reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 1 - General Provisions › Section 310:531-1-3 - Definitions

Current through Vol. 41, No. 20, July 1, 2024
When used in this Chapter, the following words or terms
				  shall have the following meaning unless the context of the sentence requires
				  another meaning:
"Board"
means the State Board of Health.
"Commissioner"
means the State Commissioner of
				  Health of the Oklahoma State Department of Health.
"Comprehensive Eye Exam"
means a clinical
				  assessment and tests administered by a licensed optometrist or ophthalmologist
				  to assess a person's level of vision as well as detect any abnormality or
				  diseases.
"Department"
means the Oklahoma State Department
				  of Health.
"Infant and Children's Health Advisory Council"
means the advisory council to the Board and Department in the area of infant
				  and child health including vision screening.
"LEA Numbers Chart"
means a vision screening
				  test that determines relative visual acuity for distance vision using a chart
				  with numbers. Chart is recommended for school age children and can be used with
				  children who use English as a second language.
"Ophthalmologist"
means a person licensed by the
				  state of Oklahoma to practice medicine who has a specialty in ophthalmology.
"Optometrist"
means a person licensed by the
				  state of Oklahoma to practice optometry.
"Referral"
means parent/guardian notification
				  that the student's screening results indicate a need for a comprehensive eye
				  exam by an ophthalmologist or optometrist.
"Sloan Letters Chart"
means a vision screening
				  test that determines relative visual acuity for distance vision using a chart
				  with letters. Chart is recommended for school age children.
"Vision screening provider(s)"
means a person(s)
				  who has successfully completed vision screening training using curricula
				  approved by the Department, submitted an application to the Department, and has
				  been approved by the Department as being a vision screening provider.
"Vision screening"
means the process or system
				  used to identify children in grades K, 1 and 3 who may be at risk of having or
				  developing visual problems that may adversely affect their ability to acquire
				  knowledge, skill or learning, for the purpose of recommending further
				  evaluation by an optometrist or ophthalmologist.
"Vision screening trainer(s)"
is a person(s) who
				  has been approved as a vision screening provider and completed additional
				  training approved by the Department to provide training to potential vision
				  screening providers.
"Vision Screening Registry"
is a system for
				  collecting and maintaining in a structured manner the names of individuals that
				  have been approved by the Department as vision screening providers.
Added at 24 Ok Reg 867,
				  eff 5-11-07; Amended at 26 Ok Reg 2036, eff 6-25-09; Amended at 27 Ok Reg 2526,
				  eff 7-25-10
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 3 - Advisory Committee [REVOKED] › Section 310:531-3-1 - Purpose [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 867,
				  eff 5-11-07; Amended at 26 Ok Reg 2036, eff
				  6-25-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 3 - Advisory Committee [REVOKED] › Section 310:531-3-2 - Advisory Committee [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 867,
				  eff 5-11-07
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 3 - Advisory Committee [REVOKED] › Section 310:531-3-3 - Rules of Order [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 867,
				  eff 5-11-07
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 5 - Vision Screening Standards for Children › Section 310:531-5-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
This subchapter identifies those children to be screened and
				  standards for vision screening tools, vision screening providers and vision
				  screening trainers.
Added at 24 Ok Reg 867,
				  eff 5-11-07; Amended at 26 Ok Reg 2036, eff 6-25-09; Amended at 27 Ok Reg 2526,
				  eff 7-25-10
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 5 - Vision Screening Standards for Children › Section 310:531-5-2 - Oklahoma Vision Screening Standards

Current through Vol. 41, No. 20, July 1, 2024
(a) Parents or guardians of any child subject
				to the Oklahoma School Code shall provide certification of vision screening for
				any child who is:
(1) in kindergarten, and
				the vision screening shall be completed within the previous twelve (12) months
				or during the school year;
(2) in
				the first grade, and the vision screening shall be completed within the
				previous (12) months, with certification provided to school personnel within
				thirty (30) days of the beginning of the school year; and
(3) in the third grade, and the vision
				screening shall be completed within the previous twelve (12) months, with
				certification provided to school personnel within thirty (30) days of the
				beginning of the school year.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 5 - Vision Screening Standards for Children › Section 310:531-5-3 - Approval of vision screening providers

Current through Vol. 41, No. 20, July 1, 2024
(a) In order to become an approved vision
				screening provider, an individual must make application to the Department and
				include documentation of successful completion of training conducted by an
				approved trainer using an approved training curriculum that includes the
				following:
(1) common eye problems;
(2) the screening process;
(3) required screening tools;
(4) screening special populations;
				and,
(5) basic anatomy and
				physiology of the eye.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 5 - Vision Screening Standards for Children › Section 310:531-5-4 - Disclaimer

Current through Vol. 41, No. 20, July 1, 2024
Any disclosure or other notice provided by a vision screener
				  or other person subject to this chapter describing a vision screening provided
				  in accordance with this chapter must include a disclaimer that advises the
				  parent or guardian that a vision screening is not equivalent to a comprehensive
				  eye examination.
Added at 26 Ok Reg 2036,
				  eff 6-25-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 5 - Vision Screening Standards for Children › Section 310:531-5-5 - Re-approval of vision screening providers

