reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 1 - HEARING SCREENING AND VISION SCREENING › Section R9-13-106 - Equipment Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that audiological equipment used for hearing
				screenings is recommended by the American Academy of Audiology.
B. An administrator shall ensure that:
1. A pure tone audiometer is calibrated:
a. Not more than 12 months before the hearing
				screening is planned to occur, and
b. According to ANSI/ASA S3.6-2010 American
				National Standards Institution/Acoustical Society of America, Specification for
				Audiometers, incorporated by reference, on file with the Department, including
				no future editions or amendments, and available from the American National
				Standards Institution at
https://webstore.ansi.org
.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 1 - HEARING SCREENING AND VISION SCREENING › Section R9-13-107 - Records and Reporting Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator shall obtain from a
				hearing screener:
1. The hearing screener's
				license number, if the hearing screener is an audiologist; or
2. A copy of the hearing screener's
				certificate of completion, as specified in
				R9-13-110.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 1 - HEARING SCREENING AND VISION SCREENING › Section R9-13-108 - Hearing Screener Qualifications

Current through Register Vol. 30, No. 28, July 12, 2024
A. An individual may be a hearing screener if
				the individual:
1. Is an audiologist,
				or
2.
Has a current hearing
				  screener certificate of completion, as specified in subsection (C).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 1 - HEARING SCREENING AND VISION SCREENING › Section R9-13-109 - Hearing Screening Trainer Eligibility

Current through Register Vol. 30, No. 28, July 12, 2024
A. An individual is eligible to be a hearing
				screening trainer if the individual:
1. Is
				currently licensed in Arizona as an audiologist according to A.R.S. Title 36,
				Chapter 17, and has completed at least 25 hearing screenings within the 12
				months before submitting the application in
				R9-13-110;
2. Is currently licensed as a registered
				nurse according to A.R.S. Title 32, Chapter 15 who is providing school health
				services and has completed at least 100 hearing screenings within the previous
				12 months from the date of submitting the application in
				R9-13-110;
3. Has
				completed at least 30-semester credits at an accredited college or university
				related to audiology or speechlanguage pathology and 100 hearing screenings
				within the previous 12 months from the date of submitting the application in
				R9-13-110; or
4. Is currently
				a hearing screener who has maintained a hearing screener certificate of
				completion for the previous five years and has completed at least 1,000 hearing
				screenings within the previous five years from the date of the application in
				R9-13-110.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 1 - HEARING SCREENING AND VISION SCREENING › Section R9-13-110 - Hearing Screening Trainer Certificate of Completion

Current through Register Vol. 30, No. 28, July 12, 2024
A. An individual who meets the eligibility
				requirements, as specified in
				R9-13-109(A), may
				apply for a hearing screening trainer certificate of completion by submitting a
				request to the Department, in a Department-provided format, that includes:
1. The individual's name, address, e-mail
				address, and telephone number;
2.
				If the individual is a licensed audiologist, as specified in
				R9-13-109(A)(1),
				the:
a. Audiologist's license number,
				and
b. Date of
				expiration;
3. If the
				individual is a registered nurse according to A.R.S. Title 32, Chapter 15, as
				specified in
				R9-13-109(A)(2),
				the:
a. Registered nurse license number,
				and
b. Date of
				expiration;
4. If the
				individual has completed 30-semester credits, as specified in
				R9-13-109(A)(3),
				all applicable academic transcripts demonstrating that the qualifying
				educational requirements have been met:
5. If the individual is a hearing screener
				who has maintained a hearing screener certificate of completion for the
				previous five years, as specified in
				R9-13-109(A)(4),
				the:
a. Names of the school districts where
				the hearing screener provided hearing screenings, and
b. Hearing screener's certification of
				completion date of expiration;
6. Whether the individual completed the
				hearing screenings, as specified in
				R9-13-109(A)(3);
				and
7. An attestation that:
a. The applicant will comply with the
				requirements in
				R9-13-109, and
b. The information provided in the request
				for the hearing screening trainer certificate of completion is true and
				accurate; and
c. The individual's
				signature and date of signature.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 1 - HEARING SCREENING AND VISION SCREENING › Section R9-13-111 - Hearing Screening Trainer Instruction, Examination, and Observation

Current through Register Vol. 30, No. 28, July 12, 2024
A. An individual
				requesting to become a hearing screening trainer shall complete the required
				classroom instruction, written examination, and observation within 160 calendar
				days from the date provided in the Department's notification, as specified in
				R9-13-110(B).
B. An individual, who has received
				notification from the Department, as specified in
				R9-13-110(B),
				shall attend classroom instruction provided by the Department or designee that
				includes:
1. Adult education learning
				strategies,
2. hearing
				curriculum,
3. Hearing screening
				protocols,
4. Audiological
				equipment, and
5. Written
				examination.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 1 - HEARING SCREENING AND VISION SCREENING › Section R9-13-112 - Vision Screener Qualifications

