{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-50.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-50.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-50.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-50.html"}],"law_id":84024,"edition_id":1,"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","history":"Code 1950, \u00a7 32-85.1; 1956, c. 482; 1979, c. 711; 2001, c. 459; 2004, c. 855; 2006, cc. 46, 396, 822; 2023, c. 183.","full_text":"A\n\nAny local health director may request any person having or reasonably suspected of having active tuberculosis disease to be examined immediately for the purpose of ascertaining the presence or absence of the disease. Such examination may be made by any licensed physician or licensed advanced practice registered nurse selected by such person at his own expense and approved by the local health director or by the local health director at no cost to such person.B\n\nEach physician or advanced practice registered nurse practicing in the Commonwealth who diagnoses or treats a person for active tuberculosis disease, or a physician assistant who treats a person for active tuberculosis disease, as defined in § 32.1-49.1 and each person in charge of a medical care facility providing inpatient or outpatient diagnosis or treatment for active tuberculosis disease shall report to the local health director within such time period and in such manner as may be prescribed by regulations of the Board. Such report, at a minimum, shall include an initial report when there are reasonable grounds to believe that a person has active tuberculosis disease, and a subsequent report when a person ceases treatment for tuberculosis disease. Cessation of treatment may be inferred when the person (i) fails to keep a scheduled appointment, (ii) relocates without transferring care, or (iii) discontinues care either upon or against the advice of the treating physician, physician assistant, or advanced practice registered nurse.C\n\nThe initial disease report shall include the following: the affected person’s name; date of birth; gender; address; pertinent clinical, radiographic, microbiologic, and pathologic reports, whether final or pending; such other information as is needed to locate the patient for follow-up; and any other information as prescribed by regulations of the Board.D\n\nSubsequent reports shall be submitted within such time, at such frequency, and in such manner as may be prescribed by regulations of the Board and shall provide updated clinical status, bacteriologic and radiographic results, assessment of treatment adherence, name of current care provider, and any other information as prescribed by the Board.E\n\nEvery director of any laboratory doing business in the Commonwealth shall, according to the manner and schedule as determined by the Board, report any result diagnostic of or highly correlated with active tuberculosis disease, whether testing is done in-house or referred to an out-of-state laboratory, including cultures positive for tubercle bacilli and smears suggestive of tubercle bacilli, and shall report the results of tests for antimicrobial susceptibility performed on cultures positive for tubercle bacilli. Each director of any laboratory shall also submit a representative and viable sample of the initial culture to the Virginia Division of Consolidated Laboratory Services or other laboratory designated by the Board to receive such specimen in order to (i) ensure testing for antimicrobial susceptibility on each initial isolate from a person with active tuberculosis disease, and (ii) establish a library of such isolates for the purpose of disease strain analysis as indicated by epidemiological investigations.","order_by":null,"text":{"0":{"id":301137,"text":"Any local health director may request any person having or reasonably suspected of having active tuberculosis disease to be examined immediately for the purpose of ascertaining the presence or absence of the disease. Such examination may be made by any licensed physician or licensed advanced practice registered nurse selected by such person at his own expense and approved by the local health director or by the local health director at no cost to such person.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":301138,"text":"Each physician or advanced practice registered nurse practicing in the Commonwealth who diagnoses or treats a person for active tuberculosis disease, or a physician assistant who treats a person for active tuberculosis disease, as defined in § 32.1-49.1 and each person in charge of a medical care facility providing inpatient or outpatient diagnosis or treatment for active tuberculosis disease shall report to the local health director within such time period and in such manner as may be prescribed by regulations of the Board. Such report, at a minimum, shall include an initial report when there are reasonable grounds to believe that a person has active tuberculosis disease, and a subsequent report when a person ceases treatment for tuberculosis disease. Cessation of treatment may be inferred when the person (i) fails to keep a scheduled appointment, (ii) relocates without transferring care, or (iii) discontinues care either upon or against the advice of the treating physician, physician assistant, or advanced practice registered nurse.