Arizona Secretary of State - Ken Bennett


 
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TITLE 9. HEALTH SERVICES

CHAPTER 13. DEPARTMENT OF HEALTH SERVICES
HEALTH PROGRAMS SERVICES


Supp. 06-2

ARTICLE 1. HEARING SCREENING

Article 1 consisting of Sections R9-13-101 through R9-13-110 adopted effective February 18, 1986.

Former Article 1 consisting of Sections R9-13-111 through R9-13-117 repealed effective February 18, 1986 (Supp. 86-1).

Section

R9-13-101. Definitions

R9-13-102. Hearing Screening Population

R9-13-103. Hearing Screening Requirements

R9-13-104. Criteria for Passing a Hearing Screening; Requirements for Performing a Second Hearing Screening

R9-13-105. Referral; Notification; Follow-up

R9-13-106. Repealed

R9-13-107. Screener Qualifications

R9-13-108. Equipment Standards

R9-13-109. Recordkeeping, Reporting Requirements

R9-13-110. Repealed

R9-13-111. Repealed

R9-13-112. Renumbered

R9-13-113. Renumbered

R9-13-114. Repealed

R9-13-115. Repealed

R9-13-116. Renumbered

R9-13-117. Renumbered

ARTICLE 2. NEWBORN AND INFANT SCREENING

Article 2, consisting of R9-13-201 through R9-13-205, recodified from R9-14-501 through R9-14-505 at 11 A.A.R. 3577, effective August 31, 2005 (Supp. 05-3).

Section

R9-13-201. Definitions

R9-13-202. Tests for Congenital Disorders

R9-13-203. General Requirements for Newborn and Infant Bloodspot Tests

R9-13-204. First Specimen Collection

R9-13-205. Second Specimen Collection

R9-13-206. Reporting Requirements for Specimens

R9-13-207. Reporting Requirements for Hearing Test Results

R9-13-208. Fees

ARTICLE 3. REPEALED

Article 3 consisting of Sections R9-13-301 through R9-13-304 adopted effective July 16, 1981.

Article 3 consisting of Sections R9-13-301 through R9-13-306 repealed effective July 16, 1981.

ARTICLE 4. REPEALED

Article 4 consisting of Sections R9-13-401 through R9-13-406 repealed effective December 16, 1996 (Supp. 96-4).

Article 4 consisting of Sections R9-13-401 through R9-13-406 adopted effective July 16, 1981.

Article 4 consisting of Sections R9-13-401 through R9-13-407 repealed effective July 16, 1981.

ARTICLE 5. REPEALED

Article 5 consisting of Sections R9-13-501 through R9-13-504 adopted effective July 16, 1981.

Article 5 consisting of Sections R9-13-501 through R9-13-511 repealed effective July 16, 1981.

ARTICLE 6. REPEALED

Article 6 consisting of Sections R9-13-601 through R9-13-606 repealed effective December 16, 1996 (Supp. 96-4).

Article 6 consisting of Sections R9-13-601 through R9-13-606 adopted effective July 16, 1981.

Article 6 consisting of Sections R9-13-601 through R9-13-605 repealed effective July 16, 1981.

ARTICLE 7. REPEALED

Article 7 consisting of Sections R9-13-701 through R9-13-704 adopted effective July 16, 1981.

ARTICLE 8. REPEALED

The rules in Article 8 (R9-13-801, R9-13-802, and R9-13-806) were automatically repealed June 1, 2000. The heading for Article 8 was repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

Article 8 consisting of Sections R9-13-801 through R9-13-806 adopted effective July 16, 1981.

Section

R9-13-801. Repealed

R9-13-802. Repealed

R9-13-803. Repealed

R9-13-804. Repealed

R9-13-805. Repealed

R9-13-806. Repealed

ARTICLE 9. REPEALED

Article 9, consisting of Section R9-13-901, repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

Article 9 consisting of Section R9-13-901 adopted effective October 13, 1982.

Section

R9-13-901. Repealed

R9-13-902. Emergency expired

ARTICLE 10. REPEALED

Section

R9-13-1001. Repealed

R9-13-1002. Repealed

R9-13-1003. Repealed

R9-13-1004. Repealed

ARTICLE 11. REPEALED

Section

R9-13-1101. Repealed

R9-13-1102. Repealed

R9-13-1103. Repealed

R9-13-1104. Repealed

R9-13-1105. Repealed

ARTICLE 12. REPEALED

Section

R9-13-1201. Repealed

R9-13-1202. Emergency expired

ARTICLE 13. REPEALED

Article 13, consisting of Sections R9-13-1301 through R9-13-1303, repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

Article 13 consisting of Sections R9-13-1301 through R9-13-1303 adopted effective November 23, 1983.

Section

R9-13-1301. Repealed

R9-13-1302. Repealed

R9-13-1303. Repealed

ARTICLE 14. REPEALED

Article 14, consisting of Sections R9-13-1401 through R9-13-1415, repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

Article 14 consisting of Sections R9-13-1401 through R9-13-1415 adopted effective March 19, 1984.

Article 14 consisting of Sections R9-13-1401 through R9-13-1417 adopted as an emergency effective November 29, 1983, pursuant to A.R.S. § 41-1003, valid for only 90 days.

Section

R9-13-1401. Repealed

R9-13-1402. Repealed

R9-13-1403. Repealed

R9-13-1404. Repealed

R9-13-1405. Repealed

R9-13-1406. Repealed

R9-13-1407. Repealed

R9-13-1408. Repealed

R9-13-1409. Repealed

R9-13-1410. Repealed

R9-13-1411. Repealed

R9-13-1412. Repealed

R9-13-1413. Repealed

R9-13-1414. Repealed

R9-13-1415. Repealed

R9-13-1416. Emergency expired

R9-13-1417. Emergency expired

ARTICLE 15. RECODIFIED

Editor's Note: Article 15, consisting of R9-13-1501 through R9-3-1503 and Exhibits, was recodified to 9 A.A.C. 25.

Editor's Note: Former Article 15 was originally adopted, and subsequently amended by the addition of a new Section, under an exemption from the provisions of the Administrative Procedure Act which means that the rules were not reviewed by the Governor's Regulatory Review Council; the agency did not submit notice of proposed rulemaking to the Secretary of State for publication in the Arizona Administrative Register; the agency was not required to hold public hearings on the rules; and the Attorney General did not certify the rules.

Article 15, consisting of Sections R9-13-1501 through R9-13-1503, recodified to 9 A.A.C. 25, R9-25-801 through R9-25-803 (Supp. 98-1).

ARTICLE 1. HEARING SCREENING

R9-13-101. Definitions

In this Article, unless the context otherwise requires:

1. "Assistive listening device" has the meaning in A.R.S. § 36-1901.

2. "Audiologist" means an individual licensed under A.R.S. Title 36, Chapter 17.

3. "Audiometer" means an electronic device that generates signals used to measure hearing.

4. "Calibration" means a determination of the accuracy of an instrument by measurement of a variation from a standard.

5. "Cochlear implant" means a surgically inserted device that electrically stimulates the hearing nerve in the inner ear.

6. "dB" means decibel.

7. "dB HL" means decibel hearing level.

8. "Deaf" has the meaning in A.R.S. § 36-1941.

9. "Department" means the Arizona Department of Health Services.

10. "Documentation" means signed and dated information in written, photographic, electronic, or other permanent form.

11. "Effusion" means the escape of fluid from a blood or lymphatic vessel into tissue or a cavity.

12. "Frequency" means the number of cycles per second of a sound wave.

13. "Hard of hearing" has the meaning in A.R.S. § 36-1941.

14. "Hearing aid" has the meaning in A.R.S. § 36-1901.

15. "Hearing screening" means a test of a student's ability to hear certain frequencies at a consistent loudness performed in a school by an individual who meets the requirements in R9-13-107.

16. "Hz" means Hertz, a unit of frequency equal to one cycle per second.

17. "Immittance" means the ease of transmission of sound through the middle ear.

18. "Inner ear" means the semicircular canals, auditory nerve, and cochlea.

19. "Intensity" means the strength of a sound wave striking the eardrum resulting in the perception of loudness as expressed in decibels or decibels hearing level.

20. "Kindergarten" means the grade level immediately preceding first grade.

21. "Middle ear" means the eardrum, malleus, incus, stapes, and eustachian tube.

22. "mm H2O" means millimeters of water.

23. "Noise floor" means sounds present in the auditory canal from either the environment or bodily functions such as breathing and blood flow.

24. "Otitis media" means inflammation of the middle ear.

25. "Otoacoustic emissions" means the sounds generated from the inner ear.

26. "Outer ear" means the pinna, lobe, and auditory canal.

27. "Parent" has the meaning in A.R.S. § 15-101.

28. "Physician" means an individual licensed under A.R.S. Title 32, Chapter 13 or 17.

29. "Preschool" means the instruction preceding kindergarten provided to individuals three to five years old through a:

a. School as defined in A.R.S. § 15-101,

b. Accommodation school as defined in A.R.S. § 15-101,

c. Charter school as defined in A.R.S. § 15-101, or

d. Private school as defined in A.R.S. § 15-101.

30. "Primary care practitioner" means an individual licensed as a registered nurse practitioner under A.R.S. Title 32, Chapter 15 or a physician assistant under A.R.S. 32, Chapter 25.

31. "Pure tone" means a single frequency sound.

32. "Reproducibility" means the correlation of two responses measured simultaneously and reported by percentage.

