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Senate File 488 - IntroducedA Bill ForAn Act 1relating to childhood lead poisoning.
2BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1 Section 1. Section 135.101, Code 2023, is amended to read
2as follows:
3135.101 Childhood lead poisoning prevention program.
4There is established a childhood lead poisoning prevention
5program within the Iowa department of public health. The
6department shall implement and review programs necessary to
7eliminate potentially dangerous toxic lead levels in children
8in Iowa in a year for which funds are appropriated to the
9department for this purpose. The program guidelines shall be
10based on the maximum blood lead level in children as specified
11by rule of the department and shall provide for responsive
12action, including but not limited to case management services
13for children and the provision of available home intervention
14and target housing resources, when the maximum level is met
15or exceeded in accordance with the most recent recommended
16actions based on blood lead level published by the centers for
17disease control and prevention of the United States department
18of health and human services.
19 Sec. 2. Section 135.102, subsections 3 and 6, Code 2023, are
20amended to read as follows:
213. Maximum The maximum blood lead levels level in children
22living in targeted rental dwelling units that is the level of
23lead in the bloodstream that equals or exceeds the lower of
24three and one-half micrograms of lead per deciliter of blood,
25or an amount identified in the most recent recommendations by
26the centers for disease control and prevention of the United
27States department of health and human services, and that
28necessitates the undertaking of responsive action, including
29but not limited to case management services for children and
30the provision of available home intervention and target housing
31resources.
326. Model regulations Guidelines, as specified in section
33135.105B, for lead hazard remediation to be used by the
34state and in local programs in instances in which a child is
35confirmed as lead poisoned. The department shall make the
-1-1model regulations guidelines available to local boards of
2health and shall promote the adoption of the regulations to be
3used at the local level, in cities and counties implementing
4lead hazard remediation programs to provide consistency
5throughout the state. Nothing in this subsection shall be
6construed as requiring the adoption of the model regulations.
7 Sec. 3. Section 135.103, Code 2023, is amended to read as
8follows:
9135.103 Grant program.
10The department shall implement a childhood lead poisoning
11prevention grant program which provides federal, state, or
12other funds to local boards of health or cities and counties
13 for the program after standards and requirements for the
14local program are developed consistent with the most recent
15recommendations regarding the maximum blood lead level and
16recommended actions based on blood lead level published by
17the centers for disease control and prevention of the United
18States department of health and human services. The department
19may also use federal, state, or other funds provided for the
20childhood lead poisoning prevention grant program to purchase
21environmental and blood testing services from a public health
22laboratory.
23 Sec. 4. Section 135.105B, Code 2023, is amended by striking
24the section and inserting in lieu thereof the following:
25135.105B Guidelines for local lead hazard remediation
26programs.
271. The department shall develop guidelines to be used by
28local programs that administer lead hazard remediation programs
29to address the health and environmental needs of children who
30are confirmed as lead poisoned.
312. The guidelines shall be based on the most recent
32guidelines published by the centers for disease control and
33prevention of the United States department of health and human
34services for recommended actions based on blood lead level and
35shall reflect the maximum blood lead level specified by rule
-2-1of the department.
23. A city or county may elect to administer a local program
3through a city or county health department on a city, county,
4or multicounty basis or may request that the state develop and
5administer the local program.
6EXPLANATION
7The inclusion of this explanation does not constitute agreement with
8the explanation’s substance by the members of the general assembly.
9This bill amends provisions relating to the childhood lead
10poisoning prevention program (program) in the department of
11health and human services (HHS) to align maximum blood lead
12level provisions and program activities with the most recent
13maximum lead level in children specified by the centers for
14disease control and prevention (CDC) and the recommended
15actions based on the CDC blood lead level.
16The bill requires HHS guidelines for the program to be based
17on the maximum blood lead level in children as specified by
18rule of HHS and shall provide for responsive action, including
19but not limited to case management services for children
20and the provision of available home intervention and target
21housing resources, when the maximum level is met or exceeded in
22accordance with the most recent recommended actions published
23by the CDC.
24The bill requires HHS to adopt rules for the program that
25specify the maximum blood lead level in children as the level
26of lead in the bloodstream that equals or exceeds the lower of
273.5 micrograms of lead per deciliter of blood, or an amount
28identified in the most recent recommendations by the CDC,
29and that necessitates the undertaking of responsive action,
30including but not limited to case management services for
31children and the provision of home intervention and target
32housing resources.
33The bill also requires the guidelines for lead hazard
34remediation used for both state and local programs in instances
35in which a child is confirmed as lead poisoned, to be based on
-3-1the CDC guidelines and consistent throughout the state.
2The bill provides that the grant program requirements,
3providing federal, state, or other funds, are to be consistent
4with the most recent CDC-recommended maximum blood lead level
5and actions.
6The bill requires the HHS guidelines used by local lead
7hazard remediation programs to be based on the most recent CDC
8guidelines for recommended actions based on blood lead level
9and reflect the maximum blood lead level specified by rule of
10HHS. The bill continues the current option under the program
11for a city or county to elect to administer a local program
12through a city or county health department on a city, county,
13or multicounty basis or to request that the state develop and
14administer the local program.
