reglab/statecodes huggingface dataset:
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 301.000 - Cancer Registry › Section 301.036 - Case Ascertainment

Current through Register 1525, July 5, 2024
(A) For the purpose
			 of determining if all cases of malignant disease and benign brain-related tumor
			 disease required under
			 105 CMR
			 301.010 have been reported, each health care
			 facility shall allow the Cancer Registry to inspect and copy from time to time
			 such parts of patients' medical records, paper and electronic, as are necessary
			 to discover unreported cases of malignant disease and benign brain-related
			 tumor disease.
(B) Each health care
			 facility and health care provider shall be required by 105 CMR 301.036 to
			 provide to the Cancer Registry for inspection and/or copying only:
(1) Reports of all tissue analyses in order
			 to determine the presence or absence of malignant disease or benign
			 brain-related tumor disease;
(2)
			 Reports (including x-rays) of radiological examinations performed for the
			 purpose of determining the presence or absence of malignant disease or benign
			 brain-related tumor disease;
(3)
			 Reports of diagnoses of malignant disease or benign brain-related tumor
			 disease, and notations of the reasons for such diagnoses, including both
			 primary clinician's reports and consultations reports; and
(4) Those portions of medical records which
			 contain the specific information required to be reported pursuant to
			 105 CMR
			 301.015 and
			 105 CMR
			 301.017.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 301.000 - Cancer Registry › Section 301.040 - Confidentiality of Cancer Registry Records

Current through Register 1525, July 5, 2024
(A)
			 The Department shall maintain the confidentiality of reports submitted to the
			 Cancer Registry as well as other information collected pursuant to
			 105
			 CMR 301.035. The Department shall not release
			 any information that would indicate whether or not the name of a particular
			 person is listed in the Cancer Registry and shall not release such reports, or
			 any other information which because of name, identifying number, mark or
			 description can be readily associated with a particular individual, except the
			 Department may release information contained in the Cancer Registry regarding a
			 particular individual:
(1) to the particular
			 individual upon
(a) receipt of a written
			 request which is signed by the particular individual and which is witnessed or
			 notarized as required by 105 CMR 301.040(B), and
(b) presentation by the particular individual
			 of suitable identification as required by 105 CMR 301.040(C);
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 302.000 - Congenital Anomalies Registry › Section 302.001 - Purpose

Current through Register 1525, July 5, 2024
The purpose of
				105 CMR 302.000 is to
				facilitate the maintenance of a statewide Congenital Anomaly Registry within
				the Department of Public Health for the reporting of congenital
				anomalies.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 302.000 - Congenital Anomalies Registry › Section 302.010 - Information Required to Be Reported Regarding Congenital Anomalies

Current through Register 1525, July 5, 2024
(A) A physician shall report diagnoses made
			 prenatally, at delivery, and three years of age or younger as the Commissioner
			 considers necessary and appropriate, for the prevention and early detection of
			 congenital anomalies or to facilitate epidemiological investigation and health
			 surveillance of the incidence and prevalence of congenital anomalies in the
			 commonwealth. Each report shall include the following data categories:
(1) Mother identifiers and
			 demographics;
(2) Child (birth to
			 three) or fetal death identifiers and demographics;
(3) Provider and facility
			 identifiers;
(4) Specific
			 congenital anomaly identification;
(5) Diagnosis; and
(6) Other information as necessary to
			 identify the patient and ensure accuracy and completeness.
Reports shall be in the form specified in
				105 CMR 302.025 and
				shall be in accordance with the current data collection manual as specified in
				105 CMR
				302.020. Reports may be subject to
				verification for accuracy or supplementation for completeness by medical
				records abstractors under
				105 CMR
				302.050 and
				302.080.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 302.000 - Congenital Anomalies Registry › Section 302.020 - Data Collection Manual

Current through Register 1525, July 5, 2024
The Congenital Anomalies Registry shall maintain a data
				collection manual that identifies the discrete data items to be reported and
				the diagnoses required to be reported under
				105
				CMR 302.010, which shall be available upon
				request to all reporting physicians. The manual shall be revised periodically
				in accordance with national congenital anomaly surveillance standards and
				commonwealth-specific requirements. The manual shall include instructions that
				prohibit the collection of social security numbers. The manual also shall
				include instructions to record information relating to any pregnancy loss that
				is not a fetal death as a pregnancy loss and to record whether such pregnancy
				loss is case control surveillance eligible for the Centers for Disease Control
				and Prevention.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 302.000 - Congenital Anomalies Registry › Section 302.025 - Report Form