33. "School" means:

a. School as defined in A.R.S. § 15-101;

b. Preschool,

c. Kindergarten,

d. Accommodation school as defined in A.R.S. § 15-101,

e. Charter school as defined in A.R.S. § 15-101, or

f. Private school as defined in A.R.S. § 15-101

34. "School administrator" means an individual or the individual's designee assigned to act on behalf of a school by the body organized for the government and the management of the school.

35. "School year" means the period between July 1 and the following June 30.

36. "Screener" means an individual qualified to perform a hearing screening in a school according to R9-13-107.

37. "Special education" has the meaning in A.R.S. § 15-761.

38. "Speech-language pathologist" means an individual licensed under A.R.S. Title 36, Chapter 17.

39. "Student" means an individual enrolled in a school.

40. "Supervision" has the meaning in A.R.S. § 36-401.

41. "Tympanogram" means a chart of the indirect measurements of the ease of movement of the parts of the middle ear as air pressure in the auditory canal changes.

42. "Tympanometer" means a device that indirectly measures the ease of movement of the parts of the middle ear as air pressure in the auditory canal changes.

43. "Tympanometry" means the indirect measurement of the ease of movement of the parts of the middle ear as air pressure in the auditory canal changes.

Historical Note

Adopted effective February 18, 1986 (Supp. 86-1). Amended effective October 15, 1993 (Supp. 93-4). Amended by final rulemaking at 8 A.A.R. 3307, effective July 16, 2002 (Supp. 02-3).

R9-13-102. Hearing Screening Population

A. A school administrator shall ensure that the following students have a hearing screening each school year:

1. A student enrolled in preschool, kindergarten, or grade 1, 2, 6, or 9;

2. A student enrolled in grade 3, 4, or 5, unless there is written documentation that the student had a hearing screening in or after grade 2;

3. A student enrolled in grade 7 or 8, unless there is written documentation that the student had a hearing screening in or after grade 6;

4. A student enrolled in grade 10, 11, or 12 unless there is written documentation that the student had a hearing screening in or after grade 9;

5. A student receiving special education; and

6. A student who failed a second hearing screening in the prior school year.

B. A school administrator shall ensure that a student has a hearing screening at the request of the student, the student's parent, a schoolteacher, a school nurse, a school psychologist, an audiologist, a physician, a primary care practitioner, a speech language pathologist, or Department staff.

C. A hearing screening is not required if a:

1. Student is age 16 years or over;

2. Student's parent objects in writing to the screening as allowed under A.R.S. § 36-899.04;

3. Written diagnosis or evaluation from an audiologist states that a student is deaf or hard of hearing; or

4. Student has a hearing aid, an assistive listening device, or a cochlear implant.

D. In addition to meeting the requirements in subsections (A) and (B), a school administrator shall ensure that a student who meets the criteria specified in State Board of Education rule R7-2-401 has a hearing screening required under R7-2-401.

Historical Note

Former Section R9-13-112 renumbered and amended as Section R9-13-102 effective February 18, 1986 (Supp. 86-1). Amended effective October 15, 1993 (Supp. 93-4). Amended by final rulemaking at 8 A.A.R. 3307, effective July 16, 2002 (Supp. 02-3).

R9-13-103. Hearing Screening Requirements

A. Before performing a hearing screening, a screener shall visually inspect a student's outer ears for:

1. Fluid or drainage,

2. Blood,

3. An open sore, or

4. A foreign object.

B. If a screener inspects a student's outer ears and finds any of the conditions in subsection (A), the screener shall not perform a hearing screening.

C. A screener shall perform a hearing screening in each ear using one of the following hearing screening methods:

1. Four-frequency, pure tone hearing screening that screens at each of the following frequencies and intensities:

a. 500 Hz at 25 dB HL,

b. 1000 Hz at 20 dB HL,

c. 2000 Hz at 20 dB HL, and

d. 4000 Hz at 20 dB HL;

2. Three-frequency, pure tone hearing screening with tympanometry that:

a. Includes a tympanogram that is generated automatically or is plotted at a minimum of the following three points:

i. +100 mm H2O,

ii. Point of maximum immittance, and

iii. -200 mm H2O; and

b. Screens at each of the following frequencies at 20 dB HL:

i. 1000 Hz,

ii. 2000 Hz, and

iii. 4000 Hz; or

3. Otoacoustic emissions hearing screening using otoacoustic emissions equipment that generates a pass or no pass result:

a. Using a minimum of three frequencies,

b. At no less than 3 dB above the noise floor, and

c. With reproducibility greater than 50%.

Historical Note

Adopted effective February 18, 1986 (Supp. 86-1). Amended effective October 15, 1993 (Supp. 93-4). Amended by final rulemaking at 8 A.A.R. 3307, effective July 16, 2002 (Supp. 02-3).

R9-13-104. Criteria for Passing a Hearing Screening; Requirements for Performing a Second Hearing Screening

A. A student passes a hearing screening if:

1. During a four-frequency, pure tone hearing screening, the student responds in each ear to each frequency at each intensity listed in R9-13-103(C)(1)(a) through (C)(1)(d);

2. During a three-frequency, pure tone hearing screening with tympanometry, the student:

a. Responds in each ear to each frequency as described in R9-13-103(C)(2)(b); and

b. Reaches a point of maximum immittance in each ear within the range of +100mm H2O to -200mm H2O; or

3. During an otoacoustic emissions hearing screening, the student receives a pass result in each ear according to R9-13-103(C)(3).

B. If a student does not pass a hearing screening according to subsection (A), a screener shall perform a second hearing screening on the student no earlier than 30 days and no later than 45 days from the date of the first hearing screening. The screener shall perform the second hearing screening using the same method as the first hearing screening.

Historical Note

Adopted effective February 18, 1986 (Supp. 86-1). Amended effective October 15, 1993 (Supp. 93-4). Amended by final rulemaking at 8 A.A.R. 3307, effective July 16, 2002 (Supp. 02-3).

R9-13-105. Referral; Notification; Follow-up

A. If a school administrator finds that a student does not require a hearing screening under R9-13-102(C)(3) or (C)(4), the school administrator shall provide to the student's parent, within 10 days from the date the finding is made, a referral to have the student's current hearing status evaluated by an audiologist, including an electroacoustic analysis of any hearing aid or assistive listening device, unless there is documentation from an audiologist specifying a different evaluation schedule.

B. If a screener finds any of the conditions listed in R9-13-103(A) and a student does not have a hearing screening:

1. A school administrator shall provide to the student's parent, within 10 days from the date the condition is found, a referral to have the student's outer ears evaluated by a physician or primary care practitioner; and

2. A screener shall perform the hearing screening on the student no earlier than 30 days and no later than 45 days from the date the screener finds the condition.

C. If a student does not pass a second hearing screening or does not complete a second hearing screening within the time period required under R9-13-104(B), a school administrator shall provide to the student's parent, within 10 days from the date of the second hearing screening or from the date the period for completing a second hearing screening ends, a referral to have the student's current hearing status evaluated by one of the following:

1. An audiologist, a physician, or a primary care practitioner if the screener used only the four-frequency, pure tone hearing screening method;

2. A physician or primary care practitioner if the student did not pass the tympanometry portion, but passed the three-frequency, pure tone portion of the hearing screening;

3. An audiologist if the student did not pass the three-frequency, pure tone portion, but passed the tympanometry portion of the hearing screening; or

4. An audiologist, a physician, or a primary care practitioner if the screener used the otoacoustic emissions hearing screening method.

D. A referral identified in subsection (C) is not required if a school-provided audiologist:

1. Assesses a student's hearing status and the condition of the middle ear at the conclusion of a hearing screening; and

2. Within 10 days from date of the assessment, provides the student's parent with a written diagnosis and recommendation for treatment, if applicable.

E. A referral required under subsections (A), (B), or (C), shall include a form requesting the following:

1. The name, address, and telephone number of the student evaluated;

2. The date of evaluation;

3. An assessment of the condition of the outer ear, if applicable;

4. An assessment of hearing status and the condition of the middle ear, if applicable;

5. A diagnosis and recommendation for treatment, if applicable;

6. The signature and title of the individual evaluating the student and completing the form; and

7. A request that the individual completing the form or the student's parent return the completed form to the school.

F. Under State Board of Education rule R7-2-401, a school administrator shall ensure that a student referred under subsections (A) or (C) is evaluated.

G. If a school receives notice of a diagnosis that a student is deaf or hard of hearing from an audiologist, the school administrator shall notify, within 10 days from the date the notice of diagnosis is received, each of the student's teachers and the person responsible for the school's special education services of the diagnosis.

Historical Note

Adopted effective February 18, 1986 (Supp. 86-1). Amended effective October 15, 1993 (Supp. 93-4). Amended by final rulemaking at 8 A.A.R. 3307, effective July 16, 2002 (Supp. 02-3).

R9-13-106. Repealed

Historical Note

Adopted effective February 18, 1986 (Supp. 86-1). Amended effective October 15, 1993 (Supp. 93-4). Section repealed by final rulemaking at 8 A.A.R. 3307, effective July 16, 2002 (Supp. 02-3).

