reglab/statecodes huggingface dataset:
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 283 - NEWBORN BLOODSPOT SCREENING RULE › Section 144-283-7 - TIMING OF BLOOD SPECIMEN COLLECTION

Current through 2024-29, July 17, 2024
A. For term
				infants, the specimen must be taken between 24-48 hours of life.
B. For infants who are discharged within 24
				hours of birth, a first blood specimen must be taken as close to discharge from
				the hospital or birthing center as possible, and a second specimen must be
				taken between 24-48 hours of life. The administrator of the hospital or
				birthing center must ensure the following:
1.
				The infant's parents are notified of what they need to do to complete the
				second test;
2. The infant's
				primary healthcare provider is notified of the early discharge and of need for
				the second test; and 3. Such notifications are made a part of the infant's
				medical records.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 283 - NEWBORN BLOODSPOT SCREENING RULE › Section 144-283-8 - SCREENING TEST PERFORMED

Current through 2024-29, July 17, 2024
A. The Department
				will consider changes in conditions to be screened as requested by the Joint
				Advisory Committee, the medical community or the public. The Department reviews
				the recommendations from the Advisory Committee on Heritable Disorders in
				Newborns and Children and the Recommended Uniform Screening Panel (RUSP), and
				data from medical experts and other newborn screening programs, when
				considering a new condition. Rulemaking to add conditions will be conducted in
				accordance with
				5 MRS §§
										8001 -
				11008.
B. The Department must determine conditions
				to be screened, considering whether:
1. The
				condition has significant mortality and morbidity when not diagnosed before
				symptoms appear;
2. The condition
				may not be identified early clinically;
3. The prevalence of the condition in the
				population is significant;
4.
				Pre-symptomatic treatment affects outcome;
5. A simple, inexpensive and effective
				screening method is available; and
6. Resources for treatment and counseling are
				available.
7. The costs of
				screening, diagnosis and treatment can be justified by increases in well-being
				and quality of life for affected individuals and their families.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 283 - NEWBORN BLOODSPOT SCREENING RULE › Section 144-283-9 - PARENTAL REFUSAL OF THE SCREENING TESTS

Current through 2024-29, July 17, 2024
A.
				In the instance of parental refusal of the screening tests on religious
				grounds, the parental refusal must be stated in writing and made a part of the
				infant's medical record.
B. The
				hospital or birthing center designee, midwife, and principal birthing attendant
				must ensure that the Department is notified in writing of the parental refusal
				within five days of the infant's birth, using the refusal form provided by the
				Department.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 283 - NEWBORN BLOODSPOT SCREENING RULE › Section 144-283-10 - FOLLOW-UP TESTS

Current through 2024-29, July 17, 2024
A. The Department
				must report out-of-range NBS results and follow-up recommendations to the
				infant's designated primary healthcare provider based on the level of urgency
				and in accordance with this rule.
1. Mildly
				out-of-range results must be reported within one business day.
2. Moderate and urgent results must be
				reported on the day the report is received from the laboratory.
a. The Department's contract laboratory will
				report time-critical out-of-range results on weekends and holidays and when the
				Department is closed.
3.
				If there is no designated primary healthcare provider identified, the
				Department must report to the infant's parent(s) directly.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 283 - NEWBORN BLOODSPOT SCREENING RULE › Section 144-283-11 - JOINT ADVISORY COMMITTEE (JAC)

Current through 2024-29, July 17, 2024
A. The
				Department shall appoint a program advisory committee, t
he Joint
				Advisory Committee for Maine Newborn Screening
(JAC), to advise the
				program on issues related to the screening, including the retention and use of
				residual filter paper specimens, and follow-up services.
B. Meetings are generally held twice per year
				and are open to the public. Department notifications of JAC meeting dates and
				times may be found at
https://www.maine.gov/dhhs/mecdc/population-health/mch/cshn/bloodspot-screening/index.html
.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 283 - NEWBORN BLOODSPOT SCREENING RULE › Section 144-283-12 - RESIDUAL FILTER PAPER SPECIMEN STORAGE AND USE

