1. A. Blood-Spot Specimen Collection.

   1. (1) A person shall collect a newborn infant’s blood-spot specimen for testing under this chapter by using only the special blood-spot specimen collection test requisition card provided by the Department.

   2. (2) The Department shall provide the special blood-spot specimen collection test requisition card to the:

      1. (a) Individual in charge of a birthing facility or the individual’s designated representative; or
      2. (b) Home birth attendant.

   3. (3) The individual in charge of a birthing facility or the individual’s designated representative, or the home birth attendant shall collect a blood-spot specimen consisting of heel-stick whole blood obtained:

      1. (a) When a newborn infant is 24 to 48 hours old;
      2. (b) On a blood-spot specimen collection test requisition card provided by the Department; and
      3. (c) As set forth in Regulation .14 of this chapter.

2. B. Blood-Spot Specimen Collection Test Requisition Card Information. An individual shall record the following information as specified on the Department-supplied blood-spot specimen collection test requisition card:

   1. (1) Newborn infant information, including:

      1. (a) Name;
      2. (b) Date of birth;
      3. (c) Time of birth;
      4. (d) Current weight;
      5. (e) Gender;
      6. (f) Race;
      7. (g) Gestational age;

      8. (h) Birthing facility identification, including the:

         1. (i) Facility name;
         2. (ii) Facility street address, city, state, and zip code; and
         3. (iii) Newborn infant's medical record or chart number;
      9. (i) Date and time of first feeding;

      10. (j) Type of feeding, such as:

          1. (i) Breast;
          2. (ii) Lactose-containing formula; or
          3. (iii) Formula containing no lactose;
      11. (k) Transfusion history, including transfusion date and time;
      12. (l) General health status of the newborn infant; and
      13. (m) The total protein and calorie intake for any newborn infant in a neonatal intensive care setting;

   2. (2) Blood-spot specimen information, including:

      1. (a) Date of collection;
      2. (b) Time of collection; and
      3. (c) Initials or other identifier of the individual who collected the blood-spot specimen;

   3. (3) Mother or guardian information, including:

      1. (a) Name;
      2. (b) Street address, city, state, and zip code; and
      3. (c) Telephone number where the mother or guardian may be reached;

   4. (4) Information on the pediatrician or attending physician who will be following the newborn infant, including the physician's:

      1. (a) Name;
      2. (b) Street address, city, state, and zip code; and
      3. (c) Telephone number; and

   5. (5) Other information that can affect the test results or the interpretation of the test results when applicable, such as that antibiotics were administered to the:

      1. (a) Mother; or
      2. (b) Newborn infant.

Authority: Health-General Article, §§13-101—13-103, 13-108—13-112, 13-601—13-605, 17-201—17-206, 17-210,
17-211, 17-215, and 17-216, Annotated Code of Maryland

Effective date:

Regulations .01— .27 adopted as an emergency provision effective January 1, 2009 (36:2 Md. R. 97); adopted permanently effective March 23, 2009 (36:6 Md. R. 490)

Regulation .02A amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .03B amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .04B amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .06B amended as an emergency provision effective July 1, 2012 (39:15 Md. R. 962); amended permanently effective August 20, 2012 (39:16 Md. R. 1080)

Regulation .06B amended effective April 27, 2015 (42:8 Md. R. 608); April 14, 2025 (52:7 Md. R. 321)

Regulation .12 amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .12C amended effective August 23, 2021 (48:17 Md. R. 669); April 14, 2025 (52:7 Md. R. 321); May 25, 2026 (53:10 Md. R. 454)

Regulation .13 amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .14 amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .15 amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .16 amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .17 amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .18B amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .20A, C amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .21 amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .23 amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .24A, D amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .25 amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .26A amended effective April 24, 2017 (44:8 Md. R. 404)

Regulation .27C amended effective April 24, 2017 (44:8 Md. R. 404)