reglab/statecodes huggingface dataset:
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 258 - RULES FOR THE CONTROL OF NOTIFIABLE DISEASES AND CONDITIONS › Section 144-258-2 - NOTIFIABLE DISEASES AND CONDITIONS REPORTING REQUIREMENTS

Current through 2024-29, July 17, 2024
A.
Required reporting:
The
				Department may designate any communicable, occupational or environmental
				disease or condition as a Notifiable Disease or Condition and establish
				requirements for reporting cases and suspected cases of such diseases and
				conditions, By exercising this authority granted by
				22 MRS
				§802(1), the Department
				may measure the public health impact, to intervene as early as possible; and
				limit the potential for the spread of communicable, occupational or
				environmental diseases and conditions or widespread exposure to a toxic agent
				or environmental hazard. Required reporting of all Notifiable Diseases and
				Conditions, including emerging diseases and potential outbreaks, and laboratory
				submissions or clinical isolates must be conducted in accordance with this
				rule.
B.
Who Must
				Report
1. All persons or entities
				listed in this subsection who attend a confirmed or strongly suspected case or
				death from any Notifiable Disease or Condition must report the case and the
				information required under Section 2(C) to the Department.
a. Health Care Providers, including but not
				limited to physicians attending a case, suspecting a case, or knowing or
				suspecting a death from a Notifiable Disease or Condition;
b. Medical Laboratories;
c. Health Care Facilities, including but not
				limited to the Infection Preventionist or designated person responsible for
				reporting on behalf of hospitals, nursing homes, and medical clinics;
d. Child Care Facility administrators or
				owners;
e. Correctional Facility
				administrators of the medical department;
f. Educational Institution administrators,
				including but not limited to the medical department within an educational
				institution;
g. Local Health
				Officers; and
h. Veterinarians and
				Veterinary Medical Laboratories.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 258 - RULES FOR THE CONTROL OF NOTIFIABLE DISEASES AND CONDITIONS › Section 144-258-3 - LABORATORY EXAMINATIONS

Current through 2024-29, July 17, 2024
A. Specimens
				submitted in order to determine eligibility for release from isolation or
				quarantine requirements, as well as specimens arranged for by a representative
				of the Department as part of the investigation of a case or outbreak of a
				Notifiable Disease or Condition, must be submitted in the form and manner
				prescribed by the Department to HETL or another laboratory that meets the
				appropriate standards for that purpose. In keeping with scientific progress or
				the needs of specific cases, the Department may specify those methods which are
				acceptable for the collection, handling, preservation and examination of
				specimens for the finding and control of cases of Notifiable Diseases and
				Conditions, on the Laboratory Submission Information Sheet (LSIS) available to
				the reporting laboratories.
B.
				Laboratories as described in Section 3(A) must report to the Department the
				result of examination of all such specimens and must forward all specimens to
				HETL in accordance with Appendix A and this rule.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 258 - RULES FOR THE CONTROL OF NOTIFIABLE DISEASES AND CONDITIONS › Section 144-258-4 - REPORTING OF OUTBREAKS/ UNUSUAL ILLNESSES OF INFECTIOUS CAUSE

Current through 2024-29, July 17, 2024
A. Any case of unusual illness of infectious
				cause or cluster/outbreak of public health significance or hazard including,
				but not limited to, suspected or confirmed outbreaks of foodborne, waterborne,
				or respiratory illnesses, and exposure to toxic agents or environmental
				hazards, must be reported immediately by telephone to the Maine CDC.
B. In the event that the Department
				determines that an outbreak, exposure or unusual disease condition has
				occurred, it may request providers who attend cases to report specified
				information to the Department, as set forth in Section
				2(C).
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 258 - RULES FOR THE CONTROL OF NOTIFIABLE DISEASES AND CONDITIONS › Section 144-258-5 - SYNDROMIC SURVEILLANCE - EMERGENCY DEPARTMENT REPORTING REQUIREMENTS

Current through 2024-29, July 17, 2024
A. All Health Care Facilities that operate or
				maintain an Emergency Department, defined by the Emergency Medical Treatment
				And Labor Act (EMTALA) in Section
				1(B) of this rule, in
				Maine must report Emergency Department visit data to the Department via Health
				Level Seven (HL7) messages.
1. All Health
				Care Facilities that operate or maintain an Emergency Department in Maine must
				report Emergency Department visit data to the Department for all visits on a
				daily basis (visits from 12:00 am to 11:59 pm) on either a static (batched
				files) or dynamic (real-time) basis and in accordance with the standards set
				forth in the most recent national Public Health Information Network (PHIN)
				Messaging Guide for Syndromic Surveillance version 2.0 or any subsequent
				edition, as it becomes available at
https://www.cdc.gov/nssp/biosense/publications.html#tabs-1-5
.
2. Implementation of this reporting will be
				performed in collaboration with the Department and at the initiative of the
				health care facility. Prior to sending Emergency Department visit data
				electronically, a health care facility must coordinate with the Department to
				initiate this process.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 258 - RULES FOR THE CONTROL OF NOTIFIABLE DISEASES AND CONDITIONS › Section 144-258-6 - DUTIES OF LOCAL HEALTH OFFICERS