Current through 2024-29, July 17, 2024
A.
				The primary use of residual filter paper specimens is for the processing of
				newborn screening tests as allowed by this rule. Residual filter paper
				specimens are used to support essential program functions such as program
				evaluation, quality assurance, result verification, test refinement, and
				quality improvement initiatives. Specifically, residual filter paper specimens
				are used to document that specimens were properly collected, transported,
				received and analyzed for the benefit of the newborn.
B. After testing is completed, the contracted
				laboratory will store residual filter paper specimens indefinitely. The
				contracted laboratory storage must be in accordance with Clinical and
				Laboratory Standards Institute Guidelines (CLSI) (
https://clsi.org/
). Storage conditions must be
				appropriate, secure and stable, and storage must allow specimens to be
				retrieved, if necessary.
C.
				Residual filter paper specimens may be used for further testing as recommended
				by the healthcare provider if these tests are available through the contracted
				laboratory or through other laboratories. The healthcare provider must obtain a
				signed (Department) Authorization to Release Information from the
				parent/guardian or the individual if they are a legal adult. The healthcare
				provider must also complete and sign the Request for Retrieval of Residual
				Filter Paper Specimens for Additional Testing Form provided by the Department
				at the request of the healthcare provider. The costs associated with additional
				testing that is not required by this rule is the responsibility of the parent
				or legal guardian.
D. The
				information collected in this program is maintained by the Department.
				Information is used to identify infants at risk of developing intellectual and
				developmental disabilities or serious illness and to develop programs to
				prevent and detect such disorders.
E. Information obtained during the testing
				process becomes the property of the Department and may be used in compliance
				with confidentiality laws, for program evaluation or research by the Department
				or Department-approved scientific researchers to improve the health of mothers
				and children.
F. Newborn blood
				specimens obtained during the testing process become the property of the
				Department and may be used in compliance with confidentiality laws, for program
				evaluation or research by the Department or Department-approved scientific
				researchers to improve the health of mothers and children, unless the person or
				his/her legal authorized representative:
1.
				Specifically prohibits such use in writing on a form provided by the
				Department; or
2. Requests
				destruction of the residual filter paper specimen under Section
				13.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 283 - NEWBORN BLOODSPOT SCREENING RULE › Section 144-283-13 - RESIDUAL FILTER PAPER SPECIMEN DESTRUCTION

Current through 2024-29, July 17, 2024
A.
				Residual filter paper specimens may be destroyed at the request of an
				individual and parent or guardian of a child. Written requests for specimen
				destruction must be submitted in writing using the Request for Destruction of
				Residual Filter Paper Specimen Form provided by the Department.
B. Residual filter paper specimens may be
				destroyed at the request of the Department if the residual filter paper
				specimens have been affected by storage conditions inconsistent with the
				current guidelines issued by the CLSI that develops standards to assist
				laboratories to fulfill the responsibilities of newborn bloodspot screening
				with efficiency and effectiveness. Refer to
http://clsi.org/standards/
.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 283 - NEWBORN BLOODSPOT SCREENING RULE › Section 144-283-14 - FEES

Current through 2024-29, July 17, 2024
A. Hospitals and healthcare providers must
				use the filter paper approved by the Department for NBS specimen collection.
B. The Department charges a fee of
				$220 per infant tested, by pricing the filter paper used for each infant at
				$220.
C. Hospitals and healthcare
				providers will receive a credit on future filter paper orders for repeat
				specimens that have been submitted. To receive the credit, hospitals and
				providers must submit a list of infants for whom repeat specimens were
				obtained, to the Department.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 283 - NEWBORN BLOODSPOT SCREENING RULE › Section 144-283-15 - PENALTIES

Current through 2024-29, July 17, 2024
A. Failure to comply with this rule may
				result in the imposition of such civil and criminal penalties as are specified
				under
				22 MRS
				§47.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 283 - NEWBORN BLOODSPOT SCREENING RULE › Appendix 144-283-B

Current through 2024-29, July 17, 2024
Time-critical Conditions
3-Hydroxy-3-Methyglutaric Aciduria
								(HMG)
													 Argininosuccinic Aciduria (ASA)
													 B-Ketothiolase Deficiency (BKT)
													 Citrullinemia Type I (CIT)
													 Classic Galactosemia (GALT) 
													 Congenital Adrenal Hyperplasia
								(CAH)
													 Glutaric Acidemia Type I (GAI) 
													 Holocarboxylase Synthase Deficiency
								(MCD)
													 Isovaleric Acidemia (IVA)
													 Long-chain L-3 Hydroxyacyl-CoA Dehydrogenase
								Deficiency (LCHAD)
													 Maple Syrup Urine Disease (MSUD)
													 Medium-chain Acyl-CoA Dehydrogenase Deficiency
								(MCAD)
													 Methylmalonic Acidemia (MUT)
													 Propionic Acidemia (PROP) 
													 Trifunctional Protein Deficiency
								(TFP)
													 Very Long-chain Acyl-CoA Dehydrogenase
								Deficiency (VLCAD)
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 286 - MAINE WIC PROGRAM RULES › Section 144-286-II - PROGRAM ADMINISTRATION

