reglab/statecodes huggingface dataset:
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.280 - Standard - Examinations and Reports

Current through Register 1525, July 5, 2024
The laboratory shall examine specimens only at the written
				request of a licensed physician, dentist, osteopath, chiropractor, nurse
				practitioner, physician's assistant, or other person authorized by M.G. L. c.
				112 to use the report of laboratory examinations. Reports shall be delivered
				only to those authorized by law to receive such results unless such examination
				was made for the sole purpose of accuracy or sufficiency of the procedures or
				equipment of a clinical laboratory and by instruction of the director of such
				laboratory.
(A) If a patient is sent
			 to the laboratory, a written request for the desired laboratory procedures
			 shall be obtained by the laboratory from a person authorized by law to use
			 findings of laboratory examinations .
(B) A specimen delivered to a laboratory
			 shall be accompanied by a written request.
(C) A laboratory receiving reference
			 specimens from another laboratory shall report back to the referring laboratory
			 which submitted the specimens.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.285 - Standard - Specimen Records

Current through Register 1525, July 5, 2024
The laboratory shall maintain a record indicating the daily
				accession of specimens, each of which shall be numbered or otherwise
				appropriately identified. Records shall contain the following
				information:
(A) The laboratory number
			 or other identification of the specimen.
(B) The name and other identification of the
			 person from which the specimen was taken.
(C) The name of the licensed physician, other
			 authorized person or clinical laboratory which submitted the
			 specimen.
(D) The date the specimen
			 was collected by the physician or other authorized person.
(E) The date the specimen was received in the
			 laboratory.
(F) The condition of
			 unsatisfactory specimens when received (e.g. broken, leaked, hemolyzed, turbid,
			 etc).
(G) The type of test
			 performed.
(H) The date the test
			 was performed and the name or initials of the person performing the
			 test.
(I) The results of the
			 laboratory test or cross-reference to results and the date of
			 reporting.
(J) The name and
			 identification of the laboratory the specimen is referred to if the procedure
			 is not performed on the premises.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.290 - Standard - Laboratory Report and Record

Current through Register 1525, July 5, 2024
The laboratory report shall be sent promptly to the licensed
				physician or other authorized person who requested the test and a suitable
				record of each test result shall be preserved by the laboratory for a period of
				at least four years after the date of submittal of the report. Minimum
				requirements are as follows:
(A) The
			 final laboratory report shall bear the name or identification of the laboratory
			 performing the test.
(B) The
			 laboratory director is responsible for the laboratory report and for
			 maintaining the confidentiality of patient information and results of testing
			 and for maintaining within the laboratory the confidentiality of patient
			 information and results of testing.
(C) Duplicate copies or a suitable record of
			 laboratory reports shall be filed in the laboratory in a manner which permits
			 ready identification and accessibility.
(D) Tissue pathology reports shall utilize
			 acceptable terminology of a recognized system of disease
			 nomenclature.
(E) The result of
			 laboratory tests, including procedures or transcripts of results, shall not be
			 sent directly to the patient concerned except with the written consent of the
			 physician or other authorized person who requested the test.
(F) Pertinent "reference" ranges as
			 determined by the laboratory performing the tests shall be available to the
			 legally authorized individuals requesting such tests.
(G) All laboratories shall provide a system
			 designed to assist both the laboratory and the physician in the detection of
			 matrix errors which affect all clinical laboratory tests performed. This system
			 shall include the detection of matrix errors due to interfering substances of
			 both endogenous nature (
e.g
. metabolites) and exogenous nature
			 (
e.g
. drugs).
(H)
			 A list of tests performed in the laboratory, analytical methods for each and a
			 basis for the listed "reference" range shall be maintained in the laboratory.
			 The list shall be made available to any authorized individual ordering an
			 examination upon request.
(I) If
			 the laboratory refers specimens to another laboratory, the laboratory receiving
			 the specimens shall meet the applicable conditions in state or federal
			 laboratory certification or licensure programs.
(J) Each authorized person ordering an
			 examination shall be notified if the specimen is referred to another
			 laboratory. Such notice shall show the name, address and other relevant
			 identification of the laboratory to which the specimen is referred. If the
			 authorized person so requests, the referring laboratory may allow the testing
			 laboratory to report directly to the authorized person who originally requested
			 the test. In the event of such direct reporting the testing laboratory shall
			 send a duplicate of the report to the referring laboratory.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.295 - Standard - Personnel Policies

