Senate Bill No. 529


(By Senators Wooton, Bailey, Walker and Macnaughtan)

[Introduced February 19, 1996; referred to the Committee on Health and Human Resources; and then to the Committee on the Judiciary.]




A BILL to amend and reenact section five, article five-a, chapter twenty-six of the code of West Virginia, one thousand nine hundred thirty-one, as amended, relating to waiver of notice requirements in certain instances for persons with communicable tuberculosis; and testing and reinstatement of notice.

Be it enacted by the Legislature of West Virginia:
That section five, article five-a, chapter twenty-six of the code of West Virginia, one thousand nine hundred thirty-one, as amended, be amended and reenacted to read as follows:
ARTICLE 5A. TUBERCULOSIS CONTROL.
§26-5A-5. Procedure when patient is health menace to others.
If such practicing physician, public health officer, or chief medical officer having under observation or care any person who is suffering from tuberculosis in a communicable stage is of the opinion that the environmental conditions of such person are not suitable for proper isolation or control by any type of local quarantine as prescribed by the state health department bureau of public health of the department of health and human resources, and that such person is unable or unwilling to conduct him or herself and to live in such a manner as not to expose members of his or her family or household or other persons with whom he or she may be associated to danger of infection, he or she shall report the facts to the department of bureau of public health which shall forthwith investigate or have investigated the circumstances alleged. If it shall find that any such person's physical condition is a health menace to others, the department of bureau of public health shall petition the circuit court of the county in which such person resides, or the judge thereof in vacation, alleging that such person is afflicted with communicable tuberculosis and that such person's physical condition is a health menace to others, and requesting an order of the court committing such person to one of the state tuberculosis institutions for the treatment of tuberculosis. Upon receiving the petition, the court shall fix a date for hearing thereof and notice of such petition and the time and place for hearing thereof shall be served personally, at least seven days before the hearing, upon the person who is afflicted with tuberculosis and alleged to be dangerous to the health of others, Provided, That the court may waive the notice required by this section if the commissioner of the bureau of public health or his or her designee presents evidence to the court that such person is either: an alcoholic or drug user in need of commitment to a detoxification center or a chronically recalcitrant patient in need of hospitalization for two or more weeks to render their communicable tuberculosis non-infectious, Provided, however, That, after successful treatment which can be demonstrated by laboratory testing or x-ray or scans such a person can be shown to no longer be infectious then they shall receive their notice and proceed to hearing.
If, upon such hearing, it shall appear that the complaint of the department of bureau of public health is well founded, that such person is afflicted with communicable tuberculosis, and that such person is a source of danger to others, the court shall commit the individual to an institution maintained for the care and treatment of persons afflicted with tuberculosis. Such person shall be deemed to be committed until discharged in the manner authorized in this section. The chief medical officer of the institution to which any such person has been committed, may discharge such person when in his or her judgment the person may be discharged without danger to the health or life of others. He or she shall report immediately to the department of bureau of public health each such discharge.
Every person committed under the provisions of this section shall observe all the rules and regulations of the institution. Any patient so committed may, by direction of the chief medical officer of the institution, be placed apart from the others and restrained from leaving the institution so long as he or she continues to be afflicted with tuberculosis and remains a health menace to other people.
Nothing in this section shall be construed to prohibit any person committed to any institution under the provisions thereof from applying to the supreme court of appeals for a review of the evidence on which such commitment was made. Nothing in this section shall be construed or operate to empower or authorize the state commissioner of public institutions, the department of bureau of public health, the department of health and human resources or chief medical officer of the institution, or their representatives, to restrict in any manner the individual's right to select any method of tuberculosis treatment offered by the institution.

NOTE: The purpose of this bill is to protect the public health in cases where persons with contagious tuberculosis might avoid treatment and put others at risk.

Strike-throughs indicate language that would be stricken from the present law, and underscoring indicates new language that would be added.