Screening for hearing loss, infants, when--proceduresused--exemptions--information provided, by whom--no liability, when.
191.925. 1. Effective January 1, 2002, every infant born in thisstate shall be screened for hearing loss in accordance with the provisionsof sections 191.925 to 191.937 and section 376.1220, RSMo.
2. The screening procedure shall include the use of at least one ofthe following physiological technologies:
(1) Automated or diagnostic auditory brainstem response (ABR);
(2) Otoacoustic emissions (OAE); or
(3) Other technologies approved by the department of health andsenior services.
3. Every newborn delivered on or after January 1, 2002, in anambulatory surgical center or hospital shall be screened for hearing lossprior to discharge of the infant from the facility. Any facility thattransfers a newborn for further acute care prior to completion of thenewborn hearing screening shall notify the receiving facility of the statusof the newborn hearing screening. The receiving facility shall beresponsible for the completion of the newborn hearing screening. Suchfacilities shall report the screening results on all newborns to theparents or guardian of the newborn, and the department of health and seniorservices in a manner prescribed by the department.
4. If a newborn is delivered in a place other than the facilitieslisted in subsection 3 of this section, the physician or person whoprofessionally undertakes the pediatric care of the infant shall ensurethat the newborn hearing screening is performed within three months of thedate of the infant's birth. Such physicians and persons shall report thescreening results on all newborns to the parents or guardian of thenewborn, and the department of health and senior services in a mannerprescribed by the department.
5. The provisions of this section shall not apply if the parents ofthe newborn or infant object to such testing on the grounds that such testsconflict with their religious tenets and practices.
6. As provided in subsection 5 of this section, the parent of anychild who fails to have the hearing screening test administered afternotice of the requirement for such test shall have such refusal documentedin writing. Such physicians, persons or administrators shall obtain thewritten refusal and make such refusal part of the medical record of theinfant, and shall report such refusal to the department of health andsenior services in a manner prescribed by the department.
7. The physician or person who professionally undertakes thepediatric care of the newborn, and administrators of ambulatory surgicalcenters or hospitals shall provide to the parents or guardians of newbornsa written packet of educational information developed and supplied by thedepartment of health and senior services describing the screening, how itis conducted, the nature of the hearing loss, and the possible consequencesof treatment and nontreatment for hearing loss prior to administering thescreening.
8. All facilities or persons described in subsections 3 and 4 of thissection who voluntarily provide hearing screening to newborns prior toJanuary 1, 2002, shall report such screening results to the department ofhealth and senior services in a manner prescribed by the department.
9. All facilities or persons described in subsections 3 and 4 of thissection shall provide the parents or guardians of newborns who fail thehearing screening with educational materials that:
(1) Communicate the importance of obtaining further hearing screeningor diagnostic audiological assessment to confirm or rule out hearing loss;
(2) Identify community resources available to provide rescreening anddiagnostic audiological assessments; and
(3) Provide other information as prescribed by the department ofhealth and senior services.
10. Any person who acts in good faith in complying with theprovisions of this section by reporting the newborn hearing screeningresults to the department of health and senior services shall not becivilly or criminally liable for furnishing the information required bythis section.
11. The department of health and senior services shall provideaudiological and administrative technical support to facilities and personsimplementing the requirements of this section, including, but not limitedto, assistance in:
(2) Developing and implementing newborn hearing screening proceduresthat result in appropriate failure rates;
(3) Developing and implementing training for individualsadministering screening procedures;
(4) Developing and distributing educational materials for families;
(5) Identifying community resources for delivery of rescreening andpediatric audiological assessment services; and
(6) Implementing reporting requirements.
Such audiological technical support shall be provided by individualsqualified to administer newborn and infant hearing screening, rescreeningand diagnostic audiological assessment.
(L. 1999 H.B. 401 § 191.250, A.L. 2002 H.B. 1548 merged with S.B. 923, et al. merged with S.B. 1244)
Screening for hearing loss, infants, when--proceduresused--exemptions--information provided, by whom--no liability, when.
