Assembly Bill No. 250–Assemblymen Leslie, McClain, Manendo, Anderson, Freeman, Koivisto, Parnell, Smith, Tiffany and Williams
Joint Sponsor: Senator Care
AN ACT relating to health care; requiring hearing screenings for newborn children or referrals for such screenings; providing exceptions; establishing the duties of hospitals and obstetric centers concerning the provision of hearing screenings; requiring the state board of health to adopt certain regulations; requiring the health division of the department of human resources to create brochures concerning hearing screenings of newborn children for distribution to the parents and legal guardians of newborn children; and providing other matters properly relating thereto.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
the provisions set forth as sections 2 to 11, inclusive, of this act.
Sec. 2. As used in sections 2 to 11, inclusive, of this act, unless the
context otherwise requires, the words and terms defined in sections 3, 4
and 5 of this act have the meanings ascribed to them in those sections.
Sec. 3. “Hearing screening” means a test or battery of tests
administered to determine the need for an in-depth hearing diagnostic
Sec. 4. “Hospital” has the meaning ascribed to it in NRS 449.012.
Sec. 5. “Provider of hearing screenings” means a health care
provider who, within the scope of his license or certificate, provides for
hearing screenings of newborn children in accordance with sections 2 to
11, inclusive, of this act. The term includes a licensed audiologist, a
licensed physician or an appropriately supervised person who has
documentation that demonstrates to the state board of health that he has
completed training specifically for conducting hearing screenings of
Sec. 6. 1. Except as otherwise provided in this section and section
8 of this act, a licensed hospital in this state that provides services for
maternity care and the care of newborn children and a licensed obstetric
center in this state shall not discharge a newborn child who was born in
the facility until the newborn child has undergone a hearing screening
for the detection of hearing loss to prevent the consequences of
unidentified disorders, or has been referred for such a hearing
2. The requirments of subsection 1 do not apply to a hospital in
which fewer than 500 childbirths occur annually.
3. The state board of health shall adopt such regulations as are
necessary to carry out the provisions of sections 2 to 11, inclusive, of this
Sec. 7. 1. A hearing screening required by section 6 of this act
must be conducted by a provider of hearing screenings.
2. A licensed hospital and a licensed obstetric center shall hire,
contract with or enter into a written memorandum of understanding with
a provider of hearing screenings to:
(a) Conduct a program for hearing screenings on newborn children in
accordance with sections 2 to 11, inclusive, of this act;
(b) Provide appropriate training for the staff of the hospital or
(c) Render appropriate recommendations concerning the program for
hearing screenings; and
(d) Coordinate appropriate follow-up services.
3. Not later than 24 hours after a hearing screening is conducted on
a newborn child, appropriate documentation concerning the hearing
screening, including, without limitation, results, interpretations and
recommendations, must be placed in the medical file of the newborn
4. A licensed hospital and a licensed obstetric center shall annually
prepare and submit to the health division a written report concerning
hearing screenings of newborn children in accordance with regulations
adopted by the state board of health. The report must include, without
limitation, the number of newborn children screened and the results of
5. The health division shall annually prepare and submit to the
governor a written report relating to hearing tests for newborn children.
The written report must include, without limitation:
(a) A summary of the results of hearing screenings administered to
newborn children and any other related information submitted in
accordance with the regulations of the state board of health;
(b) An analysis of the effectiveness of the provisions of sections 2 to
11, inclusive, of this act in identifying loss of hearing in newborn
(c) Any related recommendations for legislation.
Sec. 8. A newborn child may be discharged from the licensed
hospital or obstetric center in which he was born without having
undergone a required hearing screening or having been referred for a
hearing screening if a parent or legal guardian of the newborn child
objects in writing to the hearing screening. The hospital or obstetric
center shall place the written objection of the parent or legal guardian to
the hearing screening in the medical file of the newborn child.
Sec. 9. If a hearing screening conducted pursuant to section 6 of
this act indicates that a newborn child may have a hearing loss, the
physician attending to the newborn child shall recommend to the parent
or legal guardian of the newborn child that the newborn child receive an
in-depth hearing diagnostic evaluation.
Sec. 10. A licensed hospital and a licensed obstetric center shall
formally designate a lead physician or audiologist to be responsible for:
1. The administration of the program for conducting hearing
screenings of newborn children; and
2. Monitoring the scoring and interpretation of the test results of the
Sec. 11. 1. The health division shall create written brochures that
use terms which are easily understandable to a parent or legal guardian
of a newborn child and include, without limitation:
(a) Information concerning the importance of screening the hearing
of a newborn child; and
(b) A description of the normal development of auditory processes,
speech and language in children.
2. The health division shall provide the brochures created pursuant
to subsection 1 to each licensed hospital and each licensed obstetric
center in this state. These facilities shall provide the brochures to the
parents or legal guardians of a newborn child.
Sec. 12. (Deleted by amendment.)
Sec. 13. The state board of health shall adopt regulations to carry out
the provisions of this act by January 1, 2002.
Sec. 14. 1. This section becomes effective on July 1, 2001.
2. Sections 1 to 13, inclusive, of this act become effective:
(a) On July 1, 2001, for the purpose of adopting regulations by the state
board of health to carry out the provisions of this act; and
(b) On January 1, 2002, for all other purposes.