,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #hie  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #bh1 #bjac   
,ms4 ,wat]s 7= h]self1 ,mr4 ,cony]s1    
,mr4 ,scott ( ,virg9ia1 ,mr4 ,grijalva1 
,mr4 ,s]rano1 ,mr4 ,nadl]1 ,ms4 ,lee (  
,cali=nia1 ,mrs4 ,*ri/5s51 ,ms4         
,roybal-,all>d1 ,ms4 ,norton1 ,mr4      
,rangel1 ,ms4 ,jackson ,lee1 ,ms4       
,wilson ( ,florida1 ,mr4 ,ha/+s (       
,florida1 ,ms4 ,s*ak[sky1 ,ms4 ,hahn1   
,ms4 ,sewell ( ,alabama1 ,mr4 ,ru%1 ,ms4
 ,cl>ke1 ,mr4 ,johnson ( ,georgia1 ,ms4 
,l9da ,t4 ,sn*ez ( ,cali=nia1 ,mr4      
,blum5au]1 ,mr4 ,coh51 ,mr4 ,ellison1   
,mr4 ,honda1 ,mr4 ,lewis1 ,mr4 ,clay1   
,mrs4 ,beatty1 & ,mr4 ,cumm+s7 introduc$
 ! foll[+ bill2 :i* 0 ref]r$ to !       
,committee on ! ,judici>y  ,a ,,bill    
,to provide = an effective ,,hiv_/,,aids
 program 9 ,f$]al prisons4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,/op    
,,aids 9 ,prison ,act ( #bjac4  #b4     
,compreh5sive ,,hiv_/,,aids ,policy  7a7
 ,9 g5]al ,! ,bureau ( ,prisons         

7h]e9aft] 9 ?is ,act ref]r$ to z !      
,bureau7 %all develop a compreh5sive    
policy to provide ,,hiv te/+1 treatm5t1 
& prev5tion = inmates )9 ! correctional 
sett+ & ^u re5try4  7b7 ,purpose ,!     
purposes ( ?is policy %all be z foll[s3 
7#a7 ,to /op ! spread ( ,,hiv_/,,aids   
among inmates4  7#b7 ,to protect prison 
gu>ds & o!r p]sonnel f ,,hiv_/,,aids    
infection4  7#c7 ,to provide            
compreh5sive m$ical treatm5t to inmates 
:o are liv+ ) ,,hiv_/,,aids4  7#d7 ,to  
promote ,,hiv_/,,aids aw>5ess &         
prev5tion among inmates4  7#e7 ,to      
enc\rage inmates to take p]sonal        
responsibility = _! heal?4  7#f7 ,to    
r$uce ! risk t inmates w transmit       
,,hiv_/,,aids to o!r p]sons 9 !         
community foll[+ _! release f prison4   
7c7 ,consultation ,! ,bureau %all       
consult ) appropriate (ficials ( !      
,dep>tm5t ( ,heal? & ,human ,s]vices1 ! 
,(fice ( ,national ,drug ,control       
,policy1 ! ,(fice ( ,national ,,aids    
,policy1 & ! ,c5t]s = ,disease ,control 

reg>d+ ! developm5t ( ?is policy4  7d7  
,"t limit ,! ,bureau %all draft         
appropriate regulations to implem5t ?is 
policy n lat] ?an #a ye> aft] ! date ( !
 enactm5t ( ?is ,act4  #c4 ,requirem5ts 
= policy ,! policy creat$ "u section #b 
%all d ! foll[+3  7#a7 ,te/+ & c\nsel+  
^u intake  7,a7 ,heal? c>e p]sonnel %all
 provide r\t9e ,,hiv te/+ to all inmates
 z a "p ( a compreh5sive m$ical         
exam9ation imm$iately foll[+ admission  
to a facility4 7,heal? c>e p]sonnel ne$ 
n provide r\t9e ,,hiv te/+ to an inmate 
:o is transf]r$ to a facility f ano!r   
facility if ! inmate's m$ical records   
are transf]r$ ) ! inmate & indicate t ! 
inmate has be5 te/$ previ\sly47  7,b7   
,to all inmates admitt$ to a facility   
prior to ! effective date ( ?is policy1 
heal? c>e p]sonnel %all provide r\t9e   
,,hiv te/+ )9 no m ?an #f mon?s4 ,,hiv  
te/+ = ^! inmates may be p]=m$ 9        
conjunction ) o!r heal? s]vices provid$ 
to ^! inmates by heal? c>e p]sonnel4    
7,c7 ,all ,,hiv te/s "u ?is p>agraph    

