Senate File 2057 - Introduced
SENATE FILE
BY PETERSEN
A BILL FOR
1 An Act establishing a cytomegalovirus public health initiative.
2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
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1 1 Section 1. NEW SECTION. 136A.5B Cytomegalovirus public
1 2 health initiative == congenital cytomegalovirus screening ==
1 3 public education and awareness program.
1 4 1. a. As used in this section, "Congenital cytomegalovirus"
1 5 means cytomegalovirus acquired by an infant before birth.
1 6 b. Each newborn born in this state shall receive a
1 7 congenital cytomegalovirus screening as soon after birth as is
1 8 medically appropriate.
1 9 c. An attending health care provider shall ensure that
1 10 every newborn under the provider's care receives the congenital
1 11 cytomegalovirus screening within the medically appropriate
1 12 timeframe.
1 13 d. This subsection does not apply if a parent objects to
1 14 the screening. If a parent objects to the screening of a
1 15 newborn, the attending health care provider shall document the
1 16 refusal in the newborn's medical record and shall obtain a
1 17 written refusal from the parent and report the refusal to the
1 18 department.
1 19 e. The results of a congenital cytomegalovirus screening
1 20 shall be reported in a manner consistent with the reporting of
1 21 the results of metabolic screenings pursuant to section 136A.5,
1 22 and in accordance with rules adopted pursuant to section
1 23 136A.8.
1 24 f. This subsection shall be administered in accordance with
1 25 rules adopted pursuant to section 136A.8.
1 26 2. a. In accordance with the duties prescribed in section
1 27 135A.3, the center for congenital and inherited disorders
1 28 shall collaborate with state and local health agencies
1 29 and other public and private organizations to develop and
1 30 publish or approve and publish informational materials to
1 31 educate and raise awareness of cytomegalovirus and congenital
1 32 cytomegalovirus among women who may become pregnant, expectant
1 33 parents, parents of infants, attending health care providers,
1 34 and others, as appropriate. The materials shall include
1 35 information regarding all of the following:
2 1 (1) The incidence of cytomegalovirus and congenital
2 2 cytomegalovirus.
2 3 (2) The transmission of cytomegalovirus to a pregnant woman
2 4 or woman who may become pregnant.
2 5 (3) Birth defects caused by congenital cytomegalovirus.
2 6 (4) Methods of diagnosing congenital cytomegalovirus.
2 7 (5) Available preventive measures to avoid cytomegalovirus
2 8 infection by women who are pregnant or who may become pregnant.
2 9 b. An attending health care provider shall provide to a
2 10 pregnant woman during the first trimester of the pregnancy,
2 11 the informational materials published under this subsection.
2 12 The center for congenital and inherited disorders shall make
2 13 the informational materials available to attending health care
2 14 providers upon request.
2 15 c. The department shall publish the informational materials
2 16 on its internet site.
2 17 EXPLANATION
2 18 The inclusion of this explanation does not constitute agreement with
2 19 the explanation's substance by the members of the general assembly.
2 20 This bill requires that each newborn born in the state
2 21 receive a congenital cytomegalovirus (CMV) screening as soon
2 22 after birth as is medically appropriate, and requires an
2 23 attending health care provider to ensure that every newborn
2 24 under the provider's care receives such screening within the
2 25 medically appropriate timeframe. The requirement does not
2 26 apply if a parent objects to the screening. If a parent does
2 27 object, the attending health care provider is required to
2 28 document the refusal in the newborn's medical record and obtain
2 29 a written refusal from the parent and report the refusal to the
2 30 department of public health. The results of a congenital CMV
2 31 screening are required to be reported in a manner consistent
2 32 with the reporting of the results of metabolic screenings. The
2 33 center for congenital and inherited disorders is directed to
2 34 adopt rules to administer the bill.
2 35 The bill also requires the center for congenital and
3 1 inherited disorders, in collaboration with state and local
3 2 health agencies and other public and private organizations,
3 3 to develop and publish or approve and publish informational
3 4 materials to educate and raise awareness of CMV and congenital
3 5 CMV among women who may become pregnant, expectant parents,
3 6 parents of infants, attending health care providers, and
3 7 others, as appropriate. The materials are to include
3 8 information regarding the incidence of CMV and congenital
3 9 CMV, the transmission of CMV to a pregnant woman or woman who
3 10 may become pregnant, birth defects caused by congenital CMV,
3 11 methods of diagnosing congenital CMV, and available preventive
3 12 measures to avoid CMV infection by women who are pregnant or
3 13 who may become pregnant. An attending health care provider is
3 14 required to provide the informational materials to a pregnant
3 15 woman during the first trimester of the pregnancy, and the
3 16 center for congenital and inherited disorders is required to
3 17 make the informational materials available to attending health
3 18 care providers upon request. The department of public health
3 19 is required to publish the informational materials on its
3 20 internet site.
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