Florida Senate - 2012 COMMITTEE AMENDMENT
Bill No. SB 1006
Barcode 732876
LEGISLATIVE ACTION
Senate . House
Comm: RCS .
02/27/2012 .
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The Committee on Health Regulation (Sobel) recommended the
following:
1 Senate Amendment to Amendment (416374) (with title
2 amendment)
3
4 Between lines 4 and 5
5 insert:
6 Section 1. Section 383.146, Florida Statutes, is created to
7 read:
8 383.146 Newborn screening for critical congenital heart
9 disease.—
10 (1) DEFINITIONS.—As used in this section, the term:
11 (a) “Department” means the Department of Health.
12 (b) “Newborn” means an age range from birth through 29
13 days.
14 (c) “Screening” means measuring blood oxygen saturation
15 using pulse oximetry to determine whether a newborn needs
16 additional diagnostic evaluation for critical congenital heart
17 disease.
18 (2) REQUIREMENTS FOR SCREENING OF NEWBORNS; REFERRAL FOR
19 ONGOING SERVICES.—
20 (a) Each licensed hospital that provides maternity and
21 newborn care services shall ensure that, prior to discharge, all
22 newborns are screened for the detection of critical congenital
23 heart disease.
24 (b) Each licensed birth center that provides maternity and
25 newborn care services shall ensure that, prior to discharge, all
26 newborns are screened for the detection of critical congenital
27 heart disease.
28 (c) If the parent or legal guardian of the newborn objects
29 to the screening, the screening must not be completed,
30 notwithstanding any other provision of this section. In such
31 case, the physician, midwife, or other person who is attending
32 the newborn shall maintain a record that the screening has not
33 been performed and attach a written objection that must be
34 signed by the parent or guardian.
35 (d) For home births, the health care provider in attendance
36 is responsible for the screening.
37 (e) Appropriate documentation of the screening completion,
38 results, interpretation, and recommendations must be placed in
39 the medical record within 24 hours after completion of the
40 screening procedure.
41 (f) Each hospital shall formally designate a lead physician
42 who is responsible for programmatic oversight of newborn
43 congenital heart disease screening. Each licensed birth center
44 shall designate a licensed health care provider to provide such
45 programmatic oversight. Such physician or health care provider
46 shall ensure that the appropriate referrals are completed
47 following a positive screening test result.
48 (g) By October 1, 2012, screening for critical congenital
49 heart disease must be conducted on all newborns in hospitals and
50 birth centers in this state following birth admission.
51 (3) RULES.—After consultation with the Genetics and Newborn
52 Screening Advisory Council, the department shall adopt and
53 enforce rules requiring that every newborn in this state be
54 screened for critical congenital heart disease. The department
55 shall adopt such additional rules as are necessary for the
56 administration of this section, including rules providing
57 definitions of terms, rules relating to the methods used and
58 time or times for testing as accepted medical practice
59 indicates, rules relating to charging and collecting fees for
60 the administration of the newborn screening program required by
61 this section, rules for processing requests and releasing test
62 and screening results, and rules requiring mandatory reporting
63 of the results of tests and screenings for this condition to the
64 department.
65 (4) POWERS AND DUTIES OF THE DEPARTMENT.—The department
66 shall administer and provide services required pursuant to this
67 section and shall:
68 (a) Furnish to all physicians, county health departments,
69 perinatal centers, birth centers, and hospitals forms on which
70 the results of tests for critical congenital heart disease shall
71 be reported to the department.
72 (b) Have the authority to charge and collect fees
73 sufficient to administer the newborn screening program required
74 under this section.
75
76 ================= T I T L E A M E N D M E N T ================
77 And the title is amended as follows:
78 Delete lines 264 - 265
79 and insert:
80 An act relating to health care; creating s. 383.146,
81 F.S.; providing definitions; providing requirements
82 for screening newborns for critical congenital heart
83 disease; providing an exception; requiring that the
84 physician, midwife, or other person attending the
85 newborn maintain a record if the screening has not
86 been performed and attach a written objection signed
87 by the parent or guardian; requiring appropriate
88 documentation of the screening completion in the
89 medical record; requiring that each hospital and each
90 licensed birth center designate a lead physician and a
91 licensed health care provider, respectively, to
92 provide programmatic oversight for the screening;
93 requiring that the screening for critical congenital
94 heart disease be conducted on all newborns in
95 hospitals and birth centers in this state; authorizing
96 the Department of Health to adopt rules to administer
97 the screening program; providing powers and duties of
98 the department; amending s. 499.003, F.S.; revising
99 the