R9-13-107. Screener Qualifications

A. An audiologist may perform a hearing screening.

B. An individual who is not an audiologist may perform a hearing screening only if the individual passes a hearing screener course that:

1. Includes 90 minutes of classroom instruction in the introduction to hearing covering:

a. Development of speech and language;

b. Anatomy and physiology of the ear;

c. Signs and prevention of hearing loss in children; and

d. A.R.S. Title 36, Chapter 7.2 and 9 A.A.C. 13, Article 1;

2. Includes 120 minutes of classroom instruction in hearing screening covering:

a. Auditory development,

b. Early identification of hearing loss,

c. Principles of hearing screening,

d. Selection of hearing screening methods, and

e. Components of setting-up a hearing screening program;

3. Includes 75 minutes of classroom instruction in referral and reporting covering:

a. Results of a hearing screening,

b. Responses to a hearing screening outcome,

c. Procedures for recording and tracking,

d. Communication with parents,

e. Role of community resources, and

f. Reporting hearing screening results;

4. For an individual who will perform a hearing screening using three-frequency or four-frequency, pure tone hearing screening, includes 120 minutes of classroom instruction covering:

a. Selecting and setting-up a hearing screening site,

b. Performing a pure tone hearing screening, and

c. Identifying children who need referral and evaluation;

5. For an individual who will perform a hearing screening using tympanometry with three-frequency, pure tone hearing screening, includes 60 minutes of classroom instruction covering:

a. The anatomy and functions of the middle ear,

b. What tympanometry measures and identifies,

c. Using a tympanometer,

d. Performing a tympanometry hearing screening, and

e. Identifying children who need referral and evaluation;

6. For an individual who will perform a hearing screening using otoacoustic emissions hearing screening, includes 60 minutes of classroom instruction covering:

a. What otoacoustic emissions identify and measure,

b. Using otoacoustic emissions equipment,

c. Performing an otoacoustic emissions hearing screening, and

d. Identifying children who need referral and evaluation;

7. Requires an individual to pass the course by scoring 80% or more on an examination that tests what the individual has learned;

8. Is taught by an individual who:

a. Is an audiologist, or

b. Meets the screener qualifications in subsection (B) or (C) and has performed at least 50 hearing screenings within 24 months before teaching a hearing screener course; and

9. Provides an individual who passes the course with a certificate of completion that includes:

a. The individual's name;

b. Whether the following were completed:

i. Introduction to hearing,

ii. Hearing screening,

iii. Referral and reporting,

iv. Pure tone hearing screening,

v. Tympanometry hearing screening, and

vi. Otoacoustic emissions hearing screening;

c. An attestation that the course meets the requirements in subsection (B) or (C); and

d. The name and signature of the individual who taught the course.

C. Every five years after completing a hearing screener course described in subsection (B), a screener who is not an audiologist shall pass a hearing screener course that:

1. Includes 195 minutes of classroom instruction covering the material required under subsections (B)(1), (B)(2), and (B)(3);

2. For an individual who will perform a hearing screening using three-frequency or four-frequency, pure tone hearing screening, includes 60 minutes of classroom instruction covering the material required under subsection (B)(4);

3. For an individual who will perform a hearing screening using tympanometry with three-frequency, pure tone hearing screening, includes 30 minutes of classroom instruction covering the material required under subsection (B)(5);

4. For an individual who will perform a hearing screening using otoacoustic emissions hearing screening, includes 30 minutes of classroom instruction covering the material required under subsection (B)(6); and

5. Meets the requirements in subsections (B)(7), (B)(8), and (B)(9).

D. Before performing a hearing screening, an individual who passes a hearing screener course described in subsection (B) or (C) shall give a copy of the certificate of completion described in subsection (B)(9) to the school.

E. An individual who does not meet the screener qualifications in subsection (A), (B), or (C) may perform a four-frequency, pure tone hearing screening, other than a second hearing screening required under R9-25-104(B), only under the supervision of an individual who meets the screener qualifications in subsection (A), (B), or (C).

Historical Note

Former Section R9-13-113 renumbered and amended as Section R9-13-107 effective February 18, 1986 (Supp. 86-1). Amended effective October 15, 1993 (Supp. 93-4). Amended by final rulemaking at 8 A.A.R. 3307, effective July 16, 2002 (Supp. 02-3).

R9-13-108. Equipment Standards

A. A school administrator shall ensure that a pure tone audiometer used to perform a three-frequency or four-frequency, pure tone hearing screening is:

1. Calibrated every 12 months according to the American National Standard Specification for Audiometers, S3.6-1996, Standards Secretariat, c/o Acoustical Society of America, 120 Wall Street, 32nd Floor, New York, New York 10005-3993, January 12, 1996, incorporated by reference in R9-16-209(B)(1); and

2. Inspected within 24 hours before use to ensure that:

a. The calibration complies with subsection (A)(1),

b. The power source and power indicator are working,

c. The earphone cords are securely connected and have no breaks,

d. Each frequency and intensity required under R9-13-103(C)(1) is present,

e. A signal does not cross from one earphone to the other, and

f. Each earphone is free of noise or distortion that could interfere with a hearing screening.

B. A school administrator shall ensure that a tympanometer used to perform the tympanometry portion of a hearing screening:

1. Is calibrated every 12 months according to the American National Standard Specifications for Instruments to Measure Aural Acoustic Impedance and Admittance, S3.39-1987, Standards Secretariat, Acoustical Society of America, 335 East 45th Street, New York, New York 10017-3483, October 5, 1987, not including any later amendments or editions, incorporated by reference and on file with the Department and the Office of the Secretary of State; and

2. Is inspected within 24 hours before use to ensure that the calibration complies with subsection (B)(1).

C. A school administrator shall ensure that otoacoustic emissions equipment used to perform an otoacoustic emissions hearing screening is:

1. Calibrated every 12 months according to manufacturer's specifications; and

2. Inspected within 24 hours before use to ensure that:

a. The calibration complies with manufacturer's specifications,

b. No obstruction is in the probe microphone, and

c. The test signal is present.

Historical Note

Adopted effective February 18, 1986 (Supp. 86-1). Amended effective October 15, 1993 (Supp. 93-4). Amended by final rulemaking at 8 A.A.R. 3307, effective July 16, 2002 (Supp. 02-3).

R9-13-109. Recordkeeping, Reporting Requirements

A. A school administrator shall retain, for Department review and inspection, a written record of:

1. The date and results of a student's hearing screening for no less than three complete school years beginning on the first July 1 after the student's last date of attendance at the school, and

2. All calibration dates for a piece of hearing screening equipment currently used in the school.

B. By June 30th of each year, a school administrator shall submit to the Department the following information for the school year ending that June 30th:

1. On a form available from the Department, the number of students by grade in each of the following categories:

a. Were enrolled at the time of a first hearing screening,

b. Did not have a first hearing screening under R9-13-102(C),

c. Had a first hearing screening,

d. Did not pass a first hearing screening,

e. Had a second hearing screening,

f. Did not pass a second hearing screening,

g. Were evaluated by an audiologist,

h. Were evaluated by a physician or a primary care practitioner,

i. Were first diagnosed as deaf or hard of hearing during the current school year, and

j. Were diagnosed as deaf or hard of hearing during a prior school year; and

2. The name of each individual who performed a hearing screening in the school and:

a. The individual's license number to practice audiology, or

b. Evidence that the individual successfully completed a hearing screening course described in R9-13-107(B) or (C).

Historical Note

Former Section R9-13-116 renumbered and amended as Section R9-13-109 effective February 18, 1986 (Supp. 86-1). Amended effective October 15, 1993 (Supp. 93-4). Amended by final rulemaking at 8 A.A.R. 3307, effective July 16, 2002 (Supp. 02-3).

R9-13-110. Repealed

Historical Note

Former Section R9-13-117 renumbered and amended as Section R9-13-110 effective February 18, 1986 (Supp. 86-1). Repealed effective October 15, 1993 (Supp. 93-4).

R9-13-111. Repealed

Historical Note

Effective 4-72. Amended effective November 18, 1976 (Supp. 76-5). Repealed effective February 18, 1986 (Supp. 86-1).

R9-13-112. Renumbered

Historical Note

Effective 4-72. Amended effective November 18, 1976 (Supp. 76-5). Section R9-13-112 renumbered and amended as Section R9-13-102 effective February 18, 1986 (Supp. 86-1).

R9-13-113. Renumbered

Historical Note

Effective 4-72. Amended effective November 18, 1976 (Supp. 76-5). Section R9-13-113 renumbered and amended as Section R9-13-107 effective February 18, 1986 (Supp. 86-1).

R9-13-114. Repealed

Historical Note

Effective 4-72. Amended effective November 18, 1976 (Supp. 76-5). Repealed effective February 18, 1986 (Supp. 86-1).

R9-13-115. Repealed

Historical Note

Effective 4-72. Amended effective November 18, 1976 (Supp. 76-5). Repealed effective February 18, 1986 (Supp. 86-1).

R9-13-116. Renumbered

Historical Note

Effective 4-72. Correction, Section R9-13-116 omitted in Supp. 76-5 (Supp. 77-5). Section R9-13-116 renumbered and amended as Section R9-13-109 effective February 18, 1986 (Supp. 86-1).

R9-13-117. Renumbered

Historical Note

Effective 4-72. Correction, Section R9-13-117 omitted in Supp. 76-5 (Supp. 77-5). Section R9-13-117 renumbered and amended as Section R9-13-110 effective February 18, 1986 (Supp. 86-1).

ARTICLE 2. NEWBORN AND INFANT SCREENING

R9-13-201. Definitions

In this Article, unless otherwise specified:

1. "Abnormal result" means an outcome that deviates from the range of values established by the Department for an analysis performed as part of a bloodspot test, or for a hearing test.

2. "Admitted" means the same as in A.A.C. R9-10-201.

3. "AHCCCS" means the Arizona Health Care Cost Containment System.

4. "Argininosuccinic acidemia" means a congenital disorder characterized by an inability to metabolize the amino acid argininosuccinic acid due to defective argininosuccinate lyase activity.

