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  • NJ A4077
  • Revises and codifies schedule for childhood lead screening along with other immunization and wellness checks as precondition of child's initial entry into school system.
Introduced
(9/15/2016)
In Committee
(9/15/2016)
Crossed OverPassedSignedDead/Failed/Vetoed
2016-2017 Regular Session
This bill would strengthen the existing State requirements for childhood lead screening by: (1) codifying, in the statutory law, the existing schedule for childhood lead screening that appears in regulations adopted by the Department of Health (DOH); (2) requiring a child to undergo three screening tests, as opposed to the two that are currently required by the DOH; (3) allowing doctors to perform lead screening at the point-of-care, in the regular course of a well visit; and (4) requiring a child's parent or guardian to provide the child's school with documentation showing the child's lead screening results, as a precondition of the child's initial entry into the school system. The bill would specify, in particular, that every physician, registered professional nurse, or health care facility, agency, or program that is subject to the provisions of the State's childhood lead poisoning prevention act, will be required to perform lead screening on each patient between six months and six years of age to whom services are provided, during the course of a well visit, in accordance with the following schedule: (1) when the child is between nine and 18 months of age; preferably on the date of, or as close as possible to, the child's first birthday; (2) at least six months after the first lead screening test, when the child is between 18 and 26 months of age; preferably on the date of, or as close as possible to, the child's second birthday; and (3) immediately prior to the child's initial enrollment in school. "Initial enrollment in school" is defined to mean the enrollment of a child in a public or private pre-kindergarten class, or the enrollment of a child in a public or private kindergarten class, whichever occurs first. A physician, registered professional nurse, or health care facility, agency, or program performing lead screening in accordance with this schedule would be authorized to perform the screening on-site, at the point of care, during the course of a well visit, without the need to obtain a laboratory license pursuant to the State's "Clinical Laboratory Improvement Act" (NJCLIA) P.L.1975, c.166 (C.45:9-42.26 et seq.). However, any such person, facility, agency, or program that performs point-of-care lead screening tests without a laboratory license would remain subject to, and would be required to comply with, the other applicable provisions of NJCLIA, and the regulations adopted pursuant thereto, which relate to laboratory performance, quality control, and proficiency testing; laboratory sanitation, safety, and staffing; the maintenance of laboratory equipment; the acceptance, collection, transportation, identification, and examination of laboratory specimens; and laboratory reporting. The physician, registered professional nurse, or health care facility, agency, or program performing lead screening in accordance with the bill's provisions would be required to record in the child's permanent health record, the date on which any such test was administered, and the results of the test. Any such information, which has been incorporated into the child's permanent health record, would also need to be noted on any physical examination form that a public or private school or school system requires parents or guardians to submit as a condition of school admission or enrollment. The principal, director, or other person in charge of a public or private school in this State would be prohibited from knowingly admitting or enrolling in a pre-kindergarten or kindergarten class, as appropriate, any child whose parent or guardian fails to submit acceptable documentation showing the child's test results for lead screening. If the documentation submitted by the child's parent or guardian indicates that the child has not yet been screened for lead poisoning in accordance with that testing requirement, the child's initial enrollment in school is to be deferred until such time as the child has been so screened, and acceptable documentation showing the results of that screening test have been submitted to the school. The bill would require the DOH to modify its existing public information campaign, in order to inform the parents and guardians of small children, as well as physicians, registered professional nurses, and other health care providers, about the lead screening schedule and requirements, and the conditions for initial school enrollment, that have been established by the bill. Any information or documentation that is prepared for these purposes would also be posted at a publicly accessible location on the DOH Internet website. Finally, the bill would clarify that any DOH regulations, which are adopted pursuant to P.L.1995, c.316 (C.17:48E-35.10 et al.) in association with the provision of insurance coverage for lead screening, must be consistent with the revised provisions of P.L.1995, c.328 and the new screening schedule provided by section 1 of the bill.
Health and Senior Services
Introduced, Referred to Assembly Health and Senior Services Committee  (on 9/15/2016)
 
 

Date Chamber Action Description
9/15/2016 A Introduced, Referred to Assembly Health and Senior Services Committee
Date Motion Yea Nay Other
None specified