Maine CDC Rules

Proposed Rules

Please Note: If you are unable to submit a comment during the comment period, please contact the policy writer identified for the rule directly.

Immunization Requirements for Healthcare Workers Proposed Rule 10-144 CMR ch. 264  Notice of Rulemaking 10-144 CMR ch. 264   
Concise Summary:

The Department is proposing routine technical rule changes to amend 10-144 CMR chapter 264, Immunization Requirements for Healthcare Workers. The Department proposes to change the name of the rule to "Immunization Requirements for Workers in Certain Healthcare Settings". The Department proposes to add COVID-19 to the list of vaccine preventable diseases for which Designated Healthcare Facility employees must show proof of immunization or provide appropriate exemption documentation. The Department also proposes to add employees of EMS Organizations and Dental Health Practices to the list of settings covered by this rule and to require employees in those settings to provide proof of immunization against COVID-19, or to submit documentation supporting an exemption pursuant to 22 M.R.S. 802(4-B). The Department also proposes to clarify the definition of employee to exclude employees who exclusively work remotely and add definitions of Dental Care Practice, EMS Organization, Health Official and Healthcare Setting, as well as clarify exclusion and reporting requirements and specify the manner in which annual survey data may be used. The Department adopted an emergency rule, effective August 12, 2021, that requires employees of Designated Healthcare Facilities, EMS Organizations, and Dental Health Practices to receive a final dose of COVID-19 immunization by September 17, 2021. That rule remains in effect until November 10, 2021, or until this rule becomes effective, whichever is earlier.

Submit Comments (Opens in new window) - Comment Deadline: 5pm 10/07/2021 Posted: September 8, 2021
 
Immunization Requirements for School Children 10-144 CMR ch. 261 (a joint rule with the Department of Education, ch. 126) Proposed Rule Immunization Requirements for School Children (ch. 261/126)  Notice of Rulemaking- 10-144 CMR ch.261/05-071 CMR ch.126   
Concise Summary:

The Department of Health and Human Services - Maine Center for Disease Control and Prevention (DHHS) and the Maine Department of Education (DOE) are jointly proposing these routine technical rule changes to implement PL 2019 ch. 154, An Act to Protect Maine Children and Students from Preventable Disease by Repealing Certain Exemptions from the Laws Governing Immunization Requirements (the "Act"). The Act prohibits the rule from including any provision governing medical exemptions and repeals the exemption from required immunization for school students who object, based solely on a sincere religious belief or philosophical reason, effective September 1, 2021, with exemptions for certain students. Those students who may have declined immunizations based on religious or philosophical objection and are otherwise not eligible for exemptions permitted under Maine's immunization laws, including those attending elementary or secondary schools for pre-kindergarten instruction, will be subject to current immunization requirements for the certain specified diseases. This rule proposes to require schools to include in their annual report any stricter immunization requirements that may be adopted by ordinance or policy, in addition to the immunization status of all students, including immune students, exempt and non-immunized excluded students. Additionally, these proposed rule changes include new and revised definitions; add a vaccine schedule for pre-kindergarten students; clarify existing authority and responsibility to dismiss or exclude a child from school when there is a public health threat (20-A MRS 6301; 22 MRS ch. 250); and clarify superintendent and school authority and responsibility related to recordkeeping and attendance tracking for those students exempt from immunization requirements. Finally, changes are proposed to the format of the rule for conformity with Maine CDC rulemaking standards. The Notice of Rulemaking provides additional details regarding this rulemaking, including public hearing information. Comments may also be submitted directly to Bridget.Bagley@maine.gov

No Comments Comment Deadline: August 5, 2021 Posted: July 7, 2021
 
Rules Governing the Certification Program for Primary Care Tax Credit; 10-144 CMR Ch 298 Proposed Rule 10-144 CMR Ch 298  Notice of Rulemaking 10-144 CMR Ch 298   
Concise Summary:

The Department of Health and Human Services Maine CDC is proposing changes to the Rules Governing the Certification Program for Primary Care Tax Credit, in order to update Maine CDC formatting conventions and eliminate any reference to specific tax years.

Submit Comments (Opens in new window) - Comment Deadline: June 18, 2021 Posted: May 19, 2021
 
Dental Care Access Credit Program; 10-144 CMR Ch 297 Proposed Rule 10-144 CMR Ch 297  Notice of Rulemaking 10-144 CMR Ch 297   
Concise Summary:

The Maine CDC is proposing to update and clarify requirements for the Dental Access Credit Program Rule. These proposed changes include specifying the application-submission deadline, establishing when the applications process ends, outlining the competitive order of receipt process for initial applicants, and extending the certification period for eligible dentists, following the deadline for applications. The Department is also proposing to update responsibilities for certificate holders and further clarify the Department's notification process of certificate award recipients.

Submit Comments (Opens in new window) - Comment Deadline: June 18, 2021 Posted: May 19, 2021
 
Newborn Bloodspot Screening Rule; 10-144 CMR chapter 283 Proposed Rule; 10-144 CMR chapter 283  Notice of Rulemaking; 10-144 CMR chapter 283   
Concise Summary:

Routine Technical Rule Proposal: The Department proposes to establish an expanded list of congenital, genetic and metabolic conditions for Maine's newborn bloodspot screening (NBS) panel to include the following four conditions recently added to the U.S. DHHS Recommended Universal Screening Panel and recommended by the Maine Joint Advisory Committee for Newborn Bloodspot Screening: Pompe, Mucopolysaccharidosis Type 1 (MPS-1), X-linked Adrenoleukpdystrophy (X-ALD), and Spinal Muscular Atrophy (SMA). This change is consistent with rule changes implemented by emergency rule adoption March 11, 2021 and due to expire within 90 days. Major Substantive Rule Proposal: In this same rulemaking, pursuant to 5 MRS 8072, the Department is also proposing a major substantive rule change to increase the filter paper fee from $110 to $220, which is required for NBS specimen collection. (22-A MRS 210).

On March 11, 2021, the Department adopted an Emergency Routine Technical/Major Substantive Rule with these proposed changes. The purpose of this rulemaking is to make permanent the changes made in the Emergency routine technical rule, and to provisionally adopt this Major Substantive rule. The emergency routine technical rule will be effective for up to 90 days after the effective date, in accordance with 5 M.R.S. 8054(3) However, in accordance with 5 M.R.S. 8073, the emergency Major Substantive rule changes (increasing the filter paper fee) may be in effect for up to twelve months, or until the Maine Legislature has completed its review.

This notice corrects information about the public hearing and comment period. The Notice of Rulemaking provides additional details regarding this rulemaking, including public hearing information. During the comment period, comments may be submitted to the agency contact person identified in the Notice of Agency Rulemaking.

