reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0032 - Information Practices › Chapter 1 - INFORMATION PRACTICES › Section 1-2 - Applicability

Current through July 13, 2024
(a) These rules apply to and govern the
				protection of privacy of personally identifiable information, to respect the
				rights of individuals who are the subject of this information, to develop
				procedures for the exercise of those authorized and required uses and
				disclosures of this information.
(b) The Department may issue manuals,
				bulletins, or both to interpret the provisions of these rules and regulations.
				Such manuals and bulletins shall be consistent with and reflect the policies
				contained in these rules and regulations. The provisions contained in manuals
				or bulletins shall be subordinate to the provisions of these rules and
				regulations.
(c) The incorporation
				by reference of any external standard is intended to be the incorporation of
				that standard as it is in effect on the effective date of these rules and
				regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0032 - Information Practices › Chapter 1 - INFORMATION PRACTICES › Section 1-4 - Disclosure

Current through July 13, 2024
Records that are determined by the Department to be public
				  records shall be available for inspection during normal business hours of the
				  Department. Records that are determined by the Department to be confidential or
				  not otherwise subject to disclosure pursuant to the Public Records Act or other
				  federal or state law, shall not be disclosed without authorization from the
				  individual or a legal representative of the individual about whom the
				  information pertains or in accordance with state and federal
				  regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0032 - Information Practices › Chapter 1 - INFORMATION PRACTICES › Section 1-5 - Notice of Use and Disclosure

Current through July 13, 2024
The Department provides individuals with notices of use and
				  disclosure processes in accordance with State and Federal legislation. Requests
				  may be made to the appropriate authority. Such requests will be provided in a
				  timely manner.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0032 - Information Practices › Chapter 1 - INFORMATION PRACTICES › Section 1-6 - Access Requests

Current through July 13, 2024
The individual who is the subject of a confidential record
				  are afforded the opportunity to see or receive a copy of their record in
				  accordance with State and Federal regulations. Requests shall be submitted in
				  writing to the appropriate authority. Forms are available through the
				  Department.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0032 - Information Practices › Chapter 1 - INFORMATION PRACTICES › Section 1-7 - Correction of Records

Current through July 13, 2024
The individual who is the subject of the record has the right
				  to bring to the attention of the custodian of the record any erroneous,
				  inaccurate, or misleading information that is contained in the record, subject
				  to access restrictions imposed by the Wyoming Public Records Act (W.S.
				  16-4-201,
et seq
.)
				  and
				  45 CFR
				  164.526. Individuals have the right to
				  petition to correct inaccuracies by submitting a written request to the
				  Department's Staff Physician identifying the specific record to be corrected,
				  the erroneous portion of the record, and the proposed
				  correction.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0032 - Information Practices › Chapter 1 - INFORMATION PRACTICES › Section 1-8 - Use and Disclosure Restrictions

Current through July 13, 2024
The Department may permit an individual to request that the
				  Department restrict the use and/or disclosure of personally identifiable
				  information, subject to State and Federal law and Department policy and
				  procedure. Such a request shall be submitted in writing to the appropriate
				  custodian of records within the Department or to the Department's Staff
				  Physician or the State Health Officer.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0032 - Information Practices › Chapter 1 - INFORMATION PRACTICES › Section 1-10 - Maintenance of Records

Current through July 13, 2024
The Department in maintaining records will:
(a) Maintain any record used to make
				determinations about an individual with such accuracy, relevance, timeliness,
				and completeness as is reasonably necessary to assure fairness to the
				individual.
(b) Establish physical,
				administrative and technical safeguards and specific policies for the
				protection of data maintained by the Department.
(c) Maintain all systems containing personal
				information in a manner that is conducive to disclosure and access subject to
				state and federal law, including, but not limited to the Wyoming Public Records
				Act (W.S.
				16-4-201,
et seq
.)
				and 45 CFR Parts 160, 162 and 164.
(d) Only maintain information about an
				individual necessary to accomplish the department's purposes as authorized by
				statute.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0032 - Information Practices › Chapter 2 - PROCESSING AND FEE SCHEDULES FOR PUBLIC RECORD REQUESTS › Section 2-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to the Wyoming Public Records Act at W.S. §
									
										16-4-201,
et seq.,
and the
				  Wyoming Administrative Procedure Act at W.S. §
									
										16-3-101,
et
				  seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0032 - Information Practices › Chapter 2 - PROCESSING AND FEE SCHEDULES FOR PUBLIC RECORD REQUESTS › Section 2-2 - Applicability

