Health Care Personnel (HCP) TB Screening Resources

In California, Licensing and Certification (L&C Title 22) and CalOSHA (Title 8) require TB testing and offering testing, respectively. 

Licensing and Certification (L&C) 

California Code of Regulation (CCR) Title 22, Div. 5, Ch.1-12.

CDPH Licensing & Certification enforces licensing requirements for hire & annual testing and notifies health care facilities of policy changes through All Facility Letters (AFLs). 

August 16, 2019, State of California—Health and Human Services Agency California Department of Public Health, AFL 19-28, Program Flexibility

Sample Program Flexibility Request

Health Care Workers are persons who work in a health facility, service or operation, or who have occupational TB exposure in public health services in connection with health care.

California Tuberculosis (TB) Testing Regulations for Health Care Facilities, Title 22 (T22) California Code of Regulation, by facility type:

AFLs 2020:

CalOSHA Annual TB testing of Health Care Personnel Code

According to the California Code of Regulations, Title 8, Section 5199(h)(3), “…The employer shall make an assessment for latent tuberculosis infection (LTBI) available to all employees with occupational exposure. Assessment procedures shall be in accordance with applicable public health guidelines.

(A) TB tests and other forms of TB assessment shall be provided at least annually, and more frequently if applicable public health guidelines or the local health officer recommends more frequent testing. Employees with a baseline positive TB test shall have an annual symptom screen.

(B) The employer shall refer employees who experience a TB conversion to a PLHCP knowledgeable about TB for evaluation”.

This section is available at . If you need further assistance, please contact the nearest Cal/OSHA Consultation Service office,

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