reglab/statecodes huggingface dataset:
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 10 - Screening of Newborn Children for Congenital Disorders › 7 AAC 27.510 - Uniform standards

Current through May 31, 2024
(a) The screening of newborn children for
				  congenital disorders under 7 AAC 27.510 -
				  7 AAC 27.590 must be performed at a single laboratory
				  designated by the department. The screening must be performed on a specimen of
				  the newborn child's blood collected as specified in
				  7 AAC 27.530. The screening must include tests for
				  phenylketonuria, hypothyroidism, galactosemia, and congenital adrenal
				  hyperplasia. Other conditions may be tested for if the designated laboratory
				  has a test method suitable to the department.
(b) Unless the parent or guardian denies a
				  request for specimens, screening under 7 AAC 27.510 -
				  7 AAC 27.590 is required for a newborn child in the
				  state. A newborn child who has not been screened must be reported to the
				  department as prescribed in
				  7 AAC 27.530(c).
Authority:
AS
						18.05.040
AS
						18.15.200
AS
						18.15.210
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 10 - Screening of Newborn Children for Congenital Disorders › 7 AAC 27.520 - Persons required to collect specimens

Current through May 31, 2024
(a) Responsibility
				  for collection and submission of specimens resides with the health care
				  provider attending the newborn child. If a newborn child is not attended by
				  health care provider, the department encourages the newborn child's parent or
				  guardian to present the newborn child as early as possible within the newborn
				  child's first 48 hours of life to a health care provider for the required
				  testing as described in
				  7 AAC 27.530.
(b) If a newborn child is receiving care in a
				  medical facility or is admitted to a medical facility within 48 hours of age,
				  the blood specimen required in
				  7 AAC 27.510 must be collected before that child's
				  discharge or transfer to another medical facility.
Authority:
AS
						18.05.040
AS
						18.15.200
AS
						18.15.210
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 10 - Screening of Newborn Children for Congenital Disorders › 7 AAC 27.530 - Collection of blood specimen; refusal of collection

Current through May 31, 2024
(a) The minimum
				  blood specimen collection requirements for the screening described in 7 AAC 27
				  .510 are the following:
(1) one specimen must
				  be collected before the newborn child is 48 hours of age;
(2) if the screening of the initial specimen
				  shows an abnormal result for one or more of the tested conditions or the
				  specimen was contaminated, spoiled, or otherwise not adequate for screening, a
				  second specimen must be collected if requested by the department; and
(3) a second specimen may be required if a
				  newborn child is born prematurely, has a low birth weight, or is admitted to a
				  specialty care unit according to the department's and the unit's screening
				  procedures.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 10 - Screening of Newborn Children for Congenital Disorders › 7 AAC 27.540 - Specimen collection materials

Current through May 31, 2024
The department will provide a health care provider with
					 specimen collection materials when ordered through the program manager for the
					 newborn bloodspot screening (NBS) program. A request for these materials must
					 be directed to the NBS program.
The address for the newborn bloodspot screening (NBS)
						program in the department is the Department of Health and Social Services,
						division of public health, section of women's, children's, and family health,
						3601 C Street, Suite 322, Anchorage, AK
						99503.
Authority:
AS
						18.05.040
AS
						18.15.200
AS
						18.15.210
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 10 - Screening of Newborn Children for Congenital Disorders › 7 AAC 27.550 - Results of screening test

Current through May 31, 2024
(a) Screening test
				  results must be returned to the health care provider as indicated on the return
				  address portion of the screening test form.
(b) Screening test results must indicate
				  whether the specimen was normal or abnormal, for each test performed.
(c) The designated laboratory shall report to
				  the health care provider and the department by the designated method any
				  abnormal results requiring action. Normal results must be reported to the
				  health care provider described in (a) of this section not later than seven days
				  after the designated laboratory receives the results.
The address for reporting the information described in 7 AAC 27.550(c) is the Department of Health and Social Services, division of
						public health, section of women's, children's, and family health, 3601 C
						Street, Suite 322, Anchorage, AK 99503. The telephone number is (907)
						269-3400.
Authority:
AS
						18.05.040
AS
						18.15.200
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 10 - Screening of Newborn Children for Congenital Disorders › 7 AAC 27.560 - Confirmation

