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style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>The Ryan White HIV/AIDS Treatment and Extension Act of 2009 passed the House yesterday (October 21, 2009) by a vote of 408 to 9.&nbsp; The Senate passed the bill earlier this week so the bill now goes to President Obama for his signature into law. There are several new additions to the Ryan White Act, which affect emergency care - and specifically emergency responders.&nbsp; &nbsp;</span><br> </p> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>It is important to note that the 'list' established under Sec. 2695 is very powerful - it essentially determines what infectious diseases should be considered 'potentially life-threatening'. The list is also used to determine whether or not emergency responders must be notified of an exposure. &nbsp;</span></p> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'>&nbsp;</p> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>The entire bill can be found at this link <a href="http://bit.ly/2YZs1o" target="_blank">http://bit.ly/2YZs1o</a> </span></p> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'>&nbsp;</p> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Here are the sections affecting emergency care and emergency responders: &nbsp;</span></p> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>The bill adds a new section to Ryan White - &quot;Part G Notification of Possible Exposure to Infectious Diseases&quot;</span></p> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Within 180 days after enactment, Section 2695 Requires the Secretary of HHS to complete the development of:</span></p> <ul type=disc> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l0 level1 lfo1;tab-stops:list .5in'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"'>a list of potentially life-threatening infectious diseases, including emerging infectious diseases, to which emergency response employees may be exposed in responding to emergencies (The list developed shall also include a specification of those infectious diseases on the list that are routinely transmitted through airborne or aerosolized means..)</span><span style='mso-fareast-font-family:"Times New Roman"'> <o:p></o:p></span></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l0 level1 lfo1;tab-stops:list .5in'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"'>guidelines describing the circumstances in which such employees may be exposed to such diseases, taking into account the conditions under which emergency response is provided;</span><span style='mso-fareast-font-family:"Times New Roman"'> <o:p></o:p></span></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l0 level1 lfo1;tab-stops:list .5in'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"'>guidelines describing the manner in which medical facilities should make determinations when an emergency responder is requesting a determination as to whether or not a patient he/she transported had an infectious disease</span><span style='mso-fareast-font-family:"Times New Roman"'> <o:p></o:p></span></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l0 level1 lfo1;tab-stops:list .5in'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"'>This list will then be distributed to the public and the states</span><span style='mso-fareast-font-family:"Times New Roman"'> <o:p></o:p></span></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l0 level1 lfo1;tab-stops:list .5in'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"'>NOTE: This list is very important because it is relied heavily upon in determining whether or not a responder has been exposed to an infectious disease.</span><span style='mso-fareast-font-family:"Times New Roman"'> <o:p></o:p></span><br> <br> </li> </ul> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>The bill also reestablishes some of the notification provisions that were struck during the last Ryan White authorization. This is good news for emergency responders. Specifically, the bill requires Prompt notification - not later than 48 hours after determination is made - to emergency responders when:</span></p> <ul type=disc> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l1 level1 lfo2;tab-stops:list .5in'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"'>A patient is transported and it is determined that the patient has an airborne infectious disease AND WHEN</span><span style='mso-fareast-font-family: "Times New Roman"'> <o:p></o:p></span></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l1 level1 lfo2;tab-stops:list .5in'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"'>A patient that is transported by emergency responders dies at or before reaching the medical facility, the medical facility ascertaining the cause of death shall notify the designated officer of the emergency response employees who transported the victim to the initial medical facility of any determination by the medical facility that the victim had an airborne infectious disease.</span><span style='mso-fareast-font-family:"Times New Roman"'> <o:p></o:p></span><br> <br> </li> </ul> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>The bill also contains a provision for emergency responders to request a determination as to whether or not a patient had an infectious disease. Basically the provision states that:</span></p> <ul type=disc> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l2 level1 lfo3;tab-stops:list .5in'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"'>The employee must first make a request</span><span style='mso-fareast-font-family: "Times New Roman"'> <o:p></o:p></span></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l2 level1 lfo3;tab-stops:list .5in'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"'>The request is then examined, facts are collected by a designated officer</span><span style='mso-fareast-font-family:"Times New Roman"'> <o:p></o:p></span></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l2 level1 lfo3;tab-stops:list .5in'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"'>The designated officer then makes a determination - if the designated officer feels that an exposure may have occurred then he/she submits a request to the medical facility </span><span style='mso-fareast-font-family:"Times New Roman"'> <o:p></o:p></span></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l2 level1 lfo3;tab-stops:list .5in'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"'>Once the medical facility receives the request, it has 48 hours to respond</span><span style='mso-fareast-font-family:"Times New Roman"'> <o:p></o:p></span></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l2 level1 lfo3;tab-stops:list .5in'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"'>The medical facility will make a determination, based on the information possessed by the facility, regarding whether or not the emergency responder was exposed to an infectious disease that appears on the list (created above).</span><span style='mso-fareast-font-family:"Times New Roman"'> <o:p></o:p></span></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l2 level1 lfo3;tab-stops:list .5in'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"'>The medical facility can make 3 determinations, Notification of Exposure, Finding of No Exposure, Insufficient information </span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></li> <li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; mso-list:l2 level1 lfo3;tab-stops:list .5in'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"'>If a finding of insufficient information is made, the public health officer for the community in which the medical facility is located can also evaluate the request if the designated officer submits the request to him/her. </span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></li> </ul> </div> </div> </div> </div> </body> </html>