Florida Senate - 2014                                     SB 722
       By Senator Garcia
       38-00487-14                                            2014722__
    1                        A bill to be entitled                      
    2         An act relating to newborn health screening; amending
    3         s. 383.14, F.S.; authorizing the State Public Health
    4         Laboratory to release the results of a newborn’s
    5         hearing and metabolic tests or screenings to the
    6         newborn’s health care practitioner; defining the term
    7         “health care practitioner” as it relates to such
    8         release; amending s. 383.145, F.S.; revising the
    9         definition of “hearing impairment”; updating a cross
   10         reference; providing an effective date.
   12  Be It Enacted by the Legislature of the State of Florida:
   14         Section 1. Paragraph (c) of subsection (1) of section
   15  383.14, Florida Statutes, is amended to read:
   16         383.14 Screening for metabolic disorders, other hereditary
   17  and congenital disorders, and environmental risk factors.—
   18         (1) SCREENING REQUIREMENTS.—To help ensure access to the
   19  maternal and child health care system, the Department of Health
   20  shall promote the screening of all newborns born in Florida for
   21  metabolic, hereditary, and congenital disorders known to result
   22  in significant impairment of health or intellect, as screening
   23  programs accepted by current medical practice become available
   24  and practical in the judgment of the department. The department
   25  shall also promote the identification and screening of all
   26  newborns in this state and their families for environmental risk
   27  factors such as low income, poor education, maternal and family
   28  stress, emotional instability, substance abuse, and other high
   29  risk conditions associated with increased risk of infant
   30  mortality and morbidity to provide early intervention,
   31  remediation, and prevention services, including, but not limited
   32  to, parent support and training programs, home visitation, and
   33  case management. Identification, perinatal screening, and
   34  intervention efforts shall begin prior to and immediately
   35  following the birth of the child by the attending health care
   36  provider. Such efforts shall be conducted in hospitals,
   37  perinatal centers, county health departments, school health
   38  programs that provide prenatal care, and birthing centers, and
   39  reported to the Office of Vital Statistics.
   40         (c) Release of screening results.—Notwithstanding any other
   41  law to the contrary, the State Public Health Laboratory may
   42  release, directly or through the Children’s Medical Services
   43  program, the results of a newborn’s hearing and metabolic tests
   44  or screenings screening to the newborn’s health care
   45  practitioner. As used in this paragraph, the term “health care
   46  practitioner” means a physician or physician assistant licensed
   47  under chapter 458; an osteopathic physician or physician
   48  assistant licensed under chapter 459; an advanced registered
   49  nurse practitioner, registered nurse, or licensed practical
   50  nurse licensed under part I of chapter 464; a midwife licensed
   51  under chapter 467; a speech-language pathologist or audiologist
   52  licensed under part I of chapter 468; or a dietician or
   53  nutritionist licensed under part X of chapter 468 primary care
   54  physician.
   55         Section 2. Paragraph (c) of subsection (2) and paragraphs
   56  (i) and (k) of subsection (3) of section 383.145, Florida
   57  Statutes, are amended to read:
   58         383.145 Newborn and infant hearing screening.—
   59         (2) DEFINITIONS.—
   60         (c) “Hearing impairment” means a hearing loss of 16 30 dB
   61  HL or greater in the frequency region important for speech
   62  recognition and comprehension in one or both ears, approximately
   63  500 through 4,000 hertz.
   66         (i) By October 1, 2000, Newborn hearing screening must be
   67  conducted on all newborns in hospitals in this state on birth
   68  admission. When a newborn is delivered in a facility other than
   69  a hospital, the parents must be instructed on the importance of
   70  having the hearing screening performed and must be given
   71  information to assist them in having the screening performed
   72  within 3 months after the child’s birth.
   73         (k) A Any child who is diagnosed as having a permanent
   74  hearing impairment shall be referred to the primary care
   75  physician for medical management, treatment, and followup
   76  services. Furthermore, in accordance with Pub. L. No. 108-446
   77  105-17, Infants and Toddlers with Disabilities The Infants and
   78  Toddlers Program, Individuals with Disabilities Education Act,
   79  any child from birth to 36 months of age who is diagnosed as
   80  having a hearing impairment that requires ongoing special
   81  hearing services must be referred to the Children’s Medical
   82  Services Early Intervention Program serving the geographical
   83  area in which the child resides.
   84         Section 3. This act shall take effect July 1, 2014.