Points to consider before refusing newborn screening: There are important medical benefits of newborn screening. It should be mailed to the DSHS address listed on the form, or they can return it to the hospital, doctors office, or collection facility. https://www.austinchronicle.com/news/2005-01-14/247049/ Find out the importance of legal representation, effective communication with CPS caseworkers, and accessing support resources . Which directions am I supposed to follow? According to the Center for Disease Control (CDC), the number of mothers delivering with this disorder more than quadrupled from 1999 to 2014. There may not be much difference in laboratory results between 23 and 24 hours. For example, phenylalanine is the analyte measured which indicates PKU, thyroxine (T4) is the analyte measured which indicates hypothyroidism, and immunoreactive trypsinogen (IRT) is the analyte measured which indicates cystic fibrosis. Currently, Texas only has a law against smoking marijuana while pregnant, which is a felony with 2-20 years in prison. No. Screening test cutoffs are calculated to allow for identification of babies with the disorder while minimizing both false positive and false negative results. Sources: A sufficient number of specimens representing the Texas newborn population and true positive specimens, if available, are tested to determine the range where we would expect results from babies without the disorder to fall. Private message. The search combinations outlined in the Search Tips document (linked above) are theONLYcombinations allowed when searching for results for specimens that were not submitted by your facility. These babies sometimes have a normal first screen. No matter the parents choice, information that can identify them or their child will NOT be released outside DSHS without additional written consent. Initial, date and fax the result report back to: DSHS Laboratory Reporting, 512-776-7533. What happens to the residual dried blood spots after testing? 7333 or emailnewbornscreeninglab@dshs.texas.gov. Risk-based screening means testing neonates only when a mother or a neonate meets hospital-defined criteria, which may include maternal history or signs of drug use, social risk factors, limited or absent prenatal care, and symptoms of withdrawal in the neonate. 2)Verify that Healthcare Common Procedure Coding System (HCPCS) code S3620 is updated to match the current cost for the screening kit. The DSHS public health laboratory in Austin performs the laboratory testing. The screening is typically done before the baby leaves the birthing facility. (A manifest doesnotneed to be forwarded to the DSHS Laboratory.). Infant Drug Testing in Texas. Texas law (Health and Safety Code, Chapter 33)requires that all newborns are screened for certain genetic disorders or medical conditions recommended by theAdvisory Committee on Heritable Disorders in Newborns and Children(ACHDNC) on the Recommended Uniform Screening Panel (RUSP). Most babies with these conditions look perfectly normal when they are born, and problems may not appear for several weeks or months. Fatty acid oxidation abnormal ranges are higher for first screen specimens than for second screen specimens. 2. Expired and unused NBS specimen collection kits can be discarded in the regular garbage, recycled with paper recycle, or shredded. The National Institutes of Health (NIH) estimates that 5% of pregnant women use one or more addictive substances. (Note: Normal shipping [in transit] time is 1-3 days business days.). View the data use policy and a list of research uses that have been allowed by DSHS. November 5, 2019 by Case Darwin. The parent or guardian can take home the Parent Decision Form for Storage and Use of Newborn Screening Blood Spot Cards, page 2 of the Newborn Screening Collection Kit. For more information, please see theSpecimen Collection Special Circumstancesweb page, or theAlternative Methods for Collecting a Newborn Screenpage. There is no additional charge associated with this DNA testing. These sites may also not be accessible to people with disabilities. Please see above for information on ordering Newborn Screening supplies. (For kits that expired on September 19, 2017; exchange requests will be accepted starting on September 20, 2017. Yes. The laboratory used will depend on insurance requirements and local availability. DSHS will post the new cost to the DSHS NBS website and send out electronic notifications via the newborn screening distribution list, at minimum, 90 days prior to the effective date. How do I obtain my/my child's newborn screening results? How can my facility decrease our specimen transit time? Can parents opt out of having their newborn screened? The state laws addressed in this chart do not apply to . For Insurance / Self-pay kits, healthcare providers will be required to purchase a replacement kit. In 2017, there were 1,458 overdose deaths involving opioids in Texas a deaths per 100,000 persons.3 From 2011 to 2017, the Texas Medicaid program implemented policies and processes to promote appropriate prescribing and utilization of opioids. Healthcare providers can request newborn screening results for their patients by contacting DSHS Laboratory Reporting, Monday through Friday 8am to 5 pm, by either: Sending a fax request to 512-776-7533 or calling 512-776-7578. Otherwise, the law on drug testing newborns varies from state to state. Prenatal drug exposure may lead to long-term behavioral effects and growing deficit. Where can I find more information on newborn screening specimen collection? Does one specimen collection kit cover the first and second screening? Note:External links to non-DSHS sites are intended to be informational and do not have the endorsement of the Texas Department of State Health Services. Write the number of forms to be exchanged in the Quantity Requested box and write Exchange in the Billing Purchase Order Number box section of the form. The suspected parent may have to stay longer postnatal in the hospital. The first screen is collected after 24 hours but before 48 hours of age, or prior to the newborn's discharge from the hospital. DO NOT batch or hold dried specimens for shipping. Fill out the authorization form linked below to request the newborn screening results be sent to a specific physician. In 2014, Tennessee's legislature passed a "Fetal Assault Law," which made it possible to prosecute pregnant women for drug use during pregnancy. Early treatment of these disorders can help prevent serious complications or even death. Update your version of Adobe Reader. Texas does not test for all of the disorders listed on theRecommended Uniform Screening Panel (RUSP). Monday-Friday, 8 am - 5 pm CAP# GEN.40545 Newborn Screening Specimen Tracking (Phase I). 