Section 81A. No ordinance, by-law, rule or regulation of a board of health or the requirements of any public or private institution, school or college shall be enacted, promulgated, or continued in effect which would require a chest x-ray examination to show freedom from tuberculosis in a communicable form, unless the recipient of such x-ray is known to be tuberculin positive. Any report required by such ordinance, by-law, rule or regulation showing freedom from tuberculosis in a communicable form shall be based upon a negative intradermal tuberculin test that is administered and interpreted in a manner approved by the commissioner. In the case of a person whose tuberculin test is positive, a statement by a physician, based upon the results of a standard chest x-ray film shall be required, and such other laboratory and clinical examinations as may be necessary for the exclusion of tuberculosis in a communicable form.
Structure Massachusetts General Laws
Part I - Administration of the Government
Section 2 - Duties of Commissioner of Public Health
Section 2a - Co-Operation With Massachusetts Rehabilitation Commission
Section 2b - Air Pollution Emergencies
Section 2c - Pollution Violations; Orders of Department of Environmental Protection
Section 2d - Massachusetts State Health HIV and Hepatitis Fund; Definitions
Section 2e - Massachusetts State Public Health and Hepatitis Fund; Expenditures
Section 2f - Massachusetts AIDS Advisory Board; Membership
Section 2g - Prevention and Wellness Trust Fund
Section 2h - Prevention and Wellness Advisory Board
Section 2i - Substance Abuse Services Fund
Section 2j - Public Health Grant Trust Fund
Section 3 - Public Health Council; Hearings, Intervention
Section 3a - Board of Trustees of Massachusetts Hospital School; Appointment
Section 4 - Health Districts; District Health Officers; Enforcement of Laws in Districts
Section 4e - Program to Combat Intellectual Disabilities in Children
Section 4f - Advisory Council on Radiation Protection
Section 4g - Epileptics; Program for Care, Treatment and Rehabilitation
Section 4h - Chronic Renal Diseases; Care and Treatment; Agreements
Section 4i - Erythroblastosis Fetalis; Prevention; Rules and Regulations
Section 4j - Multi–disciplinary Medical Review Team; Certification of Nursing Home Care Eligibility
Section 4k - Diethylstilbestrol; Public Information Program; Regional Screening; Annual Report
Section 4l - Advisory Board for Diethylstilbestrol Program
Section 4o - Appointment of Dental Director; Office of Oral Health; Responsibilities
Section 5 - Powers and Duties of Department
Section 5a1/2 - Emergency Stockpile Trust Fund
Section 5d - Plastic Bags and Film; Rules and Regulations
Section 5f - Aquatic Nuisances; Control; Cost Sharing Programs
Section 5g - Water Supply; Treatment Facilities
Section 5i - Laser Equipment; Rules and Regulations; Penalties for Violation
Section 5j - Radiation Treatment; Clinical Precautions
Section 5k - Nuclear Reactors; Monitoring and Surveillance; Charges and Assessments
Section 5l - Radiologic Technologists; Advisory Commission; Licenses
Section 5m - Definitions Applicable to Secs. 5m to 5p
Section 5o - Notices of Violation and Orders; Hearing; Civil Penalties
Section 5q - Mammography Facilities; Rules and Regulations; Licensing; Inspections
Section 6 - Power to Define Diseases Deemed Dangerous to Public Health; Control and Prevention
Section 6a - Hemophilia; Program for Care and Treatment; Definition
Section 6b - Hemophilia Advisory Committee
Section 6c - Hemophilia Program; Powers and Duties of Department
Section 6e - Collection and Report of Data on Law Enforcement-Related Injuries and Deaths
Section 7 - Investigation of Contagious or Infectious Diseases; Notice
Section 8 - Use of Common Drinking Cup or Towel; Rules and Regulations
Section 8a - Poisonous or Corrosive Substances; Disposal or Closures of Containers
Section 14a - Rheumatic Fever; Treatment of Patients
