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).

TST= Tuberculin skin test     CXR = chest X-ray

Client Category

When Needed

Type of TB Test Needed

Duration of Validity

Additional Information

Food Handlers
(person engaged in direct
food handling activities)
Chapter 164 of Title 11, Hawaii Administrative Rules for Tuberculosis
One time only prior to start of employment as food handler in the State Single TST
or
CXR if you have documentation of a previous positive TST
No expiration
Once obtained, this TB clearance can be used for the purposes of foodhandling, even if change in food establishment occurs
Exemptions:  TB Clearance not required for person engaging in foodhandling only at carnivals, fairs, and other temporary activities lasting less than 15 days
School personnel
(includes teachers,
substitute teachers,
bus drivers, and volunteers)
Chapter 164 of Title 11, Hawaii Administrative Rules for Tuberculosis
 Prior to first time employment in the State of Hawaii Single TST
or
CXR if you have documentation of a previous positive TST
No expiration, once obtained, this TB clearance can be used for the purposes of school employment, even if transfer in school
occurs.
When transfer occurs, a copy of the original TB Clearance used for initial entry should fulfill requirement
Students
(daycare, preschool, or K-12)
1st time attendance in the following:
Child care center
Pre-School
Day care centers
Day nursery
Kindergarten
Elementary
Intermediate
Middle or secondary school
Chapter 164 of Title 11, Hawaii Administrative Rules for Tuberculosis
Prior to first time attendance at school in the State of Hawaii Single TST
or
CXR if you have documentation of a previous positive TST
No Expiration, once obtained, this TB clearance can be used through High School Infants younger than 12 months of age can enter without TB Clearance Certificate, but will need to obtain a clearance between 12-14 months of age.When a student transfers to attend another school in Hawaii, a copy of the original TB Clearance Certificate used for initial entry into school system should meet this requirement

Excludes:  after-school programs, family child care, parent cooperatives, play groups, respite programs, and drop-in child care centers

Students-Post Secondary
Chapter 164 of Title 11, Hawaii Administrative Rules for Tuberculosis
Prior to first time attendance at post-secondary institution (with course work lasting 6 months or longer) in the State of Hawaii Single TST
or
CXR if you have documentation of a previous positive TST
No expiration, once obtained, this TB clearance can be used for the purposes of attendance in a post-secondary school in the State of Hawaii
When a student transfer to attends another post-secondary school in Hawaii, a copy of the original TB Clearance Certificate initially used to enter post-secondary system will meet clearance requirement.Also a copy of the original TB Clearance Certificate used to initially enter post-secondary school will meet clearance requirement when student re-enters post-secondary school, irregardless of the length of break between initial admission and re-entry.

Family Child Care Homes
(household members)
Chapter 164 of Title 11, Hawaii Administrative Rules for Tuberculosis

Prior to Registration of home Single TST
or
CXR if you have documentation of a previous positive TST
12 months

Foster Family Homes
for
Children
(household members
& foster child)
Chapter 164 of Title 11, Hawaii Administrative Rules for Tuberculosis

Household members: Prior to licensing of homeFoster child: Prior to placement in home Single TST
or
CXR if you have documentation of a previous positive TST
12 months

Group Child Care Centers
&
Group Child Care Homes
(providers & children
applying for entry)
Chapter 164 of Title 11, Hawaii Administrative Rules for Tuberculosis

Providers: Prior to licensing of homeChildren: Prior to entry into group setting Single TST
or
CXR if you have documentation of a previous positive TST
12 months

Adult day health centers
Adult day residential care homes
Assisted living facilities
Developmental disabilities
domiciliary care facilities
End-stage renal dialysis
facilities
Freestanding outpatient surgical
facilities (ambulatory surgical
centers)
Freestanding X-ray facilities
Home health agencies
Hospice
Hospitals
Intermediate care facilities
for individuals with intellectual
disabilities
Long-term care facilities
Organ procurement facilities
Outpatient physical therapy/
speech pathology facilities
Rural health clinics
Skilled nursing/intermediate
care facilities
Special Treatment facilities
Therapeutic living programs

(Employees, Volunteers, and Residents working more than 10 hours per week) at any of the following Adult day care facilities, Licensed under Title 11, Chap 85-105, by the Dept. of Health
Chapter 164 of Title 11, Hawaii Administrative Rules for Tuberculosis
Prior to employment, volunteer services, or entry as a resident Initial employment
will require at Two-step TST
or
CXR if you have documentation of a previous positive TST less than 1 yearAnnual renewal
will require a single TST
or
CXR if you have documentation of a previous positive TST less than 1 year
12 months

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:  October 7, 2014