Current through Register 1525, July 5, 2024
Each laboratory shall maintain written personnel policies,
				practices, and procedures that adequately support sound laboratory practice.
				The policies, practices and procedures shall include, at a minimum, the
				following:
(A) Current employee
			 records shall be maintained and include a resume of each employee's training,
			 experience, duties, and date or dates of employment.
(B) Evidence of adequate health supervision
			 of employees, such as results of preemployment physical examinations, including
			 chest X-rays, immunization records, and records of all illnesses and accidents
			 occurring on duty shall be maintained.
(C) Work assignments shall be consistent with
			 qualifications.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.300 - Standard - Special Requirements - Viral Serology (HIV Testing)

Current through Register 1525, July 5, 2024
(A) The laboratory shall reexamine every
			 positive patient specimen and conduct a confirmatory test (different from the
			 first and having greater specificity) or arrange for a confirmatory test to be
			 conducted when a positive specimen is found.
(B)
(1)
			 Pursuant to St. 1986, c. 241 both the identity of the subject of HIV tests and
			 the test results are confidential and may not be released to anyone except the
			 subject of the test without first receiving the subject's written
			 consent.
(2) Thelaboratory shall
			 maintain written procedures which protect the identity of the subject while the
			 specimen is in process and ensure that the results are disclosed only to the
			 patients' physician, inaccordance with
			 105 CMR
			 180.290(E).
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.350 - Condition-Quality Control

Current through Register 1525, July 5, 2024
Quality controls imposed and practiced by a laboratory shall
				provide for an assure maximum reliability of test results as evidenced by the
				following:
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.355 - Standard - Evaluation of Equipment Methods, Reagents

Current through Register 1525, July 5, 2024
Each laboratory shall maintain records to assure that the
				following practices are performed:
(A)
			 Preventive maintenance, periodic inspection, and testing for proper operation
			 of equipment and instruments as may be appropriate;
(B) Validation of methods;
(C) Evaluation of reagents and volumetric
			 equipment;
(D) Surveillance of
			 results; and remedial action to be taken in response to detected
			 defects.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.360 - Standard - Adequacy of Facilities, Equipment Methods

Current through Register 1525, July 5, 2024
Adequacy of facilities, equipment instruments, and methods for
				performance of the procedures or categories of procedures shall include the
				following:
(A) Proper lighting for
			 accuracy and precision;
(B)
			 Convenient location of essential utilities;
(C) Monitoring of temperature-controlled
			 spaces and equipment, including water baths, incubators, sterilizers and
			 refrigerators to assure proper performance;
(D) Evaluation of analytical measuring
			 devices, such as photometers and radioactivity counting equipment, with respect
			 to all critical operating characteristics.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.365 - Standard - Labeling

Current through Register 1525, July 5, 2024
All reagents and solutions shall be labelled to indicate
				identity, and when significant, titer, strength or concentration, recommended
				storage requirements, preparation and expiration date, and other pertinent
				information. Materials of substandard reactivity and deteriorated materials
				shall not be used.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.375 - Standard - Quality Control Records

Current through Register 1525, July 5, 2024
Records reflecting dates and, where appropriate, the nature of
				inspection, validation, remedial action, monitoring, evaluation, changes and
				dates of changes in laboratory procedures shall be maintained and available to
				laboratory personnel and to the Department.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.380 - Standard - Surveillance by the General Supervisor

Current through Register 1525, July 5, 2024
The quality control program shall be under the daily
				surveillance of the general supervisor and shall be formally reviewed at least
				monthly by the technical supervisor(s).
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.385 - Standard - Instructions for Collection, Preservation, Transportation

Current through Register 1525, July 5, 2024
(A) The laboratory shall provide and make
			 available instructions for proper collection, preservation, and transportation
			 of specimens sufficiently stable to provide accurate and precise results
			 suitable for clinical interpretation. This shall apply to specimens referred to
			 other laboratories for testing, as well as to tests performed
			 on-site.
(B) The laboratory shall
			 establish criteria and implement procedures for the rejection of specimens not
			 collected, preserved or transported properly.
(C) Collection of specimens shall be defined
			 in the Procedure Manual of the hospital, clinic. or clinical
			 laboratory.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.390 - Standard - Quality Control: Specialty Areas

