Oklahoma, www.OK.gov <{$map[0].NAME}>

Contact  |  A-Z Health Index  |  Events & Meetings

get adobe reader

State Board of Health Meets Tuesday

For Release: December 12, 2016 – Tony Sellars, Office of Communications – (405) 271-5601

The Oklahoma State Board of Health will hold its monthly meeting Tuesday, December 13. Agenda for the meeting follows:

Oklahoma State Department of Health State Board of  Health Meeting

Tuesday, December 13, 2016 11:00 AM (CST)
1000 NE 10th Street
Oklahoma City, Oklahoma 73117
Oklahoma State Department of Health, Room 1102

I.     CALL TO ORDER AND OPENING REMARKS

II.    REVIEW OF MINUTES
       Approval of Minutes for October 4, 2016, Tri-Board Meeting

III.   2017/2018 BOARD OF HEALTH MEETING DATES
      Proposed 2017/2018 Board of Health Meeting Dates (second Tuesday of each month at
      11:00 a.m., August 11-12, 2017, August 9-10, 2018, OSU/Stillwater), no meeting September
      or October of 2017/2018.

IV. APPOINTMENTS

     A. Infant and Children's Health Advisory Council Appointment - Dr. Edd Rhoades
         Appointments: One Member
         Authority: 63 O.S., § 1-103a.1(E)
         Members: The Advisory Council shall consist of eight (8) members. Membership is defined in
         statute. Two members shall be appointed by the Governor, three members shall be appointed by
         the President Pro Tempore of the Senate, two members shall be appointed by the Speaker of the   
         House, and one member shall be appointed by the State Board of Health. One position is being
         brought forth for appointment by the State Board of Health.

    B. Oklahoma Food Service Advisory Council - Lynnette Jordan
        Appointments: Eight Members
        Authority: 63 O.S., § 1-106.3
        Members: The Advisory Council shall consist of fourteen (14) members. Membership is defined in
        statute. Nine (9) members shall be appointed by the Commissioner with the advice and consent of
        the State Board of Health, from a list of three names for each position provided by an association
        representing the majority of the restaurant owners in the state. One (1) representative from each of
        the following: Oklahoma School Nutrition Association; Independent Food Service Operator; General
        Public; Oklahoma Hotel & Motel Industry; Food Service Education; Food Processing Education;
        Oklahoma's Grocer's Association; Oklahoma Restaurant Association. Eight positions are being
        brought forth for advice and consent of the State Board of Health.

V. PROPOSED RULEMAKING ACTIONS
    Discussion and possible action on the following:

    A. CHAPTER 2. HUMANITY OF THE UNBORN CHILD ACT - Donald Maisch
        [PERMANENT]
        PROPOSED RULES:
        SUBCHAPTER 31. HUMANITY OF THE UNBORN CHILD ACT [NEW]
        310:2-31-1. Purpose. [NEW]
        310:2-31-2. Definitions. [NEW]
        310:2-31-3. Signage. [NEW]
        310:2-31-4. Language and web portal requirements. [NEW]
        AUTHORITY: Oklahoma State Board of Health, Title 63 O.S. Section 1-104; Title 63 O.S. § 1-751
        et seq.

        SUMMARY: These proposed regulations, if adopted, will implement the Department’s requirements  
        contained in House Bill Number 2797, from the 2nd Session of the 55th Oklahoma Legislature
        (2016) known as "Humanity of the Unborn Child Act" and codified at 63 O.S. § 1-751 et seq. The
        proposed regulations set forth the requirements to be used by facilities regulated by the Department
        to place signage in restrooms and other areas in compliance with the Act.

    B. CHAPTER 15. CLINICAL TRIALS ON THE USE OF CANNABIDIOL - Donald Maisch
        [PERMANENT]
        PROPOSED RULES:
        Subchapter 1. Purpose and Definitions
        310:15-1-2. Definitions. [AMENDED]
        Subchapter 3. Physician Application and Reporting
        310:15-3-1. Physician application. [AMENDED]
        AUTHORITY: Oklahoma State Board of Health, Title 63 O.S. Section 1-104; Title 63 O.S. §§
        2-801 through 2-805
        SUMMARY: These proposed regulations, if adopted, will implement the agency’s requirements from
        House Bill Number2835, from the 2nd Session of the 55th Oklahoma Legislature (2016), codified
        at 63 O.S. §§ 2-801 through 2-805. The proposed regulations would remove the age limitation for
        clinical trials on the use of cannabidiol as required by the House Bill.

