Arkansas Administrative Code

20 CAR § 102-119. Laboratory tests for the release of cases or carriers of communicable diseases. (a) When laboratory tests are required for the release of cases or carriers, the tests shall be performed by: (1) The public health laboratory of the Department of Health; or (2) Ano…

20 CAR § 102-120. Diphtheria laboratory specimens for diagnosis and release. (a) Cultures should be obtained separately from the nose and throat by means of sterile swab and test tube as provided by the Department of Health for aid in diagnosis. (b)(1) A case or carrier of diphth…

20 CAR § 102-121. Typhoid fever. (a) Laboratory specimens for diagnosis of cases and release. (1)(A) Samples of feces and whole blood submitted to the Public Health Laboratory for culture within the first week of the suspected case of typhoid fever give the greatest probability o…

20 CAR § 102-122. Sexually transmitted disease (syphilis, gonorrhea, chlamydia, HIV (human immunodeficiency virus), chancroid, lymphogranuloma venereum, granuloma inguinale, and ophthalmia neonatorum (gonorrhea ophthalmia)). (a) Testing of pregnant women. (1)(A) Every physician a…

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20 CAR § 102-124. Severability. If any provision of this part, or the application thereof to any person or circumstances is held invalid, such invalidity shall not affect other provisions or applications of this part that can give effect without the invalid provisions or applicat…

20 CAR § 102-125. Repeal. All rules and any parts of rules in conflict herewith are hereby repealed.

20 CAR § 103-101. Definitions. As used in this part: (1) "Certificate of health" means a certificate issued by the Department of Health verifying that the holder has complied with the relevant diagnostic screening, or treatment procedures prescribed or directed by this part; (2) …

20 CAR § 103-102. General requirements. (a) Penalty. Any person who is found guilty of a violation of any of the provisions of this part shall be guilty of a violation of Arkansas Code § 20-7-101. (b) Reporting requirements. It shall be the duty of every physician, nurse practiti…

20 CAR § 103-103. Hospitals. (a) Hospitals shall be responsible for compliance with this part as well as State Board of Health Rules for Hospitals and Related Institutions in Arkansas, 20 CAR pt. 41. (b)(1)(A) Each healthcare worker (hospital employee, health worker, medical staf…

20 CAR § 103-104. Long-term care facilities. (a) Long-term care facilities shall be responsible for compliance with this part as well as the Rules Governing Long-Term Care Facilities issued by the Department of Human Services. (b)(1) Each healthcare worker (employee, health worke…

20 CAR § 103-105. Correctional facilities. (a) Correctional facilities, regardless of inmate capacity, shall ensure that: (1) Each employee, worker, parole/probation officer, or other staff member of the facility who has contact with inmates or detainees receives tuberculosis scr…

20 CAR § 103-106. Shelter facilities. (a) The person in charge of each shelter facility shall be responsible for compliance with this part. (b)(1) Each employee or other worker of a shelter facility who has regular contact with residents or clients shall receive tuberculosis scre…

20 CAR § 103-107. Related medical facilities. (a) The person in charge of each facility shall be responsible for compliance with this part. (b)(1) Each healthcare worker (employee, health worker, medical staff member (physician), etc.) who has contact with patients or clients sha…

20 CAR § 103-108. Control, prevention, and procedures for isolation. (a) Involuntary examinations. (1) When the state, county, or city health officer shall have reasonable grounds to believe that any person has tuberculosis in active state or in a communicable form and who will n…

20 CAR § 103-109. Severability. If any of the provisions of this part and the application thereof to any person or circumstances is held invalid, such invalidation shall not affect other provisions or applications of this part which can be given effect without the invalid provisi…

20 CAR § 103-110. Repeal. All rules and any parts of rules in conflict herewith are hereby repealed.

20 CAR § 104-101. Definitions. As used in this part: (1) “Control officer” means State Tuberculosis Control Officer; (2) “Department” means Department of Health; (3) “Division” means Division of Tuberculosis, Department of Health; (4) “Radiograph” means standard fourteen-inch by …