Current through Vol. 41, No. 20, July 1, 2024
A vision screening provider may renew his or her status by
				  submitting documentation of completion of training, conducted by an approved
				  trainer, using an approved curricula, prior to the end of his or her third
				  year. Oklahoma licensed optometrists and ophthalmologists are exempt from the
				  application and successful completion of vision screening standards training by
				  an approved trainer, and are exempt from being placed on the approved vision
				  screeners registry managed by the Department.
Added at 27 Ok Reg 2526,
				  eff 7-25-10
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 5 - Vision Screening Standards for Children › Section 310:531-5-6 - Approval of vision screening trainers

Current through Vol. 41, No. 20, July 1, 2024
(a)
				In order to become an approved vision screening trainer an individual must be
				an approved vision screening provider and make application to the Department
				and include documentation of successful completion of training conducted by an
				approved trainer using an approved training curriculum that includes the
				following:
(1) common eye problems;
(2) the screening process;
(3) required screening tools;
(4) screening special populations;
(5) basic anatomy and physiology of the eye;
				and,
(6) techniques for effective
				training of vision screening providers
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 5 - Vision Screening Standards for Children › Section 310:531-5-7 - Re-approval of vision screening trainers

Current through Vol. 41, No. 20, July 1, 2024
A vision screening trainer may renew his or her status by
				  submitting documentation of completion of an approved training, conducted by an
				  approved trainer, using an approved curricula, prior to the end of his or her
				  third year. Oklahoma licensed optometrists and ophthalmologists are exempt from
				  the application and successful completion of vision screening standards
				  training by an approved trainer, and are exempt from being placed on the
				  approved vision screeners registry managed by the Department.
Added at 27 Ok Reg 2526,
				  eff 7-25-10
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 5 - Vision Screening Standards for Children › Section 310:531-5-8 - Approval of vision screening trainers of trainers [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 27 Ok Reg 2526,
				  eff 7-25-10
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 5 - Vision Screening Standards for Children › Section 310:531-5-9 - Re-approval of vision screening trainers of trainers [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 27 Ok Reg 2526,
				  eff 7-25-10
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 7 - Registry Enforcement for Vision Screening › Section 310:531-7-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
The purpose of this subchapter is to establish procedures for
				  the investigation of complaints against vision screening providers or trainers
				  engaged in vision screening or training and where evidence from an
				  investigation is sufficient, provide for hearings pursuant to the Oklahoma
				  Administrative Procedures Act and OAC
				  310:2-1-1
et
				  seq
. Disciplinary sanctions may be imposed upon vision screening
				  providers or trainers engaged in vision screening or training including
				  monetary penalties, removal from the vision screening registry for five (5)
				  years or less, or summary removal from the registry pending a hearing for
				  removal.
Added at 26 Ok Reg 2036,
				  eff 6-25-09; Amended at 27 Ok Reg 2526, eff
				  7-25-10
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 7 - Registry Enforcement for Vision Screening › Section 310:531-7-2 - Grounds for discipline

Current through Vol. 41, No. 20, July 1, 2024
(a) An
				approval of a vision screening provider may be modified, suspended, or
				terminated for one or more of the following reasons:
(1) Failure to conduct vision screenings
				according to the procedures and referral criteria approved by the Department,
				including but not limited to, deletion of one or more portions of the process
				outlined in the screening standards and training curriculum, or addition of one
				or more procedures not contained in the screening standards and training
				curriculum, in sections
				310:531-5-2
				and
				310:531-5-3,
				respectively;
(2) Making referrals
				for comprehensive eye examinations that indicate a conflict of interest,
				financial or otherwise;
(3) Failure
				to participate in a training curricula approved by the Department upon
				expiration of his or her three year approval;
(4) Violations of a student's right of
				privacy in the student's education records pursuant to the Family Educational
				Rights and Privacy Act of 1974,
				20
				United States Code §§1232 et seq .
				and the rules promulgated thereunder; and
(5) Any act that harms, or threatens harm to,
				a child.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 7 - Registry Enforcement for Vision Screening › Section 310:531-7-3 - Complaint investigation

Current through Vol. 41, No. 20, July 1, 2024
(a)
Reporting complaints.
Any person may report to the Department any
				complaint or allegations of non-compliance with 70 O.S. §
									1210.284
				or this Chapter by a vision screening provider or trainer by submitting the
				following:
(1) the name, address, and
				telephone number, if known, of the vision screening provider or trainer who is
				the subject of the complaint;
(2)
				the location(s) where the alleged non-compliance occurred;
(3) the date(s) of non-compliance;
(4) the reporting party's name, address and
				telephone number; and,
(5) the
				specific allegations against the vision screening provider or trainer,
				including but not limited to references to, or a copy of supporting
				documentation regarding, or any witnesses to, the alleged
				non-compliance.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 7 - Registry Enforcement for Vision Screening › Section 310:531-7-5 - Appearance before the Advisory Committee [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 26 Ok Reg 2036,
				  eff 6-25-09; Amended at 27 Ok Reg 2526, eff
				  7-25-10
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 7 - Registry Enforcement for Vision Screening › Section 310:531-7-6 - Right to a hearing