Current through Register Vol. 30, No. 28, July 12, 2024
A. An individual may be a vision screener, if
				the individual:
1. Is an optometrist or
				ophthalmologist, or
2. Has a
				current vision screening certificate of completion, as specified in subsection
				(C).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 1 - HEARING SCREENING AND VISION SCREENING › Section R9-13-113 - Vision Screening Trainer Eligibility

Current through Register Vol. 30, No. 28, July 12, 2024
A. An individual is eligible to be a vision
				screening trainer if the individual:
1. Is
				currently licensed in Arizona as an optometrist or ophthalmologist, according
				to A.R.S. Title 32, Chapter 16, and has completed at least 25 vision screenings
				within the 12 months before submitting the application in
				R9-13-114;
2. Is currently licensed as a registered
				nurse according to A.R.S. Title 32, Chapter 15 who is providing school health
				services and has completed at least 100 vision screenings within the previous
				12 months from the date of submitting the application in
				R9-13-114;
3. Has completed at least 30-semester credits
				at an accredited college or university related to optometry, ophthalmology, or
				instruction of students with visual impairment, and 100 vision screenings
				within the previous 12 months from the date of submitting the application in
				R9-13-114, or
4. Is currently a
				vision screener who has maintained a vision screening certificate of completion
				for the previous five years and has completed at least 1,000 vision screenings
				within the previous five years from the date of the application in
				R9-13-114.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 1 - HEARING SCREENING AND VISION SCREENING › Section R9-13-114 - Vision Screening Trainer Certificate of Completion

Current through Register Vol. 30, No. 28, July 12, 2024
A. An individual who meets the eligibility
				requirements, as specified in
				R9-13-113(A), may
				apply for a vision screening trainer certificate of completion by submitting a
				request to the Department, in a Department-provided format, that includes:
1. The individual's name, address, e-mail
				address, and telephone number;
2.
				If the individual is a licensed optometrist or ophthalmologist, as specified in
				R9-13-113(A)(1),
				the:
a. Optometrist or ophthalmologist
				license number, and
b. Date of
				expiration;
3. If the
				individual is a registered nurse according to A.R.S. Title 32, Chapter 15, as
				specified in
				R9-13-113(A)(2),
				the:
a. Registered nurse license number,
				and
b. Date of
				expiration;
4. If the
				individual has completed 30-semester credits, as specified in
				R9-13-113(A)(3),
				all applicable academic transcripts demonstrating that the qualifying
				educational requirements have been met;
5. If the individual is a vision screener who
				has maintained a vision screening certificate of completion for the previous
				five years, as specified in
				R9-13-113(A)(4),
				the:
a. Names of the school districts where
				the vision screener provided vision screenings, and
b. Vision screener's certification of
				completion date of expiration;
6. Whether the individual completed the
				vision screenings, as specified in
				R9-13-113(A)(4);
				and
7. An attestation that:
a. The applicant will comply with the
				requirements in
				R9-13-113, and
b. The information provided in the request
				for the vision screening trainer certificate of completion is true and
				accurate; and
c. The individual's
				signature and date of signature.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 1 - HEARING SCREENING AND VISION SCREENING › Section R9-13-115 - Vision Screening Trainer Instruction, Examination, and Observation

Current through Register Vol. 30, No. 28, July 12, 2024
A. An individual
				requesting to become a vision screening trainer shall complete the required
				classroom instruction, written examination, and observation within 160 calendar
				days from the date provided in the Department's notification, as specified in
				R9-13-114(B).
B. An individual, who has received
				notification from the Department, as specified in
				R9-13-114(B),
				shall attend classroom instruction provided by the Department or designee that
				includes:
1. Adult education learning
				strategies,
2. Vision
				curriculum,
3. Vision screening
				protocols,
4. Vision equipment,
				and
5. Written
				examination.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 1 - HEARING SCREENING AND VISION SCREENING › Section R9-13-116 - Trainer Certificate of Completion Renewal

Current through Register Vol. 30, No. 28, July 12, 2024
A. A training certificate of completion may
				be renewed by attending and completing a Department-approved refresher training
				course, either offered directly by the Department or by a trainer authorized
				under this Article, during the fifth year of certification from the date the
				preceding certificate was issued. Once a refresher training course is
				successfully completed, the five-year cycle begins again. If certification is
				not renewed within the required time period, the individual must attend the
				basic certification training course (i.e., a refresher course will not be
				sufficient).
B. A trainer shall
				submit the following to the Department, in a Department-provided format, at
				least 60 calendar days before the expiration date of the trainer's certificate
				of completion, which includes the trainer's name, address, e-mail address, and
				telephone number;
C. Within 30
				calendar days from the date a trainer submits a renewal certificate of
				completion, the Department shall issue the trainer a certificate of
				completion.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 1 - HEARING SCREENING AND VISION SCREENING › Table 13.1 - Hearing Screening Population