20 CAR § 104-102. Applicability. (a) Students, as defined in 20 CAR § 104-101(5), who enroll in higher education institutions in Arkansas are subject to the requirements of this part. (b) Previous receipt of Bacillus Calmette Guerin (BCG) vaccine will have no effect on applicatio…

20 CAR § 104-103. Requirements. (a) TB screening at initial enrollment. (1)(A) Students without a documented previous tuberculin skin test reaction of ten millimeters (10 mm) or more induration or a positive interferon-gamma release assay (IGRA) must have a tuberculin test. (B) T…

20 CAR § 104-104. Records. (a) Colleges that have health services that perform TB screening. (1) These institutions may keep their internal records in the format of their choice, including electronic form. (2) They are not required to use Department of Health forms for students t…

20 CAR § 104-105. Reporting. (a)(1) The Department of Health will provide a secure website where college personnel will enter the required information. (2) Other electronic means of reporting acceptable to the department and colleges may be used. (b) The information provided to t…

20 CAR § 104-106. Compliance. (a) All students as defined in 20 CAR § 104-101(5) are subject to the provisions of this part. (b) Students are required to comply within forty-five (45) days of enrollment. (c)(1) Students who, at the time of initial enrollment, are expected to comp…

20 CAR § 104-107. Exclusion from school. (a)(1) The responsibility for the enforcement of this part rests equally with each college and university of this state, the parent or guardian of the student, and the student. (2) Each of them shall be separately and individually responsi…

20 CAR § 104-108. Nonlimitation. Nothing in this part shall be construed as restricting any college or university from having more stringent requirements for TB screening than this requires.

20 CAR § 104-109. Severability. If any provision of this part, or the application thereof to any person or circumstances is held invalid, such invalidity shall not affect other provisions or applications of this part which can give effect without the invalid provisions or applica…

20 CAR § 104-110. Repeal. All rules and any parts of rules in conflict herewith are hereby repealed.

20 CAR § 105-101. Definitions. The following terms are defined for the purpose of this part: (1) “Cat” means any domestic feline animal, species Felis catus; (2) “Confinement, quarantine, and observation”. (A) Dogs and cats. (i) Health authorities of the state, county and city, a…

20 CAR § 105-102. Vaccination. (a) Initial vaccination. (1) The owner of every dog or cat four (4) months of age or older shall have the animal vaccinated against rabies. (2) Vaccination at a younger age should be in accordance with the labels of the United Stated Department of A…

20 CAR § 105-103. Compliance. (a) Those responsible for complying: (1) Public health personnel; (2) Medical and veterinary medical practitioners; (3) Owners, as defined in 20 CAR § 105-101(6); (4) Law enforcement personnel; and (5) Persons bitten by dogs, cats, or other animals, …

20 CAR § 105-104. Procedures when a human is bitten by a dog or a cat. When a dog or cat is a rabies suspect: (1)(A) In "special circumstances", as defined in 20 CAR § 105-101(9), the Director of the Department of Health, or his or her designated representative, may advise the im…

20 CAR § 105-105. Procedures when a human is bitten by other animal. (a) Wild animals. (1) A wild animal should be humanely destroyed and the head or brain shipped as outlined in 20 CAR § 105-101(8). (2) Care should be taken not to damage the head because the brain is used by the…

20 CAR § 105-106. Human post-exposure treatment. (a) The bite of any warm-blooded animal in Arkansas may be a potential source of rabies. (b)(1) An animal bite exposure to a human requires the immediate attention of a physician who must decide whether antirabies treatment is indi…

20 CAR § 105-107. Procedures when a domesticated dog or cat is exposed to rabies. (a)(1) Vaccinated dogs or cats shall be revaccinated immediately and restrained by the owner. (2) This shall be done by complete confinement and observation in a secure cage or enclosure for a perio…

20 CAR § 105-108. Procedures when domesticated animals other than a dog or cat are exposed to rabies. Report should be made to the Arkansas State Public Health Veterinarian for consultation concerning disposition of the animal.

