Childhood lead poisoning is one of the most preventable environmental health hazards in history. While childhood lead poisoning rates have decreased substantially since the 1970s, mounting evidence suggests that chronic, low level exposure can have long-lasting impacts on children. It is imperative that we ensure that children in our state have healthy environments in which they can live, learn, and play. Over 217,000 children under the age of 6 call Nevada home but less than four percent are screened for lead making Nevada one of the lowest screening states across the U.S. The Nevada Childhood Lead Poisoning Prevention Program (NvCLPPP) staff and the Advisory Committee hope that stakeholders use this blood lead testing plan as guidance to prevent and address local issues.