Submit Comments (Opens in new window) - Comment Deadline: April 22, 2021 Posted: March 24, 2021
 
Immunization Requirements For Healthcare Workers; 10-144 CMR, ch. 264 - Second Publication Proposed Rule - 10-144 CMR Ch. 264  Revised Notice 10-144 CMR ch. 264   
Concise Summary:

The Department is proposing routine technical rule changes to amend 10-144 CMR ch. 264, Immunization for Healthcare Workers, to update exemption requirements following recent law changes; update the definition section to add public health threat and extreme public health emergency and revise Intermediate Care Facility for the Mentally Retarded (ICF/MR) to reflect Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID), aligning with CMS language; remove H1N1 2009-10 immunization requirements; and add seasonal influenza to the list of vaccine preventable diseases for which designated healthcare facility employees must show proof of immunization or documented immunity, or provide appropriate exemption documentation. Rule changes are proposed to clarify the Departments authority to impose control measures due to a public health emergency or an extreme public health emergency, including, but not limited to, requiring vaccinations and exclusions from the workplace to protect public health and minimize the impact from the specific notifiable communicable disease by reducing the potential disease spread by healthcare workers.
................................................................................................................................................ UPDATE: Second Publication - In accordance with 5 MRS sec. 8052 sub-sec 1, a public hearing is scheduled for this rule initially proposed September 30, 2020.

No Comments Comment Deadline: 5 p.m. Thursday, December 3, 2020 Posted: November 4, 2020
 
Control of Notifiable Diseases and Conditions Rule, 10-144 CMR Ch. 258 Proposed Rule 10-144 CMR ch. 258  Rulemaking Notice 10-144 CMR ch. 258   
Concise Summary:

This routine technical rulemaking proposes to permanently establish the changes implemented on a temporary basis by emergency rule requiring designated health care facilities to report information related to emergency preparedness and responsiveness (i.e. the number and type of available beds, medical supply inventory, etc.) and clarifying the Department's authority to directly access provider records through the state health information exchange described at 22 MRS 1711-C(18). Further amendments to this rule propose to: 1) add five additional disease conditions; 2) modify the existing notification for two disease conditions; 3) retire one disease condition from the list; 4) update the human immunodeficiency virus (HIV) testing terminology; 5) clarify laboratories electronic reporting requirements; 6) clarify temporary reporting requirements when the disease or condition can cause serious morbidity or mortality and the report of the disease or condition is necessary to monitor, prevent, or control the disease or condition to protect public health; and 7) clarify the Departments authority to take enforcement action for noncompliance, including referral to the Office of the Attorney General to seek injunctive relief and assess civil fines. Proposed changes also revise the definition section and rule construction; correct grammatical errors; and include other minor technical changes to improve readability and consistency with agency standards. (Hearings requested during the State of Emergency will be conducted in accordance with 1 MRS,403-A (PL 2020 c. 617).

Submit Comments (Opens in new window) - Comment Deadline: October 9, 2020 Posted: September 9, 2020
 
10-144 CMR Ch. 201, Administration and Enforcement of Establishments Regulated by the Health Inspection Program 10-144 CMR Ch. 201, Administration and Enforcement of Establishments Regulated by the Health Inspection Program Rule  Notice of Agency Rulemaking 10-144 CMR Ch 201   
Concise Summary:

The Maine CDC is proposing an increase of its licensing fees for eating places (excluding municipal licenses, schools, electrologists and senior citizen meal sites), lodging places, campgrounds, combination licenses, youth camps, public pools/spas, tattooist and body piercers. The increases that are proposed in this rule are within the statutory caps or have otherwise been designated routine technical by statute. The Maine CDC has determined that these fee increases are necessary to keep the program solvent, ensuring that inspections continue for the health and safety of people served at facilities licensed through HIP.

No Comments Comment Deadline: March 21, 2020 Posted: February 19, 2020
 
Lead Testing In School Drinking Water Rule, 10-144 CMR Ch 234 Lead Testing In School Drinking Water Rule, 10-144 CMR Ch 234  Notice of Agency Rulemaking, 10-144 CMR Ch 234   
Concise Summary:

The DHHS Maine CDC proposes this new rule to comply with 2019 P.L. Ch. 158, An Act to Strengthen Testing for Lead in School Drinking Water, codified at 22 MRS 2604-B. The Act directs the Department to provisionally adopt a major substantive rule by January 10, 2020 and establish the following: drinking water testing protocols for lead in schools, a standard of lead in school drinking water, abatement and mitigation methods, as well as public notification and reporting protocols.

No Comments Comment Deadline: January 18, 2020 Posted: December 18, 2019
 
Rules for Family Planning Funding, 10-144 CMR Ch 287 Rules for Family Planning Funding, 10-144 CMR Ch 287  Notice of Agency Rulemaking, 10-144 CMR Ch 287    
Concise Summary:

This rule was enacted to ensure that all State contracts for family planning services included assurances that State contractors were in compliance with federal Title X Program Guidelines for Project Grants for Family Planning Services. Recent changes to the federal Title X Program Guidelines would prevent Maine health care providers who receive Title X funding from informing patients of all available health care options and from making referrals for abortion services. The Department's proposed repeal of this rule will ensure continued access to reproductive health care services by allowing the State to set its own requirements for program standards through contract negotiations with providers. The Rules for Family Planning Funding do not contain enforcement mechanisms; nor does the rule cite any statutory authority for requiring recipients of state family planning funding to comply with federal Title X Program Guidelines.

No Comments Comment Deadline: January 03, 2020 Posted: December 4, 2019
 
Rules for the SSI Children's Program of Services, 10-144 CMR Ch. 273 Proposed Rules for the SSI Children’s Program of Services, 10-144 CMR Ch. 273  Notice of Rulemaking 10-144 CMR Ch. 273   
Concise Summary:

The Department is proposing to repeal this rule. The Rules for the SSI Children's Program of Services were originally adopted on May 19, 1980. The intent of the rule was to provide medical and health services to children receiving SSI when referred to the program by the Social Security Administration. The rule provides information on eligibility, services provided and reimbursed through the program, provider reimbursement, confidentiality, and rights of appeal. The Maine CDC is proposing to repeal this rule, because these services have long been provided through the DHHS, Office of Child and Family Services and MaineCare. No services are provided pursuant to this rule. Therefore, the Department is proposing to repeal the rule, because it is no longer necessary.

No Comments Comment Deadline: August 9, 2019 Posted: July 10, 2019
 
Rules Establishing Blind Seroprevalence Surveys for Occurrence of HIV in Newborns,10-144 CMR Ch 259 Proposed Rules Establishing Blind Seroprevalence Surveys for Occurrence of HIV in Newborns, 10-144 CMR Ch. 259  Notice of Rulemaking, 10-144 CMR Ch 259   
Concise Summary:

The Rules Establishing Blind Seroprevalence Surveys for Occurrence of HIV in Newborns, 10-144 CMR Ch. 259, was originally adopted to establish procedures for a seroprevalence survey to target public health efforts to control HIV and to ensure the anonymity of all test subjects. This was a study involving newborn bloodspot specimens that occurred between 1988 and 1993. The statute that authorized the Department to adopt this rule was repealed in 1989. P.L. 1989, ch. 487, 12. Accordingly, the Department has determined that the rule needs to be repealed.

