Justice can be blind. Despite more than 30 years of research and reams of evidence as to the nature of HIV transmission and risk, we still have laws in some states that define spitting as a criminal act if you have HIV. Others allow for prison sentences for up to 20 years if you fail to disclose your HIV status, irrespective of the type of sex you have or whether or not your partner had acquired the virus.
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While you may assume that these kinds of arrests don't actually happen, in December 2017, an HIV-positive man was arrested in Gibson, Louisiana, for spitting in his roommate's face during an argument and now faces up to 10 years and jail and a $5,000 fine if convicted for intentionally exposing the woman to HIV.
According to the U.S. Centers for Disease Control and Prevention (CDC), 26 states have laws that criminalize HIV exposure in 2018. In 19 states, an HIV-infected person was required to disclose their status to their sexual partners. Twelve states require disclosure of HIV status to needle-sharing partners, and several states still criminalize various behaviors that have little to no risk of transmitting HIV.
Many of the HIV laws currently in place were enacted by legislatures who are simply out of touch with the fast-advancing sciences, failing to grasp—or adamantly refusing to accept—the most basic principles of transmission or risk. In other states, the laws reflect an active bias against women (criminalizing the sex worker but not the client), against men (defining exposure as the presence of semen), or against prison populations (prosecuting actions that the general public would never be penalized for).
HIV Criminal Laws by State
The following guide is meant to provide a brief overview of the HIV-specific laws of each state, and should not be used as a legal reference. The list does not include laws or statutes that pertain to transmission of a communicable disease, which in some states can also be punishable by a fine and/or prison sentence. A complete, updated Registry of State HIV Laws is available online from the CDC.
State | Considered a crime in persons with known HIV infection | Misdemeanor | Felony |
Alabama | Knowingly engages in actions that may expose another person to HIV. | Class C | -- |
Alaska | Exposes a person to the risk or fear of HIV in the course of a felony crime. | -- | May allow for additional sentencing in the event of a felony conviction |
Arkansas | Potentially exposes another person to HIV through blood or through sex with or without semen present. | -- | Class A |
Fails to disclose his/her HIV status to a doctor or dentist. | Class A | -- | |
California | Knowingly donates body fluids, organs, or human tissue. | -- | Punishable by a two-, four-, or six-year sentence |
Fails to disclose their HIV status, with the intent of infecting another person through unprotected sex. | -- | Punishable by a three-, five-, or eight-year sentence | |
Engages in prostitution after a previous sex-related offense. | -- | Yes | |
Colorado | Either engages in prostitution or patronizes a prostitute, with full knowledge of their HIV status. | -- | Class 5/6 |
Florida | Engages in sexual intercourse without first disclosing their HIV status and receiving informed consent. | 3rd degree | |
Knowingly donates blood, organs, or human tissue. | -- | 3rd degree | |
Georgia | Engages in sex without first obtaining informed consent; shares needles; engages in prostitution; or donates body fluid, organs, or human tissue. | -- | Punishable by not more than 10 years |
Commits an assault on a police or corrections officer with the intent of transmitting HIV through blood, saliva, or any other bodily fluid. | -- | Yes | |
Idaho | Knowingly donates body fluid, organs, or human tissue. | -- | Yes |
Illinois | Potentially exposes another person to HIV through intimate contact; donates body fluids, organs, or human tissue; or participates in non-sterile intravenous drug use. | -- | Class 2 |
Indiana | Knowingly donates infected blood or semen. | -- | Class C for committing the offense and Class A if transmission occurs |
Commits battery on a police officer, a corrections officer, or any other person with body fluid or body waste. | -- | Class D for committing the offense; Class C if the person was unaware that the body fluid or waste was HIV infected; and Class A if transmission occurs | |
Iowa | Potentially exposes another person to HIV through sex; donation of body fluids, organs or human tissue; or participating in shared intravenous drug use. | -- | Class B |
Kansas | Intentionally intends to infect another person through sex, needle sharing, or donating body fluids, organs, or human tissue. | Class A | -- |
Kentucky | Engages in prostitution, patronizes a prostitute, or attempts to donate organs or human tissue (but not blood) | -- | Class D |
Louisiana | Potentially exposes a person to HIV through sex without first obtaining informed consent, or enacting harm by "spitting, biting, stabbing with an AIDS-contaminated object, or throwing of blood or other bodily substances" at another person. | -- | Punishable by a fine of not more than $5,000, or a prison term up to 10 years. If the victim is an acting law enforcement officer, the punishment can be increased. |
Maryland | Intentionally infects or attempting to infect another person. | Punishable by a sentence of not more than three years or a fine of $2,500, or both | |
Michigan | Engages in penetrative sex (including oral sex) without first obtaining informed consent. | -- | Yes |
Mississippi | Knowingly exposes another person or Exposes a corrections officer, a visitor to a corrections facility, or another prisoner |
-- | Felony |
Missouri | Knowingly donates blood, organs, or human tissue; or exposing another to HIV through sex without first obtaining informed consent. | -- | Class B felony and Class A if transmission has occurred |
Montana | Knowingly exposes another person to HIV through sex. | Yes | -- |
Nevada | Knowingly engages in conduct that is intended or likely to transmit HIV, or engaging in prostitution after having tested HIV positive. | -- | Class B |
New Jersey | Commits sexual penetration without first informed consent. | -- | 3rd degree |
New York | Engages in sexual intercourse with another person. | Yes | -- |
North Carolina | Willfully transfers body fluids to another person. | -- | Class A sex crime |
Ohio | Knowingly transfers blood to another person for the purpose of a transfusion. | -- | 4th degree |
Oklahoma | Engages in prostitution or knowingly engages in conduct where body fluids can be transferred to another person. | -- | Punishable by a sentence of not more than five years |
Exposes another person (including a married partner) to HIV. | -- | Yes | |
Pennsylvania | Causes another prisoner in a correctional facility to come into contact with your bodily fluids | -- | 2nd degree (or 2nd-degree murder of the offending prisoner is on death row or has already been sentenced to life imprisonment) |
Engages in prostitution, procures a prostitute, or promotes a prostitute who is HIV positive. | -- | 3rd degree | |
South Carolina | Knowingly engages in sex with another person without first obtaining informed consent; engages in prostitution; forces a legal spouse to have sex; shares needles; or donates body fluids, organs, or human tissue. | -- | Punishable by a sentence of not more than 10 years or a fine of not more than $5,000 (although informed consent may be considered an exemption) |
South Dakota | Engages in sexual intercourse; donates body fluids, organs, or human tissue; participates in non-sterile intravenous drug use; or intentionally cause another to come into contact with blood or semen. | -- | Class 3 |
Tennessee | Knowingly engages in "intimate contact" with another person; participates in non-sterile intravenous drug use; or donates body fluids, organs, or human tissue. | -- | Class C |
Utah | Engages in prostitution or procures a prostitute. | -- | 3rd degree |
Virginia | Willfully engages in sex (including oral sex) with the intent of infecting another person or donating body fluids, organs, or human tissue | -- | Class 6 |
Engages in sex (including oral sex) without first disclosing their HIV status. | Class 1 | 3rd degree | |
Washington | Intend to inflict bodily harm by exposing or transmitting HIV to another person | -- | Class A assault |