Policy Resources

• Report to Congress for Fiscal Years 2001-2002 pdf icon[PDF – 164 KB]

• Overcoming Barriers to Data-Sharing Related to the HIPAA Privacy Rule: A Guide for State and Local Childhood Lead Poisoning Prevention Programs pdf icon[PDF – 586 KB]
  This guide reviews HIPAA requirements and exceptions, focusing on those for public health agencies, and describes permissible uses of lead-related data under the HIPAA Privacy Rule.
• HIPAA Privacy Rule and Public Health: Guidance from CDC and the U.S. Department of Health and Human Services pdf icon[PDF – 241 KB]
  

• The Health Insurance Portability Accountability Act of 1996 (HIPAA)external icon
  

• Environmental Protection Agency (EPA)external icon
  View a copy of the joint letter by EPA and CDC pdf icon[PDF – 49 KB] regarding the confidentiality of childhood lead poisoning data.

• U.S. Department of Housing and Urban Development (HUD), Office of Lead Hazard Control and Healthy Homesexternal icon
  View a copy of the joint letter by HUD and CDC pdf icon[PDF – 137 KB] regarding the confidentiality of childhood lead poisoning data.

• EPA’s Lead Renovation, Repair and Painting Program Rule (RRP)external icon
  This webpage lists the U.S. Environmental Protection Agency’s requirements and lists information for state officials, property owners, families, and contractors pertaining to the RRP rule.
• EPA’s Renovation, Repair and Painting Ruleexternal icon
  This document summarizes EPA’s new Lead Renovation, Repair and Painting Program rule.

• Toxic Substances Control Act (TSCA)external icon
  This webpage is an online version of the Toxic Substances Control Act. See Subchapter IV for regulations on lead exposure reduction.

• HUD’s Lead Safe Housing Ruleexternal icon
  The U.S. Department of Housing and Urban Development’s Lead Safe Housing Rule applies to all target housing that is federally owned and applies to target housing receiving federal assistance.

• The Lead Disclosure Rule (Title X, Section 1018)external icon
  This law requires the disclosure of known information on lead-based paint and lead-based paint hazards before the sale or lease of most housing built before 1978.

• Title X Regulations (Residential Lead-Based Paint Hazard Reduction Act of 1992)
  • Public Law 102-550external icon
    Residential Lead-Based Paint Hazard Reduction Act of 1992
  • Title X, Sections 1012 and 1013external icon
    Requirements for the Notification, Evaluation, and Reduction of Lead-Based Paint Hazards in Federally Owned Residential Property and Housing Receiving Federal Assistance.

• The Consumer Product Safety Improvement Act of 2008 (CPSIA)external icon
  The complete act and section summaries of the CPSIA.

• Consumer Product Safety Act (CPSA) [PDF – 567 KB]external icon
  The CPSA provides that when the Consumer Product Safety Commission finds an unreasonable risk of injury associated with a consumer product, it can develop a standard to reduce or eliminate the risk.
• The Water Infrastructure Improvements for the Nation Act (WIIN Act)external iconThe Water Infrastructure Improvements for the Nation (WIIN) Act of 2016 authorized HHS agencies to take actions to support recovery in Flint, Michigan and put infrastructure in place to assist lead poisoning prevention programs.

• Lead Statutes Database pdf icon[PDF – 1 MB]
  The Lead Statutes Database provides lawmakers and others with an easily searchable tool for assessing state lead poisoning prevention policy trends.
  Source: National Conference of State Legislaturesexternal icon

• Low Income Housing Tax Credit (LIHTC)external icon
  This 2007 report examines how the LIHTC program has addressed childhood lead poisoning associated with lead-based paint hazards in old housing that is undergoing rehabilitation. It describes additional measures that should be taken to ensure that program advances the goal of eliminating the disease by 2010 and does not inadvertently create lead-based paint hazards in the housing units it rehabilitates, therefore protecting the future viability of the program.

American Academy of Pediatrics

• Prevention of Childhood Lead Toxicityexternal icon
  Source: Pediatrics 138(1): e20161493 (2016)

Lead Policy Statements

• Update of the Blood Lead Reference Value — United States, 2021 – CDC updated the blood lead reference value (BLRV) to 3.5 μg/dL in response to the Lead Exposure Prevention and Advisory Committee (LEPAC) recommendation made on May 14, 2021.

Note: CDC uses a blood lead reference value of 3.5 micrograms per deciliter (µg/dL) to identify children with blood lead levels that are  higher than most children’s levels. This level is based on the on the 97.5th percentile of the blood lead values among  U.S. of children ages 1-5 years from the 2015-2016 and 2017-2018 National Health and Nutrition Examination Survey (NHANES) cycles. Children with blood lead levels at or above the BLRV represent those at the top 2.5% with the highest blood lead levels.

The documents below refer to a blood-lead level of 10 micrograms per deciliter (μg/dL) as the CDC level of concern for adverse health outcomes in children. This terminology is outdated, and readers are referred to the ACCLPP recommendations of 2012.