Current through 2024-29, July 17, 2024
The Health Officer must examine the nature of complaints
				  reported to the officer concerning conditions posing a Public Health Threat or
				  a potential Public Health Threat within the limits of the officer's
				  jurisdiction and report facts related to a Notifiable Disease or Condition to
				  the Department. The Health Officer may recommend or take action they deem
				  necessary to implement interventions, if such actions are in accordance with
				  22 MRS
				  §454-A and consistent with
				  Department-issued guidance and the currently accepted standards for the
				  Notifiable Condition or Disease listed in the 20th
				  Edition published in 2015 of
Control of Communicable Diseases
				  Manual
, or any subsequent edition, published by the American Public
				  Health Association, unless specified otherwise by the State Epidemiologist.
				  Copies of the manual may be obtained from the American Public Health
				  Association, 800 I Street NW, Washington, DC 20001-3710.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 258 - RULES FOR THE CONTROL OF NOTIFIABLE DISEASES AND CONDITIONS › Section 144-258-7 - DUTIES OF HEALTHCARE PROVIDERS AND ATTENDANTS

Current through 2024-29, July 17, 2024
A.
				Health care providers and persons attending a case of a Notifiable Disease or
				Condition must arrange for such precautionary measures, consistent with the
				rules of the Department, including examination and isolation of the case when
				necessary, as are required to prevent the spread of infection to other members
				of the household or to the community. Proper isolation or other precautionary
				measures may be instituted by the Department or by the local health officer
				after consultation with the Department. Notifiable Disease or Condition cases
				must receive immediate treatment according to the most recently established
				guidelines as promulgated by the appropriate professional organization and as
				are generally perceived to represent the current standard of care.
B. Health Care Providers and persons
				attending a case of a Notifiable Disease or Condition must report Non-Compliant
				Persons and Public Health Threats to the Department for necessary public health
				interventions.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 258 - RULES FOR THE CONTROL OF NOTIFIABLE DISEASES AND CONDITIONS › Section 144-258-8 - EXPOSURES THAT CREATE A SIGNIFICANT RISK OF HIV TRANSMISSION

Current through 2024-29, July 17, 2024
A. For purposes of incident reporting
				required under 5 MRS, §19203-(C)(10), a significant risk of HIV infection
				is defined as an exposure to any of the following potentially infectious body
				tissues or body fluids: blood, semen, vaginal fluid, cerebrospinal fluid,
				synovial fluid, pleural fluid, peritoneal fluid, pericardial fluid, or amniotic
				fluid, which results from:
1. Sexual
				intercourse, including vaginal, oral or anal contact;
2. Mucous membrane contact (splash to the eye
				or mouth);
3. Parenteral
				inoculation (needle stick or cut); or
4. Cutaneous exposure involving large amounts
				or prolonged contact on nonintact skin.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 258 - RULES FOR THE CONTROL OF NOTIFIABLE DISEASES AND CONDITIONS › Section 144-258-9 - DUTIES OF THE DEPARTMENT FOR DISEASE INVESTIGATION AND INTERVENTION

Current through 2024-29, July 17, 2024
A. The Department will routinely make current
				information available to practicing Health Care Providers regarding the
				occurrence, prevention, and control of Notifiable Diseases and Conditions. In
				addition, the Department will use all reasonable means to:
1. Confirm, in a timely manner, any case or
				suspected case of a Notifiable Disease or Condition;
2. Ascertain, so far as possible, all sources
				of infection and exposures to the infection;
3. Identify exposures to environmental
				hazards;
4. Institute control
				measures for Notifiable Diseases and Conditions consistent with the currently
				accepted standards as found in the
Control of Communicable Diseases
				Manual 20th Edition
, published in 2015, or
				any subsequent edition, which is the official report of the American Public
				Health Association, unless specified otherwise by the State Epidemiologist.
				Copies of the manual may be obtained from the American Public Health
				Association, 800 I Street NW, Washington, DC 20001-3710; and
5. Determine whether isolation and/or
				quarantine measures may be necessary.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 258 - RULES FOR THE CONTROL OF NOTIFIABLE DISEASES AND CONDITIONS › Section 144-258-11 - EMERGENCY PREPAREDNESS REPORTING

