Table 4.

Reinforcing factors: rewards and feedback that encourage ED providers to offer an HIV test

Factor	Explanation	Quotes
1. Access to HIV testing	This legislation would increase access to HIV testing	• “There are people in the world who are concerned they have HIV who do not have a primary care provider and don't know where they can go for testing (resident).”
2. Linkage to care	Providers wanted to ensure that after their patients tested positive that they were being linked to HIV care	• “Are there any studies that say the patients or people who have found out that they're HIV positive, what is the percentage of those that actually go and get treatment (nurse)?”
3. Improve public health	The legislation has the potential to improve public health	• “So I do see the benefit globally (nurse).”
4. Save overall health care costs	Providers wanted to know if this legislation would ultimately be cost saving	• “It would probably save tons of money by doing it. The problem is the government has to issue some money up front and then get the investment back in the long-term (resident).”
5. Coverage	Providers felt that it was important for the test to be covered	• “This idea is actually a great idea if the state is willing to foot the bill and the resources (resident).”