• Preventing Lead Poisoning in Young Children pdf icon[PDF – 2 MB] (2005) – This is the fifth revision of the statement on Preventing Lead Poisoning in Young Children by the Centers for Disease Control and Prevention. This revision accompanies a companion document, developed by the Advisory Committee on Childhood Lead Poisoning Prevention which reviews the scientific evidence for adverse effects in children at blood lead levels below 10 µg/dL.
• Preventing Lead Poisoning in Young Children (1991)** – The fourth revision of the statement on Preventing Lead Poisoning in Young Children by the Centers for Disease Control.
• Preventing Lead Poisoning in Young Children pdf icon[PDF – 4 MB] (1985) ** – The second revision of the statement on Preventing Lead Poisoning in Young Children by the Centers for Disease Control and Prevention.
• Preventing Lead Poisoning in Young Children pdf icon[PDF – 4 MB] (1978) ** – The first revision of the statement on Increased Lead Absorption and Lead Poisoning in Young Children by the Centers for Disease Control and Prevention.
• Increase Lead Absorption and Lead Poisoning in Young Children pdf icon[PDF – 2 MB] (1975) ** – A statement on Lead Poisoning in Young Children by the Centers for Disease Control and Prevention.

• Implementing a Health in All Polices Approach to Lead Poisoning Preventionexternal icon – July 2021
  A report summarizing key themes of Health in All Policies (HiAP) strategies to address lead poisoning prevention at the state level.
• Sustainability of Funding Toolkit for Childhood Lead Poisoning Prevention Programs pdf icon[PDF – 1 MB] – June 2021
  Overview of sources of funding and revenue streams available to state childhood lead poisoning prevention programs and strategies for sustainability planning.
• Stories from the Field Case Studies of Lead and Health in All Policiesexternal icon – September 2019
  Collection of case studies from three communities who used Health in All Policies to advance their lead poisoning prevention work.
• Health Department Strategies for Implementing Health in All Policies to Reduce and Prevent Lead Exposure pdf icon[PDF – 987 KB]external icon – March 2019
  Factsheet outlines the 7 strategies of Health and all Polices featuring lead poisoning prevention examples at state and local levels.
• Federal Action Plan to Reduce Childhood Lead Exposures and Associated Health Impacts pdf icon[PDF – 8.5 MB]external icon – December 2018
  Blueprint for reducing lead exposure and associated harms through collaboration among federal agencies with a range of stakeholders.
  Source: President’s Task Force on Environmental Health Risks and Safety Risks to Childrenexternal icon
• 10 Policies to Prevent and Respond to Childhood Lead Exposure pdf icon[PDF – 7.45 MB]external icon – August 2017
  Assessment of the risks communities face and key federal, state, and local solutions.
  Source: The Pew Charitable Trustsexternal icon
• Federal Lead-Based Paint Enforcement Bench Bookexternal icon – January 2009
  The Federal Lead-Based Paint Enforcement Bench Book provides an overview of federal statutes, regulations, and enforcement programs. It covers the Lead Safe Housing Rule, and Section 7003 of the Resource Conservation and Recovery Act. The benchbook also explains how federal enforcement programs operate, and how to promote enforcement through referrals and partnerships.
  Source: National Center for Healthy Housingexternal icon
• Guidebook for Developing State and Local Lead-Based Enforcement Bench Booksexternal icon – August 2008
  The Guidebook for Developing State and Local Lead-Based Enforcement Bench Books is a how-to manual to help those who are not lawyers develop state and local lead-based paint enforcement benchbooks for their jurisdictions. Because of diverse state and local laws, no single benchbook would be accurate or relevant for every jurisdiction. Therefore, the guidebook provides background and resource information, advice, and specific “action items” for developing state and local benchbooks. The guidebook also explains how to find codes about housing, property maintenance, health, nuisance abatement, and other topics that may address lead-based paint hazards.
  Source: National Center for Healthy Housingexternal icon
• Lead-Safe Housing Policy Guidance Series pdf icon[PDF – 139 KB] – December 2004
  Source: Alliance for Healthy Homesexternal icon
• Eliminating Childhood Lead Poisoning: A Federal Strategy Targeting Lead Paint Hazards pdf icon[PDF – 4 MB] – February 2000
  Source: President’s Task Force on Environmental Health Risks and Safety Risks to Childrenexternal icon

• FY20 WIIN Act Drinking Water Grants Infographic pdf icon[PDF – 193 KB]external icon – Information about funding available through the EPA’s Water Infrastructure Improvements for the Nation Act (WIIN Act) Grant Programs.
  Source: The Environmental Protection Agencyexternal icon
• State Health Department Policies for Children with Elevated Blood Lead Levels pdf icon[PDF – 413 KB]external icon – Each state health department’s policies related to interventions for children with lead in their blood, collected through August 2020.
  Source: National Center for Healthy Housingexternal icon