Current through July 13, 2024
(a) This Chapter shall apply to and govern
				access to public records held by the Wyoming Department of Health and its
				subagencies, unless any subagency is subject to duly enacted or adopted
				statute, rule, resolution, ordinance, executive order or other like authority
				directing that subagency to follow alternative procedures for access to public
				records.
(b) This Chapter
				establishes fees associated with providing copies of public records when
				requested. It is the intention of the Department to establish good practices in
				the handling of public record requests and to establish a process whereby an
				individual may have access to available records as authorized by the Wyoming
				Public Records Act
(W.S. §
16-4-201,
et
				seq.),
and other applicable state and federal laws.
(c) The Wyoming Department of Health may
				issue policies, manuals, or bulletins to interpret the provisions of these
				rules and regulations. Such policies, manuals or bulletins shall be consistent
				with and reflect the principles contained in these rules and regulations. The
				provisions contained in policies, manuals, or bulletins shall be subordinate to
				the provisions of these rules and regulations.
(d) The incorporation by reference of any
				external standard is intended to be the incorporation of that standard as it is
				in effect on the effective date of these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0032 - Information Practices › Chapter 2 - PROCESSING AND FEE SCHEDULES FOR PUBLIC RECORD REQUESTS › Section 2-3 - Definitions

Current through July 13, 2024
The following definitions apply in the interpretation and
				  enforcement of these rules. Where the context in which words are used in these
				  rules indicates that such is the intent, words in the singular number shall
				  include the plural and vice versa. Throughout these rules, gender pronouns are
				  used interchangeably, except where the context dictates otherwise. The drafters
				  have attempted to utilize each gender pronoun in equal numbers, in random
				  distribution. Words in each gender shall include individuals of the other
				  gender.
(a) "Department" means the
				Wyoming Department of Health, its agent, designee, or successor.
(b) "Director" means the Director of the
				Department.
(d) "Photocopy(ing)"
				means a photograph, microphotograph, or any other reproduction on paper or film
				in any scale or the process of reproducing in the form of a photocopy of a
				public record.
(e) "Public record,"
				unless otherwise specified, includes the original and copies of any paper,
				correspondence, form, book, photograph, photostat, film, microfilm, sound
				recording, map, drawing, or other document, regardless of physical form or
				characteristics, that have been made by the State of Wyoming and any counties,
				municipalities, and political subdivisions thereof, and by any agencies of the
				state, counties, municipalities and political subdivisions thereof, or received
				by them in connection with the transaction of public business, except those
				privileged or confidential as provided by law.
(f) "Requestor" means a person requesting
				access to, copies of, or other similar type of reproduction of a public
				record.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0032 - Information Practices › Chapter 2 - PROCESSING AND FEE SCHEDULES FOR PUBLIC RECORD REQUESTS › Section 2-4 - Fees

Current through July 13, 2024
(a) The Department may charge a fee
				reasonably calculated to reimburse the Department for the cost of copying
				public records.
(i) Costs include, but are
				not limited to:
(A) The services and supplies
				used in making the records available;
(B) The time spent locating the requested
				records, reviewing the records, and redacting, or separating material exempt
				from disclosure;
(C) The time spent
				supervising a person's inspection of documents;
(D) The time spent copying records;
(E) The time spent certifying copies of
				records;
(F) The time spent
				summarizing, compiling, or organizing the public records to meet the person's
				request;
(G) The time spent
				searching for and reviewing records, even if the records subsequently are
				determined to be exempt from disclosure;
(H) Postal and freight charges for shipping
				the copies of the public records, sent first class or bulk rate based on
				weight;
(I) Indirect costs or third
				party charges associated with copying and preparing the public records;
				and
(J) Costs associated with
				electronic retrieval of records.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0032 - Information Practices › Chapter 2 - PROCESSING AND FEE SCHEDULES FOR PUBLIC RECORD REQUESTS › Section 2-5 - Fee Schedule

Current through July 13, 2024
(a) The following
				fees shall apply for each public record request. The following fees represent
				the most frequently requested formats for information.
(i) Fees - General.
(A) No charge to provide an estimate of costs
				to prepare record for distribution.
(B) No charge for the first thirty (30)
				minutes of staff time.
(C) Staff
				time shall be charged after the first thirty (30) minutes, in increments of
				fifteen (15) minutes.
(D) Cost for
				actual duplication of the records.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0032 - Information Practices › Chapter 2 - PROCESSING AND FEE SCHEDULES FOR PUBLIC RECORD REQUESTS › Section 2-6 - Notification

