The short answer Connecticut requires by statute (Conn. Gen. Stat. 19a-490y) that every facility licensed under chapter 368v, including home health care and home health aide agencies, maintain CDC-based TB screening policies and screen all direct-care employees. Health care employers with 50+ employees also need a workplace violence prevention plan. Workers' comp from the first employee.
What Connecticut requires
Connecticut
TB screening required by statute. CGS 19a-490y (effective July 1, 2021) requires chapter 368v-licensed facilities to have policies reflecting CDC recommendations for TB screening, testing, treatment and education of health care personnel, and every direct-patient-care employee must receive screening/testing under them.
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Licensing regs. Home health care agencies are licensed under Conn. Agencies Regs. 19-13-D66 through 19-13-D79, with health-examination records addressed at 19-13-D71.
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Workplace violence prevention (50+ employees). CGS 19a-490q requires health care employers (chapter 368v institutions with 50 or more full- or part-time employees, which can include home health agencies) to maintain a workplace safety committee, annual risk assessment, and a written workplace violence prevention and response plan.
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Workers' comp from 1st employee. Connecticut's Workers' Compensation Act (CGS ch. 568) requires coverage for all employers with one or more employees (full-, part-time, or seasonal).
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The federal baseline (applies in every state)
Federal
No federal TB mandate for home care workers. There is no federal law requiring tuberculosis screening of home care or home health workers; TB screening obligations for this workforce are set by each state's facility licensing law. Federal Medicare Conditions of Participation for home health agencies (42 CFR Part 484) require an infection-prevention program but do not prescribe worker TB testing.
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2019 CDC/NTCA baseline screening standard. The 2019 CDC/National Tuberculosis Controllers Association recommendations for U.S. health care personnel call for a baseline (pre-placement) individual TB risk assessment, symptom evaluation, and a TB test (IGRA or TST) for those without documented prior positive results. Routine annual (serial) testing of health care personnel is no longer recommended absent ongoing exposure; instead facilities should provide annual TB education and symptom screening.
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Positive-result workup. Personnel with a newly positive TB test or TB symptoms should receive a chest X-ray and clinical evaluation to rule out active TB disease; those found to have latent TB infection should be offered and encouraged to complete LTBI treatment per CDC guidance.
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OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030). OSHA's Bloodborne Pathogens Standard applies to home care/home health workers with reasonably anticipated exposure to blood or other potentially infectious materials. Employers must maintain a written exposure control plan, provide annual training, and offer the hepatitis B vaccine series at no cost within 10 working days of assignment to covered workers.
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