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"C"},"2":{"id":301139,"text":"The initial disease report shall include the following: the affected person’s name; date of birth; gender; address; pertinent clinical, radiographic, microbiologic, and pathologic reports, whether final or pending; such other information as is needed to locate the patient for follow-up; and any other information as prescribed by regulations of the Board.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B","next_prefix":"D"},"3":{"id":301140,"text":"Subsequent reports shall be submitted within such time, at such frequency, and in such manner as may be prescribed by regulations of the Board and shall provide updated clinical status, bacteriologic and radiographic results, assessment of treatment adherence, name of current care provider, and any other information as prescribed by the Board.","type":"section","prefixes":["D"],"prefix":"D","entire_prefix":"D","prefix_anchor":"D","level":1,"prior_prefix":"C","next_prefix":"E"},"4":{"id":301141,"text":"Every director of any laboratory doing business in the Commonwealth shall, according to the manner and schedule as determined by the Board, report any result diagnostic of or highly correlated with active tuberculosis disease, whether testing is done in-house or referred to an out-of-state laboratory, including cultures positive for tubercle bacilli and smears suggestive of tubercle bacilli, and shall report the results of tests for antimicrobial susceptibility performed on cultures positive for tubercle bacilli. Each director of any laboratory shall also submit a representative and viable sample of the initial culture to the Virginia Division of Consolidated Laboratory Services or other laboratory designated by the Board to receive such specimen in order to (i) ensure testing for antimicrobial susceptibility on each initial isolate from a person with active tuberculosis disease, and (ii) establish a library of such isolates for the purpose of disease strain analysis as indicated by epidemiological investigations.","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":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},"next_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","url":"\/32.1-50.1\/","token":"32.1\/2\/4\/32.1-50.1","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-50\/","history_text":"

The record of this law\u2019s original creation isn\u2019t available online. It has been modified 6 times. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. Those modifications are as follows: in 1956, chapter 482; in 1979, chapter 711; in 2001, chapter 459<\/a>; in 2004, chapter 855<\/a>; in 2006, chapters 46<\/a>, 396<\/a>, and 822<\/a>; in 2023, chapter 183<\/a>.<\/p>","references":false,"refers_to":[{"id":86126,"section_number":"32.1-49.1","catch_line":"Definitions","order_by":null,"url":"\/32.1-49.1\/"}],"permalink":{"id":202133,"object_type":"law","relational_id":84024,"identifier":"32.1-50","token":"32.1\/2\/4\/32.1-50","url":"\/32.1-50\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-50\/","token":"32.1\/2\/4\/32.1-50","dublin_core":{"Title":"Examination of persons suspected of having active tuberculosis disease; reporting; report forms; report schedule; laboratory reports and required samples","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-50","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> Any local health director may request any person<\/span> having or reasonably suspected of having active tuberculosis disease to be examined immediately for the purpose of ascertaining the presence or absence of the disease. Such examination may be made by any licensed physician or licensed advanced practice registered nurse selected by such person<\/span> at his own expense and approved by the local health director or by the local health director at no cost to such person<\/span>. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> Each physician or advanced practice registered nurse practicing in the Commonwealth who diagnoses or treats a person<\/span> for active tuberculosis disease, or a physician assistant who treats a person<\/span> for active tuberculosis disease, as defined in § 32.1-49.1<\/a> and each person<\/span> in charge of a medical care facility<\/span> providing inpatient or outpatient diagnosis or treatment for active tuberculosis disease shall report to the local health director within such time period and in such manner as may be prescribed by regulations of the Board<\/span>. Such report, at a minimum, shall include an initial report when there are reasonable grounds to believe that a person<\/span> has active tuberculosis disease, and a subsequent report when a person<\/span> ceases treatment for tuberculosis disease. Cessation of treatment may be inferred when the person<\/span> (i) fails to keep a scheduled appointment, (ii) relocates without transferring care, or (iii) discontinues care either upon or against the advice of the treating physician, physician assistant, or advanced practice registered nurse. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

C.<\/span> The initial disease report shall include the following: the affected person<\/span>’s name; date of birth; gender; address; pertinent clinical, radiographic, microbiologic, and pathologic reports, whether final or pending; such other information as is needed to locate the patient for follow-up; and any other information as prescribed by regulations of the Board<\/span>. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

