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North Carolina Summary of Universal Newborn Hearing Screening Legislation
Issue Excerpts from Legislation/Rules & Regulations
Year Passed 1999 CHAPTER 130A. (see § 130A-127)
Rules (15A NCAC 21F .1201 - .1204 and 15A NCAC 21H .0314)
Full
Implementation by:
August 01, 2000

Rule: 15A NCAC 21F.1203 SCREENING REQUIREMENTS. (a) The attending physician shall order that each neonate, born in North Carolina, be physiologically screened in each ear for the presence of permanent hearing loss. Medical facilities that provide birthing or inpatient neonatal services shall maintain the equipment necessary to perform physiologic hearing screenings for neonates prior to discharge home.

Source: 15A NCAC 21F.1201 - .1204 and 15A NCAC 21H.0314 rules, effective 08/01/2000

Requires
Screening of:
All Babies Statute: Chapter 130A. Public Health.

§ 130A-125. Screening of newborns for metabolic and other hereditary and congenital disorders. (a) The Department shall establish and administer a Newborn Screening Program. The program shall include, but shall not be limited to: ...(5) For each newborn, provision of physiological screening in each ear for the presence of permanent hearing loss.

Source: Chapter 130A. Public Health, 1999

Rule: 15A NCAC 21F.1203 SCREENING REQUIREMENTS. (a) The attending physician shall order that each neonate, born in North Carolina, be physiologically screened in each ear for the presence of permanent hearing loss. Medical facilities that provide birthing or inpatient neonatal services shall maintain the equipment necessary to perform physiologic hearing screenings for neonates prior to discharge home.

Source: 15A NCAC 21F.1201 - .1204 and 15A NCAC 21H.0314 rules, effective 08/01/2000

Advisory Committee
Established?
   
Covered Benefit of Health Insurance?    
Report to
State DOH
Yes Rule: 15A NCAC 21F.1204 REPORTING REQUIREMENTS. (a) The attending physician shall order that all persons performing physiologic hearing screenings for infants less than six months of age shall identify the child and report to the North Carolina State Laboratory for Public Health the outcome of each hearing screening for all infants. All hearing screening reports shall be submitted simultaneously with each infant's blood specimen for genetic screening, or within five days following the date of each infant's hearing screening. Any missed scheduled hearing screening shall be reported simultaneously with each infant's blood specimen, or within five days following the date of the missed appointment for such screening. (b) All persons performing neonatal physiologic hearing screenings shall report quarterly to CSHS, within 30 days after the end of each quarter in the calendar year, the following:...

Source: 15A NCAC 21F .1201 - .1204 permanent rules, effective 08/01/2000

Provision of
Educational
Materials?
Yes Statute: §130A-124. (a), (1) Development and distribution of educational materials regarding the availability and benefits of newborn screening.

Source: CHAPTER 130A.

Informed Consent by Parents?    
Liability Immunity?    
Parental Objection Exclusion? Yes Statute: §130A-125. (b) … The rules shall include, but shall not be limited to, the conditions for which screening shall be required, provided that screening shall not be required when the parents or the guardian of the infant object to such screening. If the parents or guardian object to the screening, the objection shall be presented in writing to the physician or other person responsible for administering the test, who shall place the written objection in the infant's medical record.

Source: CHAPTER 130A.


National Center for Hearing Assessment & Management
Utah State University - 2615 Old Main Hill - Logan, Utah 84322
Tel: 435.797.3584
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