    C. CHAPTER 233. BODY PIERCING AND TATTOOING - Dr. Henry F. Hartsell
        [PERMANENT]
        PROPOSED RULES:
        Subchapter 9. License Requirements
        310:233-9-2. Artist license [AMENDED]
        AUTHORITY: Oklahoma State Board of Health, Title 63 O.S. Section 1-104; Title 21 O.S.
        Section 842.3
        SUMMARY: The proposed amendments modify the proof of training and experience required before
        an applicant is approved to take the license examination. The proposal deletes the requirement for
        proof of two years' license from another state, and substitutes a requirement for documentation of
        two years' experience from another state. The proposal allows a licensure candidate to submit proof
        of completion of training that is substantially equivalent to the requirements for apprentice programs
        in Oklahoma. The effect of the change is to give candidates credit for experience or training in a
        state that does not license artists. The Oklahoma State Department of Health developed the
        foregoing amendments in response to a request for rulemaking filed by a facility operator and artist
        licensed in Oklahoma. Additionally, the amendments clarify the process for approving an applicant to
        take the license examination and issuing the permanent artist license.

    D. CHAPTER 512. CHILDHOOD LEAD POISONING PREVENTION - Tina Johnson
        [PERMANENT]
        PROPOSED RULES:
        Subchapter 1. General Provisions
        310:512-1-1 [AMENDED]
        310:512-1-2 [AMENDED]
        310:512-1-3 [AMENDED]
        310:512-1-4 [AMENDED]
        Subchapter 3. Specimen Risk Assessment, Screening And Management
        310:512-3-1 [AMENDED]
        310:512-3-2 [REVOKED]
        310:512-3-2.1 [NEW]
        310:512-3-3 [AMENDED]
        310:512-3-4 [REVOKED]
        310:512-3-4.1 [NEW]
        310:512-3-5 [AMENDED]
        AUTHORITY: Oklahoma State Board of Health, Title 63 O.S. Section 1-104; and Title 63 O.S.
        Section 1-114.1
        SUMMARY: This rule change will add amendatory language for Childhood Lead Poisoning Prevention
        in order to reflect current practice and modify terminology and definitions to coincide with current
        language used in the Oklahoma Childhood Lead Poisoning Prevention Program (OCLPPP). In May
        2012, the Centers for Disease Control changed the blood lead level at which point certain actions
        should be initiated from 10 g/dL to 5 g/dL . See CDC Response to Advisory Committee on Childhood
        Lead Poisoning Prevention Recommendations in “Low Level Lead Exposure Harms Children: A
        Renewed Call of Primary Prevention”
        (https://www.cdc.gov/nceh/lead/acclpp/cdc_response_lead_exposure_recs.pdf).
        The OCLPPP informally adopted this change in June 2012 and began offering follow-up services to
        children at the new lower level. However, sections of the rules regarding blood lead levels were last
        updated in 1994 and contain the older reference level. The current rules also have ambiguous
        language and outdated procedures and terms such as "environmental assessments" versus
        "environmental investigations."
        The most significant changes will be to update the definitions of elevated blood lead levels and to
        further clarify the role of the laboratories and providers in reporting lead results. Lead results are
        reportable pursuant to Title 63 O.S. Sections 1-114.1 and § 1-503 and the Reportable Disease
        Rules, OAC 310-515.
        The changes re-structure the order of some items to put them into more logical categories. This is
        part of OCLPPP’s overall effort to make the rules more accessible, understandable, and usable
        without altering their sense, meaning, or effect. Some sections have been reclassified and
        rearranged in a more logical order, removing language that is invalid, repealed or duplicative to
        improve the draftsmanship of the rule. New technologies (Point-of-Care devices, electronic
        reporting capabilities) are incorporated to make screening and reporting easier.

    E. CHAPTER 515. COMMUNICABLE DISEASE AND INJURY REPORTING - Dr. Kristy
        Bradley
        [PERMANENT]
        PROPOSED RULES:
        Subchapter 1. Disease and Injury Reporting Requirements
        310:515-1-1.1. Definitions [AMENDED]
        310:515-1-2. Diseases to be reported
        310:515-1-3. Diseases to be reported immediately [AMENDED]
        310:515-1-4. Additional diseases, conditions, and injuries to be reported [AMENDED]
        310:515-1-6 Additional diseases may be designated [AMENDED]
        310:515-1-7 Control of Communicable Diseases Manual [AMENDED]
        310:515-1-8 Organisms/specimens to be sent to the Public Health Laboratory [AMENDED]   
        AUTHORITY: Oklahoma State Board of Health, Title 63 O.S. § 1-104; and Title 63 O.S., §§ 1-502
        and 1-503
        SUMMARY: The proposal updates the existing rules in accordance with recommendations from the
        Council of State and Territorial Epidemiologists (CSTE), the Centers for Disease Control and
        Prevention, and local health care partners pertaining to reportable diseases. The proposal amends
        the lists of reportable diseases, in order to clarify those conditions and diseases that are required to
        be reported to the Department. The proposal also adds conditions of public health importance that
        require investigation and implementation of prevention activities. These changes minimally increase
        the reporting burden placed upon clinicians, have no impact on the reporting burden placed upon
        laboratories, and do not adversely affect the public health disease control and prevention activities.
        The proposal removes the reference to a “non-versioned/non-codified” document which could further
        specify requirements of reporting. This change will eliminate any possibility of requirements that are
        not stated in rule. The duplicative requirements at OAC 310:515-1-4(3) (relating to occupational or
        environmental diseases) are amended by removing the requirements listed here and adding a
        reference to the amended rules on reporting blood lead levels at OAC 310:512, Childhood Lead
        Poisoning Prevention Rules. This proposal changes the current reporting guidance for hepatitis C to
        include persons of all ages, and lowers the alanine aminotransferase (ALT) levels for reporting from
        400 to 200. This modification is in accordance with the CSTE case definition for hepatitis C that was
        revised effective January 1, 2016. Lastly, the proposal will more clearly specify which syphilis tests
        are required for reporting to the Department.