Current through Register Vol. 30, No. 28, July 12, 2024
A. Students Included in the Hearing Screening
							 Population
1. All grades, including preschool and
							 kindergarten
Every student, within 90 school days after initial
							 enrollment to school if the school does not have documentation of a previous
							 hearing screening within the last 12 months.
Additional screening is applicable to every student
							 if one of the following applies:
a. The student receives or is being considered for
							 special education services pursuant to A.R.S. Title 15, Chapter 7, Article 4,
							 and A.A.C. Title 7, Chapter 2, Article 4,
b. A teacher has requested a screening for the
							 student;
c. The student did not pass a hearing rescreening
							 during the previous school year; or
d. The student is repeating a grade.
2. Preschool
Every enrolled student
3. Kindergarten
Every enrolled student
4. Grade 1
Every enrolled student
5. Grade 3
Every enrolled student
6. Grade 5
Every enrolled student
7. Grade 7
Every enrolled student
8. Grade 9
Every enrolled student
9. Grades 10, 11, and 12
Every enrolled student for whom the school does not
							 have documentation that the student received and passed a hearing screening in
							 or after grade 9.
B. Students Not Included in the Hearing
							 Screening Population
1. A student whose parent has objected to the
							 student receiving a hearing screening, as specified in A.R.S. §
													36-899.04.
2. A student who has been diagnosed as being deaf or
							 hard of hearing.
3. A student who is at least 16 years of age and has
							 requested not to receive a hearing screening according to A.R.S. §
							 36899.01.
4. A student enrolled in a child care facility
							 regulated pursuant to A.R.S. Title 36, Chapter 7.1.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 1 - HEARING SCREENING AND VISION SCREENING › Table 13.2 - Table 13.2 Vision Screening Population

Current through Register Vol. 30, No. 28, July 12, 2024
A. Students Included in Vision Screening
							 Population
1. All grades
Every enrolled student, within 90 school days after
							 initial enrollment to school if the school does not have documentation of a
							 previous vision screening within the last 12 months.
Additional screening applicable to every student if
							 one of the following applies:
a. The student receives or is being considered for
							 special education services pursuant to A.R.S. Title 15, Chapter 7, Article 4,
							 and A.A.C. Title 7, Chapter 2, Article 4, and who has not been screened in the
							 last year;
b. A teacher has requested a screening for the
							 student, and the student has not been screened in the previous year; or
c. The student is not reading at the proficient
							 level by the third grade pursuant to the state assessment required in ARS
							 15-741.
2. Preschool
Every enrolled student, if initial entry
3. Kindergarten
Every enrolled student, if initial entry
4. Grade 3
Every enrolled student.
5. Grade 7
Every enrolled student.
B. Students Not Included in Vision Screening
							 Population
1. A student whose parent objects to the student
							 receiving a vision screening, as specified in A.R.S. §
													36-899.10;
2. A student who has been diagnosed as being legally
							 blind or having vision impairment;
3. A student enrolled in a private education
							 program, as specified in A.R.S. §
													36-899(5);
4. A student who is an "emancipated person" defined
							 in A.R.S. §
													12-2451 and objects to receiving a
							 vision screening; or
5. A student enrolled in a child care facility
							 regulated pursuant to A.R.S. Title 36, Chapter 7.1.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 1 - HEARING SCREENING AND VISION SCREENING › Table 13.3 - Hearing Screening Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
Screening
							 Type
Pure Tone
							 Audiometry
Pure Tone Audiometry/Tympanoetry
Otoacoustic
							 Emissions
Grade Level
All students who are cognitively and behaviorally
							 able to participate.
Tympanometry may be added to pure tone screenings at
							 the discretion of the screening program.
Initial Entry to preschool or
							 kindergarten
Students who are cognitively or behaviorally limited
							 in their ability to participate in pure tone screenings
Passing Criteria
Screen each student's ears, with the response
							 recorded at the following criteria:
1000 Hz at 20 dB HL, 2000 Hz at 20 dB HL, and 4000
							 Hz at 20 dB HL;
The height of the peak acous tic immittance is >
							 0.3 mmho, mL, or compliance; or
The tympanometric width or gradient is < 250
							 daPa; and
1000 Hz at 20 dB HL, 2000 Hz at 20 dB HL, and 4000
							 Hz at 20 dB HL;
The display screen of the otoacoustic emissions
							 device indicates results that the student has passed
Otoacoustic Emissions
							 Screening
A.
Otoacoustic Emissions devices may be
							 used to screen the following populations:
1. Students who are between the ages of one year but
							 less than six years of age who cannot participate in pure tone hearing
							 screening.
2. Students who are six years of age and older who
							 cannot participate in pure tone hearing screenings, for example children with
							 special healthcare needs and children with developmental delays or
							 disabilities.
B.
Otoacoustic emissions screenings do
							 not measure the child's ability to detect or respond to sound but measure the
							 response of inner ear structures to auditory stimulation. Therefore,
							 otoacoustic emissions screening should not be used in lieu of pure tone
							 audiometry screening for those students that are able to
							 participate.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 1 - HEARING SCREENING AND VISION SCREENING › Table 13.4 - Vision Screening Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
Screening
							 Type
Distance and Near Visual
							 Acuity
Stereoacuity
Color Vision
							 Deficiency
Grade Level
Initial Entry to Preschool or Kindergarten (if able
							 to participate)
Initial Entry to Preschool or Kindergarten (if able
							 to participate)
Initial Entry to Preschool or
							 Kindergarten
Grade 3
Grade 3
Grade 7
A student who is not reading at a proficient level
							 by the third grade or who meets the criteria in Table 13.2 (A)(1)
Passing Criteria
Able to identify the majority of the optotypes at
							 the:
1. 20/50 line if 3 years old,
2. 20/40 line if 4 years old,
3. 20/32 line if 5 years or older.
According to the manufacturer's criteria
Instrument-based Vision
							 Screening
A.
Autorefractors/photoscreeners may be
							 used to screen the following populations:
1. Students who are between the ages of one year but
							 less than six years of age who cannot participate in optotype visual acuity
							 screening.
2. Students who are six years of age and older who
							 cannot participate in optotype visual acuity screenings, for example, children
							 with special healthcare needs and children with developmental delays or
							 disabilities.
B
Autorefractors/photoscreeners do not
							 measure visual acuity but identify the presence of risk factors that could lead
							 to problems with visual acuity. Therefore, Autorefractors/photoscreeners should
							 not be used in lieu of near or distance optotype visual acuity screening for
							 students that are able to participate.
C.
A student has passed an
							 instrument-based vision screening if the display screen of the device indicates
							 the results as passed.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 2 - NEWBORN AND INFANT SCREENING › Section R9-13-201 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In this Article, unless otherwise specified:
1. "Abnormal result" means an outcome that
				deviates from the range of values established by:
a. The Department for an analysis performed
				as part of a bloodspot test or for a hearing test, or
b. A health care facility or health care
				provider for critical congenital heart defect screening.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 2 - NEWBORN AND INFANT SCREENING › Section R9-13-202 - Newborn and Infant Critical Congenital Heart Defect Screening

