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Summary:

The confidentiality of information under (c) shall be maintained. Information under (c) shall only be used for the following purposes: to provide immunization services to the patient or client, to provide third-party payer immunization payments, to compile and distribute statistical information (without identifying information), and as physicians are authorized by Division 1, Part 2.6 of the Civil Code.

Summary:

A clinical laboratory shall report all CD4+ T-Cell test results that are possibly related to an HIV infection to the local health officer within seven days of the completion of the CD4+ T-Cell test. If provided by the ordering health care provider, the lab report shall include: the patient's name, date of birth, and gender. The local health officer shall inspect each CD4+ T-Cell test report to determine if the test is related to a case of HIV infection. If the test result is related to a case of HIV infection, the local health officer shall report the case of HIV infection or AIDS to the State Department of Public Health within 45 days of receipt of the laboratory report. If the clinical laboratory CD4+ T-Cell test result is not related to a case of HIV infection, the local health officer shall destroy the laboratory CD4+ T-Cell test report. CD4+ T-Cell test reports shall not be disclosed, discoverable, or compelled to be produced in any civil, criminal, administrative, or other proceeding; and shall be consi

Summary:

(c) Except as provided in paragraphs (1) to (3), inclusive, any disclosure authorized by subdivision (a) or (b) shall include only the information necessary for the purpose of that disclosure and shall be made only upon agreement that the information will be kept confidential and will not be further disclosed without written authorization, as described in subdivision (a). (1) Notwithstanding any other provision of law, the following disclosures shall be authorized for the purpose of enhancing completeness of HIV/AIDS, tuberculosis, and sexually transmitted disease coinfection reporting to the federal Centers for Disease Control and Prevention (CDC): (A) The local public health agency HIV surveillance staff may further disclose the information to the health care provider who provides HIV care to the HIV-positive person who is the subject of the record for the purpose of assisting in compliance with subdivision (a) of Section 121022. (B) Local public health agency tuberculosis control staff may further disclose the information to state public health agency tuberculosis control staff, who may further disclose the information, without disclosing patient identifying information, to the CDC, to the extent the information is requested by the CDC and permitted by subdivision (b), for purposes of the investigation, control, or surveillance of HIV and tuberculosis coinfections. (C) Local public health agency sexually transmitted disease control staff may further disclose the information to state public health agency sexually transmitted disease control staff, who may further disclose the information, without disclosing patient identifying information, to the CDC, to the extent it is requested by the CDC, and permitted by subdivision (b), for the purposes of the investigation, control, or surveillance of HIV and syphilis, gonorrhea, or chlamydia coinfection. (2) Notwithstanding any other provision of law, the following disclosures shall be authorized for the purpose of facilitating appropriate HIV/AIDS medical care and treatment: (A) State public health agency HIV surveillance staff, AIDS Drug Assistance Program staff, and care services staff may further disclose the information to local public health agency staff, who may further disclose the information to the HIV-positive person who is the subject of the record, or the health care provider who provides his or her HIV care, for the purpose of proactively offering and coordinating care and treatment services to him or her. (B) AIDS Drug Assistance Program staff and care services staff in the State Department of Public Health may further disclose the information directly to the HIV-positive person who is the subject of the record or the health care provider who provides his or her HIV care, for the purpose of proactively offering and coordinating care and treatment services to him or her. (C) Local public health agency staff may further disclose acquired or developed information to the HIV-positive person who is the subject of the record or the health care provider who provides his or her HIV care for the purpose of proactively offering and coordinating care and treatment services to him or her. (3) Notwithstanding any other provision of law, for the purpose of facilitating appropriate medical care and treatment of persons coinfected with HIV, tuberculosis, and syphilis, gonorrhea, or chlamydia, local public health agency sexually transmitted disease control and tuberculosis control staff may further disclose the information to state or local public health agency sexually transmitted disease control and tuberculosis control staff, the HIV-positive person who is the subject of the record, or the health care provider who provides his or her HIV, tuberculosis, and sexually transmitted disease care. (4) For the purposes of paragraphs (2) and (3), “staff” shall not include nongovernmental entities, but shall include state and local contracted employees who work within state and local public health departments. Exceptions: disclosures authorized (1) for the purpose of enhancing completeness of HIV/AIDS, tuberculosis, and sexually transmitted disease coinfection reporting to the federal Centers for Disease Control and Prevention (CDC); (2) to facilitate appropriate HIV/AIDS medical care and treatment; (3) to facilitate appropriate medical care and treatment of persons coinfected with HIV, tuberculosis, and any STD(s), the local public health agency STD and tuberculosis control staff may further disclose the information to (i) the state or local public health agency staff, (ii) the HIV-positive person who is the subject of the record, or (iii) the health care provider who provides his or her HIV, tuberculosis, and sexually transmitted disease care.

Summary:

Safe-surrender site personnel must ensure a medical screening exam and any necessary medical care is provided to child and notify child protective services within 48 hours of obtaining physical custody of the child, and provide any medical information obtained pertinent to the child's health. No consent is required to provide the child with medical care. Any personal identifying information that pertains to a parent or individual who surrenders a child is confidential and shall be exempt from disclosure by child protective services under the Public Records Act but the parent or relative may be contacted in the event the child suffers a life-threatening event that could benefit from a relative participating in the treatment.

Summary:

Face-to-face contact between a health care provider and a patient shall not be required under the Medi-Cal program for teleophthalmology and teledermatology by store and forward. "Teleophthalmology and teledermatology by store and forward” means an asynchronous transmission of medical information to be reviewed at a later time by a physician at a distant site who is trained in ophthalmology or dermatology or a licensed optometrist; the physician or optometrist at the distant site reviews the medical information without the patient being present in real time. All existing confidentiality protections apply. All existing laws regarding patient access to medical information and copies of medical records apply.

Summary:

When determining whether a provider has demonstrated that participants meet the medical necessity criteria, the Department of Health Services may enter an adult day health care center and review participants' medical records and observe participants receiving care identified in the individual plan of care, in addition to reviewing the information provided with the treatment authorization requests.

Summary:

In court and administrative proceedings, the physician-patient privilege and the psychotherapist-patient privilege do not apply to information reported regarding elder and dependent adult abuse.

Summary:

County board of supervisors shall investigate every application for relief from county funds, shall supervise every person receiving relief through periodic visitation, and shall establish ways to bring such persons to self-support, and shall maintain full and complete records of such. The records are confidential and only open to examination or inspection by the county grand jury or persons supervising or directing that relief or with the control of expenditure of funds pertaining to relief.

Summary:

A minor under the jurisdiction or control of the Department of Youth Authority is obligated to submit to an AIDS test if the chief medical officer of the facility determines that the minor exhibits CDC recognized AIDS symptoms. The chief medical officer may 1) disclose the results of the test to the superintendent of the facility where the minor is confined, 2) if the results are positive inform the minor's known sexual partners or needle contacts in the facility if the minor's identity is kept confidential, and/or 3) include the test results in the minor's confidential medical record to be maintained separate from other files and records.

Summary:

When authorities are alerted of allegations of child abuse, they may have the child undergo a physical examination. The department shall provide the results of the examination to the court and the counsel of the child and parent. The local welfare agency must request additional examinations of the child to determine abuse/neglect by the same examiner if possible. If not, the agency must ensure that the child's future medical practitioner has specialized abuse detection training and that the practitioner have access to the child's medical records that include incidents of abuse.

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