S.F. 488 Section 1. Section 135.101, Code 2023, is amended to read 1 as follows: 2 135.101 Childhood lead poisoning prevention program. 3 There is established a childhood lead poisoning prevention 4 program within the Iowa department of public health . The 5 department shall implement and review programs necessary to 6 eliminate potentially dangerous toxic lead levels in children 7 in Iowa in a year for which funds are appropriated to the 8 department for this purpose . The program guidelines shall be 9 based on the maximum blood lead level in children as specified 10 by rule of the department and shall provide for responsive 11 action, including but not limited to case management services 12 for children and the provision of available home intervention 13 and target housing resources, when the maximum level is met 14 or exceeded in accordance with the most recent recommended 15 actions based on blood lead level published by the centers for 16 disease control and prevention of the United States department 17 of health and human services. 18 Sec. 2. Section 135.102, subsections 3 and 6, Code 2023, are 19 amended to read as follows: 20 3. Maximum The maximum blood lead levels level in children 21 living in targeted rental dwelling units that is the level of 22 lead in the bloodstream that equals or exceeds the lower of 23 three and one-half micrograms of lead per deciliter of blood, 24 or an amount identified in the most recent recommendations by 25 the centers for disease control and prevention of the United 26 States department of health and human services, and that 27 necessitates the undertaking of responsive action, including 28 but not limited to case management services for children and 29 the provision of available home intervention and target housing 30 resources . 31 6. Model regulations Guidelines, as specified in section 32 135.105B, for lead hazard remediation to be used by the 33 state and in local programs in instances in which a child is 34 confirmed as lead poisoned. The department shall make the 35 -1- LSB 2051XS (4) 90 pf/rh 1/ 4

S.F. 488 model regulations guidelines available to local boards of 1 health and shall promote the adoption of the regulations to be 2 used at the local level, in cities and counties implementing 3 lead hazard remediation programs to provide consistency 4 throughout the state . Nothing in this subsection shall be 5 construed as requiring the adoption of the model regulations. 6 Sec. 3. Section 135.103, Code 2023, is amended to read as 7 follows: 8 135.103 Grant program. 9 The department shall implement a childhood lead poisoning 10 prevention grant program which provides federal, state, or 11 other funds to local boards of health or cities and counties 12 for the program after standards and requirements for the 13 local program are developed consistent with the most recent 14 recommendations regarding the maximum blood lead level and 15 recommended actions based on blood lead level published by 16 the centers for disease control and prevention of the United 17 States department of health and human services . The department 18 may also use federal, state, or other funds provided for the 19 childhood lead poisoning prevention grant program to purchase 20 environmental and blood testing services from a public health 21 laboratory. 22 Sec. 4. Section 135.105B, Code 2023, is amended by striking 23 the section and inserting in lieu thereof the following: 24 135.105B Guidelines for local lead hazard remediation 25 programs. 26 1. The department shall develop guidelines to be used by 27 local programs that administer lead hazard remediation programs 28 to address the health and environmental needs of children who 29 are confirmed as lead poisoned. 30 2. The guidelines shall be based on the most recent 31 guidelines published by the centers for disease control and 32 prevention of the United States department of health and human 33 services for recommended actions based on blood lead level and 34 shall reflect the maximum blood lead level specified by rule 35 -2- LSB 2051XS (4) 90 pf/rh 2/ 4

S.F. 488 of the department. 1 3. A city or county may elect to administer a local program 2 through a city or county health department on a city, county, 3 or multicounty basis or may request that the state develop and 4 administer the local program. 5 EXPLANATION 6 The inclusion of this explanation does not constitute agreement with 7 the explanation’s substance by the members of the general assembly. 8 This bill amends provisions relating to the childhood lead 9 poisoning prevention program (program) in the department of 10 health and human services (HHS) to align maximum blood lead 11 level provisions and program activities with the most recent 12 maximum lead level in children specified by the centers for 13 disease control and prevention (CDC) and the recommended 14 actions based on the CDC blood lead level. 15 The bill requires HHS guidelines for the program to be based 16 on the maximum blood lead level in children as specified by 17 rule of HHS and shall provide for responsive action, including 18 but not limited to case management services for children 19 and the provision of available home intervention and target 20 housing resources, when the maximum level is met or exceeded in 21 accordance with the most recent recommended actions published 22 by the CDC. 23 The bill requires HHS to adopt rules for the program that 24 specify the maximum blood lead level in children as the level 25 of lead in the bloodstream that equals or exceeds the lower of 26 3.5 micrograms of lead per deciliter of blood, or an amount 27 identified in the most recent recommendations by the CDC, 28 and that necessitates the undertaking of responsive action, 29 including but not limited to case management services for 30 children and the provision of home intervention and target 31 housing resources. 32 The bill also requires the guidelines for lead hazard 33 remediation used for both state and local programs in instances 34 in which a child is confirmed as lead poisoned, to be based on 35 -3- LSB 2051XS (4) 90 pf/rh 3/ 4

S.F. 488 the CDC guidelines and consistent throughout the state. 1 The bill provides that the grant program requirements, 2 providing federal, state, or other funds, are to be consistent 3 with the most recent CDC-recommended maximum blood lead level 4 and actions. 5 The bill requires the HHS guidelines used by local lead 6 hazard remediation programs to be based on the most recent CDC 7 guidelines for recommended actions based on blood lead level 8 and reflect the maximum blood lead level specified by rule of 9 HHS. The bill continues the current option under the program 10 for a city or county to elect to administer a local program 11 through a city or county health department on a city, county, 12 or multicounty basis or to request that the state develop and 13 administer the local program. 14 -4- LSB 2051XS (4) 90 pf/rh 4/ 4