Though these recommendations have just come out, some clinics in the US have been implemetning this. For example in Washigton DC's Unity Healthcare sites, Oraquick became known as the 5th vital sign.. Unity has been implementing this for at least the past two years. From my experience working there, patients generally allowed the test to be done. There are about 1 million people in the US with HIV and it is estimated that 25% of those infected do not know their status. Hopefully some of the lessons learned from PEPFAR countries can be used to improve services in the US.
Link leads to: http://www.reuters.com/article/2012/11/20/us-usa-aids-testing-idUSBRE8AI16720121120
Link leads to: http://www.uspreventiveservicestaskforce.org/uspstf/uspshivi.htm#update%27
Link leads to: http://www.uspreventiveservicestaskforce.org/draftrec.htm