Current through Register 1525, July 5, 2024
Each report shall be submitted on a paper form or in an
				electronic format approved by the Commissioner. The Commissioner may amend the
				report form or format as necessary in accordance with national congenital
				anomaly surveillance standards and commonwealth-specific requirements and in
				consultation with the advisory committee if established pursuant to
				105 CMR
				302.090.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 302.000 - Congenital Anomalies Registry › Section 302.030 - Time for Reporting

Current through Register 1525, July 5, 2024
All information required to be reported by
				105
				CMR 302.010 shall be reported to the
				Congenital Anomalies Registry within 30 days of the date of diagnosis of a
				congenital anomaly.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 302.000 - Congenital Anomalies Registry › Section 302.040 - Physician Reporting Requirements

Current through Register 1525, July 5, 2024
(A) A
			 physician who makes a diagnosis of a congenital anomaly prenatally, at
			 delivery, or three years of age or younger shall report such diagnosis to the
			 department.
(B) A physician is not
			 required to make a duplicate report under 105 CMR 302.040(A) if he or she has
			 been informed that another physician made the diagnosis and has already
			 reported to the Department the required information or if he or she is seeing
			 the child for reasons other than for the purpose of making a diagnosis of a
			 congenital anomaly.
(C) Health care
			 facilities and physician practice groups may act as agents for individual
			 physicians by submitting the report directly to the Department; however, the
			 reporting requirement remains the responsibility of the physician who makes the
			 diagnosis.
(D) All diagnoses shall
			 be classified and coded as directed by the Commissioner using one of the
			 systems for coding specified in
			 105 CMR
			 302.060.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 302.000 - Congenital Anomalies Registry › Section 302.050 - Medical Records Abstraction

Current through Register 1525, July 5, 2024
(A)
Qualifications and Training
. Abstractors shall have
			 the qualifications and training, as determined by the Commissioner, to
			 accurately review and abstract records for the Congenital Anomalies Registry
			 and shall maintain confidentiality at all times. Individuals selected as
			 abstractors shall meet the minimum qualifications as defined by the
			 Commissioner.
(B)
Purpose
. When a physician or his or her agent has made
			 a report to the Congenital Anomalies Registry but has not provided complete
			 information that the commissioner requires for reporting, trained abstractors
			 shall be given access to those parts of a medical record as are necessary to
			 obtain information required to be reported and to verify the accuracy of
			 reported information.
(C)
Access to Medical Records
.
(1) When a reported diagnosis occurs in
			 Massachusetts in the office of a physician or in a licensed facility with a
			 maternal-newborn service, neonatal intensive care unit, special care nursery
			 service, continuing care nursery service, pediatric service, pediatric
			 intensive care unit or with a medical specialty service as defined in
			 105 CMR 130.020 and
			 when a physician or his or her agent has not provided complete information that
			 the Commissioner requires for reporting, abstractors shall be given access to
			 those parts of the medical record which are necessary to obtain information
			 required to be reported and to verify the accuracy of reported information.
			 Abstractors shall provide advance notice of an intention to inspect
			 records.
(2) Information from
			 medical records of children and their parents relating to diagnostic
			 information regarding congenital anomalies diagnosed prenatally, at delivery
			 and three years of age or younger that is required to be reported to the
			 Department is subject to abstraction without patient consent.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 302.000 - Congenital Anomalies Registry › Section 302.060 - System for Coding Diagnoses

Current through Register 1525, July 5, 2024
The Congenital Anomalies Registry shall use a medically
				recognized system for coding including but not limited to the most recent
				version of the International Classification of Diseases, Clinical Modification,
				established by the United States Center for Health Statistics, and/or the
				International Classification of Diseases, established by the World Health
				Organization; and/or the modified British Pediatric Association system
				(BPA/ICD).
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 302.000 - Congenital Anomalies Registry › Section 302.070 - Confidentiality

Current through Register 1525, July 5, 2024
(A) A physician shall report, and abstractors
			 shall collect, no more information than the Commissioner considers necessary
			 and appropriate to conduct epidemiological surveys and to develop appropriate
			 preventative treatment and control measures for congenital anomalies.
			 Abstractors shall not collect, and a physician shall not report, social
			 security numbers. To the extent that patient identifiers are necessary to
			 eliminate duplicate reporting, the Department shall collect the minimum amount
			 of data necessary to accomplish that task.
(B) The contents of any reports, records or
			 information submitted to the Congenital Anomalies Registry shall be solely for
			 the use of the Department and shall not be open to public inspection or
			 constitute a public record, or be disclosed except as specified in 105 CMR
			 302.070(D) and (G).
(C) The
			 Department shall maintain the confidentiality of reports or information
			 submitted to the Congenital Anomalies Registry and shall not disclose such
			 reports or any information or patient identifiers which because of name,
			 identifying number, mark or description can be readily associated with a
			 particular individual, except as specified in 105 CMR 302.070(D) and
			 (G).
(D) A report submitted to the
			 Congenital Anomalies Registry concerning a particular individual and any other
			 information that would indicate whether or not the named individual is listed
			 in the Congenital Anomalies Registry shall be disclosed after redacting
			 information pertaining to any third person other than the physician who made or
			 reported the diagnosis:
(1) to the particular
			 individual upon:
(a) receipt of a written
			 request which is signed by the individual; and
(b) presentation by the individual of
			 identification deemed suitable by the Department;
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 302.000 - Congenital Anomalies Registry › Section 302.080 - Quality Assurance

