Colorado Code § 25-4-1003

Powers and duties of executive director - newborn screening programs - genetic counseling and education programs - rules
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(1) The executive director of the
department of public health and environment shall have the authority to:
(a) Establish and administer state programs for newborn screening and genetic
counseling and education;
(b) Promulgate rules, regulations, and standards for the provision of newborn screening
programs and genetic counseling and education programs;
(c) Designate such personnel as are necessary to carry out the provisions of this part 10,
disburse and collect such funds as are available to the administration of this part 10, and fix
reasonable fees to be charged for services pursuant to this part 10;
(d) Gather and disseminate information to further the public's understanding of newborn
screening and genetic counseling and education programs;
(e) Establish systems for recording information obtained in newborn screening and
genetic counseling and education programs.
(2) The executive director of the department shall comply with the following provisions:
(a) Newborn screening shall be provided in the most efficient and cost-effective manner
possible and newborn screening and diagnostic services should be carried out under adequate
standards of supervision and quality control;
(b) No program for genetic counseling shall require mandatory participation, restriction
of childbearing, or be a prerequisite to eligibility for, or receipt of, any other service or assistance
from, or to participation in, any other program;
(c) Genetic counseling services shall be available to persons in need, such counseling
shall be nondirective, and such counseling shall emphasize informing the client and not require
restriction of childbearing;
(d) The extremely personal decision to bear children shall remain the free choice and
responsibility of the individual, and such free choice and responsibility shall not be restricted by
any of the genetic services of the state;
(e) All information gathered by the department or by other agencies, entities, and
individuals conducting programs and projects on newborn screening and genetic counseling and
education, other than statistical information and information that the parent or guardian of a
newborn allows to be released through the parent's or guardian's informed consent, is
confidential. Public and private access to newborn patient data is limited to data compiled
without the newborn's name. The information gathered pursuant to this subsection (2)(e) does
not restrict the department from performing follow-up services with newborns, their parents or
guardians, and health-care providers.
(f) Information on the operation of all programs on newborn screening and genetic
counseling and education within the state, except for confidential information obtained from
participants in such programs, shall be open and freely available to the public;
(g) All participants in programs on genetic counseling and education shall be informed
of the nature of possible risks involved in participation in such a program or project, and shall be
informed of the nature and cost of available therapies or maintenance programs for those
affected by hereditary disorders, and shall be informed of the possible benefits and risks of such
therapies and programs;
(h) Nothing in this section shall be construed to require any hospital or other health
facility or any physician or other health professional to provide genetic counseling beyond the
usual and customary and accepted practice nor shall any hospital or other health facility be held
liable for not providing such genetic counseling.

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