By: Uresti S.B. No. 270
(Gonzales of Hidalgo)
A BILL TO BE ENTITLED
AN ACT
relating to newborn hearing screenings.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subdivision (2), Section 47.001, Health and
Safety Code, is amended to read as follows:
(2) "Birthing facility" means:
(A) a hospital licensed under Chapter 241 that
offers obstetrical services [and is located in a county with a
population of more than 50,000]; [or]
(B) a birthing center licensed under Chapter 244;
(C) a children's hospital; or
(D) a facility, maintained or operated by this
state or an agency of this state, that provides obstetrical
services [that is located in a county with a population of more than
50,000 and that has 100 or more births per year].
SECTION 2. Section 47.003, Health and Safety Code, is
amended by amending Subsections (a), (c), (d), and (e) and adding
Subsections (a-1) and (f) to read as follows:
(a) A birthing facility, through a program certified by the
department under Section 47.004, shall perform, either directly or
through a transfer agreement, [offer the parents of a newborn] a
hearing screening [for the newborn] for the identification of
hearing loss on each newborn or infant born at the facility before
the newborn or infant is discharged from the facility unless:
(1) the parent declines the screening;
(2) the newborn or infant is transferred to another
facility before the screening is performed; or
(3) the screening has previously been completed.
(a-1) The birthing facility [screening] shall inform the
parents [be offered] during [the birth] admission that:
(1) the facility is required by law to screen a newborn
or infant for hearing loss; and
(2) the parents may decline the screening[, and the
parents shall be informed that information may be provided to the
department upon their written consent].
(c) Subject to Section 47.008, the [The] department shall
[may] maintain data and information on each newborn or infant who
receives a hearing screening under Subsection (a) [services under a
program].
(d) The department shall ensure that intervention is
available to families for a newborn or infant identified as having
hearing loss and that the intervention is managed by state programs
operating under the Individuals with Disabilities Education Act (20
U.S.C. Section 1400 et seq.).
(e) The department shall ensure that the intervention
described by Subsection (d) is available for a newborn or infant
identified as having hearing loss not later than the sixth month
after the newborn's or infant's birth and through the time the child
is an infant unless the infant has been hospitalized since birth.
(f) If a newborn or an infant receives medical intervention
services, including a hearing aid or cochlear implant, the
intervention specialist shall report the results of the
intervention to the department.
SECTION 3. Chapter 47, Health and Safety Code, is amended by
adding Section 47.0031 to read as follows:
Sec. 47.0031. FOLLOW-UP SCREENING. (a) The program that
performed the hearing screening under Section 47.003 shall provide
the newborn's or infant's parents with the screening results. A
birthing facility, through the program, shall offer a follow-up
hearing screening to the parents of a newborn or infant who does not
pass the screening, or refer the parents to another program for the
follow-up hearing screening. The follow-up hearing screening
should be performed not later than the 30th day after the date the
newborn or infant is discharged from the facility.
(b) If a newborn or an infant does not pass the screening in
a follow-up hearing screening, the program that performed the
follow-up hearing screening on the newborn or infant shall:
(1) provide the newborn's or infant's parents with the
screening results;
(2) assist in scheduling a diagnostic audiological
evaluation for the newborn or infant, consistent with the most
current guidelines in the Joint Committee on Infant Hearing
Position Statement, or refer the newborn or infant to a licensed
audiologist who provides diagnostic audiological evaluations for
newborns or infants that are consistent with the most current
guidelines in the Joint Committee on Infant Hearing Position
Statement; and
(3) refer the newborn or infant to early childhood
intervention services.
SECTION 4. Subsections (b) and (d), Section 47.004, Health
and Safety Code, are amended to read as follows:
(b) In order to be certified, the program must:
(1) provide hearing screening using equipment
recommended by the department;
(2) use appropriate staff to provide the screening;
(3) maintain and report data electronically as
required by the department;
(4) distribute family, health care provider, and
physician educational materials standardized by the department;
[and]
(5) provide information, as recommended by the
department, to the parents on follow-up services for newborns and
infants who do not pass the [with abnormal] screening; and
(6) be supervised by:
(A) a physician;
(B) an audiologist;
(C) a registered nurse; or
(D) a physician assistant [results].
(d) The department may renew the certification of a program
on a periodic basis as established by board rule in order to ensure
quality services to newborns, infants, and families.
SECTION 5. Section 47.005, Health and Safety Code, is
amended by amending Subsections (a) and (b) and adding Subsections
(d) and (e) to read as follows:
(a) A birthing facility that operates a program shall
distribute to the parents of each newborn or infant who is screened
educational materials that are standardized by the department
regarding screening results and follow-up care.
(b) A birthing facility that operates a program shall report
screening results to:
(1) the parents;
(2) [,] the newborn's or infant's attending physician,
primary care physician, or other applicable health care provider;
[,] and
(3) the department.