D.<\/span> Subsequent reports shall be submitted within such time, at such frequency, and in such manner as may be prescribed by regulations of the Board<\/span> and shall provide updated clinical status, bacteriologic and radiographic results, assessment of treatment adherence, name of current care provider, and any other information as prescribed by the Board<\/span>. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

E.<\/span> Every director of any laboratory doing business in the Commonwealth shall, according to the manner and schedule as determined by the Board<\/span>, report any result diagnostic of or highly correlated with active tuberculosis disease, whether testing is done in-house or referred to an out-of-state laboratory, including cultures positive for tubercle bacilli and smears suggestive of tubercle bacilli, and shall report the results of tests for antimicrobial susceptibility performed on cultures positive for tubercle bacilli. Each director of any laboratory shall also submit a representative and viable sample of the initial culture to the Virginia Division of Consolidated Laboratory Services or other laboratory designated by the Board<\/span> to receive such specimen in order<\/span> to (i) ensure testing for antimicrobial susceptibility on each initial isolate from a person<\/span> with active tuberculosis disease, and (ii) establish a library of such isolates for the purpose of disease strain analysis as indicated by epidemiological investigations. <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nEXAMINATION OF PERSONS SUSPECTED OF HAVING ACTIVE TUBERCULOSIS DISEASE;\nREPORTING; REPORT FORMS; REPORT SCHEDULE; LABORATORY REPORTS AND REQUIRED\nSAMPLES (\u00a7 32.1-50)\n\nA. Any local health director may request any person having or reasonably\nsuspected of having active tuberculosis disease to be examined immediately for\nthe purpose of ascertaining the presence or absence of the disease. Such\nexamination may be made by any licensed physician or licensed advanced practice\nregistered nurse selected by such person at his own expense and approved by the\nlocal health director or by the local health director at no cost to such person.\n\nB. Each physician or advanced practice registered nurse practicing in the\nCommonwealth who diagnoses or treats a person for active tuberculosis disease,\nor a physician assistant who treats a person for active tuberculosis disease, as\ndefined in § 32.1-49.1 and each person in charge of a medical care facility\nproviding inpatient or outpatient diagnosis or treatment for active tuberculosis\ndisease shall report to the local health director within such time period and in\nsuch manner as may be prescribed by regulations of the Board. Such report, at a\nminimum, shall include an initial report when there are reasonable grounds to\nbelieve that a person has active tuberculosis disease, and a subsequent report\nwhen a person ceases treatment for tuberculosis disease. Cessation of treatment\nmay be inferred when the person (i) fails to keep a scheduled appointment, (ii)\nrelocates without transferring care, or (iii) discontinues care either upon or\nagainst the advice of the treating physician, physician assistant, or advanced\npractice registered nurse.\n\nC. The initial disease report shall include the following: the affected\nperson’s name; date of birth; gender; address; pertinent clinical,\nradiographic, microbiologic, and pathologic reports, whether final or pending;\nsuch other information as is needed to locate the patient for follow-up; and any\nother information as prescribed by regulations of the Board.\n\nD. Subsequent reports shall be submitted within such time, at such frequency,\nand in such manner as may be prescribed by regulations of the Board and shall\nprovide updated clinical status, bacteriologic and radiographic results,\nassessment of treatment adherence, name of current care provider, and any other\ninformation as prescribed by the Board.\n\nE. Every director of any laboratory doing business in the Commonwealth shall,\naccording to the manner and schedule as determined by the Board, report any\nresult diagnostic of or highly correlated with active tuberculosis disease,\nwhether testing is done in-house or referred to an out-of-state laboratory,\nincluding cultures positive for tubercle bacilli and smears suggestive of\ntubercle bacilli, and shall report the results of tests for antimicrobial\nsusceptibility performed on cultures positive for tubercle bacilli. Each\ndirector of any laboratory shall also submit a representative and viable sample\nof the initial culture to the Virginia Division of Consolidated Laboratory\nServices or other laboratory designated by the Board to receive such specimen in\norder to (i) ensure testing for antimicrobial susceptibility on each initial\nisolate from a person with active tuberculosis disease, and (ii) establish a\nlibrary of such isolates for the purpose of disease strain analysis as indicated\nby epidemiological investigations.\n\nHISTORY: Code 1950, \u00a7 32-85.1; 1956, c. 482; 1979, c. 711; 2001, c. 459; 2004,\nc. 855; 2006, cc. 46, 396, 822; 2023, c. 183.","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}}