Senate File 393 - Introduced SENATE FILE 393 BY COMMITTEE ON HUMAN RESOURCES (SUCCESSOR TO SSB 1001) A BILL FOR An Act relating to prenatal care including required critical 1 congenital heart disease screening for newborns as part of 2 the state’s newborn screening panel and the convening of a 3 task force on prenatal care. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 1177SV (3) 85 pf/nh

S.F. 393 Section 1. NEW SECTION . 136A.5A Newborn critical congenital 1 heart disease screening. 2 1. Each newborn born in this state shall receive a critical 3 congenital heart disease screening by pulse oximetry or other 4 means as determined by rule, in conjunction with the metabolic 5 screening required pursuant to section 136A.5. 6 2. An attending health care provider shall ensure that 7 every newborn under the provider’s care receives the critical 8 congenital heart disease screening. 9 3. This section does not apply if a parent objects to 10 the screening. If a parent objects to the screening of a 11 newborn, the attending health care provider shall document the 12 refusal in the newborn’s medical record and shall obtain a 13 written refusal from the parent and report the refusal to the 14 department as provided by rule of the department. 15 4. The results of each newborn’s critical congenital heart 16 disease screening shall be reported in a manner consistent with 17 the reporting of the results of metabolic screenings pursuant 18 to section 136A.5. 19 5. This section shall be administered in accordance with 20 rules adopted pursuant to section 136A.8. 21 Sec. 2. NEWBORN CRITICAL CONGENITAL HEART DISEASE 22 SCREENING. Notwithstanding any provision to the contrary 23 relating to the newborn screening policy pursuant to 641 IAC 24 4.3(1), critical congenital heart disease screening shall be 25 included in the state’s newborn screening panel as included 26 in the recommended uniform screening panel as approved by 27 the United States secretary of health and human services. 28 The center for congenital and inherited disorders advisory 29 committee shall make recommendations regarding implementation 30 of the screening and the center for congenital and inherited 31 disorders shall adopt rules as necessary to implement the 32 screening. 33 Sec. 3. TASK FORCE ON PRENATAL CARE. The department 34 of public health shall convene a task force to review 35 -1- LSB 1177SV (3) 85 pf/nh 1/ 3

S.F. 393 opportunities to improve prenatal care in the state. The task 1 force shall review overall guidelines and best practices to 2 maximize the possibility of assessing the risk factors for and 3 preventing premature births, stillbirth, and other delivery 4 complications, and shall specifically review guidelines 5 and education relating to prenatal ultrasounds and fetal 6 movement monitoring. The task force shall include but is not 7 limited to inclusion of representatives of perinatologists, 8 neonatologists, obstetricians/gynecologists, sonographers, 9 hospitals, the center for congenital and inherited disorders, 10 and others with interest or expertise in prenatal care. The 11 task force shall report its findings and recommendations to the 12 governor and the general assembly by December 15, 2013. 13 EXPLANATION 14 The bill relates to prenatal care including newborn 15 screenings. The bill requires each newborn born in the state 16 to receive a critical congenital heart disease screening 17 by pulse oximetry or other means as determined by rule, in 18 conjunction with the metabolic screening already required. 19 The bill directs that an attending health care provider shall 20 ensure that every newborn under the provider’s care receives 21 the critical congenital heart disease screening, and provides 22 that that requirement does not apply if a parent objects to 23 the screening. If a parent objects, the health care provider 24 is required to document the refusal in the newborn’s medical 25 record, obtain a written refusal from the parent, and report 26 the refusal to the department of public health (DPH). The 27 results of each newborn’s screening are required to be reported 28 in a manner consistent with the reporting of the results of 29 metabolic screenings. The provisions are to be administered in 30 accordance with rules adopted by the center for congenital and 31 inherited disorders, with assistance provided by DPH. 32 The bill directs that the critical congenital heart disease 33 screening shall be included in the state’s newborn screening 34 panel. The bill requires the center for congenital and 35 -2- LSB 1177SV (3) 85 pf/nh 2/ 3

S.F. 393 inherited disorders advisory committee to make recommendations 1 regarding implementation of the screening and the center for 2 congenital and inherited disorders to adopt rules as necessary 3 to implement the screening. 4 The bill directs DPH to convene a task force to review 5 opportunities to improve prenatal care in the state. The task 6 force is to review overall guidelines and best practices to 7 maximize the possibility of assessing the risk factors for and 8 preventing premature births, stillbirth, and other delivery 9 complications, and to specifically review guidelines and 10 education relating to prenatal ultrasounds and fetal movement 11 monitoring. The bill specifies the membership of the task 12 force and directs the task force to report its findings and 13 recommendations to the governor and the general assembly by 14 December 15, 2013. 15 -3- LSB 1177SV (3) 85 pf/nh 3/ 3