No Comments Comment Deadline: August 9, 2019 Posted: July 10, 2019
 
Prenatal Care Program, 10-144 CMR Ch 282 Proposed Prenatal Care Program, 10-144 CMR Ch 282  Notice of Rulemaking 10-144 CMR Ch 282   
Concise Summary:

The Maine CDC is proposing to repeal this rule. The Prenatal Care Program rule was originally adopted to define and describe the program standards necessary, that encouraged pregnant adolescent women to obtain prenatal care, including those who lacked healthcare insurance or the financial resources necessary to obtain prenatal care. Pregnant women 18 years or younger can become eligible for prenatal services under similar eligibility criteria through 10-144 CMR Chapter 332, MaineCare Eligibility Manual and through the Maine Center for Disease Control and Prevention, Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program. No services are provided pursuant to this rule. Therefore, the Department has determined that this rule is no longer necessary and is proposing its repeal.

No Comments Comment Deadline: August 9, 2019 Posted: July 10, 2019
 

Please Note: If you are unable to submit a comment, please contact the policy writer identified in the rule directly.

Recently Adopted Rules

Agency rules are available on the Secretary of State (SOS) website.

There is always a delay between the effective date the Maine CDC adopts a rule and the date it is posted on the SOS website. Therefore, the Maine CDC posts recently adopted rules until they are posted on the SOS website.

Post-Secondary School Immunization Rule; 10-144 CMR Ch 262 10-144 CMR Ch 262 Post-Secondary School Immunization Rule  Summary of Comments and Responses 10-144 CMR Ch.262 
Concise Summary:

The Department is adopting amendments to 10-144 CMR ch. 262, to implement changes required by PL 2019 ch. 154, An Act to Protect Maine Children and Students from Preventable Disease by Repealing Certain Exemptions from the Laws Governing Immunization Requirements (the "Act"), enacted by the 129th Maine Legislature and effective June 16, 2020. The Act prohibits the Department from including any provision governing medical exemptions in this rule. (PL 2019 ch. 154 7.) The Act repeals the exemption from required immunization for post-secondary school students who state a sincere religious belief or philosophical reasons for opposing immunization, effective September 1, 2021. (PL 2019 ch. 154 6.) The adopted rule clarifies the documentation required for students' health records for all students, including immune students, exempt and non-immunized students, and the minimum content for the schools annual report of students immunization status. These rule changes further clarify that this information may be accessed by the Department to ensure compliance with the law and inform measures for controlling the spread of certain diseases. Additionally, this rule amendment clarifies that remote students who do not enter onto school premises are exempt from immunization requirements. In alignment with 20-A MRS 6359(6), nothing in this rule may be construed to preclude the governing board of a public or private post-secondary school from adopting immunization requirements that are more stringent than the provisions set forth in this rule. The final rule adoption also includes proposed minor changes to the rule format and revised title, for consistency with agency standards.


Effective Date: August 11, 2021
  Posted: August 11, 2021
 
Newborn Bloodspot Screening Rule; 10-144 CMR chapter 283 10-144 CMR ch. 283 - Newborn Bloodspot Screening Rule  Summary of Comments and Responses 10-144 CMR c.283 
Concise Summary:

On March 11, 2021 the Department adopted and filed with the Secretary of State's office an emergency Routine Technical/Major Substantive Ch. 283 (Newborn Bloodspot Screening Rule) rule. The emergency major substantive rule changes will be in effect for up to 12 months or until the Legislature has completed its review, as provided by 5 M.R.S. 8072. In this rulemaking, the Department permanently adopts the emergency routine technical rule changes, as shown below, which add four conditions for newborn screening. In addition, the Department provisionally adopts the emergency major substantive rule changes that increase the filter paper fee to $220. The Department will proceed to submit the provisionally adopted major substantive rule changes to the Legislature for its review and approval.

Routine Technical Adopted Rule Changes: The Department expanded the conditions on Maines newborn bloodspot screening panel to include the following conditions to APPENDIX A, Core Conditions, in this rule. These conditions were added on March 11, 2021 by emergency rule for 90 days, pursuant to 5 MRS 8072: Mucopolysaccharidosis Type 1 (MPS-1) Pompe Spinal Muscular Atrophy (SMA) X-linked Adrenoleukpdysrophy (X-ALD)

Early detection and timely diagnosis of certain congenital genetic disorders impact health outcomes for newborns, reducing the mortality and morbidity from certain heritable disorders. Beginning July 1, 2001, Maine began mandatory newborn testing to include nine disorders and, because of the importance of screening, early detection and treatment, and coordination of services for long-term care, the Maine CDC NBSP, with the support of Maines Joint Advisory Committee for Maine Newborn Screening (JAC), has since continued to expand the panel of disorders and revise requirements for screenings for certain conditions to be consistent with the U.S. DHHS Recommended Universal Screening Panel (RUSP). Disorders on the RUSP are chosen based on evidence that supports the potential net benefit of screening, the ability to screen for the disorder, and the availability of effective treatments.

These four conditions were added to the RUSP in the following years: Pompe (2013) MPS-1 (2015) X-ALD (2015) SMA (2018)

The Maine Joint Advisory Committee for Newborn Bloodspot Screening recommended that the Department add Pompe, MPS-1 and X-ALD to the Core Conditions for screening, in October 2018, and in May 2019, the Committee recommended adding SMA.

The Department adopted the four additional conditions to this rule to reduce mortality and morbidity from certain heritable conditions.

Major Substantive Rule Changes Provisionally Adopted: The filter paper fee increase is necessary to off-set anticipated costs corresponding to the added conditions (i.e. genetic clinic contracts, resource material, follow- up services and other related program operations). The emergency adoption of the major substantive rule changes became effective on March 11, 2021. 5 M.R.S. 8002(3-A).

Routine technical rule changes to 10-144 CMR chapter 283, Newborn Bloodspot Screening Rule, have been adopted and are effective June 1, 2021. Major substantive rule change was provisionally adopted on May 19, 2021.


Effective Date: June 1, 2021
  Posted: June 2, 2021
 
Immunization Requirements for Healthcare Workers; 10-144 CMR ch. 264 10-144 CMR, ch.264 Immunization Requirements for Healthcare Workers  Summary of Comments and Responses 10-144 CMR c.264  
Concise Summary:

The Department is adopting routine technical rule changes to amend 10-144 CMR ch. 264, Immunization for Healthcare Workers rule, which include (1) Adding and updating references to the statutory authority for the rule; (2) Clarifying, in the Summary, that the rule is purposed to reduce the risk for exposure to and transmission of vaccine-preventable diseases; (3) Updating the definition of Designated Healthcare Facility to clarify the term applies to facilities subject to licensure by the Department; (4) Updating the term Intermediate Care Facility for the Mentally Retarded (ICF/MR) to Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID); (5) Adding definitions for Public Health Emergency, Public Health Threat, and Extreme Public Health Emergency; (6) Removing outdated H1N1 2009-10 reporting language; (7) Adding influenza to the list of vaccine-preventable diseases for which healthcare facilities must require all employees to provide proof of immunization, or immunity, or documentation of an authorized exemption; (8) Adding a description of the Department's authority during a declared Extreme Public Health Emergency, to impose additional disease prevention control measures, including mandatory and mass vaccinations and recommended dosages therefor; and (9) Clarifying that records of Designated Healthcare Facility employee vaccinations must be maintained by the facility for six years following termination.


