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Policy and Procedure Statements

UPPS 07.09.01 - Management of Acquired Immune Deficiency Syndrome (AIDS) on Campus

Management of Acquired Immune Deficiency Syndrome (AIDS) on Campus

UPPS No. 07.09.01
Issue No. 6
Effective Date: 2/07/2025
Next Review Date: 6/01/2035 (E10Y)
Sr. Reviewer: Director, University Health Services

POLICY STATEMENT

Texas State University is committed to maintaining healthy and safe campuses.

  1. SCOPE

    1. This document sets forth Texas State University’s policy regarding HIV/AIDS on campus in compliance with Texas Education Code, Section 51.919 HIV and AIDS Policy. This policy applies to both the San Marcos and Round Rock campuses.

    2. Texas State recognizes that preventing the transmission of HIV is the only effective means of stopping the spread of HIV/AIDS. The university will address HIV/AIDS through education, support services, and appropriate accommodations for those living with HIV.

  2. DEFINITIONS

    1. Acquired Immune Deficiency Syndrome (AIDS) – an advanced stage of HIV infection characterized by deterioration of the body’s immune system and increased susceptibility to infections.

    2. HIV Infection – a condition in which an individual has tested positive for HIV. In the early stages of HIV infection, people may appear healthy but can transmit the virus to others.

    3. Employees – includes faculty, staff, and student employees.

    4. Pre-exposure Prophylaxis (PrEP) – medication used to help prevent infection with HIV.

  3. POLICIES AND PROCEDURES

    1. Admissions – The university will not deny admission to a prospective student on the basis of HIV infection.

    2. Employment – The university will not deny a person consideration for employment on the basis of HIV infection. An employee who is experiencing a disability may request employment accommodations following the procedures outlined in UPPS No. 04.04.60, Workplace Accommodation. The university will make a reasonable effort to accommodate the employee’s disability provided that available, reasonable accommodation will not impose an undue hardship.

    3. Class Attendance – A student with an HIV infection may attend all classes without restriction, provided that the student is able to perform assigned work. A student with an HIV infection is entitled to reasonable and appropriate academic accommodations, as outlined in UPPS No. 07.11.01, Disability Services for Students.

    4. Access to Facilities – The university will not deny a person access to its facilities on the basis of HIV infection.

    5. Athletic and Recreation Programs – The university will not restrict a student from participating in intercollegiate athletics, intramurals, or recreational sports unless the student poses a direct threat of infection to others.

    6. Residential Housing – The university will not restrict students living with HIV from university housing. The Department of Housing and Residential Life staff will not disclose this information without students’ prior written consent and will make decisions regarding a student living with HIV on an individual basis. A student with HIV infection who may require an accommodation in university housing should follow the procedures outlined in SS/PPS No. 07.13, Housing Accommodations Based On Disability-Related Needs.

    7. Exemptions Based on Presence of An Individual Living with HIV – The presence of a student living with HIV does not justify others from withdrawing from class or not fulfilling the terms of a residential housing contract. The presence of an employee living with HIV does not justify others from avoiding performing job duties.

    8. Mandatory HIV Testing – The university will not undertake any programs that require mandatory testing of students or employees except as provided by law.

    9. Laws Protecting Persons with HIV/AIDS – Section 504 of the Rehabilitation Act of 1973 and the 1990 Americans with Disabilities Act protect persons with disabilities, including those living with HIV, from discrimination and harassment. Employees and students who discriminate on an illegal basis are subject to disciplinary sanctions, as provided by UPPS No. 04.04.46, Prohibition of Discrimination.

  4. CONFIDENTIALITY PROCEDURES

    1. The Family Educational Rights and Privacy Act of 1974, Chapter 159 of the Occupations Code, Section 81.103 of the Health and Safety Code, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and other laws protect individuals from the unauthorized disclosure of confidential information. The HIV status of students and employees is confidential information that the university will not release without the prior written consent of the individual, except where release is required or authorized by law. HIV status in personnel records and workers’ compensation files is confidential information, safeguarded to prevent unauthorized disclosure.

