{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-50.1.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-50.1.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-50.1.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-50.1.html"}],"law_id":59369,"edition_id":1,"section_id":59369,"structure_id":15563,"section_number":"32.1-50.1","catch_line":"Treatment plan; submission of plan and mediation of disagreements; determination of cure","history":"2001, c. 459.","full_text":"A\n\nEach physician practicing in the Commonwealth who assumes responsibility for the treatment of a person for active tuberculosis as defined in this article and each person in charge of a medical care facility providing inpatient or outpatient treatment to a person with active tuberculosis shall, with the assistance and acknowledgement of that person, develop, maintain, and update as indicated, an individualized written plan of treatment tailored to the person’s medical and personal needs and identifying the method for effective treatment and prevention of transmission. At a minimum, the plan shall specifically include verified patient address, name of the medical provider who has assumed responsibility for treatment, planned course of anti-tuberculosis drug therapy, estimated date of treatment completion, and means of ensuring successful completion of that treatment.B\n\nThe written treatment plan shall upon request be submitted by the medical provider to the local health director in a manner determined by the Board and shall be subject to approval of the local health director. The Commissioner shall have the authority to settle, based on statewide standards, disagreements between the written plan so submitted and standards of care established by the local health director.C\n\nEach treating physician of or person in charge of a medical facility providing outpatient or inpatient care to a person with active tuberculosis disease shall maintain and submit to the local health director, upon his request, written documentation of that person’s adherence to the treatment plan.D\n\nEach person in charge of a medical care facility providing inpatient treatment to a person with active tuberculosis disease and each person in charge of a state correctional or local correctional or detention facility that has in its custody a person with active tuberculosis shall submit to the local health director, in the manner determined by the Board, the plan of treatment for such person as required in this article. The person in charge shall encourage the person to comply with such treatment plan; however, if such person with active tuberculosis indicates an unwillingness to comply with the treatment plan upon release, or exhibits behavior that indicates noncompliance, the person in charge, in conjunction with the local health director, may request the Commissioner to issue an emergency order requiring such person to be taken into custody pursuant to § 32.1-48.02 or other detention or custody options available pursuant to § 32.1-48.03 or § 32.1-48.04.E\n\nOnce established in a person, active tuberculosis disease shall be considered present until (i) the person has received a complete and adequate course of antituberculosis drug therapy as established by the Commissioner in accordance with guidelines developed by the American Thoracic Society and Centers for Disease Control and Prevention and (ii) three successive cultures of specimens of sputum or other bodily fluid or tissue collected at intervals of no less than one week, or other definitive diagnostic test as established by the Commissioner demonstrate no viable tubercle bacilli, or the Commissioner or his designee determines that the clinical, laboratory, or radiographic evidence leads to a diagnosis other than active tuberculosis disease.","order_by":null,"text":{"0":{"id":217567,"text":"Each physician practicing in the Commonwealth who assumes responsibility for the treatment of a person for active tuberculosis as defined in this article and each person in charge of a medical care facility providing inpatient or outpatient treatment to a person with active tuberculosis shall, with the assistance and acknowledgement of that person, develop, maintain, and update as indicated, an individualized written plan of treatment tailored to the person’s medical and personal needs and identifying the method for effective treatment and prevention of transmission. At a minimum, the plan shall specifically include verified patient address, name of the medical provider who has assumed responsibility for treatment, planned course of anti-tuberculosis drug therapy, estimated date of treatment completion, and means of ensuring successful completion of that treatment.