Current through 2024-29, July 17, 2024
A.
FUNDING
				LOCAL AGENCIES
Each local agency's administrative and food funding
				  allocation will be determined by a funding formula contained in the most recent
				  edition of the WIC Administrative Manual.
B.
REVIEW AND MONITORING OF LOCAL
				AGENCIES
1. The State Agency will
				perform a management evaluation review of each local agency at least once
				biennially, and more frequently if the State Agency determines that such a
				review is necessary.
2. The local
				agency shall respond to management evaluation reviews within thirty days from
				the date of the State Agency letter.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 286 - MAINE WIC PROGRAM RULES › Section 144-286-III - FINANCIAL

Current through 2024-29, July 17, 2024
A.
DESIGNATION OF LOCAL
				AGENCIES:
1. A community agency
				requesting approval as a WIC local agency must submit a written application in
				a format prescribed by the State Agency.
2. The State Agency must provide written
				notification of incomplete applications to an applicant agency within fifteen
				days of receipt of the application.
3. The State Agency shall notify the
				applicant agency in writing of the approval or disapproval of the application
				within thirty days of the receipt of a complete application.
4. The State Agency shall provide the
				applicant agency with the reason(s) for disapproval of the application and
				advise the agency of the right to appeal.
5. When funds are not available for Program
				initiation or expansion, the State Agency shall return the application to the
				applicant agency within thirty days and maintain a record of the name and
				address of those agencies that have applied. The State Agency will notify the
				applicant agency when funds become available.
6. Local agencies shall be selected and
				funded in accordance with the priority system defined at
				7 CFR §
											246.5(d) (1) of the WIC
				Program Federal Regulations.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 286 - MAINE WIC PROGRAM RULES › Section 144-286-V - APPEALS

Current through 2024-29, July 17, 2024
A.
APPLICANT, PARTICIPANT OR VENDOR
				APPEALS
1. Any applicant, participant
				or vendor adversely affected by a local or State Agency decision has the right
				to a formal hearing in only the following instances:
a. Participant
i. Denial of participation at certification
				or recertification;
ii.
				Disqualification from the Program during the certification period;
				and
iii. Placement on a waiting
				list.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 292 - RULES RELATING TO THE LEAD POISONING CONTROL ACT › Section 144-292-1 - APPLICABILITY

Current through 2024-29, July 17, 2024
This rule applies to all:
* Residential dwellings and child-occupied facilities in the
				  State of Maine, and the owners of such properties;
* All Head Start Facilities;
* All health care providers and health care
				  facilities;
* All clinics that dispense benefits of the Women, Infant and
				  Children Special Supplemental Food Program of the
Federal Child
				  Nutrition Act of 1966
.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 292 - RULES RELATING TO THE LEAD POISONING CONTROL ACT › Section 144-292-2 - VALIDITY OF LOCAL ORDINANCES

Current through 2024-29, July 17, 2024
Nothing in these rules shall be construed to prevent any
				  municipality or political subdivision from enacting or enforcing an ordinance
				  which establishes a system of lead poisoning control that provides the same or
				  higher standards than those provided in these regulations.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 292 - RULES RELATING TO THE LEAD POISONING CONTROL ACT › Section 144-292-3 - DEFINITIONS

Current through 2024-29, July 17, 2024
A.
Abate, Abatement or Lead
				Abatement
means any measure or set of measures designed to permanently
				eliminate lead hazards. "Abate," "Abatement," or "Lead Abatement" includes, but
				is not limited to:
(1) The removal of
				lead-based paint and lead-contaminated dust, the permanent enclosure or
				encapsulation of lead-based paint, the replacement of lead-painted surfaces or
				fixtures and the removal or covering of lead-contaminated soil; and
(2) All preparation, cleanup and
				post-abatement clearance testing activities associated with such measures.
"Abatement" does not include interim controls or renovation
				  and remodeling as defined in The Department of Environmental Protection, Lead
				  Management Regulations, 06-096 CMR Ch. 424. For purposes of this definition,
				  "permanently" means for at least 20 years.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 292 - RULES RELATING TO THE LEAD POISONING CONTROL ACT › Section 144-292-4 - ENVIRONMENTAL LEAD INVESTIGATIONS

