harmful childhood lead exposures are occurring in the state could lead to the prevention of these exposures. . . .” (§ 124125, italics added.) Based on these findings, the Legislature expressed its intent to establish the lead program to (among other things) “identify and target areas of the state where childhood lead exposures are especially significant.” (Id., subd. (b), italics added.)
In the 1989 Act, the Legislature directed the department, through the lead program, to “continue to take steps that it determines are necessary to reduce the incidence of excessive childhood lead exposure in California.” (§ 124165, italics added.)
In the 1991 Act, in which the Legislature imposed the fee at issue here to fund the ongoing operation of the lead program (§§ 105305, 105310), the Legislature again focused on childhood lead exposure and its consequences. The Legislature required that “all children ... be evaluated for risk of lead poisoning by health care providers during each child’s periodic health assessment.” (§ 105285, subd. (a).) If determined to be “at risk” for lead poisoning, a child must be “screened”—that is, the concentration of lead in the child’s blood must be measured—unless the child’s parent or guardian refuses to consent. (§§ 105280, subd. (e), 105285, subds. (b) & (c).) To fully implement and effectuate these requirements, the Legislature gave the department “broad regulatory authority” to, among other things, “develop[] . . . protocols to be utilized in screening and the procedures for changing those protocols when more accurate or efficient technologies become available,” “designate] . . . laboratories which are qualified to analyze whole blood specimens for concentration of lead and . . . monitor[] . . . those laboratories for accuracy,” “develop[] . . . reporting procedures by laboratories,” and “[r]eimburse[] for state-sponsored services relating] to screening and appro- . priate case management.” (§ 105300, subds. (a), (b), (c) & (d).)
Obviously, the risk of childhood lead poisoning results from childhood lead exposure. Because “all children” in California are exposed to lead in the environment, all of them must be evaluated for the risk of lead poisoning, and if found at risk, screened for lead poisoning, even though not all of them will have enough lead in their blood to actually have lead poisoning. In this manner, under the mandate of the 1991 Act, the lead program addresses, more broadly, the consequences of childhood lead exposure resulting from lead contamination in the environment and not simply cases of lead poisoning.
Furthermore, the Legislature specifically focused on exposure rather than poisoning when it imposed the fee to fund the lead program on those responsible for significantly contributing to “environmental lead contamination” (§ 105310, subd. (a)), which the Legislature defined as “the persistent presence of lead in the environment, in quantifiable amounts, that results in