Section R9-4-302. Reporting Significant Blood Lead Levels

A.      A physician who receives a laboratory result showing a level of lead equal to or greater than 10 micrograms of lead per deci- liter of whole blood for a child or 25 micrograms of lead per deciliter of whole blood for an adult shall report the blood lead level to the Department as follows:

1.        The physician shall report the blood lead level within five working days from the date of receipt of the laboratory result if the blood lead level is less than 45 micrograms of lead per deciliter of whole blood for a child or less than 60 micrograms of lead per deciliter of whole blood for an adult.

2.        The physician shall report the blood lead level within one working day from the date of receipt of the laboratory result if the blood lead level is equal to or greater than 45 micrograms of lead per deciliter of whole blood for a child or equal to or greater than 60 micrograms of lead per deciliter of whole blood for an adult.

3.        A physician may designate a representative to make the report to the Department on behalf of the physician.

B.       A clinical laboratory director shall report to the Department the results of all tests for lead in whole blood as follows:

1.        The clinical laboratory director shall report the blood lead test result within five working days from the date of com- pleting the test if the blood lead level is equal to or greater than 10 but less than 45 micrograms of lead per deciliter

of whole blood for a child or equal to or greater than 25 but less than 60 micrograms of lead per deciliter of whole blood for an adult.

2.        The clinical laboratory director shall report the blood lead test result within one working day from the date of com- pleting the test if the blood lead level is equal to or greater than 45 micrograms of lead per deciliter of whole blood for a child or equal to or greater than 60 micrograms of lead per deciliter of whole blood for an adult.

3.        The clinical laboratory director shall report blood test results that are less than 10 micrograms of lead per decil- iter of whole blood for a child or less than 25 micrograms of lead per deciliter of whole blood for an adult at least once each month.

4.        A clinical laboratory director may designate a representa- tive to make the report to the Department on behalf of the clinical laboratory director.

C.      A physician or clinical laboratory director shall submit each report to the Department by telephone; in a writing sent by fax, delivery service, or mail; or by an electronic reporting system authorized by the Department.

D.      A report shall include the following information:

1.        The patient’s name, address, and telephone number;

2.        The patient’s date of birth;

3.        The patient’s gender;

4.        If the patient is an adult, the patient’s occupation and the name, address, and telephone number of the patient’s employer;

5.        An indication of the patient’s funding source and the spe- cific health plan name, if applicable:

a.         Public insurance,

b.        Private insurance,

c.         Self-pay,

d.        Workplace monitoring program,

e.         Other, or

f.         Unknown;

6.        The type of blood draw used (venous or capillary);

7.        The date the blood was drawn;

8.        The blood lead level;

9.        The date the blood lead level was received by the physi- cian or determined by the laboratory;

10.     The name, address, and telephone number of the labora- tory that tested the blood; and

11.     The name, practice name, address, and telephone number of the physician who ordered the test.

Historical Note

New Section renumbered from R9-4-301 and amended by final rulemaking at 7 A.A.R. 55, effective December 12, 2000 (Supp. 00-4).