Effective Date: April 14, 2021
View Comments: 10-144 CMR ch.264 PH Transcript  Posted: April 20, 2021
 
Control of Notifiable Diseases and Conditions Rule 10-144 CMR ch. 258- Control of Notifiable Diseases and Conditions Rule  Summary of Comments and Responses 10-144 CMR C. 258 
Concise Summary:

This routine technical rule amends the Control of Notifiable Diseases and Conditions Rule to: 1) add the following five additional disease conditions: Acute flaccid myelitis, Candida auris, Borrelia miyamotoi, vaping-associated pulmonary illness, and Zika; 2) modify the two listings of multi drug-resistant organisms; 3) remove Staphylococcus aureus (MRSA) from the list; 4) update the human immunodeficiency virus (HIV) testing terminology; 5) clarify authority to access health information, including healthcare information from other entities not specified (e.g. MaineCare), through the state health information exchange; 6) clarify laboratories' electronic reporting requirements (e.g. designated use of HL7 messaging); 7) clarify that when a potentially emerging disease or condition that can cause serious morbidity or mortality and for which the reporting is necessary to monitor, prevent, or control the disease or condition to protect public health, the Department can, through public notice, require immediate reporting for a limited time; and 8) clarify enforcement actions, including referrals to licensing boards and/or the Office of the Attorney General to seek injunctive relief for noncompliance with reporting Category I conditions, specifically, and fine imposition for noncompliance and false reporting. Additionally, the adopted rule includes a change in the proposed frequency for bed occupancy reporting outside of a declared health emergency to allow for weekly reporting and includes additional and revised definitions for epidemic and outbreak. Provisions of this rule ensure that the Department is consistent with national disease reporting recommendations for conditions impacting public health and safety, to ensure timely and accessible information, as diseases and conditions emerge and data needs evolve. Amendments also require designated health care facilities to report information related to emergency preparedness and responsiveness.


Effective Date: February 17, 2021
  Posted: February 11, 2021
 
Schedule of Charges for Testing and Services Provided by the Maine Health and Environmental Testing Laboratory 10-144 CMR c.257 Schedule of Charges for Testing and Services Provided by the Maine HETL  Summary of Comments and Responses 10-144 CMR c.257 
Concise Summary:

The DHHS, Maine CDC is adopting an update to the schedule of charges for testing and services provided by the Maine Health and Environmental Testing Laboratory (HETL), including, but not limited to the following: chemical and microbiological testing and examination of surface water sources, food products, public and private drinking water well samples, and environmental and forensic samples; the examination of cases and suspected cases of infectious and communicable diseases; and other public health services required by the recently revised 22 M.R.S. Chapter 601. This rule repeals and replaces 10-144 C.M.R. Chapter 257 and repeals 10-144 C.M.R. Chapter 233. This rule establishes a fee schedule for testing and services performed by HETL based on the average cost of providing the service and serves to: 1) Update the charges for analytical testing, including chemical, microbiology, water quality, environmental, radiation, lead, and forensic testing, and other public services performed by HETL according to a rate setting methodology to determine the average cost of the service; 2) Set the additional charge of $2 that may be applied to the cost for residential private drinking water well test orders; 3) Establish administrative charges for licensing, manual data entry for all clinical submissions not sent electronically, and collection of overdue payment; 4) Amend the list of testing services available (i.e., add new tests and services and remove certain tests and services no longer available through HETL); 5) Specify the Department's uniform recommendations for periodic testing of residential private drinking water wells in written outreach material; 6) Require labs to submit electronic orders to HETL and use HL7 messaging, as of January 2022; 7) Clarify the types of services deemed essential to public health; and 8) Clarify considerations for granting fee waivers.


Effective Date: August 26, 2020
  Posted: August 26, 2020
 
Death With Dignity Act Reporting Rule, 10-146 CMR ch.15 10-146 CMR ch.15 Death With Dignity Act Reporting Rule  Summary of Comments and Responses 10-146 CMR ch.15 
Concise Summary: The final adoption of this major substantive rule permanently implements the Maine Death with Dignity Act ("Act"), 22 MRS 2140, and the Department's authority to collect certain data from health care providers related to patient-directed care at the end of life and to establish criteria for witnesses to patients making written requests for life-ending medications when the patients reside in long-term care facilities. Under this rule, physicians prescribing life-ending medication must submit required forms to the Department in the manner and frequency described and retain forms as part of the qualified patients medical record. Department-prescribed forms are available online and by request. Required data collection includes, but is not limited to, qualified patients written request for life-ending medication, assurances that the patient is making an informed decision regarding end-of-life care and life-ending medication, and medication prescription records. The terms of the rule are consistent with those set forth in the Act and the existing 10-146 CMR chapter 15, adopted on an emergency basis. The 129th Maine Legislature authorized the final adoption of the provisionally adopted rule, as submitted. (Resolve 2019, ch. 130.) The final adoption of this rule ensures continuousness of the established processes under the Act. (5 MRS 8072.)
Effective Date: August 30, 2020
  Posted: August 5, 2020
 
Rules Relating To The Lead Poisoning Control Act, 10-144 CMR ch. 292 Rules Relating To The Lead Poisoning Control Act   Summary of Comments and Responses 10-144 CMR c.292  
Concise Summary: This routine technical rule adoption implements the federal lead-dust hazard standards that went into effect January 2020. The scope and extent of this rulemaking is consistent with the proposed rule change which is limited to the changes to the definition of "lead-contaminated dust" established by the emergency rule. This rule aligns with the new U.S. Environmental Protection Agency (EPA) standards that reduced concentration levels of lead from the previous standards, which was 40 micrograms lead per square foot (g/ft2) on floors and 250 g/ft2 on window sills, to the lower standard that is 10 g/ft2 on floors and 100 g/ft2 on window sills.
Effective Date: July 29, 2020
  Posted: July 29, 2020
 
10-144 CMR Ch. 201, Administration and Enforcement of Establishments Regulated by the Health Inspection Program 10-144 CMR Ch. 201, Administration and Enforcement of Establishments Regulated by the Health Inspection Program Rule  Summary of Comments 10-144 CMR Ch. 201 
Concise Summary: The DHHS, Maine CDC is adopting an increase of its licensing fees for eating places (excluding municipal licenses, schools, electrologists, and senior citizen meal sites), lodging places, campgrounds, combination licenses, youth camps, public pools/spas, tattooist and body piercers. The fee increases in this rule are within the statutory caps or have otherwise been designated routine technical by statute. The Maine CDC has determined that these fee increases are necessary to keep the program solvent, ensuring that inspections continue for the health and safety of people served at facilities licensed through HIP.
Effective Date: July 29, 2020
  Posted: July 29, 2020
 
Emergency Medical Services Personnel Reporting Rule; 10-144 CMR ch. 124 10-144 CMR Ch. 124 - EMS Personnel Reporting Rule  Summary of Comments and Responses - 10-144 CMR ch 124 
Concise Summary:

Pursuant to 22 M.R.S. 820(1)(C), this is a major substantive rule. Pursuant to Resolve 2021, ch. 51, the Department of Health and Human Services (Department) finally adopts this new major substantive rule, 10-144 C.M.R. chapter 124, Emergency Medical Services Personnel Reporting Rule.