Current through 2024-29, July 17, 2024
A.
General
				Provisions
The
Lead Poisoning Control Act
,
				  22
				  M.R.S. §§1320 & 1320-A
				  specifies conditions under which the Department may perform an environmental
				  lead investigation. Pursuant to the Act, the Department must, except in the
				  case of an owner-occupied single-family residence, inspect any dwelling unit
				  within the dwelling, when a lead poisoned child or lead based substance is
				  found. These rules clarify which dwellings, premises or facilities are to be
				  inspected, and under which circumstances inspections are
				  required.
B.
Residential Dwellings Subject to Environmental Lead Investigations
(1)
Primary Residences
: Except
				in the case of an owner occupied, single family residence, all dwelling units
				within a residential dwelling shall be subject to an environmental lead
				investigation by a state lead investigator within 30 days of the discovery of
				any of the following circumstances:
(a) The
				primary residential dwelling or dwelling unit has a child with a case of lead
				poisoning; or
(b) Lead-based
				substances have been found in any dwelling unit within the dwelling where
				lead-based substances include lead hazards as determined by a lead inspector.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 292 - RULES RELATING TO THE LEAD POISONING CONTROL ACT › Section 144-292-5 - SCREENING AND BLOOD LEAD TEST REQUIREMENTS

Current through 2024-29, July 17, 2024
A.
General Provisions
(1) All
				health care providers must advise parents of the availability and advisability
				of screening their children for lead poisoning. A health care program that
				receives funds from the State of Maine and has a child health component must
				provide screening of children for lead poisoning, in accordance with rules
				adopted by the Department. The blood level screening and testing must be
				performed in accordance with this Section.
(2) The Department may approve facilities to
				perform in-office blood lead testing to reduce the barrier of blood lead
				testing when the patient needs to travel to an offsite location (
				22 M.R.S.
				§1319-D ). The following describes the
				conditions under which in-office blood lead testing will be approved, including
				the requirements for electronic data reporting.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 292 - RULES RELATING TO THE LEAD POISONING CONTROL ACT › Section 144-292-6 - VIOLATIONS

Current through 2024-29, July 17, 2024
The
Lead Poisoning Control Act
at
				  22
				  M.R.S. §§1320 and
				  1320-A,
				  provides three remedies to address violations. For each violation, the
				  Department is authorized to impose administrative penalties, pursue violations
				  as a class E crime and/or seek a mandatory injunction to remove the lead
				  hazards.
A.
Administrative
				Penalties
(1)
Administrative
				penalties may be imposed when the following occurs
:
(a) The
Lead Poisoning Control
				Act
, these rules, and/or an order issued pursuant to these rules,
				requires an action which is either not taken or not completed by a specified
				deadline. This trigger includes, but is not limited to, a property owner
				denying the Department access to inspect, removing Department postings, missing
				specified timelines or denying tenants' relocation (or denying reimbursement
				for relocation).
(b) The
Lead Poisoning Control Act
, these rules, and/or an order
				issued pursuant to these rules, prohibits an action, and the action is
				performed. Examples include, but are not limited to, re-renting an apartment
				identified with a lead hazard once it has been posted and ordered to be cleared
				of lead-based substances, removing required posted notices or evicting a family
				due to notification of the presence of lead based paint.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 293 - Lead Poisoning Prevention Fee Rules › Section 144-293-1 - DEFINITIONS

Current through 2024-29, July 17, 2024
A.
Brand name owner
. "Brand name
				owner" means a person who is the owner or licensee of the intellectual property
				rights of a paint product sold, offered for sale, or otherwise distributed in
				Maine.
B.
Commissioner
. "Commissioner" means the Commissioner of the
				Department of Health and Human Services.
C.
Department
. "Department"
				means the State of Maine Department of Health and Human Services.
D.
Fee
. "Fee" means the Lead
				Poisoning Prevention Fee established pursuant to 22 M.R.S. §1322-F.
E.
Fee payer
. "Fee
				payer" means those categories of manufacturers, brand name or private label
				owners, or importers of paint sold in the State of Maine, which are required to
				pay the Lead Poisoning Prevention Fee.
F.
Manufacturer
. "Manufacturer"
				means a manufacturer of paint sold in the State of Maine, and includes any
				subsidiary or affiliate of such manufacturer.
G.
Importer
. "Importer" means
				anyone who offers for sale, sells or distributes in Maine a paint product which
				has been manufactured outside of the United States.
H.
Low quantity waiver
. "Low
				quantity waiver" means the amount of annual paint sales in the State of Maine
				established by the Department below which will exempt Fee payers from payment
				of the Lead Poisoning Prevention Fund fee.
I.
Paint
. "Paint" means any
				substance applied to a surface as a coating for protective, decorative or
				functional purposes, identified by the U.S. Census Bureau as within the
				following segments of paint and coating manufacturing, as set forth on Table 2
				of the 2004 Annual Report for Paint and Allied Products, issued September 2005,
				Publication MA325F(04)-1. Table 2 is attached to these rules as Appendix A and
				is incorporated by reference.
1.
Architectural coatings
. "Architectural coatings" means any product
				formulated for normal environmental conditions and general applications which
				is used as, or usable as, a coating applied to the interior or exterior
				surfaces of stationary structures and their appurtenances, to portable
				buildings, to pavements, or to curbs, such as interior and exterior house and
				trim paints, varnishes, stains, lacquers, and sealers.
2.
Product finishes for original
				equipment manufacturers
. "Product finishes for original equipment
				manufacturers (OEM)" means coatings formulated specifically for original
				equipment manufacturers to meet product requirements during the manufacturing
				process, such as finishes for vehicles, appliances, furniture, and other
				industrial products.
3.
Special purpose coatings
. "Special purpose coatings" includes
				stock type shelf goods formulated for environmental conditions such as extreme
				temperatures, fungi, chemicals, fumes or special application, such as
				high-performance maintenance paints, machinery refinish paints, marine
				coatings, and traffic marking paints.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 293 - Lead Poisoning Prevention Fee Rules › Section 144-293-2 - GENERAL PROVISIONS