Current through July 13, 2024
(a) The Department will notify requestors of
				the estimated fees for providing copies to the requestor. If the estimated fees
				exceed twenty-five dollars ($25.00), the Department will provide written notice
				and will not act further to respond to the request until the requestor notifies
				the Department, in writing, to proceed with making the records
				available.
(b) The Director or
				designee may reduce or waive fees when a determination is made that the waiver
				or reduction of fees is in the public interest, or otherwise benefits the
				general public. Factors that may be taken into account in making such a
				determination include, but are not limited to:
(i) The overall costs to be incurred by the
				Department;
(ii) Supplying the
				requested records or documents is related to the normal scope of Department
				activity;
(ii) Requiring payment
				would cause extreme or undue financial hardship upon the requestor;
				or
(iii) Discovery requests made as
				part of pending administrative, judicial, or arbitration proceedings.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0033 - Institutional Health Services › Chapter 2 - ADDITIONAL INSTITUTIONAL SERVICES › Section 2-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to
				  W.S.
				  9-2-106(d) and the Wyoming
				  Administrative Procedures Act at W.S. W.S.
				  W.S.
				  16-3-101.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0033 - Institutional Health Services › Chapter 2 - ADDITIONAL INSTITUTIONAL SERVICES › Section 2-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules
				have been adopted to specify the conditions under which the Director of the
				Department of Health may authorize the Wyoming Life Resource Center, the
				Wyoming State Hospital, the Wyoming Pioneer Home, the Veterans' Home of
				Wyoming, and the Wyoming Retirement Center to provide services to persons with
				conditions other than those specified in the provisions governing those State
				institutions in Title 25 of the Wyoming Statutes.
(b) The Department may issue provider
				manuals, provider bulletins, or both, to interpret the provisions of these
				rules and regulations. Such provider manuals and provider bulletins shall be
				consistent with and reflect the policies contained in these rules and
				regulations. The provisions contained in provider manuals or provider bulletins
				shall be subordinate to the provisions of these rules and
				regulations.
(c) The incorporation
				by reference of any external standard is intended to be the incorporation of
				that standard as it is in effect on the effective date of these rules and
				regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0033 - Institutional Health Services › Chapter 2 - ADDITIONAL INSTITUTIONAL SERVICES › Section 2-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of these rules. Where the context in which the words are used
				  in these rules indicates that such is the intent, words in the singular number
				  shall include the plural and visa versa. Throughout these rules gender pronouns
				  are used interchangeably, except where the context dictates otherwise. The
				  drafters have attempted to utilize each gender pronoun in equal numbers in
				  random distribution. Words in each gender shall include individuals of the
				  other gender.
(a) "Alternate
				institution" means an institution within the Department of Health that will
				provide services to persons with conditions other than those specified in the
				provisions governing those State institutions in Title 25 of Wyoming
				statutes.
(b) "Director" means the
				Director of the Department of Health.
(c) "Guardian" means as defined in
				W.S.
				3-1-101(a)(v).
(d) "Institution" means the Wyoming Life
				Resource Center, the Wyoming State Hospital, the Wyoming Pioneer Home, the
				Veterans' Home of Wyoming, or the Wyoming Retirement Center.
(e) "Services" means evaluation, treatment,
				therapy, medical, residential, and general care and maintenance of persons
				residing in an institution.
(f)
				"Title 25" means W.S. W.S.
				W.S.
				25-5-101 through
				25-5-135;
				
										25-8-101 through
				25-8-104;
				
										25-9-101 through
				25-9-106; and
				
										25-10-101 through
				25-10-127.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0033 - Institutional Health Services › Chapter 2 - ADDITIONAL INSTITUTIONAL SERVICES › Section 2-5 - General Provisions

Current through July 13, 2024
(a) The Director
				may authorize the institutions to provide services to persons with conditions
				other than those specified in the provisions governing those State institutions
				in Title 25 of the Wyoming Statutes when the following conditions are met and
				documented:
(i) There is a need for such
				services;
(ii) The services can be
				provided effectively by the institution, to include:
1. Sufficient numbers of staff qualified and
				with appropriate training to treat the population and who represent the various
				disciplines required for appropriate care;
2. A range of services that is consistent
				with state of the art services provided to the population;
3. Available space in the institution to
				provide adequate living area and areas for specific or specialized services
				that may be required by the population; or
4. Specialized equipment necessary to serve
				the population.
(iii)
				The services can be delivered in a manner that assures the safety of all
				persons served by the institution;
(iv) The services provided are statutorily
				authorized for any of the institutions;
(v) The service needs are similar to those
				authorized for any of the institutions; or
(vi) The services are necessary to protect
				the public health and safety.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0033 - Institutional Health Services › Chapter 2 - ADDITIONAL INSTITUTIONAL SERVICES › Section 2-6 - Process

Current through July 13, 2024
(a) A written plan shall be developed and
				implemented by the Department of Health prior to the transfer of clients
				between institutions, to include:
(i)
				Screening of the client by a team of staff from the receiving
				institution;
(ii) Notification of
				the planned transfer to the client and the client's guardian, if applicable.
				Notification may also be provided to the client's family and to Protection and
				Advocacy, if applicable and if appropriate authorization is provided;
(iii) Arrangements for transfer of all
				relevant documentation, including medical and clinical records;
(iv) Plans for timely and safe transport to
				the receiving institution; and
(v)
				An estimated timeline for completion of the transfer.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0034 - Mandatory Immunizations › Chapter 1 - RULES AND REGULATIONS FOR SCHOOL IMMUNIZATIONS › Section 1-1 - Authority

