COMDTINST M6230.9A governs Coast Guard policy for identifying, monitoring, and administering HIV-infected Service Members.
View COMDTINST M6230.9A on armypubs.army.mil
It covers personnel policy, HIV testing, medical and epidemiological factors, host nation inquiries, and notification procedures. It requires HIV testing documentation in Service Treatment Records and sets limits on disclosure, assignments, blood donation, and PrEP prescribing.
Applies to: This Manual is only applicable to Active Duty (AD) and Reserve CG SMs, as well as to Public Health Service commissioned officers detailed to the CG, hereafter referred to as “CG SMs”.
Commanding Officers must ensure that all their SMs have received the HIV antibody test and that the date the test was taken is entered into their STRs, in accordance with the policies in Chapter 3 of this Manual. (paragraph 2)
Test results should not be entered into the yellow International Certificate of Vaccination (PHS-731). (paragraph 2)
CG MOs and HCPs are not authorized to initiate PrEP in CG SMs; such therapy must be initiated at a DoD MTF by a DoD Qualified HIV PrEP Provider IAW policies and procedural guidance published by the Department of Defense and/or the Defense Health Agency. (paragraph 5)
CG SMs found to be HIV-antibody positive are ineligible to donate blood or to be used as a source of emergency transfusions. (paragraph 2)
Database information and information derived from it, including any information linking individuals to HIV, but excluding statistical data not linked to identifiable individuals, are not to be released to civilian agencies or to non-medical military activities except as permitted under HIPAA. (paragraph 5)