Missouri Revised Statutes
Chapter 191
Health and Welfare
←191.923
Section 191.925.1
191.928→
August 28, 2015
Screening for hearing loss, infants, when--procedures used--exemptions--information provided, by whom--no liability, when.
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 191.925 to 191.937 and section 376.1220.
2. The screening procedure shall include the use of at least one of the
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 and senior
services.
3. Every newborn delivered on or after January 1, 2002, in an ambulatory
surgical center or hospital shall be screened for hearing loss prior to
discharge of the infant from the facility. Any facility that transfers a
newborn for further acute care prior to completion of the newborn hearing
screening shall notify the receiving facility of the status of the newborn
hearing screening. The receiving facility shall be responsible for the
completion of the newborn hearing screening. Such facilities shall report
the screening results on all newborns to the parents or guardian of the
newborn, and the department of health and senior services in a manner
prescribed by the department.
4. If a newborn is delivered in a place other than the facilities listed
in subsection 3 of this section, the physician or person who professionally
undertakes the pediatric care of the infant shall ensure that the newborn
hearing screening is performed within three months of the date of the
infant's birth. Such physicians and persons shall report the screening
results on all newborns to the parents or guardian of the newborn, and the
department of health and senior services in a manner prescribed by the
department.
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 the written refusal and
make such refusal part of the 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.
7. The physician or person who professionally undertakes the pediatric
care of the newborn, and administrators of ambulatory surgical centers or
hospitals shall provide to the parents or guardians of newborns a written
packet of educational information developed and supplied by the department of
health and senior services describing the screening, how it is conducted, the
nature of the hearing loss, and the possible consequences of treatment and
nontreatment for hearing loss prior to administering the screening.
8. All facilities or persons described in subsections 3 and 4 of this
section who voluntarily provide hearing screening to newborns prior to
January 1, 2002, shall report such screening results to the department of
health and senior services in a manner prescribed by the department.
9. All facilities or persons described in subsections 3 and 4 of this
section shall provide the parents or guardians of newborns who fail the
hearing screening with educational materials that:
(1) Communicate the importance of obtaining further hearing screening or
diagnostic audiological assessment to confirm or rule out hearing loss;
(2) Identify community resources available to provide rescreening and
diagnostic audiological assessments; and
(3) Provide other information as prescribed by the department of health
and senior services.
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.
11. The department of health and senior services shall provide
audiological and administrative technical support to facilities and persons
implementing the requirements of this section, including, but not limited to,
assistance in:
(1) Selecting state-of-the-art newborn hearing screening equipment;
(2) Developing and implementing newborn hearing screening procedures
that result in appropriate failure rates;
(3) Developing and implementing training for individuals administering
screening procedures;
(4) Developing and distributing educational materials for families;
(5) Identifying community resources for delivery of rescreening and
pediatric audiological assessment services; and
(6) Implementing reporting requirements.
Such audiological technical support shall be provided by individuals qualified
to administer newborn and infant hearing screening, rescreening and
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)
1999
1999
1999
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.
2. The screening procedure shall include the use of at least one of the
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 and senior
services.
3. Every newborn delivered on or after January 1, 2002, in an ambulatory
surgical center or hospital shall be screened for hearing loss prior to
discharge of the infant from the facility. Such facilities shall report the
screening results on all newborns to the parents or guardian of the newborn,
and the department of health and senior services in a manner prescribed by the
department.
4. If a newborn is delivered in a place other than the facilities listed
in subsection 3 of this section, the physician or person who professionally
undertakes the pediatric care of the infant shall ensure that the newborn
hearing screening is performed within three months of the date of the infant's
birth. Such physicians and persons shall report the screening results on all
newborns to the parents or guardian of the newborn, and the department of
health and senior services in a manner prescribed by the department.
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 the written refusal and
make such refusal part of the 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.
