Latent Tuberculosis Infection Laws

At a glance

All 50 states and the District of Columbia require that cases of TB disease be reported to local or state health authorities and the CDC; however, reporting latent TB infections to CDC is optional. Some states and localities have developed legal reporting requirements for latent TB infection to track progress towards TB elimination, facilitate notification to state TB programs, and help local health departments treat latent TB infection to prevent TB disease.

Latent TB infection reporting laws, by state

CDC's Office of Public Health Law Services completed a legal epidemiology assessment of statutes and regulations associated with latent TB infection reporting across 50 states and the District of Columbia. The map and table below provide a summary of findings as of April, 2021.

Map of latent TB infection reporting laws, by state

This map is an Equal-Area Cartogram. The area of each state has been modified so that geographic patterns in the data are easier to identify. In traditional maps of the United States, small states are visually overpowered by large states. An Equal-Area Cartogram may appear distorted because states must be separated to accommodate their new sizes.

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Equal-area cartogram showing which states require latent TB infection reporting.
States in orange require latent TB infection reporting.

Summary table of latent TB infection reporting laws, by state

Latent TB infection reporting laws, by state
State Does state law expressly require LTBI to be reported? Who is required to report? What types of cases must be reported? Citations
Alabama No
Alaska No
Arizona Yes
  • Healthcare providers or facilities
  • Other: Administrator of correctional facility; local health agency
 Cases in children five years old or younger (positive screening test results) Ariz. Admin. Code § 9-6-202 & Table 2.1;
Ariz. Admin. Code § 9-6-206 & Table 2.4
Arkansas No
California Yes Laboratories Lab confirmed Cal. Code Regs. tit. 17, § 2505
Colorado Yes
  • Healthcare providers or facilities
  • Laboratories
  • Positive interferon-gamma release assay (IGRA) tests for workers in a healthcare, correctional, or detention facility if the worker had prolonged contact with an infectious TB case
  • Lab confirmed
 6 Colo. Code Regs. § 1009-1 Appendix A;
6 Colo. Code Regs. § 1009-1:4
Connecticut No
Delaware No
Florida No
Georgia Yes
  • Healthcare providers or facilities
  • Laboratories
 Cases in children five years old or younger Ga. Comp. R. & Regs. 511-2-1-.02;
Georgia DPH Notifiable Disease Condition Reporting (December 2020)
Hawaii No
Idaho No
Illinois No
Indiana Yes
  • Healthcare providers or facilities
  • Laboratories
  • Healthcare providers or facilities: all cases
  • Laboratories: positive interferon-gamma release assay (IGRA) tests only
 410 Ind. Admin. Code 1-2.5-75;
410 Ind. Admin. Code 1-2.5-76;
410 Ind. Admin. Code 1-2.5-111
Iowa No
Kansas Yes
  • Healthcare providers or facilities
  • Other:  Adult care home administrator; licensed social worker; teacher or school administrator
 Lab confirmed Kan. Stat. Ann. § 65-116;
Kan. Admin. Regs § 28-1-2
Kentucky No
Louisiana No
Maine No
Maryland Yes
  • Healthcare providers or facilities
  • Laboratories
  • Other: Teacher at public, private, or parochial schools; child care provider at any child care facility; the master or person in charge of a vessel or aircraft within the territory of the State; an owner or operator of a food establishment
 All cases Md. Code Regs. 10.06.01.03;
Md. Code Regs. 10.06.01.04;
Massachusetts Yes
  • Healthcare providers or facilities
  • Laboratories
  • Other: Board of health or administrator of a city, state, or private institution
 All cases 105 Mass. Code Regs. 300.170;
105 Mass. Code Regs. 300.180;
105 Mass. Code Regs.
300.200
Michigan No
Minnesota No
Mississippi Yes
  • Healthcare providers or facilities
  • Laboratories
  • Other: Pathologist; medical examiner; coroner; veterinarian
 All cases 15 Miss. Admin. Code Pt. 2, Subpt. 11, App. A;
15 Miss. Admin. Code Pt. 2, Subpt. 11, R. 1.1
Missouri Yes
  • Healthcare providers or facilities
  • Laboratories
 All cases Mo. Code Regs. Ann. Tit. 19, § 20 -20.020;
Mo. Code Regs. Ann. Tit. 19, § 20-20.080
Montana Yes
  • Healthcare providers or facilities
  • Laboratories
  • Other: Dentist; medical examiner; public or private school administrator; local health officer
 All cases Mont. Admin. R. 37.114.201;
Mont. Admin. R. 37.114.203;
Mont. Admin. R. 37.114.204
