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Missouri Summary of Universal Newborn Hearing Screening Legislation
Issue Excerpts from Legislation/Rules & Regulations
Year Passed 1999 HB401
Full
Implementation by:
January 1, 2002 Statute: 191.925. 1. Effective January 1, 2002, every infant born in this state shall be screened for hearing loss in accordance with the provisions of sections 191.225 to 191.937 and section 376.685, RSMo.

Source: Chapter 191, Health and Welfare, Section 191.925

Requires
Screening of:
All Babies Statute: 191.925. 1. Effective January 1, 2002, every infant born in this state shall be screened for hearing loss in accordance with the provisions of sections 191.225 to 191.937 and section 376.685, RSMo.

Source: Chapter 191, Health and Welfare, Section 191.925

Advisory Committee
Established?
Yes Statute: SCS HB 401. The bill authorizes the establishment of a non-compensated 16-member Newborn Hearing Screening Advisory Committee and specifies the composition of the committee. The committee is to advise and assist the Department of Health in the operation and evaluation of the hearing screening program.

Source: HB401, 1999

Covered Benefit of Health Insurance? Yes  Statute: 376.1220. 1. Each policy issued by an entity offering individual and group health insurance which provides coverage on an expense-incurred basis, individual or group health service, or indemnity contracts issued by a nonprofit corporation, individual and group service contracts issued by a health maintenance organization, all self-insured group health arrangements to the extent not preempted by federal law, and all health care plans provided by managed health care delivery entities of any type or description that are delivered, issued for delivery, continued or renewed in this state shall provide coverage for newborn hearing screening, necessary rescreening, audiological assessment and follow-up, and initial amplification.

2. The health care service required by this section shall not be subject to any greater deductible or co-payment than other similar health care services provided by the policy, contract or plan.

3. This section shall not apply to a supplemental insurance policy, including a life care contract, accident-only policy, specified disease policy, hospital policy providing a fixed daily benefit only, Medicare supplement policy, long-term care policy, short-term major medical policies of six months or less duration, or any other supplemental policy as determined by the director of the department of insurance.

4. Coverage for newborn hearing screening and any necessary rescreening and audiological assessment shall be provided to newborns eligible for medical assistance pursuant to section 208.151, RSMo, and the children's health program pursuant to sections 208.631 to 208.660, RSMo, with payment for the newborn hearing screening required in section 191.925, RSMo, and any necessary rescreening, audiological assessment and follow-up, and amplification as described in section 191.928, RSMo.

Source: L. 1999 H.B. 401 § 376.685 – Capter 376, Life, Health and Accident Insurance, Section 376.1220, 2001

Report to
State DOH
Yes  Statute: 191.928.1 3. The results of rescreening and diagnostic audiological assessment procedures shall be reported to the department of health and senior services in a manner prescribed by the department.

Source: Missouri Revised Statutes, Spaster 191, Health Welfare Section 191.928, 2001

Provision of
Educational
Materials?
Yes Statute: SCS HB 401. Authorized facilities, physicians, and other persons providing pediatric care to newborns are required to provide parents or guardians of newborns with information from the Department of Health about screening for hearing loss and implications for treatment or nontreatment before the examination is conducted. …If the newborn fails the screening test, authorized facilities, physicians, and other persons are required to provide educational information to parents or guardians promoting further diagnostic assessments and the identification of community resources...

Source: HB401, 1999

Informed Consent by Parents?    
Liability Immunity? Yes Statute: 191.925. 10. Any person who acts in good faith in complying with the provisions of this section by reporting the newborn hearing screening results to the department of health and senior services shall not be civilly or criminally liable for furnishing the information required by this section.

Source: L. 1999 H.B. 401 § 191.250 - Chapter 191, Health and Welfare, Section 191.925, 2001

Parental Objection Exclusion? Yes Statute: 191.925. 1 5. The provisions of this section shall not apply if the parents of the newborn or infant object to such testing on the grounds that such tests conflict with their religious tenets and practices. 6. As provided in subsection 5 of this section, the parent of any child who fails to have the hearing screening test administered after notice of the requirement for such test shall have such refusal documented in writing. Such physicians, persons or administrators shall obtain written refusal and make such refusal part of medical record of the infant, and shall report such refusal to the department of health and senior services in a manner prescribed by the department.

Source: Missouri Revised Statutes, Chapter 191, Health and Welfare, Sec. 191.925, 2001


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