Great Lakes Wire

The state of Michigan has implemented new regulations requiring physicians to conduct blood lead testing for young children at 12 and 24 months. This measure aims to address lead poisoning risks among children as early as possible.

Governor Gretchen Whitmer signed two bills into law in October 2023, mandating these tests for all Michigan children (Public Act 146 of 2023) and ensuring that results are recorded on the child's immunization record (Public Act 145 of 2023). The Michigan Department of Health and Human Services has finalized the administrative rules needed to enforce these laws.

Under the new rules, doctors must test or order a blood lead test for all children at specified ages and at other intervals if there is a risk of lead exposure. If no prior test records exist, a blood lead test is required between ages 24 months and 72 months.

Dr. Natasha Bagdasarian, chief medical executive, emphasized the importance of early testing: “By ensuring Michigan children universally receive a blood lead test at a very young age, we can more quickly address the health risks associated with elevated blood lead levels, which will lead to healthier lives.” She also noted that families could be alerted to potential hazards in their homes contributing to elevated levels.

Lead exposure poses significant health risks, particularly for children and fetuses. It can affect learning, behavior, speech, hearing, growth rates, and nervous system development. A blood lead test measures the amount of lead in an individual's bloodstream.

Universal testing is expected to increase the number of tested children statewide. Those with elevated levels may qualify for nursing case management services or assistance through the Lead Safe Home Program based on Medicaid status or household income.

Potential sources of lead exposure include paint in older homes, dust, soil, outdated plumbing systems providing drinking water, certain jobs or hobbies involving lead materials, and some imported goods. For cases where blood levels reach or exceed 3.5 micrograms per deciliter: identifying the source of exposure; stopping it; and determining necessary follow-up actions are crucial steps.

Blood lead testing falls under preventive health services mandated by the federal Affordable Care Act without additional copayment charges. Parents are encouraged to discuss testing options with healthcare providers if concerned about potential exposure risks.

Families have an option to opt out from universal testing requirements but should seek further information on managing potential hazards via Michigan.gov/MiLeadSafe.