{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-46.1.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-46.1.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-46.1.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-46.1.html"}],"law_id":75856,"edition_id":1,"section_id":75856,"structure_id":16047,"section_number":"32.1-46.1","catch_line":"Board to establish protocol for identification of children with elevated blood-lead levels","history":"2000, c. 907; 2003, c. 463; 2007, c. 691; 2012, c. 147.","full_text":"The Board shall promulgate regulations establishing a protocol for the identification of children at risk for elevated blood-lead levels which shall (i) require blood-lead level testing at appropriate ages and frequencies, when indicated, (ii) provide for criteria for determining low risk for elevated blood-lead levels and when such blood-lead level testing is not indicated, and (iii) require physicians to make available to parents information on the dangers of lead poisoning, along with a list of available resources, as part of regular well check visits for all children.\n\t\tAs deemed necessary by the Board, the protocol may also address follow-up testing for children with elevated blood-lead levels, dissemination of the protocol or other information to relevant health care professionals, appropriate information for parents, and other means of preventing lead poisoning among children. In promulgating such regulations, the Board shall consider the guidelines of the Centers for Disease Control and Prevention and may consider such other materials relating to lead poisoning prevention, testing, and treatment as it deems appropriate. The Board may also establish procedures governing how health care providers and laboratories report results to the Department of Health.\n\t\tThe Commissioner may authorize linkages between secure electronic data systems maintained by the Department of Health containing blood-lead level records and the Virginia Immunization Information System (VIIS) operated pursuant to \u00a7 32.1-46.01. The Commissioner may authorize health care providers authorized to view VIIS to view blood-lead level records of individuals to whom the providers are providing health care services. The records may be made available until the child reaches seven years of age, after which the records shall not be made available through a linkage to VIIS. Such linkages shall be subject to all applicable state and federal privacy laws and regulations.","order_by":null,"text":{"0":{"id":272382,"text":"The Board shall promulgate regulations establishing a protocol for the identification of children at risk for elevated blood-lead levels which shall (i) require blood-lead level testing at appropriate ages and frequencies, when indicated, (ii) provide for criteria for determining low risk for elevated blood-lead levels and when such blood-lead level testing is not indicated, and (iii) require physicians to make available to parents information on the dangers of lead poisoning, along with a list of available resources, as part of regular well check visits for all children.\n\t\tAs deemed necessary by the Board, the protocol may also address follow-up testing for children with elevated blood-lead levels, dissemination of the protocol or other information to relevant health care professionals, appropriate information for parents, and other means of preventing lead poisoning among children. In promulgating such regulations, the Board shall consider the guidelines of the Centers for Disease Control and Prevention and may consider such other materials relating to lead poisoning prevention, testing, and treatment as it deems appropriate. The Board may also establish procedures governing how health care providers and laboratories report results to the Department of Health.\n\t\tThe Commissioner may authorize linkages between secure electronic data systems maintained by the Department of Health containing blood-lead level records and the Virginia Immunization Information System (VIIS) operated pursuant to \u00a7 32.1-46.01. The Commissioner may authorize health care providers authorized to view VIIS to view blood-lead level records of individuals to whom the providers are providing health care services. The records may be made available until the child reaches seven years of age, after which the records shall not be made available through a linkage to VIIS. Such linkages shall be subject to all applicable state and federal privacy laws and regulations.","type":"section","prefixes":[""],"prefix":"","entire_prefix":"","prefix_anchor":"","level":1}},"ancestry":[{"id":16047,"edition_id":1,"name":"Disease Control Measures","identifier":"3","label":"article","depth":3,"order_by":1,"parent_id":13607,"metadata":{},"date_created":"2026-06-26 04:04:37","date_modified":"2026-06-26 04:04:37","permalink":{"id":201951,"object_type":"structure","relational_id":16047,"identifier":"3","token":"32.1\/2\/3","url":"\/32.1\/2\/3\/","edition_id":1,"permalink":0,"preferred":1}},{"id":13607,"edition_id":1,"name":"Disease Prevention and Control","identifier":"2","label":"chapter","depth":2,"order_by":1,"parent_id":12727,"metadata":{},"date_created":"2026-06-26 03:45:22","date_modified":"2026-06-26 03:45:22","permalink":{"id":201743,"object_type":"structure","relational_id":13607,"identifier":"2","token":"32.1\/2","url":"\/32.1\/2\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12727,"edition_id":1,"name":"Health","identifier":"32.