Current through 2024-29, July 17, 2024
Emergency preparedness reporting required by the Department,
				  as authorized by
				  22 MRS
				  §822(2), as amended by
An Act To Implement Provisions Necessary to the Health, Welfare and
				  Safety of the Citizens of Maine in Response to the COVID-19 Public Health
				  Emergency
( Public Law 2020, chapter 617), is in addition to other
				  reporting required under this rule. Reporting under this section must be in a
				  form prescribed by the Department. Designated Health Care Facilities may be
				  required to report on a daily basis or less frequently, as specified by the
				  Department. In the event of a declared Health Emergency or Extreme Public
				  Health Emergency, dynamic reporting may be requested by the Department.
A.
Inpatient and Emergency Bed
				Tracking.
Designated Health Care Facilities are required to report
				electronically to the Department the number of available beds within the
				facility. Facilities must track daily occupancy by bed type and submit reports
				to the Department no less frequently than weekly. Reports must be submitted no
				later than Monday, 11:59 p.m., and must be in in accordance with the electronic
				data system designated by the Department to collect bed tracking information.
				In the event of a declared Health Emergency or declared Extreme Public Health
				Emergency, this information must be provided daily and immediately upon the
				Department's request.
B.
Medical Supply Inventory.
Designated Health Care Facilities are
				required to report electronically to the Department information related to
				medical supply inventory, in accordance with the electronic data system
				designated by the Department.
1. Designated
				Health Care Facilities must report monthly the quantities, in stock, of the
				following medical grade personal protective equipment (PPE):
a. N95 respirators,
				powered air purifying respirators (PAPRs), and other respiratory
				masks;
b. Surgical and non-surgical
				face masks;
c. Face
				shields;
d. Protective
				gowns;
e. Disposable gloves;
				and
f. Shoe
				coverings.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 260 - REGULATIONS REGARDING RABIES IMMUNIZATION REQUIREMENTS FOR DOG LICENSURE › Section 144-260-1

Current through 2024-29, July 17, 2024
No license shall be issued for any dog, including kennel
				  dogs, in the State without the presentation of a valid certificate showing that
				  the animal has been immunized against rabies, or presentation of a valid letter
				  of exemption, as described in paragraph 5. Letters deemed not to meet the
				  requirements of paragraph 5 must be rejected by the licensing
				  agent.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 260 - REGULATIONS REGARDING RABIES IMMUNIZATION REQUIREMENTS FOR DOG LICENSURE › Section 144-260-2

Current through 2024-29, July 17, 2024
Except as hereinafter provided, the only valid certificate of
				  immunization shall be the certificate of immunization specified by the National
				  Association of State Public Health Veterinarians in effect at the time the dog
				  is subject to licensure or renewal of license, and authenticated by a licensed
				  veterinarian. Certificates generated by computer systems, and containing the
				  same information, in the same locations, shall be considered acceptable
				  alternative certificates. The certificate must be fully completed, and must
				  show the date of vaccine administration, and the date a booster vaccination is
				  due (expiration date), in accordance with the manufacturer's label for the
				  vaccine used. Only vaccines licensed by the US Food and Drug Administration
				  shall be used.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 260 - REGULATIONS REGARDING RABIES IMMUNIZATION REQUIREMENTS FOR DOG LICENSURE › Section 144-260-3

Current through 2024-29, July 17, 2024
The certificate must show that the immunization is effective
				  at the time of licensure.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 260 - REGULATIONS REGARDING RABIES IMMUNIZATION REQUIREMENTS FOR DOG LICENSURE › Section 144-260-4

Current through 2024-29, July 17, 2024
For dogs vaccinated in other states, or Canadian Provinces, a
				  certificate of immunization consistent with the requirements of the National
				  Association of State Public Health Veterinarians, and authenticated by a
				  Veterinarian licensed in that state or province, in effect at the time of
				  licensing shall be considered acceptable. If any other certificate is
				  presented, the owner shall be advised by the municipal clerk to present the
				  certificate to a Maine licensed Veterinarian for authentication or for
				  preparation of a National Association of State Public Health Veterinarians
				  certificate.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 260 - REGULATIONS REGARDING RABIES IMMUNIZATION REQUIREMENTS FOR DOG LICENSURE › Section 144-260-5