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":217568,"text":"The written treatment plan shall upon request be submitted by the medical provider to the local health director in a manner determined by the Board and shall be subject to approval of the local health director. The Commissioner shall have the authority to settle, based on statewide standards, disagreements between the written plan so submitted and standards of care established by the local health director.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"C"},"2":{"id":217569,"text":"Each treating physician of or person in charge of a medical facility providing outpatient or inpatient care to a person with active tuberculosis disease shall maintain and submit to the local health director, upon his request, written documentation of that person’s adherence to the treatment plan.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B","next_prefix":"D"},"3":{"id":217570,"text":"Each person in charge of a medical care facility providing inpatient treatment to a person with active tuberculosis disease and each person in charge of a state correctional or local correctional or detention facility that has in its custody a person with active tuberculosis shall submit to the local health director, in the manner determined by the Board, the plan of treatment for such person as required in this article. The person in charge shall encourage the person to comply with such treatment plan; however, if such person with active tuberculosis indicates an unwillingness to comply with the treatment plan upon release, or exhibits behavior that indicates noncompliance, the person in charge, in conjunction with the local health director, may request the Commissioner to issue an emergency order requiring such person to be taken into custody pursuant to § 32.1-48.02 or other detention or custody options available pursuant to § 32.1-48.03 or § 32.1-48.04.","type":"section","prefixes":["D"],"prefix":"D","entire_prefix":"D","prefix_anchor":"D","level":1,"prior_prefix":"C","next_prefix":"E"},"4":{"id":217571,"text":"Once established in a person, active tuberculosis disease shall be considered present until (i) the person has received a complete and adequate course of antituberculosis drug therapy as established by the Commissioner in accordance with guidelines developed by the American Thoracic Society and Centers for Disease Control and Prevention and (ii) three successive cultures of specimens of sputum or other bodily fluid or tissue collected at intervals of no less than one week, or other definitive diagnostic test as established by the Commissioner demonstrate no viable tubercle bacilli, or the Commissioner or his designee determines that the clinical, laboratory, or radiographic evidence leads to a diagnosis other than active tuberculosis disease.","type":"section","prefixes":["E"],"prefix":"E","entire_prefix":"E","prefix_anchor":"E","level":1,"prior_prefix":"D"}},"ancestry":[{"id":15563,"edition_id":1,"name":"Tuberculosis","identifier":"4","label":"article","depth":3,"order_by":1,"parent_id":13607,"metadata":{},"date_created":"2026-06-26 03:56:22","date_modified":"2026-06-26 03:56:22","permalink":{"id":202123,"object_type":"structure","relational_id":15563,"identifier":"4","token":"32.1\/2\/4","url":"\/32.1\/2\/4\/","edition_id":1,"permalink":0,"preferred":1}},{"id":13607,"edition_id":1,"name":"Disease Prevention and Control","identifier":"2","label":"chapter","depth":2,"order_by":1,"parent_id":12727,"metadata":{},"date_created":"2026-06-26 03:45:22","date_modified":"2026-06-26 03:45:22","permalink":{"id":201743,"object_type":"structure","relational_id":13607,"identifier":"2","token":"32.1\/2","url":"\/32.1\/2\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12727,"edition_id":1,"name":"Health","identifier":"32.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":201099,"object_type":"structure","relational_id":12727,"identifier":"32.1","token":"32.1","url":"\/32.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":75437,"structure_id":15563,"section_number":"32.1-49","catch_line":"Tuberculosis required to be reported","url":"\/32.1-49\/","token":"32.1\/2\/4\/32.1-49","metadata":false},{"id":86126,"structure_id":15563,"section_number":"32.1-49.1","catch_line":"Definitions","url":"\/32.1-49.1\/","token":"32.1\/2\/4\/32.1-49.1","metadata":false},{"id":84024,"structure_id":15563,"section_number":"32.1-50","catch_line":"Examination of persons suspected of having active tuberculosis disease; reporting; report forms; report schedule; laboratory reports and required samples","url":"\/32.1-50\/","token":"32.1\/2\/4\/32.1-50","metadata":false},{"id":59369,"structure_id":15563,"section_number":"32.1-50.1","catch_line":"Treatment plan; submission of plan and mediation of disagreements; determination of cure","url":"\/32.1-50.1\/","token":"32.1\/2\/4\/32.1-50.1","metadata":false},{"id":63399,"structure_id":15563,"section_number":"32.1-50.2","catch_line":"Administration of tuberculin purified protein derivative by nurses; policies and