Current through May 31, 2024
(a) Diagnostic testing must be conducted on a
				  newborn child with abnormal screening test results when required by the
				  designated laboratory. A health care provider who ordered a screening test
				  under 7 AAC 27.530 shall arrange for a
				  newborn child with an abnormal result to have that diagnostic testing
				  performed.
(b) A specimen must be
				  obtained for the diagnostic testing upon request by the department. The
				  department will pay for one or more of the following diagnostic tests required
				  under (a) of this section if the testing is done by a laboratory designated by
				  the department:
(1) plasma amino
				  acids;
(2) plasma
				  acylcarnitines;
(3) urine organic
				  acids;
(4) total and free
				  carnitine;
(5) total plasma
				  homocysteine;
(6) urine
				  acyglycines;
(7) urine amino
				  acids;
(8) urine succinylacetone.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 10 - Screening of Newborn Children for Congenital Disorders › 7 AAC 27.570 - Annual review and report

Current through May 31, 2024
The department will appoint a committee to annually review
					 the results of the newborn bloodspot screening program, consider addition or
					 deletion of tests based on experience in this state and on newly developed
					 tests recommended by the United States Department of Health and Human Services
					 Secretary's Advisory Committee on Heritable Disorders in Newborns and Children,
					 and report to the public on these matters.
Information on newly developed screening tests
						recommended by the United States Department of Health and Human Services
						Secretary's Advisory Committee on Heritable Disorders in Newborns and Children,
						may be obtained by contacting the maternal and Child Health Bureau, Health
						Resources and Services Administration, 5600 Fishers Lane, Rockville, MD
						20857.
Authority:
AS
						18.05.040
AS
						18.15.200
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 10 - Screening of Newborn Children for Congenital Disorders › 7 AAC 27.580 - Reporting non-compliance

Current through May 31, 2024
If the department has information that leads it to believe
					 that a hospital, birthing center, home birth service, physician, certified
					 nurse midwife, or certified direct entry midwife is not complying with
					 7 AAC 27.510 - 7AAC 27.570 or
					 12 AAC 14.530, the department will
					 report the information to appropriate state officials and to the appropriate
					 licensing or accreditation agency.
Authority:
AS
						18.05.040
AS
						18.15.200
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 10 - Screening of Newborn Children for Congenital Disorders › 7 AAC 27.590 - Definitions

Current through May 31, 2024
In
					 7 AAC 27.510 - 7 AAC 27.590
(1) "department" means the Department of
				  Health and Social Services;
(2)
				  "designated laboratory" means a laboratory designated by the department to
				  perform screening of blood specimens for congenital disorders;
(3) "health care provider" means any of the
				  following providers licensed under AS 08:
(A)
				  a physician;
(B) an advanced
				  practice registered nurse, including a certified nurse midwife;
(C) a certified direct-entry midwife.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 11 - Newborn Hearing Screening › 7 AAC 27.600 - Transfers of newborns to hospitals

Current through May 31, 2024
If a newborn is transferred to a hospital before a hearing
					 screening occurs, the transferring hospital shall ensure that the department is
					 notified of the transfer.
Authority:
AS
						18.05.040
AS 47.20.300
AS 47.20.310
AS
						47.20.320
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 11 - Newborn Hearing Screening › 7 AAC 27.610 - Screening protocols

Current through May 31, 2024
(a) The protocol for the hearing screening
				  required under
				  AS
				  47.20.310 includes
(1) a list of the staff for the screening
				  program, and a summary of the responsibilities of each staff member;
(2) if a hospital technician or hospital
				  volunteer performs the screening, a description of the training and supervision
				  of that individual by a
(A) physician
				  described in (b)(1) of this section;
(B) registered nurse described in (b)(3) of
				  this section; or
(C) physician
				  assistant described in (b)(4) of this section;
(3) at least one or more of the physiologic
				  technologies listed in
				  AS
				  47.20.310(e);
(4) a description of the methods and
				  equipment to be used to conduct the screening, including readily available
				  backup equipment in the event of an equipment malfunction;
(5) a description of infection control
				  procedures;
(6) samples of
				  information to be provided to a parent about screening, including information
				  about screening procedures, the potential risks of hearing loss, and the
				  benefits of early detection and intervention;
(7) the procedures for documenting the
				  results of the screening;
(8) the
				  procedure for communicating to the parent and primary care provider and
				  reporting to the department
(A) a
				  determination by screening that the newborn or infant may have a hearing
				  impairment;
(B) an unsuccessful
				  screening; or
(C) a missed
				  screening;
(9) a
				  description of the training and supervision of individuals responsible for
				  informing a parent of the screening results;
(10) the procedure for ensuring that a
				  newborn or infant who had an unsuccessful screening or who missed a screening
				  will receive a screening; and
(11)
				  if a newborn or infant, as determined by screening, may have a hearing
				  impairment, the procedure for ensuring that the parent receives information
				  about follow-up care and a referral for confirmatory diagnostic evaluation to
				  be completed before the newborn or infant is 90 days of age.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 11 - Newborn Hearing Screening › 7 AAC 27.620 - Reporting requirements