Section 15 - Services for Division of Animal Health
Section 16 - Unsanitary Condition of Barns, Stables or Enclosures in Which Cattle Are Kept; Report
Section 18 - Powers and Duties of District Health Officer
Section 19 - Annual Report of District Health Officer
Section 21 - Rules for Living Conditions of Detainees; Enforcement
Section 23 - Annual Report of Commissioner of Environmental Protection; Recommendations
Section 24 - Publication of Parts of Annual Report; Manual of Laws
Section 24b - Birth Information; Statistical Purposes
Section 24e - Comprehensive Family Planning Services; Program Establishment
Section 24h - Managed Care Program Within Community Health Centers
Section 24i - Universal Immunization Program
Section 24j - Medical Respite Services Program
Section 24k - Pediatric Palliative Care Program; Eligibility; Services
Section 24l - Shaken Baby Syndrome Prevention Initiative
Section 24m - Computerized Immunization Registry
Section 25 - Publication of Certificate of Examination or Results of Analyses
Section 25b - Definitions Applicable to Secs. 25b to 25g
Section 25b1/2 - Expenditure Minimums; Annual Adjustments
Section 25c1/2 - Exemption From Determination of Need of Projects Related to Inpatient Services
Section 25f - Rules and Regulations; Effective Date
Section 25g - Enforcement of Secs. 25c to 25g
Section 25i - Guidelines for the Reduction of Medication Waste in Licensed Facilities
Section 25j - Competent Interpreter Services in Acute-Care Hospitals
Section 25k - Educational Insert Accompanying Sale of Hypodermic Syringes and Needles
Section 25l - Health Care Workforce Center
Section 25m - Healthcare Workforce Advisory Council
Section 25n - Health Care Workforce Loan Repayment Program
Section 25n1/2 - Primary Care Residency Grant Program
Section 25n3/4 - Primary Care Workforce Development and Loan Forgiveness Grant Program
Section 26 - Boards of Health in Cities; Membership; Appointment; Removal; Compensation
Section 26a - Health Departments in Cities; Commissioners
Section 26b - Commissioner of Health in Cities; Appointment; Removal; Qualifications
Section 26d - Abolition of Boards of Health in Cities and Towns Upon Qualification of Commissioner
Section 26e - Rules and Regulations for Departments of Health; Assistants and Clerks
Section 26f - List of Hazardous Chemicals in Water Supply; Effects
Section 26g - Septic System Installers; Inspections
Section 27 - Organization of Boards; Appointment of Physician and Clerk; Compensation
Section 27d - Public Health Excellence Program; Definitions; Purpose; Grant Program; Duties
Section 28 - Annual Reports of Boards of Health
Section 29 - Weekly Reports of Deaths From Diseases Dangerous to Public Health
Section 30 - Agents; Appointment; Inspections
Section 31a - Permit for Removal or Transportation of Garbage; Application; Exemptions
Section 31b - Rules and Regulations for Removal of Garbage; Penalty
Section 31d - Privy, Cesspool and Septic Tanks; Disposal of Contents; Investigation of Facilities
Section 31e - Individual Sewage Disposal Systems; Action on Applications
Section 32 - Retention of Cases by Board of Health
Section 33 - Construction and Maintenance of Sanitary Stations
Section 50 - Establishment and Maintenance of Dental, Medical and Health Clinics; Appropriations
Section 51 - Hospitals, Institutions for Care of Unwed Mothers, or Clinics; Licensing
Section 51a - Out-of-Hospital Dialysis Units; Licensing
Section 51b - Pregnancy Clinics
Section 51c - Applications for Staff Membership or Clinical Privileges; Discrimination
Section 51d - Discrimination by Acute Hospitals Against Medicare Beneficiaries; Discharge Planning
Section 51i - Checklists of Care
Section 51j - Limited Services Clinics
Section 51k - Home Health Agency Licensure
Section 52 - Definitions Applicable to Secs. 51 to 56
Section 53 - Classification of Hospitals; Rules and Regulations; Dialysis Units; Inspections