Current through Register 1525, July 5, 2024
Provision shall be made for an acceptable quality control
				program covering all types of analyses performed by the laboratory for
				verification and assessment of accuracy, measurement of precision, and
				detection of error. The program shall include, but not be limited to, the
				following:
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.395 - Standard - Microbiology: Quality Control

Current through Register 1525, July 5, 2024
Chemical and biological solutions, reagents, and antisera shall
				be tested and inspected as specified below for reactivity and deterioration
				using positive and negative control organisms. The following requirements apply
				to the specialties of Bacteriology, Mycology, Parasitology, and
				Virology:
(A) Materials which shall be
			 tested and inspected on each day of use include:
(1) Media and discs used for antibiotic
			 susceptibility testing;
(2)
			 Reagents and solutions used in the performance of conventional biochemical
			 testing;
(3) Stains (exception -
			 Gram Stain).
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.400 - Standard - Immunology: Quality Control

Current through Register 1525, July 5, 2024
(A)
			 Serologic tests on unknown specimens shall be run concurrently with a positive
			 control serum of known titer or controls of graded reactivity such as weak
			 positive controls, plus a negative control in order to detect variations in
			 reactivity levels.
(B) Serum
			 controls shall be used to detect the presence of non-specific reactions where
			 applicable.
(C) Controls for all
			 test components (antigens, complement, erythrocyte indicator systems, etc.)
			 shall be employed to insure reactivity and uniform dosage. Test results shall
			 not be reported unless the predetermined reactivity pattern of the controls is
			 obtained.
(D) Each new lot of
			 reagent or kits shall be tested concurrently with one of known acceptable
			 reactivity with positive and negative serum samples before the new reagent or
			 kit is placed in routine use.
(E)
			 Equipment, glassware, reagents, controls, and techniques for tests for syphilis
			 shall conform to those recommended in the "Manual of Tests for Syphilis 1969"
			 U.S. Public Health Service Publication No. 411, January 1969, as
			 revised.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.405 - Standard - Clinical Chemistry: Quality Control

Current through Register 1525, July 5, 2024
(A) Each instrument or other device shall be
			 recalibrated or rechecked at least once on each day of use.
(B) At least one standard and one reference
			 sample (control) shall be included with each batch of unknown specimens where
			 such standards and reference samples are available.
(C) Control limits for standards and
			 reference samples shall be recorded and available for review. Records shall
			 also include the course of action to be instituted when the results are outside
			 the acceptable limits.
(D)
			 Screening or qualitative chemical urinalysis shall be checked daily by use of
			 positive and negative reference samples.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.410 - Standard - Immunohematology: Quality Control

Current through Register 1525, July 5, 2024
(A)
ABO Typing
(1) ABO grouping shall be performed by
			 testing patient red cells with anti-A and anti-B serums licensed under 42 CFR
			 Part 73, using the technique for which the serum is specifically designed to be
			 effective. For confirmation of ABO grouping, the patient serum shall be tested
			 with known Group A red cells or a red cell pool prepared from at least five
			 known Group A individuals and Group B red cells.
(2) Any discrepancy between results of
			 patient red cell and serum typings shall be resolved before the blood type is
			 reported.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.415 - Standard - Hematology: Quality Control

Current through Register 1525, July 5, 2024
(A)
			 Instruments and other devices used in hematological examination of specimens
			 shall be checked for calibration as may be appropriate, during each day of
			 use.
(B) Each procedure for which
			 standards and controls are available shall be rechecked each day of use with
			 standards or controls of two different levels for each parameter
			 measured.
(C) At least two
			 reference control materials of different levels shall be included for each day
			 of testing and when each new vial of coagulation testing reagent is
			 used.
(D) Reference materials, such
			 as hemoglobin pools and stabilized cells, shall be tested at least once each
			 day of use to insure accuracy of results.
(E) The accuracy and precision of blood cell
			 counts, hematocrit and hemoglobin measurements shall be tested each day of
			 use.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.420 - Standard - Exfoliative Cytology, Histopathology, Oral Pathology: Quality Control