Current through May 31, 2024
(a) The information that is required to be
				  reported under
				  AS
				  47.20.320, with respect to a hearing
				  screening,
(1) must be reported at least
				  weekly, using the reporting and tracking system developed by the department;
				  and
(2) includes
(A) the name of the child;
(B) the child's date of birth and
				  gender;
(C) the identifier for the
				  facility where the child was born;
(D) the identifier for the facility where the
				  child was screened, if that facility is not the facility where the child was
				  born;
(E) the name of the child's
				  mother;
(F) the name of the primary
				  care provider;
(G) demographic
				  information;
(H) the child's risk
				  factors for hearing loss;
(I) the
				  results of the hearing screening;
(J) if the hearing screening was not
				  completed, the status of the screening; if the parent objected to the screening
				  as provided under
				  AS
				  47.20.310(g), a copy of the
				  signed statement of refusal must be included; and
(K) any additional information that the
				  department considers necessary to match the results or status of bloodspot
				  screening conducted under 7 AA C 27.510 - 7 A AC 27.590 for newborn congenital
				  disorders with the appropriate child reported under the newborn hearing
				  screening program.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 11 - Newborn Hearing Screening › 7 AAC 27.629 - Definition

Current through May 31, 2024
In
					 7 AAC 27.600 -
					 7 AAC 27.629, "primary care provider" means a licensed
					 physician, advanced nurse practitioner, or physician assistant who is the
					 primary source of health care for the infant, or a primary community health
					 aide who is the primary source of health care for the infant. In this section,
					 "primary community health aide" has the meaning given in
					 AS
					 18.28.100.
Authority:
AS
						18.05.040
AS 47.20.300
AS 47.20.310
AS
						47.20.320
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 12 - Newborn Critical Congenital Heart Disease Screening › 7 AAC 27.630 - Congenital heart disease screening protocol

Current through May 31, 2024
(a) A provider of
				  screening services under
				  AS
				  18.15.205 shall use the screening protocol
				  described in the department's
Critical Congenital Heart Disease
				  Screening Program: Screening Protocol,
revised as of January 22, 2014
				  and adopted by reference.
Click here to view Screening
					 Protocol
(b) For
				  purposes of
				  AS
				  18.15.205, the following individuals are
				  providers of screening services and shall perform screening of a newborn for
				  critical congenital heart disease using the protocol adopted by reference in
				  (a) of this section:
(1) a physician licensed
				  under AS 08.64;
(2) a registered
				  nurse or advanced nurse practitioner licensed under AS 08.68;
(3) a physician assistant licensed under AS
				  08.64;
(4) a direct-entry midwife
				  certified under
				  AS
				  08.65.050;
(5) a hospital technician if that individual
				  is trained by a health care professional described in (1) - (4) of this
				  subsection to perform screening of a newborn for critical congenital heart
				  disease;
(6) a licensed federal
				  employee working in a tribal health facility that is exempt from state
				  licensure and who is a health care provider authorized to perform screening of
				  a newborn for critical congenital heart disease; in this paragraph, "tribal
				  health facility" means a facility owned and operated by the United States
				  Department of Health and Human Services, Indian Health Service, or a facility
				  owned and operated by a tribal organization, as defined in
				  25 U.S.C.
				  450 b(l), under a funding agreement under
				  25 U.S.C.
				  458aaa-4 (Indian Self-Determination and
				  Education Assistance Act and Tribal Self-Governance Amendments of
				  2000).
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 12 - Newborn Critical Congenital Heart Disease Screening › 7 AAC 27.635 - Congenital heart disease reporting requirements

Current through May 31, 2024
A provider of screening services under
					 AS
					 18.15.205 and
					 7 AAC 27.630 shall submit the following information to
					 the department semiannually on a screening report form provided by the
					 department:
(1) the identifier for
				  the facility where the child was born;
(2) the identifier for the facility where the
				  child was screened if that facility is not the facility where the child was
				  born;
(3) the total number of
				  children born at the facility;
(4)
				  the total number of children that pass the screening by pulse oximetry for
				  critical congenital heart disease;
(5) the total number of children with
				  abnormal screening results;
(6)
				  the number of children whose parents refused to have their child screened
				  during the newborn period.
The screening report form described in
						7 AAC 27.635 may be obtained from the Department of
						Health and Social Services, Division of Public Health, Section of Women's,
						Children's, and Family Health, 3601 C Street, Suite 322, Anchorage, AK 99503.
Authority:
AS
						18.05.040
AS 18.15.205
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 13 - Disclosure to the Immunization Information System › 7 AAC 27.650 - Health care provider disclosure to the immunization information system