Current through 2024-29, July 17, 2024
A. A letter of exemption from vaccination may
				be submitted for licensure, if a medical reason exists that precludes the
				vaccination of the dog. Qualifying letters must be in the form of a written
				statement, signed by a licensed veterinarian, that includes a description of
				the dog, and the medical reason that precludes vaccination. If the medical
				reason is temporary, the letter shall indicate a time of expiration of the
				exemption.
B. A dog exempted under
				the provisions of paragraph 5 A, above, shall be considered unvaccinated, for
				the purposes of 10-144 C.M.R. Ch.251, Section 7(B)(1), (Rules Governing Rabies
				Management) in the case of said dog's exposure to a confirmed or suspect rabid
				animal.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 261 - Immunization Requirements for School Children (a joint rule with the Department of Education, Ch. 126) › Section 144-261-1 - DEFINITIONS

Current through 2024-29, July 17, 2024
A. For the purpose of this rule, the
				following terms have the following meanings:
1.
Certificate of immunization
means a written statement from a physician, nurse or public health official who
				has administered an immunizing agent to a child, specifying that the required
				dosage was administered and the month, day and year in which it was
				administered.
2.
Children
				entering school
means any child who enters a school for the first time
				via pre-kindergarten or kindergarten enrollment, transfers from one school to
				another, or otherwise enrolls in a school for the first time.
3.
Disease
means diphtheria,
				varicella (chickenpox), measles, mumps, pertussis, poliomyelitis, rubella,
				meningococcal meningitis and/or tetanus.
4.
Enroll
means to complete a
				formal procedure of adding or maintaining a student to a roster as a pupil in a
				public school or school administrative unit, as appropriate, or private
				school.
5.
Immunizing
				agent
means a vaccine, toxoid or other substance used to increase an
				individual's immunity to disease.
6.
Parent
means a child's
				parent, legal guardian, or custodian. A person is regarded as a child's
				custodian if that person is an adult and has assumed legal charge and care of
				the child.
7.
Proof of
				Immunity
means laboratory evidence of immunity or reliable documented
				evidence from a physician, nurse practitioner or physician assistant that the
				individual is immune to a specific disease.
8.
Public health official
means
				the Director of the Maine Center for Disease Control and Prevention, or any
				designated employee or agent of the Department of Health and Human
				Services.
9.
School
means any public or private elementary or secondary or special education
				facility providing instruction for any combination of pre-kindergarten through
				grade 12. For the purpose of complying with this rule, this definition includes
				in-person classes and remote learning programs offered by the school.
10.
Student health record
means
				documentation of health information and school nursing services provided to
				individual students including, but not limited to, immunizations, health
				screening, health assessment and nursing care plans, as needed.
11.
Superintendent
means the
				superintendent of a school administrative unit or his designee, or the chief
				administrative officer of a private school.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 261 - Immunization Requirements for School Children (a joint rule with the Department of Education, Ch. 126) › Section 144-261-2 - IMMUNIZATION REQUIRED

Current through 2024-29, July 17, 2024
A.
Parental
				Responsibility
Except as otherwise prohibited by law, every parent must
				  cause to be administered to his child the required dosage of an immunizing
				  agent against each of the following diseases.
1. Diptheria,
2. Measles
3. Meningococcal meningitis
4. Mumps
5. Pertussis
6. Poliomyelitis
7.  Tetanus
8. Rubella
9. Varicella
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 261 - Immunization Requirements for School Children (a joint rule with the Department of Education, Ch. 126) › Section 144-261-4 - CERTIFICATE OF IMMUNIZATION; EVIDENCE OF IMMUNITY

Current through 2024-29, July 17, 2024
A.
Certificate of Immunization
To demonstrate adequate immunization against each disease, a
				  child must present the school with a certificate of immunization from a
				  physician, nurse practitioner or physician assistant or public health official
				  who has administered the immunizing agent(s) to the child. The certificate must
				  specify the immunizing agent, the dosage administered and the date(s) on which
				  it was administered.
B.
Proof of Immunity
In the absence of a certificate of immunization, the child
				  must present the school with laboratory evidence demonstrating immunity or
				  reliable documented history of immunity provided by a physician or other
				  primary care provider.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 261 - Immunization Requirements for School Children (a joint rule with the Department of Education, Ch. 126) › Section 144-261-5 - IMMUNIZATION DOSAGE

Current through 2024-29, July 17, 2024
The following schedule shows the minimum requirements for
				  immunizing agents administered to children enrolling in or attending
				  school.
A.
Diphtheria/Tetanus/Pertussis (DPT/DTaP/Tdap/Td):
1. For pre-kindergarten students only, four
				doses of DPT/DTaP are required. The third and fourth dose must be separated by
				at least six months.
2. For
				students ages six years old and younger in kindergarten or grades above, a
				total of five doses of DPT/DTaP are required, except that, if the fourth dose
				was administered on or after the child's fourth birthday, then only four doses
				are required.
3. For students
				seven years of age and older, a minimum of three doses of DPT/DTaP with the
				last dose administered on or after the child's fourth birthday is required. A
				student who did not complete their primary DTP/DTaP immunization series or who
				has an unknown vaccine history, requires a single dose of Tdap followed by
				either Tdap or Td until three doses have been achieved.
4. In addition to receiving the required
				doses for DPT/DTaP, one dose of Tdap vaccine is required for students entering
				grade 7. Any valid dose of Tdap after age seven satisfies the requirement for
				7th grade entry.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 261 - Immunization Requirements for School Children (a joint rule with the Department of Education, Ch. 126) › Section 144-261-6 - EXCLUSION FROM SCHOOL