Current through Register 1525, July 5, 2024
(A)
Exfoliative Cytology
(1) The Technical Supervisor or the Cytology
			 General Supervisor shall rescreen for proper staining and correct
			 interpretation at least a 10% random sample of gynecological smears which have
			 been interpreted to be in one of the benign categories.
(2) All gynecological and non- gyn smears
			 interpreted to be in the "suspicious" or positive categories by screeners shall
			 be confirmed and the report shall be signed by a physician qualified in
			 anatomic pathology or cytology.
(3)
			 All negative non-gynecological cytological preparations, shall be confirmed and
			 signed by the Technical Supervisor or Cytology General Supervisor.
(4) Automated methods shall provide quality
			 control similar to that provided in other automated laboratory
			 procedures.
(5) All smears shall be
			 retained for a minimum of seven years from date of examination.
(6) The Technical Supervisor for Cytology
			 shall spend time working in the laboratory in proportion to the volume of
			 cytology cases screened.
(7) A
			 quality control system shall be in place to assure and document the proficiency
			 of all levels of personnel responsible for screening smears.
(8) The Technical Supervisor for Cytology
			 shall be available at the laboratory site on a regular basis to review and
			 report on specimens and to review all components of the quality control
			 system.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.425 - Standard - Radiobioassay: Quality Control

Current through Register 1525, July 5, 2024
The counting equipment shall be checked for stability at least
				once on each day of use, with radioactive standards or reference sources. For
				each method, records which document the routine precision and the recalibration
				schedule shall be maintained and be available to the laboratory staff and the
				Department.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.430 - Standard - Histocompatibility: Quality Control

Current through Register 1525, July 5, 2024
In addition to the standards for quality control in
				immunohematology (
				105 CMR
				180.410 ) and immunology (
				105 CMR
				180.400 ), which are applicable to the
				histocompatibility testing laboratory, the histocompatibility testing
				laboratory shall use the following control systems and validation methods for
				the performance of tests:
(A)
Renal Allotransplantation
(1) Crossmatching of potential recipients and
			 donors before transplantation is performed with one or more of the more
			 sensitive techniques using the most reactive and most recent patient
			 sera;
(2) HL-A serologic typing of
			 both donor and recipient which include at least those antigens detectable with
			 serum capable of defining the same antigens as those definable by the National
			 Institutes of Health serum tray(s); and
(3) All potential recipient sera shall be
			 screened monthly for cytotoxic antibodies against histocompatibility
			 antigens.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.450 - Condition - Proficiency Evaluation

Current through Register 1525, July 5, 2024
All clinical laboratories shall successfully complete an
				approved proficiency testing program covering all clinical laboratory and
				anatomical pathology specialties and subspecialties in which the laboratory is
				licensed or authorized to perform tests and in which there is a proficiency
				testing program available.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.455 - Standard - Proficiency Test Program Participation

Current through Register 1525, July 5, 2024
(A) The laboratory shall participate in an
			 approved proficiency testing program which adequately covers the level of
			 services offered.
(B) The
			 laboratory shall authorize the approved proficiency testing service to report
			 all proficiency test results to the Department.
(C) The laboratory shall maintain proficiency
			 testing results in each of the categories or subcategories which it is
			 authorized or licensed to perform. These records shall be made available to the
			 Department and shall be kept on file for two years.
(D) The laboratory shall test applicable
			 proficiency testing materials only in the laboratory to which the license and
			 proficiency test requirements applies using personnel, equipment, and reagents
			 routinely used in that facility.
(E) An exception to the requirements of this
			 section may occur If the Department determines that an appropriate proficiency
			 testing program is not readily available. If a proficiency testing program
			 acceptable to the Department is developed for a specialty or subspecialty in
			 which no previous program had been approved, the clinical laboratory shall have
			 one year in which to enroll.
(F)
			 All clinical laboratories requesting licensure shall show evidence that they
			 have enrolled in a proficiency testing program acceptable to the
			 Department.
(G) The laboratory must
			 select an appropriate service approved by the Department which has the ability
			 to evaluate the specific laboratory methodology and/or
			 instrumentation.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.460 - Standard - Successful Participation