Current through May 31, 2024
(a) Not later
				  than 14 days after administering an immunization, a health care provider shall
				  report information concerning the patient and the immunization in accordance
				  with this section to the immunization information system maintained by the
				  department. A health care provider shall disclose participation in the
				  immunization information system to patients.
(b) A health care provider, public health
				  agent, or designee may report demographic and immunization data, and other
				  pertinent information, permitted under
				  AS
				  18.15.360(c), to the
				  immunization information system.
(c) A health care provider shall submit
				  vaccine information to the immunization information system either through
				  electronic or manual entry in a format approved by the department, and shall
				  include the following data elements:
(1) if
				  not already submitted by the state registrar under
				  7 AAC 05.931, the name, address, sex, race, and date of
				  birth of a patient;
(2) the date of
				  administration of the vaccine;
(3)
				  the lot number of the vaccine;
(4)
				  the dose amount and manufacturer of the vaccine;
(5) the dose-level vaccine eligibility
				  code;
(6) other data elements as
				  specified by the department, if essential for adequate public health
				  response.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 13 - Disclosure to the Immunization Information System › 7 AAC 27.655 - Data from the immunization information system

Current through May 31, 2024
(a) A request for
				  patient-specific data from the immunization information system maintained by
				  the department will be responded to only if made by an authorized health care
				  provider for information about a patient under its care, by a public health
				  authority for patients within its jurisdiction, or as otherwise allowed under
				  7 AAC 27.893 (b) or
				  7 AAC 27.903. Except as described in
				  7 AAC 27.893 (b) or
				  7 AAC 27.903, a request from a person other than an
				  authorized health care provider, from an authorized health care provider for
				  data beyond that of a specific patient under its care, or from a public health
				  authority for data beyond that of patients within the public health authority's
				  jurisdiction will be considered on a case-by-case basis in the interest of
				  public health practice and will be responded to only with aggregate or
				  de-identified data.
(b) To cover
				  the cost of reproduction, printing, mailing, and distribution of data from the
				  immunization information system, the department will charge a fee of $10 per
				  patient for each patient-specific immunization data request. However the
				  department will not charge a fee to
(1) a
				  health care provider that is an individual;
(2) a clinic;
(3) a hospital;
(4) a school; or
(5) a program under the department.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 14 - Health Care Facility Discharge Data Reporting › 7 AAC 27.660 - Reporting of discharge data; noncompliance

Current through May 31, 2024
(a) The department
				  will request that a health care facility submit discharge data, including data
				  for all discharges from inpatient services, emergency room services, and
				  outpatient services. If a health care facility is subject to licensure under AS
				  47.32 and 7 AAC 12 or is a provider of Medicaid services that is subject to 7
				  AAC 105 - 7 AAC 160, the department will require that the health care facility
				  submit the discharge data, and the health care facility shall provide the
				  required discharge data in accordance with (b) of this section.
(b) If a health care facility is required
				  under (a) of this section to submit discharge data, the health care facility
				  shall submit the data in a format and with data elements described in the
Official UB-04 Data Specifications Manual 2018
, adopted by
				  reference. The health care facility shall submit the data on a quarterly basis,
				  and not later than 60 days after the end of each calendar quarter.
(c) If a health care facility is required
				  under (a) of this section to submit discharge data, fails to submit the data as
				  required under this section, and is
(1)
				  subject to licensure under AS 47.32 and 7 AAC 12, the department may impose
				  sanctions available under AS 47.32 and
				  7 AAC 10.9600 -
				  7 AAC 10.9620;
(2) a Medicaid provider under 7 AAC 105 - 7
				  AAC 160, the department may impose sanctions available under
				  7 AAC 105.400 -
				  7 AAC 105.490.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 15 - Prevention, Treatment, and Control of Diseases of Public Health Importance › 7 AAC 27.670 - Informal review of state medical officer orders' orders