Current through Register 1525, July 5, 2024
(A) For purposes of
			 assuring the quality of submitted data, each physician and if applicable each
			 health care facility and physician practice group that acts as a physician's
			 agent for reporting shall allow the Congenital Anomalies Registry to inspect
			 and copy such parts of a patient's medical records, paper and electronic, as
			 are necessary to verify the accuracy and completeness of submitted
			 data.
(B) Each physician, and/or
			 agent, shall provide to the Congenital Anomalies Registry for inspection and
			 copying no more than is necessary for quality assurance purposes. In order to
			 provide only those portions of the medical records that contain specific
			 information required to be reported under
			 105 CMR 302.000, the
			 physician, and/or agent, shall employ reasonable measures to delete, mask,
			 cross out or otherwise render illegible other parts of the patient's
			 record.
(C) Each copy of a medical
			 record or part thereof obtained by the Congenital Anomalies Registry:
(1) Shall be stored securely with restricted
			 access when not being used by the Registry; and
(2) Shall not be re-copied by the Registry;
			 and
(3) Shall be destroyed promptly
			 following verification of the corresponding reported data, or if the reported
			 data appears to be inaccurate, following clarification or correction of
			 reported data.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 302.000 - Congenital Anomalies Registry › Section 302.090 - Advisory Committee

Current through Register 1525, July 5, 2024
The Congenital Anomalies Monitoring Program may establish an
				advisory committee to advise the Department on the implementation of
				105 CMR 302.000. The
				advisory committee shall serve solely in an advisory capacity and shall not
				have authority to make binding decisions. The advisory committee will not have
				designated members, but may include representatives of the Massachusetts
				Chapter of the American College of Obstetricians and Gynecologists,
				Massachusetts Chapter of the American Academy of Pediatrics, Massachusetts
				Medical Society, Massachusetts Hospital Association, a certified genetic
				counselor, a parent of a child who has been diagnosed with a congenital
				anomaly, an adult who has been diagnosed with a congenital anomaly, a physician
				who specializes in treatment or research regarding congenital anomalies, an
				ethicist and others who have relevant experience and choose to
				participate.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 305.000 - Confidential Birth Information › Section 305.001 - Purpose

Current through Register 1525, July 5, 2024
The purposes of
				105 CMR 305.000 are to set
				forth the reporting requirements for birth information, to ensure the
				confidentiality of birth information consistent with M.G.L. c. 111, § 24B,
				to specify the acceptable uses of confidential birth information for
				administrative, statistical, or research purposes, to enumerate minimum
				criteria for use of confidential birth information by researchers, and to
				establish restrictions on use and disclosure of confidential birth
				information.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 305.000 - Confidential Birth Information › Section 305.002 - Scope

Current through Register 1525, July 5, 2024
105 CMR 305.000 applies to
				all data elements related to the birth of a child in the Commonwealth collected
				pursuant to M.G.L. c. 111, § 24B, with the exception of those that are
				recorded pursuant to M.G.L. c. 46, §1.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 305.000 - Confidential Birth Information › Section 305.010 - Information Acquired for Administrative, Statistical or Research Purposes

Current through Register 1525, July 5, 2024
Confidential birth information that the Department acquires for
				administrative, statistical or research purposes may be used only for
				administrative, statistical or research purposes and shall not be used or
				disclosed in identifiable form for any other purposes.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 305.000 - Confidential Birth Information › Section 305.015 - Notice to Parent or Legal Guardian

Current through Register 1525, July 5, 2024
The Commissioner shall prescribe and provide a worksheet for
				birth certificates to be provided to the parent or legal guardian of the
				newborn by the physician, certified nurse midwife, administrator or other
				person in charge of a hospital or birthing facility, or any other person
				responsible for recording and/or reporting a birth pursuant to M.G.L. c. 46.
				This worksheet shall specify the confidential birth information requested from
				the parent or legal guardian and shall contain a notice to the parent or legal
				guardian who provides confidential birth information that the data collected
				and reported to the Department on the confidential section of the birth
				reporting form may be used only for those administrative, statistical or
				research purposes deemed by the Commissioner as necessary for public health
				purposes and may not be used or disclosed in identifiable form for any other
				purpose.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 305.000 - Confidential Birth Information › Section 305.020 - Reporting Confidential Birth Information

