S T A T E O F N E W Y O R K
________________________________________________________________________
9078
I N S E N A T E
June 15, 2018
___________
Introduced by Sen. HANNON -- read twice and ordered printed, and when
printed to be committed to the Committee on Rules
AN ACT to amend the public health law, in relation to the definition of
elevated blood lead levels
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Subdivision 6 of section 1370 of the public health law, as
amended by chapter 485 of the laws of 1992, is amended to read as
follows:
6. "Elevated lead levels" means a blood lead level greater than or
equal to [ten] FIVE micrograms of lead per deciliter of whole blood or
such LOWER blood lead level as may be established by the department
pursuant to rule or regulation.
§ 2. Paragraphs (c) and (d) of subdivision 2 of section 1370-a of the
public health law, paragraph (c) as amended by section 4 of part A of
chapter 58 of the laws of 2009, paragraph (d) as added by chapter 485 of
the laws of 1992, are amended and a new paragraph (e) is added to read
as follows:
(c) establish a statewide registry of lead levels of children provided
such information is maintained as confidential except for (i) disclosure
for medical treatment purposes; (ii) disclosure of non-identifying
epidemiological data; and (iii) disclosure of information from such
registry to the statewide immunization information system established by
section twenty-one hundred sixty-eight of this chapter; [and]
(d) develop and implement public education and community outreach
programs on lead exposure, detection and risk reduction; AND
(E) PROVIDE FOR THE CONDUCT OF LEAD CASE MANAGEMENT BY BOTH THE
DEPARTMENT AND LOCAL DEPARTMENTS OF HEALTH BASED ON THE BLOOD LEAD LEVEL
OF A CHILD AS FOLLOWS:
(I) A BLOOD LEAD LEVEL GREATER THAN OR EQUAL TO FIVE MICROGRAMS OF
LEAD PER DECILITER OF WHOLE BLOOD SHALL REQUIRE A ROUTINE ASSESSMENT OF
NUTRITIONAL AND DEVELOPMENTAL MILESTONES, ALONG WITH AN ENVIRONMENTAL
ASSESSMENT BASED ON A DETAILED HISTORY TO IDENTIFY POTENTIAL SOURCES OF
LEAD EXPOSURE, INCLUDE NUTRITIONAL COUNSELING RELATED TO CALCIUM AND
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD16266-01-8
S. 9078 2
IRON INTAKE AND FOLLOW-UP BLOOD LEAD LEVEL MONITORING AT RECOMMENDED
INTERVALS BASED ON THE CHILD'S AGE;
(II) A BLOOD LEAD LEVEL GREATER THAN OR EQUAL TO TEN MICROGRAMS OF
LEAD PER DECILITER OF WHOLE BLOOD SHALL REQUIRE A ROUTINE ASSESSMENT OF
NUTRITIONAL AND DEVELOPMENTAL MILESTONES, ALONG WITH AN ENVIRONMENTAL
ASSESSMENT BASED ON A DETAILED HISTORY AND AN ENVIRONMENTAL INVESTI-
GATION WITH A HOME VISIT TO IDENTIFY POTENTIAL SOURCES OF LEAD EXPOSURE,
INCLUDE NUTRITIONAL COUNSELING RELATED TO CALCIUM AND IRON INTAKE,
CONSIDER LAB WORK TO ASSESS IRON STATUS AND FOLLOW-UP BLOOD LEAD LEVEL
MONITORING AT RECOMMENDED INTERVALS;
(III) A BLOOD LEVEL GREATER THAN OR EQUAL TO TWENTY MICROGRAMS OF LEAD
PER DECILITER OF WHOLE BLOOD SHALL REQUIRE A COMPLETE HISTORY AND PHYS-
ICAL EXAMINATION, A NEURODEVELOPMENTAL ASSESSMENT, ALONG WITH AN ENVI-
RONMENTAL INVESTIGATION OF THE HOME AND LEAD HAZARD REDUCTION, LAB WORK
ON IRON STATUS, HEMOGLOBIN OR HEMATOCRIT, ALSO AN ABDOMINAL X-RAY WITH
BOWEL DECONTAMINATION IF INDICATED, AND FOLLOW-UP BLOOD LEAD LEVEL MONI-
TORING AT RECOMMENDED INTERVALS;
(IV) A BLOOD LEAD LEVEL GREATER THAN OR EQUAL TO FORTY-FIVE MICROGRAMS
OF LEAD PER DECILITER OF WHOLE BLOOD SHALL REQUIRE A COMPLETE HISTORY
AND PHYSICAL EXAMINATION, A COMPLETE NEUROLOGICAL EXAM INCLUDING NEURO-
DEVELOPMENT ASSESSMENT, AN ENVIRONMENTAL INVESTIGATION OF THE HOME AND
LEAD HAZARD REDUCTION, LAB WORK ON IRON STATUS, HEMOGLOBIN OR HEMATO-
CRIT, AN ABDOMINAL X-RAY WITH BOWEL DECONTAMINATION IF INDICATED, ALSO
ORAL CHELATION THERAPY WITH CONSIDERATION OF HOSPITALIZATION IF A LEAD
SAFE ENVIRONMENT CANNOT BE ASSURED, AND FOLLOW-UP BLOOD LEAD LEVEL MONI-
TORING AT RECOMMENDED INTERVALS; AND
(V) A BLOOD LEAD LEVEL GREATER THAN OR EQUAL TO SEVENTY MICROGRAMS OF
LEAD PER DECILITER OF WHOLE BLOOD SHALL REQUIRE HOSPITALIZATION WITH
CHELATION THERAPY IN CONJUNCTION WITH CONSULTATION WITH A MEDICAL TOXI-
COLOGIST OR A PEDIATRIC ENVIRONMENTAL HEALTH SPECIALTY UNIT AND FOLLOW-
ING ADDITIONAL ACTIONS ACCORDING TO INTERVENTIONS FOR BLOOD LEAD LEVEL
GREATER THAN OR EQUAL TO FORTY-FIVE MICROGRAMS OF LEAD PER DECILITER AS
SET FORTH IN SUBPARAGRAPH FOUR OF THIS PARAGRAPH.
§ 3. This act shall take effect on the one hundred twentieth day after
it shall have become a law.