Current through Register Vol. 42, No. 11, August 30, 2024
(1) Legal Authority
for Adoption of Rules. Under and by virtue of authority vested in it by the
Legislature of Alabama, Code of Ala. 1975, Section
22-21-20,
et
seq., requiring
independent clinical laboratories and health care institutions engaged in
offering diagnostic services to be licensed by the Alabama State Board of
Health, the State Board of Health does hereby adopt and promulgate the
following Rules governing all independent clinical laboratories and all
independent physiological laboratories and other related institutions in
Alabama, except those operated under the supervision of the Department of
Mental Health and those laboratories otherwise exempt by law from licensure.
Sections 420-5-8.01, 420-5-8.02, 420-5-8.05, and 420-5-8.06 are applicable to
independent physiological laboratories. All sections of these Rules, except
section 420-5-8.05 are applicable to independent clinical
laboratories.
(2) Definitions. (A
list of selected terms often used in connection with these Rules):
(a) "AAC Rule" means Alabama Administrative
Code Rule.
(b) "Accredited" means
accreditation by a nationally recognized accrediting agency or association as
determined by the U.S. Commissioner of Education or the Alabama Department of
Public Health.
(c) "Advisory
Board." See Section
22-21-27 of the Appendix to these
Rules.
(d) "Biophysical Procedures"
means procedures wherein specimens which have been removed from the human body
are subjected to biophysical determinations.
(e) "Board" or "State Board of Health" means
the Alabama State Board of Health.
(f) "Collection Station" means a facility
where materials or specimens are withdrawn or collected from patients for
subsequent delivery to a clinical laboratory for examination. Physicians'
offices are exempted from this definition.
(g) "Director" means any qualified person
responsible for administration of technical and scientific operations of a
laboratory, including supervision of testing procedures and result
reporting.
(h) "Independent
Clinical Laboratory" means any laboratory which operates primarily independent
of other health care facilities that are licensed by the Alabama State Board of
Health, or hospital laboratories that receive and perform reference work from
sources outside of the hospital, and performs diagnostic and medical laboratory
procedures upon referral. Independent clinical laboratory shall include
laboratories operated by blood banks, plasmapheresis banks, radioisotope
facilities, specimen collection stations, and laboratories engaged in
manufacturing diagnostic test reagents from human whole blood or whole blood
derivatives. Federal and State laboratories shall be excluded from these
Rules.
(i) "Independent
Physiological Laboratory" means any facility or unit, mobile or otherwise, that
provides diagnostic physiological services for humans, for example, pulmonary
function tests, spirometer, EKG, Holter monitor, EEG, transtelephonic pacemaker
analysis, oximetry, diagnostic hearing tests, echo-ultrasound, diagnostic ultra
sound, doppler studies, and non-invasive peripheral vascular studies.
Facilities that provide ionizing radiation or magnetic resonance imaging only
are excluded from this definition. Private physician offices performing
diagnostic physiological services exclusively for their patients are excluded
from this definition.
(j) "License"
means the document issued by the State Board of Health and signed by the State
Health Officer. The license shall constitute the authority to receive patients
and perform the services included within the scope of these Rules.
(k) "Licensee" means the corporate body or
individual to whom the license is issued and upon whom rests the responsibility
for compliance with these Rules.
(l) "Licensed Practitioner of the Healing
Arts" means a person currently licensed to practice medicine and surgery in the
State of Alabama.
(m) "May"
indicates permission.
(n) "Mobile
Unit" means a laboratory testing unit, either independent clinical or
independent physiological, that moves from testing site to testing site, or has
a temporary testing location. The mobile unit shall provide the State Board of
Health with an Alabama permanent address and an address of the physical
location of the home base. The mobile unit must submit to the Board a monthly
schedule of hours of operation and of the locations the mobile unit will be
performing the procedures.
(o)
"Patient" means a person referred to the independent clinical laboratory by and
upon the recommendation of a physician.
(p) "Physician" means a person currently
licensed to practice medicine in Alabama under the provisions contained in
current state statutes.
(q)
"Plasmapheresis and Whole Blood Centers" mean facilities which provide a system
for collection, processing or storage of human blood and/or its components.
Plasmapheresis and whole blood donor centers operating within this state shall
obtain a license from the Alabama Department of Public Health. Such
plasmapheresis and whole blood donor centers shall be maintained in accordance
with the AAC Rule 420-5-8.02, 420-5-8.03(1)(a)(1), 420-5-8.04(1)(a),
420-5-8.04(4), 420-5-8.04(5)(c), and 420-5-8.06.
(r) "Qualifying Adjectives," such as
adequate, proper, safe, sufficient, satisfactory, suitable, and substantial
mean the degree of propriety or compliance that is being maintained by other
independent clinical laboratories in Alabama that currently hold a regular
license issued by the State Board of Health.
(s) "Shall" indicates mandatory
requirements.
(t) "Supervisor"
means any qualified person who, under general supervision of a director,
supervises technical personnel, performs tests requiring special scientific
skills, and in the absence of the director, is held responsible for proper
performance of all laboratory procedures and the reporting of
results.
(u) "Technician" means any
qualified person who functions under the direct supervision of a director,
supervisor, or technologist and performs only those clinical laboratory
procedures which require limited skill, responsibility, and a minimal exercise
of independent judgment.
(v)
"Technologist" means any qualified person who performs tests which require the
exercise of independent judgment and responsibility with supervision by the
director or supervisor, in only those specialties or subspecialties in which
the person is qualified by education, training, and experience.
(w) "These Rules" means Rules 420-5-8.01
through 420-5-8.06, Chapter 420-5-8, Independent Clinical Laboratories, Alabama
Administrative Code.
(x) "Trainee"
means any person who is employed to perform services with or without
remuneration or for the direct or indirect benefit of a clinical laboratory or
owner and is being trained for the category for which he has applied.
(3) Procedures Governing Adoption,
Amendment, and Revision of Rules.
(a)
Authority. The State Board of Health, with the advice and approval of the
Advisory Board defined in Code of Ala. 1975, Section
22-21-27, has the legal authority
to adopt reasonable rules governing the operation and conduct of independent
clinical laboratories and independent physiological laboratories, and it may
amend or rescind any rules previously adopted.
(b) Joint Hearings. All hearings shall be
joint hearings set by the State Board of Health and the Advisory Board, at
which time any interested member of the public may be heard.
(c) Procedures. In adopting, amending, or
rescinding rules, the Board shall follow the provisions of the Alabama
Administrative Procedure Act. The effective date of any rules adopted, amended
or rescinded shall likewise be governed by the Administrative Procedure
Act.
(4) Inspection.
(a) Inspections Required. Each independent
clinical laboratory or independent physiological laboratory for which a license
has been granted may be inspected by the State Board of Health, or by its
authorized representatives at such intervals as the Board may direct.
(b) Information Shall Be Confidential.
Official reports, such as statements of deficiencies generated by the State
Board of Health as a result of on-site inspections, and plans of correction
submitted in response to those statements of deficiencies, are subject to
public disclosure. Information received through other means and reports, other
than statements of deficiencies, shall be deemed to be confidential and shall
not be publicly disclosed except in response to a valid subpoena or court order
or in proceedings involving the affected facility's license or proceedings
involving the license of another facility operated by the same governing
authority.
L. O'Neal Green, Patricia E. Ivie, Rick Harris