PARRIS N. GLENDENING, Governor

Ch. 521

(B) A LOCAL HEALTH DEPARTMENT THAT RECEIVES THE RESULTS OF A
BLOOD LEAD TEST INDICATING THAT A CHILD UNDER 6 YEARS OF AGE HAS AN
ELEVATED BLOOD LEAD LEVEL GREATER THAN OR EQUAL TO 15 UG/DL AND LESS
THAN 20 UG/DL SHALL NOTIFY:

(1) THE CHILD'S PARENTS; AND

(2) IN THE CASE OF A CHILD WHO LIVES IN A RENTAL DWELLING UNIT,
THE OWNER OF THE RENTAL DWELLING UNIT WHERE THE CHILD RESIDES.

Article - Health - General

18-106.

(A) THE SECRETARY SHALL ESTABLISH AND ADMINISTER A LEAD POISONING
SCREENING PROGRAM THAT WILL ASSURE THE APPROPRIATE SCREENING OF
CHILDREN IN MARYLAND FOR LEAD POISONING.

(B) THE LEAD POISONING SCREENING PROGRAM SHALL:

(1) ENCOURAGE CONTINUITY OF CARE WITH THE CHILD'S CONTINUING
CARE HEALTH CARE PROVIDER;

(2) PROMOTE TIMELY, APPROPRIATE SCREENING OF CHILDREN AT
RISK OF BEING POISONED BY LEAD;

(3) UTILIZE ALL OF THE PAYMENT MECHANISMS AVAILABLE TO COVER
LEAD POISONING SCREENING. INCLUDING:

(I) THIRD PARTY PAYMENTS FROM INSURERS;

(II) THE MEDICAL ASSISTANCE PROGRAM;

(III) PRIMARY CARE MEDICAL ASSISTANCE PROGRAMS
ESTABLISHED UNDER WAIVER FROM THE FEDERAL GOVERNMENT;

(IV) HEALTH MAINTENANCE ORGANIZATIONS;

(V) FEDERALLY QUALIFIED AND MARYLAND QUALIFIED
COMMUNITY HEALTH CENTERS; AND

(VI) ANY OTHER MEDICAID REIMBURSEMENT OR WAIVER TO
WHICH THE STATE MAY BE ENTITLED UNDER THIS SECTION;

(4) TARGET CHILDREN UNDER 6 YEARS OF AGE;

(5) PROVIDE LEAD POISONING SCREENING ON A SLIDING FEE SCALE AT
SITES DESIGNATED BY LOCAL HEALTH DEPARTMENTS FOR CHILDREN UNABLE TO
AFFORD LEAD POISONING SCREENING; AND

(6) EMPLOY AN INITIAL QUESTIONNAIRE TO ASSESS CHILDREN'S
EXPOSURE TO POTENTIAL LEAD HAZARDS, EXCEPT THAT CHILDREN RESIDING IN
AREAS OF HIGHEST RISK MAY SHALL BE SCREENED BY A VENOUS OR
CAPILLECTORY BLOOD TEST.

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