Current through Register Vol. 30, No. 28, July 12, 2024
A. A health care
				facility's designee, a health care provider, or a health care provider's
				designee shall order critical congenital heart defect screening using pulse
				oximetry for a newborn to be performed:
1.
				Between 24 and 48 hours after birth according to the health care facility's or
				health care provider's policies and procedures, or
2. As late as possible before discharge
				according to the health care facility's or health care provider's policies and
				procedures if the newborn is discharged earlier than 24 hours after
				birth.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 2 - NEWBORN AND INFANT SCREENING › Section R9-13-203 - Newborn and Infant Bloodspot Tests

Current through Register Vol. 30, No. 28, July 12, 2024
A. A bloodspot test shall screen for the
				following congenital disorders:
1.
				Amino acid disorders, including:
a.
				Argininemia, a congenital disorder characterized by an inability to metabolize
				the amino acid arginine due to defective arginase activity;
b. Argininosuccinic acidemia, a congenital
				disorder characterized by an inability to metabolize the amino acid
				argininosuccinic acid due to defective argininosuccinate lyase
				activity;
c. Biopterin defect in
				cofactor biosynthesis, a congenital disorder characterized by reduced levels of
				tetrahydrobiopterin due to a defect in an enzyme that produces
				tetrahydrobiopterin;
d. Biopterin
				defect in cofactor regeneration, a congenital disorder characterized by reduced
				levels of tetrahydrobiopterin due to a defect in an enzyme that recycles
				tetrahydrobiopterin to a usable form after a metabolic reaction;
e. Citrullinemia type I, a congenital
				disorder characterized by an inability to convert the amino acid citrulline and
				aspartic acid into argininosuccinic acid due to defective argininosuccinate
				synthetase activity;
f.
				Citrullinemia type II, a congenital disorder characterized by a reduction in
				levels of citrin, which is involved in the transport of glutamate and
				aspartate, due to a defective SLC25A13 gene;
g. Homocystinuria, a congenital disorder
				characterized by abnormal methionine and homocysteine metabolism due to
				defective cystathione-ÃY-synthase activity;
h. Hypermethioninemia, a congenital disorder
				characterized by an elevated level of methionine in the bloodstream;
i. Hyperphenylalaninemia (benign), a
				congenital disorder characterized by an elevated level of phenylalanine in the
				bloodstream with few, if any, clinical symptoms;
j. Maple syrup urine disease, a congenital
				disorder of branched chain amino acid metabolism due to defective branched
				chain-keto acid dehydrogenase activity;
k. Phenylketonuria, a congenital disorder
				characterized by abnormal phenylalanine metabolism due to defective
				phenylalanine hydroxylase activity;
l. Tyrosinemia type I, a congenital disorder
				characterized by an accumulation of the amino acid tyrosine due to defective
				fumarylacetoacetate hydrolase activity;
m. Tyrosinemia type II, a congenital disorder
				characterized by an accumulation of the amino acid tyrosine due to defective
				tyrosine aminotransferase activity; and
n. Tyrosinemia type III, a congenital
				disorder characterized by an accumulation of the amino acid tyrosine and
				metabolic product 4-hydroxyphenylpyruvate due to defective
				4-hydroxyphenylpyruvate dioxygenase activity;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 2 - NEWBORN AND INFANT SCREENING › Section R9-13-204 - First Specimen Collection

