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October 7, 1988

Border Hopping as a Consequence of Premarital HIV Screening: The Kenosha Diamond

Author Affiliations

Wisconsin Division of Health Madison

Wisconsin Division of Health Madison

JAMA. 1988;260(13):1883-1884. doi:10.1001/jama.1988.03410130077025

To the Editor.—  On Jan 1, 1988, the State of Illinois began requiring evidence of human immunodeficiency virus (HIV) antibody testing in all persons applying for a marriage license. Although the law does not prohibit HIV-infected individuals from getting married, it does require documentation of testing. Individuals can go to any physician or clinic for testing. At the completion of testing the physician must disclose the results to the tested person and his or her prospective spouse. If the test result is positive, disclosure to both partners must occur in person. If the test result is negative, the prospective spouse may be informed of the result by telephone or letter. The physician completes a marriage certification form stating that both parties have been informed of the test result. This form is then presented to the county clerk at the time the marriage license is issued.Premarital HIV testing has been