Current through July 13, 2024
The Department of Health is promulgating rules and
				  regulations for the management and control of communicable diseases to comply
				  with W.S. §
									
										35-1-240(a)(ii), W.S. §
									
										35-4-101, W.S. §
									
										21-4-309, and W.S. §
									
										14-4-116, and the Wyoming Administrative
				  Procedure Act of W.S. §
									
										16-3-101,
et
				  seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0034 - Mandatory Immunizations › Chapter 1 - RULES AND REGULATIONS FOR SCHOOL IMMUNIZATIONS › Section 1-3 - Definitions

Current through July 13, 2024
When used in these rules and regulations, the following
				  terms shall be defined as follows.
(a)
				"School" means any program that provides educational instruction designed to
				lead to a high school diploma or transfer into a regular high school or
				secondary program.
(b) "Child
				Caring Facility" means any person or entity that operates a business to keep or
				care for any individual at the request of the parents, legal guardians, or an
				agency, which is responsible for the individual, as defined by W.S. §
									
										14-4-101(a)(iv).
(c) "Pupil" means any person attending a
				school or child caring facility through twelfth grade or through the age of
				twenty-one (21) years.
(d) "School
				Administrator" means the head administrator of a school.
(e) "Child Caring Facility Administrator"
				means any person in charge of a child caring facility.
(f) "State Health Officer" means the licensed
				physician appointed by the Director of the Wyoming Department of Health or his
				designee who carries out the statutory duties and any other duties assigned, as
				defined by W.S. §
									
										21-4-309(d).
(g) "County Health Officer" means the
				licensed medical officer designated by the county commissioners to serve as
				health officer for his county, as defined by W.S. §
									
										21-4-309(d).
(h) "Immunized or immunization" means initial
				immunization and any boosters or reimmunizations required to maintain
				immunization pursuant to the immunization standards and recommendations issued
				by the State Health Officer.
(i)
				"Emancipated" means conferral of certain rights of majority upon a minor and
				includes a minor who:
(i) Is or was
				married.
(ii) Is in the military
				service of the United States.
(iii)
				Has received a declaration of emancipation pursuant to W.S. §
										
											14-1-203.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0034 - Mandatory Immunizations › Chapter 1 - RULES AND REGULATIONS FOR SCHOOL IMMUNIZATIONS › Section 1-4 - Applicability

Current through July 13, 2024
(a) These regulations shall apply to all
				pupils attending, full or part time, any public or private school or child
				caring facility.
(b) No School
				Administrator or Child Caring Facility Administrator shall retain any pupil
				thirty (30) days after entry without official written documented proof of
				immunization according to the schedule published by the State Health Officer
				except when there are exemptions as noted in these regulations. Pupils who are
				exempt from immunizations shall remain in school during an appeal process
				unless there is a vaccine-preventable disease outbreak as defined by Section
				5(c) of this
				Chapter.
(c) A pupil who requires a
				series of immunizations over a period of more than thirty (30) calendar days
				shall be permitted to attend school while receiving continuing immunization if
				the School Administrator receives written notification by a licensed private
				physician or his representative or by a public health official specifying a
				written schedule for necessary immunization completion within the
				medically-accepted time period.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0034 - Mandatory Immunizations › Chapter 1 - RULES AND REGULATIONS FOR SCHOOL IMMUNIZATIONS › Section 1-5 - Exemptions

Current through July 13, 2024
(a) Medical exemption. A pupil shall not be
				required to have any immunizations which are medically contraindicated. The
				State Health Officer or County Health Officer shall grant a medical exemption
				from the specific immunization requirement in these regulations upon receiving
				a signed and notarized Wyoming Department of Health Medical Exemption form.
				This form must be accompanied by written evidence from any physician licensed
				to practice medicine in any jurisdiction of the United States, that the
				administration of the specific immunization is medically contraindicated to the
				pupil. The exemption shall be maintained by the school as part of the
				immunization record of the pupil.
(b) Religious exemption. A pupil shall be
				exempted from mandatory immunizations based on evidence of a truly held and
				genuine religious objection. The parent or guardian shall sign a notarized
				Wyoming Department of Health Religious Exemption form stating that the
				administration of immunizing agents conflicts with his religious tenets and
				religious practices. This exemption will be maintained by the school as part of
				the immunization record of the pupil. Approved Religious Exemptions must be
				renewed upon entry into the seventh grade.
(c) Vaccine-preventable disease outbreak. In
				the presence of an outbreak of a vaccine-preventable disease, as determined by
				the State Health Officer or County Health Officer, pupils who have been granted
				a Medical or Religious Exemption and others who are not fully immunized against
				the specific disease occurring shall be excluded from attendance for a period
				of time determined by the State Health Officer or County Health Officer. Pupils
				excluded from attendance under this section shall not be counted in the
				aggregate number of pupils absent as defined in W.S. §
									