%all comply ) ! opt-out provision4  7#b7
 ,pre-,te/ & ,po/-,te/ ,c\nsel+ ,heal?  
c>e p]sonnel %all provide confid5tial   
pre-te/ & po/-te/ c\nsel+ to all inmates
 :o are te/$ = ,,hiv4 ,c\nsel+ may be   
includ$ ) o!r g5]al heal? c\nsel+       
provid$ to inmates by heal? c>e         
p]sonnel4  7#c7 ,,hiv_/,,aids ,prev5tion
 ,education  7,a7 ,heal? c>e p]sonnel   
%all improve ,,hiv_/,,aids aw>5ess ?r\gh
 frequ5t educational programs = all     
inmates4 ,,hiv_/,,aids educational      
programs may be provid$ by community    
bas$ organizations1 local heal?         
dep>tm5ts1 & inmate pe] educators4  7,b7
 ,,hiv_/,,aids educational mat]ials %all
 be made available to all inmates at    
ori5tation1 at heal? c>e cl9ics1 at     
regul> educational programs1 & prior to 
release4 ,bo? writt5 & audio-visual     
mat]ials %all be made available to all  
inmates4  7,c7 7i7 ,! ,,hiv_/,,aids     
educational programs & mat]ials "u ?is  
p>agraph %all include in=mation on--    
7,i7 modes ( transmission1 includ+      

transmission ?r\gh tattoo+1 sexual      
contact1 & intrav5\s drug use2  7,,ii7  
prev5tion me?ods2  7,,iii7 treatm5t2 &  
7,,iv7 disease progression4  7ii7 ,!    
programs & mat]ials %all be culturally  
s5sitive1 writt5 or design$ = l[ lit]acy
 levels1 available 9 a v>iety (         
languages1 & pres5t sci5tifically       
accurate in=mation 9 a cle> & und]/&able
 mann]4  7#d7 ,,hiv ,te/+ ^u reque/     
7,a7 ,heal? c>e p]sonnel %all all[      
inmates to obta9 ,,hiv te/s ^u reque/   
once p] ye> or :5ev] an inmate has a    
reason to believe ! inmate may h be5    
expos$ to ,,hiv4 ,heal? c>e p]sonnel    
%all1 bo? orally & 9 writ+1 in=m        
inmates1 dur+ ori5tation & p]iodically  
?r\gh\t inc>c]ation1 ( _! "r to obta9   
,,hiv te/s4  7,b7 ,heal? c>e p]sonnel   
%all enc\rage inmates to reque/ ,,hiv   
te/s if ! inmate is sexually active1 has
 be5 rap$1 uses intrav5\s drugs1        
receives a tattoo1 or if ! inmate is    
conc]n$ t ! inmate may h be5 expos$ to  
,,hiv_/,,aids4  7,c7 ,an inmate's reque/

 = an ,,hiv te/ %all n be consid]$ an   
indication t ! inmate has put           
him_/h]self at risk ( infection &_/or   
committ$ a violation ( prison rules4    
7#e7 ,,hiv ,te/+ ( ,pregnant ,woman     
7,a7 ,heal? c>e p]sonnel %all provide   
r\t9e ,,hiv te/+ to all inmates :o      
become pregnant4  7,b7 ,all ,,hiv te/s  
"u ?is p>agraph %all comply ) ! opt-out 
provision4  7#f7 ,compreh5sive treatm5t 
7,a7 ,heal? c>e p]sonnel %all provide   
all inmates :o te/ positive = ,,hiv--   
7i7 timely1 compreh5sive m$ical         
treatm5t2  7ii7 confid5tial c\nsel+ on  
manag+ _! m$ical condition & prev5t+ its
 transmission to o!r p]sons2 &  7iii7   
volunt>y p>tn] notification s]vices4    
7,b7 ,heal? c>e provid$ "u ?is p>agraph 
%all be consi/5t ) curr5t ,dep>tm5t (   
,heal? & ,human ,s]vices guidel9es &    
/&>d m$ical practice4 ,heal? c>e        
p]sonnel %all discuss treatm5t options1 
! importance ( adh]5ce to antiretroviral
 !rapy1 & ! side effects ( m$ications ) 
inmates receiv+ treatm5t4  7,c7 ,heal?  

