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H.B. 276 Enrolled






Chief Sponsor: Paul Ray

Senate Sponsor: Ralph Okerlund

             8      LONG TITLE
             9      General Description:
             10          This bill amends the Utah Health Code.
             11      Highlighted Provisions:
             12          This bill:
             13          .    amends newborn testing requirements to include pulse oximetry for identification of
             14      critical congenital heart defects;
             15          .    requires the Department of Health to conduct a pilot program to determine the most
             16      appropriate methods to implement pulse oximetry screening; and
             17          .    makes technical changes.
             18      Money Appropriated in this Bill:
             19          None
             20      Other Special Clauses:
             21      None
             22      Utah Code Sections Affected:
             23      AMENDS:
             24          26-10-6, as last amended by Laws of Utah 2011, Chapter 366
             26      Be it enacted by the Legislature of the state of Utah:
             27          Section 1. Section 26-10-6 is amended to read:
             28           26-10-6. Testing of newborn infants.
             29          (1) Except in the case where parents object on the grounds that they are members of a

             30      specified, well-recognized religious organization whose teachings are contrary to the tests
             31      required by this section, each newborn infant shall be tested for:
             32          (a) phenylketonuria (PKU);
             33          (b) other [metabolic diseases] heritable disorders which may result in an intellectual or
             34      physical disability or [brain damage] death and for which:
             35          (i) a preventive measure or treatment is available; and
             36          (ii) there exists a reliable laboratory diagnostic test method; [and]
             37          (c) (i) [beginning July 1, 1998, for] an infant born in a hospital with 100 or more live
             38      births annually, hearing loss; and
             39          (ii) [beginning July 1, 1999, for] an infant born in a setting other than a hospital with
             40      100 or more live births annually, hearing loss[.]; and
             41          (d) beginning October 1, 2014, critical congenital heart defects using pulse oximetry.
             42          (2) In accordance with Section 26-1-6 , the department may charge fees for:
             43          (a) materials supplied by the department to conduct tests required under Subsection (1);
             44          (b) tests required under Subsection (1) conducted by the department;
             45          (c) laboratory analyses by the department of tests conducted under Subsection (1); and
             46          (d) the administrative cost of follow-up contacts with the parents or guardians of tested
             47      infants.
             48          (3) Tests for hearing loss under Subsection (1) shall be based on one or more methods
             49      approved by the Newborn Hearing Screening Committee, including:
             50          (a) auditory brainstem response;
             51          (b) automated auditory brainstem response; and
             52          (c) evoked otoacoustic emissions.
             53          (4) Results of tests for hearing loss under Subsection (1) shall be reported to:
             54          (a) parents when results of tests for hearing loss under Subsection (1) suggest that
             55      additional diagnostic procedures or medical interventions are necessary; and
             56          (b) the department.
             57          (5) (a) There is established the Newborn Hearing Screening Committee.

             58          (b) The committee shall advise the department on:
             59          (i) the validity and cost of newborn infant hearing loss testing procedures; and
             60          (ii) rules promulgated by the department to implement this section.
             61          (c) The committee shall be composed of at least 11 members appointed by the
             62      executive director, including:
             63          (i) one representative of the health insurance industry;
             64          (ii) one pediatrician;
             65          (iii) one family practitioner;
             66          (iv) one ear, nose, and throat specialist nominated by the Utah Medical Association;
             67          (v) two audiologists nominated by the Utah Speech-Language-Hearing Association;
             68          (vi) one representative of hospital neonatal nurseries;
             69          (vii) one representative of the Early Intervention Baby Watch Program administered by
             70      the department;
             71          (viii) one public health nurse;
             72          (ix) one consumer; and
             73          (x) the executive director or his designee.
             74          (d) Of the initial members of the committee, the executive director shall appoint as
             75      nearly as possible half to two-year terms and half to four-year terms. Thereafter, appointments
             76      shall be for four-year terms except:
             77          (i) for those members who have been appointed to complete an unexpired term; and
             78          (ii) as necessary to ensure that as nearly as possible the terms of half the appointments
             79      expire every two years.
             80          (e) A majority of the members constitute a quorum and a vote of the majority of the
             81      members present constitutes an action of the committee.
             82          (f) The committee shall appoint a chairman from its membership.
             83          (g) The committee shall meet at least quarterly.
             84          (h) A member may not receive compensation or benefits for the member's service, but
             85      may receive per diem and travel expenses in accordance with:

             86          (i) Section 63A-3-106 ;
             87          (ii) Section 63A-3-107 ; and
             88          (iii) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
             89      63A-3-107 .
             90          (i) The department shall provide staff for the committee.
             91          (6) Prior to implementing the test required by Subsection (1)(d), the department shall
             92      conduct a pilot program for testing newborns for critical congenital heart defects using pulse
             93      oximetry. The pilot program shall include the development of:
             94          (a) appropriate oxygen saturation levels that would indicate a need for further medical
             95      follow-up; and
             96          (b) the best methods for implementing the pulse oximetry screening in newborn care
             97      units.

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