										21-13-101(a)(i).
(d) Emancipated or adult-aged pupils. Any
				pupil over the age of eighteen (18) years or any pupil who is legally
				emancipated who wishes to apply for a Medical or Religious Exemption shall
				submit a Medical Exemption or Religious Exemption form on his own behalf and
				shall be responsible for providing any supporting medical documentation which
				may be necessary to help determine exemption status.
(e) Appeals. If a parent or emancipated or
				adult-aged pupil objects to the State Health Officer or a County Health
				Officer's ruling on a Medical Exemption, the parent or emancipated or
				adult-aged pupil may request a review and final decision by the State Health
				Officer. The pupil shall remain in school during any appeal process unless
				there is a vaccine-preventable disease outbreak as defined by Section
				5(c) of this
				Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0034 - Mandatory Immunizations › Chapter 1 - RULES AND REGULATIONS FOR SCHOOL IMMUNIZATIONS › Section 1-6 - Immunization Records

Current through July 13, 2024
(a) Every Child
				Caring Facility and School shall maintain a record of immunization for every
				pupil on the forms supplied by the Wyoming Department of Health. If a pupil
				transfers to another school, this record shall be sent to the new school by the
				original school of attendance.
(b)
				School Nurses shall be allowed to review and may retain immunization
				information for any pupil currently residing in or who will be moving into the
				school district in which the School Nurse in employed. Such review and
				retention will ensure that immunization information is appropriately documented
				and retained for every pupil.
(c)
				The following documents will be accepted as evidence of a pupil's immunization
				history, provided that the day, month, and year of each required immunization
				that was administered is documented:
(i) An
				official school immunization record from any school indicating compliance with
				the immunization requirements of these regulations.
(ii) An immunization record from any local or
				state Public Health Department or unit indicating compliance with the
				immunization requirements of these regulations.
(iii) A certificate signed by a physician
				licensed to practice medicine in any jurisdiction of the United States
				indicating compliance with the immunization requirements of these
				regulations.
(iv) An Official State
				Record of Immunization report generated from the Wyoming Immunization
				Registry.
(v) An Official Record
				generated by a school-district-operated student information system, such as
				Power School.
(vi) A report from a
				certified laboratory or acknowledgement from a pupil's healthcare provider that
				confirms serologic immunity to measles, mumps, rubella, hepatitis A, hepatitis
				B, or varicella. This report may serve as documentation in lieu of vaccination
				for these specific diseases.
(vii)
				A written statement from a parent (or legal guardian or managing conservator),
				school nurse, or physician attesting to a pupil's positive history of varicella
				disease or of varicella immunity. This statement is acceptable in lieu of a
				vaccination or serology report for this disease.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0034 - Mandatory Immunizations › Chapter 1 - RULES AND REGULATIONS FOR SCHOOL IMMUNIZATIONS › Section 1-7 - Exclusion from Child Caring Facilities and Schools During Communicable Disease Outbreaks

Current through July 13, 2024
In case of a vaccine-preventable disease outbreak, all
				  pupils who are not fully immunized against the occurring vaccine preventable
				  disease shall be excluded from attending School or a Child Caring Facility
				  during the existence of the outbreak as determined by the State Health Officer
				  or County Health Officer. Individuals excluded shall include pupils granted a
				  medical or religious exemption and individuals without documented proof of
				  complete immunization or serologic evidence of immunity in accordance with
				  Section
				  6
				  herein.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0034 - Mandatory Immunizations › Chapter 1 - RULES AND REGULATIONS FOR SCHOOL IMMUNIZATIONS › Section 1-8 - Reports Required

Current through July 13, 2024
A report of the immunization status and conditional
				  enrollment of pupils in every School and Child Caring Facility shall be sent
				  once a year to the Wyoming Department of Health by the School Administrator and
				  Child Caring Facility Administrator. Forms and method of submission shall be
				  provided by the Wyoming Department of Health. Data shall be submitted to the
				  Wyoming Department of Health no later than November 1 of each
				  year.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0034 - Mandatory Immunizations › Chapter 1 - RULES AND REGULATIONS FOR SCHOOL IMMUNIZATIONS › Section 1-9 - Immunizations Required

Current through July 13, 2024
Immunizations required and recommended by the State Health
				  Officer are based on national immunization recommendations published by the
				  Advisory Committee on Immunization Practices (ACIP). These immunization
				  requirements and recommendations are utilized by the Wyoming Department of
				  Health as standard medical practice. Immunization recommendations change
				  periodically based on development and licensure of new vaccines and/or
				  modification of administration schedules based on present and ongoing medical
				  scientific research.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0034 - Mandatory Immunizations › Chapter 2 - SCHOOL IMMUNIZATION GUIDELINES › Section 2-1 - Authority