20 CAR § 105-109. Area quarantine. (a) Upon request of the proper local officials, a municipality, township, county, or undesignated area may be placed under quarantine by the Director of the Department of Health as outlined in 20 CAR § 105-101(7)(B). (b) In serious situations, t…

20 CAR § 106-101. Purpose. (a) The purpose of this part is to clarify the cancer-reporting responsibilities of medical care professionals, hospitals, laboratories, and institutions pursuant to Arkansas law. (b) In addition, it: (1) Contains interventions for noncompliance; (2) Re…

20 CAR § 106-102. Definitions. As used in this part: (1) “Arkansas Cancer Coalition (ACC)” means the statewide comprehensive cancer control partnership, which is a network of members and organizations that strive to: (A) Provide an overview of cancer control in Arkansas; (B) Stre…

20 CAR § 106-103. Participation in the program. (a) All licensed health care facilities and providers including, but not limited to, hospitals, pathology laboratories, health care practitioners, radiation treatment facilities, specialty clinics (e.g., dermatology, oncology, urolo…

20 CAR § 106-104. Cancer case reporting. (a) Reportable cancer cases. (1) Any newly diagnosed in situ or invasive cancer or reportable benign and borderline conditions as specified by the ACCR. (2) If a patient subsequently develops a new primary cancer, it shall be reported sepa…

20 CAR § 106-105. Confidentiality. (a) All information reported to the ACCR shall: (1) Be confidential; and (2) Not be disclosed under any circumstances except: (A) To other state cancer registries or federal organizations with which the Department of Health has data sharing agre…

20 CAR § 106-106. Release of data. (a) Release of nonidentifying information. (1) To federal agencies. The ACCR is authorized to collaborate with the National Program of Cancer Registries (NPCR), the Centers for Disease Control and Prevention, and the National Cancer Institute (N…

20 CAR § 106-107. Violations and penalties. (a) Every firm, person, or corporation who violates this part may be assessed a civil penalty by the State Board of Health. (b) The penalty shall not exceed one thousand dollars ($1,000) for each violation. (c) Each day of a continuing …

20 CAR § 106-108. Severability. If any provision of this part, or the application thereof to any person or circumstances is held invalid, such invalidity shall not affect other provisions or applications of this part which can give effect without the invalid provisions or applica…

20 CAR § 106-109. Repeal. All rules and parts of rules in conflict herewith are hereby repealed.

20 CAR § 107-101. Purpose. (a) The purpose of this part is to ensure that all infants born in Arkansas have the opportunity to be screened for the core medical conditions as listed in the RUSP. (b) This part provides a method to ensure that all: (1) Newborn infants are screened f…

20 CAR § 107-102. Definitions. As used in this part: (1)(A) The “collector” means the person or party responsible for collecting and submitting the blood specimen for testing. (B) The persons or parties who are collectors under this part are described in 20 CAR § 107-103(a); (2)(…

20 CAR § 107-103. Responsibility. (a) Collection and submission. (1) Medical facilities/medical staff. (A) In all cases where the birth of an infant occurs in a medical facility licensed by the State Board of Health, it shall be the responsibility of the governing body and medica…

20 CAR § 107-104. Specimen collection and submissions. (a) The blood specimen for core medical conditions as listed in the RUSP screening must be collected and submitted as described below. (b) Timing of specimen collection. (1)(A) For all healthy infants born in medical faciliti…

20 CAR § 107-105. Analysis, interpretation, and reporting of results. (a) Laboratory analysis. (1) All specimens received by the laboratory shall be initially examined within five (5) working days of receipt. (2) Abnormal results shall be reported to the collector within two (2) …