Section 53a - Hospitals and In-Patient Clinics to Offer and Perform ''pap Tests''
Section 53c - Non-Reusable Syringes; Regulation Advisory Committee
Section 53e - Patient and Family Advisory Councils; Establishment
Section 53f - Requests for Additional Assistance for Deteriorating Patients
Section 54 - Audit of Medical Records
Section 56 - Penalties; Enforcement
Section 57a - Establishment and Maintenance of Cancer Clinics
Section 57b - Establishment and Maintenance of Muscular Dystrophy Clinics
Section 57c - Establishment and Maintenance of Clinics for the Aging
Section 57d - Hospice Programs; Licensure; Limitations
Section 62a - Establishment of Children's Health Camps in Cities and Towns
Section 62b - Commission on Children's Health Camps; Membership; Appointment
Section 62c - Powers and Duties of Commission
Section 62e - Records; Annual Reports of Receipts and Disbursements
Section 62g - Location and Construction Plans for Health Camp; Approval; Inspection
Section 62h - Contracts for Care and Treatment of Children as Compliance With Secs. 62a to 62g
Section 62i - Hospital School and Hospital for State Minor Wards; General Supervision
Section 62j - Purpose of School; Children From Other States; Inpatient or Outpatient Services
Section 62k - Trustees; Corporation; Additional Powers and Duties; Grants; Devises; Gifts; Trusts
Section 62l - Administration of School; Appointment of Personnel; Expenses
Section 62m - Admissions; Applications; Discharges; Tuition
Section 62n - Inspection of Schools; Report; Audit
Section 62o - Accounts and Books of Treasurer; Inspection by Trustees
Section 62p - Construction and Maintenance of Hospital for State Minor Wards
Section 62q - Powers and Duties of Trustees; Management; Admissions; Approval
Section 62s - Assignment of State Minor Wards to Hospital; Approval
Section 63 - Supervision and Control by Commissioner
Section 63a - Admissions to Hospital
Section 63b - Medicare Program Billings; Commissioner's Report
Section 64 - Annual Inventory; Report; Audit
Section 64a - Cushing Hospital; General Supervision by Department
Section 64b - Chronic Care Hospital; Services Provided; Research on Aging
Section 64c - Board of Trustees
Section 64d - Corporation; Investments
Section 64e - Administration of Hospital; General Trust Fund
Section 64f - Projected Revenue and Disbursement Schedule of General Trust Fund
Section 64g - Establishment of Other Trust Funds; Assent to Federal Laws; Contracts and Agreements
Section 64h - Rules and Regulations
Section 64i - Staff Members Employees of Commonwealth
Section 64j - Delegation of Authority by Trustees
Section 64l - Superintendent; Subordinate Officers and Employees
Section 65a - Admission to Lakeville Hospital
Section 65c - Patients' Funds; Deposit
Section 65d - Patients' Funds; Disposition of Unclaimed Deposits
Section 67 - Gifts or Bequests
Section 67f - Newborn Hearing Screening Tests
Section 67g - Audiometric Testing of Children; Costs
Section 67h - Literature on Hearing Impairments
Section 69f - Notice of Admission of Needy Person
Section 69g - Effect of Notice of Admission of Needy Person
Section 69h - Charges for Support; Rate
Section 69i - Liability for Charges for Support; Assessment; Proceedings; Written Statements
Section 69j - Operation of Concessions
Section 69k - Patients Eligible for Federal Veterans' Benefits
Section 69l - Vehicles; Moving and Parking Rules; Violations
Section 70 - Records of Hospitals or Clinics; Custody; Inspection; Copies; Fees
Section 70a - Hospital Lien; Creation; Priority; Application
Section 70c - Settlement Disregarding Hospital Lien; Effect; Limitation of Action
Section 70d - Itemized Statement of Charges; Effect of Failure to Furnish
Section 70e - Patients' and Residents' Rights
Section 70f - HIV Test; Informed Consent; Disclosure of Results or Identity of Subject of Test
Section 71 - Licensing of Convalescent and Nursing Homes, Infirmaries, Etc.