Current through Register 1525, July 5, 2024
Successful or satisfactory participation for individual
				analytes, specialties and sub-specialties in proficiency testing shall be
				determined as follows:
(A)
Analytes
: The determination of satisfactory
			 performance for each analyte shall be based upon the achievement of results
			 within the acceptable limits established by the proficiency testing service for
			 that procedure or by other criteria approved by the Department.
(B)
Specialty/Subspecialty
: The determination of
			 satisfactory performance for each specialty or subspecialty shall be based upon
			 the average score for all analytes within that specialty or subspecialty. The
			 Department shall develop and publish criteria for defining the minimum
			 acceptable average performance for each specialty or subspecialty.
(C) Unsatisfactory participation for two
			 successive proficiency tests for an analyte, a specialty, or a subspecialty may
			 result in a request for a plan of correction.
(D) Unsatisfactory performance in a specialty
			 or subspecialty for three consecutive or three out of the last four
			 consignments, may result in revocation or limitation of a license for that
			 specialty or subspecialty area. If a license is revoked or limited for reasons
			 of unsatisfactory performance, reinstatement shall require demonstration of
			 satisfactory proficiency over a period of two consignments, not to exceed six
			 months.
(E) The laboratory shall
			 maintain records of interpretation and remedial actions taken when proficiency
			 testing results are determined to be unsatisfactory.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 180.000 - The Operation, Approval And Licensing Of Clinical Laboratories › Section 180.475 - Severability

Current through Register 1525, July 5, 2024
The provisions of
				105 CMR 180.000 are
				severable. If any provision shall be declared invalid by any count, such
				provision shall be null and void and such determination shall not affect or
				impair any of the remaining provisions.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 200.000 - Physical Examination Of School Children › Section 200.001 - Purpose

Current through Register 1525, July 5, 2024
The purpose of
				105 CMR 200.000 is to
				identify and take appropriate actions with respect to disabilities and medical
				conditions of school children in public schools as soon as possible so as to
				enable all children to obtain the fullest benefit of their educational
				opportunities and to identify and take appropriate action with respect to
				contagious or communicable diseases among students. School screenings under
				105 CMR 200.000 are
				intended to supplement, not supplant, oversight of care by the student's
				primary care provider.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 200.000 - Physical Examination Of School Children › Section 200.002 - Citation

Current through Register 1525, July 5, 2024
105 CMR 200.000 shall be
				known, and may be cited as,
				105 CMR 200.000:
Physical Examination of School Children.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 200.000 - Physical Examination Of School Children › Section 200.100 - Physical Examinations Required by Primary Care Provider or School Physician

Current through Register 1525, July 5, 2024
(A) The school
			 health program should encourage the performance of the physical examination
			 required in 105 CMR 200.100 by the student's own physician, nurse practitioner
			 or physician assistant whenever possible. Said health care provider shall
			 record the results of the physical examination on health record forms approved
			 by the Department of Public Health (Department) and provide a copy of this
			 record containing the results of the examination and the physician's, physician
			 assistant's or nurse practitioner's recommendations to the school. With the
			 consent of the parent or legal guardian, the student's primary care provider
			 shall be furnished with a copy of the record of a physical examination
			 performed in the school.
(B) The
			 school committee or board of health shall ensure that every student in the
			 public schools be separately and carefully examined by a duly licensed
			 physician, nurse practitioner or physician assistant, as follows:
(1) within one year prior to entrance to
			 school or within 30 days after school entry and at intervals of either three or
			 four years thereafter. A student transferred from another school system shall
			 be examined as an entering student. Health records transferred from the
			 student's previous school may be used to determine compliance with this
			 requirement;
(2) students under 16
			 and over 14 years of age requesting employment certificates;
(3) prior to a student's participation in
			 competitive athletics, on an annual basis.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 200.000 - Physical Examination Of School Children › Section 200.200 - School Physicians

Current through Register 1525, July 5, 2024
(A) The school
			 committee or the board of health shall provide the services of a school
			 physician to carry out physical examinations on such children who, because of
			 hardship, do not have this service performed by the student's physician, nurse
			 practitioner or physician assistant. Every reasonable effort shall be made to
			 link such students with a primary care provider.
(B) The school committee or the board of
			 health shall ensure that a student in the public schools, if not examined by
			 the student's primary care provider, is examined by the school physician under
			 following circumstances:
(1) frequent
			 absences due to unexplained illness;
(2) known or suspected physical disabilities
			 or medical conditions that require appraisal;
(3) referral from a teacher-nurse conference
			 because the student is not making expected progress in school or because of
			 signs of illness noted by the teacher or nurse; and
(4) referral by the school nurse.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 200.000 - Physical Examination Of School Children › Section 200.300 - Procedures for Physical Examinations