Current through Vol. 41, No. 20, July 1, 2024
Except as provided for in section
				  310:531-7-4, the
				  name of a vision screening provider or trainer may not be removed from the
				  vision screening registry or vision screening trainer's list until the
				  Department provides notice to the vision screening provider or trainer and an
				  opportunity for a hearing to contest the Department's allegations. The notice
				  to the vision screening provider or trainer must comply with 75 O.S. §
									309.
				  The vision screening provider or trainer must request a hearing within twenty
				  (20) days of receiving the notice from the Department or the sanction may be
				  imposed by default.
Added at 26 Ok Reg 2036,
				  eff 6-25-09; Amended at 27 Ok Reg 2526, eff
				  7-25-10
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 7 - Registry Enforcement for Vision Screening › Section 310:531-7-7 - Hearing procedure and decisions

Current through Vol. 41, No. 20, July 1, 2024
(a)
Delegation.
The Commissioner of Health may delegate the authority
				to issue a final decision in these matters as specified in 75 O.S. Section
				311.1
				and OAC 310:002. The Administrative Law Judge shall issue a decision within
				fifteen (15) working days following the close of the hearing record. The
				decision shall include Findings of Fact and Conclusions of Law separately
				stated.
(b)
Procedure.
The hearing shall be conducted in accord with the Oklahoma Administrative
				Procedures Act and Chapter 2 of this Title.
(c)
Final order.
The final order
				resulting from a hearing shall comply with the requirements of, and be served
				upon each party and attorney pursuant to, 75 O.S. §
									312.
				The Department shall transmit a copy of the Final Order to the Vision Screening
				Registry when the Order is mailed.
(d)
Appeal.
An appeal of the
				Final Order shall be perfected pursuant to 75 O.S. Section
				318 of
				the Administrative Procedures Act.
Added at 27 Ok Reg 2526,
				  eff 7-25-10
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 9 - Sports Eye Safety Resource [REVOKED] › Section 310:531-9-1 - Purpose [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 27 Ok Reg 2526,
				  eff 7-25-10
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 531 - Vision Screening › Subchapter 9 - Sports Eye Safety Resource [REVOKED] › Section 310:531-9-2 - Eye safety resource [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 27 Ok Reg 2526,
				  eff 7-25-10
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 535 - Immunization Regulations › Subchapter 1 - Childhood Immunizations › Section 310:535-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
The rules in this Chapter implement the Immunization
				  Regulations, 70 O.S 1981, Section 1210.191 et seq.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 535 - Immunization Regulations › Subchapter 1 - Childhood Immunizations › Section 310:535-1-3 - Criteria for immunizations required for child care

Current through Vol. 41, No. 20, July 1, 2024
(a) Each child two months of age or older
				shall present certification that he or she has received or is receiving the
				immunizations as specified below before he or she is admitted to, and while
				enrolled in, a child care center or child care home.
(b) Certification shall include the
				following:
(1) 5 DTaP/DTP doses at 2, 4, 6,
				and 12 to 18 months and 4 to 6 years or beginning at 6 weeks of age with
				minimum intervals of 4 weeks between doses 1 and 2 and doses 2 and 3 and 4
				months between doses 3 and 4 and 6 months between doses 4 and 5, with all fifth
				doses given on or after January 1, 2003 given on or after the fourth birthday;
				The fifth DTaP/DTP is not required if the fourth DTaP/DTP is administered on or
				after the fourth birthday;
(2) 4
				Polio doses at 2, 4 and 6 to 18 months and 4 to 6 years or beginning at 6 weeks
				of age with minimum intervals of 4 weeks between all doses; The fourth Polio is
				not required if the third dose is given on or after the fourth birthday;
(3) 1 to 4 Haemophilus influenzae
				type B (Hib) doses at 2, 4, 6, and 12 to 15 months of age or older depending
				upon age at first Hib immunization and type of vaccine used or beginning at 6
				weeks of age with minimum intervals of 4 weeks between doses 1, 2, and 3, if a
				third dose is part of the primary series, and the booster dose no earlier than
				12 months of age and at least 8 weeks after the previous dose;
(4) 2 Measles, Mumps, Rubella doses with the
				first dose on or after the first birthday and the second dose at 4 to 6 years
				or at anytime after the first dose provided at least 4 weeks have elapsed since
				the receipt of the first dose;
(5)
				1 Varicella dose on or after the first birthday;
(6) 2 Hepatitis A doses with the first dose
				on or after the first birthday and the second dose six to eighteen months later
				and for all doses given on or after January 1, 2003, 6 months will be defined
				as 6 calendar months;
(7) 3
				Hepatitis B doses with minimum intervals as follows: 1 month (4 weeks) between
				doses 1 and 2, two months (8 weeks) between doses 2 and 3, four months (16
				weeks) between doses 1 and 3, and dose 3 no earlier than 24 weeks of age;
(8) 1 to 4 doses of pneumococcal
				conjugate vaccine (PCV) for children 2 months through 59 months of age at 2, 4,
				6, and 12 to 15 months of age or older depending upon age at first PCV
				immunization with minimum intervals between doses as follows: 4 weeks between
				doses 1, 2, and 3 and 8 weeks between doses 3 and 4 or any dose given as the
				final dose at age >12 months.
(9) Vaccine doses administered 4 days or less
				before the minimum intervals or ages listed in the preceding sections will be
				counted as valid.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 535 - Immunization Regulations › Subchapter 1 - Childhood Immunizations › Section 310:535-1-4 - Criteria for making mumps reportable [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 16 Ok Reg
				  1400, eff 5-27-99
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 535 - Immunization Regulations › Subchapter 3 - Adult Immunizations › Section 310:535-3-1 - Types of vaccines