5. "Audiological equipment" means instruments used to measure a physiological response to determine the presence, type, or degree of hearing loss.

6. "Audiologist" means an individual licensed under A.R.S. Title 36, Chapter 17.

7. "Beta-ketothiolase deficiency" means a congenital disorder characterized by an inability to metabolize 2-methyl-acetoacetyl-CoA due to defective mitochondrial acetoacetyl-CoA thiolase activity.

8. "Biotinidase deficiency" means a congenital disorder characterized by defective biotinidase activity that causes abnormal biotin metabolism.

9. "Birth center" means a health care facility that is not a hospital and is organized for the sole purpose of delivering newborns.

10. "Blood sample" means capillary or venous blood, but not cord blood, applied to the filter paper of a specimen collection kit.

11. "Bloodspot test" means multiple laboratory analyses performed on a blood sample to detect the presence of congenital disorders listed in R9-13-202.

12. "Carnitine uptake defect" means a congenital disorder characterized by a decrease in the amount of free carnitine due to defective sodium ion-dependent carnitine transporter OCTN2 activity.

13. "Citrullinemia" means a congenital disorder characterized by an inability to convert the amino acid citrulline and aspartic acid into argininosuccinic acid due to defective argininosuccinate synthetase activity.

14. "Classic galactosemia" means a congenital disorder characterized by abnormal galactose metabolism due to defective galactose-1-phosphate uridyltranferase activity.

15. "Congenital adrenal hyperplasia" means a congenital disorder characterized by decreased cortisol production and increased androgen production due to defective 21-hydroxylase activity.

16. "Congenital disorder" means an abnormal condition present at birth, as a result of heredity or environmental factors, that impairs normal physiological functioning of a human body.

17. "Congenital hypothyroidism" means a congenital disorder characterized by deficient thyroid hormone production.

18. "Cystic fibrosis" means a congenital disorder caused by defective functioning of a transmembrane regulator protein and characterized by damage to and dysfunction of various organs, such as the lungs, pancreas, and reproductive organs.

19. "Department" means the Arizona Department of Health Services.

20. "Discharge" means the termination of inpatient services to a newborn or infant.

21. "Disorder" means a disease or medical condition that may be identified by a laboratory analysis.

22. "Document" means to establish and maintain information in written, photographic, electronic, or other permanent form.

23. "Educational materials" means printed or electronic information provided by the Department, explaining newborn and infant screening, any of the congenital disorders listed in R9-13-202, or hearing loss.

24. "Electronic" means the same as in A.R.S. § 44-7002.

25. "First specimen" means the initial specimen that is collected from a newborn who is less than five days of age and sent to the screening laboratory for testing and recording of demographic information.

26. "Glutaric acidemia type I" means a congenital disorder characterized by an accumulation of glutaric acid due to defective glutaryl-CoA dehydrogenase activity.

27. "Guardian" means an individual appointed by a court under A.R.S. Title 14, Chapter 5, Article 2.

28. "Health care facility" means a health care institution defined in A.R.S. § 36-401 where obstetrical care or newborn care is provided.

29. "Health care provider" means a physician, physician assistant, registered nurse practitioner, or midwife.

30. "Health-related services" means the same as in A.R.S. § 36-401.

31. "Hearing test" means an evaluation of both ears of a newborn or infant, using audiological equipment, for the presence, type, or degree of hearing loss.

32. "Hemoglobin S/Beta-thalassemia" means a sickle cell disease in which an individual has one sickle cell gene and one gene for beta thalassemia, another inherited hemoglobinopathy.

33. "Hemoglobin S/C disease" means a sickle cell disease in which an individual has one sickle cell gene and one gene for another inherited hemoglobinopathy called hemoglobin C.

34. "Hemoglobinopathy" means a congenital disorder characterized by abnormal production, structure, or functioning of hemoglobin.

35. "Home birth" means delivery of a newborn, outside a health care facility, when the newborn is not hospitalized within 72 hours of delivery.

36. "Homocystinuria" means a congenital disorder characterized by abnormal methionine and homocysteine metabolism due to defective cystathione-ß-synthase activity.

37. "Hospital" means the same as in A.A.C. R9-10-201.

38. "Hospital services" means the same as in A.A.C. R9-10-201.

39. "3-Hydroxy-3-methylglutaric aciduria" means a congenital disorder characterized by the accumulation of 3-hydroxy-3-methylglutaric acid due to a defective 3-hydroxy-3-methylglutaryl-CoA lyase activity.

40. "Identification code" means a unique set of numbers or letters, or a unique set of both numbers and letters, assigned by the Department to a health care facility, a health care provider, an audiologist, or another person submitting specimen collection kits to the screening laboratory or hearing test results to the Department.

41. "Infant" means the same as in A.R.S. § 36-694.

42. "Inpatient" means an individual who:

a. Is admitted to a hospital,

b. Receives hospital services for 24 consecutive hours, or

c. Is admitted to a birth center.

43. "Inpatient services" means medical services, nursing services, or other health-related services provided to an inpatient in a health care facility.

44. "Isovaleric acidemia" means a congenital disorder characterized by an accumulation of isovaleric acid due to defective isovaleryl-CoA dehydrogenase activity.

45. "Long-chain 3-hydroxy acyl-CoA dehydrogenase deficiency" means a congenital disorder characterized by an inability to metabolize fatty acids that are 12 to 16 carbon atoms in length due to defective long-chain 3-hydroxy acyl-CoA dehydrogenase activity.

46. "Maple syrup urine disease" means a congenital disorder of branched chain amino acid metabolism due to defective branched chain-keto acid dehydrogenase activity.

47. "Medical services" means the same as in A.R.S. § 36-401.

48. "Medium chain acyl-CoA dehydrogenase deficiency" means a congenital disorder characterized by an inability to metabolize fatty acids that are 6 to 10 carbon atoms in length due to defective medium-chain acyl-CoA dehydrogenase activity.

49. "3-Methylcrotonyl-CoA carboxylase deficiency" means a congenital disorder characterized by an accumulation of 3-methylcrotonyl-glycine due to defective 3-methylcrotonyl-CoA carboxylase activity.

50. "Methylmalonic acidemia (Cbl A,B)" means a congenital disorder characterized by an accumulation of methylmal-
onic acid due to defective activity of methylmalonyl-CoA racemase or adenosylcobalamin synthetase.

51. "Methylmalonic acidemia (mutase deficiency)" means a congenital disorder characterized by an accumulation of methylmalonic acid due to defective methylmalonyl-CoA mutase activity.

52. "Midwife" means an individual licensed under A.R.S. Title 36, Chapter 6, Article 7, or certified under A.R.S. Title 32, Chapter 15.

53. "Multiple carboxylase deficiency" means a congenital disorder characterized by an inability to transport or metabolize biotin that leads to defective activity of propionyl-CoA carboxylase, beta-methylcrotonyl-CoA carboxylase, and pyruvate carboxylase.

54. "Newborn" means the same as in A.R.S. § 36-694.

55. "Newborn care" means medical services, nursing services, and health-related services provided to a newborn.

56. "Nursing services" means the same as in A.R.S. § 36-401.

57. "Obstetrical care" means medical services, nursing services, and health-related services provided to a woman throughout her pregnancy, labor, delivery, and postpartum.

58. "Organ" means a somewhat independent part of a human body, such as a salivary gland, kidney, or pancreas, which performs a specific function.

59. "Parent" means a natural, adoptive, or custodial mother or father of a newborn or infant.

60. "Person" means the state, a municipality, district, or other political subdivision, a cooperative, institution, corporation, company, firm, partnership, individual, or other legal entity.

61. "Phenylketonuria" means a congenital disorder characterized by abnormal phenylalanine metabolism due to defective phenylalanine hydroxylase activity.

62. "Physician" means an individual licensed under A.R.S. Title 32, Chapters 13, 14, 17, or 29.

63. "Physician assistant" means an individual licensed under A.R.S. Title 32, Chapter 25.

64. "Propionic acidemia" means a congenital disorder characterized by an accumulation of glycine and 3-hydroxypropionic acid due to defective propionyl-CoA carboxylase activity.

65. "Registered nurse practitioner" means the same as in A.R.S. § 32-1601.

66. "Screening laboratory" means an entity contracted with the Department under A.R.S. § 36-694(I) to perform the bloodspot test.

67. "Second specimen" means a specimen that is sent to the screening laboratory for testing and recording of demographic information, after being collected:

a. From a newborn after a first specimen; or

b. From an individual at least five days and not older than one year of age, regardless of whether a first specimen was collected.

68. "Sickle cell anemia" means a sickle cell disease in which an individual has two sickle cell genes.

69. "Sickle cell disease" means a hemoglobinopathy characterized by an abnormally shaped red blood cell resulting from the abnormal structure of the protein hemoglobin.

70. "Sickle cell gene" means a unit of inheritance that is involved in producing an abnormal type of the protein hemoglobin, in which the amino acid valine is substituted for the amino acid glutamic acid at a specific location in the hemoglobin.

71. "Specimen" means a blood sample obtained from and demographic information about a newborn or infant.

72. "Specimen collection kit" means a strip of filter paper for collecting a blood sample attached to a form for obtaining the information specified in R9-13-203(A)(3) about a newborn or infant.

73. "Test" means a laboratory analysis performed on body fluid, tissue, or excretion to determine the presence or absence of a disorder.

74. "Transfer" means a health care facility discharging a newborn and sending the newborn to a hospital for inpatient medical services without the intent that the patient will be returned to the sending health care facility.