On April 22, 2020, the Department adopted an emergency major substantive rule, which, per 5 M.R.S. 8073, was effective one year, through April 21, 2021. The Department then proposed a major substantive rule. After the comment period, the rule was provisionally adopted and submitted to the Legislature for its review pursuant to 5 M.R.S. 8072. Resolve ch. 51 authorized final adoption of this rule and directed that immediate enactment of the Resolve was necessary, and therefore directed that the Resolve took effect when approved. The Resolve was approved by the Governor on June 11, 2021. In accordance with 5 M.R.S. 8072(8), the Department has finally adopted this rule within 60 days of the effective date of the legislation approving this rule.

Through its authority in 22 M.R.S. 820(1)(C), the Department is establishing a uniform system of reporting requirements, to enable statewide surveillance of the response capacity of the State of Maine's healthcare workforce, specifically emergency medical service (EMS) personnel, during a declared Extreme Public Health Emergency (22 M.R.S. 802(2-A)). This rule ensures the Departments continued coordination and integration of activities and resources related to emergency medical services, to inform the overall planning, evaluation, coordination, facilitation and operations of an effective comprehensive statewide emergency medical services system.

This rule requires EMS organizations and emergency medical dispatch (EMD) centers to report information about EMS personnel who, during a declared Extreme Public Health Emergency, have been removed from the workforce temporarily because they have been exposed to a Notifiable Disease or Condition, or because they have developed symptoms of a Notifiable Disease, in accordance with the guidance issued by the Department, in partnership with the Department of Public Safety Maine EMS. Under this rule, EMS organizations and EMD centers are responsible for compliance with electronic reporting. Reporting must be completed within 24 hours of when the EMS personnel is removed from service. Reporting of certain subsequent events must also be completed within 24 hours. Information collected specific to EMS personnel, which includes licensed emergency medical service responders, emergency medical transportation services and dispatch, will be used for public health surveillance purposes and will inform decisions regarding healthcare workforce capacity as a key element of a comprehensive and effective emergency medical services system. Accurate and reliable statewide data is essential for coordinating with municipal localities, other State offices, federal emergency management agencies and healthcare systems across the State, in order to prepare for and respond to public health emergency needs.


Effective Date: August 20, 2021
  Posted: July 28, 2020
 
Gender Marker on Birth Record Rule, 10-146 CMR chapter 16 10-146 CMR c.16 Gender Marker on Birth Record Final Rule  Comments and Responses 10-146 CMR c.16 
Concise Summary: This rule is adopted to be consistent with changes in policy and practice at the State and national levels to recognize an additional gender marker that is not exclusively male or female, as an option for birth record. As authorized by 22 MRS 2761, the adopted rule establishes administrative processes within the Maine CDC Office of Data, Research and Vital Statistics (DRVS) for designating X as the gender marker on a birth record at birth and for issuing a new birth record with changes requested specifically to align with gender identity. Under the adopted rule, a new birth record may be issued to an applicant requesting changes to the designated gender marker to align with gender identity. The new birth record may be issued with the requested changes to the first and middle name without a court order when requested at the time a new birth record with the appropriate gender marker is requested. Parental consent and a medical provider's signature may be required under certain specified circumstances. When a new certificate of birth is established in accordance with this rule, the original certificate is confidential and available to only the registrant or the registrant's legal representative, unless otherwise ordered by a court. The final rule provides for an administrative hearing procedure for an aggrieved person to appeal decisions issued under this rule. This rule promotes consistency in State identity documents and protects the privacy of individuals requesting new records that align with their gender identity.
Effective Date: July 14, 2020
  Posted: July 15, 2020
 
10-144 CMR Ch. 234, Lead Testing In School Drinking Water Rule 10-144 CMR Ch 234, Lead Testing In School Drinking Water Rule  Summary of Comments 10-144 CMR Ch 234 
Concise Summary: This is a provisional adoption of a major substantive rule.The DHHS Maine CDC is provisionally adopting this new rule to comply with 2019 PL Ch 158, An Act to Strengthen Testing for Lead in School Drinking Water, codified at 22 MRS 2604-B. The Act directs the Department to provisionally adopt a major substantive rule and establish the following: drinking water testing protocols for lead in all Maine schools, a standard of lead in school drinking water, abatement and mitigation methods, as well as public notification and reporting protocols.
Effective Date: March 16, 2020
  Posted: March 18, 2020
 
Rules for Family Planning Funding, 10-144 CMR Ch 287 Rules for Family Planning Funding, 10-144 CMR Ch 287  Summary of Comments 10-144 CMR Ch. 287 
Concise Summary: This rule was established to ensure that all State contracts for family planning services include assurances that State contractors are in compliance with federal Title X Program Guidelines for Project Grants for Family Planning Services. Recent changes to the federal Title X Program Guidelines would not permit Maine health care providers who receive Title X funding to discuss all possible health care options with their clients. The Department finds that the repeal of 10-144 CMR, Ch. 287, is necessary to ensure continued access to a wider variety of health care services by allowing the State to set its own requirements for program standards through contract negotiations with providers. The Rules for Family Planning Funding did not contain enforcement mechanisms. Nor was there a statutory authority cited in the rule.
Effective Date: March 16, 2020
  Posted: March 17, 2020
 
Prenatal Care Program, 10-144 CMR Ch. 282 10-144 CMR Ch. 282 Repeal  Summary of Comments, 10-144 CMR Ch. 282 
Concise Summary: The Maine CDC is repealing this rule. The Prenatal Care Program rule was originally adopted to provide a mechanism for payment for routine prenatal care for eligible pregnant adolescent women who lacked healthcare insurance or financial resources. Pregnant women 18 years or younger may be eligible for prenatal services through MaineCare and through the Maine Center for Disease Control and Prevention, Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program, which have eligibility requirements similar to those used in the Prenatal Care Program. Services are no longer provided pursuant to this rule, and the Prenatal Care Program is no longer funded. Therefore, the Department has determined that this rule is no longer necessary.
Effective Date: December 11, 2019
  Posted: December 11, 2019
 