Current through July 13, 2024
The Department of Health is promulgating rules and
				  regulations for the management and control of communicable diseases to comply
				  with W.S. §
									
										35-1-240(a)(ii), W.S. §
									
										35-4-101, W.S. §
									
										21-4-309, and W.S. §
									
										14-4-116, and the Wyoming Administrative
				  Procedure Act of W.S. §
									
										16-3-101,
et
				  seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0034 - Mandatory Immunizations › Chapter 2 - SCHOOL IMMUNIZATION GUIDELINES › Section 2-3 - Minimum Immunization Requirements

Current through July 13, 2024
* Immunizations required and recommended by the State Health
				  Officer in this Chapter are based on national immunization recommendations
				  published by the Advisory Committee on Immunization Practices (ACIP).
(a) Child Caring Facility (applies to
				children over six (6) months of age).*
(i) A
				vaccine administered up to four (4) days prior to the minimum age for that
				vaccine is considered compliant with that vaccine administration
				schedule.
(ii) Age appropriately
				immunized after six (6) months of age.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0034 - Mandatory Immunizations › Chapter 2 - SCHOOL IMMUNIZATION GUIDELINES › Section 2-4 - Recommended Immunizations

Current through July 13, 2024
(a) Child Caring
				Facility (applies to children over six (6) months of age).
(i) Influenza vaccine (yearly, based on ACIP
				recommendations for dosing).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 1 - MANDATORY SCREENING OF NEWBORNS FOR METABOLIC AND GENETIC CONDITIONS › Section 1-1 - Authority

Current through July 13, 2024
The Wyoming Department of Health ("Department") promulgates
				  these Rules under Wyo. Stat. Ann. §§
									
										35-4-801 through -802.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 1 - MANDATORY SCREENING OF NEWBORNS FOR METABOLIC AND GENETIC CONDITIONS › Section 1-2 - Purpose and Applicability

Current through July 13, 2024
(a) The purpose of these Rules is to
				implement the mandatory screening of newborns program, as provided under Wyo.
				Stat. Ann. §§
									
										35-4-801 through -802.
(b) The purpose of this Chapter is to
				establish the requirements and procedures for the mandatory screening of
				newborns for metabolic and genetic conditions.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 1 - MANDATORY SCREENING OF NEWBORNS FOR METABOLIC AND GENETIC CONDITIONS › Section 1-3 - Definitions

Current through July 13, 2024
(a) Except as otherwise specified, the
				terminology used in these rules is the standard terminology and has the
				standard meaning used in healthcare, including newborn screening.
(b) The following definitions shall apply in
				the interpretation and enforcement of these Rules.
(i) "Qualified healthcare professional" means
				a person licensed to provide healthcare in the state of Wyoming and operating
				within a scope of practice that includes collecting bloodspot specimens and
				performing pulse oximetry, as appropriate.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 1 - MANDATORY SCREENING OF NEWBORNS FOR METABOLIC AND GENETIC CONDITIONS › Section 1-4 - Wyoming Newborn Screening Panel

Current through July 13, 2024
(a) As contemplated under Wyo. Stat. Ann.
				§
									
										35-4-801(a), the Wyoming
				Newborn Screening Panel is the mandatory screening for metabolic and genetic
				conditions to be administered to each child born in Wyoming.
(b) As determined by the committee
				established under Wyo. Stat. Ann. §
									
										35-4-801(b), the Wyoming
				Newborn Screening Panel must include the following tests for metabolic and
				genetic conditions:
(i) Bloodspot specimen
				collection performed according to §
										5 of this Chapter, which screens for amino
				acid disorders, endocrine disorders, fatty acid oxidation disorders, hemoglobin
				disorders, and organic acid disorders; and
(ii) Pulse oximetry screening performed
				according to §
										6 of this Chapter, which screens for
				critical congenital heart disease (CCHD).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 1 - MANDATORY SCREENING OF NEWBORNS FOR METABOLIC AND GENETIC CONDITIONS › Section 1-5 - Bloodspot Specimen Collection