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":201099,"object_type":"structure","relational_id":12727,"identifier":"32.1","token":"32.1","url":"\/32.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":76165,"structure_id":16047,"section_number":"32.1-42","catch_line":"Emergency rules and regulations","url":"\/32.1-42\/","token":"32.1\/2\/3\/32.1-42","metadata":false},{"id":66908,"structure_id":16047,"section_number":"32.1-42.1","catch_line":"Administration and dispensing of necessary drugs, devices and vaccines during a declared disaster or emergency","url":"\/32.1-42.1\/","token":"32.1\/2\/3\/32.1-42.1","metadata":false},{"id":78441,"structure_id":16047,"section_number":"32.1-42.2","catch_line":"Declared emergency; priority for personal protective equipment and immunization; funeral service licensees and funeral service establishment employees","url":"\/32.1-42.2\/","token":"32.1\/2\/3\/32.1-42.2","metadata":false},{"id":65793,"structure_id":16047,"section_number":"32.1-43","catch_line":"Authority of State Health Commissioner to require quarantine, etc","url":"\/32.1-43\/","token":"32.1\/2\/3\/32.1-43","metadata":false},{"id":62960,"structure_id":16047,"section_number":"32.1-44","catch_line":"Isolated or quarantined persons","url":"\/32.1-44\/","token":"32.1\/2\/3\/32.1-44","metadata":false},{"id":73376,"structure_id":16047,"section_number":"32.1-45","catch_line":"Expense of treatment","url":"\/32.1-45\/","token":"32.1\/2\/3\/32.1-45","metadata":false},{"id":71237,"structure_id":16047,"section_number":"32.1-45.1","catch_line":"Deemed consent to testing and release of test results related to infection with human immunodeficiency virus or hepatitis B or C viruses","url":"\/32.1-45.1\/","token":"32.1\/2\/3\/32.1-45.1","metadata":false},{"id":68561,"structure_id":16047,"section_number":"32.1-45.2","catch_line":"Public safety employees; testing for blood-borne pathogens; procedure available for certain citizens; definitions","url":"\/32.1-45.2\/","token":"32.1\/2\/3\/32.1-45.2","metadata":false},{"id":83229,"structure_id":16047,"section_number":"32.1-45.3","catch_line":"Repealed","url":"\/32.1-45.3\/","token":"32.1\/2\/3\/32.1-45.3","metadata":false},{"id":73569,"structure_id":16047,"section_number":"32.1-45.4","catch_line":"Comprehensive harm reduction programs","url":"\/32.1-45.4\/","token":"32.1\/2\/3\/32.1-45.4","metadata":false},{"id":80398,"structure_id":16047,"section_number":"32.1-46","catch_line":"Immunization of patients against certain diseases","url":"\/32.1-46\/","token":"32.1\/2\/3\/32.1-46","metadata":false},{"id":70560,"structure_id":16047,"section_number":"32.1-46.01","catch_line":"Virginia Immunization Information System","url":"\/32.1-46.01\/","token":"32.1\/2\/3\/32.1-46.01","metadata":false},{"id":73649,"structure_id":16047,"section_number":"32.1-46.02","catch_line":"Administration of influenza vaccine to minors","url":"\/32.1-46.02\/","token":"32.1\/2\/3\/32.1-46.02","metadata":false},{"id":75856,"structure_id":16047,"section_number":"32.1-46.1","catch_line":"Board to establish protocol for identification of children with elevated blood-lead levels","url":"\/32.1-46.1\/","token":"32.1\/2\/3\/32.1-46.1","metadata":false},{"id":74454,"structure_id":16047,"section_number":"32.1-46.2","catch_line":"Certain testing or determination of low risk for elevated blood-lead levels required","url":"\/32.1-46.2\/","token":"32.1\/2\/3\/32.1-46.2","metadata":false},{"id":78372,"structure_id":16047,"section_number":"32.1-47","catch_line":"Exclusion from school of children not immunized","url":"\/32.1-47\/","token":"32.1\/2\/3\/32.1-47","metadata":false},{"id":73049,"structure_id":16047,"section_number":"32.1-47.1","catch_line":"Vaccination of children; plan enhancements","url":"\/32.1-47.1\/","token":"32.1\/2\/3\/32.1-47.1","metadata":false},{"id":69455,"structure_id":16047,"section_number":"32.1-48","catch_line":"Powers of Commissioner in epidemic","url":"\/32.1-48\/","token":"32.1\/2\/3\/32.1-48","metadata":false},{"id":78035,"structure_id":16047,"section_number":"32.1-48.001","catch_line":"(For contingent effective date, see Acts 2021, Sp. Sess. I, c. 472, cl. 2) Real-time information sharing for emergency medical services agencies","url":"\/32.1-48.001\/","token":"32.1\/2\/3\/32.1-48.001","metadata":false}],"previous_section":{"id":73649,"structure_id":16047,"section_number":"32.1-46.02","catch_line":"Administration of influenza vaccine to minors","url":"\/32.1-46.02\/","token":"32.1\/2\/3\/32.1-46.02","metadata":false},"next_section":{"id":74454,"structure_id":16047,"section_number":"32.1-46.2","catch_line":"Certain testing or determination of low risk for elevated blood-lead levels required","url":"\/32.1-46.2\/","token":"32.1\/2\/3\/32.1-46.2","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-46.1\/","history_text":"