75. "Transfusion" means the infusion of blood or blood products into the body of an individual.

76. "Trifunctional protein deficiency" means a congenital disorder characterized by an inability to metabolize fatty acids that are 12 to 18 carbon atoms in length due to defective mitochondrial trifunctional protein activity.

77. "Tyrosinemia type I" means a congenital disorder characterized by an accumulation of the amino acid tyrosine due to defective fumarylacetoacetate hydrolase activity.

78. "Verify" means to confirm by obtaining information through a source such as the newborn screening program, a health care provider, a health care facility, or a documented record.

79. "Very long-chain acyl-CoA dehydrogenase deficiency" means a congenital disorder characterized by an inability to metabolize fatty acids that are 14 to 18 carbon atoms in length due to defective very long-chain acyl-CoA dehydrogenase activity.

80. "Working day" means 8:00 a.m. through 5:00 p.m. Monday through Friday, excluding state holidays.

Historical Note

Amended effective October 26, 1977 (Supp. 77-5). Former Section R9-13-201 repealed, new Section R9-13-201 adopted effective July 16, 1981 (Supp. 81-4). Amended as an emergency effective September 21, 1982, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 82-5). Emergency expired. Permanent rule adopted effective March 22, 1983 (Supp. 83-2). Amended by adding paragraphs (3), (5) and (7) and renumbering remaining paragraphs effective November 23, 1983. Amended as an emergency, by adding paragraphs (32) and (42) and renumbering remaining paragraphs, effective November 23, 1983, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency amendment expired. Permanent amendment, adding paragraphs (32) and (42) and renumbering remaining paragraphs adopted effective March 19, 1984 (Supp. 84-2). Amended as an emergency effective November 6, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-4). Emergency expired. Readopted as an emergency effective February 7, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-1). Re-adopted as an emergency with changes effective May 7, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-2). Readopted as an emergency with changes effective August 6, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-3). Readopted as an emergency without change effective October 31, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-4). Readopted as an emergency with changes effective January 16, 1991, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 91-1). Readopted as an emergency without change effective April 11, 1991, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 91-2). Emergency amendments permanently adopted with changes effective July 3, 1991 (Supp. 91-3). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed by final rulemaking at 3 A.A.R. 146, effective September 24, 1998 (Supp. 99-1). New Section recodified from R9-14-501 at 11 A.A.R. 3577, effective August 31, 2005 (Supp. 05-3). Amended by final rulemaking at 12 A.A.R. 1166, effective April 4, 2006 (Supp. 06-2).

R9-13-202. Tests for Congenital Disorders

A bloodspot test shall include laboratory analyses for the following congenital disorders:

1. Argininosuccinic acidemia,

2. Biotinidase deficiency,

3. Citrullinemia,

4. Classic galactosemia,

5. Congenital adrenal hyperplasia,

6. Congenital hypothyroidism,

7. Hemoglobin S/Beta-thalassemia,

8. Hemoglobin S/C disease,

9. Homocystinuria,

10. Maple syrup urine disease,

11. Phenylketonuria,

12. Sickle cell anemia,

13. Tyrosinemia type I,

14. 3-Methylcrotonyl-CoA carboxylase deficiency,

15. 3-Hydroxy-3-methylglutaric aciduria,

16. Beta-ketothiolase deficiency,

17. Carnitine uptake defect,

18. Glutaric acidemia type I,

19. Isovaleric acidemia,

20. Long-chain 3-hydroxy acyl-CoA dehydrogenase deficiency,

21. Medium chain acyl-CoA dehydrogenase deficiency,

22. Methylmalonic acidemia (Cbl A,B),

23. Methylmalonic acidemia (mutase deficiency),

24. Multiple carboxylase deficiency,

25. Propionic acidemia,

26. Trifunctional protein deficiency,

27. Very long-chain acyl-CoA dehydrogenase deficiency, and

28. Cystic fibrosis.

Historical Note

Amended effective October 26, 1977 (Supp. 77-5). Former Section R9-13-202 repealed, new Section R9-13-202 adopted effective July 16, 1981 (Supp. 81-4). Repealed by emergency effective November 6, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-4). Emergency expired. Emergency repeal readopted effective February 7, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-1). Emergency repeal readopted effective May 7, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-2). Emergency repeal readopted effective August 6, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-3). Emergency repeal readopted effective October 31, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-4). Emergency repeal readopted effective January 16, 1991, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 91-1). Emergency repeal readopted effective April 11, 1991, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 91-2). Repealed permanently effective July 3, 1991 (Supp. 91-3). New Section recodified from R9-14-502 at 11 A.A.R. 3577, effective August 31, 2005
(Supp. 05-3). Section repealed; new Section made by final rulemaking at 12 A.A.R. 1166, effective April 4, 2006 (Supp. 06-2).

R9-13-203. General Requirements for Newborn and Infant Bloodspot Tests

A. When a bloodspot test is ordered for a newborn or an infant, a health care facility's designee, a health care provider, or the health care provider's designee shall:

1. Only use a specimen collection kit supplied by the Department;

2. Collect a blood sample from the newborn or infant on a specimen collection kit;

3. Complete the following information on the specimen collection kit:

a. The newborn's or infant's name, gender, race, ethnicity, medical record number, and if applicable, AHCCCS identification number;

b. The newborn's or infant's type of food or food source;

c. Whether the newborn or infant is from a single or multiple birth;

d. If the newborn or infant is from a multiple birth, the birth order of the newborn or infant;

e. Whether the newborn or infant has a medical condition that may affect the bloodspot test results;

f. Whether the newborn or infant received antibiotics or a blood transfusion and, if applicable, the date of the last blood transfusion;

g. The method of blood sample collection;

h. The date and time of birth, and the newborn's or infant's weight at birth;

i. The date and time of blood sample collection, and the newborn's or infant's weight when the blood sample is collected;

j. The name and identification code of the health care facility or health care provider submitting the specimen collection kit;

k. The name, identification code, and address of the health care provider responsible for the management of medical services provided to the newborn or infant;

l. Except as provided in subsection (A)(3)(m), the mother's first and last names, date of birth, name before first marriage, mailing address, phone number, and if applicable, AHCCCS identification number; and

m. If the newborn's or infant's mother does not have physical custody of the newborn or infant, the first and last names, mailing address, and phone number of the person who has physical custody of the newborn or infant; and

4. Submit the specimen collection kit to the screening laboratory no later than 24 hours or the next working day after the blood sample is collected.

B. A health care facility or a health care provider submitting a first specimen to the screening laboratory shall pay the Department the fee in R9-13-208(A).

C. A person who submits a second specimen to the screening laboratory shall:

1. Pay the fee in R9-13-208(B) to the Department, or

2. Provide the following information to the screening laboratory for billing purposes:

a. The name, mailing address, and phone number of the newborn's or infant's parent or the individual responsible for paying, if not the parent; and

b. If the individual responsible for paying has health care insurance for the newborn or infant, information about the health care insurance, including:

i. The policyholder's name;

ii. The name and billing address of the health care insurance company;

iii. The member identification number;

iv. The group number, if applicable; and

v. The effective date of the health care insurance; or

c. That the individual responsible for paying has no health care insurance for the newborn or infant.

D. When a health care insurance company or an individual responsible for paying is identified as specified in subsection (C)(2), the health care insurance company or the individual responsible for paying shall pay the Department the fee in R9-13-208(B).

E. The screening laboratory shall perform a bloodspot test on a blood sample from a specimen collection kit if:

1. The blood sample on the specimen collection kit:

a. Contains a sufficient quantity of blood to complete the bloodspot test,

b. Is not clotted or layered,

c. Does not have serum rings,

d. Is not diluted or discolored,

e. Will elute from the filter paper,

f. Has not been applied to both sides of the filter paper, and

g. Is not contaminated;

2. The filter paper on the specimen collection kit is not contaminated, scratched, or abraded;

3. The information on the specimen collection kit is sufficient to identify:

a. The newborn or infant, and

b. The person who ordered the bloodspot test or caused the bloodspot test to be ordered; and

4. The screening laboratory receives the specimen collection kit within 14 days after the blood sample is collected.

F. When a home birth not attended by a health care provider is reported to a local registrar, a deputy local registrar, or the state registrar under A.R.S. § 36-333:

1. The local registrar, deputy local registrar, or state registrar shall notify the local health department of the county where the birth occurred; and

2. The local health department's designee shall collect a specimen from the newborn or infant according to the requirements in R9-13-204(A)(2) or R9-13-205(C).

G. A health care facility's designee, a health care provider, or the health care provider's designee shall ensure that:

1. Educational materials are provided to the parent or guardian of a newborn or infant for whom a bloodspot test is ordered, and

2. The newborn's or infant's parent or guardian is informed of the requirement for a second specimen if the second specimen has not been collected.

H. For a home birth, a health care provider or the health care provider's designee shall provide educational materials to the parent or guardian of a newborn or infant for whom a bloodspot test is ordered.

Historical Note

Effective 11-74; Former Section R9-13-203 repealed, new Section R9-13-203 adopted effective July 16, 1981 (Supp. 81-4). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed by final rulemaking at 3 A.A.R. 146, effective September 24, 1998 (Supp. 99-1). New Section recodified from R9-14-503 at 11 A.A.R. 3577, effective August 31, 2005
(Supp. 05-3). Section repealed; new Section made by final rulemaking at 12 A.A.R. 1166, effective April 4, 2006 (Supp. 06-2).