Current through Register Vol. 30, No. 28, July 12, 2024
A.When a newborn is born in a hospital, the
				hospital's designee shall collect a first specimen from the newborn according
				to whichever of the following occurs first:
1. Unless specified otherwise by a physician,
				physician assistant, or registered nurse practitioner, before administering a
				transfusionor parenteral nutrition;
2. When the newborn is at least 24 but not
				more than 72 hours old; or
3.
				Before the newborn is discharged, unless the newborn:
a. Is transferred to another hospital before
				the newborn is 48 hours old; or
b.
				Dies before the newborn is 72 hours old.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 2 - NEWBORN AND INFANT SCREENING › Section R9-13-205 - Second Specimen Collection

Current through Register Vol. 30, No. 28, July 12, 2024
A.After a newborn's or an infant's discharge
				from a health care facility or after a home birth, a health care provider or
				the health care provider's designee shall:
1.
				Collect a second specimen from the newborn or infant not older than one year of
				age
at the time of the
				  newborn's or infant's first visit to the health care provider, or
2. Verify that a health care
				facility or different health care provider has collected a second specimen from
				the newborn or infant.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 2 - NEWBORN AND INFANT SCREENING › Section R9-13-206 - Reporting Requirements for Specimens

Current through Register Vol. 30, No. 28, July 12, 2024
A.The Arizona State
				Laboratory shall report, in written or electronic format, to the health care
				provider and, if applicable, health care facility identified on a specimen
				collection kit:
1. The results of a bloodspot
				test on a specimen; or
2. For a
				specimen that does not meet quality standards established by the Arizona State
				Laboratory in compliance with 42 CFR § 493.1200:
a. That a bloodspot test was not performed on
				the specimen; and
b. The reason the
				bloodspot test was not performed.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 2 - NEWBORN AND INFANT SCREENING › Section R9-13-207 - Newborn and Infant Hearing Tests

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Before a hearing test is performed on a newborn or infant, a health care
				facility's designee, a health care provider, or the health care provider's
				designee shall provide educational materials to the newborn's or infant's
				parent or guardian.
B. A health
				care facility's designee, a health care provider, or the health care provider's
				designee shall order hearing testing for a newborn or infant to be performed
				according to the health care facility's or health care provider's policies and
				procedures that includes:
1. An initial
				hearing screening ordered to be performed within 30 days after birth or before
				discharge;
2. A second hearing
				screening ordered to be performed within 30 days after birth if an abnormal
				result is obtained in one or both of a newborn's or infant's ears on the
				initial hearing screening; and
3.
				Diagnostic evaluation ordered to be performed:
a. If a newborn or infant has an abnormal
				result in one or both ears on the second hearing screening;
b. If a newborn or infant has been admitted
				to the Neonatal Intensive Care Unit for five days or more and has an abnormal
				initial hearing screening;
c. If a
				newborn or infant has a medical condition that makes diagnostic evaluation more
				appropriate; or
d. As clinically
				indicated.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 2 - NEWBORN AND INFANT SCREENING › Section R9-13-208 - Newborn Screening Program Fee

Current through Register Vol. 30, No. 28, July 12, 2024
A. Until November 1,
				2022, the fee for the newborn screening program is:
1. For a first specimen, $36; and
2. For a second specimen, $65.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES › Article 14 › Section R9-13-1417 - Emergency Expired

