Tuberculosis (TB) Rule Changes 2002
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Where
can I find the rule?Chapter
HFS 145, Control of Communicable Diseases, (exit
DHFS, PDF) Subchapter II--Tuberculosis
(p. 254)What
was changed?
HFS 145.01 was amended and HFS 145.08, HFS 145.09, HFS 145.10, HFS 145.11,
HFS 145.12 and HFS 145.13 were repealed and recreated, relating to control
of communicable diseases.
Why were the rules changed?
The Department’s rules for prevention and control of tuberculosis were
updated based on changes made to ss. 252.07 and 252.10, Stats., as created
or amended in 1999 Wisconsin Act 9. These rules modified subch. II of ch.
HFS 145 to reflect and implement the changes to ch. 252, Stats., made by
Act 9. The changes principally serve the following purposes:
- To specify laboratory procedures for identification of Mycobacterium
tuberculosis;
- To specify how the Department will assist local health departments
in administration and enforcement of confinement of patients with
tuberculosis (including contacts to infectious tuberculosis);
- To establish standards for certification of public health
dispensaries;
- To specify services and reimbursement rates for public health
dispensaries; and
- To specify record-keeping requirements for public health
dispensaries.
The changes expanded the sections on public health dispensaries for the
diagnosis and treatment of persons with or suspected of having
tuberculosis. The expanded sections specify how the Department will
certify public health dispensaries and which dispensary services the
Department will reimburse. Local health departments and the Department are
authorized by s. 252.10 (1), Stats., to establish public health
dispensaries and the Department is authorized by s. 252.10 (6) (b),
Stats., to reimburse the dispensaries at the medical assistance program
rate for services specified in rule.
What references are
included?
Six national standards were incorporated by reference into
administrative rule. They are as follows:
- The official statements of the American Thoracic Society
- "Targeted Tuberculin Testing and Treatment of Latent
Tuberculosis Infection" (exit DHFS,
PDF, 359KB) found in the Morbidity and Mortality
Weekly Report, June 9, 2000, Vol. 49, No. RR–6.
- "Treatment of Tuberculosis and Tuberculosis Infection in Adults
and Children" (exit DHFS, PDF, 307KB)
found in the American Journal of Respiratory and
Critical Care Medicine, vol. 149, 1994, pp. 1359–1374.
- "Diagnostic Standards and Classification of Tuberculosis in
Adults and Children" (exit DHFS, PDF)
found in American Journal of Respiratory and
Critical Care Medicine, vol. 161, 2000, pp.1376–1395.
- The official statement of the National Tuberculosis Controllers
Association (exit DHFS)
entitled "Tuberculosis Nursing: a Comprehensive Guide
to Patient Care"
Last Revised: September 06, 2007
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