Ch. 556

LAWS OF MARYLAND

(II)  THE LOCAL OR COUNTY HEALTH DEPARTMENT
PROVIDES ALL INFORMATION THAT THE SECRETARY MAY REASONABLY
REQUIRE TO DETERMINE COMPLIANCE WITH THIS SECTION;

(III)  THE LOCAL OR COUNTY HEALTH DEPARTMENT
AGREES TO MAKE RECORDS AVAILABLE AND SUBMIT REPORTS TO THE
SECRETARY AS THE SECRETARY MAY REQUIRE;

(IV)  CHANGES AND AMENDMENTS TO THE PLAN ARE
SUBMITTED 60 DAYS PRIOR TO PROPOSED IMPLEMENTATION; AND

(V)  ALL CHANGES AND AMENDMENTS TO THE PLAN ARE
APPROVED BY THE SECRETARY.

(3) IF A PLAN SUBMITTED UNDER THIS SECTION DOES NOT
MEET THE STANDARDS OF THIS SUBTITLE, OR IF THE INFORMATION
SUPPLIED IN THE SUBMISSION IS CONSIDERED BY THE SECRETARY TO BE
INSUFFICIENT FOR A DETERMINATION, THE SUBMITTING LOCAL OR COUNTY
HEALTH DEPARTMENT SHALL APPLY FOR A PERMIT IN ACCORDANCE WITH
THIS SUBTITLE.

(C) THE SECRETARY MAY CANCEL A WAIVER GRANTED UNDER THIS
SECTION AT ANY TIME IF THE SECRETARY FINDS THAT THE LOCAL OR
COUNTY HEALTH DEPARTMENT DOES NOT CONTINUE TO MEET THE STANDARDS
OF THIS SUBTITLE.

17-504.

(A)  THE SECRETARY SHALL ADOPT REGULATIONS TO IMPLEMENT THE
PROVISIONS OF THIS SUBTITLE, INCLUDING REGULATIONS THAT ASSURE
THE CITIZENS OF THIS STATE THAT CHOLESTEROL TESTING CONDUCTED
OUTSIDE A PERMANENTLY LOCATED MEDICAL LABORATORY MEETS
APPROPRIATE NATIONAL STANDARDS OF QUALITY ASSURANCE.

(B)  THE REGULATIONS SHALL INCLUDE:

(1) PERSONNEL TRAINING STANDARDS, INCLUDING
REQUIREMENTS FOR REASONABLE TRAINING, EXPERIENCE, AND COMPETENCY
IN:

(I)  SIMPLE PROCEDURES USED IN DRAWING BLOOD FOR
CHOLESTEROL TESTING; AND

(II)  THE OPERATION OF BLOOD CHEMICAL ANALYZERS
USED FOR CHOLESTEROL SCREENING;

(2)  QUALITY ASSURANCE STANDARDS;

(3)  PROFICIENCY TESTING REQUIREMENTS STANDARDS FOR
COUNSELING AND REFERRAL PROCEDURES;

(4)  STANDARDS FOR RELEASING AND REPORTING TEST
RESULTS; AND

- 3468 -