Current through 2024-29, July 17, 2024
A.
Exclusion
				by Order of Public Health Official
A child not immunized or immune from a disease must be
				  excluded from school and school activities when a public health official
				  determines that the child's continued presence in school poses a clear danger
				  to the health of others. The superintendent must exclude the child from school
				  and school activities during the period of danger, or until the child is
				  immunized. If another child attending the same school is infected with, or
				  shows symptoms of, the same disease during the period of danger, the exclusion
				  period for the student who is not immunized or immune must be extended for
				  another full term of the incubation period set forth below.
The following periods are defined as a "period of
				  danger":
1.
Measles:
15
				days (one incubation period) from the onset of symptoms of the last identified
				case in the school.
2.
Rubella:
23 days (one incubation period) form the onset of
				symptoms of the last identified case in the school.
3.
Mumps:
18 days (one
				incubation period) from the onset of symptoms of the last identified case in
				the school.
4.
Varicella:
21 days (one incubation period) from the onset of
				symptoms of the last identified case in the school.
In accordance with
				  20-A MRS
				  §6356(1), the
				  superintendent must make arrangements to meet the educational needs of any
				  child excluded from school for more than ten days. This section does not
				  require the provision of off-site classes or tutoring.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 261 - Immunization Requirements for School Children (a joint rule with the Department of Education, Ch. 126) › Section 144-261-7 - RECORDS AND RECORD-KEEPING

Current through 2024-29, July 17, 2024
A.
Designated
				Record Keeping
1. The school nurse (or
				head school nurse) in each school unit or private school is responsible for the
				maintenance of immunization records. If no school nurse has been employed, the
				superintendent must designate another responsible person.
2. If immunization and student health records
				are physically maintained in individual school buildings, a designated person
				in each building must have responsibility for supervision of the
				records.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 261 - Immunization Requirements for School Children (a joint rule with the Department of Education, Ch. 126) › Section 144-261-8 - REQUIRED REPORTS

Current through 2024-29, July 17, 2024
A.
Superintendent's Responsibility
The superintendent is responsible for submitting a summary
				  report regarding the immunization status of students within his or her
				  jurisdiction by December 15 of each year, on a prescribed form, to the
				  Department of Health and Human Services and the Department of Education.
B.
Summary Report
1. The summary report will include the
				following information at a minimum: specific information identifying the
				school, the superintendent; the total student enrollment, the number of new
				students identified by vaccine type, as either immunized, exempt or out of
				compliance, and the number of students who are previously enrolled and
				unimmunized. The summary report will not include the name or any other
				personally identifying information of any individual student. The report must
				denote the number of students enrolled pursuant to a written assurance
				exemption. The summary report will be constructed so as to reflect meaningful
				data by grade. The school superintendent must certify each report as accurate
				and complete.
2. Additional
				requirements regarding the immunization of children or employees of any school
				adopted by ordinance of the municipality, regulation of school board policy, or
				policy of a private school's governing board must be included in the summary
				report.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 262 - POST-SECONDARY SCHOOL IMMUNIZATIONS RULE › Section 144-262-2 - IMMUNIZATION REQUIRED

Current through 2024-29, July 17, 2024
Except with respect to students who are exempt, pursuant to
				  Section
				  3:
A. It is the responsibility of every student
				or parent, if the student is a minor, to ensure that required doses of
				immunizing agents have been administered to the student or that the student is
				otherwise protected against the diseases as defined.
B. No chief administrative officer may permit
				any student to be enrolled in or to attend school without a certificate of
				immunization for each disease, or laboratory results or medical records
				demonstrating immunity to each disease, except that a student without
				documented evidence of immunization or immunity who is enrolled in a distance
				learning program offered by a school and does not physically attend any classes
				or programs at a school facility, including campus, center or site of that
				school, or at a school facility, including a campus, center or site of any
				other school, is permitted to continue participating remotely in the education
				program.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 262 - POST-SECONDARY SCHOOL IMMUNIZATIONS RULE › Section 144-262-3 - EXEMPTIONS