Nebraska Yes
  • Healthcare providers or facilities
  • Laboratories
 All cases 173 Neb. Admin. Code § 1-004;
173 Neb. Admin. Code § 1-005
Nevada No
New Hampshire No
New Jersey No
New Mexico No
New York No
North Carolina Yes Laboratories All cases 10A N.C. Admin. Code 41A.0101
North Dakota Yes
  • Healthcare providers or facilities
  • Laboratories
  • Other: Medical examiners or coroners; pharmacists; emergency medical service providers; local health officers; blood banks; public and private elementary and secondary schools; colleges and universities; correctional institutions; funeral establishments and mortuaries; childcare facilities and camps
 All cases N.D. Cent. Code § 23-07-02;
N.D. Admin. Code 33-06-01-01
Ohio No
Oklahoma No
Oregon No
Pennsylvania No
Rhode Island Yes
  • Healthcare providers or facilities
  • Laboratories
 All cases 216 R.I. Code R. 30-05-1.4;
216 R.I. Code R. 30-05-1.5(.3)(E)(25);
216 R.I. Code R. 30-05-1.6;
216-RICR- 30-05-1.7
South Carolina Yes Laboratories Lab confirmed S.C. Code Regs. 61-20; South Carolina 2021 List of Reportable Conditions
South Dakota Yes
  • Healthcare providers or facilities
  • Laboratories
  • Other: Blood bank, collection or storage centers; public and private elementary and secondary schools; public and private universities and colleges; correctional institutions; funeral establishments and mortuaries; childcare facilities; food service, lodging and campground establishments
 Other:  Latent infection in persons at higher risk S.D. Admin. R. 44:20:02:01;
S.D. Admin. R. 44:20:02:02
S.D. Admin. R. 44:20:01:04
Tennessee Yes Healthcare providers or facilities Other:  Healthcare providers to report LTBI in child under 18 with positive tuberculin skin test (TST) or patient of any age with positive interferon-gamma release assay (IGRA) test Tenn. Comp. R. & Regs. 1200-14-01-.02;
2021 Tennessee Reportable Disease List for Healthcare Providers
Texas Yes
  • Healthcare providers or facilities
  • Laboratories
  • Other: Local school authority; administrator or director of a child-care facility; administrator or director of adult care facility; administrator or health official of an institution of higher education; owner or manager of a food establishment; superintendent, manager, or health official of a camp, home or institution; administrator or health official of a penal or correctional institution; emergency medical service personnel, peace officer, or firefighter; a parent, guardian, or householder
 All cases Tex. Health & Safety Code § 81.042
25 Tex. Admin. Code § 97.2;
25 Tex. Admin. Code § 97.3
Utah No
Vermont Yes
  • Healthcare providers or facilities
  • Laboratories
 All cases 12-5 Vt. Code R. 12:5.0
Virginia Yes
  • Healthcare providers or facilities
 All cases 12 Va. Admin. Code § 5-90-80;
12 Va. Admin. Code § 5-90-90
Washington
(state)		 No
Washington, DC No
West Virginia Yes
  • Healthcare providers or facilities
  • Laboratories
 All cases W. Va. Code St. R. § 64-7-3;
W. Va. Code St. R. § 64-76-7
Wisconsin Yes
  • Healthcare providers or facilities
  • Laboratories
  • Other: Any teacher, principal, or nurse serving a school or day care center; any person who knows or suspects that a person has a communicable disease
 All cases Wis. Stat. Ann. § 252.05;
Wis. Admin. Code Ch. DHS 145, App. A;
Wis. Admin. Code § DHS 145.04
Wyoming No

1State websites included in this table were last visited 9/15/2022 and may differ from current webpages or PDFs. The current (2023) Georgia Notifiable Disease General Reporting Requirements can be found at NDCondition_5.12.23

2At the time of data collection, there was a discrepancy between New Hampshire’s Reportable Infectious Disease List , which listed “Tuberculosis infection, latent (lab reporting only)” as a reportable disease and New Hampshire regulations, which did not. See N.H. Code Admin R. He-P 301.02 (listing only “Tuberculosis Disease” and “Mycobacterium tuberculosis”).

3Current (2023) South Carolina List of Reportable Conditions is found at South Carolina List of Reportable Conditions | SCDHEC.  But see supra note 1.

4Current (2023) Tennessee Reportable Disease List for Healthcare Providers is found at 2023-Provider-list.pdf (tn.gov). But see supra note 1.

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Latent TB Infection Resource Hub

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Content Source:
Division of Tuberculosis Elimination ; National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention; Centers for Disease Control and Prevention