Current through May 31, 2024
(a) As soon as
				  possible after a state medical officer issues an order for testing,
				  examination, or screening under
				  AS
				  18.15.375, a public health agent shall
				  explain the order to the individual who is subject to the order, or the
				  individual's legal representative, to satisfy the requirement of
				  AS
				  18.15.375(c)(6). At the same
				  time, the public health agent shall notify the individual of the right to
				  request an informal review of the medical order as provided by this section.
(b) If, following the explanation
				  required by (a) of this section, the individual objects to the order, the
				  individual may request an informal review of the order by the department. Not
				  later than 48 hours after the explanation required under (a) of this section,
				  the individual may request informal review, orally or in writing, through the
				  telephone number or address provided on the order. The department will, not
				  later than three calendar days after receiving the request for review, offer an
				  opportunity for an informal hearing, either in person or, if the department
				  believes that an in-person hearing could unreasonably endanger others, by
				  telephone and will accept written evidence and arguments submitted by the
				  individual subject to the order and medical staff of the department. The
				  department will issue a written determination not later than three calendar
				  days after the informal hearing. In the determination, the department may
				  uphold the original medical order, revise the terms of the original medical
				  order, or terminate the original medical order.
(c) Informal review under this section is not
				  available if, in the opinion of the state medical officer who issued the order
				  under AS
				  18.15.375, the delay caused by the informal
				  review would pose a clear and immediate threat to the public health. Orders
				  issued in such circumstances shall state that they are not subject to informal
				  review.
(d) Nothing in this
				  section prohibits a state medical officer from seeking an ex parte order from a
				  judicial officer under
				  AS
				  18.15.375(d).
(e) Informal review under (a) of this section
				  is not available after the court has issued an ex parte order under
				  AS
				  18.15.375(d).
Authority:
AS
						18.05.010
AS 18.05.040
AS
						18.15.375
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 15 - Prevention, Treatment, and Control of Diseases of Public Health Importance › 7 AAC 27.675 - Informal review of isolation or quarantine orders

Current through May 31, 2024
(a) An individual
				  who is subject to an isolation or quarantine order issued by the superior court
				  under AS
				  18.15.385(d) may seek to
				  terminate the isolation or quarantine order by requesting an informal review by
				  the department. The individual may seek informal review, no sooner than 15 days
				  after the court issues the order of quarantine or isolation, unless the court
				  order specifies an alternative date.
(b) An individual may initiate an informal
				  review by contacting the department, telephonically or in writing, and
				  providing the reasons the individual believes that the individual poses no
				  substantial risk of transmitting a contagious or possibly contagious disease to
				  others. The department will, not later than 48 hours after receiving the
				  request for informal review, offer an opportunity for an informal telephonic
				  hearing and will accept written evidence and arguments submitted by the
				  individual subject to the order and medical staff of the department. Not later
				  than 48 hours after the informal hearing, the department will issue a written
				  determination terminating the isolation or quarantine order or setting out the
				  reasons that the order cannot be terminated.
(c) A court order for isolation or quarantine
				  remains in effect throughout the period of an informal review sought under this
				  section.
(d) Nothing in this
				  section prohibits an individual subject to an isolation or quarantine order
				  from applying for an order to show cause why the isolation or quarantine order
				  should not be terminated under
				  AS
				  18.15.385(j). However, if an
				  individual applies for an order to show cause while an informal review is
				  pending, the department will stay or terminate the informal review
				  process.
Authority:
AS
						18.05.010
AS 18.05.040
AS
						18.15.375
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 16 - Confidentiality, Authorized Uses, and Security Standards › 7 AAC 27.890 - Confidentiality of required reports and medical records; applicability

Current through May 31, 2024
(a) A
				  report to the department required under this chapter and all information
				  received by the department while exercising its authority under AS 18.05 or AS
				  18.15 are considered medical and related public health records for purposes of
				  AS
				  40.25.120(a)(3) and are not
				  public information subject to the public records requirements of
				  AS
				  40.25.110.
(b) All reports, information, and medically
				  related public health records acquired by the department while exercising its
				  authority under AS 18.05 or AS 18.15 are subject to the confidentiality and
				  privacy safeguards in
				  7 AAC 27.890 -
				  7 AAC 27.899.
Authority:
AS
						18.05.040
AS 18.15.355
AS 18.15.360
AS
						18.15.362
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 16 - Confidentiality, Authorized Uses, and Security Standards › 7 AAC 27.891 - Identifiable health information