Current through Register Vol. 30, No. 28, July 12, 2024
Former Article 15 contained Sections and Exhibits which
					 were adopted under an exemption from the provisions of the Administrative
					 Procedure Act (A.R.S. Title 41, Chapter 6) pursuant to A.R.S. §
											36-2205(C).
					 Exemption from A.R.S. Title 41, Chapter 6 means that the Department of Health
					 Services did not submit these rules to the Governor's Regulatory Review Council
					 for review; the Department did not submit notice of proposed rulemaking to the
					 Secretary of State for publication in the Arizona Administrative Register; the
					 Department was not required to hold public hearings on these rules; and the
					 Attorney General did not certify these rules.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 14 - DEPARTMENT OF HEALTH SERVICES - LABORATORIES › Article 1 - LABORATORY STANDING ORDERS › Section R9-14-101 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In this Article, unless otherwise specified:
1.
				"Clinical laboratory" means the same as in A.R.S. §
									36-451.
2. "Laboratory standing order" means a written
				directive by a licensed practitioner to a clinical laboratory to perform a
				test.
3.
				"Licensed practitioner" means:
a. A
				podiatrist licensed under A.R.S. Title 32, Chapter 7;
b. A doctor of chiropractic licensed under
				A.RS. Title 32, Chapter 8;
c. A
				doctor of medicine licensed under A.R.S. Title 32, Chapter 13 or licensed in
				another state;
d. A doctor of
				naturopathic medicine licensed under A.R.S. Title 32, Chapter 14;
e. A doctor of osteopathic medicine licensed
				under A.R.S. Title 32, Chapter 17 or licensed in another state;
f. A homeopathic physician licensed under
				A.R.S. Title 32, Chapter 29;
g. A
				dentist licensed under A.R.S. Title 32, Chapter 11, Article 2;
h. A physician assistant who is licensed
				under Title 32, Chapter 25 and who has the supervising physician's delegation
				required in A.RS. §
										32-2531;
				or
i. A registered nurse
				practitioner licensed under A.R.S. Title 32, Chapter 15 and certified under
				A.A.C.
				R4-19-504.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 14 - DEPARTMENT OF HEALTH SERVICES - LABORATORIES › Article 1 - LABORATORY STANDING ORDERS › Section R9-14-102 - Laboratory Standing Orders

Current through Register Vol. 30, No. 28, July 12, 2024
A laboratory shall only perform a test based on a laboratory
				  standing order if the laboratory standing order:
1. Specifies:
a. The licensed practitioner's name, type of
				license, and licensing state;
b.
				The patient's name;
c. The date of
				the laboratory standing order;
d. One or more tests;
				and
e. The frequency of testing; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 14 - DEPARTMENT OF HEALTH SERVICES - LABORATORIES › Article 6 - LICENSING OF ENVIRONMENTAL LABORATORIES › Section R9-14-601 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. §
									36-495,
				  the following definitions apply in this Article, unless otherwise
				  specified:
1. "Acceptance criteria"
				means the range of satisfactory test results for a parameter.
2. "ADEQ" means the Arizona Department of
				Environmental Quality.
3.
				"Affiliate" means a business organization that:
a. Controls or has the power to control the
				business organization that owns the laboratory,
b. Is controlled by or could be controlled by
				the business organization that owns the laboratory, or
c. Could be controlled by a third business
				organization that could also control the business organization that owns the
				laboratory.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 14 - DEPARTMENT OF HEALTH SERVICES - LABORATORIES › Article 6 - LICENSING OF ENVIRONMENTAL LABORATORIES › Section R9-14-602 - Exemptions from Applicability

Current through Register Vol. 30, No. 28, July 12, 2024
This Article does not apply to:
1. The laboratories exempted by A.R.S. §
									36-495.02(A);
2. Compliance testing performed under the
				Federal Insecticide, Fungicide, and Rodenticide Act,
				7
				U.S.C. 136 -
				136y;
3. An out-of-state laboratory at
				which only microbiology testing of bottled water is performed and for which the
				owner holds a current and valid environmental laboratory license or
				certificate, issued by another state of the United States, that specifically
				authorizes drinking water testing;
4. A person that:
a. Employs methods approved by either ADEQ or
				the Department; and
b. Tests
				compliance samples either:
i. For turbidity or
				conductivity at the time of sampling, or
ii. With a maximum holding time of 15 minutes
				after sampling; or
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 14 - DEPARTMENT OF HEALTH SERVICES - LABORATORIES › Article 6 - LICENSING OF ENVIRONMENTAL LABORATORIES › Section R9-14-604 - Third Party Accreditation

