SB475 (2018) Compare Changes


The Bill Text indicates a repeal. This means the text being replaced is not available in the bill, and the unchanged text displayed is incomplete. The original text can be viewed by following the link to the RSA. Also, an accompanying re-enactment is not handled currently, and displayed in both unchanged and changed versions.
The Bill Text indicates a new section is being inserted. This situation is not handled right now, and the new text is displayed in both the changed and unchanged versions.

Unchanged Version

Text to be removed highlighted in red.

1 Statement of Purpose.

I. The general court recognizes that:

(a) Lyme disease is the sixth fastest growing disease in the United States according to the Centers for Disease Control and Prevention.

(b) Lyme disease is difficult to diagnose and treat.

(c) Blood tests performed within the first month after initial infection often produce false results.

II. Therefore, the general court hereby requires health care providers to provide certain information to persons being tested for Lyme disease.

2 New Chapter; Lyme Disease. Amend RSA by inserting after chapter 141-J the following new chapter:

CHAPTER 141-K

LYME DISEASE

141-K:1 Definitions. In this chapter:

I. "Lyme disease" means an infection caused by Borrelia burgdorferi, a type of bacterium called a spirochete that is carried by deer ticks. An infected tick can transmit the spirochete to the humans and animals it bites. Untreated, the bacterium travels through the bloodstream, establishes itself in various body tissues, and can cause a number of symptoms, some of which are severe.

II. "Health care provider" means a person who is duly licensed, certified, authorized, or registered under the laws of the state to provide health care.

141-K:2 Lyme Disease Test Results.

I. Every health care provider who orders a laboratory test for the presence of Lyme disease shall provide to the patient or his or her legal representative the following written information:

"Your health care provider has ordered a laboratory test for the presence of Lyme disease for you. Current laboratory testing for Lyme disease can be problematic and standard laboratory tests often result in false negative and false positive results. If you are tested for Lyme disease, and the results are negative, this does not necessarily mean you do not have Lyme disease. If you continue to experience symptoms, you should contact your health care provider and inquire about the appropriateness of retesting or additional treatment."

II. Health care providers shall also provide the detailed test results to the patient or the patient's representative.

III. A health care provider who provides the notice required under this section shall be immune from civil liability for providing the notice unless the health care provider acts with gross negligence or willful misconduct.

IV. Health care providers in violation of this chapter shall be subject to disciplinary actions from the appropriate licensing, certifying, or registration authority.

3 Repeal. RSA 141-K, relative to Lyme disease, is repealed.

4 Effective Date.

I. Section 3 of this act shall take effect July 1, 2023.

II. The remainder of this act shall take effect upon its passage.

Changed Version

Text to be added highlighted in green.

1 Statement of Purpose.

I. The general court recognizes that:

(a) Lyme disease is the sixth fastest growing disease in the United States according to the Centers for Disease Control and Prevention.

(b) Lyme disease is difficult to diagnose and treat.

(c) Blood tests performed within the first month after initial infection often produce false results.

II. Therefore, the general court hereby requires health care providers to provide certain information to persons being tested for Lyme disease.

2 New Chapter; Lyme Disease. Amend RSA by inserting after chapter 141-J the following new chapter:

CHAPTER 141-K

LYME DISEASE

141-K:1 Definitions. In this chapter:

I. "Lyme disease" means an infection caused by Borrelia burgdorferi, a type of bacterium called a spirochete that is carried by deer ticks. An infected tick can transmit the spirochete to the humans and animals it bites. Untreated, the bacterium travels through the bloodstream, establishes itself in various body tissues, and can cause a number of symptoms, some of which are severe.

II. "Health care provider" means a person who is duly licensed, certified, authorized, or registered under the laws of the state to provide health care.

141-K:2 Lyme Disease Test Results.

I. Every health care provider who orders a laboratory test for the presence of Lyme disease shall provide to the patient or his or her legal representative the following written information:

"Your health care provider has ordered a laboratory test for the presence of Lyme disease for you. Current laboratory testing for Lyme disease can be problematic and standard laboratory tests often result in false negative and false positive results. If you are tested for Lyme disease, and the results are negative, this does not necessarily mean you do not have Lyme disease. If you continue to experience symptoms, you should contact your health care provider and inquire about the appropriateness of retesting or additional treatment."

II. Health care providers shall also provide the detailed test results to the patient or the patient's representative.

III. A health care provider who provides the notice required under this section shall be immune from civil liability for providing the notice unless the health care provider acts with gross negligence or willful misconduct.

IV. Health care providers in violation of this chapter shall be subject to disciplinary actions from the appropriate licensing, certifying, or registration authority.

3 Repeal. RSA 141-K, relative to Lyme disease, is repealed.

4 Effective Date.

I. Section 3 of this act shall take effect July 1, 2023.

II. The remainder of this act shall take effect upon its passage.