R9-13-204. First Specimen Collection

A. When a newborn is born in a hospital, the hospital's designee shall collect a first specimen from the newborn according to whichever of the following occurs first:

1. Before a transfusion, unless specified otherwise by a physician, physician assistant, or registered nurse practitioner;

2. When the newborn is at least 24 but not more than 72 hours old; or

3. Before the newborn is discharged, unless the newborn:

a. Is transferred to another hospital before the newborn is 48 hours old; or

b. Dies before the newborn is 72 hours old.

B. If a newborn is admitted or transferred to a hospital before the newborn is 48 hours old, the receiving hospital's designee shall:

1. Verify that the first specimen was collected before admission or transfer, or

2. Collect a first specimen from the newborn according to the requirements in subsection (A).

C. When a newborn is born in a birth center, the birth center's designee shall collect a first specimen from the newborn according to subsections (A)(1) or (A)(2).

D. For a home birth attended by a health care provider, the health care provider or the health care provider's designee shall collect a first specimen from the newborn according the requirements in subsection (A)(2).

Historical Note

Effective 11-74; Former Section R9-13-204 repealed, new Section R9-13-204 adopted effective July 16, 1981 (Supp. 81-4). Amended effective December 6, 1996 (Supp. 96-4). Section automatically repealed by final rulemaking at 3 A.A.R. 146, effective September 24, 1998 (Supp. 99-1). New Section recodified from R9-14-504 at 11 A.A.R. 3577, effective August 31, 2005
(Supp. 05-3). Section repealed; new Section made by final rulemaking at 12 A.A.R. 1166, effective April 4, 2006 (Supp. 06-2).

R9-13-205. Second Specimen Collection

A. After discharge from a health care facility or after a home birth, a health care provider or the health care provider's designee shall:

1. Collect a second specimen from a newborn or infant:

a. When the newborn is at least 5 but not more than 10 days old; or

b. At the time of a newborn's or infant's first visit to the health care provider; or

2. Verify that a different health care provider has collected the second specimen from the newborn or infant.

B. If a newborn is an inpatient of a health care facility at 5 days of age, the health care facility's designee shall collect a second specimen from the newborn:

1. When the newborn is at least 5 but not more than 10 days old; or

2. If the newborn is discharged from the facility when the newborn is at least 5 but not more than 10 days old, before discharge.

C. For a home birth not attended by a health care provider, a local health department's designee shall collect a specimen from a newborn or infant if a second specimen has not already been collected from the newborn or infant.

D. A health care provider or the health care provider's designee shall ensure that a subsequent specimen is ordered for a newborn or child one year of age or less, according to the requirements in R9-13-203, when the health care provider or the health care provider's designee:

1. Begins providing health care to the newborn or child, and

2. Cannot verify the results of a bloodspot test that was conducted on a second specimen from the newborn or child.

Historical Note

Effective 11-74; Former Section R9-13-205 repealed, new Section R9-13-205 adopted effective July 16, 1981 (Supp. 81-4). Amended effective December 6, 1996 (Supp. 96-4). Section automatically repealed by final rulemaking at 3 A.A.R. 146, effective September 24, 1998 (Supp. 99-1). New Section recodified from R9-14-505 at 11 A.A.R. 3577, effective August 31, 2005
(Supp. 05-3). Section repealed; new Section made by final rulemaking at 12 A.A.R. 1166, effective April 4, 2006 (Supp. 06-2).

R9-13-206. Reporting Requirements for Specimens

A. The screening laboratory shall:

1. Report in written or electronic format:

a. The results of a bloodspot test on a specimen; and

b. For a specimen that does not meet the requirements for testing specified in R9-13-203(E):

i. That the bloodspot test was not performed on the specimen; and

ii. The reason the bloodspot test was not performed; and

2. Send the report to:

a. The health care provider identified on the specimen collection kit;

b. If applicable, the health care facility identified on the specimen collection kit; and

c. The Department.

B. The screening laboratory shall begin reporting bloodspot test results for the congenital disorders specified in:

1. R9-13-202 (1) through (13), on the effective date of these rules;

2. R9-13-202(14) through (27), no later than August 31, 2006; and

3. R9-13-202(28), no later than June 30, 2007.

C. A health care facility's designee, a health care provider, or the health care provider's designee, who orders a subsequent test on a newborn or infant in response to an abnormal result on a bloodspot test, shall send the results of the subsequent test in writing to the Department, if the subsequent test is not performed by the screening laboratory.

D. Bloodspot test results are confidential subject to the disclosure provisions of 9 A.A.C. 1, Article 3, and A.R.S. §§ 12-2801 and 12-2802.

Historical Note

Effective 11-74; Repealed effective July 16, 1981 (Supp. 81-4). Adopted as an emergency effective November 6, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-4). Emergency expired. Readopted as an emergency effective February 7, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-1). Emergency expired. Readopted as an emergency with changes effective May 7, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-2). Readopted as an emergency with changes effective August 6, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-3). Readopted as an emergency without change effective October 31, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-4). Readopted as an emergency without change effective January 16, 1991, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 91-1). Readopted as an emergency without change effective April 11, 1991, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 91-2). Emergency rule permanently adopted with changes effective July 3, 1991 (Supp. 91-3). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed by final rulemaking at 3 A.A.R. 146, effective September 24, 1998 (Supp. 99-1). New Section made by final rulemaking at 12 A.A.R. 1166, effective April 4, 2006 (Supp. 06-2).

R9-13-207. Reporting Requirements for Hearing Test Results

A. When an initial hearing test is performed on a newborn, a health care facility's designee, a health care provider, or the health care provider's designee shall provide to the Department, as specified in subsection (E), the following information:

1. The newborn's name, date of birth, gender, and medical record number;

2. Whether the newborn is from a single or multiple birth;

3. If the newborn is from a multiple birth, the birth order of the newborn;

4. The newborn's mother's first and last names;

5. The name and identification code of the health care facility or health care provider submitting the hearing test results;

6. The name and identification code of the health care facility of birth;

7. The name of the health care provider responsible for the coordination of medical services for the newborn;

8. The date of the hearing test;

9. Whether or not the hearing test was performed when the newborn was an inpatient;

10. The audiological equipment used for the hearing test and the type of hearing test performed;

11. The hearing test result for each of the newborn's ears; and

12. The name, address, and phone number of the contact person for the health care facility or health care provider.

B. In addition to the information in subsection (A), if the reported results of an initial hearing test on a newborn include an abnormal result, a health care facility's designee, a health care provider, or the health care provider's designee shall provide to the Department, as specified in subsection (E), the following information:

1. The newborn's race, ethnicity, and if applicable, AHCCCS identification number;

2. Except as provided in subsection (B)(3), the mother's date of birth, name before first marriage, mailing address, and phone number;

3. If the newborn's mother does not have physical custody of the newborn, the first and last names, mailing address, and phone number of the person who has physical custody of the newborn;

4. The name of the health care provider who will be responsible for the coordination of medical services for the newborn after the newborn is discharged from the health care facility; and

5. The name and phone number of the person to whom the newborn's mother or other person who has physical custody of the newborn was referred for a subsequent hearing test.

C. When a hearing test is performed on a newborn or an infant after an initial hearing test, the designee of the health care facility, health care provider, or other person that performs the subsequent hearing test shall provide to the Department, as specified in subsection (E), the following information:

1. The newborn's or infant's name, date of birth, and gender;

2. Whether the newborn or infant is from a single or multiple birth;

3. If the newborn or infant is from a multiple birth, the birth order of the newborn or infant;

4. The newborn's or infant's mother's first and last names and date of birth;

5. The name of the health care facility where the initial hearing test was performed, or the name and address of the health care provider who performed the initial hearing test;

6. The name of the health care facility of birth;

7. The name and identification code of the person submitting the subsequent hearing test results;

8. The date of the subsequent hearing test;

9. The audiological equipment used for the subsequent hearing test and the type of hearing test performed;

10. The result for each of the newborn's or infant's ears on the subsequent hearing test; and

11. The name, address, and phone number of the contact person for the health care facility, health care provider, or other person that performed the subsequent hearing test.

D. In addition to the information in subsection (C), if the reported results of a subsequent hearing test on a newborn or infant include an abnormal result, the person submitting the report on the subsequent hearing test shall provide to the Department, as specified in subsection (E), the following information:

1. Except as provided in subsection (D)(2), the newborn's or infant's mother's mailing address and phone number;

2. If the newborn's or infant's mother does not have physical custody of the newborn or infant, the first and last names, mailing address, and phone number of the person who has physical custody of the newborn or infant;

3. The name of the health care provider who is responsible for the coordination of medical services for the newborn or infant; and

4. If applicable, the name and phone number of the person to whom the newborn's or infant's parent was referred for further hearing tests, evaluation services, specialty care, or early intervention.

E. A health care facility's designee, health care provider, health care provider's designee, or other person required to report under subsections (A), (B), (C), or (D) shall submit, in an electronic format specified by the Department, the information specified in subsections (A), (B), (C), or (D) for hearing tests performed each week by the sixth day of the subsequent week.

Historical Note

Effective 11-74; Repealed effective July 16, 1981 (Supp. 81-4). New Section made by final rulemaking at 12 A.A.R. 1166, effective April 4, 2006 (Supp. 06-2).

R9-13-208. Fees

A. The fee for a first specimen is $30.00.

B. The fee for a second specimen is $40.00.

Historical Note

New Section made by final rulemaking at 12 A.A.R. 1166, effective April 4, 2006 (Supp. 06-2).