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				laboratory that holds current and valid accreditation issued by the National
				Voluntary Laboratory Accreditation Program administered by the National
				Institute of Standards and Technology is exempt from licensure under this
				Article, as authorized under A.R.S. §
									36-495.02,
				for the term of the accreditation.
B. If a laboratory's accreditation issued by
				the National Voluntary Laboratory Accreditation Program expires or is
				suspended, revoked, or voluntarily terminated, the laboratory is required to be
				licensed as provided under A.R.S. Title 36, Chapter 4.3 and this Article.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 14 - DEPARTMENT OF HEALTH SERVICES - LABORATORIES › Article 6 - LICENSING OF ENVIRONMENTAL LABORATORIES › Section R9-14-605 - Compliance Monitoring

Current through Register Vol. 30, No. 28, July 12, 2024
A. The
				Department may conduct a laboratory inspection, investigation, or proficiency
				testing, or any combination of the three, at any time before or during a
				laboratory's license period.
B. The
				Department shall conduct at least an initial laboratory inspection and a
				follow-up annual laboratory inspection before determining how often to conduct
				subsequent laboratory inspections, as provided under subsection (C).
C. In determining how often to conduct a
				laboratory inspection, the Department shall consider:
1. The Department's findings at the last two
				laboratory inspections;
2. The
				licensee's adherence to any corrective action plans created as a result of the
				last two laboratory inspections;
3.
				Whether there has been a change in ownership or laboratory director since the
				last laboratory inspection;
4. The
				extent to which the compliance testing performed at the laboratory has changed
				since the last laboratory inspection or would change as a result of a renewal
				application; and
5. Performance on
				the most recent proficiency testing completed at the laboratory.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 14 - DEPARTMENT OF HEALTH SERVICES - LABORATORIES › Article 6 - LICENSING OF ENVIRONMENTAL LABORATORIES › Section R9-14-606 - Provisional Licensing

Current through Register Vol. 30, No. 28, July 12, 2024
A. The
				Department may issue a provisional license to a licensee when the Department
				suspends the licensee's regular license because of deficiencies identified in
				an investigation, laboratory inspection, or proficiency testing, or any
				combination of the three, if the licensee agrees to carry out a corrective
				action plan acceptable to the Department to eliminate the
				deficiencies.
B. In determining
				whether to issue a provisional license, the Department shall consider:
1. The nature of the deficiencies upon which
				the suspension is based;
2. The
				licensee's history of compliance with A.R.S. Title 36, Chapter 4.3 and this
				Article;
3. The extent to which the
				public health and safety may be impacted by the continued operation of the
				laboratory with a provisional license; and
4. The extent to which the public's interests
				are served by allowing the licensee the opportunity to correct the deficiencies
				and continue operating with a provisional license.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 14 - DEPARTMENT OF HEALTH SERVICES - LABORATORIES › Article 6 - LICENSING OF ENVIRONMENTAL LABORATORIES › Section R9-14-607 - Fees

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as
				provided in
				R9-14-608,
				an applicant shall submit the following fees to the Department with each
				application for an initial or renewal license:
1. The cumulative method and instrumentation
				fees for each laboratory, as determined according to Tables 6.2.A, 6.2.B,
				6.2.C, 6.2.D, 6.2.E, and 6.3;
2.
				The following application fees:
a. If
				applying for a single license for a single laboratory, which may include
				multiple laboratories located on contiguous grounds and having the same owner,
				the following fee:
i. For a Level I license,
				$1,677;
ii. For a Level II license,
				$2,130; or
iii. For a Level III
				license, $2,348; or
b.
				If applying for a single license for multiple laboratories not located on
				contiguous grounds, the following fee for each laboratory:
i. For a Level I license, $1,442;
ii. For a Level II license, $1,895;
				and
iii. For a Level III license,
				$2,130;
3. An
				administrative fee of $130 for the proficiency testing to occur during the
				license period; and
4. If applying
				for an out-of-state laboratory, an annual information update fee of
				$126.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 14 - DEPARTMENT OF HEALTH SERVICES - LABORATORIES › Article 6 - LICENSING OF ENVIRONMENTAL LABORATORIES › Section R9-14-608 - Installment Payment of Fees by Small Businesses

Current through Register Vol. 30, No. 28, July 12, 2024
A. A licensee may, for license renewal, pay
				the fees calculated under
				R9-14-607(A)(1),
				(3), and (4) to the Department in 12 or fewer
				installments if the owner is a small business.
B. A licensee who desires to make payments in
				installments as described in subsection (A) shall indicate this on the
				application for license renewal and shall indicate a monthly, bimonthly, or
				quarterly schedule for the payments, which shall result in full payment within
				12 or fewer months.
C. A licensee
				making installment payments shall submit the first installment payment to the
				Department along with the application for license renewal and the application
				fee calculated under R9-14-607(A)(2), and each subsequent installment payment
				on a monthly, bimonthly, or quarterly basis, as indicated on the application,
				or until the fees are paid in full, whichever comes first.
D. A licensee shall ensure that each
				installment payment is:
1. Paid by the first
				day of the month in which it is due; and
2. At least equal to the amount calculated by
				dividing the total fees due under
				R9-14-607(A)(1),
				(3), and (4) by the number of payments
				indicated on the application for license renewal.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 14 - DEPARTMENT OF HEALTH SERVICES - LABORATORIES › Article 6 - LICENSING OF ENVIRONMENTAL LABORATORIES › Section R9-14-609 - Proficiency Testing