Current through Register 1525, July 5, 2024
The physician, certified nurse midwife, administrator or other
				person in charge of a hospital or birthing facility, or any other person
				responsible for recording and/or reporting a birth pursuant to M.G.L. c. 46,
				shall report to the Registrar within ten days of the birth of the child all
				confidential birth information that the Commissioner deems necessary for
				administrative, statistical or research purposes pursuant to M.G.L. c. 111,
				§ 24B. The Commissioner shall prescribe and provide paper forms or an
				electronic format for reporting confidential birth information that shall bear
				the caption "Confidential Birth Information" and that specifies the
				confidential birth information deemed necessary for administrative, statistical
				or research purposes.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 305.000 - Confidential Birth Information › Section 305.030 - Confidentiality of Birth Information

Current through Register 1525, July 5, 2024
(A) Birth
			 information collected pursuant to M.G.L. c. 111, § 24B, and
			 105 CMR 305.000 shall be
			 considered confidential and is exempt from disclosure under the public records
			 law, M.G.L. c. 66, pursuant to M.G.L. c. 4, § 7, cl. 26(a) and
			 (c).
(B) The Department shall
			 restrict the use and disclosure of identifiable, individual-level confidential
			 birth information to only legitimate public health purposes, as determined by
			 the Commissioner, or as otherwise required by law, and shall not use or
			 disclose any more confidential birth information than is necessary to achieve
			 the public health purpose.
(C)
			 Nothing contained in
			 105 CMR 305.000 shall be
			 interpreted as restricting or limiting the Department or its agents from using
			 or disclosing any confidential birth information as deemed necessary to conduct
			 official Department duties.
(D)
			 Nothing contained in
			 105 CMR 305.000 shall
			 prohibit the disclosure of information or data that would not identify any
			 person named in a vital record or report.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 305.000 - Confidential Birth Information › Section 305.040 - Permitted Disclosure of Identifiable Confidential Birth Information

Current through Register 1525, July 5, 2024
The Department may disclose identifiable confidential birth
				information that is not otherwise restricted by law or court order only
				to:
(A) Authorized employees or
			 authorized agents of the Department for administrative, statistical or research
			 purposes;
(B) Authorized employees
			 of the IV-D agency for child support enforcement purposes, only as set forth in
			 M.G.L. c. 119A and M.G.L. c. 46, § 3D.
(C) Authorized employees of the IV-D agency
			 in another vital records jurisdiction for child support enforcement purposes,
			 only as authorized in federal or state law.
(D) Authorized researchers conducting
			 research that has been approved by the Commissioner pursuant to M.G.L. c. 111,
			 §§ 24A and 24B, in accordance with
			 105
			 CMR 305.070;
(E) A vital records custodian from another
			 vital records jurisdiction pursuant to data exchange agreement regarding
			 residents of that vital records jurisdiction whose births occur in the
			 Commonwealth. The agreement shall prohibit the re-disclosure of the
			 confidential birth information unless approved in writing by the
			 Registrar;
(F) A government
			 official from another vital records jurisdiction for data relating to residents
			 of that vital records jurisdiction whose births occur in the Commonwealth
			 provided that the disclosure of confidential birth information is:
(1) For a public health purpose;
(2) The minimum necessary for the required
			 purpose; and
(3) Governed by a data
			 exchange agreement, approved in writing by the Registrar, which explicitly
			 restricts the use of the data to only the stated public health purpose and
			 prohibits the re-disclosure of the data unless approved in writing by the
			 Registrar.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 305.000 - Confidential Birth Information › Section 305.050 - Permitted Disclosure of Confidential Birth Information Contained in Limited Data Sets

Current through Register 1525, July 5, 2024
The Department may disclose confidential birth information
				contained in limited data sets that is not otherwise restricted by law or court
				order for administrative, statistical, or research purposes only to:
(A) Authorized employees or authorized agents
			 of the Department; and
(B) A
			 government agency or non-governmental organization that requests access to
			 confidential birth information by completing a Limited Data Set Application and
			 Agreement, available from the Department, provided that the disclosure of
			 confidential birth information is:
(1) For
			 authorized administrative, statistical, or research purposes only;
(2) The minimum necessary for the required
			 purpose; and
(3) Governed by a
			 written agreement between the Department and such other entity and such
			 agreement explicitly restricts use of the data to only the stated purpose and
			 prohibits the re-disclosure of the data, unless approved in writing by the
			 Registrar.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 305.000 - Confidential Birth Information › Section 305.060 - Permitted Disclosure of De-identified Birth Information