Current through May 31, 2024
(a) All
				  identifiable health information collected and maintained by the department
				  under its authority in AS 18.05 or AS 18.15 shall be safeguarded as
				  confidential and may only be acquired, used, and stored for a public health
				  purpose and in a manner consistent with
				  7 AAC 27.890 -
				  7 AAC 27.899.
(b) Identifiable health information may not
				  be disclosed or released without the written consent of the individual who is
				  the subject of the information except as specified in
				  7 AAC 27.890 -
				  7 AAC 27.899.
(c) A public health agent in the department
				  is authorized to use identifiable health information to accomplish a public
				  health purpose in a manner consistent with
				  7 AAC 27.892. A public health agent is permitted to
				  disclose identifiable health information only for purposes and in a manner
				  consistent with
				  7 AAC 27.893 and
				  7 AAC 27.903.
Effective September 21, 2020, the Department of Health
						and Social Services (now the Department of Health) adopted an emergency
						amendment to add "and
						7 AAC 27.903" to 7 AAC 27.891 (c). Owing to a technical
						oversight, the remainder of 7 AAC 27.891 (c) was incorrectly displayed. When
						preparing the emergency regulations for filing as permanent regulations, the
						regulations attorney made a technical correction under
						AS
						44.62.125(b) to restore the
						correct existing text of 7 AAC 27.891 (c). The history note for 7 AAC 27.891
						does not reflect the technical
						correction.
Authority:
AS
						18.05.040
AS 18.15.355
AS 18.15.360
AS
						18.15.362
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 16 - Confidentiality, Authorized Uses, and Security Standards › 7 AAC 27.892 - Authorized uses of identifiable health information

Current through May 31, 2024
(a) The department
				  shall use identifiable health information collected and maintained by the
				  department under AS 18.05 or AS 18.15 to accomplish the essential public health
				  services and functions for which the information was originally acquired. These
				  uses include
(1) maintaining lists and
				  registries of immunizations and conditions of public health
				  importance;
(2) conducting
				  epidemiological investigations;
(3)
				  providing public health nursing services; and
(4) taking emergency actions and legal
				  measures to protect individuals and the general public from adverse effects of
				  diseases or other conditions of public health importance.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 16 - Confidentiality, Authorized Uses, and Security Standards › 7 AAC 27.894 - Scope of disclosures; secondary disclosures

Current through May 31, 2024
(a) When the
				  department makes a permitted disclosure, it shall disclose the minimum
				  identifiable health information reasonably necessary to accomplish the purpose
				  for which the disclosure is requested or required.
(b) A person who receives identifiable health
				  information from the department as a permitted disclosure under
				  7 AAC 27.893(a) may not disclose the
				  information to another person except for a purpose authorized in the written
				  consent.
Authority:
AS
						18.05.040
AS 18.15.355
AS 18.15.360
AS
						18.15.362
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 16 - Confidentiality, Authorized Uses, and Security Standards › 7 AAC 27.895 - Individuals subject to medical orders

Current through May 31, 2024
(a) The department
				  shall protect the privacy of an individual subject to a medical order or court
				  order issued under the authority of
				  AS
				  18.15.375 and
				  18.15.385 to the maximum extent
				  possible consistent with this chapter.
(b) A public health agent shall reveal only
				  the minimum information necessary to prevent the spread of a contagious or
				  possibly contagious disease when an individual or group of individuals subject
				  to isolation or quarantine chooses confinement in a home or homes.
(c) When isolation or quarantine includes
				  confinement to public premises, the department shall assure that confidential
				  information is revealed only to those individuals who have a direct role in the
				  management of the area of confinement and only to the extent necessary for the
				  reasonable management of the public premises to prevent the spread of a
				  contagious disease.
(d) A
				  determination issued by the department following an informal review of a
				  medical order issued under
				  AS
				  18.15.375 or an isolation or quarantine order
				  issued under
				  AS
				  18.15.385 is confidential and may only be
				  released as a public document
(1) upon
				  written request of the individual who is the subject of the determination;
				  or
(2) if the determination can be
				  redacted so that it contains no identifiable health
				  information.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 16 - Confidentiality, Authorized Uses, and Security Standards › 7 AAC 27.896 - Written consent to disclosure

Current through May 31, 2024
(a) A written
				  consent to the disclosure of identifiable health information shall bear a date
				  and shall specify the nature of the information to be disclosed, the persons to
				  whom the disclosure is authorized, the general purpose of the disclosure, and
				  an expiration date or event. The written consent shall also bear a statement
				  acknowledging that the individual authorizing the disclosure is informed the
				  right to refuse to sign the consent without negative consequences to treatment
				  or payment and of the right to revoke the consent at any time.
(b) An individual may revoke the consent in
				  writing at any time. The individual shall deliver the written revocation to the
				  department and inform the person who originally received the authorization of
				  the revocation.
(c) If the consent
				  does not state an expiration date, it automatically expires six months after
				  the date it is signed if it is not revoked before that date.
(d) When the individual who is the subject of
				  the identifiable health information is not competent or legally able to give
				  informed consent to the disclosure of identifiable health information, a person
				  lawfully authorized to make health care decisions for the individual may
				  provide written authorization as set out in this section.
Authority:
AS
						18.05.040
AS 18.15.355
AS 18.15.360
AS
						18.15.365
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 16 - Confidentiality, Authorized Uses, and Security Standards › 7 AAC 27.897 - Disclosures of nonidentifiable health information

