Title 31, Chapter 1, Section 3.2
( 31-1-3.2)
(a) The General Assembly finds, determines, and declares: (1) That hearing loss occurs in newborn infants more frequently
than any other health condition for which newborn infant screening
is required; (2) That 80 percent of the language ability of a child is
established by the time the child is 18 months of age and that
hearing is vitally important to the healthy development of such
language skills; (3) That early detection of hearing loss in a child and early
intervention and treatment has been demonstrated to be highly
effective in facilitating a child's healthy development in a
manner consistent with the child's age and cognitive ability; (4) That children with hearing loss who do not receive such early
intervention and treatment frequently require special educational
services and that such services are publicly funded for the vast
majority of children with hearing needs in the state; (5) That appropriate testing and identification of newborn infants
with hearing loss will facilitate early intervention and treatment
and may therefore serve the public purposes of promoting the
healthy development of children and reducing public expenditure; (6) The American Academy of Pediatrics, the American
Speech-Language-Hearing Association, the American Academy of
Audiology, and the American Academy of Otolaryngology, Head and
Neck Surgery have recently endorsed the implementation of
universal newborn hearing screenings and recommended that such
screenings be performed in all birthing hospitals and coordinated
by state departments of public health; and (7) That consumers should be entitled to know whether the hospital
at which they choose to deliver their infant provides newborn
hearing screening. (b) As used in this Code section, the term "newborn infant" means an
infant after delivery but before discharge from the hospital. (c) For reasons specified in subsection (a) of this Code section,
the General Assembly determines that it would be beneficial and in
the best interests of the development of the children of the state
that newborn infants' hearing be screened. (d)(1) There is established an advisory committee on hearing in
newborn infants for the purpose of studying and collecting the
informational data specified in this Code section and reporting
such information to the General Assembly and Governor by December
1, 2001, and for the purpose of providing recommendations to
hospitals, physicians, and other health care institutions, the
Department of Human Resources, and the public concerning, but not
limited to, the following: (A) Appropriate methodologies to be implemented for hearing screening of newborn infants, which methodologies shall be objective and physiologically based. An audiologist licensed pursuant to Chapter 44 of Title 43 shall perform such screening and a person not licensed as an audiologist may perform such screening provided such screening by the unlicensed person is performed pursuant to the exception in subsection (h) of Code Section 43-44-7; (B) The number of births sufficient to qualify a hospital or
health institution to arrange otherwise for hearing screenings;
and (C) Guidelines for reporting and the means to assure that
identified children received referral for appropriate follow-up
services. The advisory committee on hearing in newborn infants
shall present its findings and recommendations to the Board of
Human Resources. Said board shall consider the findings and
recommendations of such advisory committee in the adoption of
rules and regulations for purposes of such screening. (2) The advisory committee on hearing in newborn infants shall
consist of at least 11 members who shall be appointed by the
director of the Division of Public Health of the Department of
Human Resources. Such advisory committee shall be a joint
subcommittee of: (A) The Maternal & Infant Health Council; and (B) The State Interagency Coordinating Council for Early
Intervention. There shall be one member from each of these councils on the
advisory committee. Members appointed to the committee shall have
training, experience, or interest in the area of hearing
conditions of children and shall include at least one audiologist,
one pediatrician, one hospital administrator from a hospital which
offers perinatal services, one deaf or hard of hearing adult, and
one parent of a deaf or hard of hearing child. In addition, the
Speaker of the House of Representatives shall appoint one member
from the House of Representatives, and the President of the Senate
shall appoint one member from the Senate to serve on the advisory
committee. (3) The members of the advisory committee on hearing in newborn
infants shall serve without compensation. (4) The advisory committee on hearing in newborn infants shall
meet as often as necessary to study and collect the information
necessary and report to the General Assembly and Governor by
December 1, 2001, to develop and make the recommendations
specified in paragraph (1) of this subsection in a sufficiently
timely manner to allow for state-wide hearing screening of newborn
infants by July 1, 2002, and to make recommendations to promote
universal newborn infant hearing screening pursuant to subsection
(h) of this Code section. (5) This subsection is automatically repealed effective July 1,
2005. (e) It is the intent of the General Assembly that, by July 1, 2002,
newborn hearing screening be conducted on no fewer than 95 percent
of all newborn infants born in hospitals in this state, using
procedures established by rule and regulation of the Board of Human
Resources after review of any recommendations of the advisory
committee on hearing in newborn infants, created in subsection (d)
of this Code section. Toward that end, on and after July 1, 2001,
every licensed or certified hospital and physician shall educate the
parents of newborn infants born in such hospitals of the importance
of screening the hearing of newborn infants and follow-up care.
Education shall not be considered a substitute for the hearing
screening described in this subsection. Every licensed or permitted
hospital shall report annually to the Department of Human Resources
concerning the following: (1) The number of newborn infants born in the hospital; (2) The number of newborn infants screened; (3) The number of newborn infants who passed the screening, if
administered; and (4) The number of newborn infants who did not pass the screening,
if administered. (f) The advisory committee on hearing in newborn infants shall
determine which hospitals or other health care providers in this
state are ordering and administering newborn hearing screening to
newborn infants on a voluntary basis and the number of newborn
infants screened. The advisory committee on hearing in newborn
infants shall report to the General Assembly and Governor by
December 1, 2001, concerning the following: (1) The number of hospitals and other health care providers
administering such voluntary screenings; (2) The number of newborn infants screened as compared to the
total number of infants born in such hospitals and institutions; (3) The number of newborn infants who passed the screening, if
administered; and (4) The number of newborn infants who did not pass the screening,
if administered. (g) Subject to available appropriations, the advisory committee on
hearing in newborn infants shall make the report described in
subsection (f) of this Code section available throughout the state
and specifically available to physicians whose practice includes the
practice of obstetrics or the care of newborn infants, to consumer
groups, to managed care organizations, and to the media. (h) If the number of newborn infants screened does not equal or
exceed 95 percent of all newborn infants born in hospitals in this
state by July 1, 2002, or falls below 95 percent at any time
thereafter, the advisory committee shall continue to work with
hospitals and physicians to achieve that goal. The advisory
committee shall advise and assist hospitals and physicians regarding
the conditions and procedures under which a parent or guardian of a
child may object to and thereby exempt the child from such screening
for religious reasons. The advisory committee shall study and
address those hospitals with a low volume of births, as determined
by the Department of Human Resources based upon recommendations by
the advisory committee on hearing in newborn infants, which may
arrange otherwise for newborn infant hearing screening. (i) A physician, registered professional nurse, including a
certified nurse midwife, or other health professional attending a
birth outside a hospital or institution shall provide information,
as established by the department, to parents regarding places where
the parents may have their infants' screening and the importance of
such screening. (j) The department shall encourage the cooperation of local health
departments, health care clinics, school districts, health care
providers, and any other appropriate resources to promote the
screening of newborn infants' hearing and early identification and
intervention for those determined to have hearing loss for those
infants born outside a hospital or institution. |