Current through Vol. 41, No. 20, July 1, 2024
County health departments may collect fees for the following
				  adult immunizations: Hepatitis A; Hepatitis B; Hepatitis A/Hepatitis B
				  combined; Meningococcal; Typhoid; Varicella; Influenza; Pneumococcal;
				  Tetanus/Diphtheria combined; Measles, Mumps, and Rubella combined; Polio;
				  Yellow fever; and other currently licensed vaccines recommended for adults and
				  vaccines licensed in the future which are recommended for
				  adults.
Added at 19 Ok Reg 2078,
				  eff 6-27-02; Amended at 20 Ok Reg 1863, eff 5-8-03 (emergency); Amended at 21
				  Ok Reg 2753, eff 7-12-04
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 535 - Immunization Regulations › Subchapter 3 - Adult Immunizations › Section 310:535-3-2 - Fees and charges

Current through Vol. 41, No. 20, July 1, 2024
(a) The county
				health departments may collect for the cost of the vaccine, and an
				administration fee of not more than $5.00 higher than the current reimbursement
				rate established by the Centers for Medicare and Medicaid Services per dose of
				vaccine administered. The cost for each immunization referenced in section
				310:535-3-1
				shall be posted in plain view in the county health departments that offer adult
				immunizations. Any adult who requests immunizations shall be informed of the
				specific fee prior to receiving the immunization.
(b) Documentation confirming the cost of an
				adult immunization shall be available upon request.
Added at 19 Ok Reg 2078,
				  eff 6-27-02; Amended at 20 Ok Reg 1863, eff 5-8-03 (emergency); Amended at 21
				  Ok Reg 2753, eff 7-12-04; Amended at 26 Ok Reg 2039, eff
				  6-25-09
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 540 - Infant Hearing Screening › Section 310:540-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
The rules in this Chapter implement the Infant Hearing
				Screening Regulations, 63 O.S. 1991, Sections 1-543 through
				1-545.
Amended at 18 Ok Reg 99,
				eff 10-30-00 (emergency); Amended at 18 Ok Reg 1719, eff
				5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 540 - Infant Hearing Screening › Section 310:540-1-2 - Definitions

Current through Vol. 41, No. 20, July 1, 2024
The following words or terms, when used in this Chapter, shall
				have the following meaning, unless the context clearly indicates otherwise:
"Audiologist"
means an individual holding a state
				licensure in the field of Audiology.
"Discharge"
means the release of the newborn from
				care and custody of a perinatal licensed health facility to the parents or into
				the community.
"Hearing Screening Procedure"
means the
				combination of physiologic hearing screening and risk factor tracking used to
				determine, from the total population of infants born, the infants at risk for
				hearing loss.
"Newborn screening filter paper"
means a newborn
				screening blood spot collection kit approved by the Oklahoma State Department
				of Health.
"Other health care provider"
means the health care
				provider who will be providing health care for the infant after birth including
				midwives, physician assistants, nurse practitioners, and hospital hearing
				screening vendors.
"Other qualified individual"
means an individual
				working under the guidelines developed by the responsible health care facility,
				physician, audiologist or other health care provider.
"Parent"
means a natural parent, stepparent,
				adoptive parent, legal guardian, or other legal custodian of a child.
"Physician"
means an M.D. or D.O. licensed in the
				State of Oklahoma to practice medicine.
"Physiologic Screening"
means the use of a
				bilateral physiologic screening technique to determine, from the total
				population of infants born, the infants at risk for hearing loss.
"Risk Factors"
mean conditions identified by the
				Joint Committee on Infant Hearing (JCHIH 2000 Position Statement or later)
				which place a newborn at risk for hearing loss.
"Subsequent hearing screening"
means a hearing
				screening completed at minimum 72 hours after the initial hearing screening.
"Transfer"
means release of the newborn from care
				and custody of one perinatal licensed health facility to another.
Amended at 18 Ok Reg 99,
				eff 10-30-00 (emergency); Amended at 18 Ok Reg 1719, eff
				5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 540 - Infant Hearing Screening › Section 310:540-1-3 - Guidelines

Current through Vol. 41, No. 20, July 1, 2024
(a) All newborns in Oklahoma shall have a
			 Hearing Screening Procedure completed unless the parent or guardian refuses
			 because of religious or personal objections.
(b) Requirements for the Hearing Screening
			 Procedure are as follows:
(1) For facilities
			 with a two-year average annual birth census of 15 or greater:
(A) All infants will receive a physiologic
			 and risk factor screening prior to discharge.
(B) Infants transferred to another facility
			 will be screened by that institution prior to discharge.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 545 - Laboratory Regulations for Syphilis Blood Tests › Section 310:545-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
The rules in this Chapter implement the Laboratory Regulations
				for Syphilis Blood Tests, 63 O.S. 1971, § 1-515.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 545 - Laboratory Regulations for Syphilis Blood Tests › Section 310:545-1-2 - Approved laboratory