Section 71a1/2 - Deposit of Inpatient or Resident Funds
Section 72c - Convalescent or Nursing Homes; Lighting and Ventilation
Section 72d - Nursing Homes, etc.; Telephone Access
Section 72f - Definitions Applicable to Secs. 72f to 72l
Section 72g - Reports of Abuse of Patients
Section 72h - Duties of Department
Section 72i - Filing of Reports; Confidentiality
Section 72j - Registry; Establishment; Documented Findings of Patient or Resident Abuse
Section 72k - Definitions; Civil Penalties; Recovery by Attorney General
Section 72l1/2 - Immunity From Liability as Result of Compliance With Secs. 72f to 72l
Section 72m - Appointment of Receiver; Emergency; Definition
Section 72o - Authority of Receiver; Duties; Closure of Facility; Repairs; Financial Assistance
Section 72q - Compensation of Receiver; Bond; Lien; Recoupment of Commonwealth Expenditures
Section 72r - Termination of Receivership
Section 72s - Actions Against Receiver; Liability
Section 72t - Effect of Appointment; Violation of Regulations
Section 72u - Rules and Regulations
Section 72v - Nursing Homes, etc.; Storage Space for Residents
Section 72w - Nurses' Aide Training
Section 72x - Nursing Homes; No Smoking Areas; Use of Tobacco Products Prohibited
Section 72y - Nursing Pool Registrations
Section 72z - Licensed Skilled Nursing Facilities; Intermediate Care Facilities; Family Councils
Section 73b - Facilities Operated by Roman Catholic Church
Section 74 - Appropriation of Money for Maintenance of Free Bed in Hospital
Section 75 - Unlawful Use of Buildings for Hospitals
Section 77 - Department; Duty to Provide Care and Treatment of Tuberculosis Patients
Section 78a - Hospital Care of Persons Suffering From Chronic Diseases; Admission; Cost
Section 81 - Programs of Control and Eradication of Tuberculosis; Responsibility
Section 81a - Use of Intradermal Tuberculin Tests to Show Freedom From Tuberculosis
Section 82 - Operation of Hospitals by County Commissioners or Trustees
Section 83 - County or Municipal Tuberculosis Institutions; Conveyance to Commonwealth
Section 83a - Indemnity Insurance for Officers and Employees of Hospital
Section 85 - Maintenance of County Tuberculosis Hospitals; Apportionment of Costs and Expenses
Section 85a - Maintenance, Operation and Repair of Hospitals; Apportionment; Expenditures
Section 86 - Acquisition of Land
Section 87 - County Commissioners as Trustees of Institutions
Section 88 - Conversion of Hospitals Into Chronic Disease Hospitals or Homes for the Aged
Section 91c - Diseases of Chest; Use of Facilities for Treatment; Rules and Regulations
Section 92 - Construction and Maintenance of Isolation Hospitals; Approval
Section 93 - Regulation of Persons Approaching Isolation Hospital
Section 94 - Receiving Persons From Adjoining Towns
Section 94c - Court Commitment to Tuberculosis Treatment Center; Procedure; Notice; Hearing
Section 94d - Tuberculosis Treatment Center; Establishment; Supervision
Section 94e - Financial Responsibility for Treatment of Patients; Residence
Section 94f - Discharge From Treatment Center; Declassification; Transfer
Section 94g - Petition for Release; Order of Release
Section 94h - Regulations Concerning Content of Certification; Minimum Standards
Section 95 - Powers and Duties of Boards in Cases of Infectious Diseases
Section 96 - Warrants to Remove Persons Infected With Dangerous Disease
Section 96a - Transportation of Person Infected With Dangerous Disease to Another Town
Section 97 - Removal of Patient From Home Where Patient Cannot Be Isolated
Section 98 - Permits for Removal of Infected Articles or Sick Persons
Section 99 - Warrant to Secure Infected Articles; Application
Section 100 - Warrant to Take Houses for Safe Keeping of Infected Articles
Section 101 - Execution of Warrant; Breaking Open Houses
Section 102 - Payment of Expenses in Purifying Infected Articles
Section 103 - Compensation for Houses and Stores Impressed
Section 104 - Prevention of Spread of Infection; Public Notice; Removal
Section 105 - Violation of Regulations
Section 106 - Travelers From Infected Places Outside Commonwealth; License