Current through July 13, 2024
(a) If a child is born in a Wyoming hospital,
				the hospital shall collect and deliver the child's bloodspot specimen for the
				Wyoming Newborn Screening Panel according to §
									5(c) of this
				Chapter.
(b) If a child is not born
				in a Wyoming hospital, the person attending the delivery shall arrange to have
				the child's bloodspot specimen collected and delivered according to §
									5(c) of this
				Chapter.
(c) A qualified healthcare
				professional shall collect a child's bloodspot specimen for the Wyoming Newborn
				Screening Panel according to the following requirements and procedures.
(i) A bloodspot specimen must be collected
				according to the following timelines.
(A) If
				the child is full-term and healthy, the qualified healthcare professional shall
				collect the bloodspot specimen between twenty-four (24) and forty-eight (48)
				hours after birth.
(B) If the child
				is to be discharged before twenty-four (24) hours after birth, the qualified
				healthcare professional shall collect the bloodspot specimen before discharge
				according to best medical practices.
(C) If the child is not full-term or healthy,
				the qualified healthcare professional shall collect the bloodspot specimen
				according to best medical practices.
(D) If the child requires an exchange
				transfusion, the qualified healthcare professional shall collect the bloodspot
				specimen prior to the exchange transfusion and according to best medical
				practices. If the qualified healthcare professional fails to collect the
				bloodspot specimen prior to the exchange transfusion, the qualified healthcare
				professional shall indicate that the child was transfused in the appropriate
				section of the bloodspot specimen collection card.
(E) If the child needs to be transferred to
				another hospital, the transferring hospital shall ensure that a qualified
				healthcare professional collect the bloodspot specimen prior to transfer or
				make arrangements with the receiving hospital to collect the bloodspot
				specimen. The transferring hospital shall notify the Wyoming Department of
				Health Newborn Screening Program if a child is transferred prior to bloodspot
				specimen collection.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 1 - MANDATORY SCREENING OF NEWBORNS FOR METABOLIC AND GENETIC CONDITIONS › Section 1-6 - Pulse Oximetry Screening

Current through July 13, 2024
(a) If a child is born in a Wyoming hospital,
				the hospital shall perform pulse oximetry screening for Critical Congenital
				Heart Disease (CCHD).
(b) If a
				child is not born in a Wyoming hospital, the person attending the delivery
				shall arrange for a qualified healthcare professional to perform pulse oximetry
				screening for CCHD.
(c) Pulse
				oximetry screening for CCHD must be performed according to best medical
				practices.
(d) The hospital or
				qualified healthcare professional shall collect CCHD screening data using a
				method prescribed by the Department.
(e) The Department shall offer hospitals,
				physicians, and other qualified healthcare professionals training and resources
				on national recommendations for CCHD screening.
(f) The Department shall provide brochures to
				hospitals, physicians, and other qualified healthcare professionals for the
				purpose of informing families about CCHD screening.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 1 - MANDATORY SCREENING OF NEWBORNS FOR METABOLIC AND GENETIC CONDITIONS › Section 1-7 - Informed Consent

Current through July 13, 2024
(a) Before performing a bloodspot specimen
				collection or pulse oximetry screening, the qualified healthcare professional
				shall obtain the informed consent of the child's parent or guardian, according
				to Wyo. Stat. Ann. §§
									
										35-4-801(c). As part of the
				informed consent process, the qualified healthcare professional shall educate
				the child's parent or guardian about the importance of a second bloodspot
				specimen collection between approximately ten (10) days and two (2) weeks of
				age.
(b) If a parent or guardian
				objects to bloodspot specimen collection or pulse oximetry screening:
(i) The child is exempt from the objected
				screening;
(ii) The parent or
				guardian shall complete a written waiver form; and
(iii) The qualified healthcare professional
				shall assure completion of the written waiver form documenting the objection
				and submit the waiver form to the Department within ten (10) days of
				birth.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 1 - MANDATORY SCREENING OF NEWBORNS FOR METABOLIC AND GENETIC CONDITIONS › Section 1-8 - Fees

Current through July 13, 2024
(a) If a child's initial bloodspot specimen
				is collected by a qualified healthcare professional at a hospital, the hospital
				shall pay the Department a fee of $84.00 per initial bloodspot specimen
				collection performed.
(b) If a
				child's initial bloodspot specimen is collected by a qualified healthcare
				professional in a non-hospital setting, the qualified healthcare professional
				shall pay the Department a fee of $84.00 per initial bloodspot specimen
				collection performed.
(c) The fees
				assessed under §§
									8(a) and (b) of this
				Chapter cover the reasonable costs of the initial and second bloodspot specimen
				collection for the same child, initial confirmatory testing, courier services,
				laboratory services, specialty follow-up services, program education, and other
				services necessary to maintain functionality and sustainability of this
				self-funded program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 2 - MANDATORY SCREENING OF NEWBORNS FOR HEARING LOSS › Section 2-1 - Authority

Current through July 13, 2024
The Wyoming Department of Health ("Department") promulgates
				  these Rules under Wyoming Statutes
										35-4-801, -802.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 2 - MANDATORY SCREENING OF NEWBORNS FOR HEARING LOSS › Section 2-2 - Purpose and Applicability

Current through July 13, 2024
(a) The purpose of these Rules is to
				implement the mandatory newborn hearing screening, as provided under
				W.S.
				35-4-801, -802.
(b) The purpose of this Chapter is to
				establish the requirements and procedures for mandatory newborn hearing
				screening.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 2 - MANDATORY SCREENING OF NEWBORNS FOR HEARING LOSS › Section 2-3 - Definitions

