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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>71237</law_id><section_number>32.1-45.1</section_number><catch_line>Deemed consent to testing and release of test results related to infection with human immunodeficiency virus or hepatitis B or C viruses</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>16.1-241</reference><reference>22.1-271.3</reference></referred_to_by><structure><unit label="title" level="1" order_by="1" identifier="32.1">Health</unit><unit label="chapter" level="2" order_by="1" identifier="2">Disease Prevention and Control</unit><unit label="article" level="3" order_by="1" identifier="3">Disease Control Measures</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> Whenever any <span class="dictionary">health care provider</span>, or any <span class="dictionary">person</span> employed by or under the direction and control of a <span class="dictionary">health care provider</span>, is directly exposed to body fluids of a patient in a manner that may, according to the then current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or hepatitis B or C viruses, the patient whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or hepatitis B or C viruses. Such patient shall also be deemed to have consented to the release of such test results to the <span class="dictionary">person</span> who was exposed. In other than emergency situations, it shall be the responsibility of the <span class="dictionary">health care provider</span> to inform patients of this provision prior to providing them with health care services which create a risk of such exposure. <a id="paragraph-256755" class="section-permalink" href="https://vacode.org/32.1-45.1/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> Whenever any patient is directly exposed to body fluids of a <span class="dictionary">health care provider</span>, or of any <span class="dictionary">person</span> employed by or under the direction and control of a <span class="dictionary">health care provider</span>, in a manner that may, according to the then current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or hepatitis B or C viruses, the <span class="dictionary">person</span> whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or hepatitis B or C viruses. Such <span class="dictionary">person</span> shall also be deemed to have consented to the release of such test results to the patient who was exposed. <a id="paragraph-256756" class="section-permalink" href="https://vacode.org/32.1-45.1/#B"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> For the purposes of this section, &#x201C;<span class="dictionary">health care provider</span>&#x201D; means any <span class="dictionary">person</span>, facility or agency licensed or certified to provide care or treatment by the <span class="dictionary">Department</span> of Health, <span class="dictionary">Department</span> of Behavioral Health and Developmental Services, <span class="dictionary">Department</span> of Rehabilitative Services, or the <span class="dictionary">Department</span> of Social Services, any <span class="dictionary">person</span> licensed or certified by a health regulatory <span class="dictionary">board</span> within the <span class="dictionary">Department</span> of Health Professions except for the <span class="dictionary">Boards</span> of Funeral Directors and Embalmers and Veterinary Medicine or any personal care agency contracting with the <span class="dictionary">Department</span> of Medical Assistance Services. <a id="paragraph-256757" class="section-permalink" href="https://vacode.org/32.1-45.1/#C"><i class="fa fa-link"/></a></p></section>
						<section id="D"><p><span class="prefix-number">D.</span> &#x201C;<span class="dictionary">Health care provider</span>,&#x201D; as defined in subsection C, shall be deemed to include any <span class="dictionary">person</span> who renders emergency care or assistance, without compensation and in good faith, at the scene of an accident, fire, or any life-threatening emergency, or while en route therefrom to any hospital, medical clinic or doctor&#x2019;s office during the period while rendering such emergency care or assistance. The <span class="dictionary">Department</span> of Health shall provide appropriate counseling and opportunity for face-to-face disclosure of any test results to any such <span class="dictionary">person</span>. <a id="paragraph-256758" class="section-permalink" href="https://vacode.org/32.1-45.1/#D"><i class="fa fa-link"/></a></p></section>
						<section id="E"><p><span class="prefix-number">E.</span> Whenever any <span class="dictionary"><span class="dictionary">law</span>-enforcement officer</span>, salaried or volunteer firefighter, or salaried or volunteer emergency medical services provider is directly exposed to body fluids of a <span class="dictionary">person</span> in a manner that may, according to the then current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or hepatitis B or C viruses, the <span class="dictionary">person</span> whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or hepatitis B or C viruses. Such <span class="dictionary">person</span> shall also be deemed to have consented to the release of such test results to the <span class="dictionary">person</span> who was exposed. If the <span class="dictionary">person</span> whose body fluids were involved in the exposure is deceased, the decedent&#x2019;s next of kin shall be deemed to have consented to testing of the decedent&#x2019;s blood for infection with human immunodeficiency virus or hepatitis B or C viruses and release of such test results to the <span class="dictionary">person</span> who was exposed. <a id="paragraph-256759" class="section-permalink" href="https://vacode.org/32.1-45.1/#E"><i class="fa fa-link"/></a></p></section>
