Page:United States Statutes at Large Volume 102 Part 1.djvu/540

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PUBLIC LAW 100-000—MMMM. DD, 1988

102 STAT. 502

PUBLIC LAW 100-322—MAY 20, 1988

management and monitoring of the program to ensure that a high quality of care is provided under the program and to ensure an accurate accounting of funds for the program. (3) During fiscal year 1989, funds may not be obligated for the pilot program under this section other than funds specifically appropriated for that program. (g) REPEAL OF CONTRACT AUTHORITY IN TITLE 38.—(1) Section 620C is repealed. (2) The table of sections at the beginning of chapter 17 is amended by striking out the item relating to that section. 38 USC 214 note.

SEC. 116. REPORTS ON ASSISTANCE TO HOMELESS VETERANS.

Not later than December 15 of each of 1988, 1989, and 1990, the Administrator shall submit to the Committees on Veterans' Affairs of the Senate and House of Representatives a report on the activities (including outreach activities and delivery of medical benefits and other benefits) of the Veterans' Administration during the preceding fiscal year to assist homeless veterans. The report shall include any suggestions of the Administrator for changes in those activities. PART C—MATTERS RELATING TO AIDS

SEC. 121. CONFIDENTIALITY OF MEDICAL RECORDS.

State and local governments.

(a) GENERAL RULE.—Subsection (a) of section 4132 is amended— (1) by inserting "(1)" before "Records"; (2) by inserting "infection with the human immunodeficiency virus,' after "alcohol abuse,"; and (3) by adding at the end the following new paragraph: "(2) Paragraph (1) of this subsection prohibits the disclosure to any person or entity other than the patient or subject concerned of the fact that a special written consent is required in order for such records to be disclosed.". (b) PUBLIC HEALTH EXCEPTION.—Subsection (b) of such section is amended— (1) in paragraph (1), by striking out "pursuant to section 4134 of this title"; and (2) in paragraph (2)— (A) by redesignating subparagraph (C) as subparagraph (D); and (B) by inserting after subparagraph (B) the following new subparagraph (C): "(CXD In the case of any record which is maintained in Connection with the performance of any program or activity relating to infection with the human immunodeficiency virus, to a Federal, State, or local public-health authority, charged under Federal or State law with the protection of the public health, and to which Federal or State law requires disclosure of such record, if a qualified representative of such authority has made a written request that such record be provided as required pursuant to such law for a purpose authorized by such law. "(ii) A person to whom a record is disclosed under this paragraph may not redisclose or use such record for a purpose other than that for which the disclosure was made.". (c) DISCLOSURE TO SPOUSE OR SEXUAL PARTNER.—Such section is

further amended— (1) by redesignating subsection (f) as subsection (g); and