Must AOD Programs Provide TB Services?
Federal law and regulations require AOD providers who receive Substance Abuse Prevention and Treatment (SAPT) Block Grant monies to implement TB infection control procedures and make TB services available to both patients and applicants for AOD services. The tuberculous services requirements are contained in section 1924(a) of the Public Health Service (PHS) Act. The purpose of the TB services mandate is to prevent the transmission of TB in the treatment setting and to ensure that AOD patients get access to screening, evaluation, treatment, and followup for TB. Section 1924(c) of the PHS Act and 45 C.F.R. ยง 96.137 provide that the block grant may be used to pay for such services although, as stated in the regulations, the block grant funds may be used only as the “payment of last resort.” However, since most AOD programs cannot provide on-site medical services for their patients (or would-be patients), the mandate can be satisfied only if such AOD providers collaborate with public heal
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