3)Submit newborn screening claims using HCPCS code S3620. 19 states have either created or funded drug treatment programs specifically targeted to those who are pregnant, and 17 states and the District of Columbia provide pregnant people with priority access to state-funded drug treatment programs. Drug Testing in Texas - Everything you need to know - Uritox, LLC How do we opt out? Please submit the specimen on the kit collected. DSHS considered billing patients, but found that administrative costs would more than double the cost of the service. Doctors and health care facilities should work with health plans to ensure that newborn screening is included as a benefit in their contracts and that the health plans are aware of the cost for newborn screening. If the patient has both insurance and Medicaid, which specimen collection card should be used? First screen specimens should be collected after 24 hours but before 48 hours of age, and the second screen specimens should be collected at one to two weeks of age. A parent can refuse the screen for religious reasons only (Texas Health & Safety Code Sec. The full list of federally-recommended newborn screening conditions:https://www.hrsa.gov/advisory-committees/heritable-disorders/rusp/index.html. Do not ship specimens wet. Please note: Corrections made to the date of birth, date of collection and/or birth weight on a result report may cause changes in test results. Accessing and Interpreting Result Reports (for Healthcare Providers). Drug Testing Laws in Florida: An In-Depth Guide! - Uritox, LLC https://statutes.capitol.texas.gov/Docs/PE/htm/PE.22.htm FORM TO REFUSE THE NEWBORN SCREENING BLOOD TEST, FORMULARIO DE RECHAZO DE LA PRUEBA DE DETECCIN TEMPRANA EN SANGRE A RECINNACIDOS (NBS), INSTRUCTIONS TO COMPLETE FORM TO REFUSE THE NEWBORN SCREENING BLOOD TEST. Will our facility be refunded the amount of the exchanged kits? However, Fatty Acid and Organic Acid disorder analytes are listed by abbreviations of the acylcarnitine markers or ratios that identify the disorder (e.g., C8, C6, C10:1 and C10 are the analytes that are measured and may indicate the MCAD disorder). To accurately detect amino acid disorders, the infant really needs time to metabolize their first protein feedings. Through the web system, you may re-access the submitted specimen using the Search option under the Enter NBS Demographics module. NBS4 (Insurance/Self-Pay) Kit Exchange of Expired Kits. Each year, millions of babies in the U.S. are routinely screened, using a few drops of blood from the . In addition, the cutoff may also be revised to reduce the number of false positive results. There are currently no newborn drug testing laws in Texas. Or contact the Container Preparation Group at 1-888-963-7111 ext. Newborn Drug Screening - Meconium and Umbilical Cord Tissue Neonatal exposure to some drugs during pregnancy can have harmful effects on development and may lead to acute adverse events, including neonatal abstinence syndrome (NAS) and infant mortality. All babies should be screened for hearing loss before 1 month of age. Metabolic specialists, endocrinologists, pediatricians and other healthcare providers often need quick access to newborn screening results for their patients. 2. Does the parent or guardian need to complete another form for the second newborn screen? You have up to 3 months after the expiration date to submit a request to have expired NBS4 kits exchanged for non-expired kits. The requested or recommended actions are based on the concentrations of the abnormal analytes. It will also help ensure that supplies are received specifically by the site that ordered them. For additional security purposes, the user must use a combination of multiple search fields to access the result report. PDF Mandated Health Benefits - Texas Department of Insurance DO NOT delay shipment of newborn screening specimens. She gave birth in Ardmore, Oklahoma, and that state's laws may have come into play. Do healthcare providers need to document that the Parent Decision Form for Use and Storage of Newborn Screening Blood Spot Cards has been provided to the parent or guardian? Do I have to collect newborn screening specimens in order to access the results online? Drug use during pregnancy has long term effects. If additional new kits are ordered on the same G-6D form as the request for exchange of expired kits, only the exchange request will be processed. Why does the result report have two or more result notes with differing instructions? If requesting that the results be sent for university records, the schools physician or nurse information should be included. Cutoffs for certain disorders also require considering infant specific factors such as age of the baby at specimen collection, birthweight, prematurity and transfusion status. CPS after newborn is positive for weed? - What to Expect The diseases can cause growth problems, mental or physical delays, deafness, blindness, seizures, and early death. New moms face suspicion over error-prone drug tests - al The current Texas Newborn Screening panel does not include: View a list of the conditionson the Texas Newborn Screening Panel. PDF Parental Substance Use as Child Abuse - Child Welfare Phone: 512-776-7598, Research, Funding, & Educational Resources, Center for Health Emergency Preparedness & Response, Texas Comprehensive Cancer Control Program, Cancer Resources for Health Professionals, Resources for Cancer Patients, Caregivers and Families, Food Manufacturers, Wholesalers, and Warehouses, Asbestos Hazard Emergency Response Act (AHERA), Emergency Medical Services (EMS) Licensure, National Electronic Disease Surveillance System (NEDSS), Health Care Information Collection (THCIC), Newborn Screening: More Than Drops On a Card, Use and Storage of Newborn Screening Blood Spot Cards, Newborn Screening - Use and Storage of Dried Blood Spots after NBS, Newborn Screening - Use of NBS Blood Spots after Completion of Newborn Screening, Newborn Screening - Frequently Asked Questions, Newborn Screening - Healthcare Provider Resources, Texas Antimicrobial Resistance (AR) Laboratory Network.