This law was first created in 2000. The record of its establishment is cataloged in chapter 907<\/a> of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year. It has been modified 3 times. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. Those modifications are as follows: in 2003, chapter 463<\/a>; in 2007, chapter 691<\/a>; in 2012, chapter 147<\/a>.<\/p>","references":[{"id":70560,"section_number":"32.1-46.01","catch_line":"Virginia Immunization Information System","order_by":null,"url":"\/32.1-46.01\/"},{"id":74454,"section_number":"32.1-46.2","catch_line":"Certain testing or determination of low risk for elevated blood-lead levels required","order_by":null,"url":"\/32.1-46.2\/"},{"id":83528,"section_number":"54.1-2901","catch_line":"Exceptions and exemptions generally","order_by":null,"url":"\/54.1-2901\/"}],"refers_to":[{"id":70560,"section_number":"32.1-46.01","catch_line":"Virginia Immunization Information System","order_by":null,"url":"\/32.1-46.01\/"}],"permalink":{"id":202005,"object_type":"law","relational_id":75856,"identifier":"32.1-46.1","token":"32.1\/2\/3\/32.1-46.1","url":"\/32.1-46.1\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-46.1\/","token":"32.1\/2\/3\/32.1-46.1","dublin_core":{"Title":"Board to establish protocol for identification of children with elevated blood-lead levels","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-46.1","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

The Board<\/span> shall promulgate regulations establishing a protocol for the identification of children at risk for elevated blood-lead levels which shall (i) require blood-lead level testing at appropriate ages and frequencies, when indicated, (ii) provide for criteria for determining low risk for elevated blood-lead levels and when such blood-lead level testing is not indicated, and (iii) require physicians to make available to parents information on the dangers of lead poisoning, along with a list of available resources, as part of regular well check visits for all children.\n\t\tAs deemed necessary by the Board<\/span>, the protocol may also address follow-up testing for children with elevated blood-lead levels, dissemination of the protocol or other information to relevant health care professionals, appropriate information for parents, and other means of preventing lead poisoning among children. In promulgating such regulations, the Board<\/span> shall consider the guidelines of the Centers for Disease Control and Prevention and may consider such other materials<\/span> relating to lead poisoning prevention, testing, and treatment as it deems appropriate. The Board<\/span> may also establish procedures governing how health care providers and laboratories report results to the Department<\/span> of Health.\n\t\tThe Commissioner<\/span> may authorize linkages between secure electronic data systems maintained by the Department<\/span> of Health containing blood-lead level records and the Virginia Immunization Information System (VIIS) operated pursuant to \u00a7 32.1-46.01<\/a>. The Commissioner<\/span> may authorize health care providers authorized to view VIIS to view blood-lead level records of individuals to whom the providers are providing health care services. The records may be made available until the child reaches seven years of age, after which the records shall not be made available through a linkage to VIIS. Such linkages shall be subject to all applicable state and federal privacy laws<\/span> and regulations.<\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nBOARD TO ESTABLISH PROTOCOL FOR IDENTIFICATION OF CHILDREN WITH ELEVATED\nBLOOD-LEAD LEVELS (\u00a7 32.1-46.1)\n\nThe Board shall promulgate regulations establishing a protocol for the\nidentification of children at risk for elevated blood-lead levels which shall\n(i) require blood-lead level testing at appropriate ages and frequencies, when\nindicated, (ii) provide for criteria for determining low risk for elevated\nblood-lead levels and when such blood-lead level testing is not indicated, and\n(iii) require physicians to make available to parents information on the dangers\nof lead poisoning, along with a list of available resources, as part of regular\nwell check visits for all children.\n\t\tAs deemed necessary by the Board, the protocol may also address follow-up\ntesting for children with elevated blood-lead levels, dissemination of the\nprotocol or other information to relevant health care professionals, appropriate\ninformation for parents, and other means of preventing lead poisoning among\nchildren. In promulgating such regulations, the Board shall consider the\nguidelines of the Centers for Disease Control and Prevention and may consider\nsuch other materials relating to lead poisoning prevention, testing, and\ntreatment as it deems appropriate. The Board may also establish procedures\ngoverning how health care providers and laboratories report results to the\nDepartment of Health.\n\t\tThe Commissioner may authorize linkages between secure electronic data systems\nmaintained by the Department of Health containing blood-lead level records and\nthe Virginia Immunization Information System (VIIS) operated pursuant to \u00a7\n32.1-46.01. The Commissioner may authorize health care providers authorized to\nview VIIS to view blood-lead level records of individuals to whom the providers\nare providing health care services. The records may be made available until the\nchild reaches seven years of age, after which the records shall not be made\navailable through a linkage to VIIS. Such linkages shall be subject to all\napplicable state and federal privacy laws and regulations.\n\nHISTORY: 2000, c. 907; 2003, c. 463; 2007, c. 691; 2012, c. 147.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}