guidelines","url":"\/32.1-50.2\/","token":"32.1\/2\/4\/32.1-50.2","metadata":false},{"id":65487,"structure_id":15563,"section_number":"32.1-51","catch_line":"Repealed","url":"\/32.1-51\/","token":"32.1\/2\/4\/32.1-51","metadata":false},{"id":60569,"structure_id":15563,"section_number":"32.1-53","catch_line":"Facilities and contracts for treatment of tuberculosis patients","url":"\/32.1-53\/","token":"32.1\/2\/4\/32.1-53","metadata":false},{"id":66945,"structure_id":15563,"section_number":"32.1-54","catch_line":"Commissioner authorized to charge patients for care","url":"\/32.1-54\/","token":"32.1\/2\/4\/32.1-54","metadata":false}],"previous_section":{"id":84024,"structure_id":15563,"section_number":"32.1-50","catch_line":"Examination of persons suspected of having active tuberculosis disease; reporting; report forms; report schedule; laboratory reports and required samples","url":"\/32.1-50\/","token":"32.1\/2\/4\/32.1-50","metadata":false},"next_section":{"id":63399,"structure_id":15563,"section_number":"32.1-50.2","catch_line":"Administration of tuberculin purified protein derivative by nurses; policies and guidelines","url":"\/32.1-50.2\/","token":"32.1\/2\/4\/32.1-50.2","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-50.1\/","history_text":"

This law was first created in 2001. The record of its establishment is cataloged in chapter 459<\/a> of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year.<\/p>","references":false,"refers_to":[{"id":61048,"section_number":"32.1-48.02","catch_line":"Investigations of verified reports or medical evidence; counseling; outpatient and emergency treatment orders; custody upon emergency order; application of article","order_by":null,"url":"\/32.1-48.02\/"},{"id":71869,"section_number":"32.1-48.03","catch_line":"Petition for hearing; temporary detention","order_by":null,"url":"\/32.1-48.03\/"}],"permalink":{"id":202137,"object_type":"law","relational_id":59369,"identifier":"32.1-50.1","token":"32.1\/2\/4\/32.1-50.1","url":"\/32.1-50.1\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-50.1\/","token":"32.1\/2\/4\/32.1-50.1","dublin_core":{"Title":"Treatment plan; submission of plan and mediation of disagreements; determination of cure","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-50.1","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> Each physician practicing in the Commonwealth who assumes responsibility for the treatment of a person<\/span> for active tuberculosis as defined in this article and each person<\/span> in charge of a medical care facility<\/span> providing inpatient or outpatient treatment to a person<\/span> with active tuberculosis shall, with the assistance and acknowledgement of that person<\/span>, develop, maintain, and update as indicated, an individualized written plan of treatment tailored to the person<\/span>’s medical and personal needs and identifying the method for effective treatment and prevention of transmission. At a minimum, the plan shall specifically include verified patient address, name of the medical provider who has assumed responsibility for treatment, planned course of anti-tuberculosis drug therapy, estimated date of treatment completion, and means of ensuring successful completion of that treatment. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> The written treatment plan shall upon request be submitted by the medical provider to the local health director in a manner determined by the Board<\/span> and shall be subject to approval of the local health director. The Commissioner<\/span> shall have the authority to settle, based on statewide standards, disagreements between the written plan so submitted and standards of care established by the local health director. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

C.<\/span> Each treating physician of or person<\/span> in charge of a medical facility providing outpatient or inpatient care to a person<\/span> with active tuberculosis disease shall maintain and submit to the local health director, upon his request, written documentation of that person<\/span>’s adherence to the treatment plan. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

D.<\/span> Each person<\/span> in charge of a medical care facility<\/span> providing inpatient treatment to a person<\/span> with active tuberculosis disease and each person<\/span> in charge of a state correctional or local correctional or detention facility that has in its custody<\/span> a person<\/span> with active tuberculosis shall submit to the local health director, in the manner determined by the Board<\/span>, the plan of treatment for such person<\/span> as required in this article. The person<\/span> in charge shall encourage the person<\/span> to comply with such treatment plan; however, if such person<\/span> with active tuberculosis indicates an unwillingness to comply with the treatment plan upon release, or exhibits behavior that indicates noncompliance, the person<\/span> in charge, in conjunction with the local health director, may request the Commissioner<\/span> to issue<\/span> an emergency order<\/span> requiring such person<\/span> to be taken into custody<\/span> pursuant to § 32.1-48.02<\/a> or other detention or custody<\/span> options available pursuant to § 32.1-48.03<\/a> or § 32.1-48.04<\/a>. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