Rules for the SSI Children's Program of Services, 10-144 CMR Ch. 273 Rules for the SSI Children's Program of Services, 10-144 CMR Ch. 273  Summary of Comments 10-144 CMR Ch. 273 
Concise Summary: The Department is repealing the Rules for the SSI Children's Program of Services, which had an original effective date of May 19, 1980. The intent of the rule was to provide medical and health services to children receiving SSI when referred to the program by the Social Security Administration. The rule provides information on eligibility, services provided and reimbursed through the program, provider reimbursement, confidentiality, and rights of appeal. The Maine CDC is repealing this rule, because these services have long been provided through the DHHS, Office of Child and Family Services and MaineCare. Services are no longer provided pursuant to this rule.
Effective Date: December 11, 2019
  Posted: December 11, 2019
 
Rules Establishing Blind Seroprevalence Surveys for Occurrence of HIV in Newborns,10-144 CMR Ch 259 Rules Establishing Blind Seroprevalence Surveys for Occurrence of HIV in Newborns, 10-144 CMR Ch. 259   Summary of Comments 10-144 CMR Ch. 259 
Concise Summary: The Rules Establishing Blind Seroprevalence Surveys for Occurrence of HIV in Newborns, 10-144 CMR Ch. 259, was originally adopted to establish procedures for a seroprevalence survey to target public health efforts to control HIV and to ensure the anonymity of all test subjects. This study involved newborn bloodspot specimens that occurred between 1988 and 1993. Because this program is no longer in effect, the Department is now repealing the rule.
Effective Date: December 4, 2019
  Posted: December 4, 2019
 
10-146 CMR chapter 15 - Death With Dignity Act Reporting Rule 10-146 CMR c.15 Emergency Death with Dignity Rule  Emergency Rule Notice 10-146 CMR c.15 
Concise Summary: This major substantive rule is adopted on an emergency basis to implement the Maine Death with Dignity Act ("Act"), 22 MRS 2140, and the Department's authority to collect certain data from health care providers related to patient-directed care at the end of life and to establish criteria for witnesses to patients making written requests for life-ending medications when the patients reside in long-term care facilities. Under this rule, physicians prescribing life-ending medication must submit required forms to the Department and retain forms as part of the qualified patients medical record. Department-prescribed forms are available online and by request. Required data collection includes, but is not limited to, qualified patients written request for life-ending medication, assurances that the patient is making an informed decision regarding end-of-life care and life-ending medication, and medication prescription records. Required forms can be accessed at: http://www.maine.gov/dhhs/mecdc/public-health-systems/data-research/vital-records/forms/index.shtml
Effective Date: September 19, 2019
  Posted: September 19, 2019
 

Emergency Rules

Notice of Emergency Rule: 10-144 CMR Ch. 264 Immunization Requirements for Healthcare Workers Emergency Rulemaking; 10-144 CMR ch. 264- Immunization Requirements For Healthcare Workers  Notice of Emergency Rule: 10-144 CMR Ch. 264   
Concise Summary:

In accordance with 5 MRS 8054, the Department is amending 10-144 CMR chapter 264, Immunization Requirements For Healthcare Workers on an emergency basis to immediately add COVID-19 to the list of vaccine-preventable diseases for which employees of a licensed nursing facility, residential care facility, Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID), multi-level healthcare facility, hospital, or home health agency subject to licensure by the State of Maine, Department of Health and Human Services Division of Licensing and Certification must be immunized. In addition, the Department is also requiring Emergency Medical Services Organizations and Dental Health Practices to require all employees to provide proof of immunization against COVID-19. Employees who do not provide proof of immunization must be excluded from the workplace for the duration of the Department's declared public health emergency, currently in effect, which started July 1, 2021. Requiring these healthcare workers to be immunized against COVID-19 is necessary to avoid or mitigate the spread of COVID-19, including, in particular, the Delta variant, which is significantly more contagious than past versions of the virus and poses an immediate threat to public health, safety, and general welfare. Specifically, this requirement will slow the spread of COVID-19, protecting both healthcare workers and the public from infection, serious illness, hospitalization, and/or death. Additionally, this requirement will help to prevent strain on the healthcare system both by limiting the number of hospitalizations as a result of COVID-19 and by protecting individual members of the workforce. The emergency routine technical rule remains in effect for up to ninety (90) days pursuant to 5 MRS 8054(3). To avoid any lapse in this new immunization requirement, the Department is planning to engage in the standard rulemaking process, which will, in addition to other non-emergency changes, propose these changes to become permanent.

Effective Date: August 12, 2021
 
Emergency Rulemaking: Newborn Bloodspot Screening Rule 10-144 CMR c.283 -Newborn Bloodspot Screening (Emergency)  Notice of Emergency Rulemaking Newborn Bloodspot Screening Rule   
Concise Summary:

This rule is a routine technical rule, except for Section 14 (Fees), which is a major substantive rule, pursuant to 5 M.R.S. 8071(3)(B).

The emergency routine technical rule change expands the list of congenital, genetic and metabolic conditions on Maine's newborn bloodspot screening (NBS) panel to include the following four conditions recently added to the U.S. DHHS Recommended Universal Screening Panel and recommended by the Maine Joint Advisory Committee for Newborn Bloodspot Screening: Pompe (2013) MPS-1 (2105) X-ALD (2015) SMA (2018)

The emergency major substantive rule increases the filter paper fee from $110/per infant tested, to $220/per infant tested. This fee increase is necessary to off-set anticipated costs corresponding to the added conditions (i.e. genetic clinic contracts, resource material, follow- up services and other related program operations).

The Department has determined that adding these four conditions for newborn screening immediately is necessary to avoid an immediate threat to public health, safety or general welfare, as it will reduce mortality and morbidity from certain heritable conditions. The fee increase is necessary to offset anticipated costs corresponding to the added conditions.