Current through Register 1525, July 5, 2024
The Department may release de-identified birth information
				to:
(A) Authorized employees or
			 authorized agents of the Department or the Executive Office of Health and Human
			 Services for administrative, statistical or research purposes; and
(B) Any person upon request, subject to any
			 applicable fees for requests for public records, and provided that the
			 information is in a statistical format established by the Department and that
			 the Department has already publicly released such data, except that a public
			 health authority may receive such data prior to public release provided that
			 the public health authority does not publish or otherwise release the data
			 before the Department has publicly released the data.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 305.000 - Confidential Birth Information › Section 305.065 - Permitted Disclosure of Aggregate Birth Information

Current through Register 1525, July 5, 2024
The Department may disclose aggregate birth information for
				administrative, statistical, or research purposes only as follows:
(A) Aggregate data sets that have not
			 undergone cell size suppression in accordance with the data release standards
			 contained in the Department's Confidentiality Policy and Procedures and that do
			 not contain birth information that is otherwise restricted by law or court
			 order may only be disclosed in accordance with the requirements for limited
			 data sets, as specified in
			 105
			 CMR 305.050.
(B) Aggregate data sets that have undergone
			 cell size suppression in accordance with the data release standards contained
			 in the Department's Confidentiality Policy and Procedures may be released in
			 accordance with the requirements for de-identification, as specified in
			 105 CMR
			 305.060.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 305.000 - Confidential Birth Information › Section 305.070 - Application for Access to Confidential Birth Information for Research Purposes

Current through Register 1525, July 5, 2024
(A) Any person may
			 submit a request to the Department for temporary use of confidential birth
			 information for research purposes. Information that may be available for
			 approved research studies includes birth related medical and demographic data
			 collected pursuant to M.G.L. c. 111, § 24B, and
			 105 CMR 305.000, and
			 certain information related to non-marital births restricted by c. 46, §
			 2A, but available for research purposes pursuant to M.G.L. c. 111, § 24B,
			 and
			 105 CMR 305.000. Access to
			 confidential birth information is limited to researchers who have been approved
			 by the Commissioner pursuant to M.G.L. c. 111, §§ 24A and 24B and
			 105 CMR 305.000. The
			 Commissioner may restrict use or disclosure to certain confidential birth
			 information or may restrict use or disclosure to certain data
			 elements.
(B) The principal
			 investigator who is requesting temporary use of confidential birth information
			 for research purposes shall complete an application for temporary use of
			 confidential birth information on a form prescribed by the Commissioner. The
			 applicant shall provide a detailed study protocol describing, at a minimum:
(1) The purpose of the study;
(2) The public health benefits of the
			 study;
(3) The applicability of the
			 results of the study to the reduction of morbidity or mortality in the
			 Commonwealth;
(4) The study design,
			 including the methods of data collection, plans for analysis, and expected time
			 frame;
(5) The specific birth
			 information variables required for the study with justification for each
			 variable;
(6) Whether the study
			 involves contact with the data subjects;
(7) Whether informed consent will be obtained
			 from the data subjects for use of confidential birth information or other
			 information;
(8) Information on any
			 review and decision by an Institutional Review Board;
(9) The measures that will be taken to ensure
			 the confidentiality and security of confidential birth information;
			 and
(10) The names and titles of
			 all individuals who will have access to confidential birth information for
			 purposes of conducting the study.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 305.000 - Confidential Birth Information › Section 305.080 - Restrictions on Use and Disclosure of Confidential Birth Information for Research Purposes

Current through Register 1525, July 5, 2024
Any person who is granted temporary use of confidential birth
				information for research purposes pursuant to M.G.L. c. 111, §§ 24A
				and 24B, and
				105 CMR 305.000 shall
				comply with the following restrictions on the use and disclosure of such
				information and any other restrictions or conditions imposed by the
				Commissioner in any particular case:
(A) Birth information shall be considered
			 confidential. No person who is granted temporary use of confidential birth
			 information for research purposes shall re-disclose, in any manner, any
			 confidential birth information, except to:
(1)
			 Other individuals named in the application to the Department and only for the
			 purposes of furthering the research study as described in the application for
			 temporary use of confidential birth information; or
(2) Individuals conducting authorized
			 oversight of the research project, provided that the principal investigator
			 obtains prior approval from the Commissioner.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 305.000 - Confidential Birth Information › Section 305.090 - Sanctions for Violations of Conditions for Approval

