S.F. 2057 Section 1. NEW SECTION . 136A.5B Cytomegalovirus public 1 health initiative —— congenital cytomegalovirus screening —— 2 public education and awareness program. 3 1. a. As used in this section, “Congenital cytomegalovirus” 4 means cytomegalovirus acquired by an infant before birth. 5 b. Each newborn born in this state shall receive a 6 congenital cytomegalovirus screening as soon after birth as is 7 medically appropriate. 8 c. An attending health care provider shall ensure that 9 every newborn under the provider’s care receives the congenital 10 cytomegalovirus screening within the medically appropriate 11 timeframe. 12 d. This subsection does not apply if a parent objects to 13 the screening. If a parent objects to the screening of a 14 newborn, the attending health care provider shall document the 15 refusal in the newborn’s medical record and shall obtain a 16 written refusal from the parent and report the refusal to the 17 department. 18 e. The results of a congenital cytomegalovirus screening 19 shall be reported in a manner consistent with the reporting of 20 the results of metabolic screenings pursuant to section 136A.5, 21 and in accordance with rules adopted pursuant to section 22 136A.8. 23 f. This subsection shall be administered in accordance with 24 rules adopted pursuant to section 136A.8. 25 2. a. In accordance with the duties prescribed in section 26 135A.3, the center for congenital and inherited disorders 27 shall collaborate with state and local health agencies 28 and other public and private organizations to develop and 29 publish or approve and publish informational materials to 30 educate and raise awareness of cytomegalovirus and congenital 31 cytomegalovirus among women who may become pregnant, expectant 32 parents, parents of infants, attending health care providers, 33 and others, as appropriate. The materials shall include 34 information regarding all of the following: 35 -1- LSB 5500XS (2) 86 pf/nh 1/ 3

S.F. 2057 (1) The incidence of cytomegalovirus and congenital 1 cytomegalovirus. 2 (2) The transmission of cytomegalovirus to a pregnant woman 3 or woman who may become pregnant. 4 (3) Birth defects caused by congenital cytomegalovirus. 5 (4) Methods of diagnosing congenital cytomegalovirus. 6 (5) Available preventive measures to avoid cytomegalovirus 7 infection by women who are pregnant or who may become pregnant. 8 b. An attending health care provider shall provide to a 9 pregnant woman during the first trimester of the pregnancy, 10 the informational materials published under this subsection. 11 The center for congenital and inherited disorders shall make 12 the informational materials available to attending health care 13 providers upon request. 14 c. The department shall publish the informational materials 15 on its internet site. 16 EXPLANATION 17 The inclusion of this explanation does not constitute agreement with 18 the explanation’s substance by the members of the general assembly. 19 This bill requires that each newborn born in the state 20 receive a congenital cytomegalovirus (CMV) screening as soon 21 after birth as is medically appropriate, and requires an 22 attending health care provider to ensure that every newborn 23 under the provider’s care receives such screening within the 24 medically appropriate timeframe. The requirement does not 25 apply if a parent objects to the screening. If a parent does 26 object, the attending health care provider is required to 27 document the refusal in the newborn’s medical record and obtain 28 a written refusal from the parent and report the refusal to the 29 department of public health. The results of a congenital CMV 30 screening are required to be reported in a manner consistent 31 with the reporting of the results of metabolic screenings. The 32 center for congenital and inherited disorders is directed to 33 adopt rules to administer the bill. 34 The bill also requires the center for congenital and 35 -2- LSB 5500XS (2) 86 pf/nh 2/ 3

S.F. 2057 inherited disorders, in collaboration with state and local 1 health agencies and other public and private organizations, 2 to develop and publish or approve and publish informational 3 materials to educate and raise awareness of CMV and congenital 4 CMV among women who may become pregnant, expectant parents, 5 parents of infants, attending health care providers, and 6 others, as appropriate. The materials are to include 7 information regarding the incidence of CMV and congenital 8 CMV, the transmission of CMV to a pregnant woman or woman who 9 may become pregnant, birth defects caused by congenital CMV, 10 methods of diagnosing congenital CMV, and available preventive 11 measures to avoid CMV infection by women who are pregnant or 12 who may become pregnant. An attending health care provider is 13 required to provide the informational materials to a pregnant 14 woman during the first trimester of the pregnancy, and the 15 center for congenital and inherited disorders is required to 16 make the informational materials available to attending health 17 care providers upon request. The department of public health 18 is required to publish the informational materials on its 19 internet site. 20 -3- LSB 5500XS (2) 86 pf/nh 3/ 3