ARTICLE 3. REPEALED

R9-13-301. Repealed

Historical Note

Effective 11-74; Former Section R9-13-301 repealed, new Section R9-13-301 adopted effective July 16, 1981 (Supp. 81-4). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed by final rulemaking at 3 A.A.R. 146, effective September 10, 1997 (Supp. 99-1).

R9-13-302. Repealed

Historical Note

Effective 11-74; Former Section R9-13-302 repealed, new Section R9-13-302 adopted effective July 16, 1981 (Supp. 81-4). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed by final rulemaking at 3 A.A.R. 146, effective September 10, 1997 (Supp. 99-1).

R9-13-303. Repealed

Historical Note

Effective 11-74; Former Section R9-13-303 repealed, new Section R9-13-303 adopted effective July 16, 1981 (Supp. 81-4). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-304. Repealed

Historical Note

Effective 11-74; Former Section R9-13-304 repealed, new Section R9-13-304 adopted effective July 16, 1981 (Supp. 81-4). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed by final rulemaking at 3 A.A.R. 146, effective September 10, 1997 (Supp. 99-1).

R9-13-305. Repealed

Historical Note

Effective 11-74; Repealed effective July 16, 1981 (Supp. 81-4).

R9-13-306. Repealed

Historical Note

Effective 11-74; Repealed effective July 16, 1981 (Supp. 81-4).

ARTICLE 4. REPEALED

R9-13-401. Repealed

Historical Note

Effective 11-74; Former Section R9-13-401 repealed, new Section R9-13-401 adopted effective July 16, 1981 (Supp. 81-4). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-402. Repealed

Historical Note

Effective 11-74; Former Section R9-13-402 repealed, new Section R9-13-402 adopted effective July 16, 1981 (Supp. 81-4). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-403. Repealed

Historical Note

Effective 11-74; Former Section R9-13-403 repealed, new Section R9-13-403 adopted effective July 16, 1981 (Supp. 81-4). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-404. Repealed

Historical Note

Effective 11-74; Former Section R9-13-404 repealed, new Section R9-13-404 adopted effective July 16, 1981 (Supp. 81-4). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-405. Repealed

Historical Note

Effective 11-74; Former Section R9-13-405 repealed, new Section R9-13-405 adopted effective July 16, 1981 (Supp. 81-4). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-406. Repealed

Historical Note

Effective 11-74; Former Section R9-13-406 repealed, new Section R9-13-406 adopted effective July 16, 1981 (Supp. 81-4). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-407. Repealed

Historical Note

Effective 11-74; Repealed effective July 16, 1981 (Supp. 81-4).

ARTICLE 5. REPEALED

R9-13-501. Repealed

Historical Note

Adopted effective October 26, 1977 (Supp. 77-5). Former Section R9-13-501 repealed, new Section R9-13-501 adopted effective July 16, 1981 (Supp. 81-4). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed by final rulemaking at 3 A.A.R. 146, effective March 23, 1997 (Supp. 99-1).

R9-13-502. Repealed

Historical Note

Adopted effective October 26, 1977 (Supp. 77-5). Former Section R9-13-502 repealed, new Section R9-13-502 adopted effective July 16, 1981 (Supp. 81-4). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed by final rulemaking at 3 A.A.R. 146, effective March 23, 1997 (Supp. 99-1).

R9-13-503. Repealed

Historical Note

Adopted effective October 26, 1977 (Supp. 77-5). Former Section R9-13-503 repealed, new Section R9-13-503 adopted effective July 16, 1981 (Supp. 81-4). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-504. Repealed

Historical Note

Adopted effective October 26, 1977 (Supp. 77-5). Former Section R9-13-504 repealed, new Section R9-13-504 adopted effective July 16, 1981 (Supp. 81-4). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed by final rulemaking at 3 A.A.R. 146, effective March 23, 1997 (Supp. 99-1).

R9-13-505. Repealed

Historical Note

Adopted effective 1977 (Supp. 77-5). Repealed effective July 16, 1981 (Supp. 81-4).

R9-13-506. Repealed

Historical Note

Adopted effective 1977 (Supp. 77-5). Repealed effective July 16, 1981 (Supp. 81-4).

R9-13-507. Repealed

Historical Note

Adopted effective 1977 (Supp. 77-5). Repealed effective July 16, 1981 (Supp. 81-4).

R9-13-508. Repealed

Historical Note

Adopted effective 1977 (Supp. 77-5). Repealed effective July 16, 1981 (Supp. 81-4).

R9-13-509. Repealed

Historical Note

Adopted effective 1977 (Supp. 77-5). Repealed effective July 16, 1981 (Supp. 81-4).

R9-13-510. Repealed

Historical Note

Adopted effective 1977 (Supp. 77-5). Repealed effective July 16, 1981 (Supp. 81-4).

R9-13-511. Repealed

Historical Note

Adopted effective 1977 (Supp. 77-5). Repealed effective July 16, 1981 (Supp. 81-4).

ARTICLE 6. REPEALED

R9-13-601. Repealed

Historical Note

Adopted effective October 26, 1977 (Supp. 77-5). Former Section R9-13-601 repealed, new Section R9-13-601 adopted effective July 16, 1981 (Supp. 81-4). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-602. Repealed

Historical Note

Adopted effective October 26, 1977 (Supp. 77-5). Former Section R9-13-602 repealed, new Section R9-13-602 adopted effective July 16, 1981 (Supp. 81-4). Amended effective July 3, 1991 (Supp. 91-3). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-603. Repealed

Historical Note

Adopted effective October 26, 1977 (Supp. 77-5). Former Section R9-13-603 repealed, new Section R9-13-603 adopted effective July 16, 1981 (Supp. 81-4). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-604. Repealed

Historical Note

Adopted effective October 26, 1977 (Supp. 77-5). Former Section R9-13-604 repealed, new Section R9-13-604 adopted effective July 16, 1981 (Supp. 81-4). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-605. Repealed

Historical Note

Adopted effective October 26, 1977 (Supp. 77-5). Former Section R9-13-605 repealed, new Section R9-13-605 adopted effective July 16, 1981 (Supp. 81-4). Amended effective July 3, 1991 (Supp. 91-3). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-606. Repealed

Historical Note

Adopted effective July 16, 1981 (Supp. 81-4). Repealed effective December 16, 1996 (Supp. 96-4).

ARTICLE 7. REPEALED

R9-13-701. Repealed

Historical Note

Adopted effective July 16, 1981 (Supp. 81-4). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed by final rulemaking at 3 A.A.R. 146, effective June 1, 1997 (Supp. 99-1).

R9-13-702. Repealed

Historical Note

Adopted effective July 16, 1981 (Supp. 81-4). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed by final rulemaking at 3 A.A.R. 146, effective June 1, 1997 (Supp. 99-1).

R9-13-703. Repealed

Historical Note

Adopted effective July 16, 1981 (Supp. 81-4). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-704. Repealed

Historical Note

Adopted effective July 16, 1981 (Supp. 81-4). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed by final rulemaking at 3 A.A.R. 146, effective June 1, 1997 (Supp. 99-1).

ARTICLE 8. REPEALED

R9-13-801. Repealed

Historical Note

Adopted effective July 16, 1981 (Supp. 81-4). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed June 1, 2000 (Supp. 01-1).

R9-13-802. Repealed

Historical Note

Adopted effective July 16, 1981 (Supp. 81-4). Amended by emergency effective November 6, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-4). Emergency expired, Readopted as an emergency effective February 7, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-1). Emergency expired. Readopted as an emergency with changes effective May 7, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-2). Readopted as an emergency with changes effective August 6, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-3). Readopted as an emergency without change effective October 31, 1990, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 90-4). Readopted as an emergency without change effective January 16, 1991, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 91-1). Readopted as an emergency without change effective April 11, 1991, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 91-2). Emergency rule permanently adopted effective July 3, 1991 (Supp. 91-3). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed June 1, 2000 (Supp. 01-1).

R9-13-803. Repealed

Historical Note

Adopted effective July 16, 1981 (Supp. 81-4). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-804. Repealed

Historical Note

Adopted effective July 16, 1981 (Supp. 81-4). Repealed effective December 16, 1996 (Supp. 96-4).

R9-13-805. Repealed

Historical Note

Adopted effective July 16, 1981 (Supp. 81-4). Amended effective July 3, 1991 (Supp. 91-3). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed by final rulemaking at 3 A.A.R. 146, effective June 30, 1998 (Supp. 99-1).

R9-13-806. Repealed

Historical Note

Adopted effective July 16, 1981 (Supp. 81-4). Amended effective December 16, 1996 (Supp. 96-4). Section automatically repealed June 1, 2000 (Supp. 01-1).

ARTICLE 9. REPEALED

R9-13-901. Repealed

Historical Note

Adopted as an emergency effective April 6, 1982, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 82-2). Former Section R9-13-901 expired, new Section R9-13-901 adopted as a permanent rule effective October 13, 1982 (Supp. 82-5). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-902. Emergency expired

Historical Note

Adopted as an emergency effective April 6, 1982, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 82-2). Former Section R9-13-902 expired (Supp. 82-5).

ARTICLE 10. REPEALED

R9-13-1001. Repealed

Historical Note

Adopted as an emergency effective September 21, 1982, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 82-5). Emergency expired. Permanent rule adopted effective March 22, 1983 (Supp. 83-2). Section repealed by final rulemaking at 12 A.A.R. 649, effective April 8, 2006 (Supp. 06-1).

