1. (1) 1st epistaxis—15 days;
2. (2) 2nd epistaxis—30 days;
3. (3) 3rd epistaxis—90 days, and if the third time was within 365 days, then exclusion for a minimum of 180 days;

4. (4) 4th epistaxis—one year, and if the fourth time was within 365 days, then permanent exclusion from racing.

   (b) Recording episodes of EIPH.

   Trainers shall maintain accurate records of every EIPH episode that is serious, meaning epistaxis or grade four as described in paragraph (d)(4) of this section, whether observed as visible bleeding or by endoscopic examination. The trainer may delegate this responsibility to the treating veterinarian, who shall make such records of a serious EIPH episode when so designated. Such records shall be retained for a minimum of four years unless reported to the commission in a form and manner approved by the commission or provided to the next trainer of the horse. Each succeeding trainer of the horse shall retain any such record of an EIPH episode that occurred in the previous four years.

   (c) Disclosure to subsequent owners.

   Previous serious EIPH episodes shall be disclosed to the next owner or trainer of a horse within 48 hours of a request for such information, unless the commission has provided such information to the next owner or trainer of the horse.

   (d) Required endoscopic examinations.

   A horse that experiences a serious EIPH episode must have, at the conclusion of the horse’s next workout or race, an endoscopic examination performed by a qualified veterinarian, who shall make a record of findings and rate the degree of pulmonary hemorrhage on the scale set forth in this paragraph, with a zero for no blood:

5. (1) one (1/4)—a trace or thin line of blood on the floor of the trachea;
6. (2) two (2/4)—a wide stripe of blood on the floor of the trachea or multiple streams of blood covering less than 1/3 of the trachea;
7. (3) three (3/4)—multiple distinct streams of blood covering more than 1/3 of the trachea;
8. (4) four (4/4)—multiple streams of blood covering 90 percent or more of the trachea with pooling at the thoracic inlet; or
9. (5) epistaxis—blood is evident in a nostril of the horse.

(a) Ineligibility to race after epistaxis.

A horse that has demonstrated external evidence or bled visibly from its nostrils (epistaxis) because of exercise induced pulmonary hemorrhage (EIPH) shall be placed on the steward’s list of horses that are ineligible to race. The horse may not race until cleared to race by a veterinarian designated by the commission and for the following minimum period of time after such bleeding: