Maryland Code § HG-13-111

Section HG-13-111
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(a) The Department shall establish a coordinated statewide system for
screening all newborn infants in the State for certain hereditary and congenital
disorders associated with severe problems of health or development, except when the
parent or guardian of the newborn infant objects.
(b) Except as provided in § 13-112 of this subtitle, the Department's public
health laboratory is the sole laboratory authorized to perform tests on specimens from
newborn infants collected to screen for hereditary and congenital disorders as
determined under subsection (d)(2) of this section.
(c) The system for newborn screening shall include:
(1) Laboratory testing and the reporting of test results; and
(2) Follow-up activities to facilitate the rapid identification and
treatment of an affected child.
(d) In consultation with the State Advisory Council on Hereditary and
Congenital Disorders, the Department shall:
(1) Establish protocols for a health care provider to obtain and deliver
test specimens to the Department's public health laboratory;
(2) Determine the screening tests that the Department's public
health laboratory is required to perform;
(3) Maintain a coordinated statewide system for newborn screening
that carries out the purpose described in subsection (c) of this section that includes:
(i) Communicating the results of screening tests to the health
care provider of the newborn infant;

(ii) Locating newborn infants with abnormal test results;
(iii) Sharing newborn screening information between hospitals,
health care providers, treatment centers, and laboratory personnel;
(iv) Delivering needed clinical, diagnostic, and treatment
information to health care providers, parents, and caregivers; and
(v) Notifying parents and guardians of newborn infants that
laboratories other than the Department's public health laboratory are authorized to
perform postscreening confirmatory or diagnostic tests on newborn infants for
hereditary and congenital disorders; and
(4) Adopt regulations that set forth the standards and requirements
for newborn screening for hereditary and congenital disorders that are required
under this subtitle, including:
(i) Performing newborn screening tests;
(ii) Coordinating the reporting, follow-up, and treatment
activities with parents, caregivers, and health care providers; and
(iii) Establishing fees for newborn screening that do not exceed
an amount sufficient to cover the administrative, laboratory, and follow-up costs
associated with the performance of screening tests under this subtitle.
(e) (1) (i) The Department shall screen for each core condition listed
in the U.S. Department of Health and Human Services' Recommended Uniform
Screening Panel.
(ii) Subject to subparagraph (iii) of this paragraph, the
Department shall implement testing for a core condition within 1 year and 6 months
after the core condition is added to the Recommended Uniform Screening Panel.
(iii) 1. If the Department is unable to implement testing
within 1 year and 6 months after a core condition is added to the Recommended
Uniform Screening Panel due to a delay in the procurement of equipment or supplies
needed to implement the testing, the Department shall report to the Senate Finance
Committee and the House Health and Government Operations Committee, in
accordance with § 2-1257 of the State Government Article, within 1 year and 3
months after the addition of the core condition to the Recommended Uniform
Screening Panel and every 3 months thereafter until the testing for the core condition
is implemented.

2. A report required under subsubparagraph 1 of this
subparagraph shall include the reason for the delay and the anticipated timeline for
implementation.
(2) Notwithstanding any other provision of law, if the Secretary of
Health and Human Services issues federal recommendations on critical congenital
heart disease screening of newborns, the Department shall adopt the federal
screening recommendations.
(3) The Department may screen for any condition recommended by
the Advisory Council and approved by the Secretary.
(f) (1) The Secretary shall pay all fees collected under the provisions of
this subtitle to the Comptroller.
(2) The Comptroller shall distribute the fees to the Newborn
Screening Program Fund established under § 13-113 of this subtitle.

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