Current through Register 1525, July 5, 2024
In addition to any other sanction available by law, any person
				who violates any provision in
				105
				CMR 305.080 or any other condition specified
				by the Commissioner in authorizing temporary use of confidential birth
				information may be denied future access to confidential birth information for
				research purposes.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 309.000 - Safe Driving › Section 309.001 - Purpose

Current through Register 1525, July 5, 2024
The purpose of
				105 CMR
				309.000 is to designate for health care providers and
				the Registry of Motor Vehicles cognitive or functional impairments that are
				likely to affect a person's ability to safely operate a motor
				vehicle.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 309.000 - Safe Driving › Section 309.003 - Scope

Current through Register 1525, July 5, 2024
The requirements of
				105 CMR
				309.000 shall apply to applicants for a Massachusetts
				license or learner's permit to operate a motor vehicle and licensees. These
				requirements are issued in conjunction with
				540 CMR 24.00:
Medical
				Qualifications for Operators of Motor Vehicles
, an shall be
				consistent in scope with
				540 CMR
				24.01:
Purpose, Scope and
				Applicability.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 309.000 - Safe Driving › Section 309.004 - Definitions

Current through Register 1525, July 5, 2024
Cognitive Impairment
: means any
				condition that impairs any or several of the mental faculties of attention,
				alertness, perception, comprehension, judgment, memory, or reasoning that may
				influence the physical action, reaction time, or other responses used by a
				person to understand and interact with the environment.
Functional Impairment
: means any
				symptom of a disease or medical condition that results in full or partial
				decrease in any or several sensory or motor functions including but not limited
				to peripheral sensation of the extremities, strength, flexibility, motor
				planning and coordination.
Health Care Provider
: means a
				registered nurse, licensed practical nurse, physician, physician assistant,
				psychologist, occupational therapist, physical therapist, optometrist,
				ophthalmologist, osteopath, or podiatrist who is a licensed health care
				provider under M.G.L. c.112.
Registry of Motor Vehicles
: means the
				division within the Massachusetts Department of Transportation that is
				responsible for administering and enforcing the provisions of law relative to
				the privilege of operating motor vehicles on the ways of the Commonwealth
				conferred by a license issued under M.G.L. c. 90 § 8, a learner's permit
				issued under M.G.L. c. 90 § 8B, or by reciprocity to nonresidents under
				M.G.L. c. 90, §§ 3 and 10.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 309.000 - Safe Driving › Section 309.005 - Driving Relevant Impairments

Current through Register 1525, July 5, 2024
(A)Driving
			 Relevant Cognitive Impairment means a cognitive impairment that limits a
			 person's ability to sustain attention, avoid distraction, understand the
			 immediate driving context, and refrain from impulsive responding; to identify
			 problems that arise in a driving context and make appropriate decisions to
			 address those problems necessary to the safe operation of a motor
			 vehicle.
(B) Driving Relevant
			 Functional Impairment means observed or identified evidence of any functional
			 impairment that limits a person's physical activity, or sensory or motor
			 functions, or physical ability, or visual acuity or visuospatial processing
			 necessary to exercise safe control at all times over a motor vehicle ,including
			 the strength, flexibility, reflexes, sensory perception and physical
			 coordination necessary to maintain safe control of a vehicle on the road.
(1) Evidence of impaired strength includes
			 but is not limited to:
(a) Inability or
			 diminished capacity to consistently maintain a firm grasp on or manipulate a
			 steering wheel or driving hand controls; or,
(b) Inability or diminished capacity to apply
			 consistent pressure with legs and feet to vehicle foot controls or manipulate
			 or release vehicle foot controls; or,
(c) Weakness or paralysis of muscles
			 affecting ability to consistently maintain sitting balance or exercise safe
			 control of a vehicle for prolonged distances.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 315.000 - Cremation Of Bodies Received From Outside Massachusetts › Section 315.002 - Authority

Current through Register 1525, July 5, 2024
105 CMR 315.000 is adopted
				under authority of M.G.L. c. 111, §§ 3, 114, and 9.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 315.000 - Cremation Of Bodies Received From Outside Massachusetts › Section 315.003 - Citation

Current through Register 1525, July 5, 2024
105 CMR 315.000 shall be
				known, and maybe cited, as
				105 CMR 315.000:
Cremation of Bodies Received from Outside
				Massachusetts.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 315.000 - Cremation Of Bodies Received From Outside Massachusetts › Section 315.100 - Burial Permit/Transit Permit

