1. A. A laboratory that receives a blood specimen from a laboratory, a health care provider’s office, or another facility without all of the required information listed in Regulation .02D(1)—(5) and (8) of this chapter included on the referral form required under Regulation .02B of this chapter shall:

   1. (1) Within 3 business days of receipt of the blood specimen, send to the facility that provided the blood specimen a written or electronic message citing the regulations and requirements of this chapter, requesting that all the required missing information be forwarded to the laboratory; and
   2. (2) Upon receipt of the required information, collate and transmit the information to the Department within the time frames set forth in Regulation .04C of this chapter.

2. B. When the laboratory reports a blood lead level test result to the Department with one or more of the requirements listed in Regulation .02D(1)—(5) and (8) of this chapter omitted, the laboratory shall concurrently provide the name and address of the facility that:

   1. (1) Drew the blood specimen; and
   2. (2) Failed upon request to forward the required information to the laboratory.

3. C. The facility that drew the blood specimen shall respond to a written or electronic message from a laboratory that did not receive all of the required information listed in Regulation .02D(1)—(5) and (8) of this chapter by providing the information to the laboratory within:

   1. (1) 1 business day of receiving the message regarding a blood lead level test result of greater than or equal to the reference level; and
   2. (2) 5 business days of receiving the message for a blood lead level test result of less than the reference level.

4. D. A laboratory not permitted in accordance with COMAR Title 10 to perform a blood lead analysis that accepts a blood specimen from a health care provider for referral to another laboratory for blood lead analysis shall ensure that:

   1. (1) The requisition record includes all of the information that is required under Regulation .02D(1)—(5) and (8) of this chapter; and
   2. (2) The required information is transmitted to the laboratory performing the blood lead analysis along with the blood specimen.

5. E. Reporting a Blood Lead Level Test Result with Missing Information.

   1. (1) A laboratory shall collate information required under Regulation .02D of this chapter that is collected to complete a previously incomplete requisition record for a blood lead level test before submitting the information to the Department in accordance with §A of this regulation.

   2. (2) A laboratory shall report to the Department the missing information collated pursuant to §E(1) of this regulation:

      1. (a) Concurrently with the blood lead level test result, if the reporting time frame for a blood lead level test result established in Regulation .04C of this chapter has not concluded; or
      2. (b) In a manner indicating that there has been a change in the blood lead level test record, if reporting the missing information after the initial blood lead level test result was reported to the Department.

Authority: Environment Article, §6-303, Annotated Code of Maryland

Effective date: October 6, 1986 (13:20 Md. R. 2211)

Chapter recodified from COMAR 10.10.07 to COMAR 26.02.01

Regulation .01B amended effective May 27, 1991 (18:10 Md. R. 1118)

Regulation .02 amended effective May 27, 1991 (18:10 Md. R. 1118)

Regulations .01 and .02 repealed and new Regulations .01—.06 adopted as an emergency provision effective December 20, 2001 (29:1 Md. R. 19); adopted permanently effective April 15, 2002 (29:7 Md. R. 623)

Regulation .05 amended effective August 25, 2008 (35:17 Md. R. 1490)

Regulations .01—.05 repealed and new Regulations .01—.05 adopted effective July 1, 2020 (47:13 Md. R. 643)