Title 10, Health and Safety

(a) The Department shall make available a mammogram screening program that provides coverage for screening by low-dose mammography for occult breast cancer as follows: (1) For women 35 to 39 years of age, one baseline mammograph; (2) For women 40 to 49 years of age, a mammogram e…

If a mammography examination reveals a patient is categorized as having heterogeneously dense breasts or extremely dense breasts, based on the Breast Imaging Reporting and Data System established by the American College of Radiology, the health facility shall include in the summa…

(a) In any case of separation or desertion of a parent or parents from a child or children which results in public assistance being granted to that family, the non-custodial parent or parents shall be liable to the government of Guam for an amount equal to the following: (1) The …

It is the purpose of this Article to establish, extend and strengthen public welfare services for the protection and care of homeless, dependent and neglected children, delinquent children, and children in danger of becoming delinquent, in order to provide adequate child welfare …

The Division of Public Welfare of the Department of Administration is hereby designated as the agency to cooperate with the Federal government, or any agency or instrumentality thereof, in establishing, extending and strengthening child welfare services. SOURCE: GC § 9119.

(a) The Department of Public Health and Social Services shall provide subsidized in-house dental care to all pre-school and school age children in Guam through age sixteen (16) who demonstrate an economic need and qualify in a manner determined by the Director. The requirement fo…

The Director, through the Division of Public Welfare, is hereby authorized: (a) To develop jointly with the Federal government, through its appropriate agency or instrumentality, a plan for the purpose specified in § 2302 and to make such rules and regulations as may be necessary…

This Article shall be known and may be cited as the Child Welfare Services Act. SOURCE: GC § 9120.1.

As used in this Article: (a) “Child” means a person under eighteen (18) years of age. (b) “Department” means the Department of Public Health and Social Services. (c) “Child Care Facility” means any person or place which receives or arranges placement of one or more children who a…

(a) The Department shall establish licensing procedures and operational standards for intergenerational care facilities. Facilities seeking licensure must: (1) Meet all health and safety standards applicable to both child care and adult day care facilities; (2) Develop and implem…

This Article does not apply: (a) to the care of a relative’s, friend’s or neighbor’s child or children, with or without compensation; (b) where parents on a mutually cooperative basis exchange care of one another’s children; COL 2025-12-23 (c) to the care of children in their own…

No person except the Department shall operate or conduct a child care facility without a license so to do issued by the Department. SOURCE: GC § 9120.4.

(a) Application for a license to operate a child care facility shall be made to the Department upon forms furnished by it. (b) Upon filing of the application in proper order, the Department shall examine the child care facility of the applicant. Such examination may be made by th…

The Department shall re-examine at least annually every child care facility for which a license has been issued under this Article. Such examination shall include an examination of such records of the facility COL 2025-12-23 as the Department deems necessary to determine the stan…

The Department shall, pursuant to the provisions of the Administrative Adjudication Law, adopt minimum standards for licensing. Such standards shall be applicable to all child care facilities including those operated by the Department and shall pertain to the following: (a) The o…

The Department may, subject to and in accordance with the provisions of the Administrative Adjudication Law, revoke or refuse to renew the license of any child care facility should the licensee: (a) Fail to maintain standards prescribed and published by the Department; or (b) Vio…

Whenever the Department is advised, or has reason to believe, that any person, group of persons or corporations is operating a child care facility without a license, it shall make an investigation to ascertain the facts. If it finds that such child facility is being, or has opera…

A child care facility licensed by the Department may publish advertisements of the services for which it is specifically licensed under this Article. No person, unless licensed as a child care facility, shall publish any advertisement soliciting a child or children for placement …

(a) Every child care facility shall keep and maintain such records as the Department may prescribe which shall contain the following: (1) Name, sex, date of birth, age and date and time of admission; (2) Name, address and telephone number of parent or guardian; (3) Name, age and …

Whoever: (a) Conducts, operates or acts as a child care facility without a license to do so in violation of provision of this Article; (b) Makes materially false statements in order to obtain a license; (c) Fails to keep the records and make the reports provided for under this Ar…

It shall be unlawful for any person to open for business or operate any child care facility, or advertise or hold himself out as operating any child care facility, without a valid sanitary permit as required by Chapter 21 of this Title. Only those persons who comply with all the …

(a) No employer, owner, manager or person in charge or control, shall permit any person to enter the premises, knowing such person to have or having reason to believe that he has a disease in communicable form as set forth in Chapter 4 of this Title, or is a carrier of such disea…

(a) No child shall be admitted to any child care facility without a certificate of health, which includes the required vaccination or immunization, certified annually by a qualified Guam licensed physician indicating that the child would not constitute a contagious health risk fo…

There is hereby established a Child Care Revolving Fund (the Fund), to be maintained by the Director of the Department. (a) The Fund shall be established and maintained in an account separate and apart from any other account(s) of the government of Guam, and shall not be co-mingl…

The Director shall administer public assistance to those needy persons not otherwise provided for under this Chapter, who for any reasons satisfactory to the Director are unable to provide sufficient support for themselves or those dependent upon them. SOURCE: GC § 9121.

Applications for general assistance shall be made by the applicant or by someone acting in his behalf in the manner, place and form prescribed by the Director. SOURCE: GC § 9122.

