Implementation of Section 2695 of Public Law 111-87

The Ryan White HIV/AIDS Treatment Extension Act of 2009 (Pub.L. 111-87) addresses notification procedures for designated officers, medical facilities, and State and community public health officers regarding exposure of emergency response employees (EREs) to potentially life-threatening infectious diseases. The Secretary of Health and Human Services (Secretary) has delegated authority to the Director of the Centers for Disease Control and Prevention (CDC) to issue a list of potentially life-threatening infectious diseases, including emerging infectious diseases, to which EREs may be exposed in responding to emergencies (including a specification of those infectious diseases that are routinely transmitted through airborne or aerosolized means); guidelines describing circumstances in which employees may be exposed to these diseases; and guidelines describing the manner in which medical facilities should make determinations about exposures.

Background Material

Siegel JD, Rhinehart E, Jackson M, Chiarello L, and the Healthcare Infection Control Practices Advisory Committee. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. https://www.cdc.gov/hicpac/pdf/isolation/Isolation2007.pdf. Accessed September 23, 2010 [PDF – 3,894 KB]

Unofficial figures: Procedures for Notification of Possible Exposure to Infectious Diseases under the Ryan White HIV/AIDS Treatment Extension Act of 2009 [PDF – 1,142 KB]

Ryan White HIV/AIDS Treatment Extension Act of 2009 (Pub. L. 111-87, to be codified at 42 U.S.C. 300ff-131 et seq.) [PDF – 195 KB]

Baron P. Generation and Behavior of Airborne Particles (Aerosols). PowerPoint Presentation. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Division of Applied Technology. /niosh/topics/aerosols/pdfs/Aerosol_101.pdf. Accessed September 23, 2010 [PDF – 347 KB]

General notice and request for comments; 75 FR 77642; 12/13/10 [PDF – 54 KB]

Final notice; 76 FR 67736; 11/2/11 [PDF – 21,468 KB]

MMWR – Announcements: Reinstatement of notification requirements for emergency response employees potentially exposed to life-threatening infectious diseases; 60(43):1494; 11/4/11 [PDF – 1,305 KB]

Submissions to the Docket

Submission to the docket from Aumann (Action Ambulance Service, Inc.) – 12/14/10 [PDF – 38 KB]

Submission to the docket from Guidottin (private person) – 12/15/10 [PDF – 13 KB]

Submission to the docket from Chase (Washington Occupational Health Associates) – 12/20/10 [PDF – 599 KB]

Submission to the docket from Sherman (Ohio Department of Mental Health) – 12/30/10 [PDF – 696 KB]

Submission to the docket from Krayna (City of Boulder, Colorado) – 1/4/11 [PDF – 542 KB]

Submission to the docket from West (Infection Control/Emerging Concepts, Inc.) – 1/11/11 [PDF – 468 KB]

Submission to the docket from Pesaturo A (Miami-Dade Fire Rescue) – 1/25/11 [PDF – 721 KB]

Submission to the docket from Kojola (AFL-CIO) – 2/3/11 [PDF – 2,227 KB]

Submission to the docket from Hedges (National Association of State EMS Officials) – 2/3/11 [PDF – 1,035 KB]

Submission to the docket from Hahn (Private person) – 2/4/11 [PDF – 378 KB]

Submission to the docket from Tice (Infections Limited Hawaii) – 2/6/11 [PDF – 2,603 KB]

Submission to the docket from Duffy (International Association of Fire Fighters) – 2/7/11 [PDF – 3,604 KB]

Submission to the docket from Olmsted (Association for Professionals in Infection Control and Epidemiology, Inc. (APIC)) – 2/7/11 [PDF – 3,145 KB]

Submission to the docket from Sieber (San Carlos Park Fire District); 2/8/11 [PDF – 720 KB]

Submission to the docket from Parsons (Laborers’ Health & Safety Fund of America); 2/10/11 [PDF – 1,936 KB]

Submission to the docket from Brown (American Federation of State, County and Municipal Employees); 2/10/11 [PDF – 1,584 KB]

Submission to the docket from Brown (National Association of County and City Health Officials); 2/10/11 [PDF – 1,410 KB]

Submission to the docket from Stevens (New York State Department of Health); 2/11/11 [PDF – 2,186 KB]

Submission to the docket from Welsh (Cal/.OSHA) – 2/7/11 [PDF – 5,747 KB]

Submission to the docket from Krick (VA New Jersey Health Care System) – 2/7/11 [PDF – 510 KB]

Submission to the docket from Pollack (American Hospital Association); 2/8/11 [PDF – 2,404 KB]

Submission to the docket from Rudolph (California Dept. of Public Health); 2/11/11 [PDF – 5,757 KB]

Submission to the docket from Gordon (Society for Healthcare Epidemiology of America (SHEA)); 2/11/11 [PDF – 3,219 KB]

Submission to regulations.gov from Witkowski (Association of Flight Attendants-CWA); 2/11/11 [PDF – 5,661 KB]

Submission to the docket from Theresa Mulherin (Private person); 2/25/11 [PDF – 181 KB]

Submission to the docket from Alan Tice (Infections Limited Hawaii); 9/13/11 [PDF – 1,514 KB]