The short answer Georgia's private home care provider licensing rules require documentation of a satisfactory TB screening at hire and annually for each employee and bar supervisors from letting TB-exposed employees serve clients until cleared. Workers' comp is mandatory at 3 or more employees.
What Georgia requires
Georgia
TB screening required. Ga. Comp. R. & Regs. R. 111-8-65-.09 requires personnel records to include documentation of a satisfactory TB screening test upon employment and annually thereafter; no supervisor may knowingly permit an employee exposed to or diagnosed with TB to serve clients until determined non-contagious.
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Licensing program. Private home care providers are licensed by the Georgia Department of Community Health Healthcare Facility Regulation Division.
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Workers' comp at 3+ employees. Georgia employers regularly employing three or more persons (part- or full-time, counting corporate officers and LLC members even if individually exempted) must carry workers' compensation (State Board of Workers' Compensation; O.C.G.A. 34-9-2).
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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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