    2. Every university department head will establish procedures to protect the confidentiality of HIV infection information in personnel records and to limit the number of persons involved in matters concerning individuals with HIV/AIDS. The Health and Safety Code provides criminal sanctions for persons who, with criminal negligence and in violation of the code:

      1. release or disclose a test result or other information; or

      2. allow a test result or other information to become known.

  5. SERVICES FOR PERSONS WITH HIV/AIDS

    1. University Health Services (UHS) will provide services as follows:

      1. UHS will provide students with:

        1. medical information about HIV/AIDS and resources available upon request;

        2. students who are otherwise eligible to receive UHS services may receive medical care for routine medical problems;

        3. referral for counseling services to address the emotional and psychological effects of the disease when indicated; and

        4. preventative care, including PrEP therapy if medically appropriate and indicated, as determined by the treating medical provider.

      2. UHS will provide employees with the following upon request:

        1. general information about HIV/AIDS; and

        2. information about area HIV/AIDS support resources.

      3. The director of UHS, or a designated medical representative, will provide consultation to supervisors, faculty, and administrators regarding HIV/AIDS issues.

    2. The Counseling Center will provide confidential counseling services as well as information about other resources available to students who are living with HIV.

    3. Disability Services will assist infected students in obtaining services and accommodations. A medical diagnosis of HIV/AIDS does not automatically mean a student will qualify for accommodations. The condition must cause a substantial limitation on a major life activity.

  6. HIV TESTING PROCEDURES

    1. Voluntary Testing and Counseling – UHS will provide confidential HIV testing with pre- and post-test counseling, as needed, to Texas State students who are eligible to receive UHS services. An anonymous testing program will be available whereby no information regarding the HIV test is recorded in the student’s medical record. Unless authorized or required by law, UHS will not perform HIV tests without the patient’s consent. The university will refer its employees to the county health department or their personal physician for HIV testing.

    2. Reporting of HIV Test Results – The university will report HIV test results in compliance with all applicable statutory requirements including Chapters 81, Chapter 84 of the Texas Health and Safety Code, and Chapter 97 of the Texas Administrative Code.

    3. HIV Testing Protocol After a Possible Exposure – Following guidelines established by the Centers for Disease Control and Prevention and the U.S. Public Health Service, students or employees who may have been exposed to HIV should seek medical care right away for evaluation. Preventive treatment, if indicated, must begin within 72 hours after exposure.

    4. Student Request for HIV Testing – A student may request HIV testing and counseling at university expense, if the student documents possible exposure to HIV during a class activity or an educational assignment in a manner that is capable of transmitting HIV in accordance with information from the Centers for Disease Control and Prevention and the U.S. Public Health Service. The university may, with informed consent and at its own expense, also test the individual that may have exposed the student for HIV infection. The UHS may conduct HIV tests for students and persons who are not university employees.

    5. Employee Request for HIV Testing – An employee may request HIV testing and counseling at university expense, if the employee documents possible exposure to HIV, while performing the duties of employment, in a manner that is capable of transmitting HIV in accordance with information from the Centers for Disease Control and Prevention and the U.S. Public Health Service. The university may, with informed consent and at its own expense, also test the individual that may have exposed the employee for HIV infection. Any physician listed in the Texas Department of Insurance, Workers’ Compensation Provider Network may perform HIV tests for employees.

    6. Worker’s Compensation Benefits and HIV Testing – Although the university cannot require employees exposed to HIV during the scope of their employment to undergo testing, the employees’ failure to do so may jeopardize their Workers’ Compensation claim. State law requires that an employee must provide a written statement of the date and circumstances of a possible exposure to HIV. The employee must document that they had a negative HIV test within 10 days of the exposure (see Chapter 85 of the Health and Safety Code). As provided in UPPS No. 04.04.43, Workers’ Compensation Injuries, Illnesses, and Claims, supervisors must complete a Supervisor’s Report of Incident, Injury or Illness to establish the employee’s Workers’ Compensation benefits.