Current through Register 1525, July 5, 2024
(A)
			 Physical examinations shall be done in a manner which is consistent with
			 professional standards of practice, the well-being of the child and applicable
			 confidentiality requirements. Rectal and vaginal examinations shall not be done
			 by the school physician.
(B) All
			 physical examinations shall be done in the presence of a third person and with
			 a reasonable degree of privacy. The child may be undressed only to the extent
			 necessary to permit an adequate appraisal.
(C) Sufficient time shall be allotted for an
			 adequate appraisal of each student.
(D) The physical examination shall include as
			 needed a conference with the parent or student concerning the student's growth
			 and development and the findings of the physical examination.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 200.000 - Physical Examination Of School Children › Section 200.400 - Vision and Hearing Screenings

Current through Register 1525, July 5, 2024
(A) In
			 accordance with M.G.L. c. 71, § 57, upon entering kindergarten or within
			 30 days after school entry, the parent or guardian of each child shall present
			 certification that the student within the previous 12 months has passed a
			 vision screening conducted by personnel approved by the Department. For
			 students who fail the screening and for students diagnosed with
			 neurodevelopmental delay, evidence of a comprehensive eye examination meeting
			 the requirements of M.G.L. c. 71, § 57 shall be provided to the
			 school.
(B) The school committee or
			 board of health shall cause the vision of each student in the public schools to
			 be screened in the year of school entry, annually through grade 5 (or by age 11
			 in ungraded classrooms), once in grades 6 through 8 (or ages 12 through 14 in
			 ungraded classrooms) and once in grades 9 through 12 (or ages 15 through 18 in
			 ungraded classrooms). The vision of each student shall be tested by means of
			 the Massachusetts Vision Test or other comparable method approved by the
			 Massachusetts Department of Public Health.
(C) The school committee or board of health
			 shall cause the hearing of each student in the public schools to be screened in
			 the year of school entry and annually through grade 3 (or by age nine in the
			 case of ungraded classrooms), once in grades 6 through 8 (ages 12 through 14 in
			 the case of ungraded classrooms), and once in grades 9 through 12 (ages 15
			 through 18 in the case of ungraded classrooms). The hearing of each student
			 shall be tested by means-of some form of discrete frequency hearing test such
			 as the Massachusetts Hearing Test or comparable method approved by the
			 Department of Public Health.
(D)
			 Screenings of sight and hearing shall be performed by teachers, physicians,
			 optometrists, nurses or others approved by the Department for this purpose, in
			 accordance with guidelines of the Department.
(E) For any student who does not pass a
			 vision or hearing screening, a written plan shall be developed by the school
			 nurse, in consultation to the extent possible with a student's parent or legal
			 guardian, for appropriate follow up of the student. With the consent of the
			 parent or legal guardian, the student's primary care provider shall be
			 furnished with a copy of the record of screening tests performed in the
			 school.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 200.000 - Physical Examination Of School Children › Section 200.500 - Height and Weight Measurements

Current through Register 1525, July 5, 2024
Each school committee or board of health shall adopt policies
				and procedures to ensure that the weight and height shall be measured for each
				student in grades 1, 4, 7, and 10 (or, in the case of ungraded classrooms, by a
				student's 7th, 10th,
				13th and 16th birthday),
				and that the student's Body Mass Index (BMI) score and corresponding percentile
				are calculated.
(A) Measurement of
			 weight and height shall be done by trained school personnel or others approved
			 by the Department for this purpose, and in accordance with guidelines of the
			 Department. Prior notice of the screening and the benefits of the screening
			 shall be provided to the parent or legal guardian by any reasonable means.
			 Every effort shall be made to protect the privacy of the student during the
			 screening. Trained school personnel or other personnel with access to the
			 student's health information or records shall not disclose the height, weight
			 or BMI calculations of an individual student to anyone other than the parent
			 and/or legal guardian without written permission of the parent and/or legal
			 guardian. The school committee or board of health may provide for additional
			 requirements to ensure confidentiality.
(B) The student's height, weight, BMI score
			 and corresponding percentile shall be recorded and shall be maintained in the
			 student's school health record.
(C)
			 The school or school district shall provide the Department annually with
			 aggregate student BMI data including totals by grade, gender and BMI category,
			 as specified in guidelines of the Department.
(D) Parents and legal guardians shall be
			 provided with an opportunity to request, in writing, that their child's
			 measurements not be taken.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 200.000 - Physical Examination Of School Children › Section 200.600 - Local Authority to Establish Higher Requirements

Current through Register 1525, July 5, 2024
105
				CMR 200.100 through
				200.500
				are minimum regulations for the examination of school children in
				Massachusetts. The school committee or board of health may provide for more
				frequent and more specialized examinations or both if it wishes to do
				so.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 200.000 - Physical Examination Of School Children › Section 200.610 - Religious Objection

