6403.4.
(a) For purposes of this section, the following definitions apply:(1) “Confirmed COVID-19 patient” means a patient who has tested positive for COVID-19.
(2) “COVID-19” means the illness caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
(3) “COVID-19 screening testing” means using a diagnostic test for SARS-CoV-2.
(4) “Employer” means a person or organization that employs workers in the public or private sector to provide direct patient care in a
general acute care hospital.
(5) “Exposed,” with regard to health care personnel, means the health care personnel had contact with a potential or confirmed COVID-19 patient while not wearing full personal protective equipment.
(6) “Full personal protective equipment” means, at a minimum, all of the following:
(A) A NIOSH-certified respirator that is at least as protective as an N95 filtering facepiece respirator.
(B) Eye protection.
(C) A fluid-resistant isolation gown.
(D) Medical-grade gloves.
(7) “General acute care hospital” has the same meaning as defined in subdivision (a) of Section 1250 of the Health and Safety Code.
(8) “Health care personnel” means all paid and unpaid persons serving in a general acute care hospital who have the potential for direct or indirect exposure to patients or infectious materials, including body substances, such as blood, tissue, and fluids, contaminated medical supplies, devices, or equipment, contaminated environmental surfaces, or contaminated air. Health care personnel include, but are not limited to, emergency medical service personnel, nurses, nursing assistants, physicians, technicians, therapists, phlebotomists, pharmacists, students and trainees, contractual staff not employed by the general acute care hospital, and persons not directly involved in patient care, but who could
be exposed to infectious agents that can be transmitted in the hospital setting, including clerical, dietary, environmental services, laundry, security, engineering and facilities management, administrative, billing, and volunteer personnel.
(9) “Potential COVID-19 patient” means a patient who has not been confirmed to have COVID-19, but who also has not been ruled out as having COVID-19 by a precautionary screening.
(10) “Precautionary screening” means evaluating whether or not a patient may have COVID-19 by administering a COVID-19 test, reviewing the patient’s history of exposure to COVID-19 during the previous 14 days, and documenting clinical signs and symptoms that might be consistent with COVID-19.
(b) An
employer shall develop and implement a program to offer weekly COVID-19 screening testing for health care personnel that meets the following requirements:
(1) The employer shall conduct the COVID-19 screening testing by administering to participating health care personnel, an authorized COVID-19 virus nucleic acid test with results obtained within 48 hours.
(2) All health care personnel shall be offered the opportunity to participate in the screening testing program. Except as provided in paragraphs (3) and (4), health care personnel may participate in the screening testing program as frequently as weekly.
(3) Health care personnel who have been exposed to COVID-19 shall be offered the opportunity to be tested for COVID-19, regardless
of whether or not they are symptomatic or asymptomatic.
(4) Health care personnel who have signs or symptoms consistent with COVID-19 shall be offered the opportunity to be tested for COVID-19 immediately. within 24 hours. Employers shall not delay offering testing of symptomatic health care personnel until the next scheduled screening testing date.
(5) COVID-19 screening testing shall be offered to health care personnel even if they have been vaccinated or previously tested positive for COVID-19.
(6) Routine COVID-19 screening testing of health care
personnel does not replace or preclude other infection prevention and control interventions, including monitoring all health care personnel and patients for signs and symptoms of COVID-19, universal masking by health care personnel and patients for source control, maintaining physical distancing and source control in health care personnel common areas, including break rooms, use of recommended personal protective equipment, and environmental cleaning and disinfection.
(7) An employer may use pooled testing for routine weekly screening of asymptomatic health care personnel. Pooled testing may not be used for diagnostic screening.
(8) COVID-19 screening testing shall be offered at no cost to health care personnel, at a reasonable time and place for the health care
personnel, and during the health care personnel’s working hours.
(c) An employer shall develop and implement health care personnel screening testing guidelines that include policies and procedures that address the use of COVID-19 test results. The policies and procedures shall include all of the following:
(1) A policy on how the results of the COVID-19 tests will be explained to health care personnel.
(2) A policy on how to communicate information about a positive COVID-19 test to the hospital’s responsible parties.
(3) A policy on how COVID-19 test results, whether positive or negative, will be tracked and methods for reporting test results to state and local
authorities, as required by law.
(4) A policy on how COVID-19 test results will be used to guide implementation of infection control measures, including plans for notification and testing of other health care personnel and patients who are exposed to COVID-19. Employers shall implement contact tracing as a part of their infection control measures.
(5) A procedure for addressing health care personnel that are exposed to COVID-19 or showing symptoms of COVID-19, but who decline or are unable to be tested.
(6) Plans to address potential staffing shortages for health care personnel who test positive for COVID-19 and who are excluded from work.
(d) An employer
shall develop a COVID-19 mitigation testing plan containing all requirements described in subdivisions (b) and (c) and shall make this plan available to the department and health care personnel and their representatives upon request.
(e) An (1) Except as provided in paragraph (2), an employer shall test all patients for COVID-19 prior to admission to the hospital and shall monitor all patients during their hospital stay for the development of COVID-19 symptoms. Employers shall promptly test any newly symptomatic patients and any patients who are exposed to a suspected or confirmed COVID-19 case during their hospital stay.
(2) An employer shall not be required to test a patient for COVID-19 prior to admission if any of the following is applicable:
(A) The patient is being admitted to the hospital due to an emergent condition and testing the patient for COVID-19 could threaten the health of the patient. However, once there is no threat to the health of the patient, the patient shall be tested for COVID-19.
(B) As determined by a physician or other appropriate medical professional, testing the patient for COVID-19 prior to admission is contraindicated due to a medical or psychiatric condition. However, the patient shall be tested for COVID-19 once testing the patient is no longer contraindicated.
(C) Testing the patient poses a significant danger to the physical safety of
health care personnel. However, once there is no significant danger to the physical safety of health care personnel, the patient shall be tested.
(3) A patient that is not tested under the exception in paragraph (2) shall be considered a potential COVID-19 patient. Health care personnel shall be provided and shall wear full personal protective equipment when providing care to such a patient.
(f) If an employer provides emergency services and direct patient care services in a general acute care hospital controlled by another employer, the requirements of this section shall be imposed only on the employer who controls the general acute care hospital and that employer shall meet those requirements in that hospital.
(g) This section shall remain in effect only until January 1, 2025, and as of that date is repealed.