AIDS AND THE LAW

SOME QUESTIONS AND ANSWERS

 

Prepared by
Elliot T. Fishman, Esq.
For the
Columbus AIDS Task Force

 

 


Following are some general question and answers regarding AIDS and the law. These are intended to provide some general public education on the topic. However, please be aware that these general statements will not apply to every case or problem. This publication should not be used for legal advise: readers are encouraged to contact an attorney for specific legal counsel.  Columbus AIDS Task Force, (614-299-2437), makes referrals to lawyers who have experience in dealing with AIDS related issues.


  1. Can an employer fire, demote, or refuse to hire a person with HIV/AIDS infection?

Under both federal and Ohio law, persons with HIV/AIDS are considered to be disabled and employers can not discriminate against such persons, as long as such persons are able to do their work. Furthermore, employers may be required to provide reasonable accommodations for persons living with HIV, whether symptomatic or asymptomatic.

Unfortunately, such discrimination still occurs, regardless of legal prohibitions. The Ohio Civil Rights Commission or a private attorney can assist persons with HIV who believe they have been subjected to discrimination.

  1. Can a landlord evict a person because they have AID/HIV infection?

Most disability laws also prohibit housing discrimination. As such, people with HIV cannot be evicted or denied housing because of their HIV status.

  1. Can stores, public transportation carriers, funeral homes, and other businesses discriminate against persons because they have HIV/AIDS?

Most disability laws prohibit discrimination in "public accommodations." Under these laws, restaurants, shops, public transportation companies, and funeral homes can not discriminate against people with HIV.

  1. Can an employer fire me because I'm gay or in another HIV/AIDS "high risk group?'

Unfortunately, most cities and states do not prohibit anti-gay discrimination. However, gays and lesbians who work in cities such as Columbus, Cleveland, Youngstown, and Dayton are protected under those cities' non-discrimination ordinances. Columbus City employees are protected by mayoral order. State employees may be protected by gubernatorial executive order.

  1. Can an employer force someone to submit to an HIV antibody test?

In general, employers can not test persons for discriminatory reason. Therefore, pre-employment HIV testing will probably be viewed as a method of handicap discrimination. There may be limited circumstances where an employer may test employee (after hiring) for HIV. However, no one may order an HIV test in Ohio without first obtaining the informed consent of the person.

The law in this area is not fully developed; if your employer wishes to have you undergo HIV testing, you should consult with an attorney before taking the test.

  1. Can the military force someone to submit to an HIV antibody test?

Yes, in general, the military can require such testing. It is important to note that this form of testing by the military is rarely confidential.

  1. Can insurance companies require HIV testing upon application for insurance?

In most group health insurance policies, and in group life insurance policies under $100,000, HIV testing is not allowed. However, HIV testing is permissible for individual life and health insurance policies. Insurance companies may also test for HIV in small group (under 25 persons) policies. You should always check with an attorney if an insurance company asks you to be tested for HIV.

Ohio insurance companies can, however, ask you whether or not you have been diagnosed with HIV/AIDS. They cannot ask you questions about your sexual orientation.

Incidentally, insurance companies can report the results of such a test to the Medical Information Bureau (MIB), or other insurance reporting services. Under Ohio Law, however, such a report must use a generic code and not a specific diagnosis of HIV/AIDS.

  1. Can insurance companies deny health, disability, or life insurance because of a person's HIV/AIDS?

Yes, insurance companies may refuse to grant you insurance because you have HIV/AIDS. A refusal of insurance may not happen with regard to a large group (more than 25 persons) insurance policy.

  1. Can an insurer refuse to pay HIV/AIDS related claims?

Probably not. This would probably constitute an unfair insurance practice, which is unlawful. However, many insurance companies try to argue that a person was infected prior to the start date of their insurance policy; that person, the companies say, has a pre-existing condition, and they can, therefore, refuse to pay that claim in many circumstances. In addition, many companies refuse to pay for drugs or medical treatments which are considered to be "experimental." If you have been refused payment of a claim, contact an attorney, or the Ohio Department of Insurance.

  1. Can a doctor, dentist, or hospital refuse to treat me because I have HIV/AIDS?

Hospitals or clinics which receive federal funding (such as Medicare or Medicaid) cannot refuse to treat such persons. Ohio law also prohibits the refusal of medical care on the basis of HIV status.

Doctors or dentist who refuse to treat such persons are considered "public accommodations," and would therefore be in violation of appropriate disability laws. Check with an attorney in the event of a refusal of medical treatment.

  1. Are medical records confidential?

Doctor-patient communications are generally regarded as strictly confidential. However, if you are diagnosed with HIV infection, your name will be reported to the state health authorities. You may also be asked, but you cannot be forced to name your sexual partners.

In addition, there are a limited number of persons to whom a doctor may disclose this information without your consent. For example, a doctor may, under Ohio law, tell your spouse or sexual partner that you are HIV-infected.

Of course if you sign a release (to your doctor, insurance company, employer, etc.), you give up your rights to such confidentiality. Therefore, be careful about what you sign.