c>e p]sonnel & ph>macy p]sonnel %all    
ensure t ! facility =mul>y conta9s all  
,food & ,drug ,adm9i/ration-approv$     
m$ications necess>y to provide          
compreh5sive treatm5t = inmates liv+ )  
,,hiv_/,,aids1 & t ! facility ma9ta9s   
adequate supplies ( su* m$ications to   
meet inmates' m$ical ne$s4 ,heal? c>e   
p]sonnel & ph>macy p]sonnel %all also   
develop & implem5t automatic r5ewal     
sy/ems = ^! m$ications to prev5t        
int]ruptions 9 c>e4  7,d7 ,correctional 
/aff1 heal? c>e p]sonnel1 & ph>macy     
p]sonnel %all develop & implem5t        
di/ribution proc$ures to ensure timely &
 confid5tial access to m$ications4  7#g7
 ,protection ( ,confid5tiality  7,a7    
,heal? c>e p]sonnel %all develop &      
implem5t proc$ures to ensure !          
confid5tiality ( inmate te/s1 diagnoses1
 & treatm5t4 ,heal? c>e p]sonnel &      
correctional /aff %all receive regul>   
tra9+ on ! implem5tation ( ^! proc$ures4
 ,p5alties = violations ( inmate        
confid5tiality by heal? c>e p]sonnel or 

correctional /aff %all be specifi$ &    
/rictly en=c$4  7,b7 ,,hiv te/+1        
c\nsel+1 & treatm5t %all be provid$ 9 a 
confid5tial sett+ :]e o!r r\t9e heal?   
s]vices are provid$ & 9 a mann] t all[s 
! inmate to reque/ & obta9 ^! s]vices z 
r\t9e m$ical s]vices4  7#h7 ,te/+1      
c\nsel+1 & ref]ral prior to re5try  7,a7
 ,heal? c>e p]sonnel %all provide r\t9e 
,,hiv te/+ to all inmates no m ?an #c   
mon?s prior to _! release & re5try into 
! community4 7,inmates :o are already   
kn[n to be infect$ ne$ n be te/$ aga947 
,?is requirem5t may be waiv$ if an      
inmate's release occurs )\t suffici5t   
notice to ! ,bureau to all[ heal? c>e   
p]sonnel to p]=m a r\t9e ,,hiv te/ &    
notify ! inmate ( ! results4  7,b7 ,all 
,,hiv te/s "u ?is p>agraph %all comply )
 ! opt-out provision4  7,c7 ,to all     
inmates :o te/ positive = ,,hiv & all   
inmates :o already are kn[n to h        
,,hiv_/,,aids1 heal? c>e p]sonnel %all  
provide--  7i7 confid5tial pr]elease    
c\nsel+ on manag+ _! m$ical condition 9 

! community1 access+ appropriate        
treatm5t & s]vices 9 ! community1 &     
prev5t+ ! transmission ( _! condition to
 family memb]s & o!r p]sons 9 !         
community2  7ii7 ref]rals to appropriate
 heal? c>e provid]s & social s]vice     
ag5cies 9 ! community t meet ! inmate's 
individual ne$s1 includ+ volunt>y p>tn] 
notification s]vices & prev5tion c\nsel+
 s]vices = p liv+ ) ,,hiv_/,,aids2 &    
7iii7 a #cj-;day supply ( any m$ically  
necess>y m$ications ! inmate is curr5tly
 receiv+4  7#i7 ,opt-,out ,provision    
,inmates %all h ! "r to refuse r\t9e    
,,hiv te/+4 ,inmates %all be in=m$ bo?  
orally & 9 writ+ ( ?is "r4 ,oral &      
writt5 disclosure ( ?is "r may be       
includ$ ) o!r g5]al heal? in=mation &   
c\nsel+ provid$ to inmates by heal? c>e 
p]sonnel4 ,if an inmate refuses a r\t9e 
te/ = ,,hiv1 heal? c>e p]sonnel %all    
make a note ( ! inmate's refusal 9 !    
inmate's confid5tial m$ical records4    
,h[ev]1 ! inmate's refusal %all n be    
consid]$ a violation ( prison rules or  

