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Ch. 677 2000 LAWS OF MARYLAND
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(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 AT RISK areas [of highest
risk] IDENTIFIED UNDER SUBSECTION (C) OF THIS SECTION shall be screened by a
[venous] blood test FOR LEAD POISONING.
(c) The Secretary shall target efforts to promote and to provide BLOOD TESTS
FOR lead poisoning [screening to areas of highest] IN AT risk AREAS, as identified by:
(1) Census tract AND ZIP CODE information noting areas with large
concentrations of pre-1978 housing; and
(2) Highest rates of lead poisoning as evidenced by information provided
to and by the Childhood Lead Registry established and maintained by the
Department of the Environment.
(D) THE SECRETARY SHALL REQUIRE PROVIDERS CARING FOR CHILDREN IN
AREAS DESIGNATED AS AT RISK FOR LEAD POISONING, AS DETERMINED UNDER
SUBSECTION (C) OF THIS SECTION, TO ADMINISTER A BLOOD TEST FOR LEAD
POISONING OF CHILDREN:
(1) (I) BY AGE 12 MONTHS; AND
(II) BY AGE 24 MONTHS; OR
(2) IN ACCORDANCE WITH THE GUIDELINES OF THE CENTERS FOR
DISEASE CONTROL AND PREVENTION FOR CHILDREN OVER AGE 24 MONTHS WHO
HAVE NOT RECEIVED A BLOOD TEST FOR LEAD POISONING.
(E) THE SECRETARY MAY INCLUDE INFORMATION ON BLOOD TESTING FOR
LEAD POISONING COLLECTED UNDER THIS SECTION, § 7-403 OF THE EDUCATION
ARTICLE, AND §§ 6-303 AND 6-304 OF THE ENVIRONMENT ARTICLE ON ANY
IMMUNIZATION REGISTRY DEVELOPED BY THE DEPARTMENT.
(F) THIS SECTION DOES NOT REQUIRE BLOOD LEAD TESTING OF ANY CHILD
WHOSE PARENTS OR GUARDIAN OBJECTS, IN ACCORDANCE WITH REGULATIONS
ADOPTED BY THE SECRETARY, TO THE TESTING ON THE GROUND THAT IT CONFLICTS
WITH THE PARENT'S OR GUARDIAN'S BONA FIDE RELIGIOUS BELIEFS AND
PRACTICES
(1) SUBJECT TO PARAGRAPH (2) OF THIS SUBSECTION, THIS SECTION
DOES NOT REQUIRE BLOOD TESTING OF A CHILD WHOSE PARENT OR GUARDIAN, IN
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