2
(a) 12 months.
(b) 24 months.
(c) If the minor has no previous record of the test required under this rule, between 24 months
and 72 months of age.
(2) If a minor patient resides in 1 of the jurisdictions identified in R 330.303 as a geographic
area where children are at high risk of lead poisoning, a physician treating the minor patient shall
test, or order a test, for lead in blood of the minor between 48 months and 60 months of age.
(3) If a physician determines that a minor patient is at high risk for lead poisoning, the
physician shall test, or order a test, for lead in blood of the minor as provided in subrules (4) and
(5) of this rule.
(4) If either of the following factors that identify a minor at high risk for lead poisoning are
present, a physician treating the minor shall test, or order a test, for lead in blood of the minor at
least once in between the date of the minor’s most recent test and 72 months of age:
(a) The minor resides in a home where other minors have been tested and found to have lead
poisoning.
(b) The minor resides in a home built before 1978.
(5) If a physician treating a minor patient determines that the minor is at high risk for lead
poisoning through a parent’s attestation or through the physician’s own independent medical
judgment, the physician shall test, or order a test, for lead in blood of the minor at least once
between the time of that determination and 3 months following that determination.
(6) The department shall make available educational materials for physicians regarding health
effects, risk factors, testing, and medical care for lead-exposed minors. The materials must
include a written reference guide that summarizes risk factors for lead poisoning, for which
additional blood lead testing may be indicated.
(7) If capillary blood lead test results are equal to or greater than the blood lead reference value,
the physician shall test, or order a test, for lead in blood with venous blood. The venous blood
lead test must be analyzed in a laboratory using a high complexity method, such as inductively
coupled plasma mass spectrometry or graphite furnace atomic absorption spectroscopy.
R 330.303 Geographic areas identified as high-risk of lead poisoning.
Rule 3. (1) As required under section 5474d of the public health code, 1978 PA 368, MCL
333.5474d, the following jurisdictions are identified as the geographic areas where there is a high
risk of lead poisoning:
Jurisdiction (Minor Civil Division
County
Type)
Adrian (City)
Lenawee
Calhoun
Allegan
Huron
Albion (City)
Allegan (City)
Bad Axe (City)
Battle Creek (City)
Bay City (City)
Belding (City)
Calhoun
Bay
Ionia
Benton Harbor (City)
Benton Township
Berrien
Berrien