Current through Vol. 41, No. 20, July 1, 2024
An approved laboratory shall be any laboratory that meets the
				requirements of Section 353 of the Public Health Service Act (
				42 U.S.C.
				263 a ) as revised by the Clinical Laboratory
				Improvement Amendments of 1988, Public Law 100-578.
Amended at 10 Ok Reg 4311,
				eff 8-1-93 through 7-14-94 (emergency); Amended at 12 Ok Reg 3059, eff
				7-27-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 545 - Laboratory Regulations for Syphilis Blood Tests › Section 310:545-1-3 - Approved serological tests for syphilis

Current through Vol. 41, No. 20, July 1, 2024
A standard serological test for syphilis shall be any of the
				following tests and shall be indicated on the Certificate of Premarital
				Examination.
(1) RPR-Rapid Plasma
			 Reagin (RPR) 18-mm Circle Card Test
(2) VDRL-Venereal Disease Research Laboratory
			 Slide Test
(3) TRUST - Toluidine
			 Red Unheated Serum Test
(4) RST -
			 Reagin Screen Test
(5) USR -
			 Unheated Serum Reagin Test
Amended at 10 Ok Reg 4311,
				eff 8-1-93 through 7-14-94 (emergency); Amended at 12 Ok Reg 3059, eff
				7-27-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 545 - Laboratory Regulations for Syphilis Blood Tests › Section 310:545-1-4 - Certification of laboratory approval [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Amended at 10 Ok Reg 4311,
				eff 8-1-93 through 7-14-94 (emergency); Amended at 12 Ok Reg 3059, eff
				7-27-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 545 - Laboratory Regulations for Syphilis Blood Tests › Section 310:545-1-5 - Revocation of approval [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 10 Ok Reg 4311,
				eff 8-1-93 through 7-14-94 (emergency); Revoked at 12 Ok Reg 3059, eff
				7-27-95
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 546 - Fee Schedule for Public Health Laboratory Service › Section 310:546-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
The rules in this Chapter implement the fee provisions of the
				Public Health Code which authorizes fees for services of the Oklahoma State
				Department of Health.
Added at 11 Ok Reg 135,
				eff 8-10-93 (emergency); Added at 11 Ok Reg 1535, eff 4-12-94 (emergency);
				Added at 11 Ok Reg 3171, eff 6-27-94
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 546 - Fee Schedule for Public Health Laboratory Service › Section 310:546-1-2 - Public Health Laboratory Service fee schedule

Current through Vol. 41, No. 20, July 1, 2024
Fees for services of the Public Health Laboratory are as
				follows:
(1) $18.00 - Enteric
			 Bacteria
(2) $17.00 - TB &
			 Fungus Culture
(3) $19.00 -
			 Parasite Exam
(4) Rate Not to
			 Exceed Current Medicaid Rate for Oklahoma - Newborn Screening Approved by the
			 Board of Health
(5) $7 - Hepatitis
			 B Surface Antigen
(6) $7 -
			 Hepatitis B Core Antibody
(7)
			 $18.00 - Gonorrhea Culture
(8)
			 HIV-1 Screen
(A) $25 - Private
			 Sector
(B) $8.50 - Indian
			 Health
(C) $8.50 - Dept. of
			 Corrections
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 550 - Newborn Screening and resources for trisomy 13, 18, and 21 › Subchapter 1 - Newborn Screening General Provisions › Section 310:550-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
Under 63 O.S., Sections 1-533 and 1-534 the following rules
				  and regulations are established concerning the screening of all infants born in
				  Oklahoma for the disorders of phenylketonuria, congenital hypothyroidism,
				  galactosemia, sickle cell diseases, cystic fibrosis, congenital adrenal
				  hyperplasia, medium-chain acyl coenzyme A dehydrogenase deficiency (MCAD),
				  infants shall be screened for biotinidase deficiency, amino acid disorders,
				  fatty acid oxidation disorders, organic acid disorders , and upon completion of
				  laboratory validation studies and establishment of short-term follow-up
				  services, Severe Combined Immunodeficiency (SCID) detectable via the
				  Department's laboratory technology utilized in newborn screening and approved
				  by the Commissioner of Health. This chapter establishes the following rules and
				  regulations concerning screening all infants born at a birthing facility in
				  Oklahoma for critical congenital heart disease (CCDH) via pulse oximetry
				  screening performed by the birthing facility pursuant to 63 O.S. Section
				  1-550.5.
Amended at 9 Ok Reg
				  1475, eff 5-1-92; Amended at 21 Ok Reg 1286, eff 5-27-04; Amended at 25 Ok Reg
				  1151, eff 5-25-08; Amended at 25 Ok Reg 105, eff 10-2-07 (emergency); Amended
				  at 25 Ok Reg 1153, eff 5-25-08
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 550 - Newborn Screening and resources for trisomy 13, 18, and 21 › Subchapter 3 - Testing of Newborns › Section 310:550-3-1 - Testing of newborns

