State TB Requirements

 

 SUMMARY OF STATE TB CLEARANCE REQUIREMENTS

In accordance with Chapter 164.2 of Title 11, Hawaii Administrative Rules (HAR) for Tuberculosis 11-164.2-2 this is a requirement for the categories of people listed on the tables for TB Clearance.

 

TST= Tuberculin skin test     CXR = chest X-ray

  SUMMARY OF HAWAII ADMINISTRATIVE RULES 11-164.2.  TB Clearance required for:

     1.  STUDENTS: K-12, PRESCHOOL (DOE-AFFLIATED) POST-SECONDARY

     2.  FOODHANDLER, SCHOOL PERSONNEL:  K-12, POST-SECONDARY

     3.  CHILD CARE FACILITY ATTENDANCE, CHILD CARE FACILITY PERSONNEL

     4.  FOSTER FAMILY HOME FOR CHILDREN, SCHOOL BUS DRIVERS

     5.  INITIAL AND ANNUAL EVALUATION FOR PERSONS LIVING OR WORKING IN DESIGNATED HEALTH

                   CARE OR RESIDENTIAL CARE FACILITIES
HAWAII ADMINISTRATIVE RULES (HAR) CHAPTER 11 – OTHER TYPES OF FACILITY

REFERRING to #5 (ABOVE)
11-89- DD Domiciliary Homes
11-90- Assisted Living Facilities
 11-91- Hospice
 11-92- Therapeutic Living Programs
11-93- Hospitals
 11-93.2- Hospitals Freestanding Birthing Facilities
11-94.1- Nursing Facilities
11-95- Free Standing Surgical Outpatient Facilities
11-96- Freestanding Adult Day Health Center
 11-97- Home Health Agencies
11-98- Special Treatment Facility
11-99- Intermediate Care Facilities for the Mentally Retarded
 11-100.1- Adult Residential Care Homes (ARCH)

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 2 working days for your TB clearance card to be available for pickup. For example:
    – CXR on a Monday, TB clearance certificate available for pickup on Wednesday
    – CXR on a Tuesday, TB clearance certificate available for pickup on Thursday
    – CXR on a Wednesday, TB clearance certificate available for pickup on Friday
    – CXR on a Thursday, TB clearance certificate available for pickup on Monday
    – CXR on a Friday, TB clearance certificate available for pickup on Tuesday
  • Neighbor Island CXR, please check your respective PHND Office will inform you when TB clearance certificate will be available.
  • 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 prior to TB Skin Test or Chest X-ray TB-1-Registration-Form-Rev.-2_21_18


This page last updated:  December 01, 2025