there is clear and convincing evidence of
a compelling need for the AIDS confidential information sought
in connection with the particular proceeding or procedure
which cannot be accommodated by other means. In assessing
compelling need, the superior court shall weigh the public
health, safety, or welfare needs or any other public or
private need for the disclosure against the privacy interest
of the person identified by the information and the public
interest which may be disserved by disclosures which may deter
voluntary HIV tests. If the court determines that disclosure
of that information is authorized under this subparagraph, the
court shall order that disclosure and impose appropriate
safeguards against any unauthorized disclosure. The records of
that hearing otherwise shall be under seal; and (4) The court having jurisdiction over such proceeding or
procedure, when it becomes apparent that AIDS confidential
information will likely be or has been disclosed in connection
with such proceeding or procedure, shall take such measures as the
court determines appropriate to preserve the confidentiality of
the disclosed information to the maximum extent possible. Such
measures shall include, without being limited to, closing the
proceeding or procedure to the public and sealing all or any part
of the records of the proceeding or procedure containing AIDS
confidential information. The records of any appeals taken from
any such proceeding or procedure shall also be sealed.
Furthermore, the court may consult with and obtain the advice of
medical experts or other counsel or advisers as to the relevance
and materiality of such information in such proceedings or
procedures, so long as the identity of the person identified by
such information is not thereby revealed. |