SSHB200 4300 3422 HOUSE SUMMARY OF SENATE AMENDMENTS HB 200 2023 Regular Session LaFleur CHILDREN/NEWBORNS: Provides relative to newborn screening for certain genetic conditions Synopsis of Senate Amendments 1.Requires newborn testing for genetic and other congenital conditions. 2 Removes the requirement for a condition to be recommended by the Genetic Diseases Program Advisory Committee prior to being added to the testing list. 3.Removes the requirement for the testing list to be reviewed at least annually by the committee for recommended updates. 4.Removes the requirement for La. Dept. of Health (LDH) to report on conditions not adopted within 3 years post-recommendation. 5.Requires the list of conditions to be reviewed at least annually by the state health officer for recommended updates. 6.Requires LDH to seek legislative appropriation for the funding of tests. 7.Requires LDH to report to the legislature annually. Digest of Bill as Finally Passed by Senate Present law provides that a physician or person attending to the care of a newborn child shall cause the child to be tested for a list of genetic conditions approved by LDH as specifically enumerated in present law. Proposed law removes the specific list of conditions provided in present law and instead requires LDH to promulgate a list of genetic or other congenital conditions in administrative rule for which a newborn child should be tested. Present law allows the parent of a newborn child to object to testing their child for any genetic condition listed in present law. Proposed law allows the parent or guardian of a newborn child to object to testing his child for any genetic or other congenital condition promulgated by LDH in accordance with proposed law. Present law provides that the tests required in present law shall be subject to funding for laboratory test, follow-up, and treatment. Proposed law requires the laboratory established by LDH, in accordance with present law, to provide testing for each condition promulgated by LDH in accordance with proposed law. Proposed law further provides that the testing, services, and facilities required in proposed law shall be subject to available funding. Present law requires LDH to add to the genetic conditions tested in present law after consultation with medical geneticists from each of the state's medical schools and in accordance with rules adopted in present law. Proposed law removes the consultation requirement and instead requires the list to be Page 1 of 2 SSHB200 4300 3422 reviewed by the state health officer, in consultation with departmental genetic disease advisory subject matter experts, to determine whether additional conditions should be recommended to the LDH secretary. Proposed law provides that LDH shall provide an annual report to the legislature, beginning March 1, 2024, of any condition added to the list and the department's review and determination on the condition. Proposed law further provides that, after adding a genetic or other congenital condition to the list, LDH shall request a legislative appropriation for any funding necessary for conducting the test and providing the services required in accordance with proposed law. Effective upon signature of governor or lapse of time for gubernatorial action. (Amends R.S. 40:1081.2(A)(1) and (5) and (B)) Page 2 of 2