Bill Text: IA SSB3122 | 2021-2022 | 89th General Assembly | Introduced


Bill Title: A bill for an act relating to the newborn screening.(See SF 2345.)

Spectrum: Committee Bill

Status: (Introduced - Dead) 2022-02-17 - Committee report approving bill, renumbered as SF 2345. [SSB3122 Detail]

Download: Iowa-2021-SSB3122-Introduced.html
Senate Study Bill 3122 - Introduced SENATE FILE _____ BY (PROPOSED COMMITTEE ON HUMAN RESOURCES BILL BY CHAIRPERSON EDLER) A BILL FOR An Act relating to the newborn screening. 1 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 2 TLSB 6177XC (6) 89 pf/rh
S.F. _____ Section 1. Section 136A.2, Code 2022, is amended by adding 1 the following new subsection: 2 NEW SUBSECTION . 1A. “Congenital and inherited disorders 3 advisory committee” or “advisory committee” means the congenital 4 and inherited disorders advisory committee created in this 5 chapter. 6 Sec. 2. NEW SECTION . 136A.3A Congenital and inherited 7 disorders advisory committee established —— process for addition 8 of conditions to newborn screening. 9 1. A congenital and inherited disorders advisory committee 10 is established to assist the center for congenital and 11 inherited disorders and the department in the development of 12 programs that ensure the availability and access to quality 13 genetic and genomic health care services for all Iowans. 14 2. The members of the advisory committee shall be appointed 15 by the director and shall include persons with relevant 16 expertise and interest including parent representatives. 17 3. The advisory committee shall assist the center for 18 congenital and inherited disorders and the department in 19 designating the conditions to be included in the newborn 20 screening and in regularly evaluating the effectiveness and 21 appropriateness of the newborn screening. 22 4. Within twelve months of the addition of a new condition 23 to the federal recommended uniform screening panel, the 24 advisory committee shall consider and make a recommendation 25 to the department regarding inclusion of the new condition in 26 the newborn screening, including the current newborn screening 27 capacity to screen for the new condition and the resources 28 necessary to screen for the new condition going forward. 29 If the advisory committee recommends inclusion of a new 30 condition, the department shall include the new condition in 31 the newborn screening within eighteen months of receipt of the 32 recommendation, subject to the provision of necessary newborn 33 screening capacity and resources. 34 5. The department shall submit a status report to the 35 -1- LSB 6177XC (6) 89 pf/rh 1/ 4
S.F. _____ general assembly, annually, by December 31, regarding all of 1 the following: 2 a. The current conditions included in the newborn screening. 3 b. Any new conditions currently under consideration or 4 recommended by the advisory committee for inclusion in the 5 newborn screening. 6 c. Any new conditions considered but not recommended by the 7 advisory committee in the prior twelve-month period and the 8 reason for not recommending any such conditions. 9 d. Any departmental request for additional program capacity 10 or resources necessitated by the inclusion of a recommended new 11 condition in the newborn screening. 12 e. Any delay and the reason for the delay by the advisory 13 committee in complying with the specified twelve-month time 14 frame in considering or recommending the inclusion of a new 15 condition in the newborn screening to the department. 16 f. Any delay and the reason for the delay by the department 17 in complying with the specified eighteen-month time frame in 18 including a new condition in the newborn screening following 19 receipt of a recommendation from the advisory committee 20 recommending the inclusion of such condition. 21 Sec. 3. Section 136A.5, Code 2022, is amended to read as 22 follows: 23 136A.5 Newborn metabolic screening. 24 1. All newborns born in this state shall be screened for 25 congenital and inherited disorders in accordance with rules 26 adopted by the department. 27 2. An attending health care provider shall ensure that every 28 newborn under the provider’s care is screened for congenital 29 and inherited disorders in accordance with rules adopted by the 30 department. 31 3. This section does not apply if a parent objects to 32 the screening. If a parent objects to the screening of a 33 newborn, the attending health care provider shall document the 34 refusal in the newborn’s medical record and shall obtain a 35 -2- LSB 6177XC (6) 89 pf/rh 2/ 4
S.F. _____ written refusal from the parent and report the refusal to the 1 department as provided by rule of the department. 2 Sec. 4. Section 136A.5A, subsections 1 and 4, Code 2022, are 3 amended to read as follows: 4 1. Each newborn born in this state shall receive a critical 5 congenital heart disease screening by pulse oximetry or other 6 means as determined by rule, in conjunction with the metabolic 7 newborn screening required pursuant to section 136A.5 . 8 4. Notwithstanding any provision to the contrary, the 9 results of each newborn’s critical congenital heart disease 10 screening shall only be reported in a manner consistent with 11 the reporting of the results of metabolic newborn screenings 12 pursuant to section 136A.5 if funding is available for 13 implementation of the reporting requirement. 14 EXPLANATION 15 The inclusion of this explanation does not constitute agreement with 16 the explanation’s substance by the members of the general assembly. 17 This bill relates to newborn screenings. 18 The bill establishes, in Code, the congenital and inherited 19 disorders advisory committee (advisory committee), which 20 currently is established in administrative rules. The bill 21 provides, as is provided in administrative rules, that the 22 advisory committee is established to assist the center for 23 congenital and inherited disorders (center) and the department 24 of public health (DPH) in matters relating to genetic 25 and genomic health care services for all Iowans, that the 26 members of the advisory committee shall be appointed by the 27 director of public health, that the members shall include 28 persons with relevant expertise and interest including parent 29 representatives, and that one of the duties of the advisory 30 committee is to assist the center and DPH in designating the 31 conditions to be included in the newborn screening and in 32 regularly evaluating the effectiveness and appropriateness of 33 the newborn screening. 34 The bill specifically requires that within 12 months of the 35 -3- LSB 6177XC (6) 89 pf/rh 3/ 4
S.F. _____ addition of a new condition to the federal recommended uniform 1 screening panel, the advisory committee shall consider and 2 make a recommendation to DPH regarding inclusion of the new 3 condition in the newborn screening, including current newborn 4 screening capacity to screen for the new condition and the 5 resources necessary to screen for the new condition going 6 forward. If the advisory committee recommends inclusion of 7 a new condition, DPH shall ensure that the new condition is 8 included in the newborn screening within 18 months of receipt 9 of the recommendation, subject to the provision of necessary 10 newborn screening capacity and resources. 11 The bill requires DPH to submit an annual report to the 12 general assembly by December 31, regarding the current 13 conditions included in the newborn screening, any new 14 conditions currently under consideration or recommended by the 15 advisory committee for inclusion in the newborn screening, any 16 new conditions considered but not recommended by the advisory 17 committee in the prior 12-month period and the reason for not 18 recommending any such conditions, any departmental request for 19 additional newborn screening program capacity or resources 20 necessitated by the inclusion of a recommended new condition 21 in the newborn screening, and any delay and the reason for 22 the delay by the advisory committee or DPH in complying with 23 the specified time frames for considering and recommending or 24 adding a new condition to the newborn screening. 25 The bill also changes references to “newborn metabolic 26 screening” or “metabolic newborn screening” to “newborn 27 screening”. 28 -4- LSB 6177XC (6) 89 pf/rh 4/ 4
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