result 9 discipl9>y action4 ,any ref]5ce
 9 ?is section to ! opt-out provision   
%all be deem$ a ref]5ce to ! requirem5t 
( ?is p>agraph4  7#aj7 ,exclusion (     
,te/s ,p]=m$ ,"u ,section #djad7;b7 f ! 
,def9ition ( ,r\t9e ,,hiv ,te/+ ,,hiv   
te/+ ( an inmate "u section #djad7;b7 ( 
title #ah1 ,unit$ ,/ates ,code1 is n    
r\t9e ,,hiv te/+ = ! purposes ( !       
opt-out provision4 ,heal? c>e p]sonnel  
%all docum5t ! reason = te/+ "u section 
#djad7;b7 ( title #ah1 ,unit$ ,/ates    
,code1 9 ! inmate's confid5tial m$ical  
records4  7#aa7 ,timely notification (  
te/ results ,heal? c>e p]sonnel %all    
provide timely notification to inmates (
 ! results ( ,,hiv te/s4  #d4 ,*anges 9 
exi/+ law  7a7 ,scre5+ 9 g5]al ,section 
#djad7;a7 ( title #ah1 ,unit$ ,/ates    
,code1 is am5d$--  7#a7 by /rik+ = a    
p]iod ( #f mon?s or m2  7#b7 by /rik+ 1 
z appropriate12 &  7#c7 by /rik+ if su* 
individual is det]m9$ to be at risk =   
infection ) su* virus 9 accordance ) !  
guidel9es issu$ by ! ,bureau ( ,prisons 

relat+ to infecti\s disease managem5t & 
ins]t+ unless ! individual decl9es4 ,!  
,attorney ,g5]al %all also cause su*    
individual to be s te/$ be=e release    
unless ! individual decl9es44  7b7      
,inadmissibility ( ,,hiv ,te/ ,results 9
 civil & crim9al proce$+s ,section      
#djad7;d7 ( title #ah1 ,unit$ ,/ates    
,code1 is am5d$ by ins]t+ or "u ! ,/op  
,,aids 9 ,prison ,act ( #bjac aft] "u   
?is section4  7c7 ,scre5+ z "p ( r\t9e  
scre5+ ,section #djad7;e7 ( title #ah1  
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+3 ,su* rules %all also   
provide t ! initial te/ "u ?is section  
be p]=m$ z "p ( ! r\t9e heal? scre5+    
conduct$ at intake44  #e4 ,report+      
requirem5ts  7a7 ,report on hepatitis & 
o!r diseases ,n lat] ?an #a ye> aft] !  
date ( ! enactm5t ( ?is ,act1 ! ,bureau 
%all provide a report to ! ,congress on 
,bureau policies & proc$ures to provide 
te/+1 treatm5t1 & prev5tion education   
programs = hepatitis & o!r diseases     
transmitt$ ?r\gh sexual activity &      

intrav5\s drug use4 ,! ,bureau %all     
consult ) appropriate (ficials ( !      
,dep>tm5t ( ,heal? & ,human ,s]vices1 ! 
,(fice ( ,national ,drug ,control       
,policy1 ! ,(fice ( ,national ,,aids    
,policy1 & ! ,c5t]s = ,disease ,control 
reg>d+ ! developm5t ( ?is report4  7b7  
,annual reports  7#a7 ,g5]ally ,n lat]  
?an #b ye>s aft] ! date ( ! enactm5t (  
?is ,act1 & !n annually !reaft]1 !      
,bureau %all report to ,congress on !   
incid5ce among inmates ( diseases       
transmitt$ ?r\gh sexual activity &      
intrav5\s drug use4  7#b7 ,matt]s p]ta9+
 to v>i\s diseases ,reports "u p>agraph 
7#a7 %all discuss--  7,a7 ! incid5ce    
among inmates ( ,,hiv_/,,aids1          
hepatitis1 & o!r diseases transmitt$    
?r\gh sexual activity & intrav5\s drug  
use2 &  7,b7 updates on ,bureau te/+1   
treatm5t1 & prev5tion education programs
 = ^! diseases4  7#c7 ,matt]s p]ta9+ to 
,,hiv_/,,aids only ,reports "u p>agraph 
7#a7 %all also include--  7,a7 ! numb] (
 inmates :o te/$ positive = ,,hiv ^u    

intake2  7,b7 ! numb] ( inmates :o te/$ 
positive prior to re5try2  7,c7 ! numb] 
( inmates :o 7 n te/$ prior to re5try   
because !y 7 releas$ )\t suffici5t      
notice2  7,d7 ! numb] ( inmates :o      
opt$-out ( tak+ ! te/2  7,e7 ! numb] (  
inmates :o 7 te/$ "u section #djad7;b7 (
 title #ah1 ,unit$ ,/ates ,code2 &  7,f7
 ! numb] ( inmates "u treatm5t =        
,,hiv_/,,aids4  7#d7 ,consultation ,!   
,bureau %all consult ) appropriate      
(ficials ( ! ,dep>tm5t ( ,heal? & ,human
 ,s]vices1 ! ,(fice ( ,national ,drug   
,control ,policy1 ! ,(fice ( ,national  
,,aids ,policy1 & ! ,c5t]s = ,disease   
,control reg>d+ ! developm5t ( reports  
"u p>agraph 7#a74