						<section id="F"><p><span class="prefix-number">F.</span> Whenever a <span class="dictionary">person</span> is directly exposed to the body fluids of a <span class="dictionary"><span class="dictionary">law</span>-enforcement officer</span>, salaried or volunteer firefighter, or salaried or volunteer emergency medical services provider in a manner that may, according to the then current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or hepatitis B or C viruses, the <span class="dictionary">person</span> whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or hepatitis B or C viruses. The <span class="dictionary"><span class="dictionary">law</span>-enforcement officer</span>, salaried or volunteer firefighter, or salaried or volunteer emergency medical services provider shall also be deemed to have consented to the release of such test results to the <span class="dictionary">person</span> who was exposed. <a id="paragraph-256760" class="section-permalink" href="https://vacode.org/32.1-45.1/#F"><i class="fa fa-link"/></a></p></section>
						<section id="G"><p><span class="prefix-number">G.</span> For the purposes of this section, &#x201C;<span class="dictionary"><span class="dictionary">law</span>-enforcement officer</span>&#x201D; means a <span class="dictionary">person</span> who is both (i) engaged in his public duty at the time of such exposure and (ii) employed by any sheriff&#x2019;s office, any adult or youth correctional facility, or any state or local <span class="dictionary">law</span>-enforcement agency, or any agency or <span class="dictionary">department</span> under the direction and control of the Commonwealth or any local governing body that employs <span class="dictionary">persons</span> who have <span class="dictionary">law</span>-enforcement authority. <a id="paragraph-256761" class="section-permalink" href="https://vacode.org/32.1-45.1/#G"><i class="fa fa-link"/></a></p></section>
						<section id="H"><p><span class="prefix-number">H.</span> Whenever any <span class="dictionary">school board employee</span> is directly exposed to body fluids of any <span class="dictionary">person</span> in a manner that may, according to the then current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or hepatitis B or C viruses, the <span class="dictionary">person</span> whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or hepatitis B or C viruses. Such <span class="dictionary">person</span> shall also be deemed to have consented to the release of such test results to the <span class="dictionary">school board employee</span> who was exposed. <a id="paragraph-256762" class="section-permalink" href="https://vacode.org/32.1-45.1/#H"><i class="fa fa-link"/></a></p></section>
						<section id="I"><p><span class="prefix-number">I.</span> Whenever any <span class="dictionary">person</span> is directly exposed to the body fluids of a <span class="dictionary">school board employee</span> in a manner that may, according to the then current guidelines of the Centers for Disease Control and Prevention, transmit human immunodeficiency virus or hepatitis B or C viruses, the <span class="dictionary">school board employee</span> whose body fluids were involved in the exposure shall be deemed to have consented to testing for infection with human immunodeficiency virus or hepatitis B or C viruses. The <span class="dictionary">school board employee</span> shall also be deemed to have consented to the release of such test results to the <span class="dictionary">person</span>. <a id="paragraph-256763" class="section-permalink" href="https://vacode.org/32.1-45.1/#I"><i class="fa fa-link"/></a></p></section>
						<section id="J"><p><span class="prefix-number">J.</span> For the purposes of this section, &#x201C;<span class="dictionary">school board employee</span>&#x201D; means a <span class="dictionary">person</span> who is both (i) acting in the course of employment at the time of such exposure and (ii) employed by any local school board in the Commonwealth. <a id="paragraph-256764" class="section-permalink" href="https://vacode.org/32.1-45.1/#J"><i class="fa fa-link"/></a></p></section>
						<section id="K"><p><span class="prefix-number">K.</span> For purposes of this section, if the <span class="dictionary">person</span> whose blood specimen is sought for testing is a <span class="dictionary">minor</span>, consent for obtaining such specimen shall be obtained from the parent, guardian, or <span class="dictionary">person</span> standing in loco parentis of such <span class="dictionary">minor</span> prior to initiating such testing. If the parent or guardian or <span class="dictionary">person</span> standing in loco parentis withholds such consent, or is not reasonably available, the <span class="dictionary">person</span> potentially exposed to the human immunodeficiency virus or hepatitis B or C viruses, or the employer of such <span class="dictionary">person</span>, may <span class="dictionary">petition</span> the juvenile and domestic relations district <span class="dictionary">court</span> in the county or city where the <span class="dictionary">minor</span> resides or resided, or, in the case of a nonresident, the county or city where the <span class="dictionary">health care provider</span>, <span class="dictionary">law</span>-enforcement agency or school board has its principal office or, in the case of a <span class="dictionary">health care provider</span> rendering emergency care pursuant to subsection D, the county or city where the exposure occurred, for an <span class="dictionary">order</span> requiring the <span class="dictionary">minor</span> to provide a blood specimen or to submit to testing and to disclose the test results in accordance with this section. <a id="paragraph-256765" class="section-permalink" href="https://vacode.org/32.1-45.1/#K"><i class="fa fa-link"/></a></p></section>