Current through 2024-29, July 17, 2024
A.
Purpose
The purpose of the Fee is to fund the Lead Poisoning
				  Prevention Fund as established in 22 M.R.S. §1322-E.
B.
Application
The Fee applies only to the following persons according to
				  the following sequence:
1. The
				manufacturer which offers for sale, sells, or distributes by any means paint
				under its own private label or brand name in the State of Maine;
2. The brand name or private label owner of
				paint who offers for sale, sells or distributes by any means paint produced by
				other suppliers under its own brand name or private label in the State of
				Maine;
3. The importer of paint
				into the United States who offers for sale, sells, or distributes by any means
				such imported paint in the State of Maine. However, if the manufacturer, or
				brand name or private label owner, of the imported paint has a presence in the
				United States and meets the criteria under (1) or (2) of this subsection, that
				person is the appropriate fee payer for the paint. For purposes of this
				subsection, "presence" means performs activities conducted under the standards
				established for interstate commerce under the commerce clause of the United
				States Constitution.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 293 - Lead Poisoning Prevention Fee Rules › Appendix 144-293-A

Current through 2024-29, July 17, 2024
Childhood Lead Poisoning Prevention
				  Program
Environmental and Occupational Health
				  Program
Division of Environmental Health
Maine Center for Disease Control and
				  Prevention
Department of Health and Human Services
Click to view
				  image
Click to view
				  image
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 294 - RULE GOVERNING THE QUALIFICATIONS FOR LOCAL HEALTH OFFICERS › Section 144-294-1 - Purpose

Current through 2024-29, July 17, 2024
The purpose of these rules is to define the qualification
				  standards for local health officers pursuant to
				   22 M.R.S.A.
				  §451(2).
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 294 - RULE GOVERNING THE QUALIFICATIONS FOR LOCAL HEALTH OFFICERS › Section 144-294-2 - Definitions

Current through 2024-29, July 17, 2024
A.
Department
means the
				Department of Health and Human Services.
B.
Department Districts
are
				Aroostook (Aroostook County); Penquis (Penobscot and Piscataquis Counties);
				Downeast (Hancock and Washington Counties); MidCoast (Knox, Lincoln, Sagadahoc,
				and Waldo Counties); Central (Kennebec and Somerset Counties); Western
				(Androscoggin, Franklin, and Oxford Counties); Cumberland (Cumberland County);
				and York (York County). These districts are formed through a geographical
				grouping of counties to provide a framework or structure for the Department to
				conduct its business.
C.
Local Health Officer
means a public health official who shall be
				appointed by the municipal officers of a municipality pursuant to
				 22 M.R.S.A.
				§451(1).
D.
Maine CDC
means the Maine
				Center for Disease Control and Prevention within the Department of Health and
				Human Services.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 294 - RULE GOVERNING THE QUALIFICATIONS FOR LOCAL HEALTH OFFICERS › Section 144-294-3 - Qualifications of Local Health Officers

Current through 2024-29, July 17, 2024
The local health officer must be qualified by education,
				  training and experience in the field of public health or a combination as
				  determined by standards established by these rules no later than June 1, 2008.
				  A person who is employed as a local health officer who is not qualified by
				  education, training or experience must meet qualification standards adopted by
				  department rule no later than six months after appointment. Notwithstanding the
				  foregoing, a person may be appointed and serve as a local health officer if
				  granted a waiver by the Department pursuant to Section
				  7.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 294 - RULE GOVERNING THE QUALIFICATIONS FOR LOCAL HEALTH OFFICERS › Section 144-294-4 - Training

