State TB Requirements

 SUMMARY OF STATE TB CLEARANCE REQUIREMENTS

In accordance with Chapter 164 of Title 11, Hawaii Administrative Rules for Tuberculosis (click to view), only the categories of people listed in the tables below are eligible for TB testing at no cost to clients through the State of Hawaii Department of Health TB testing locations (click to view the list of locations).

Client Category
When Needed
Type of TB Test Needed 
Duration of Validity

Food Handlers

 Prior to first time working as a food handler in the state  Single TST
or
CXR if you have documentation of a previous positive TST
 Does Not Expire

Note: Once obtained, this TB clearance can be used for any future employment as a food handler at different food establishments in the state

School personnel
(includes teachers, substitute teachers, bus drivers, and volunteers)

Prior to first time employment Single TST
or
CXR if you have documentation of a previous positive TST
 Does Not Expire

Note: Once obtained, this TB clearance can be used for any future employment as a school employee at different schools in the state

Students
(seeking first time attendance in daycare, preschool, or K-12)

Prior to first time attendance Single TST
or
CXR if you have documentation of a previous positive TST
Until High School Graduation

Note: Once obtained, this TB clearance can be used when transferring to different schools in the state 

Students
(seeking first time attendance in a post-secondary school for a course of study longer than six months)

Prior to first time attendance  Single TST
or
CXR if you have documentation of a previous positive TST 
Does Not Expire

Note: Once obtained, this TB clearance can be used when transferring to different post-secondary schools in the state 

Family Child Care Homes
(household members)

Registered by the Department of Human Services

Prior to registration of the home Single TST
or
CXR if you have documentation of a previous positive TST
 Does Not Expire

Foster Family Homes for Children
(household members and foster child)

Licensed by the Department of Human Services

Household members: prior to licensing of the home

Foster child: prior to placement into the home

Single TST
or
CXR if you have documentation of a previous positive TST
Does Not Expire 

Group Child Care Centers and Group Child Care Homes
(providers and children applying for entry)

Licensed by the Department of Human Services

Providers: prior to licensing

Children: prior to entry

 Single TST
or
CXR if you have documentation of a previous positive TST
 Does Not Expire

 

Employees, volunteers, and residents of the following
When Needed
Type of TB Test Needed
Duration of Validity

Adult day care facilities
Adult residential care homes
Assisted living facilities
Domiciliary care facilities
Hospitals
Home health agencies
Hospice
Intermediate care facilities
Long term care facilities
Nursing facilities
Skilled nursing facilities
Special treatment facilities
Therapeutic living programs

Licensed by the Office of Health Care Assurance

Prior to employment, volunteer service, or entry as a resident Two-step TST
or
CXR if you have documentation of a previous positive TST
1 year

TST = tuberculin skin test
CXR = chest X-ray 


 NOTE:

  • For persons needing a single TST, the entire testing process takes a minimum of 2 calendar days. After your TST is administered, you must return to the same DOH TB testing location within 48-72 hours to have your TST read.
  • For persons needing a two-step TST, the entire process takes a minimum of 9 calendar days and you will receive a total of two TST’s. If your first TST is negative, a second TST is administered 1-3 weeks later.
  • For persons who have their CXR performed at the Hawaii TB Control Program on Oahu, it will take a minimum of 4 working days for your TB clearance card to be available for pickup. For example:
    - CXR on a Monday, TB clearance card available for pickup on Friday
    - CXR on a Tuesday, TB clearance card available for pickup on Monday
    - CXR on a Wednesday, TB clearance card available for pickup on Tuesday
    - CXR on a Thursday, TB clearance card available for pickup on Wednesday
    - CXR on a Friday, TB clearance card available for pickup on Thursday
  • Please bring a form of picture identification to the DOH TB testing location
  • Children under 18 years of age must be accompanied by a parent or legal guardian
  • To save time, fill out the TB Registration Form and bring it with you


This page last updated: September 17, 2013