Text: HF189            Text: HF191
Complete Bill History


House File 190

HOUSE FILE BY FOEGE and B. HANSEN Passed House, Date Passed Senate, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act relating to mandatory universal newborn and infant hearing 2 screening. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 1640YH 80 5 pf/sh/8 PAG LIN 1 1 DIVISION XV 1 2 UNIVERSAL NEWBORN AND INFANT HEARING SCREENING 1 3 Section 1. NEW SECTION. 135.131 UNIVERSAL NEWBORN AND 1 4 INFANT HEARING SCREENING. 1 5 1. For the purposes of this section, "birthing hospital" 1 6 means a private or public hospital licensed pursuant to 1 7 chapter 135B that has a licensed obstetric unit or is licensed 1 8 to provide obstetric services, or a licensed birthing center 1 9 associated with a hospital. 1 10 2. Beginning January 1, 2004, all infants born in this 1 11 state shall be screened for hearing loss in accordance with 1 12 this section. The person required to perform the screening 1 13 shall use at least one of the following procedures: 1 14 a. Automated or diagnostic auditory brainstem response 1 15 (ABR). 1 16 b. Otoacoustic emissions (OAE). 1 17 c. Any other technology approved by the department. 1 18 3. Beginning January 1, 2004, a birthing hospital that is 1 19 not a birthing center shall screen every newborn delivered in 1 20 the hospital for hearing loss prior to discharge of the 1 21 newborn from the birthing hospital. A birthing hospital that 1 22 transfers a newborn for acute care prior to completion of the 1 23 hearing screening shall notify the receiving facility of the 1 24 status of the hearing screening. The receiving facility shall 1 25 be responsible for completion of the newborn hearing 1 26 screening. The birthing hospital or other facility completing 1 27 the hearing screening under this subsection shall report the 1 28 results of the screening to the parent or guardian of the 1 29 newborn and to the department in a manner prescribed by rule 1 30 of the department. 1 31 4. Beginning January 1, 2004, a birthing hospital that is 1 32 a birthing center shall refer the newborn to a licensed 1 33 audiologist, physician, or hospital for screening for hearing 1 34 loss prior to discharge of the newborn from the birthing 1 35 center. The hearing screening shall be completed within 2 1 thirty days following discharge of the newborn. The person 2 2 completing the hearing screening shall report the results of 2 3 the screening to the parent or guardian of the newborn and to 2 4 the department in a manner prescribed by rule of the 2 5 department. 2 6 5. Beginning January 1, 2004, if a newborn is delivered in 2 7 a location other than a birthing hospital, the physician or 2 8 other health care professional who undertakes the pediatric 2 9 care of the newborn or infant shall ensure that the hearing 2 10 screening is performed within three months of the date of the 2 11 newborn's or infant's birth. The physician or other health 2 12 care professional shall report the results of the hearing 2 13 screening to the parent or guardian of the newborn or infant 2 14 and to the department in a manner prescribed by rule of the 2 15 department. 2 16 6. A birthing hospital, physician, or other health care 2 17 provider required to report information under this section 2 18 shall report all of the following information to the 2 19 department relating to a newborn's or infant's hearing 2 20 screening, as applicable: 2 21 a. The name, address, and telephone number, if available, 2 22 of the mother of the newborn or infant. 2 23 b. The primary care provider at the birthing hospital for 2 24 the newborn or infant. 2 25 c. The results of the hearing screening. 2 26 d. Any rescreenings and the diagnostic audiological 2 27 assessment procedures used. 2 28 7. The department shall adopt rules to administer this 2 29 section including rules to provide for the sharing of 2 30 information among agencies and persons involved with newborn 2 31 and infant hearing screenings, follow=up, and intervention 2 32 services, that maintain the confidentiality of the individuals 2 33 involved. 2 34 8. This section shall not apply if the parent of a newborn 2 35 or infant objects to the screening on the grounds that the 3 1 screening would conflict with tenets or practices of a 3 2 recognized religious denomination to which the parent adheres 3 3 or of which the parent is a member. If a parent objects to 3 4 the screening, the birthing hospital, physician, or other 3 5 health care professional required to report information to the 3 6 department under this section shall provide educational 3 7 information to the parent describing the screening, how the 3 8 screening is conducted, and the possible consequences of 3 9 treatment and nontreatment for hearing loss. The birthing 3 10 hospital, physician, or other health care professional 3 11 required to report information under this section shall obtain 3 12 a written refusal from the parent, shall document the refusal 3 13 in the newborn's or infant's medical record, and shall report 3 14 the refusal to the department in a manner prescribed by rule 3 15 of the department. 