						<section id="L"><p><span class="prefix-number">L.</span> Except as provided in subsection K, if the <span class="dictionary">person</span> whose blood specimen is sought for testing refuses to provide such specimen, any <span class="dictionary">person</span> identified by this section who was potentially exposed to the human immunodeficiency virus or the hepatitis B or C viruses in the manner described by this section, or the employer of such <span class="dictionary">person</span>, or the local attorney for the Commonwealth in the county or city in which the exposure occurred if such exposed <span class="dictionary">person</span> is a <span class="dictionary"><span class="dictionary">law</span>-enforcement officer</span>, may <span class="dictionary">petition</span>, on a form to be provided by the Office of the Executive Secretary of the Supreme <span class="dictionary">Court</span> of Virginia, the general district <span class="dictionary">court</span> of the county or city in which the <span class="dictionary">person</span> whose specimen is sought resides or resided, or, in the case of a nonresident, the county or city where the <span class="dictionary">health care provider</span>, <span class="dictionary">law</span>-enforcement agency or school board has its principal office or, in the case of a <span class="dictionary">health care provider</span> rendering emergency care pursuant to subsection D, the county or city where the exposure occurred, for an <span class="dictionary">order</span> requiring the <span class="dictionary">person</span> to provide a blood specimen or to submit to testing and to disclose the test results in accordance with this section. A <span class="dictionary">hearing</span> on such a <span class="dictionary">petition</span> shall be given precedence on the <span class="dictionary">docket</span> so as to be heard by the <span class="dictionary">court</span> within 48 hours of the filing of the <span class="dictionary">petition</span>, or, if the <span class="dictionary">court</span> is closed during such time period, such <span class="dictionary">petition</span> shall be heard on the next day that the <span class="dictionary">court</span> is in session. A copy of the <span class="dictionary">petition</span>, which shall specify the date and location of the <span class="dictionary">hearing</span>, shall be provided to the <span class="dictionary">person</span> whose specimen is sought. At any <span class="dictionary">hearing</span> before the <span class="dictionary">court</span>, the <span class="dictionary">person</span> whose specimen is sought or his <span class="dictionary">counsel</span> may appear. The <span class="dictionary">court</span> may be advised by the <span class="dictionary">Commissioner</span> or his designee prior to entering any testing <span class="dictionary">order</span>. If the general district <span class="dictionary">court</span> determines that there is <span class="dictionary">probable cause</span> to believe that a <span class="dictionary">person</span> identified by this section has been exposed in the manner prescribed by this section, the <span class="dictionary">court</span> shall <span class="dictionary">issue</span> an <span class="dictionary">order</span> requiring the <span class="dictionary">person</span> whose bodily fluids were involved in the exposure to provide a blood specimen or to submit to testing and to disclose the test results in accordance with this section. If a testing <span class="dictionary">order</span> is issued, both the petitioner and the <span class="dictionary">person</span> from whom the blood specimen is sought shall receive counseling and opportunity for face-to-face disclosure of any test results by a licensed practitioner or trained counselor. <a id="paragraph-256766" class="section-permalink" href="https://vacode.org/32.1-45.1/#L"><i class="fa fa-link"/></a></p></section>
						<section id="M"><p><span class="prefix-number">M.</span> Any <span class="dictionary">person</span> who is subject to a testing <span class="dictionary">order</span> may <span class="dictionary">appeal</span> the <span class="dictionary">order</span> of the general district <span class="dictionary">court</span> to the <span class="dictionary">circuit</span> <span class="dictionary">court</span> of the same <span class="dictionary">jurisdiction</span> within 10 days of receiving notice of the <span class="dictionary">order</span>. Any <span class="dictionary">hearing</span> conducted pursuant to this subsection shall be held <span class="dictionary">in camera</span> as soon as practicable. The record shall be <span class="dictionary">sealed</span>. The <span class="dictionary">order</span> of the <span class="dictionary">circuit</span> <span class="dictionary">court</span> shall be final and nonappealable. <a id="paragraph-256767" class="section-permalink" href="https://vacode.org/32.1-45.1/#M"><i class="fa fa-link"/></a></p></section>
						<section id="N"><p><span class="prefix-number">N.</span> No specimen obtained pursuant to this section shall be tested for any purpose other than for the purpose provided for in this section, nor shall the specimen or the results of any testing pursuant to this section be used for any purpose in any criminal matter or investigation. Any violation of this subsection shall constitute reversible error in any criminal case in which the specimen or results were used. <a id="paragraph-256768" class="section-permalink" href="https://vacode.org/32.1-45.1/#N"><i class="fa fa-link"/></a></p></section></text><history>1989, c. 613; 1993, c. 315; 1994, cc. 230, 236; 1997, c. 869; 2003, c. 1; 2008, cc. 191, 339; 2009, cc. 96, 478, 552, 813, 840; 2015, cc. 51, 502, 503; 2019, c. 27; 2020, c. 502; 2024, c. 190.</history><metadata></metadata></law>
