Administrative Rules

TB Administrative Rules

The TB Control Program worked extensively on rule changes with the Bureau of Substance Abuse and Department of Inspections and Appeals which are consistent with published recommendations from the Centers for Disease Control (CDC) Division of TB Elimination. The rules provide uniform TB screening, testing, and serial testing procedures for health care workers (HCWs) and residents of licensed health care and substance abuse facilities.

For most hospitals and health care facilities, the new rules will diminish the frequency of serial testing of HCWs while assuring that Iowa’s HCWs are properly screened and evaluated for TB infection and disease.

• Risk Factors for TB Screening Tool (intended for general screening outside of healthcare facilities) 
• TB Risk Assessment - Hospitals and Healthcare Facilities -revised 9/2018 
• TB Risk Assessment - Substance Abuse Facilities
• TB Sign/Symptom Screening Tool (intended for use in screening HCWs undergoing baseline TB testing) 
• TB Testing Rules: Frequently Asked Questions - updated 5/9/13 

Code Citation: IDPH Substance Abuse/Problem Gambling Program

Click here for contact information for the Bureau of Substance Abuse

• 641 IAC 155  

Code Citations: Iowa Department of Inspections and Appeals (DIA)

For questions regarding enforcement of DIA TB Rules please contact DIA at: webmaster@dia.iowa.gov

• 481 IAC 59
• TB Risk Assessment - Hospitals and Healthcare Facilities -revised 9/2018 

Code Citations: Reporting Requirements

Iowa Code 139A requires laboratories and health care providers to report suspected or confirmed cases of M. tuberculosis.

Click here for full version of Iowa Administrative Code, Chapter 641.1

Code Citations: Iowa Department of Human Services

Child Care Provider Physical Examination Form

For questions regarding enforcement of DHS Child Care Provider TB Testing Rules please contact Ms. Ryan Page at: rpage@dhs.state.ia.us or 515-281-7714

• DHS TB Rules Citations

Code Citations: Various TB Iowa Admin. Code & Iowa Code References

• Iowa TB and Communicable Disease Investigation Citations