3 16 9. A person who acts in good faith in complying with this 3 17 section shall not be civilly or criminally liable for 3 18 reporting the information required to be reported by this 3 19 section. 3 20 Sec. 2. NEW SECTION. 135B.18A UNIVERSAL NEWBORN AND 3 21 INFANT HEARING SCREENING. 3 22 Beginning January 1, 2004, a birthing hospital shall comply 3 23 with section 135.131 relating to universal newborn and infant 3 24 hearing screening. 3 25 EXPLANATION 3 26 This bill requires universal newborn and infant hearing 3 27 screening beginning January 1, 2004. The bill defines 3 28 "birthing hospital" to mean a licensed private or public 3 29 hospital that has a licensed obstetric unit or is licensed to 3 30 provide obstetric services, or a licensed birthing center 3 31 associated with a hospital. 3 32 The bill requires that beginning January 1, 2004, all 3 33 infants born in the state are to be screened for hearing loss 3 34 using at least one of the prescribed methods: automated or 3 35 diagnostic auditory brainstem response (ABR); otoacoustic 4 1 emissions(OAE); or any other technology approved by the 4 2 department. 4 3 The bill requires that beginning January 1, 2004, a 4 4 birthing hospital that is not a birthing center is to screen 4 5 every newborn delivered in the hospital for hearing loss prior 4 6 to discharge of the newborn from the birthing hospital. A 4 7 birthing hospital that transfers a newborn for acute care 4 8 prior to completion of the newborn hearing screening is to 4 9 notify the receiving facility of the status of the newborn 4 10 hearing screening and the receiving facility is then 4 11 responsible for completion of the newborn hearing screening. 4 12 The bill directs the birthing hospital or other facility 4 13 completing the hearing screening to report the results of the 4 14 screening to the parent or guardian of the newborn and to the 4 15 department in a manner prescribed by rule of the department. 4 16 The bill also provides that beginning January 1, 2004, a 4 17 birthing hospital that is a birthing center is to refer the 4 18 newborn to a licensed audiologist, physician, or hospital for 4 19 hearing loss prior to discharge of the newborn from the 4 20 birthing center. The newborn hearing screening is to be 4 21 completed within 30 days following discharge of the newborn. 4 22 The person completing the newborn hearing screening is to 4 23 report the results of the screening to the parent or guardian 4 24 of the newborn and to the department in a manner prescribed by 4 25 rule of the department. 4 26 Additionally, the bill provides that beginning January 1, 4 27 2004, if a newborn is delivered in a location other than a 4 28 birthing hospital, the physician or other health care 4 29 professional who undertakes the pediatric care of the newborn 4 30 or infant is to ensure that the newborn hearing screening is 4 31 performed within three months of the date of the newborn's or 4 32 infant's birth. The physician or other health care 4 33 professional is to report the results of the newborn hearing 4 34 screening to the parent or guardian of the newborn or infant 4 35 and to the department in a manner prescribed by rule of the 5 1 department. 5 2 The bill provides a listing of the information that a 5 3 reporter of information under the bill is required to report 5 4 and directs the department to adopt rules to administer the 5 5 provisions of the bill including confidentiality provisions. 5 6 The bill provides that the provisions of the bill do not 5 7 apply if the parent of a newborn or infant objects to the 5 8 screening on the grounds that the screening would conflict 5 9 with tenets or practices of a recognized religious 5 10 denomination to which the parent adheres or of which the 5 11 parent is a member. The bill provides for the provision of 5 12 educational material to a refusing parent who objects and for 5 13 the documenting of such a refusal. 5 14 The bill provides that a person who acts in good faith in 5 15 complying with the provisions of the bill is not civilly or 5 16 criminally liable for reporting the information required to be 5 17 reported under the bill. 5 18 LSB 1640YH 80 5 19 pf/sh/8
Text: HF189            Text: HF191 Complete Bill History