H.F. 2085 Section 1. NEW SECTION . 135.133 Newborn screening —— tongue 1 tie and lip tie. 2 1. For the purposes of this section, unless the context 3 otherwise requires: 4 a. “Birth center” means birth center as defined in section 5 135.61. 6 b. “Birthing hospital” means a private or public hospital 7 licensed pursuant to chapter 135B that has a licensed obstetric 8 unit or is licensed to provide obstetric services. 9 2. a. A birthing hospital or birth center shall screen 10 every newborn delivered in a birthing hospital or birth 11 center for tongue tie and lip tie prior to discharge of 12 the newborn from the birthing hospital or birth center. A 13 birthing hospital or birth center that transfers a newborn for 14 acute care prior to completion of the screening shall notify 15 the receiving facility of the status of the screening. The 16 receiving facility shall be responsible for completion of the 17 screening. 18 b. The birthing hospital, birth center, or other facility 19 completing the screening under this subsection shall report 20 the results of the screening as well as information regarding 21 treatment and treatment resources available to the parent or 22 guardian of the newborn, and shall report the results of the 23 screening to the primary care provider of the newborn upon 24 discharge from the birthing hospital, birth center, or other 25 facility. If the newborn was not tested prior to discharge, 26 the birthing hospital, birth center, or other facility shall 27 report the status of the screening to the primary care provider 28 of the newborn. 29 c. If a newborn is delivered in a location other than 30 a birthing hospital, birth center, or other facility, the 31 physician or other health care professional who undertakes the 32 pediatric care of the newborn shall ensure that the screening 33 for tongue tie or lip tie is performed within three months of 34 the date of the newborn’s birth. The physician or other health 35 -1- LSB 5867YH (2) 88 pf/rh 1/ 3

H.F. 2085 care professional shall report the results of the screening 1 as well as information regarding treatment and treatment 2 resources available to the parent or guardian of the newborn 3 and shall report the results of the screening to the primary 4 care provider of the newborn. 5 Sec. 2. NEW SECTION . 135B.18B Newborn screening —— tongue 6 tie and lip tie. 7 A birthing hospital as defined in section 135.131 shall 8 comply with section 135.133 relating to newborn screening for 9 tongue tie and lip tie. 10 EXPLANATION 11 The inclusion of this explanation does not constitute agreement with 12 the explanation’s substance by the members of the general assembly. 13 This bill relates to newborn screening for tongue tie 14 and lip tie. The bill requires a birthing hospital, birth 15 center, or other facility to screen every newborn delivered 16 in the birthing hospital or birth center, or transferred to 17 another facility prior to completion of the screening, for 18 tongue tie and lip tie prior to discharge of the newborn from 19 the birthing hospital, birth center, or other facility. The 20 birthing hospital, birth center, or other facility completing 21 the screening shall report the results of the screening 22 as well as information regarding treatment and treatment 23 resources available to the parent or guardian of the newborn, 24 and shall report the results of the screening to the primary 25 care provider of the newborn upon discharge from the birthing 26 hospital, birth center, or other facility. If the newborn 27 was not tested prior to discharge, the birthing hospital, 28 birth center, or other facility shall report the status of the 29 screening to the primary care provider of the newborn. If 30 a newborn is delivered in a location other than a birthing 31 hospital, birth center, or other facility, the physician or 32 other health care professional who undertakes the pediatric 33 care of the newborn shall ensure that the screening for tongue 34 tie or lip tie is performed within three months of the date 35 -2- LSB 5867YH (2) 88 pf/rh 2/ 3

H.F. 2085 of the newborn’s birth. The physician or other health care 1 professional shall report the results of the screening as well 2 as information regarding treatment and treatment resources 3 available to the parent or guardian of the newborn and shall 4 report the results of the screening to the primary care 5 provider of the newborn. 6 Tongue tie, or ankyloglossia (AG), is a congenital condition 7 in which an abnormally short frenulum restricts the tongue's 8 ability to function properly. Lip tie is an unusually tight 9 labial frenulum, which keeps the upper lip tethered to the gum 10 line. In some infants, these conditions affect breast-feeding 11 and cause other related issues. 12 -3- LSB 5867YH (2) 88 pf/rh 3/ 3