191.925. 1. Effective January 1, 2002, every infant born in thisstate shall be screened for hearing loss in accordance with the provisionsof sections 191.925 to 191.937 and section 376.1220, RSMo.
2. The screening procedure shall include the use of at least one ofthe following physiological technologies:
(1) Automated or diagnostic auditory brainstem response (ABR);
(2) Otoacoustic emissions (OAE); or
(3) Other technologies approved by the department of health andsenior services.
3. Every newborn delivered on or after January 1, 2002, in anambulatory surgical center or hospital shall be screened for hearing lossprior to discharge of the infant from the facility. Any facility thattransfers a newborn for further acute care prior to completion of thenewborn hearing screening shall notify the receiving facility of the statusof the newborn hearing screening. The receiving facility shall beresponsible for the completion of the newborn hearing screening. Suchfacilities shall report the screening results on all newborns to theparents or guardian of the newborn, and the department of health and seniorservices in a manner prescribed by the department.
4. If a newborn is delivered in a place other than the facilitieslisted in subsection 3 of this section, the physician or person whoprofessionally undertakes the pediatric care of the infant shall ensurethat the newborn hearing screening is performed within three months of thedate of the infant's birth. Such physicians and persons shall report thescreening results on all newborns to the parents or guardian of thenewborn, and the department of health and senior services in a mannerprescribed by the department.
5. The provisions of this section shall not apply if the parents ofthe newborn or infant object to such testing on the grounds that such testsconflict with their religious tenets and practices.
6. As provided in subsection 5 of this section, the parent of anychild who fails to have the hearing screening test administered afternotice of the requirement for such test shall have such refusal documentedin writing. Such physicians, persons or administrators shall obtain thewritten refusal and make such refusal part of the medical record of theinfant, and shall report such refusal to the department of health andsenior services in a manner prescribed by the department.
7. The physician or person who professionally undertakes thepediatric care of the newborn, and administrators of ambulatory surgicalcenters or hospitals shall provide to the parents or guardians of newbornsa written packet of educational information developed and supplied by thedepartment of health and senior services describing the screening, how itis conducted, the nature of the hearing loss, and the possible consequencesof treatment and nontreatment for hearing loss prior to administering thescreening.
8. All facilities or persons described in subsections 3 and 4 of thissection who voluntarily provide hearing screening to newborns prior toJanuary 1, 2002, shall report such screening results to the department ofhealth and senior services in a manner prescribed by the department.
9. All facilities or persons described in subsections 3 and 4 of thissection shall provide the parents or guardians of newborns who fail thehearing screening with educational materials that:
(1) Communicate the importance of obtaining further hearing screeningor diagnostic audiological assessment to confirm or rule out hearing loss;
(2) Identify community resources available to provide rescreening anddiagnostic audiological assessments; and
(3) Provide other information as prescribed by the department ofhealth and senior services.
10. Any person who acts in good faith in complying with theprovisions of this section by reporting the newborn hearing screeningresults to the department of health and senior services shall not becivilly or criminally liable for furnishing the information required bythis section.
11. The department of health and senior services shall provideaudiological and administrative technical support to facilities and personsimplementing the requirements of this section, including, but not limitedto, assistance in:
(2) Developing and implementing newborn hearing screening proceduresthat result in appropriate failure rates;
(3) Developing and implementing training for individualsadministering screening procedures;
(4) Developing and distributing educational materials for families;
(5) Identifying community resources for delivery of rescreening andpediatric audiological assessment services; and
(6) Implementing reporting requirements.
Such audiological technical support shall be provided by individualsqualified to administer newborn and infant hearing screening, rescreeningand diagnostic audiological assessment.
(L. 1999 H.B. 401 § 191.250, A.L. 2002 H.B. 1548 merged with S.B. 923, et al. merged with S.B. 1244)
Screening for hearing loss, infants, when--proceduresused--exemptions--information provided, by whom--no liability, when.