Current through Register 1525, July 5, 2024
A dead body received for cremation from outside Massachusetts
				shall be accompanied by the usual burial permit required by law before burial,
				and if transported by a common carrier, by the usual transit
				permit.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 315.000 - Cremation Of Bodies Received From Outside Massachusetts › Section 315.200 - Medical Examiner's Certificate

Current through Register 1525, July 5, 2024
No dead body received from outside Massachusetts shall be
				cremated by any corporation authorized to cremate the bodies of the dead until
				its officers have received a certificate from a medical examiner or forensic
				investigator of this Commonwealth, or from a medical examiner or similarly
				authorized person in whose jurisdiction said death occurred, that he or she has
				viewed the body and is of the opinion that no further examination or judicial
				inquiry concerning the same is necessary.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 330.000 - Vaccination Of Dogs And Cats Against Rabies › Section 330.002 - Authority

Current through Register 1525, July 5, 2024
105 CMR 330.000 is adopted
				under authority of M.G.L. c. 111, §§ 3, 6, 7 and M.G.L. c. 150,
				§ 145B.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 330.000 - Vaccination Of Dogs And Cats Against Rabies › Section 330.100 - Vaccine Administration

Current through Register 1525, July 5, 2024
Dogs and cats shall be vaccinated against rabies by a licensed
				veterinarian, or under the supervision of a licensed
				veterinarian.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 330.000 - Vaccination Of Dogs And Cats Against Rabies › Section 330.101 - Use of an Approved Rabies Vaccine

Current through Register 1525, July 5, 2024
Dogs and cats shall be vaccinated with an approved virus
				vaccine licensed by the United States Department of
				Agriculture.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 330.000 - Vaccination Of Dogs And Cats Against Rabies › Section 330.200 - Rabies Tag

Current through Register 1525, July 5, 2024
A rabies tag of size, shape and color recommended by the
				National Association of State Public Health Veterinarians and approved by the
				Department of Public Health shall be provided by the vaccinating veterinarian
				for each dog and cat vaccinated. Each such tag shall be inscribed with the
				words
Rabies Vaccinated
as well as the year, name of the
				veterinarian and identification number of the vaccinated dog or cat. The owner
				or keeper of a dog shall cause the rabies tag to be attached to the collar or
				harness of the dog and worn at all times in the same manner as the license tag.
				The owner or keeper of a cat shall either have the cat wear the tag or have the
				vaccination record readily available for inspection by appropriate city or town
				officials upon request.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 330.000 - Vaccination Of Dogs And Cats Against Rabies › Section 330.300 - Certificate of Vaccination

Current through Register 1525, July 5, 2024
A certificate of vaccination must be completed in triplicate by
				the vaccinating veterinarian. The original copy shall be filed by the
				vaccinating veterinarian within 30 days with the clerk of the city or town
				where the dog is licensed, one copy of to be provided to the owner of the dog,
				and one shall be retained by the vaccinating veterinarian. The certificate
				shall be either the certificate recommended in the latest Compendium of Animal
				Rabies control published by the national Association of state Public Health
				veterinarians or a certificate containing at least the following information:
				the owner's name and address; a description of the animal, including breed,
				sex, age, name and distinctive markings; date of vaccination; rabies
				vaccination tag number; type of rabies vaccine used; route of vaccination;
				expiration date of the vaccine; and the vaccine lot number.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 330.000 - Vaccination Of Dogs And Cats Against Rabies › Section 330.400 - Timing of Vaccination

Current through Register 1525, July 5, 2024
The owner or keeper of a dog or cat six months of age or older
				shall cause such dog or cat to be vaccinated against rabies. Unvaccinated dogs
				and cats acquired or moved into the Commonwealth shall be vaccinated within 90
				days after acquisition or arrival into the Commonwealth or upon reaching the
				age of six months, whichever occurs last. Regardless of the age at initial
				vaccination, a second vaccination shall be given one year later. Subsequent
				vaccinations should be given according to manufacturer's
				guidelines.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 330.000 - Vaccination Of Dogs And Cats Against Rabies › Section 330.500 - Dogs and Cats from Out-of State

Current through Register 1525, July 5, 2024
Dogs and cats that are at least six months of age, and are
				brought into Massachusetts for purposes of shows or because their owners are
				visiting the Commonwealth, must have been vaccinated in a manner consistent
				with the requirements of
				105 CMR
				330.000.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 330.000 - Vaccination Of Dogs And Cats Against Rabies › Section 330.600 - Proof of Vaccination Required at Certain Facilities