Current through Vol. 41, No. 20, July 1, 2024
(a) All newborns in
				Oklahoma shall be tested by a Certified Newborn Screening Laboratory for
				phenylketonuria, congenital hypothyroidism, galactosemia, sickle cell diseases,
				cystic fibrosis, congenital adrenal hyperplasia, medium-chain acyl coenzyme A
				dehydrogenase deficiency (MCAD), biotinidase deficiency, amino acid disorders,
				fatty acid oxidation disorders, organic acid disorders , and upon completion of
				laboratory validation studies and establishment of short-term follow-up
				services, Severe Combined Immunodeficiency (SCID) detectable via the
				Department's laboratory technology utilized in newborn screening and approved
				by the Commissioner of Health; a parent or guardian may refuse screening of
				their newborn on the grounds that such examination conflicts with their
				religious tenets and practices.
(b)
				All newborns in Oklahoma shall be tested for CCHD by a pulse oximetry screening
				after twenty-four (24) hours of age or prior to discharge from the birthing
				facility.
(c) A parent or guardian
				who refuses the newborn screening blood test or pulse oximetry screening of
				their newborn on the grounds that such examination conflicts with their
				religious tenets and practices shall also indicate in writing this refusal
				utilizing the Newborn Screening Program Parent Refusal Form as illustrated in
				Appendix C of this Chapter. This signed refusal form shall be placed in the
				newborn's medical record with a copy sent to the Newborn Screening Program
				Coordinator.
Amended at 8 Ok Reg
				  3115, eff 7-12-91 (emergency); Amended at 9 Ok Reg 1475, eff 5-1-92; Amended at
				  15 Ok Reg 121, eff 10-15-97 (emergency); Amended at 15 Ok Reg 1979, eff
				  5-26-98; Amended at 21 Ok Reg 1286, eff 5-27-04; Amended at 25 Ok Reg 105, eff
				  10-2-07 (emergency); Amended at 25 Ok Reg 1153, eff
				  5-25-08
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 550 - Newborn Screening and resources for trisomy 13, 18, and 21 › Subchapter 5 - Newborn Screening blood Specimen Collection › Section 310:550-5-1 - Specimen collection

Current through Vol. 41, No. 20, July 1, 2024
(a)
Specimen
				collection for hospital births.
For all live hospital births, the
				physician, licensed or certified birth attendant shall order the collection of
				a newborn screening specimen on all newborns prior to transfusion, as early as
				possible after 24 hours of age or immediately prior to discharge, whichever
				comes first. Due to the need to identify infants at risk for the disorders
				quickly, the specimen should be collected as early as possible after 24 hours
				of age. Specimens shall be collected on a single Newborn Screening Form Kit
				using capillary or venous blood. Cord blood is unacceptable. The hospital is
				responsible for collecting specimens on all infants.
(1) If the initial specimen for any infant is
				collected prior to 24 hours of age, the hospital and the physician are
				responsible for notifying the infant's parents verbally and in writing,
				utilizing the parent educational form on the Newborn Screening Form Kit, that a
				repeat specimen is necessary at three to five days of age. The infant's
				physician is responsible for insuring that the repeat specimen is
				collected.
(2) The hospital is
				responsible for submitting a Satisfactory Specimen and for documenting all
				requested information on the form kit including the parent/guardian's name,
				address, phone or contact phone number and the planned health care provider who
				will be providing well care for the infant after discharge or if the infant is
				to be hospitalized for an extended period of time the name of the infant's
				physician.
(3) The hospital is
				responsible for documenting specimen collection and results in the infant's
				hospital record.
(4) Infants who
				are transferred from one hospital to another during the newborn period shall
				have specimen collection documented in the infant's hospital record. It is the
				responsibility of the physician and the receiving hospital to ensure the
				specimen is collected.
(5) It is
				the responsibility of the hospital and physician to ensure that all infants are
				screened prior to discharge. If an infant is discharged prior to specimen
				collection, the Newborn Screening Program Coordinator shall be notified. The
				physician is responsible for ensuring the specimen is collected as
				required.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 550 - Newborn Screening and resources for trisomy 13, 18, and 21 › Subchapter 5 - Newborn Screening blood Specimen Collection › Section 310:550-5-2 - Guidelines for newborn screening blood specimen collection and pulse oximetry screening

Current through Vol. 41, No. 20, July 1, 2024
(a)
Newborn
				screening blood specimen collection.
(1) Specimens obtained with a Newborn
				Screening Form Kit should be collected in accordance with the standard for
				Blood Collection on Filter Paper for Newborn Screening Programs, NBS01-A6,
				Sixth Edition, as adopted and published by the Clinical and Laboratory
				Standards Institute on July 31, 2013, or most recent version. Failure to follow
				these methods of blood collection may cause inaccurate results, or
				unsatisfactory specimen results,that require repeat collection.
(2) Submitters are responsible for submitting
				a satisfactory newborn screening blood specimen.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 550 - Newborn Screening and resources for trisomy 13, 18, and 21 › Subchapter 7 - Newborn Screening Hospital Records › Section 310:550-7-1 - Hospital records