Current through Register Vol. 30, No. 28, July 12, 2024
A. At least
				once in each 12-month period, and more often if requested by the Department,
				each licensee or applicant shall have at least one laboratory analyst
				participate in proficiency testing provided by the Department, the EPA, or a
				proficiency testing service that:
1. Includes
				at least one proficiency testing sample for each parameter for which an initial
				license or renewal license has been issued or requested and for which
				proficiency testing samples are available;
2. Demonstrates the laboratory analyst's
				proficiency in compliance testing of:
a.
				Applicable drinking water parameters in Table 6.2.A, if:
i. The applicant plans to perform compliance
				testing of drinking water parameters, or
ii. The licensee is approved to perform
				compliance testing of drinking water parameters; and
b. Applicable parameters other than drinking
				water parameters, if:
i. The applicant plans
				to perform compliance testing of the parameters, or
ii. The licensee is approved to perform
				compliance testing of the parameters; and
3. If the licensee or applicant has been
				issued or has requested a license that includes approval for testing an analyte
				by different methods, may use the same proficiency testing sample for each
				method.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 14 - DEPARTMENT OF HEALTH SERVICES - LABORATORIES › Article 6 - LICENSING OF ENVIRONMENTAL LABORATORIES › Section R9-14-611 - Compliance Testing for Drinking Water Parameters

Current through Register Vol. 30, No. 28, July 12, 2024
A. A licensee for a laboratory at which
				compliance testing for drinking water compliance testing parameters is
				performed, including compliance testing performed according to 9 A.A.C. 8,
				Article 2, shall ensure that:
1. Except as
				provided in subsection (B), the laboratory is operated in compliance with the
				guidelines in Key References D4, D5, and D6, excluding the requirements for
				laboratory personnel education and experience;
2. Each sample for Arizona drinking water
				parameter compliance testing is analyzed:
a.
				Using an approved method:
i. Listed in Table 6.2.A ; or
ii.
				Approved by the Department for compliance testing for drinking water parameters
				under
				R9-14-610(E);
				and
b. If the approved
				method is from Key Reference C, following the quality control guidelines in Key
				Reference C associated with the approved method; and
3. If the licensee requests approval to
				perform testing for vinyl chloride, the licensee also obtains approval to
				perform testing for each of the analytes listed in
				40 CFR
				141.61(a)(2)-(21).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 14 - DEPARTMENT OF HEALTH SERVICES - LABORATORIES › Article 6 - LICENSING OF ENVIRONMENTAL LABORATORIES › Section R9-14-612 - Compliance Testing for Wastewater Parameters

Current through Register Vol. 30, No. 28, July 12, 2024
A licensee for a laboratory at which compliance testing for
				  wastewater parameters is performed shall ensure that:
1. The laboratory is operated in compliance
				with the guidelines in Key References C5 and C6; and
2. Each sample for Arizona wastewater
				parameter compliance testing is analyzed:
a.
				Using an approved method:
i. Listed in Table 6.2.B ; or
ii.
				Approved by the Department for wastewater parameter compliance testing under
				R9-14-610(E); and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 14 - DEPARTMENT OF HEALTH SERVICES - LABORATORIES › Article 6 - LICENSING OF ENVIRONMENTAL LABORATORIES › Section R9-14-613 - Compliance Testing for Waste Parameters

Current through Register Vol. 30, No. 28, July 12, 2024
A. A licensee for a laboratory at which
				compliance testing for waste parameters is performed shall ensure that each
				waste sample for Arizona compliance testing is analyzed using an approved
				method:
1. Listed in Table 6.2.C ;
				or
2. Approved by the Department
				for waste compliance testing under
				R9-14-610(E).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 14 - DEPARTMENT OF HEALTH SERVICES - LABORATORIES › Article 6 - LICENSING OF ENVIRONMENTAL LABORATORIES › Section R9-14-614 - Compliance Testing for Air and Stack Parameters

Current through Register Vol. 30, No. 28, July 12, 2024
A licensee for a laboratory at which compliance testing for
				  air or stack parameters is performed shall ensure that each air or stack sample
				  for Arizona compliance testing is analyzed using an approved method:
1. Listed in Table 6.2.D ; or
2. Approved by the Department for compliance
				testing for air or stack parameters under
				R9-14-610(E).