Bill Text: HI SB1136 | 2013 | Regular Session | Introduced

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Bill Title: Point of Care Newborn Screening

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2013-01-24 - Referred to HTH, WAM. [SB1136 Detail]

Download: Hawaii-2013-SB1136-Introduced.html

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THE SENATE	S.B. NO.	1136
TWENTY-SEVENTH LEGISLATURE, 2013
STATE OF HAWAII

A BILL FOR AN ACT

 

 

RELATING TO NEWBORN SCREENING.

 

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 

     SECTION 1.  Traditionally, newborn screening involves blood collection from a heelstick and the use of biochemical and molecular testing to screen for disorders.  Results of this type of newborn screening are most often available only after the newborn's discharge home.  In the late 1990s, the first type of point of care newborn hearing screening was introduced.  In newborn hearing screening, the newborn is screened at an institution caring for the newborn infant before discharge but follow-up additional screening and possible diagnostic tests are scheduled after discharge.  Now a more intensive type of point of care screening is being introduced in which the newborn is screened at an institution caring for the newborn infant before discharge and if the newborn has a positive result, diagnostic tests are administered before the newborn is discharged or arrangements are made for transfer of the newborn to an institution that can administer the diagnostic tests before the newborn is discharged home.

     The purpose of this Act is to establish point of care newborn screening and authorize administrative rulemaking for its implementation.    

     SECTION 2.  Chapter 321, Hawaii Revised Statutes, is amended by adding a new part to be appropriately designated and to read as follows:

"PART  .  POINT OF CARE NEWBORN SCREENING

     §321-A  Definitions.  For the purposes of this part:

     "Department" means the department of health.

     "Point of care newborn screening" means newborn infant screening for diseases and conditions specified by the department administered at the institution caring for the newborn infant, followed by diagnostic testing at the institution, or at a health facility to which the infant is transferred when a positive screening result is found, to determine the cause of the positive screening result before the newborn is discharged home.

     "Positive screening result" means a newborn screening result that is outside the normal range of screening results for a newborn.

     §321-B  Point of care newborn screening.  (a)  The department shall specify diseases and conditions covered by point of care newborn screening.

     (b)  The department shall specify policies and procedures for administration of point of care screening to be administered by institutions caring for newborn infants to best prevent newborn mortality and morbidity within the State.

     (c)  The person in charge of each institution caring for newborn infants and the responsible physician attending the birth of a newborn or the person assisting the birth of a newborn not attended by a physician, shall ensure that every newborn infant in the person's care be tested for the diseases and conditions for point of care screening specified by the department; provided that this section shall not apply if the parents, guardians, or other persons having custody or control of the child object thereto on the grounds that the tests conflict with their religious tenets and beliefs and written objection is made a part of the newborn infant's medical record.

     (d)  The department shall adopt rules pursuant to chapter 91 necessary for the purposes of this section, including:

     (1)  Specifying diseases and conditions for point of care newborn screening;

     (2)  Establishing policies and procedures for administration of point of care newborn screening tests;

     (3)  Quality and cost control of point of care screening tests;

     (4)  Retention of records and related data;

     (5)  Tracking completion and results of point of care newborn screening;

     (6)  Guidelines for care, treatment, and follow up for newborn infants with positive test results;

     (7)  Education for parents and healthcare providers about the availability and purposes of point of care newborn screening; and

     (8)  Maintaining the confidentiality of newborns and families.

     (e)  The director of health shall submit an annual report to the legislature twenty days prior to the convening of each regular session, identifying all expenditures made from the newborn metabolic screening special fund for the department's point of care newborn screening activities."

     SECTION 3.  Section 321-291, Hawaii Revised Statutes, is amended by amending subsection (d) to read as follows:

     "(d) There is created in the treasury of the State the newborn metabolic screening special fund.  All moneys for newborn metabolic screening services and point of care newborn screening services collected under this chapter shall be deposited in the newborn metabolic screening special fund to be used for the payment of its lawful operating expenditures, including but not limited to laboratory testing, follow-up testing, educational materials, continuing education, quality assurance, equipment, and indirect costs[.] for newborn metabolic screening and for point of care newborn screening."

     SECTION 4.  Statutory material to be repealed is bracketed and stricken.  New statutory material is underscored.

     SECTION 5.  This Act, upon its approval, shall take effect on January 1, 2014.

 

INTRODUCED BY:	_____________________________
	BY REQUEST

 

 

Report Title:

Point of Care Newborn Screening

 

Description:

Authorizes the Department of Health to implement point of care newborn screening, amends section 321-291 concerning the newborn metabolic screening special fund.

 

 

 

The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.