Section 107 - Transportation of Infected Dead Bodies; Rules and Regulations
Section 108 - Removal of Sick Prisoners
Section 109a - Treatment of Infants' Eyes at Time of Birth
Section 110 - Report of Diseases of the Eyes of Infants
Section 110a - Tests of Newborn Children for Treatable Disorders or Diseases
Section 110b - Reyes Syndrome Treatment or Examination; Reports
Section 111a - Cerebral Palsy; Reports
Section 111b - Malignant Disease and Benign Brain-Related Tumor Registry; Reports
Section 112 - Notice by Local Board to Department
Section 113 - Records of Reports of Dangerous Diseases; Notice
Section 114 - Forfeiture of Claim
Section 115 - Recovery of Expenses
Section 116 - Payment of Reasonable Expenses; Chronically Nonresident Person Defined
Section 116a - Hospitalization of Persons Suffering From Chronic Rheumatism; Rules and Regulations
Section 118 - Discrimination Against Treatment of Venereal Diseases
Section 119 - Records Pertaining to Venereal Diseases
Section 121a - Serological Test for Syphilis of Pregnant Women
Section 122 - Regulations Relative to Nuisances; Examinations
Section 122a - Regulation of Domestic Water Supply; Powers of Board of Health; Penalties
Section 123 - Abatement of Nuisance by Owner; Penalty
Section 124 - Service of Order for Abatement
Section 125 - Removal of Nuisance by Board
Section 125a - Review of Order Adjudging the Operation of a Farm to Be a Nuisance
Section 126 - Location of Privy Vaults
Section 127 - Regulations Relative to House Drainage
Section 127a - State Sanitary Code; Adoption; Enforcement; Jurisdiction; Speedy Trial
Section 127c - Petition for Violation of Sanitary Code; Requisites
Section 127d - Entry Fee; Notice Upon Offending Owner
Section 127e - Copy of Report of Investigation; Admissibility in Evidence
Section 127f - Court Order Regarding Rental Payments; Disbursement of Funds; Receiver
Section 127i - Enforcement of Sanitary Code; Remedies; Receiver
Section 127k - Agreement to Waive Enforcement of Sanitary Code; Validity
Section 127l - Repairs by Tenants of Residential Premises to Cure Violations; Reimbursement for Cost
Section 127o - Conveyance of Real Estate With Intent to Evade Nuisance Provisions; Penalty
Section 127p - Land Covered by Subdivision Plan; Application of State Environmental Code
Section 128a - Filling of Sites of Demolished or Removed Buildings
Section 128g - Farm Labor Camps; Inspection; Certificate; Complaints
Section 129 - Removal or Destruction of Nuisance on Conviction of Owner
Section 130 - Enjoining Nuisance
Section 131 - Compulsory Examination of Premises; Complaint; Warrant
Section 142c - Other Air Pollution Control Districts; Formation
Section 142f - Discharging Excess Fuel From Aircraft Into Atmosphere; Penalty; Definitions
Section 142g - Burning of Christmas Trees Restricted
Section 142h - Ceremonial Bonfires Restricted; Permits
Section 142i - Bonfires From July 2 to July 6 Authorized
Section 142k - Motor Vehicle Emissions Standards; Late Models
Section 142l - Agricultural Burning
Section 142n - Fossil Fuel-Fired Electric Generation Facilities; Uniform Performance Standards
Section 144 - Revocation of Location Assignment; Removal of Nuisance
Section 146 - Orders of Prohibition; Service
Section 147 - Appeal From Order; Notice; Trial
Section 148 - Exercise of Trade or Employment During Pendency of Proceedings
Section 150 - Damages and Costs
Section 150a1/2 - Standards and Criteria for Siting of Facilities; Rules and Regulations
Section 150b - Establishment of Facility Site
Section 151 - Slaughter Houses; Regulation; Public Hearing; Application of Section
Section 155 - Licensing of Stables in Cities and Large Towns; Fees
Section 156 - Stables in Vicinity of Churches
Section 157 - Penalty for Violation of Secs. 155 and 156
Section 159 - Supervision of Inland Waters
Section 160c - Home Water Treatment Devices; Definitions Applicable to Secs. 160b to 160g
Section 160d - Analysis of Drinking Water; Disclosure Form
Section 160e - Analysis of Drinking Water by Uncertified Person; Penalty
Section 160f - Misrepresentations; Sale of Home Water Treatment Devices