Current through Register 1525, July 5, 2024
In accordance with M.G.L. c. 71, § 57, a student shall be
				exempt from physical examinations or screenings on religious grounds, upon
				written request of the parent or legal guardian, except with respect to
				communicable diseases.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 200.000 - Physical Examination Of School Children › Section 200.620 - Waivers of Requirements

Current through Register 1525, July 5, 2024
Except as provided by law, the Massachusetts Department of
				Public Health shall have the discretionary power to waive any of
				105
				CMR 200.100 through
				200.500,
				except confidentiality requirements of
				105 CMR
				200.500(A), upon written
				request.
(A) The request for a waiver
			 must be accompanied by an alternative plan to the regulation that would
			 adequately protect the health of the school child.
(B) Waiver requests shall not be based upon
			 reductions in the budget for school health or granted on such basis.
(C) Waivers may be granted for periods up to
			 one year and may be renewed upon demonstration of improvement in school health
			 programs.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 201.000 - Head Injuries And Concussions In Extracurricular Athletic Activities › Section 201.001 - Purpose

Current through Register 1525, July 5, 2024
The purpose of
				105 CMR 201.000 is to
				provide standardized procedures for persons involved in the prevention,
				training, management and return to activity decisions regarding students who
				incur head injuries while involved in extracurricular athletic activities,
				including but not limited to interscholastic sports, in order to protect their
				health and safety.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 201.000 - Head Injuries And Concussions In Extracurricular Athletic Activities › Section 201.002 - Authority

Current through Register 1525, July 5, 2024
105 CMR 201.000 is
				promulgated pursuant to M.G.L. c. 111, § 222.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 201.000 - Head Injuries And Concussions In Extracurricular Athletic Activities › Section 201.003 - Citation

Current through Register 1525, July 5, 2024
105 CMR 201.000 shall be
				known and may be cited as
				105 CMR 201.000: Head
				Injuries and Concussions in Extracurricular Athletic
				Activities.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 201.000 - Head Injuries And Concussions In Extracurricular Athletic Activities › Section 201.004 - Scope

Current through Register 1525, July 5, 2024
The requirements of
				105 CMR 201.000 shall apply
				to all public middle and high schools, however configured, serving grades six
				through high school graduation, and other schools subject to the official rules
				of the Massachusetts Interscholastic Athletic Association. The requirements of
				105 CMR 201.000 shall apply
				to students who participate in any extracurricular athletic
				activity.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 201.000 - Head Injuries And Concussions In Extracurricular Athletic Activities › Section 201.007 - Training Program

Current through Register 1525, July 5, 2024
(A) The following
			 persons annually shall complete one of the head injury safety training programs
			 approved by the Department as found on the Department's website:
(1) Coaches;
(2) Licensed Athletic Trainers;
(3) Trainers;
(4) Volunteers;
(5) School and team physicians;
(6) School nurses;
(7) Athletic Directors;
(8) Directors responsible for a school
			 marching band, whether employed by a school or school district or serving in
			 such capacity as a volunteer;
(9)
			 Parents of a student who participates in an extracurricular athletic activity;
			 and
(10) Students who participate
			 in an extracurricular athletic activity.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 201.000 - Head Injuries And Concussions In Extracurricular Athletic Activities › Section 201.008 - Participation Requirements for Students and Parents

Current through Register 1525, July 5, 2024
(A)
Pre-participation
			 Requirements
.
(1) Each year, a
			 school district or school shall provide current Department-approved training,
			 written materials or a list and internet links for Department-approved on-line
			 courses to all students who plan to participate in extracurricular athletic
			 activities and their parents in advance of the student's
			 participation.
(2) All students who
			 plan to participate in extracurricular athletic activities and their parents
			 shall satisfy the following pre-participation requirements:
(a) Each year, before the student begins
			 practice or competition, the student and the parent shall:
1.Complete current Department-approved
			 training regarding head injuries and concussions in extracurricular athletic
			 activities; and
2.Provide the
			 school with a certificate of completion for any Department-approved on-line
			 course or a signed acknowledgement that they have read and understand
			 Department-approved written materials, unless they have attended a
			 school-sponsored training at which attendance is recorded or satisfied other
			 means specified in school policies.
(b) Before the start of every sports season,
			 the student and the parent shall complete and submit a current
			 Pre-participation Form, or school-based equivalent, signed by both, which
			 provides a comprehensive history with up-to-date information relative to
			 concussion history; any head, face or cervical spine injury history; and any
			 history of coexistent concussive injuries.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 201.000 - Head Injuries And Concussions In Extracurricular Athletic Activities › Section 201.009 - Documentation and Review of Head Injury and Concussion History and Forms