7. The physician or person who professionally undertakes the pediatric
care of the newborn, and administrators of ambulatory surgical centers or
hospitals shall provide to the parents or guardians of newborns a written
packet of educational information developed and supplied by the department of
health and senior services describing the screening, how it is conducted, the
nature of the hearing loss, and the possible consequences of treatment and
nontreatment for hearing loss prior to administering the screening.
8. All facilities or persons described in subsections 3 and 4 of this
section who voluntarily provide hearing screening to newborns prior to January
1, 2002, shall report such screening results to the department of health in a
manner prescribed by the department.
9. All facilities or persons described in subsections 3 and 4 of this
section shall provide the parents or guardians of newborns who fail the
hearing screening with educational materials that:
(1) Communicate the importance of obtaining further hearing screening or
diagnostic audiological assessment to confirm or rule out hearing loss;
(2) Identify community resources available to provide rescreening and
diagnostic audiological assessments; and
(3) Provide other information as prescribed by the department of health
and senior services.
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.
11. The department of health and senior services shall provide
audiological and administrative technical support to facilities and persons
implementing the requirements of this section, including, but not limited to,
assistance in:
(1) Selecting state-of-the-art newborn hearing screening equipment;
(2) Developing and implementing newborn hearing screening procedures
that result in appropriate failure rates;
(3) Developing and implementing training for individuals administering
screening procedures;
(4) Developing and distributing educational materials for families;
(5) Identifying community resources for delivery of rescreening and
pediatric audiological assessment services; and
(6) Implementing reporting requirements.
Such audiological technical support shall be provided by individuals qualified
to administer newborn and infant hearing screening, rescreening and diagnostic
audiological assessment.
1999
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.
2. The screening procedure shall include the use of at least one of the
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 and senior
services.
3. Every newborn delivered on or after January 1, 2002, in an ambulatory
surgical center or hospital shall be screened for hearing loss prior to
discharge of the infant from the facility. Such facilities shall report the
screening results on all newborns to the parents or guardian of the newborn,
and the department of health and senior services in a manner prescribed by the
department.
4. If a newborn is delivered in a place other than the facilities listed
in subsection 3 of this section, the physician or person who professionally
undertakes the pediatric care of the infant shall ensure that the newborn
hearing screening is performed within three months of the date of the infant's
birth. Such physicians and persons shall report the screening results on all
newborns to the parents or guardian of the newborn, and the department of
health and senior services in a manner prescribed by the department.
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 the written refusal and
make such refusal part of the 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.
7. The physician or person who professionally undertakes the pediatric
care of the newborn, and administrators of ambulatory surgical centers or
hospitals shall provide to the parents or guardians of newborns a written
packet of educational information developed and supplied by the department of
health and senior services describing the screening, how it is conducted, the
nature of the hearing loss, and the possible consequences of treatment and
nontreatment for hearing loss prior to administering the screening.
8. All facilities or persons described in subsections 3 and 4 of this
section who voluntarily provide hearing screening to newborns prior to January
1, 2002, shall report such screening results to the department of health in a
manner prescribed by the department.
9. All facilities or persons described in subsections 3 and 4 of this
section shall provide the parents or guardians of newborns who fail the
hearing screening with educational materials that:
(1) Communicate the importance of obtaining further hearing screening or
diagnostic audiological assessment to confirm or rule out hearing loss;
(2) Identify community resources available to provide rescreening and
diagnostic audiological assessments; and
(3) Provide other information as prescribed by the department of health
and senior services.
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.
11. The department of health and senior services shall provide
audiological and administrative technical support to facilities and persons
implementing the requirements of this section, including, but not limited to,
assistance in:
(1) Selecting state-of-the-art newborn hearing screening equipment;
(2) Developing and implementing newborn hearing screening procedures
that result in appropriate failure rates;
(3) Developing and implementing training for individuals administering
screening procedures;
(4) Developing and distributing educational materials for families;
(5) Identifying community resources for delivery of rescreening and
pediatric audiological assessment services; and
(6) Implementing reporting requirements.
Such audiological technical support shall be provided by individuals qualified
to administer newborn and infant hearing screening, rescreening and diagnostic
audiological assessment.
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