Upon receipt of an application for general assistance, the Director shall investigate and prepare a complete record of the circumstances of the applicant and his dependents, if any. The amount or value of such assistance shall not exceed such minimum as in the judgment of the Dir…

In the case of disaster resulting from natural or other causes, the Director, at and under the direction of I Maga’håga/Maga’låhi, is authorized to provide such relieve as may be necessary to assist victims in their emergency needs. I Maga’håga/Maga’låhi is authorized to make add…

For the purposes of this Article: (a) “Department” means the Department of Public Health and Social Services; (b) “Food” means any food or food product for human consumption except alcoholic beverages and tobacco and shall include seeds and plants for use in gardens to produce fo…

The Department of Public Health and Social Services, through the Division of Public Welfare, is authorized to implement the food stamp program locally pursuant to the Federal Food and Nutrition Act of COL 2025-12-23 2008, 7 U.S.C. § 2011 et seq., and in accordance with the provis…

The Department of Public Health and Social Services, through the Division of Public Welfare, shall: (a) adopt rules and regulations necessary to carry out the food stamp program, which shall include the Restaurant Meals Program pursuant to § 2707 of this Article; (b) cooperate wi…

A person receiving assistance under § 2702 of this Subchapter who willfully fails to report to the Department a change in his status which affects his eligibility or the amount of payment for which he is eligible, within ten (10) days of that change, is guilty of a felony of the …

A person is guilty: (a) of a felony of the third degree if he knowingly makes a false statement for the purpose of influencing the action of the Department in connection with its responsibilities under the Federal Food COL 2025-12-23 and Nutrition Act of 2008, with respect to the…

Formerly convicted felons eligible to receive SNAP and or TANF benefits under this Article shall be subject to random drug testing for the duration of their eligibility for SNAP and or TANF benefits. Two (2) consecutive positive drug tests shall automatically disqualify such indi…

(a) Subject to federal approval of the state plan and an identified funding source, the Department of Public Health and Social Services (Department) may establish the Restaurant Meals Program (RMP) as part of the federal Supplemental Nutrition Assistance Program (SNAP) pursuant t…

(a) I Liheslaturan Guåhan believes there is a moral and social obligation to increase access to quality health care for those individuals who lack sufficient financial resources to meet the costs of medical care. In the past several years, there have been attempts to make changes…

There is established the Guam Medically Indigent Program. (a) The Medically Indigent Program is established for the purpose of providing medical, dental and behavioral health assistance to the indigent people of Guam in a manner that ensures access to basic quality health care at…

In this Article, unless the context otherwise requires: (a) “Administrator” means the administrator of the Guam Medically Indigent Program. COL 2025-12-23 (b) “Clean Claim” means a claim, that may be processed without the need of additional information from the provider of servic…

(a) There is established within the Department of Public Health and Social Services, within the Division of Public Welfare, a Program unit entitled the “Bureau of Health Care Financing Administration,” which shall administer the Guam Medicaid Program and the Guam Medically Indige…

(a) General Eligibility Criteria. To be eligible for Program coverage, an applicant for the Medically Indigent Program must be a resident of Guam as defined by § 2903(e) of this Article and as further defined by this Section. In addition, an applicant shall also meet the addition…

An applicant must be a person who is, or would be legally obligated to pay for medical services rendered to such person, but through indigence or other financial circumstances, is unable to pay for such services, and (a) is not eligible for Medicare, Medicaid coverage under Title…

Potential Program applicants that may qualify for Medicaid benefits must apply for assistance to the appropriate Medicaid categorical program and exhaust all eligible benefits before they can be eligible for coverage under the Medically Indigent Program. SOURCE: Added by P.L. 25-…

The Medically Indigent Program is intended to be the last resort for the provision of medical services for those persons who cannot pay for medical services. Therefore, a person with medical insurance must refer claims to that person’s insurance company first, before the bills ca…

A minor may apply for Program eligibility as a legally declared emancipated adult; provided, that an affidavit is submitted by the minor indicating that the minor is living a life as an adult apart from the minor’s parents, and is “self-sufficient.” SOURCE: Added by P.L. 25-163:2…

Once qualified as eligible, persons may participate in the Program for periods that run from six (6) months to one (1) year, subject to the restrictions established herein. (a) Households with at least one (1) member between the ages of seventeen (17) and fifty-four (54) years sh…

All children in the legal custody of Child Protective Services shall be eligible to receive health care benefits as provided in § 2907 through § 2915 of this Article, if either parent is not covered by a health insurance plan or does not qualify for the Medically Indigent Program…

(a) The Administrator shall establish rules and regulations for use in determining whether an applicant is a resident of Guam or is eligible for temporarily assisted care, as provided in this Article. The rules shall require that an applicant shall be eligible for Program benefit…

(a) Persons who would be otherwise eligible as provided by this Article, except for their failure to meet the residency requirements prescribed in § 2905.2, who are ineligible for Title XIX services, are eligible to receive temporary emergency services on Guam that are determined…

The Administrator shall set standards for determining monthly income for purposes of eligibility, which shall consider the individual’s average pattern of income and earnings, subject to subsequent adjustment if actual experience deviates substantially from the amount determined …

(a) Resources. For the purposes of this Article, the term “resources” shall include all real or personal property, or any combination of both, held by household members. (1) If the holdings are in the form of real property, the value shall be the assessed value determined under t…