As used in KRS 211.647 and 216.2970, unless the context requires otherwise: (1) "Cabinet" means the Cabinet for Health and Family Services; (2) "Office" means the Office for Children with Special Health Care Needs; (3) "Permanent childhood hearing loss" means a hearing deficit identified in infancy or childhood which prevents the acquisition of speech and language through normal channels; (4) "Auditory screening report" means a written evaluation of an auditory screening as required under KRS 216.2970; and (5) "Infant at high risk for late onset, progressive hearing loss, or both" means a child at birth who is at a higher risk than normal of becoming deaf or hard of hearing or having progressively worsening hearing due to one (1) or more of the following factors: (a) Family history of a congenital hearing loss; (b) Rubella or virus during pregnancy; (c) Neonatal intensive care of more than five (5) days; (d) Below-normal birth weight; (e) Neonatal intensive care, regardless of the number of days, for any of t he following conditions: 1. Extracorporeal membrane oxygenation (ECMO); 2. Assisted ventilation; 3. Exposure to ototoxic medications, including but not limited to gentramycin and tobramycin, or loop diuretics, including but not limited to furosemide; 4. Hyperbilirubinemia that requires 1n exchange transfusion; 5. Syndromes associated with hearing loss and progressive or late onset hearing loss, including but not limited to neurofibromatosis, osteopetrosis, and Usher, Waardenburg, Alport, Pendred, and Jervell and Lange-Nielson Syndromes; 6. Congenital ear, nose, or throat anomalies, including but not limited to those involving the pinna, ear canal, ear tags, ear pits, and temporal bone; or 7. Culture-positive postnatal infections associated with sensorineur al hearing loss, including but not limited to confirmed bacterial and viral meningitis; (f) An auditory screening indicating a hearing loss; or (g) Any other factor identified by the American Medical Association the American Academy of Pediatrics, or the A merican Academy of Otolaryngology as a cause of late onset or progressive hearing loss.
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