Current through Register 1525, July 5, 2024
(A) The school shall ensure that all forms or
			 information from all forms that are required by
			 105 CMR 201.000 are
			 completed and reviewed, and shall make arrangements for:
(1) Timely review of all Pre-participation
			 and Report of Head Injury Forms, and school-based equivalents, by coaches so as
			 to identify students who are at greater risk of repeated head
			 injuries.
(2) Timely review of all
			 Pre-participation Forms which indicate a history of head injury and Report of
			 Head Injury Forms, or school-based equivalents, by:
(a) the school nurse; and
(b) the school physician if appropriate;
			 and
(3) Timely review of
			 accurate, updated information regarding each athlete who has reported a history
			 of head injury or a head injury during the sports season by:
(a) The team's physician if any;
			 and
(b) the school's licensed
			 athletic trainer if any.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 201.000 - Head Injuries And Concussions In Extracurricular Athletic Activities › Section 201.011 - Medical Clearance and Authorization to Return to Play

Current through Register 1525, July 5, 2024
Each student who is removed from practice or competition for a
				head injury or suspected concussion, or loses consciousness, even briefly, or
				exhibits signs and symptoms of a concussion, shall obtain and present to the
				Athletic Director, unless another person is specified in school policy or
				procedure, a Department Post Sports-Related Head Injury Medical Clearance and
				Authorization Form (Medical Clearance and Authorization Form), or school-based
				equivalent, prior to resuming the extracurricular athletic activity. This form
				must be completed by a physician or one of the individuals as authorized by 105
				CMR 201.011(A). The ultimate return to play decision is a medical decision that
				may involve a multidisciplinary approach, including consultation with parents,
				the school nurse and teachers as appropriate.
(A) Only the following individuals may
			 authorize a student to return to play:
(1) A
			 duly licensed physician;
(2) A duly
			 licensed athletic trainer in consultation with a licensed physician;
(3) A duly licensed nurse practitioner in
			 consultation with a licensed physician;
(4) A duly licensed physician assistant under
			 the supervision of a licensed physician; or
(5) A duly licensed neuropsychologist in
			 coordination with the physician managing the student's recovery.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 201.000 - Head Injuries And Concussions In Extracurricular Athletic Activities › Section 201.012 - Responsibilities of the Athletic Director

Current through Register 1525, July 5, 2024
(A)
			 The Athletic Director shall participate in the development and biannual review
			 of the policies and procedures required by
			 105 CMR 201.006
			 for the prevention and management of sports-related head injuries within the
			 school district or school.
(B) The
			 Athletic Director shall complete the annual training as required by
			 105 CMR
			 201.007.
(C) The Athletic Director, unless school
			 policies and procedures provide otherwise, shall be responsible for:
(1) Ensuring that the training requirements
			 for staff, parents, volunteers, coaches and students are met, recorded, and
			 records are maintained in accord with
			 105 CMR
			 201.016;
(2) Ensuring that all students meet the
			 physical examination requirements consistent with
			 105 CMR 200.000: Physical
			 Examination of School Children prior to participation in any extracurricular
			 athletic activity;
(3) Ensuring
			 that all students participating in extracurricular athletic activities have
			 completed and submitted Pre-participation Forms, or school-based equivalents,
			 prior to participation each season;
(4) Ensuring that student Pre-participation
			 Forms, or school-based equivalents, are reviewed according to
			 105
			 CMR 201.009(A);
(5) Ensuring that Report of Head Injury
			 Forms, or school-based equivalents, are completed by the parent or coach and
			 reviewed by the coach, school nurse, licensed athletic trainer and school
			 physician as specified in
			 105
			 CMR 201.009(A);
(6) Ensuring that athletes are prohibited
			 from engaging in any unreasonably dangerous athletic technique that endangers
			 the health or safety of an athlete, including using a helmet or any other
			 sports equipment as a weapon; and
(7) Reporting annual statistics to the
			 Department in accord with
			 105 CMR
			 201.017.