R9-13-1002. Repealed

Historical Note

Adopted as an emergency effective September 21, 1982, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 82-5). Emergency expired. Permanent rule adopted effective March 22, 1983 (Supp. 83-2). Section repealed by final rulemaking at 12 A.A.R. 649, effective April 8, 2006 (Supp. 06-1).

R9-13-1003. Repealed

Historical Note

Adopted as an emergency effective September 21, 1982, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 82-5). Emergency expired. Permanent rule adopted effective March 22, 1983 (Supp. 83-2). Section repealed by final rulemaking at 12 A.A.R. 649, effective April 8, 2006 (Supp. 06-1).

R9-13-1004. Repealed

Historical Note

Adopted as an emergency effective September 21, 1982, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 82-5). Emergency expired. Permanent rule adopted effective March 22, 1983 (Supp. 83-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

ARTICLE 11. REPEALED

R9-13-1101. Repealed

Historical Note

Adopted as an emergency effective September 21, 1982, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 82-5). Emergency expired. Permanent rule adopted effective March 22, 1983 (Supp. 83-2). Section repealed by final rulemaking at 12 A.A.R. 649, effective April 8, 2006 (Supp. 06-1).

R9-13-1102. Repealed

Historical Note

Adopted as an emergency effective September 21, 1982, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 82-5). Emergency expired. Permanent rule adopted effective March 22, 1983 (Supp. 83-2). Section repealed by final rulemaking at 12 A.A.R. 649, effective April 8, 2006 (Supp. 06-1).

R9-13-1103. Repealed

Historical Note

Adopted as an emergency effective September 21, 1982, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 82-5). Emergency expired. Permanent rule adopted effective March 22, 1983 (Supp. 83-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1104. Repealed

Historical Note

Adopted as an emergency effective September 21, 1982, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 82-5). Emergency expired. Permanent rule adopted effective March 22, 1983 (Supp. 83-2). Section repealed by final rulemaking at 12 A.A.R. 649, effective April 8, 2006 (Supp. 06-1).

R9-13-1105. Repealed

Historical Note

Adopted as an emergency effective September 21, 1982, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 82-5). Emergency expired. Permanent rule adopted effective March 22, 1983 (Supp. 83-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1). New Section made by final rulemaking at 8 A.A.R. 2323, effective May 9, 2002 (Supp. 02-2). Section repealed by final rulemaking at 12 A.A.R. 649, effective April 8, 2006 (Supp. 06-1).

ARTICLE 12. REPEALED

R9-13-1201. Repealed

Historical Note

Adopted as an emergency effective September 21, 1982, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 82-5). Emergency expired. Permanent rule adopted effective March 22, 1983 (Supp. 83-2). Section repealed by final rulemaking at 12 A.A.R. 649, effective April 8, 2006 (Supp. 06-1).

R9-13-1202. Emergency expired

Historical Note

Adopted as an emergency effective September 21, 1982, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 82-5). Emergency expired (Supp. 83-2).

ARTICLE 13. REPEALED

R9-13-1301. Repealed

Historical Note

Adopted effective November 23, 1983 (Supp. 83-6). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1302. Repealed

Historical Note

Adopted effective November 23, 1983 (Supp. 83-6). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1303. Repealed

Historical Note

Adopted effective November 23, 1983 (Supp. 83-6). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

ARTICLE 14. REPEALED

R9-13-1401. Repealed

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1403 renumbered and amended as permanent rule R9-13-1401 effective March 19, 1984 (Supp. 84-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1402. Repealed

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1404 renumbered and amended as permanent rule R9-13-1402 effective March 19, 1984 (Supp. 84-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1403. Repealed

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1405 renumbered as permanent rule R9-13-1403 effective March 19, 1984 (Supp. 84-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1404. Repealed

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1406 renumbered and amended as permanent rule R9-13-1404 without change effective March 19, 1984 (Supp. 84-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1405. Repealed

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1407 renumbered and amended as permanent rule R90-13-1405 effective March 19, 1984 (Supp. 84-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1406. Repealed

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1408 renumbered and amended as permanent rule R9-13-1406 effective March 19, 1984 (Supp. 84-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1407. Repealed

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1409 renumbered and amended as permanent rule R9-13-1407 effective March 19, 1984 (Supp. 84-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1408. Repealed

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1410 renumbered and amended as permanent rule R9-13-1408 effective March 19, 1984 (Supp. 84-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1409. Repealed

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1411 renumber and amended as permanent rule R9-13-1409 effective March 19, 1984 (Supp. 84-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1410. Repealed

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1412 renumbered and amended as permanent rule R9-13-1410 effective March 19, 1984 (Supp. 84-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1411. Repealed

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1413 renumbered and amended as permanent rule R9-13-1411 effective March 19, 1984 (Supp. 84-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1412. Repealed

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1414 renumbered and amended as permanent rule R9-13-1412 effective March 19, 1984 (Supp. 84-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1413. Repealed

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1415 renumbered and amended as permanent rule R9-13-1413 effective March 19, 1984 (Supp. 84-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1414. Repealed

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1416 renumbered and amended as permanent rule R9-13-1414 effective March 19, 1984 (Supp. 84-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1415. Repealed

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1417 renumbered and amended as permanent rule R9-13-1415 effective March 19, 1984 (Supp. 84-2). Correction in subsection (C)(2) to insert the word `not' which was inadvertently omitted (Supp. 94-2). Section repealed by final rulemaking at 7 A.A.R. 1082, effective February 13, 2001 (Supp. 01-1).

R9-13-1416. Emergency expired

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1416 renumbered and amended as permanent rule R9-13-1414 effective March 19, 1984 (Supp. 84-2).

R9-13-1417. Emergency expired

Historical Note

Adopted as an emergency effective November 29, 1983 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 83-6). Emergency expired. Former Section R9-13-1417 renumbered and amended as permanent rule R9-13-1414 effective March 19, 1984 (Supp. 84-2).

Editor's Note: Article 15 was recodified to 9 A.A.C. 25, Article 8 (Supp. 98-1).

Editor's Note: Former Article 15 contained Sections and Exhibits which were adopted under an exemption from the provisions of the Administrative Procedure Act (A.R.S. Title 41, Chapter 6) pursuant to A.R.S. § 36-2205(C). Exemption from A.R.S. Title 41, Chapter 6 means that the Department of Health Services did not submit these rules to the Governor's Regulatory Review Council for review; the Department did not submit notice of proposed rulemaking to the Secretary of State for publication in the Arizona Administrative Register; the Department was not required to hold public hearings on these rules; and the Attorney General did not certify these rules.

ARTICLE 15. RECODIFIED

R9-13-1501. Recodified

Historical Note

Adopted effective July 11, 1994; received by the Office of the Secretary of State August 4, 1994, under an exemption from the provisions of the Administrative Procedure Act pursuant to A.R.S. § 36-2005(C) (Supp. 94-3). Former Section R9-13-1501 recodified to A.A.C. R9-25-801 (Supp. 98-1).

R9-13-1502. Recodified

Historical Note

Adopted effective October 12, 1994; received by the Office of the Secretary of State October 24, 1994, under an exemption from the provisions of the Administrative Procedure Act pursuant to A.R.S. § 36-2205(C) (Supp. 94-4). Former Section R9-13-1502 recodified to A.A.C. R9-25-802 (Supp. 98-1).

Exhibit 1. Recodified

Historical Note

Adopted effective July 11, 1994; received by the Office of the Secretary of State August 4, 1994, under an exemption from the provisions of the Administrative Procedure Act pursuant to A.R.S. § 36-2005(C) (Supp. 94-3). Former R9-13-1502, Exhibit 1 recodified to A.A.C. R9-25-802, Exhibit 1 (Supp. 98-1).

Exhibit 2. Recodified

Historical Note

Adopted effective July 11, 1994; received by the Office of the Secretary of State August 4, 1994, under an exemption from the provisions of the Administrative Procedure Act pursuant to A.R.S. § 36-2005(C) (Supp. 94-3). Former R9-13-1502, Exhibit 2 recodified to A.A.C. R9-25-802, Exhibit 2 (Supp. 98-1).

Exhibit 3. Recodified

Historical Note

Adopted effective July 11, 1994; received by the Office of the Secretary of State August 4, 1994, under an exemption from the provisions of the Administrative Procedure Act pursuant to A.R.S. § 36-2005(C) (Supp. 94-3). Former R9-13-1502, Exhibit 3 recodified to A.A.C. R9-25-802, Exhibit 3 (Supp. 98-1).

Exhibit 4. Recodified

Historical Note

Adopted effective July 11, 1994; received by the Office of the Secretary of State August 4, 1994, under an exemption from the provisions of the Administrative Procedure Act pursuant to A.R.S. § 36-2005(C) (Supp. 94-3). Former R9-13-1502, Exhibit 4 recodified to A.A.C. R9-25-802, Exhibit 4 (Supp. 98-1).

R9-13-1503. Recodified

Historical Note

Adopted effective November 27, 1995, under an exemption from the provisions of the Administrative Procedure Act pursuant to A.R.S. § 36-2205(C) (Supp. 95-4). Former Section R9-13-1503 recodified to A.A.C. R9-25-803 (Supp. 98-1).

Exhibit 1. Recodified

Historical Note

Adopted effective November 27, 1995, under an exemption from the provisions of the Administrative Procedure Act pursuant to A.R.S. § 36-2205(C) (Supp. 95-4). Former R9-13-1503, Exhibit 1 recodified to A.A.C. R9-25-803, Exhibit 1 (Supp. 98-1).


Scott Cancelosi
Director
Public Services Division

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Arizona Administrative Code