<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 26.02.01.04" title_num="26" subtitle_num="02" chapter_num="01" heading="A Laboratory that Performs the Tests.">
  <paragraph num="A.">
    <text>Reporting to the Department. The director of a laboratory shall report to the Department the result of a blood lead level test performed on a child 18 years old or younger, who resides in Maryland.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Additional Reporting Requirements.</text>
    <paragraph num="(1)">
      <text>In addition to the requirements of §A of this regulation, the director of a laboratory shall report to the Commissioner of the Baltimore City Health Department the result of a blood lead level test performed on a child 18 years old or younger, who resides in Baltimore City.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>In addition to the requirements under §§A and B(1) of this regulation, a laboratory shall report the result of a blood lead level test to:</text>
      <paragraph num="(a)">
        <text>The health care provider that ordered the blood lead level test; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Another entity as required by State, federal, or local statutes or regulations, or in accordance with accepted standards of practice.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A laboratory shall report the result of a blood lead level test to the Department by facsimile or other manner required by the Department within the following time frames:</text>
    <paragraph num="(1)">
      <text>By the close of business of the next business day following a final blood lead level test result of greater than or equal to the reference level; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Within 2 weeks of a final blood lead level test result of less than the reference level.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A laboratory that uses an electronic system for tracking blood lead level test results shall report a result to the Department electronically in a manner consistent with the technical specifications established by the Department.</text>
  </paragraph>
</regulation>