(a)An adult patient who receives primary care services in a facility, clinic, unlicensed clinic, center, office, or other setting where primary care services are provided, shall be offered a hepatitis B screening test and a hepatitis C screening test, to the extent these services are covered under the patient’s health insurance, based on the latest screening indications recommended by the United States Preventive Services Task Force, unless the health care provider reasonably believes that one of the following conditions applies:
(1)The patient is being treated for a life-threatening emergency.
(2)
(A)The patient has previously been offered or has been the subject of a hepatitis B screening test or hepatitis C screening test.
(B)This paragraph does not apply if the health care provider
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(a)
An adult patient who receives primary care services in a facility, clinic, unlicensed clinic, center, office, or other setting where primary care services are provided, shall be offered a hepatitis B screening test and a hepatitis C screening test, to the extent these services are covered under the patient’s health insurance, based on the latest screening indications recommended by the United States Preventive Services Task Force, unless the health care provider reasonably believes that one of the following conditions applies:
(1)
The patient is being treated for a life-threatening emergency.
(2)
(A)
The patient has previously been offered or has been the subject of a hepatitis B screening test or hepatitis C screening test.
(B)
This paragraph does not apply if the health care provider determines that one or both of the screening tests should be offered again.
(3)
The patient lacks capacity to consent to a hepatitis B screening test or hepatitis C screening test, or both.
(4)
The patient is being treated in the emergency department
of a general acute care hospital, as defined in subdivision (a) of Section 1250.
(b)
(1)
If a patient accepts the offer of the hepatitis B screening test and the test is hepatitis B surface antigen (HBsAg) positive,
a health care provider shall offer the patient followup health care or refer the patient to a health care provider who can provide followup health care.
(2)
If a patient accepts the offer of the hepatitis C screening test and the test is positive, the health care provider shall offer the patient followup health care or refer the patient to a health care provider who can provide followup health care. The followup health care shall include a hepatitis C diagnostic test (HCV RNA).
(c)
The offering of a hepatitis B screening test and hepatitis C screening test under this section shall be culturally and linguistically appropriate.
(d)
This section shall not affect the scope of practice of any health care provider or
diminish any authority or legal or professional obligation of any health care provider to offer a hepatitis B screening test, hepatitis C screening test, or both, or a hepatitis C diagnostic test, or to provide services or care for the patient of a hepatitis B screening test, hepatitis C screening test, or both, or a hepatitis C diagnostic test.
(e)
A health care provider that fails to comply with the requirements of this section shall not be subject to any disciplinary actions related to their licensure or certification, or to any civil or criminal liability, because of the health care provider’s failure to comply with the requirements of this section.
(f)
For purposes of this section, the following definitions apply:
(1)
“Followup health care” includes providing medical management and antiviral treatment for chronic hepatitis B or hepatitis C according to the latest national clinical practice guidelines recommended by the American Association for the Study of Liver Diseases.
(2)
“Hepatitis B screening test” includes any laboratory tests or tests that detect the presence of hepatitis B surface antigen (HBsAg) and provides confirmation of whether the patient has a chronic hepatitis B infection.
(3)
“Hepatitis C diagnostic test” includes any laboratory test or tests that detect the presence of the hepatitis C virus in the blood and provides confirmation of whether the patient has an active hepatitis C virus infection.
(4)
“Hepatitis C screening test” includes any laboratory screening test or tests that detect the presence of hepatitis C virus antibodies in the blood and provides confirmation of whether the patient has ever been infected with the hepatitis C virus.