(d) The department may coordinate the diagnostic
audiological evaluation required under Section 47.0031(b)(2). A
diagnostic audiological evaluation must be completed on the newborn
or infant:
(1) not later than the third month after the newborn's
or infant's birth unless the newborn or infant has been
hospitalized since birth; or
(2) upon referral by the newborn's or infant's primary
care physician or other applicable health care provider.
(e) An audiologist who performs a diagnostic audiological
evaluation under this chapter shall report the results of the
evaluation to:
(1) the parents;
(2) the newborn's or infant's primary care physician
or other applicable health care provider; and
(3) the department under Section 47.007(b).
SECTION 6. Section 47.007, Health and Safety Code, is
amended by amending Subsection (b) and adding Subsections (d)
through (h) to read as follows:
(b) Subject to Section 47.008, a [A] qualified hearing
screening provider, hospital, health care provider, physician,
audiologist, or intervention specialist shall [may] access the
information management, reporting, and tracking system to provide
information[, where available,] to the department and may obtain
information from the department[, including information] relating
to:
(1) the results of each hearing screening performed
under Section 47.003(a) or 47.0031(a);
(2) the results of each diagnostic audiological
evaluation required under Section 47.0031(b)(2);
(3) [(1)] infants who receive follow-up care;
(4) [(2)] infants identified with hearing loss;
(5) [(3)] infants who are referred for intervention
services; and
(6) [(4)] case level information necessary to report
required statistics to:
(A) the Maternal and Child Health Bureau on an
annual basis; and
(B) the federal Centers for Disease Control and
Prevention.
(d) A birthing facility described by Subsection (a) shall
report the resulting information in the format and within the time
frame specified by the department.
(e) A qualified hearing screening provider, audiologist,
intervention specialist, educator, or other person who receives a
referral from a program under this chapter shall:
(1) provide the services needed by the newborn or
infant or refer the newborn or infant to a person who provides the
services needed by the newborn or infant; and
(2) provide, with the consent of the newborn's or
infant's parent, the following information to the department or the
department's designee:
(A) results of follow-up care;
(B) results of audiologic testing of an infant
identified with hearing loss; and
(C) reports on the initiation of intervention
services.
(f) A qualified hearing screening provider, audiologist,
intervention specialist, educator, or other person who provides
services to an infant who is diagnosed with hearing loss shall
provide, with the consent of the infant's parent, the following
information to the department or the department's designee:
(1) results of follow-up care;
(2) results of audiologic testing; and
(3) reports on the initiation of intervention
services.
(g) A hospital that provides services under this chapter
shall use the information management, reporting, and tracking
system described by this section, access to which has been provided
to the hospital by the department, to report, with the consent of
the infant's parent, the following information to the department or
the department's designee:
(1) results of all follow-up services for an infant
who does not pass the screening described by Section 47.003(a) if
the hospital provides the follow-up services; or
(2) the name of the provider or facility to which the
hospital refers an infant who does not pass the screening described
by Section 47.003(a) for follow-up services.
(h) Subject to Section 47.008, a qualified hearing
screening provider, hospital, health care provider, physician,
audiologist, or intervention specialist may obtain information
from the department relating to:
(1) the results of each hearing screening performed
under Section 47.003(a) or 47.0031(a);
(2) the results of each diagnostic audiological
evaluation required under Section 47.0031(b)(2);
(3) infants who receive follow-up care;
(4) infants identified with hearing loss; and
(5) infants who are referred for intervention
services.
SECTION 7. Chapter 47, Health and Safety Code, is amended by
adding Sections 47.010 and 47.011 to read as follows:
Sec. 47.010. RULEMAKING. (a) The executive commissioner
of the Health and Human Services Commission may adopt rules for the
department to implement this chapter.
(b) If the executive commissioner adopts rules, the
executive commissioner shall consider the most current guidelines
established by the Joint Committee on Infant Hearing.
Sec. 47.011. DUTIES OF MIDWIFE. (a) In this section,
"midwife" has the meaning assigned by Section 203.002, Occupations
Code, and includes a nurse midwife described by Section 301.152,
Occupations Code.
(b) A midwife who attends the birth of a newborn:
(1) is not required to offer the parents of the newborn
a hearing screening for the newborn for the identification of
hearing loss; and
(2) shall refer the parents of the newborn to a
birthing facility or a provider that participates in the program
and make a record of the referral.
SECTION 8. Section 47.002, Health and Safety Code, is
repealed.
SECTION 9. (a) Not later than January 1, 2012, the
executive commissioner of the Health and Human Services Commission
shall prescribe a form to document a parent's decision to decline
screening under Subdivision (1), Subsection (a), Section 47.003,
Health and Safety Code, as added by this Act, in consultation with
persons and organizations interested in newborn hearing screening.
(b) The Department of State Health Services may post the
form prescribed under Subsection (a) of this section on the
department's Internet website.
(c) A person or facility is not required to comply with the
changes in law made by this Act to Chapter 47, Health and Safety
Code, until January 1, 2012.
SECTION 10. This Act takes effect September 1, 2011.