EFFECTIVE DATE: March 11, 2021

 
Emergency Rulemaking; 10-144 CMR c. 258 Control of Notifiable Diseases and Conditions Rule 10-144 CMR c.258 Control of Notifiable Disease and Conditions Rule - Emergency  Emergency Rulemaking Notice 10-144 CMR c.258 Control of Notifiable Conditions   
Concise Summary: The emergency adoption of amendments to 10-144 CMR chapter 258 immediately implements (1) requirements for designated health care facilities to report the number and type of available beds and medical supply inventory (i.e. personal protective equipment, pharmaceuticals, ventilator machines) to improve emergency management operations, following the Governor's proclamation, Proclamation of State of Civil Emergency to Further Protect Public Health (March 15, 2020) and authorized by Public Law 2020, chapter 617, An Act to Implement Provisions Necessary to the Health, Welfare and Safety of the Citizens of Maine in Response to the COVID-19 Public Health Emergency (effective March 18, 2020); and (2) clarification of the Departments authority in Section 2(H) to access hospital and provider records to include directly accessing the state health information exchange described at 22 MRS 1711-C(18).
Effective Date: May 12, 2020
 
Notice: Emergency Rule Adoption - EMS Personnel Reporting Rule, 10-144 ch. 124 Emergency Rule - EMS Reporting Rule 10-144 CMR ch.124  Notice of Emergency Rule Adoption - 10-144 CMR ch.124   
Concise Summary: The Department is authorized to implement rules to require entities to report information related to healthcare workforce capacity and public health emergency preparedness. (22 MRS chapter 250.) Pursuant to 5 MRS 8054, the provisional adoption of this emergency rule immediately implements requirements for emergency medical service (EMS) organizations and emergency medical dispatch (EMD) centers to report information specific to emergency medical service workforce capacity as a key element of an effective comprehensive emergency medical services system. Information collected under this rule is specific to EMS personnel who, in accordance with Department-issued guidance, are temporarily removed from service due to reasons related to exposure, or potential exposure, to a notifiable condition or disease. EMS personnel includes, but is not limited to, licensed EMS responders, emergency medical transportation services and dispatch. Reporting must be in the form prescribed by the Department. Electronic reports must be completed within 24 hours of the removal of the EMS personnel and the individual must be monitored for changes in status that must be reported within 24 hours of the change (i.e. date completed self-quarantine, hospitalization, returned to work, etc.). Information collected will be used for public health purposes and inform system capacity in the event of a potential or actual public health emergency.
Effective Date: April 22, 2020
 
Rules Relating to The Lead Poisoning Control Act Emergency Adoption- Rules Relating to the Lead Poisoning Control Act 10-144 CMR c.292   Rulemaking Notice 10-144 CMR c. 292    
Concise Summary: The Department is adopting this rule on an emergency basis to immediately implement revised federal standards for dust-lead hazards to identify and abate lead-based substances in dwellings and child-occupied facilities, decreasing the risk of exposure to environmental lead hazards and child lead poisoning. The extent of this rule change is limited to reducing dust-lead levels specified in the existing definition of "lead-contaminated dust," which, under the current rule, allows lead concentration levels to be equal to, or less than, 40 micrograms of lead per square foot (g/ft2) on floors and 250 g/ft2 on window sills. (10-144 CMR c. 292). This change is necessary to apply U.S. Environmental Protection Agency (EPA) dust-lead hazard standards effective January 2020, and establish the lower standards of 10 g/ft2 on floors and 100 g/ft2 on window sills (40 CFR 745.65), to identify the presence of environmental lead hazards that must be removed in accordance with the Maine's Lead Poisoning Control Act (22 MRS Ch. 252).
Effective Date: April 1, 2020
 
Emergency Rulemaking: Rules for Family Planning Funding Repeal 10-144 CMR Chapter 287, Rules for Family Planning Funding  Notice of Agency Rule-making Emergency   
Concise Summary: This rule was established to ensure that all State contracts for family planning services include assurances that State contractors are in compliance with federal Title X Program Guidelines for Project Grants for Family Planning Services. Recent changes to the federal Title X Program Guidelines would not permit Maine health care providers who receive Title X funding to discuss all possible health care options with their clients. Pursuant to 5 MRS 8054, the Department finds that the emergency adoption and repeal of 10-144 CMR, Ch. 287, is necessary to avoid an immediate threat to public health, safety or general welfare. The repeal of this rule ensures continued access to a wider variety of health care services by allowing the State to set its own requirements for program standards through contract negotiations with providers. The Rules for Family Planning Funding do not contain enforcement mechanisms. Nor is there a statutory authority cited in the rule.
Effective Date: December 4, 2019
 
Emergency rulemaking: Death With Dignity Act 10-146 CMR ch 15 Adopted Emergency Rule  Emergency Rule Notice 10-146 CMR ch15  | 10-146 CMR ch15 Forms 
Concise Summary: This major substantive rule is adopted on an emergency basis to implement the Maine Death with Dignity Act ("Act"), 22 MRS 2140, and the Department's authority to collect certain data from healthcare providers related to patient-directed care at the end of life and to establish criteria for witnesses to patients making written requests for life-ending medications when the patients reside in long-term care facilities. Under this rule, physicians prescribing life-ending medication must submit required forms to the Department and retain forms as part of the qualified patients medical record. Department-prescribed forms are available online and by request. Required data collection includes, but is not limited to, qualified patients written request for life-ending medication, assurances that the patient is making an informed decision regarding end-of-life care and life-ending medication, and medication prescription records. Forms can be accessed at: http://www.maine.gov/dhhs/mecdc/public-health-systems/data-research/vital-records/forms/index.shtml
Effective Date: September 19, 2019
 

CDC Rulemaking by Subscription Topic

For the purpose of notifying interested parties about agency rulemaking, the Maine CDC rules have been categorized by major subject matter areas. Interested parties will receive information about changes to any rule listed for selected topics. For reference, the Maine CDC rules are listed below by subscription topic(s) and the current rules can be reviewed at http://www.maine.gov/sos/cec/rules/10/chaps10.htm.

Interested parties may subscribe to receive electronic notification of agency rule changes by going to the Subscriber Preference Page. Requests for written notification of rulemaking by the agency may be made by contacting the agency directly.

Disease Management (click to expand)

Disease Management (click to collapse)

  • Body Mass Index Data Collection and Reporting in School Administrative Units
  • Critical Congenital Heart Defects Screening
  • Maine Cancer Incidence Registry Rules and Regulations
  • Maine Chronic Disease Surveillance Data Quality and Follow-up Study Rules and Regulations
  • Rules and Regulations Relating to the Maternal, Fetal and Infant Mortality Review Panel
  • Rules Establishing Blind Seroprevalence Surveys for Occurrence of HIV in Newborns
  • Rules Governing Rabies Management
  • Rules Relating to the Breast and Cervical Cancer Prevention and Treatment Act (BCCPTA) in Maine
  • Rules Relating to the Maine Birth Defects Program
  • Rules Relating to the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) In Maine

Environmental/Public Health (click to expand)

Environmental/Public Health (click to collapse)

  • Lead Poisoning Prevention Fee Rules
  • Mass Gathering Rules and Informational Guidelines
  • Minimum Lot Size Rules
  • Residential Rental Property Radon Testing Rules
  • Rules for Conversion of Seasonal Dwelling Units into Year-Round Residences in the Shoreland Zone
  • Rules for Site Evaluators of Subsurface Wastewater Disposal Systems
  • Rules Relating to Bulk Water
  • Rules Relating to Cross Connections
  • Rules Relating to Drinking Water
  • Rules Relating to Drinking Water State Revolving Fund
  • Rules Relating to Public Notification of Radioactive Emissions from Nuclear Power Plant
  • Rules Relating to Public Swimming Pools and Spas
  • Rules Relating to Radiation Protection
  • Rules Relating to Smoking in Public Places
  • Rules Relating to Smoking in the Workplace
  • Rules Relating to Tanning Facilities
  • Rules Relating to Testing of Private Water Systems for Potentially Hazardous Contaminants (Amendment)
  • Rules Relating to the Lead Poisoning Control Act
  • Schedule of Charges of the Diagnostic Laboratory of DHHS
  • Selection of Volunteer Personnel to Establish/Maintain Radiation Monitoring Program
  • Subsurface Wastewater Disposal System Rules