Current through 2024-29, July 17, 2024
The Maine CDC will provide six-hour trainings at least
				  annually in each of eight Department of Health and Human Services Districts.
				  Current or proposed local health officers will not be charged for participation
				  in these trainings.
The Maine CDC may offer additional trainings using different
				  modalities such as the Web and telecommunication technologies in order to
				  address the training needs of present or proposed local health
				  officers.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 294 - RULE GOVERNING THE QUALIFICATIONS FOR LOCAL HEALTH OFFICERS › Section 144-294-5 - Training Attendance

Current through 2024-29, July 17, 2024
Local Health Officers must complete at least one six-hour
				  training every three years to meet the required Local Health Officer
				  qualifications.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 294 - RULE GOVERNING THE QUALIFICATIONS FOR LOCAL HEALTH OFFICERS › Section 144-294-6 - Training Objectives

Current through 2024-29, July 17, 2024
The trainings will meet at least the following objectives.
				  Participants will:
Be familiar with the authorities, duties, secondary
					 authorities, intent, and parameters of the Local Health Officer
					 statutes;
									 Know how to address common situations faced by Local
					 Health Officers; and
									Learn about emerging health issues that may affect the
					 work of Local Health Officers.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 294 - RULE GOVERNING THE QUALIFICATIONS FOR LOCAL HEALTH OFFICERS › Section 144-294-7 - Waiver of Requirements

Current through 2024-29, July 17, 2024
The Department may grant exemptions from the qualification
				  standards established by these rules. Local Health Officers may apply to the
				  Maine CDC for exemptions from these standards. An exemption may be granted in
				  the event the Department determines that an individual presents with either the
				  education, training and experience of a local health officer or other similar
				  position, or with familiarity with the responsibilities of local health
				  officers, which is the functional equivalency of the qualification standards
				  established by these rules.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 294 - RULE GOVERNING THE QUALIFICATIONS FOR LOCAL HEALTH OFFICERS › Section 144-294-8 - Grace Period

Current through 2024-29, July 17, 2024
In addition to the foregoing, the Maine CDC may grant a grace
				  period for up to six months after a local health officer has been appointed to
				  his or her position in which the satisfy the qualification standards
				  established by these rules; provided however, in no event may a person be
				  appointed or employed as a local health officer on or after June 1, 2009,
				  without either satisfying the Department's qualification standards or receiving
				  an exemption from the qualification standards pursuant to Section
				  7.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 295 - DENTAL SERVICES DEVELOPMENT AND SUBSIDY PROGRAMS › Section 144-295-III - ALLOCATION OF FUNDS

Current through 2024-29, July 17, 2024
The allocation of funds for the Dental Services Development
				  and Subsidy Programs is legislatively determined. The Department will make
				  every attempt to convey these funds to eligible entities annually, or through
				  multi-year contracts as appropriate.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 295 - DENTAL SERVICES DEVELOPMENT AND SUBSIDY PROGRAMS › Section 144-295-IV - WAIVER OF RULE

Current through 2024-29, July 17, 2024
The Department may waive any requirement of this Rule, except
				  to the extent that the requirement is mandated by legislative authority, in
				  cases where the deviation from the rule is insubstantial and is not contrary to
				  the purposes of the program.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 297 - DENTAL CARE ACCESS CREDIT PROGRAM › Section 144-297-2 - THE DENTAL CARE ACCESS CREDIT PROGRAM

Current through 2024-29, July 17, 2024
A.
Dental Care
				Access Credit Program
1. The
				Department will administer the Dental Care Access Credit Program ("the
				Program") and is authorized to certify a specific number of Eligible Dentists
				who may claim the Dental Care Access Credit under
				36 M.R.S.
				§5219-DD.
2. The Dental Care Access Credit may be
				claimed for the first year that the Eligible Dentist meets the conditions for
				at least six months and each of the four subsequent years as long as the
				Eligible Dentist retains eligibility. Eligible Dentists that file the Maine
				individual income tax return on a fiscal year basis may claim Dental Care
				Access Credit beginning with the tax year that begins during the calendar year
				the Eligible Dentist meets the conditions for at least six months and may claim
				Dental Care Access Credit for each of the four subsequent tax years, as long as
				the certified dentist retains eligibility.
3. The Department selects initial applicants
				to receive the Dental Care Access Credit based on the basis of the Competitive
				Order of Receipt Process.
4. As
				long as the dentist continues to practice in an Underserved Area, and meets
				other conditions for eligibility, then the dentist remains eligible. An
				Eligible Dentist who relocates to another Underserved Area continues to be
				eligible for the tax credit. If the Underserved Area in which an Eligible
				Dentist is practicing under the terms of this Program loses that designation,
				the dentist, becomes ineligible for certification in subsequent tax
				years.
5. The Department will
				monitor Eligible Dentists to ensure that they continue to be eligible for the
				Dental Care Access Credit and will decertify any dentist who ceases to meet the
				conditions of eligibility. The Department will notify the Bureau of Maine
				Revenue Services whenever a dentist is certified or decertified. A decertified
				dentist ceases to be eligible for Dental Care Access Credit beginning with the
				tax year during which the dentist is decertified.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 298 - PRIMARY CARE TAX CREDIT CERTIFICATION RULE › Section 144-298-1 - PURPOSE AND DEFINITIONS