E.<\/span> Once established in a person<\/span>, active tuberculosis disease shall be considered present until (i) the person<\/span> has received a complete and adequate course of antituberculosis drug therapy as established by the Commissioner<\/span> in accordance with guidelines developed by the American Thoracic Society and Centers for Disease Control and Prevention and (ii) three successive cultures of specimens of sputum or other bodily fluid or tissue collected at intervals of no less than one week, or other definitive diagnostic test as established by the Commissioner<\/span> demonstrate no viable tubercle bacilli, or the Commissioner<\/span> or his designee determines that the clinical, laboratory, or radiographic evidence<\/span> leads to a diagnosis other than active tuberculosis disease. <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nTREATMENT PLAN; SUBMISSION OF PLAN AND MEDIATION OF DISAGREEMENTS; DETERMINATION\nOF CURE (\u00a7 32.1-50.1)\n\nA. Each physician practicing in the Commonwealth who assumes responsibility for\nthe treatment of a person for active tuberculosis as defined in this article and\neach person in charge of a medical care facility providing inpatient or\noutpatient treatment to a person with active tuberculosis shall, with the\nassistance and acknowledgement of that person, develop, maintain, and update as\nindicated, an individualized written plan of treatment tailored to the\nperson’s medical and personal needs and identifying the method for\neffective treatment and prevention of transmission. At a minimum, the plan shall\nspecifically include verified patient address, name of the medical provider who\nhas assumed responsibility for treatment, planned course of anti-tuberculosis\ndrug therapy, estimated date of treatment completion, and means of ensuring\nsuccessful completion of that treatment.\n\nB. The written treatment plan shall upon request be submitted by the medical\nprovider to the local health director in a manner determined by the Board and\nshall be subject to approval of the local health director. The Commissioner\nshall have the authority to settle, based on statewide standards, disagreements\nbetween the written plan so submitted and standards of care established by the\nlocal health director.\n\nC. Each treating physician of or person in charge of a medical facility\nproviding outpatient or inpatient care to a person with active tuberculosis\ndisease shall maintain and submit to the local health director, upon his\nrequest, written documentation of that person’s adherence to the treatment\nplan.\n\nD. Each person in charge of a medical care facility providing inpatient\ntreatment to a person with active tuberculosis disease and each person in charge\nof a state correctional or local correctional or detention facility that has in\nits custody a person with active tuberculosis shall submit to the local health\ndirector, in the manner determined by the Board, the plan of treatment for such\nperson as required in this article. The person in charge shall encourage the\nperson to comply with such treatment plan; however, if such person with active\ntuberculosis indicates an unwillingness to comply with the treatment plan upon\nrelease, or exhibits behavior that indicates noncompliance, the person in\ncharge, in conjunction with the local health director, may request the\nCommissioner to issue an emergency order requiring such person to be taken into\ncustody pursuant to § 32.1-48.02 or other detention or custody options\navailable pursuant to § 32.1-48.03 or § 32.1-48.04.\n\nE. Once established in a person, active tuberculosis disease shall be considered\npresent until (i) the person has received a complete and adequate course of\nantituberculosis drug therapy as established by the Commissioner in accordance\nwith guidelines developed by the American Thoracic Society and Centers for\nDisease Control and Prevention and (ii) three successive cultures of specimens\nof sputum or other bodily fluid or tissue collected at intervals of no less than\none week, or other definitive diagnostic test as established by the Commissioner\ndemonstrate no viable tubercle bacilli, or the Commissioner or his designee\ndetermines that the clinical, laboratory, or radiographic evidence leads to a\ndiagnosis other than active tuberculosis disease.\n\nHISTORY: 2001, c. 459.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}