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Proposed RuleSignificantE9-158142009-07-02

Medical Examination of Aliens-Removal of Human Immunodeficiency Virus (HIV) Infection From Definition of Communicable Disease of Public Health Significance

Health and Human Services Department, Centers for Disease Control and Prevention

Abstract

The Centers for Disease Control and Prevention (CDC), within the U.S. Department of Health and Human Services (HHS), is proposing to revise the Part 34 regulation to remove "Human Immunodeficiency Virus (HIV) infection" from the definition of "communicable disease of public health significance." HHS/CDC is also proposing to remove references to "HIV" from the scope of examinations in its regulations. Aliens infected with a "communicable disease of public health significance" are inadmissible into the United States under the Immigration and Nationality Act (INA). The Tom Lantos and Henry Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 (the July 2008 legislation reauthorizing the President's Emergency Plan for AIDS Relief (PEPFAR)) removed language from the INA which had previously mandated that HIV be on the list of diseases that can bar entry to the U.S. This legislative change allowed HHS/CDC to reassess whether HIV infection should be retained or removed from regulations based on sound public health science and current understanding of HIV epidemiology. There are other diseases, including sexually transmitted diseases, which CDC may remove from the definition of "communicable disease of public health significance" through future rulemaking after scientific review. While HIV infection is a serious health condition, it does not represent a communicable disease that is a significant threat for introduction, transmission, and spread to the U.S. population through casual contact. As a result of these proposed regulatory changes, aliens would no longer be inadmissible into the United States based solely on the grounds they are infected with HIV and they would no longer undergo HIV testing as part of the routine medical examination.

Action & Dates

Action
Notice of Proposed Rulemaking (NPRM).
Dates
Written comments must be received on or before August 17, 2009. Comments received after August 17, 2009 will be considered to the extent possible.

CFR References

Topics

AliensHealth carePassports and visasPublic health

Public Comment

Comments Close
2009-08-17

Document Excerpt

Document Headings Document headings vary by document type but may contain the following: the agency or agencies that issued and signed a document the number of the CFR title and the number of each part the document amends, proposes to amend, or is directly related to the agency docket number / agency internal file number the RIN which identifies each regulatory action listed in the Unified Agenda of Federal Regulatory and Deregulatory Actions See the Document Drafting Handbook for more details. Department of Health and Human Services Centers for Disease Control and Prevention 42 CFR Part 34 [Docket No. CDC-2008-0001] RIN 0920-AA26 AGENCY: Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services (HHS). ACTION: Notice of Proposed Rulemaking (NPRM). SUMMARY: The Centers for Disease Control and Prevention (CDC), within the U.S. Department of Health and Human Services (HHS), is proposing to revise the Part 34 regulation to remove “Human Immunodeficiency Virus (HIV) infection” from the definition of “communicable disease of public health significance.” HHS/CDC is also proposing to remove references to “HIV” from the scope of examinations in its regulations. Aliens infected with a “communicable disease of public health significance” are inadmissible into the United States under the Immigration and Nationality Act (INA). The Tom Lantos and Henry Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 (the July 2008 legislation reauthorizing the President's Emergency Plan for AIDS Relief (PEPFAR)) removed language from the INA which had previously mandated that HIV be on the list of diseases that can bar entry to the U.S. This legislative change allowed HHS/CDC to reassess whether HIV infection should be retained or removed from regulations based on sound public health science and current understanding of HIV epidemiology. There are other…

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Full Document

Citation: 74 FR 31798