Current through July 13, 2024
(a) Except as otherwise specified, the
				terminology used in these Rules is the standard terminology and has the
				standard meaning used in healthcare.
(b) The following definitions apply in the
				interpretation and enforcement of these Rules:
(i) "Hearing screening" means an objective,
				physiological measurement used to identify individuals at risk for hearing
				loss.
(ii) "Trained individual"
				means a person who has received instruction on hearing screening protocols and
				the operation of hearing screening equipment.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 2 - MANDATORY SCREENING OF NEWBORNS FOR HEARING LOSS › Section 2-4 - Wyoming Newborn Hearing Screening

Current through July 13, 2024
(a) The Wyoming Newborn Hearing Screening
				includes:
(i) An initial hearing screening
				according to Section
				5 of this Chapter; and
(ii) A rescreening, as necessary, according
				to Section
				6 of this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 2 - MANDATORY SCREENING OF NEWBORNS FOR HEARING LOSS › Section 2-5 - Initial Hearing Screening

Current through July 13, 2024
(a) If a child is born in a Wyoming hospital,
				the child shall receive a hearing screening by a trained individual before
				discharge.
(b) If a child is born
				outside of a Wyoming hospital, the attending physician, midwife, or person
				attending the delivery shall offer to provide or arrange a hearing screening
				for the child.
(c) If a child is
				transferred to another Wyoming birthing hospital, the hospital that transfers
				the child shall be responsible for ensuring that the hearing screening takes
				place. If a Wyoming resident child is transferred to a hospital outside of
				Wyoming, the transferring Wyoming hospital shall ensure that hearing screening
				takes place either prior to transfer, at the receiving hospital, or upon the
				child's return to Wyoming.
(d) The
				trained individual performing the newborn hearing screening shall identify risk
				factors for hearing loss at the time of the screening.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 2 - MANDATORY SCREENING OF NEWBORNS FOR HEARING LOSS › Section 2-6 - Rescreening

Current through July 13, 2024
(a) If a child fails the initial screening:
(i) The trained individual who performed the
				initial screening shall advise the parent or legal guardian of the importance
				that rescreening occur within seven (7) to ten (10) days of initial screening;
				and
(ii) A trained individual shall
				rescreen the newborn within seven (7) to ten (10) days of the initial
				screening.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 2 - MANDATORY SCREENING OF NEWBORNS FOR HEARING LOSS › Section 2-7 - Reporting

Current through July 13, 2024
(a) All hearing screening results, identified
				risk factors, and status of newborns not screened shall be reported at least
				monthly to the Department in the form and manner prescribed by the
				Department.
(b) An audiologist who
				completes a diagnostic audiologic evaluation from a Wyoming Newborn Screening
				referral shall provide written notification of all screening and evaluation
				results to the Department in the form and manner prescribed by the Department
				within fifteen (15) calendar days of completed evaluations. Reporting of
				diagnostic audiologic evaluation results may include, but not limited to:
(i) Diagnostic audiologic evaluation reports
				for a diagnosis of normal hearing bilaterally; and
(ii) Diagnostic audiologic evaluation reports
				for any diagnosis of hearing loss regardless of type, degree, or laterality,
				including undetermined.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 2 - MANDATORY SCREENING OF NEWBORNS FOR HEARING LOSS › Section 2-8 - Informed Consent

Current through July 13, 2024
(a) Before performing the initial hearing
				screening, rescreening, or diagnostic audiologic evaluation, a trained
				individual shall obtain the informed consent of the child's parent or guardian,
				according to
				W.S.
				35-4-801(c).
(b) If the parent or guardian objects to the
				initial hearing screening, rescreening or diagnostic audiologic evaluation:
(i) The child is exempt from the objected
				hearing screening;
(ii) The parent
				or guardian must complete a written waiver form; and
(iii) The trained individual shall assure
				completion of the written waiver form documenting the objection and submit the
				waiver form to the Department within thirty (30) calendar days of
				birth.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0035 - Mandatory Screening of Newborn Infants › Chapter 2 - MANDATORY SCREENING OF NEWBORNS FOR HEARING LOSS › Section 2-9 - Fees

Current through July 13, 2024
(a) If a child's initial hearing screening is
				collected by a trained individual at a hospital, the hospital shall pay the
				Department a fee of sixty-five dollars ($65.00) per initial hearing screening
				performed.
(b) The fees assessed
				under this section cover the reasonable costs of the initial hearing screening
				and rescreening for the same newborn, referrals, equipment, education and
				training, and other services necessary to maintain functionality and
				sustainability of this self funded program.
(c) The Department, in consultation with the
				designated committee pursuant to
				W.S.
				35-4-801(d), may increase
				the fees assessed under this section, if it is determined that the cost of the
				program necessitates such increase, but in no instance may this fee by
				increased more than twenty-five percent (25%) without revising these rules.