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2BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1 Section 1. Section 135.101, Code 2023, is amended to read
2as follows:
3135.101 Childhood lead poisoning prevention program.
4There is established a childhood lead poisoning prevention
5program within the Iowa department of public health. The
6department shall implement and review programs necessary to
7eliminate potentially dangerous toxic lead levels in children
8in Iowa in a year for which funds are appropriated to the
9department for this purpose. The program guidelines shall be
10based on the maximum blood lead level in children as specified
11by rule of the department and shall provide for responsive
12action, including but not limited to case management services
13for children and the provision of available home intervention
14and target housing resources, when the maximum level is met
15or exceeded in accordance with the most recent recommended
16actions based on blood lead level published by the centers for
17disease control and prevention of the United States department
18of health and human services.
19 Sec. 2. Section 135.102, subsections 3 and 6, Code 2023, are
20amended to read as follows:
213. Maximum The maximum blood lead levels level in children
22living in targeted rental dwelling units that is the level of
23lead in the bloodstream that equals or exceeds the lower of
24three and one-half micrograms of lead per deciliter of blood,
25or an amount identified in the most recent recommendations by
26the centers for disease control and prevention of the United
27States department of health and human services, and that
28necessitates the undertaking of responsive action, including
29but not limited to case management services for children and
30the provision of available home intervention and target housing
31resources.
326. Model regulations Guidelines, as specified in section
33135.105B, for lead hazard remediation to be used by the
34state and in local programs in instances in which a child is
35confirmed as lead poisoned. The department shall make the
-1-1model regulations guidelines available to local boards of
2health and shall promote the adoption of the regulations to be
3used at the local level, in cities and counties implementing
4lead hazard remediation programs to provide consistency
5throughout the state. Nothing in this subsection shall be
6construed as requiring the adoption of the model regulations.
7 Sec. 3. Section 135.103, Code 2023, is amended to read as
8follows:
9135.103 Grant program.
10The department shall implement a childhood lead poisoning
11prevention grant program which provides federal, state, or
12other funds to local boards of health or cities and counties
13 for the program after standards and requirements for the
14local program are developed consistent with the most recent
15recommendations regarding the maximum blood lead level and
16recommended actions based on blood lead level published by
17the centers for disease control and prevention of the United
18States department of health and human services. The department
19may also use federal, state, or other funds provided for the
20childhood lead poisoning prevention grant program to purchase
21environmental and blood testing services from a public health
22laboratory.
23 Sec. 4. Section 135.105B, Code 2023, is amended by striking
24the section and inserting in lieu thereof the following:
25135.105B Guidelines for local lead hazard remediation
26programs.
271. The department shall develop guidelines to be used by
28local programs that administer lead hazard remediation programs
29to address the health and environmental needs of children who
30are confirmed as lead poisoned.
312. The guidelines shall be based on the most recent
32guidelines published by the centers for disease control and
33prevention of the United States department of health and human
34services for recommended actions based on blood lead level and
35shall reflect the maximum blood lead level specified by rule
-2-1of the department.
23. A city or county may elect to administer a local program
3through a city or county health department on a city, county,
4or multicounty basis or may request that the state develop and
5administer the local program.
6EXPLANATION
7The inclusion of this explanation does not constitute agreement with
8the explanation’s substance by the members of the general assembly.
9This bill amends provisions relating to the childhood lead
10poisoning prevention program (program) in the department of
11health and human services (HHS) to align maximum blood lead
12level provisions and program activities with the most recent
13maximum lead level in children specified by the centers for
14disease control and prevention (CDC) and the recommended
15actions based on the CDC blood lead level.
16The bill requires HHS guidelines for the program to be based
17on the maximum blood lead level in children as specified by
18rule of HHS and shall provide for responsive action, including
19but not limited to case management services for children
20and the provision of available home intervention and target
21housing resources, when the maximum level is met or exceeded in
22accordance with the most recent recommended actions published
23by the CDC.
24The bill requires HHS to adopt rules for the program that
25specify the maximum blood lead level in children as the level
26of lead in the bloodstream that equals or exceeds the lower of
273.5 micrograms of lead per deciliter of blood, or an amount
28identified in the most recent recommendations by the CDC,
29and that necessitates the undertaking of responsive action,
30including but not limited to case management services for
31children and the provision of home intervention and target
32housing resources.
33The bill also requires the guidelines for lead hazard
34remediation used for both state and local programs in instances
35in which a child is confirmed as lead poisoned, to be based on
-3-1the CDC guidelines and consistent throughout the state.
2The bill provides that the grant program requirements,
3providing federal, state, or other funds, are to be consistent
4with the most recent CDC-recommended maximum blood lead level
5and actions.
6The bill requires the HHS guidelines used by local lead
7hazard remediation programs to be based on the most recent CDC
8guidelines for recommended actions based on blood lead level
9and reflect the maximum blood lead level specified by rule of
10HHS. The bill continues the current option under the program
11for a city or county to elect to administer a local program
12through a city or county health department on a city, county,
13or multicounty basis or to request that the state develop and
14administer the local program.
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