Healthcare Access/Sustainability (click to expand)

Healthcare Access/Sustainability (click to collapse)

  • Community Scholarship Program Rules
  • Dental Care Access Credit Program
  • Dental Services Development and Subsidy Programs
  • Free Care Guidelines
  • Maine Certificate of Need Act Limitation
  • Regulations Governing the Rural Medical Access Program
  • Rules for Designating Areas, Populations or Hospitals as Underserved by Specialty Physicians
  • Rules Governing the Certification Program for Primary Care Tax Credit
  • Rules for Implementing the 1985 Amendments to the Maine Medical Compact Act and Maine Osteopathic Student Loan Program
  • Rules for Implementing the Selection Process for State Loan Repayment Program

Infectious Disease (click to expand)

Infectious Disease (click to collapse)

  • AIDS Case Management Program Standards
  • AIDS Drug Reimbursement Program
  • HIV/AIDS Assistance
  • Immunization Information System (IIS) Rules
  • Immunization Requirements for School Children
  • Immunizations Requirements for Healthcare Workers
  • List of Vaccines to be provided by the Universal Childhood Immunization Program
  • Occupational Disease Reporting Rules and Regulations
  • Regulations Regarding Rabies Immunization Requirements for Dog Licensure
  • Rules and Regulations Post-secondary School Immunizations Required
  • Rules for Influenza Agent Distribution Report
  • Rules for the Control of Notifiable Diseases and Conditions
  • Rules Governing the Implementation of Expedited Partner Therapy
  • Rules Governing the Implementation of Hypodermic Apparatus Exchange Programs

Licensing and Certification and Professional Standards (click to expand)

Licensing and Certification and Professional Standards (click to collapse)

  • "Fillings: The Choices You Have - Mercury Amalgam and Other Filling Materials"
  • Air and Water Radon Service Provider Registration Rules
  • Certificate of Need for Nursing Facility Level of Care Projects
  • Certification Standards for Persons Conducting Chemical Analyses for the Detection and Identification of Drugs
  • Certification Standards for Persons Conducting Chemical Analyses of Blood and Breath for the Purposes of Determining the Blood Alcohol Level
  • Maine Certificate of Need Procedures Manual for Health Care Facilities (other than Nursing Care Facilities)
  • Maine Comprehensive And Limited Environmental Laboratory Certification Rules
  • Maine Drug Testing Laboratory Rules
  • Regulations Concerning the Licensing and Functioning of Hospice Programs
  • Regulations For the Licensing of Hospitals
  • Regulations Governing the Licensing and Functioning of Adult Day Services Programs
  • Regulations Governing the Licensing and Functioning of Assisted Housing Programs
  • Regulations Governing the Licensing and Functioning of End Stage Renal Disease Units/Facilities
  • Regulations Governing the Licensing and Functioning of Home Health Care Services in the State of Maine
  • Regulations Governing The Licensing and Functioning of Intermediate Care Facilities for Persons With Mental Retardation
  • Regulations Governing the Licensing of Ambulatory Surgical Facilities
  • Rules and Regulations Governing In-Home Personal Care and Support Workers
  • Rules and Regulations Governing the Functioning of Certified Nursing Assistants and Direct Care Workers Registry
  • Rules for Appointment and Administration of Local Plumbing Inspectors
  • Rules for Establishment and Operation of Crematoria
  • Rules for Implementing the 1985 Amendments to the Maine Medical Compact Act (Dental Care)
  • Rules for Sample Collection and Drug Testing in Suspected O.U.I. Cases
  • Rules for the Certification of Family Child Care Providers
  • Rules for the Licensing of Child Care Facilities
  • Rules for the Licensing of Nursery Schools
  • Rules for the Maine Background Check Center
  • Rules for the Practice of Electrology
  • Rules Governing Maine Medical Laboratories and Health Screening Permits
  • Rules Governing Qualifications of Local Health Officers
  • Rules Governing Self-contained Breath Alcohol Testing Equipment
  • Rules Governing the Licensing and Functioning of Skilled Nursing Facilities and Nursing Facilities
  • Rules Governing the Maine Certification of Health Cooperative Agreements
  • Rules Governing the Maine Medical Use of Marijuana Program
  • Rules Governing the Reporting of Sentinel Events
  • Rules Licensing Behavioral Health Programs
  • Rules Relating to Body Piercing
  • Rules Relating to Boys, Girls, Boys and Girls, Day Camps and Primitive and Trip Camping
  • Rules Relating to Campgrounds
  • Rules Relating to Lodging Establishments
  • Rules Relating to Micropigmentation Practitioners
  • Rules Relating to Tattooing
  • Rules Relating to the Administration and Enforcement of Establishments Regulated by the Health Inspection Program
  • Rules Relating to the Licensing of Suppliers of Compressed Air Used In Self-Contained Breathing Apparatus
  • Rules Relating to the Licensure of Water System Operators
  • Rules Relating to the Sale and Delivery of Tobacco Products in Maine
  • State of Maine Food Code
  • Rule Relating to Epinephrine Auto-Injector Training and Certification
  • Well Drillers and Pump Installers Rules

Maternal Health and Family and Child Services (click to expand)

Maternal Health and Family and Child Services (click to collapse)

  • Coordinated Care Services for Children with Special Health Needs
  • Maine WIC Program Rules
  • Parenting Education Scholarship Program
  • Prenatal Care Program
  • Rules and Regulations for Spinal Screening
  • Rules and Regulations Relating to Testing Newborn Infants for Detection of Causes of Cognitive Disabilities and Selected Genetic Conditions
  • Rules for Family Planning Funding
  • Rules for the SSI Children's Program of Services
  • Rules Governing the Investigation of Out-of-home Child Abuse and Neglect
  • Rules Relating to the Newborn Hearing Program

Vital Records (click to expand)

Vital Records (click to collapse)

  • Adult Adoptees Access to Original Birth Record
  • Amendment of Vital Records
  • Birth Registration
  • Delayed Birth Registration
  • Evidence of Legitimation
  • Marriage License and Registration
  • Medical Certification of Cause of Death
  • Public Access to Vital Records
  • Registration and Termination of Domestic Partners
  • Release of Restricted Vital Statistics Data
  • Revised Uniform Anatomical Gift Act
  • State Share of Vital Records Fee (formerly Municipal Service Fee)
  • Transportation, Storage and Final Disposition of Dead Bodies
  • Vital Records Fees
  • Vital Statistics Administration

Stakeholders