Current through 2024-29, July 17, 2024
A student who does not provide evidence of immunization or
				  immunity against a disease may only be permitted to enroll in or to attend
				  school, in accordance with
				  20-A MRS
				  §6359(3) and Section
				  2(B)
				  of this rule.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 262 - POST-SECONDARY SCHOOL IMMUNIZATIONS RULE › Section 144-262-4 - EVIDENCE OF IMMUNIZATION OR IMMUNITY

Current through 2024-29, July 17, 2024
A. A student
				required to demonstrate adequate immunization or immunity against each disease
				specified in this rule must present the school with documented evidence of
				immunization or immunity to the disease.
1. A
				certificate of immunization from a physician, nurse, public health official, or
				school health provider who has administered the immunizing agent(s) to the
				student must specify the immunizing agent and the date(s) on which it was
				administered. Secondary school health records may also be accepted as proof of
				immunization under this rule, in lieu of certificates of immunization, as long
				as the secondary school health records were compiled and maintained as official
				documents, were based on certificates of immunization, and state, at a minimum,
				the month and year that the immunization was administered.
2. Laboratory results or medical records
				demonstrating immunity will be considered acceptable evidence of meeting the
				purpose of this requirement. Secondary school health records may be accepted as
				proof of immunity if they contain copies of laboratory evidence of
				immunity.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 262 - POST-SECONDARY SCHOOL IMMUNIZATIONS RULE › Section 144-262-5 - IMMUNIZATION DOSAGE

Current through 2024-29, July 17, 2024
The following schedule is the schedule of minimum
				  requirements for immunizing agents administered to students entering school.
				  For students who have received required vaccinations on a schedule not in
				  accordance with this rule, the student, parent, and/or superintendent may
				  consult with the Department to determine an appropriate catch-up
				  schedule.
A.
Diphtheria/Tetanus
: one dose of tetanus, diphtheria, pertussis
				(Tdap); or tetanus and diphtheria (Td) toxoid within 10 years prior to
				enrollment.
B.
Measles
: Two doses of MMR vaccine, administered after the
				student's first birthday.
C.
Rubella (German Measles)
: Two doses of MMR vaccine, administered
				after the student's first birthday.
D.
Mumps
: Two doses of MMR,
				administered after the student's first birthday.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 262 - POST-SECONDARY SCHOOL IMMUNIZATIONS RULE › Section 144-262-6 - EXCLUSION FROM SCHOOL

Current through 2024-29, July 17, 2024
A.
Exclusion
				by Order Of Public Health Official
A student not immunized or immune from a disease may be
				  excluded from school when, in the opinion of a public health official, the
				  student's continued presence in school poses a clear danger to the health of
				  others. The chief administrative officer may be directed to exclude the student
				  from school during the period of danger or for one incubation period following
				  immunization, when one or more cases of disease are present in the school. An
				  excluded student who was infected with a disease is permitted to return to
				  school after the Department, in consultation with the physician responsible for
				  the individual's care, determines that return is permissible and will not pose
				  a threat to public health. An exempted student may be permitted to return to
				  school by providing proof of immunity through laboratory results. An exempted
				  student who receives immunization following the identification of a disease
				  must wait one incubation period following the date of immunization before
				  returning to school.
The documented occurrence of a single case of any of these
				  diseases among students or staff may be interpreted as a clear danger to the
				  health of others.
The following periods are defined as the "period of
				  danger":
i. Measles: 15 days (one
				incubation period) from the onset of symptoms of the last identified
				case.
ii. Rubella: 23 days (one
				incubation period) from the onset of symptoms of the last identified
				case.
iii. Mumps: 18 days (one
				incubation period) from the onset of symptoms of the last identified
				case.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 262 - POST-SECONDARY SCHOOL IMMUNIZATIONS RULE › Section 144-262-7 - RECORDS AND RECORD-KEEPING

Current through 2024-29, July 17, 2024
A.
Designated
				Record Keeping
The chief administrative officer shall be responsible for
				  the maintenance of immunization records. The chief administrative officer may
				  designate a person to be responsible for record keeping.
B.
Individual Health Records
Each school shall adopt a uniform permanent health record
				  for maintaining information regarding the health status of each student.
i. The immunization status of the student
				with regard to each disease shall be noted on the student's individual health
				record.
ii. The school will
				provide, upon request from a public health official, a list of each student's
				date of matriculation.
iii. The
				school health record for each student enrolled must include, at a minimum, the
				month and year that each immunizing agent was administered.
iv. Where laboratory evidence of immunity has
				been submitted, a copy of the documentation must be on file.
v. The school health record for any student
				with a medical exemption to any immunization requirement must include the
				written statement required by
				20-A MRS
				§6359(3).
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 262 - POST-SECONDARY SCHOOL IMMUNIZATIONS RULE › Section 144-262-8 - REQUIRED REPORTS