Current through Register 1525, July 5, 2024
No animal hospital, veterinarian's office or boarding facility
				shall accept a dog or cat unless the owner or keeper of such animal shall show
				proof of current vaccination against rabies; provided however, that if such
				animal has not been so vaccinated or proof is not shown, the animal shall be
				vaccinated prior to being discharged if the animal's medical condition
				permits.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 335.000 - TREATMENT OF PERSONS EXPOSED TO RABIES › Section 335.004 - Definitions

Current through Register 1525, July 5, 2024
Advisory Committee on Immunization Practices
				(ACIP)
. An official federal advisory committee composed of medical
				and public health experts who develop evidence-based guidelines on how to use
				vaccines to control diseases in the United States.
Domestic Animal
. An animal species
				that, through selective breeding has been tamed and kept by humans as a work
				animal, food source, or pet, and has become notably different from their wild
				ancestors.
Health Care Provider
. A physician,
				duly licensed and registered to practice as a physician by the Board of
				Registration in Medicine; an Advanced Practice Registered Nurse, duly licensed
				and registered to engage in advanced practice nursing activities by the
				Massachusetts Board of Registration in Nursing; or a Physician Assistant, duly
				licensed and registered to practice as a physician assistant by the
				Massachusetts Board of Registration of Physician Assistants.
Post-exposure Prophylaxis
. Any
				preventive medical treatment started immediately after exposure to a pathogen
				(such as a disease-causing virus), in order to prevent infection by the
				pathogen and the development of disease.
Rabies
. A preventable viral disease of
				mammals most often transmitted through the bite of a rabid animal.
Uninsured
. A patient who is not
				covered by a health insurance plan, a self-insurance health plan or a medical
				assistance program.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 335.000 - TREATMENT OF PERSONS EXPOSED TO RABIES › Section 335.010 - Scope

Current through Register 1525, July 5, 2024
The board of health must provide or pay for rabies
				post-exposure prophylaxis treatment, generally consisting of rabies vaccine and
				human rabies immune globulin, as described by the most current guidelines from
				the ACIP if the individual meets the criteria of
				105
				CMR 335.100.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 335.000 - TREATMENT OF PERSONS EXPOSED TO RABIES › Section 335.100 - Cases Requiring Rabies Post-exposure Prophylaxis (RPEP) Treatment

Current through Register 1525, July 5, 2024
(A) Rabies post-exposure prophylaxis
			 treatment shall be provided or paid for by the board of health for any
			 uninsured persons bitten by or intimately exposed to the saliva of an animal
			 species known, or likely, to serve as a source of rabies exposure as determined
			 by the Department of Public Health and if the animal:
(1) was found positive for rabies by
			 laboratory testing examination;
(2)
			 was in such condition on reaching the laboratory that it could not be tested,
			 and was, therefore, reported as unsatisfactory;
(3) was a domestic animal species for which
			 salivary shedding period for rabies are known and which could not be restrained
			 for a clinical observation period of ten days after the date of biting or
			 exposure as recommended by the Department of Public Health; or
(4) was killed and disposed of or is
			 otherwise unavailable for observation or laboratory testing.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 335.000 - TREATMENT OF PERSONS EXPOSED TO RABIES › Section 335.200 - Certification by a Health Care Provider

Current through Register 1525, July 5, 2024
Before rabies post-exposure prophylaxis is provided, or prior
				to paying for such treatment, the health care provider responsible for
				administering rabies post-exposure prophylaxis shall certify in writing to the
				board of health the name and address of the patient; description of the
				exposure and the circumstances surrounding it, the location where the bite or
				exposure occurred, and the animal species responsible for the exposure by
				identification or description.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 335.000 - TREATMENT OF PERSONS EXPOSED TO RABIES › Section 335.300 - Notice Required When Patient is Non-resident of Community Where Bitten

Current through Register 1525, July 5, 2024
If rabies post-exposure prophylaxis treatment is given because
				of a bite or exposure occurring in a community other than that in which the
				patient resides, a notice of the facts shall be forwarded by the board of
				health to the board of health and animal inspector of the community where the
				exposure occurred.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 335.000 - TREATMENT OF PERSONS EXPOSED TO RABIES › Section 335.400 - Permissible Treatment Charges

Current through Register 1525, July 5, 2024
No charges shall be paid for health services other than for
				those defined in current human rabies prevention guidelines from the
				ACIP.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 335.000 - TREATMENT OF PERSONS EXPOSED TO RABIES › Section 335.500 - Patient's Statement

Current through Register 1525, July 5, 2024
The board of health may require a statement made under penalty
				of perjury and signed by the patient, or in the case of a minor, by his or her
				parent or guardian or person immediately responsible for his or her supervis
				ion, stating the person's insurance status, the location where said person was
				bitten or exposed and the identity of the animal species if known or the
				animal's description.