Current through Vol. 41, No. 20, July 1, 2024
(a)
Newborn
				screening blood test results.
(1) The
				hospital is responsible for implementing a procedure to ensure that a newborn
				screening blood specimen has been collected on every newborn and transported to
				the Newborn Screening Laboratory within twenty-four (24) to forty-eight (48)
				hours of collection. If more than one newborn screen is collected on an infant,
				each copy of the newborn screen kit should be placed in the infant's medical
				record. Specimens should be transported in the manner designated by the
				Department and/or receiving laboratory.
(2) The hospital shall immediately notify the
				infant's physician, parent(s) or guardian(s), and Newborn Screening Program
				Coordinator if an infant is discharged without a sample having been collected.
				These notifications shall be documented in the infant's hospital
				record.
(3) If test results are not
				received by the hospital within fifteen (15) days after the date of collection,
				the hospital shall contact the Newborn Screening Laboratory to verify that a
				specimen was received. If a specimen was not received, the hospital shall
				notify the physician.
(4) Any
				hospital or any other laboratory that collects,handles or forwards newborn
				screening blood specimens shall keep a log containing the name and date of
				birth of the infant, name of the ordering physician, name of infant's provider,
				medical record number, serial number of the Newborn Screening Form Kit, date of
				specimen collection, date specimen was sent to the certified laboratory, date
				that test results were transmitted or received and the test results.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 550 - Newborn Screening and resources for trisomy 13, 18, and 21 › Subchapter 9 - Standard for Certified Laboratories [REVOKED] › Section 310:550-9-1 - Standard for certified laboratories [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Amended at 8 Ok Reg
				  3115, eff 7-12-91 (emergency); Amended at 9 Ok Reg 1475, eff 5-1-92; Amended at
				  12 Ok Reg 41, eff 10-5-94 (emergency); Amended at 12 Ok Reg 1685, eff 6-12-95;
				  Amended at 15 Ok Reg 121, eff 10-15-97 (emergency); Amended at 15 Ok Reg 1979,
				  eff 5-26-98; Revoked at 21 Ok Reg 1286, eff
				  5-27-04
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 550 - Newborn Screening and resources for trisomy 13, 18, and 21 › Subchapter 11 - Advisory Committee For Newborn Screening › Section 310:550-11-1 - Advisory committee

Current through Vol. 41, No. 20, July 1, 2024
A standing committee of the Oklahoma Genetics Advisory
				  Council (OGAC) shall advise the Department on newborn screening
				  issues.
Amended at 21 Ok Reg
				  1286, eff 5-27-04
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 550 - Newborn Screening and resources for trisomy 13, 18, and 21 › Subchapter 13 - Newborn Screening Parent and Health Care Provider Education › Section 310:550-13-1 - Parent and Health Care Provider education

Current through Vol. 41, No. 20, July 1, 2024
(a) The infant's physician or designee shall
				have the responsibility to ensure that at least one of each newborn's parent or
				legal guardian is notified about newborn screening and is provided information
				about the disorders and instructed to obtain screen results from the planned
				health care provider or Newborn Screening Program.
(b) The infant's physician or designee shall
				have the responsibility to ensure that at least one of each of the newborn's
				parent or legal guardian is notified about the pulse oximetry screening and is
				provided information about the pulse oximetry screening and instructed to
				obtain screen results from the birthing facility or the planned health care
				provider.
(c) The hospital will be
				responsible or designate a responsible party to distribute the Newborn
				Screening Program's written educational materials on newborn screening and
				pulse oximetry screening provided by the Department to at least one of each
				newborn's parent or legal guardian.
(d) Hospitals shall provide ongoing training
				programs for their employees involved with newborn screening and pulse oximetry
				screening procedures. These training programs shall include methods of
				collecting a satisfactory newborn screening specimen and proper pulse oximetry
				screening method.
(e) The hospital
				is responsible for ensuring that employees who collect, handle or perform
				newborn screening tests or perform pulse oximetry screeningare informed of
				their responsibilities with respect to screening procedures.
Amended at 12 Ok Reg 41,
				  eff 10-5-94 (emergency); Amended at 12 Ok Reg 1685, eff 6-12-95; Amended at 15
				  Ok Reg 121, eff 10-15-97 (emergency); Amended at 15 Ok Reg 1979, eff 5-26-98;
				  Amended at 21 Ok Reg 1286, eff 5-27-04; Amended at 25 Ok Reg 105, eff 10-2-07
				  (emergency); Amended at 25 Ok Reg 1153, eff
				  5-25-08
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 550 - Newborn Screening and resources for trisomy 13, 18, and 21 › Subchapter 15 - Follow-Up for Certified Laboratories [Revoked] › Section 310:550-15-1 - Follow-up for certified laboratories [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Amended at 8 Ok Reg
				  3115, eff 7-12-91 (emergency); Amended at 9 Ok Reg 1475, eff 5-1-92; Amended at
				  9 Ok Reg 3121, eff 7-1-92 (emergency); Amended at 10 Ok Reg 1637, eff 6-1-93;
				  Amended at 12 Ok Reg 41, eff 10-5-94 (emergency); Amended at 12 Ok Reg 1685,
				  eff 6-12-95 (emergency); Revoked at 21 Ok Reg 1286, eff
				  5-27-04
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 550 - Newborn Screening and resources for trisomy 13, 18, and 21 › Subchapter 17 - Newborn Screening Follow-Up for Physicians › Section 310:550-17-1 - Follow-up for physicians