Current through 2024-29, July 17, 2024
A.
Chief
				Administrative Officer's Responsibility
The chief administrative officer is responsible for
				  completing an annual survey that reports to the Department the immunization
				  status of students by December 15 of each year for each school. The chief
				  administrative officer must certify in writing that the information contained
				  in the survey is accurate and complete.
B.
Maine Post-Secondary School
				Immunization Assessment (Survey)
The Maine Post-Secondary School Immunization Assessment
				  (Survey) is the annual reporting mechanism required for each Post-Secondary
				  School. The information within the survey includes the following information,
				  at a minimum:
i. Total number of
				students enrolled;
ii. Number of
				enrolled students immunized (by vaccine type);
iii. Number of enrolled students not
				immunized, due to exemptions; and
iv. Number of enrolled students not immunized
				and out of compliance.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 263 - MAINE COMPREHENSIVE AND LIMITED ENVIRONMENTAL LABORATORY ACCREDITATION RULE › Section 144-263-1 - ADMINISTRATION

Current through 2024-29, July 17, 2024
A. Purpose and scope
Pursuant to 22 MRS chapter 157-A, this rule is to establish
				  quality requirements for laboratory data received by the DHHS and the DEP. The
				  rule establishes procedures for accrediting laboratories by creating minimum
				  criteria for laboratory operations, performance, and administration.
				  Accreditation pursuant to this rule is required for all laboratories, including
				  industrial, commercial, academic and governmental, that analyze samples under
				  the following regulations: Safe Drinking Water Act; Clean Water Act; Resource
				  Conservation and Recovery Act; and Leaking Underground Storage Tanks (LUST)
				  Program for the DHHS and/or the DEP. The Maine Laboratory Accreditation Program
				  (MLAP) within Maine Center for Disease Control and Prevention (Maine CDC) will
				  accredit laboratories for drinking water, non-potable water, air, and solid and
				  chemical materials, including tissues and septage, in accordance with this
				  rule.
B. Exceptions
1. Treatment plants with in-house drinking
				water laboratories involved in limited analysis required for system or
				treatment surveillance but deemed by the United States Environmental Protection
				Agency (EPA) and the MLAP as analytes not required for analysis by an
				accredited laboratory under 10-144 CMR Ch. 231 §
										7, Rules Relating to Drinking Water,
				do not need to be accredited.
2.
				Laboratories operated by wastewater discharge facilities licensed pursuant to
				38 MRS §
										413 may analyze wastewater
				discharges for biological or biochemical oxygen demand (BOD), carbonaceous BOD,
				chemical oxygen demand, chlorine residual, color, conductivity, dissolved
				oxygen,
E. coli,
enterococcus, fecal coliform, pH, settleable
				solids, temperature, total dissolved solids, total suspended solids, and
				turbidity, without being accredited under this rule.
a. This exception is limited to a laboratory
				testing its own samples for pollutants listed on its permit or license,
				pretreatment samples, and samples from other wastewater treatment plants for up
				to 60 days of analysis per year.
b.
				A day of analysis is defined as analyzing one or more samples for one or more
				parameters, all with the same sampling date. When analyzing multiple samples
				for one or more parameters spanning two or more sampling dates, the count of
				the different sampling dates will define the days of analysis.
3. This rule does not address the
				management of waste streams or the use of hazardous or toxic substances.
				Laboratories should consult with the DEP regarding any such rules that may
				apply to their facility or operations.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 263 - MAINE COMPREHENSIVE AND LIMITED ENVIRONMENTAL LABORATORY ACCREDITATION RULE › Section 144-263-3 - METHODS REQUIRED FOR ACCREDITATION

Current through 2024-29, July 17, 2024
A.
Scope
1. The laboratory must use
				appropriate methods and procedures for all tests within its scope. These
				methods and procedures include sampling, handling, transport, storage and
				preparation of samples as well as statistical techniques for analysis of test
				data.
2. The laboratory must retain
				instructions on the use and operation of all relevant equipment and on the
				handling and preparation of samples. All instructions, standards, manuals and
				reference data relevant to the work of the laboratory must accurately reflect
				method requirements, must be kept current, and must be made readily available
				to personnel. Deviations from test methods may occur only if the deviation has
				been documented, technically justified, authorized, accepted by the client, and
				allowed by regulation. Deviations from Drinking Water methods are not
				permitted.
3. Laboratories must
				observe appropriate methodologies for conducting analyses.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 263 - MAINE COMPREHENSIVE AND LIMITED ENVIRONMENTAL LABORATORY ACCREDITATION RULE › Section 144-263-4 - APPLICATION PROCESS

