No written comment has been received. In a meeting during 2014 of the State Health Improvement Planning process (includes state and local health departments and other public health stakeholders), a recommendation was made to update and strengthen the rule. There was strong support among local health departments and the other attendees that the rule remained important and that it was important to review and update the rule to assure it remains a useful guide for local public health services. After that recommendation, the Governance Committee established under Section 26-1-4 established a workgroup to review and recommend updates/revisions to this rule. That workgroup is currently working on those recommended changes.