191.925. 1. Effective January 1, 2002, every infant born in thisstate shall be screened for hearing loss in accordance with the provisionsof sections 191.925 to 191.937 and section 376.1220, RSMo.
2. The screening procedure shall include the use of at least one ofthe following physiological technologies:
(1) Automated or diagnostic auditory brainstem response (ABR);
(2) Otoacoustic emissions (OAE); or
(3) Other technologies approved by the department of health andsenior services.
3. Every newborn delivered on or after January 1, 2002, in anambulatory surgical center or hospital shall be screened for hearing lossprior to discharge of the infant from the facility. Any facility thattransfers a newborn for further acute care prior to completion of thenewborn hearing screening shall notify the receiving facility of the statusof the newborn hearing screening. The receiving facility shall beresponsible for the completion of the newborn hearing screening. Suchfacilities shall report the screening results on all newborns to theparents or guardian of the newborn, and the department of health and seniorservices in a manner prescribed by the department.
4. If a newborn is delivered in a place other than the facilitieslisted in subsection 3 of this section, the physician or person whoprofessionally undertakes the pediatric care of the infant shall ensurethat the newborn hearing screening is performed within three months of thedate of the infant's birth. Such physicians and persons shall report thescreening results on all newborns to the parents or guardian of thenewborn, and the department of health and senior services in a mannerprescribed by the department.
5. The provisions of this section shall not apply if the parents ofthe newborn or infant object to such testing on the grounds that such testsconflict with their religious tenets and practices.
6. As provided in subsection 5 of this section, the parent of anychild who fails to have the hearing screening test administered afternotice of the requirement for such test shall have such refusal documentedin writing. Such physicians, persons or administrators shall obtain thewritten refusal and make such refusal part of the medical record of theinfant, and shall report such refusal to the department of health andsenior services in a manner prescribed by the department.
7. The physician or person who professionally undertakes thepediatric care of the newborn, and administrators of ambulatory surgicalcenters or hospitals shall provide to the parents or guardians of newbornsa written packet of educational information developed and supplied by thedepartment of health and senior services describing the screening, how itis conducted, the nature of the hearing loss, and the possible consequencesof treatment and nontreatment for hearing loss prior to administering thescreening.
8. All facilities or persons described in subsections 3 and 4 of thissection who voluntarily provide hearing screening to newborns prior toJanuary 1, 2002, shall report such screening results to the department ofhealth and senior services in a manner prescribed by the department.
9. All facilities or persons described in subsections 3 and 4 of thissection shall provide the parents or guardians of newborns who fail thehearing screening with educational materials that:
(1) Communicate the importance of obtaining further hearing screeningor diagnostic audiological assessment to confirm or rule out hearing loss;
(2) Identify community resources available to provide rescreening anddiagnostic audiological assessments; and
(3) Provide other information as prescribed by the department ofhealth and senior services.
10. Any person who acts in good faith in complying with theprovisions of this section by reporting the newborn hearing screeningresults to the department of health and senior services shall not becivilly or criminally liable for furnishing the information required bythis section.
11. The department of health and senior services shall provideaudiological and administrative technical support to facilities and personsimplementing the requirements of this section, including, but not limitedto, assistance in:
(2) Developing and implementing newborn hearing screening proceduresthat result in appropriate failure rates;
(3) Developing and implementing training for individualsadministering screening procedures;
(4) Developing and distributing educational materials for families;
(5) Identifying community resources for delivery of rescreening andpediatric audiological assessment services; and
(6) Implementing reporting requirements.
Such audiological technical support shall be provided by individualsqualified to administer newborn and infant hearing screening, rescreeningand diagnostic audiological assessment.
(L. 1999 H.B. 401 § 191.250, A.L. 2002 H.B. 1548 merged with S.B. 923, et al. merged with S.B. 1244)