    F. CHAPTER 599. ZOONOTIC DISEASE CONTROL - Dr. Kristy Bradley
        [PERMANENT]
        PROPOSED RULES:
        Subchapter 1. General Provisions
        310:599-1-2. Definitions [AMENDED]
        Subchapter 3. Rabies Control
        310:599-3-1. Management of dogs, cats, or ferrets that bite a person [AMENDED]
        310:599-3-2. Supervising veterinarian’s responsibility [AMENDED]
        310:599-3-5. Vaccinated domestic animals exposed to a rabid animal [AMENDED]
        310:599-3-6. Unvaccinated domestic animals exposed to a rabid animal [AMENDED]
        310:599-3-9. Administration of rabies vaccine [AMENDED]
        AUTHORITY: Oklahoma State Board of Health, Title 63 O.S. Section 1-104; Title 63 O.S.
        Section 1-508
        SUMMARY: The proposal updates the existing rules in accordance with recommendations from the
        National Association of State Public Health Veterinarians, the Centers for Disease Control and
        Prevention, and the American Veterinary Medical Association pertaining to animal rabies prevention
        and control. The proposal will primarily update Subchapter 3, Rabies Control, to align with new
        scientific findings which indicate that dogs and cats with an out-of-date rabies vaccination status
        that are exposed to a rabid animal can be effectively managed by immediate vaccination booster
        and observation for 45 days similar to the method currently in place for management of currently
        vaccinated dogs, cats and ferrets that are exposed to a rabid animal (JAVMA, Vol 246, No. 2,
        January 15, 2015). It has been fifteen years since these rules were implemented; therefore, minor
        revisions to the regulations are also needed to update sections for alignment with current national
        guidance on animal rabies control and changes in animal rabies vaccine products. With
        these changes, the Oklahoma State Department of Health anticipates minor cost savings for animal
        control departments and other persons who are charged with enforcement of the rules due to the
        reduced time period of observation and degree of follow up needed for dogs and cats with an overdue
        rabies vaccination status that are exposed to a rabid animal. Some Oklahoma pet owners will
        benefit from the proposal due to a reduction of emotional and financial costs because fewer dogs
        and cats exposed to a rabid animal will be required to be euthanized or undergo a six (6) month
        veterinary supervised quarantine.

VI. STRATEGIC MAP UPDATE PRESENTATION
     Tina Johnson, M.P.H., R.N., Deputy Commissioner, Community and Family Health Services;
     Keith Reed, RN, MPH, CPH, Regional Director County Health Departments

VII. REVIEW OF ETHICS COMMISSION REQUIREMENTS
      Donald D. Maisch, J.D., General Counsel, Oklahoma State Department of Health

VII. ZIKA VIRUS AND MUMPS BRIEFING
      Kristy K. Bradley, DVM, MPH, State Epidemiologist

IX. CONSIDERATION OF STANDING COMMITTEES’ REPORTS AND ACTION

     A. Executive Committee - Ms. Burger, Chair
         Discussion and possible action on the following: Update

     B. Finance Committee - Ms. Hart-Wolfe, Chair
         Discussion and possible action on the following: Update

     C. Accountability, Ethics, & Audit Committee - Dr. Grim, Chair
         Discussion and possible action on the following:
         Update;
         2017 Audit Plan

     D. Public Health Policy Committee - Dr. Stewart, Chair
         Discussion and possible action on the following: Update

X. PRESIDENT’S REPORT
     Discussion and possible action

XI. COMMISSIONER’S REPORT
     Discussion and possible action

XII. NEW BUSINESS
     Not reasonably anticipated 24 hours in advance of meeting.

XIII. PROPOSED EXECUTIVE SESSION
     Proposed Executive Session pursuant to 25 O.S. Section 307(B)(4) for confidential communications to
     discuss pending department litigation, investigation, claim, or action; pursuant to 25 O.S. Section  
     307(B)(1) to discuss the employment, hiring, appointment, promotion, demotion, disciplining or
     resignation of any individual salaried public officer or employee and pursuant to 25 O.S. Section 307
     (B)(7) for discussing any matter where disclosure of information would violate confidentiality
     requirements of state or federal law.

     * Annual performance evaluation for the Office of Accountability Systems Director & Internal Audit Unit
     Director, and Board of Health Secretary
     Possible action taken as a result of Executive Session.

XIV. ADJOURNMENT

 

Creating a State of Health Logo