Current through May 31, 2024
(a) The department
				  may compile information based on records containing identifiable health
				  information to create a report or summary of nonidentifiable health information
				  to fulfill legal reporting requirements and to accomplish its public health
				  purpose. The department may disclose or distribute a report or summary of
				  health information in a nonidentifiable form to the public to achieve a public
				  health purpose.
(b) The department
				  may not create a summary or report based on identifiable health information or
				  related medical records for a commercial purpose or any other purpose unrelated
				  to its public health purpose.
(c) A
				  report to the legislature required under
				  AS
				  18.05.020 and
				  AS
				  18.15.393 must contain only nonidentifiable
				  health information.
Authority:
AS
						18.05.040
AS 18.15.365
AS
						18.15.393
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 16 - Confidentiality, Authorized Uses, and Security Standards › 7 AAC 27.898 - Disposal of identifiable health information

Current through May 31, 2024
(a) The department
				  shall permanently destroy, delete, or make nonidentifiable all information and
				  documentation related to identifiable health information when the retention of
				  that information no longer serves a public health purpose.
(b) The department may retain all reports,
				  summaries, and extracts related to expunged identifiable health information
				  only if the retained material contains only nonidentifiable health
				  information.
Authority:
AS
						18.05.040
AS 18.15.355
AS 18.15.362
AS
						18.15.365
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 16 - Confidentiality, Authorized Uses, and Security Standards › 7 AAC 27.899 - Security safeguards

Current through May 31, 2024
(a) A public health agent and other person
				  with access to identifiable health information used or disclosed by the
				  department, other than the individual who is the subject of the information,
				  shall keep the information confidential. The disclosure of identifiable health
				  information received from the department in a manner not permitted by state
				  statute or regulation may be subject to criminal prosecution under
				  AS
				  18.15.365(c) or
				  (d).
(b) To provide adequate safeguards to protect
				  the security of identifiable health information, the department shall
(1) maintain such information in a physically
				  secure environment, by
(A) minimizing the
				  physical places in which identifiable health information is used or stored;
				  and
(B) prohibiting the use or
				  storage of identifiable health information in places where the security of the
				  information may likely be breached or is otherwise significantly at
				  risk;
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 17 - General Provisions › 7 AAC 27.903 - Permitted disclosures during a federal- or state-declared public health disaster emergency

Current through May 31, 2024
(a) The department may disclose identifiable
				  health information that the department collects, uses, and maintains under AS
				  18.05 or AS 18.15 in the conduct of public health surveillance, investigation,
				  and intervention during a public health disaster emergency declared by the
				  governor or by the federal government that is related to a contagious disease
				  outbreak when an individual who is the subject of the information provides
				  written consent to the disclosure as set out in
				  7 AAC 27.896, under all circumstances described in
				  7 AAC 27.893, and under the circumstances set out in
				  this section.
(b) In addition to
				  the disclosures permitted in
				  7 AAC 27.893, the department may disclose the minimum
				  necessary identifiable health information without written consent from an
				  individual if the disclosure is to
(1) a
				  federal public health agency, health oversight agency, or law enforcement
				  authority as permitted by federal or state law for the purpose of disease
				  prevention;
(2) a school district,
				  school, college, university, or licensed child care facility to provide
				  information concerning contagious disease status and immunizations to promote
				  effective disease prevention and control in schools and child care facilities
				  within the state;
(3) an individual
				  or group of individuals directly able to prevent or lessen a serious and
				  imminent threat to the health of a group of individuals, or the
				  public;
(4) an individual or group
				  of individuals who may have been exposed to a contagious or possibly contagious
				  disease or may otherwise be at imminent risk of contracting or spreading that
				  disease;
(5) a state agency, local
				  government, village, federally recognized tribe, or tribal health program for
				  the purpose of preventing or lessening a serious and imminent threat to the
				  health of an individual, group of individuals, or the public being served by
				  that entity; or
(6) the Department
				  of Labor and Workforce Development, Division of Labor Standards and Safety,
				  Alaska Occupational Safety and Health (AKOSH) program, for the purposes of
				  public health investigation and outbreak prevention and control, and to assist
				  the program in its investigatory activities related to those
				  purposes.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 27 - Preventive Medical Services › Article 17 - General Provisions › 7 AAC 27.990 - Definitions

