Caregivers:
(1) Have the authority to consent to routine medical, dental, and vision care on behalf of children or youth in the placement care and authority of the department or tribe who are younger than 18 years of age who are placed in their care;
(2) Must:
(a) Discuss children's and youth's routine care needs with the caseworkers who will incorporate the care needs into their case plans;
(b) Obtain direction from the tribes for permission to consent for medical care for children or youth in the custody of tribal court;
(c) Contact the children's or youth's caseworkers prior to scheduling nonroutine and nonemergent medical services. These services include, but are not limited to:
(i) Any procedures requiring anesthesia, e.g., tonsillectomy, tympanostomy, or wisdom teeth extraction;
(ii) Psychotropic medications for any children younger than 13 years of age or who are not able to give their own consent;
(iii) Surgery; and
(iv) Medical procedures; and
(d) Follow state laws regarding children's or youth's ability to access and consent to medical care including, but not limited to:
(i) Mental health care;
(ii) Protected health care;
(iii) Reproductive health care;
(iv) Sexually transmitted diseases; and
(v) Substance use treatment; and
(e) Not consent to medical care on behalf of an individual 18 years or older, unless they have legal authority to do so.