Current through 2024-29, July 17, 2024
A.
Purpose.
The purpose of this rule is to recruit and retain
				professionals who provide access to primary health care in underserved areas of
				Maine.
B.
Definitions
.
				In addition to statutory definitions found in
				36 M.R.S.
				§5219-LL, the following terms used in
				this rule have the following definitions, unless the context indicates
				otherwise.
1.
Competitive Order of
				Receipt Process
means the process by which timely, complete applications
				are considered on a first-come, first-served basis according to the
				Department's receipt of applications postmarked within the time-limited
				submission period set forth in this rule. Applications with postmarks within
				the time-limited submission period are prioritized according to the stamped
				date and time (hour, minute, second) the Department received the
				application.
2.
Designated
				Practice Location
means the single, precise geographic address located
				in an underserved area that is the location of the professional's full-time
				primary care practice.
3.
Full-Time
means practicing within scope of practice in work weeks
				of 40 hours or more during the calendar year in the designated underserved area
				of the State.
4.
Unpaid
				Student Loan
does not include:
a. Loans
				that obligate the primary care professional for a service commitment that
				cannot be fulfilled before the application deadline for this program;
b. Parental loans or personal
				loans;
c. Loans that have been
				repaid in full or forgiven; and
d.
				Personal lines of credit or credit card loan debt.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 298 - PRIMARY CARE TAX CREDIT CERTIFICATION RULE › Section 144-298-2 - ELIGIBILITY REQUIREMENTS

Current through 2024-29, July 17, 2024
Certification requirements
. A primary care
				  professional seeking Department certification for the primary care income tax
				  credit must meet the eligibility requirements set out in statute at
				  36
				  M.R.S. §§5219-L L(
				  1
				  )(A)(
				  1
				  )-(
				  4
				  ) and this rule.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 298 - PRIMARY CARE TAX CREDIT CERTIFICATION RULE › Section 144-298-3 - APPLICATION PROCESS

Current through 2024-29, July 17, 2024
A.
Application form.
An applicant must submit a completed
				Department-approved application form. The applicable tax year application forms
				are available on the Department's publicly accessible website:
https://www.maine.gov/dhhs/mecdc/public-health-systems/rhpc/
.
				Upon request, a paper copy is mailed to the applicant.
B.
Method of submission.
Applicants must mail their applications by U.S. Mail, postage prepaid, to the
				address listed on the application form.
C.
Complete, timely application
				required.
During the review process, the Department will consider only
				complete applications that are postmarked within the time-limited period
				established in Section 3(E). Incomplete applications will not be included in
				the review process.
D.
Complete applications.
To be considered complete, an application
				must comply with the following requirements.
1. Application form required. The application
				form must be signed and dated by the applicant and include all requested
				information. Each application must be postal mailed in a separate envelope.
				Multiple applications mailed in a single envelope are not included in the
				Department's review process.
2.
				Required documents. Complete applications must include copies of the following
				documents.
a. Professional license. A license
				verification printed from the State of Maine Office of Professional and
				Financial Regulation's office database at
https://www.pfr.maine.gov/ALMSOnline/ALMSQuery/Welcome.aspx
and credentials or certifications as applicable.
b. Practice location in underserved area.
				Proof that the applicant's practice location is in an underserved area.
				Acceptable documents include a copy of incorporation documents, partnership
				agreements, an employer identification number (EIN), or a federal or State tax
				form that includes the street address, city, state, and ZIP code of the
				specific geographic location where the professional practices full-time within
				their scope of practice.
c. Student
				loan. A copy of the promissory note, loan statement or similar document
				acceptable to the department showing an unpaid qualified student loan
				balance.
d. First year
				certification. With an initial application, documentation must be submitted
				demonstrating the applicant meets the conditions of eligibility for at least
				six months of the first tax year for which the applicant applies for
				certification for a tax credit as described in
				36 M.R.S.
				§5219-LL(2)(A).
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 298 - PRIMARY CARE TAX CREDIT CERTIFICATION RULE › Section 144-298-4 - SELECTION PROCESS