Current through May 31, 2024
In this chapter, unless the context requires otherwise,
(1) "department" means the Department
				  of Health and Social Services;
(2)
				  "health care-associated infection" means a localized or systemic patient
				  condition resulting from an infectious agent that was not present or incubating
				  at the time of admission to a facility or entity unless the condition was
				  related to a previous admission or procedure, including central line insertion
				  or other surgical procedure;
(3)
				  "health care practitioner" has the meaning given in
				  AS
				  18.15.395;
(4) "health care provider" has the meaning
				  given in AS 18.15.395;
(5) "health oversight agency" means a public
				  agency or entity acting under a grant of authority from a public agency,
				  including an employee or agent of the public agency or its contractors, that is
				  authorized by law to oversee a health care system or government program in
				  which health information is necessary to determine eligibility or compliance,
				  or to enforce civil rights laws for which health information is
				  relevant;
(6) "identifiable health
				  information" has the meaning given in
				  AS
				  18.15.395;
(7) "immunization information system" means a
				  confidential, population-based, computerized database that records all
				  immunization doses administered by participating providers to persons residing
				  within this state or a given geographical area of this state;
(8) "infectious disease" has the meaning
				  given in AS 18.15.395;
(9) "known rabid animal" means an animal with
				  a positive laboratory test for rabies virus;
(10) "National Healthcare Safety Network"
				  means the Internet-based surveillance system managed by the United States
				  Department of Health and Human Services, Centers for Disease Control and
				  Prevention (CDC), National Center for Emerging and Zoonotic Infectious Diseases
				  (NCEZID), Division of Healthcare Quality Promotion (DHQP);
(11) repealed 4/16/2022;
(12) "public health agent" means an official
				  or employee of the department who is in the division of public health or who
				  has oversight over the division responsible for carrying out the provisions of
				  AS 18.05 and AS 18.15;
(13)
				  "public health official" means an employee or appointee of a local government
				  or political subdivision of the state who is employed or appointed to fulfill
				  public health responsibilities;
(14) "state medical officer" has the meaning
				  given in AS 18.15.395;
(15) "working day" means a day other than
				  Saturday, Sunday, or a state or federal holiday.
The subject matter of
						7 AAC 27.990 was originally set out in
						7 AAC 27.900. The history of
						7 AAC 27.990 does not reflect the history of the former
						section.
Authority:
AS
						18.05.040
AS 18.15.355
AS 18.15.395
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 28 - Community Grant-in-Aid Program for Alcoholism (Repealed) › Article 1 - Grant-in-Aid for Alcoholism Grants (Repealed) › 7 AAC 28.100 - Definitions (Relocated)

Current through May 31, 2024
Effective 6/15/85, Register 94,
						7 AAC 28.100 was redesignated as
						7 AAC 28.900,
						Definitions.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 28 - Community Grant-in-Aid Program for Alcoholism (Repealed) › Article 2 - Management Information System for Alcohol and Drug Abuse Programs (Repealed) › 7 AAC 28.150 - Purpose of management information system (MIS) (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 28 - Community Grant-in-Aid Program for Alcoholism (Repealed) › Article 3 - General Provisions (Repealed) › 7 AAC 28.900 - Definitions (Repealed)

Current through May 31, 2024
The substance of the regulations in this article has been
						relocated to 7 AAC 85.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 30 - Breath and Blood Alcohol Analysis (Repealed)

Current through May 31, 2024
Publisher's note:
7 AAC 30.005 - 7 AAC 30.190
				  were repealed by order of the Commissioner of Health and Social Services, dated
				  November 8, 1988. See, now,
				  13 AAC 63.010 -
				  13 AAC 63.900.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 34 - Medical Use of Marijuana › Article 1 - Medical Marijuana Registry › 7 AAC 34.010 - Purpose

Current through May 31, 2024
The purpose of this chapter is to provide a procedure for
					 obtaining a medical marijuana registry identification card under
					 AS
					 17.37.010, to implement a registry of
					 patients who have been issued a registry identification card, to ensure that
					 registry information is provided only to authorized persons, and to set out a
					 procedure for considering proposals to add other debilitating medical
					 conditions to those listed under
					 AS
					 17.37.070.
Authority:
AS
						17.37.010
AS
						18.05.040
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 34 - Medical Use of Marijuana › Article 1 - Medical Marijuana Registry › 7 AAC 34.020 - Application for registry identification card

Current through May 31, 2024
(a) A patient
				  applying for a registry identification card under
				  AS
				  17.37.010 must provide to the department
(1) a completed application on a form
				  provided by the department that includes the following:
(A) the applicant's name, address, date of
				  birth, and social security number;
(B) the name, address, and telephone number
				  of the patient's physician;
(C) the
				  name and address of the patient's primary care-giver, if one is designated at
				  the time of application; and
(D)
				  the applicant's signature;