  7. HIV EDUCATION PROCEDURES

    1. UHS, through a combination of health education presentations, outreach events, pamphlets, web page content, and responses to individual requests, will provide information on prevention of HIV infection including the value of abstinence and responsible relationships; information on the efficacy, use, and availability of condoms; conduct that may result in the transmission of HIV; and state laws relating to HIV/AIDS.

    2. Human Resources will provide each employee with educational materials containing information similar to HIV/AIDS and the Workplace developed by the Texas Department of State Health Services. The university will provide the information to new employees on the first day of employment and to all employees annually.

  8. SAFETY GUIDELINES

    1. Academic – Departments offering laboratory courses that may involve exposure to blood and other potentially infectious materials will adopt safety guidelines for handling such materials and distribute these guidelines to students and staff prior to such exposure. The safety guidelines will include the guidelines established by the OSHA Bloodborne Pathogens Final Standard and the CDC Universal Precautions. The university will also provide students with appropriate personal protective equipment.

    2. Residential Housing – Department of Housing and Residential Life staff will annually review and follow the guidelines established by the OSHA Bloodborne Pathogens Final Standard and the CDC Universal Precautions. Department of Housing and Residential Life staff will provide annual programs for department staff that include information about methods of transmission and prevention of HIV infection, safety guidelines established by the OSHA Bloodborne Pathogens Final Standard and the CDC Universal Precautions, federal and state laws concerning HIV/AIDS, and relevant information contained in this university HIV/AIDS policy. Department of Housing and Residential Life staff will provide education and programming opportunities in the residence halls regarding safer sex to help prevent sexually transmitted infections, including HIV.

    3. Occupational – Department heads will provide annual HIV safety programs for employees whose duties may involve exposure to blood or other potentially infectious materials. The HIV safety programs will include information about methods of transmission and prevention of HIV infection, safety guidelines established by the OSHA Bloodborne Pathogens Final Standard and the CDC Universal Precautions, federal and state laws concerning HIV/AIDS, and relevant information contained in this university HIV/AIDS policy. The university will also provide employees with appropriate personal protective equipment.

    4. University Police Department – The University Police Department will develop and implement HIV/AIDS workplace policies.

    5. Athletics – The Athletic Department will provide athletic trainers with annual HIV safety programs which will include information about methods of transmission and prevention of HIV infection, safety guidelines established by the OSHA Bloodborne Pathogens Final Standard and the CDC Universal Precautions, federal and state laws concerning HIV/AIDS, and relevant information contained in this university HIV/AIDS policy. Athletic trainers will also comply with the HIV/AIDS guidelines of the most recent edition of the NCAA Sports Medicine Handbook. The Athletic Department will provide athletic trainers with appropriate personal protective equipment.

  9. PROCEDURES FOR DISTRIBUTION OF HIV/AIDS POLICY INFORMATION

    1. The university will include relevant summaries of this HIV/AIDS policy in the student, faculty, and staff handbooks.

    2. The director of UHS will respond to inquiries pertaining to the incidence of HIV/AIDS on campus.

  10. REVIEWERS OF THIS UPPS

    1. Reviewers of this UPPS include the following:

      PositionDate
      Director, University Health ServicesJune 1 E10Y
      Associate Vice President and Chief Human Resources OfficerJune 1 E10Y
      Director, Office of Disability ServicesJune 1 E10Y

  11. CERTIFICATION STATEMENT

    This UPPS has been approved by the following individuals in their official capacities and represents Texas State policy and procedure from the date of this document until superseded.

    Director, University Health Services; senior reviewer of this UPPS

    Associate Vice President for Student Success and Dean of Students

    Vice President for Student Success

    President