LANSING, Mich. – New legislation in Michigan mandates that all young children undergo blood lead testing to prevent and manage lead poisoning effectively. This initiative aims to safeguard the health of children across the state.
In October 2023, Governor Gretchen Whitmer enacted two significant laws. The first law requires that children be tested for blood lead levels at 12 and 24 months of age (Public Act 146 of 2023), while the second mandates that these tests be noted on the child’s immunization records (Public Act 145 of 2023). This method, referred to as “universal testing,” is intended to catch potential lead exposure early.
The Michigan Department of Health and Human Services has finalized rules to implement these laws. Physicians are now required to test or order tests for children at specified ages and other times if there’s a risk of lead exposure. If children have not been tested by 24 months, they must be tested between 24 and 72 months.
Dr. Natasha Bagdasarian, chief medical executive, stated, “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.” Identifying and addressing hazards like paint, plumbing, or soil in homes can significantly reduce exposure risks.
Lead exposure is particularly harmful to children and fetuses, affecting learning, behavior, speech, hearing, growth rates, and the nervous system. More details on blood lead testing can be found here.
With this universal testing, more children in Michigan will be screened, and those with elevated levels can access nursing case management services. These services provide home visits to educate families on reducing blood lead levels. Families may also benefit from the Lead Safe Home Program, which assists in identifying and mitigating lead hazards in qualifying households.
Lead can be found in various sources, such as pre-1978 home paint, dust, soil, old plumbing, certain jobs or hobbies, and some imports. For children with elevated blood lead levels (3.5 micrograms per deciliter or higher), it’s crucial to pinpoint the source, halt the exposure, and determine any necessary follow-ups.
Under the Affordable Care Act, blood lead testing is a preventive service covered without extra charges. Parents and guardians should discuss testing with healthcare providers, especially if lead exposure is suspected.
Families have the option to opt out of the universal testing requirement. For more information on lead hazards and related services, visit Michigan.gov/MiLeadSafe.
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