Current through Vol. 41, No. 20, July 1, 2024
(a) If
				a physician examines an infant in its first three months of life, the physician
				will verify that the infant has been screened, and document results in the
				infant's medical record. If the infant has not been screened or if results of
				screening are not available, the physician shall submit a satisfactory newborn
				screening blood specimen as soon as possible.
(b) On written notification by the Newborn
				Screening Program of follow-up requirements for a newborn screen result of
				abnormal, unsatisfactory, or for specimens collected from a newborn at or less
				than 24 hours of age; the infant's physician or designee will ensure that
				required repeat screening, confirmatory testing, or diagnostic studies are
				performed in the timeframe specified so that therapy, when indicated, can be
				initiated expediently.
(c) The
				infant's physician may selectively rescreen the infant as clinically
				indicated.
(d) Because patients may
				relocate without a forwarding address or contact information, physicians and
				birthing facilities have the burden to make a reasonable search and effort to
				locate and notify the parent(s) or guardian(s). If the parent(s) or guardian(s)
				are not contacted, then the Newborn Screening Program Coordinator will be
				notified of the inability to notify after efforts to contact the parent(s) or
				guardian(s) have been exhausted.
(e) For appropriate comprehensive medical
				care, all confirmed cases of a disorder on the newborn screening blood testing
				panel, should have a referral to a pediatric subspecialist, and the parent(s)
				or guardian(s) should be referred for enrollment in newborn screening long-term
				follow-up services as designated by the Newborn Screening Program. For referral
				information, contact the Newborn Screening Short-term Follow-up Program at
				(405) 426-8310 or 1-800-766-2223.
Amended at 8 Ok Reg
				  3115, eff 7-12-91 (emergency); Amended at 9 Ok Reg 1475, eff 5-1-92; Amended at
				  9 Ok Reg 3121, eff 7-1-92 (emergency); Amended at 10 Ok Reg 1637, eff 6-1-93;
				  Amended at 12 Ok Reg 41, eff 10-5-94 (emergency); Amended at 12 Ok Reg 1685,
				  eff 6-12-95; Amended at 15 Ok Reg 121, eff 10-15-97 (emergency); Amended at 15
				  Ok Reg 1979, eff 5-26-98; Amended at 21 Ok Reg 1286, eff 5-27-04; Amended at 25
				  Ok Reg 105, eff 10-2-07 (emergency); Amended at 25 Ok Reg 1153, eff
				  5-25-08
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 550 - Newborn Screening and resources for trisomy 13, 18, and 21 › Subchapter 19 - Newborn Screening Reporting › Section 310:550-19-1 - Physician Reporting and Medical Records

Current through Vol. 41, No. 20, July 1, 2024
(a) If confirmatory or follow-up testing is
				not performed by the Newborn Screening Laboratory or through a contract
				laboratory designated by the Newborn Screening Program, the infant's physician
				must report to the Newborn Screening Program Coordinator the results within 7
				days after the completion of the medical evaluation, using the Department's
				Newborn Screening Report Form as illustrated in Appendix B of this Chapter. A
				copy of the confirmatory test results must accompany the report form.
(b) For all diagnosed cases of
				phenylketonuria, congenital hypothyroidism, galactosemia, sickle cell diseases,
				cystic fibrosis, congenital adrenal hyperplasia, medium-chain acyl coenzyme A
				dehydrogenase deficiency (MCAD), biotinidase deficiency, amino acid disorders,
				fatty acid oxidation disorders, organic acid disorders , and upon completion of
				laboratory validation studies and establishment of short-term follow-up
				services, Severe Combined Immunodeficiency (SCID) detectable via the
				Department's laboratory technology utilized in newborn screening and approved
				by the Commissioner of Health, the infant's physician shall report treatment
				date if applicable, and referral information to the Newborn Screening Program
				Coordinator by completing the Department's Newborn Screening Report Form as
				illustrated in Appendix B of this Chapter.
(c) These reports shall be confidential and
				may be utilized only for the purpose of ensuring service delivery, program
				administration, data analysis, and evaluation.
(d) On request, a birthing facility or health
				care provider shall make available to the OSDH NBS Program or Oklahoma Birth
				Defects Registry:
(1) Medical
				records;
(2) Records of laboratory
				test; and
(3) Any other medical
				information considered necessary to:
(A)
				Determine final outcomes of abnormal CCHD screening results; and
(B) Evaluate CCHD screening activities in the
				State; including:
(i) Performance of
				follow-up evaluations and diagnostic tests;
(ii) Initiation of treatment when necessary;
				and
(iii) Surveillance of the
				accuracy and efficacy of the screening.