Current through 2024-29, July 17, 2024
A.
Department
				selection process
. Each tax year, the Department selects up to 10
				applicants who meet certification requirements.
1. Certified applicants and the Competitive
				Order of Receipt Process. Certified applicants are not subject to the
				Competitive Order of Receipt Process.
2. Initial applicants subject to Competitive
				Order of Receipt Process. The Department selects initial applicants for a tax
				credit based on a Competitive Order of Receipt Process. Complete applications
				with postmarks within the time-limited submission period established in this
				rule are prioritized by the stamped date and time (hour, minute, second) the
				Department received the application.
3. Review selected applications. Based on the
				selection process, the Department reviews initial and certified applications to
				confirm an individual's eligibility for certification until the maximum number
				of allowed individuals are selected for certification each tax year in
				accordance with 22 M.R.S. §5219-LL and this rule.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 298 - PRIMARY CARE TAX CREDIT CERTIFICATION RULE › Section 144-298-5 - MONITORING CONTINUED ELIGIBILITY

Current through 2024-29, July 17, 2024
A.
Coordination with Maine Revenue Services.
The Department and the
				Maine Revenue Services will share information about Primary Care Access Credit
				Program certification and decertification of primary care professional in
				compliance with
				36
				M.R.S.§5219-LL(3) and
				this rule.
B.
Monitoring
				compliance
. Certified primary care professionals are subject to
				monitoring by the Department to ensure continued eligibility for the tax
				credit.
1. Request for additional
				information. The Department will require additional information from certified
				primary care professionals annually to monitor ongoing
				compliance.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 301 - SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) RULES › Introductory Information › Section 144-301-FS 000-1 - Basis of Issuance

Current through 2024-29, July 17, 2024
To determine a household's monthly benefit using the charts
					 found in FS 999-3:
1) Calculate the
				  household's net monthly income. Households which are not categorically eligible
				  will have net monthly incomes which are lower than or equal to the amounts
				  shown in Chart 1.
2) Multiply the
				  net monthly income by 30 percent.
3) Round the product up to the next whole
				  dollar if it ends in 1-99¢.
4)
				  To obtain the household's allotment, subtract the result (steps 1-3 above) from
				  the Maximum Benefit (Chart 5) for the appropriate household size.
5) Persons in household sizes one and two and
				  which are categorically eligible will be eligible for benefits of at least
				  those shown in Chart 6.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 301 - SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) RULES › FS-1 and FS-100's › 100 - INTRODUCTION; GENERAL PROGRAM REQUIREMENTS/NONFINANCIAL ELIGIBILITY FACTORS › Section 144-301-100-FS 111-1 - Household Concept

Current through 2024-29, July 17, 2024
1.
GENERAL RULE
A household must satisfy certain conditions, and the
						number of individuals in the household must be established, before financial
						eligibility can be determined. Factors affecting the composition of a household
						shall be verified, if it is contradictory to information known to or received
						by the Department.
A. Households must
					 reside in the State of Maine.
B.
					 Households must not live in an institution which provides the majority of
					 meals, except for--
(1) federally subsidized
					 housing for individuals who are elderly, built under either Section
					 202 or
					 236 of the
National Housing Act et seq.
(2) centers for the treatment of Substance
					 Use Disorders (Section
					 444-5) .
(3) approved group living arrangements for
					 individuals with disabilities (Section
					 444-5) .
(4) shelters for battered persons (Section
					 444-6) .
(5) shelters for individuals experiencing
					 homelessness (Section
					 999-1) .
NOTE:
Individuals residing in correctional
						facilities are not eligible for SNAP during their stay, but may apply for
						benefits within 30 days prior to release. See Section
						222-1.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 301 - SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) RULES › FS-1 and FS-100's › 100 - INTRODUCTION; GENERAL PROGRAM REQUIREMENTS/NONFINANCIAL ELIGIBILITY FACTORS › Section 144-301-100-FS 111-3 - Residence and Identity

Current through 2024-29, July 17, 2024
1.
GENERAL RULE
A household must be living in the State. Verification of
						identity and residence is required. Persons in the State solely for vacation,
						i.e., who intend to return to their home in another state within 30 days, shall
						not be considered residents. Residing in a permanent dwelling or having a
						mailing address is not required. Persons in correctional facilities must be in
						a state or county correctional facility within Maine, and intend to remain in
						Maine indefinitely upon release.
NOTE:
When applying the "residence" rule,
						understand that the individual must be able to be considered a resident, for
						SNAP purposes, somewhere in the United States. If one or more other states
						refuse to consider the individual a resident of such state because the
						individual was or is present in Maine, consider the individual to be a resident
						of Maine.
EXCEPTIONS:
A. EXPEDITED SERVICE - Postpone verification
					 of residence if it would delay processing.
B. INDIVIDUALS EXPERIENCING HOMELESSNESS - Do
					 not require verification of residence.