Current through 2024-29, July 17, 2024
A.
Application requirements.
These requirements pertain to all
				laboratories applying for accreditation, including those seeking limited
				accreditation or renewal of accreditation.
1.
				A laboratory may request to be accredited for the use of methods and analytes
				eligible for accreditation according to Section
				3. The accreditation officer will
				maintain a MAT of methods and analytes by program and matrix, available for
				accreditation.
2. Out-of-state
				laboratories may not apply for programs, matrices, methods or analytes in which
				they do not have primary certification or accreditation by another approving
				body.
3. A laboratory must specify
				the fields of testing for which it seeks accreditation using the MAT maintained
				by the accreditation program. No laboratory may receive initial accreditation
				without approval of at least one field of testing.
4. A laboratory must apply using the
				appropriate form (Initial or Renewal Application) provided by MLAP. The
				laboratory must supply:
a. The name of the
				laboratory;
b. The physical
				location, postal mailing address and email address of the laboratory;
c. The name(s) of the owner(s) of the
				laboratory;
d. The name(s) and
				telephone number(s) of designated contact person(s) as well as the laboratory
				technical director and quality assurance officer;
e. The applicable fees, including a
				nonrefundable base accreditation fee and fees for each test method in which the
				laboratory seeks accreditation;
f.
				A QA manual meeting the standards of Section
				9(A);
g. SOPs for methods requested for laboratory
				accreditation meeting the standards of Section
				9(B). Out-of-state
				laboratories are required to submit SOPs only at the request of the
				accreditation program;
h. The most
				recent proficiency testing result for each field of testing for which the
				laboratory seeks accreditation. The proficiency testing samples must be
				supplied by an approved provider and be analyzed within six months of the date
				that the application is received by the accreditation officer;
i. An accurate copy of the MAT including the
				laboratory's detection limits and reporting limits for each field of testing
				for which the laboratory is requesting accreditation; and
j. If the laboratory is an out-of-state
				laboratory, a copy of the most recent on-site assessment report with final
				responses and current copies of all relevant certificates and scopes.
5. A laboratory that owns or
				manages laboratory facilities at different locations must submit a separate
				application for each laboratory location except as provided for mobile
				laboratories in Section
				4(C).
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 263 - MAINE COMPREHENSIVE AND LIMITED ENVIRONMENTAL LABORATORY ACCREDITATION RULE › Section 144-263-6 - FEES

Current through 2024-29, July 17, 2024
A.
Payment
1. When a laboratory requests accreditation
				in Maine, the laboratory must submit all applicable fees with the
				application.
2. All applications or
				requests to change the scope of accreditation must be accompanied by the
				applicable fees specified in this section.
3. Application fees apply to the addition of
				methods for reinstatement after revocation or denial of
				accreditation.
4. No fee will be
				assessed for the addition of fields of testing in response to a notice of
				availability when an application is submitted under the conditions specified in
				Section 4, or for the
				addition of analytes to a test method which the laboratory maintains
				accreditation.
5. Payment of fees
				must be in the form of a check or money order, made payable to the ''Treasurer,
				State of Maine.''
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 263 - MAINE COMPREHENSIVE AND LIMITED ENVIRONMENTAL LABORATORY ACCREDITATION RULE › Section 144-263-7 - ACCREDITATION

Current through 2024-29, July 17, 2024
A.
Levels of laboratory/method
				accreditation
1. An accredited
				laboratory has met the regulatory performance criteria as explained in this
				rule and as specified by the 40 CFR Part(s) 141, as amended up to July 1, 2022,
				and/or 40 CFR Part 136 , as updated in the Annual Edition of July 1, 2022, and
				all other applicable regulatory requirements.
2. A provisionally accredited laboratory has
				deficiencies but demonstrates its ability to consistently produce valid data
				within the acceptance limits specified by the 40 CFR Part(s) 141, as amended up
				to July 1, 2022, and/or 40 CFR Part 136 , as updated in the Annual Edition of
				July 1, 2022, and within the policies required by this rule. A provisionally
				accredited laboratory may analyze samples for compliance purposes, if clients
				are notified in writing of its provisional status and affected methods/analytes
				are notated on reports as "provisionally accredited." The accreditation officer
				may not grant provisional accreditation if the accreditation officer determines
				that the laboratory cannot perform an analysis within the acceptance limits
				specified by this rule and applicable regulations.
3. A laboratory may not possess accreditation
				for a method under this rule if, in the opinion of the accreditation officer,
				the lab is determined to be deficient in performance and cannot consistently
				produce valid data for that specific method.