Section 160g - Enforcement of Secs. 160c to 160f
Section 162 - Removal of Causes of Pollution; Petition; Hearing; Notice; Damages; Violation of Order
Section 164 - Enforcement of Orders, Rules and Regulations
Section 165 - Entry on Premises; Compensation of Agents; Apportionment
Section 167 - Protection of Sources of Water Supply
Section 168 - Prescriptive Rights of Drainage; Application of Sec. 167
Section 169 - Injunction Against Pollution of Water Supply
Section 170 - Willful Defilement or Corruption of Spring or Source of Water
Section 171 - Wilful Deposit of Excrement or Foul Matter Into Water Supply; Bathing in Water Supply
Section 173a - Police Employed to Protect Water Supply; Powers and Duties
Section 173b - Entry Upon Premises Within Water Shed of Source of Water Supply
Section 174 - Driving Animal on Ice of Pond or Stream Used for Domestic Water Supply
Section 174a - Prevention of Defilement of Domestic Water Supply by Gulls or Terns
Section 175 - Protection of Charles River From Pollution
Section 181 - Enforcement of Vaccination of Inhabitants of Towns
Section 182 - Vaccination of Inmates of Institutions Supported by Aid of Commonwealth
Section 183 - Exemptions From Vaccination Requirement
Section 184 - Establishment and Maintenance of Bacteriological Laboratories
Section 184c - Donation of Blood by Minors
Section 185 - Disinfecting Public Mutoscopes and Other Apparatus
Section 185a - Rules of Instruction, Test Cards and Other Appliances
Section 186 - Public Use of Machines Requiring Application of Lips
Section 186a - Shoe-Fitting Machines; Restrictions on Use; Penalty
Section 187 - Enforcement of Chapter
Section 188 - Disposition of Fines and Forfeitures
Section 189 - Application of Chapter to Cities
Section 189a - Definitions Applicable to Secs. 189a to 199b
Section 191 - Reports of Lead Poisoning; Notifications to Agencies; Records
Section 192 - Lead Poisoning Educational and Publicity Program
Section 192b - Preparation of Educational Materials
Section 193 - Lead Poisoning Early Identification Program; Examination and Reports
Section 197b - Lead Paint Inspectors; Deleaders; Licensure
Section 197d - Secured Lenders; Liability
Section 197e - Lead Abatement Loan Program
Section 198 - Violations of State Sanitary Code; Enforcement
Section 199 - Liability of Owner of Premises; Punitive Damages
Section 199b - Exemptions From Secs. 189a to 199a
Section 202 - Fetal Deaths; Reports; Confidentiality; Disposition of Remains; Violations; Forms
Section 203 - Health Care Provider Misconduct; Medical Peer Review
Section 206a - Seal of Approval for Wellness Programs Implemented by Businesses
Section 207 - Definitions Applicable to Secs. 208 to 214
Section 211 - Use of Tanning Device by Minors
Section 214 - Violations; Fines
Section 215 - Needle Exchange Programs; Approval; Report
Section 216 - Fragrance Advertising Inserts; Microencapsulated Fragrance; Penalty
Section 218 - Guidelines for Human Leukocyte or Histocompatibility Locus Antigen Testing
Section 219 - Meningitis Immunization Awareness
Section 220a - Prevention of the Practice of Female Genital Mutilation
Section 221 - Breastfeeding in a Public Place
Section 224 - Commission on Falls Prevention; Members; Duties
Section 225 - Presenting Claim for Payment for Anatomic Pathology Services
Section 226 - Mandatory Overtime for Nurses Prohibited; Exception for Emergency Situations
Section 230 - Folic Acid Awareness Initiative
Section 233 - Palliative Care and Quality of Life Interdisciplinary Advisory Council
Section 234 - Palliative Care Consumer and Professional Information and Education Program
Section 235 - Surgical Technologists; Standards and Requisites for Employment; Waiver
Section 236 - Nondiscrimination in Access to Organ Transplantation
Section 237 - Analysis of Population Health Trends; Opiate Overdoses
Section 238 - Promoting Awareness of Reproductive Health Care Facilities in the Commonwealth
Section 240 - Reimbursement for Travel and Ancillary Costs for Cancer Clinical Trials
Section 241 - Rare Disease Advisory Council; Membership; Duties; Funding; Reports