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               AN ACT
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            relating to newborn and infant screening tests. | 
         
         
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                   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
         
         
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                   SECTION 1.  Subchapter B, Chapter 33, Health and Safety  | 
         
         
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            Code, is amended by adding Section 33.020 to read as follows: | 
         
         
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                   Sec. 33.020.  ANNUAL REPORT.  (a)  For each newborn screening  | 
         
         
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            test that screens for a disorder included in the list of core  | 
         
         
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            conditions described by Section 33.011(a-1) that is not required by  | 
         
         
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            the department, the department shall, not later than September 1 of  | 
         
         
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            each year, prepare and submit a written report to the governor, the  | 
         
         
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            lieutenant governor, the speaker of the house of representatives,  | 
         
         
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            and each standing committee of the legislature having primary  | 
         
         
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            jurisdiction over the department.  The written report must: | 
         
         
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                         (1)  identify any additional program capacity or  | 
         
         
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            resources the department would need to: | 
         
         
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                               (A)  implement the additional newborn screening  | 
         
         
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            test; and | 
         
         
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                               (B)  require each newborn in the state to receive  | 
         
         
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            the additional newborn screening test; and | 
         
         
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                         (2)  summarize the plan for implementing and requiring  | 
         
         
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            the additional newborn screening test, including by identifying: | 
         
         
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                               (A)  any potential barriers to implementation;  | 
         
         
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            and | 
         
         
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                               (B)  the anticipated implementation date. | 
         
         
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                   (b)  As part of the plan described by Subsection (a)(2), the  | 
         
         
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            report must include information on whether the department is  | 
         
         
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            capable of implementing the required additional newborn screening  | 
         
         
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            test within a 24-month period. | 
         
         
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                   SECTION 2.  Section 33.052, Health and Safety Code, is  | 
         
         
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            amended by adding Subsection (a-1) to read as follows: | 
         
         
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                   (a-1)  The department may use money appropriated under  | 
         
         
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            Subsection (a) to ensure that the laboratory established by the  | 
         
         
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            department or a laboratory approved by the department under Section  | 
         
         
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            33.016 is available seven days a week to perform screening tests  | 
         
         
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            required by the department under Section 33.011. | 
         
         
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                   SECTION 3.  Chapter 47, Health and Safety Code, is amended by  | 
         
         
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            adding Section 47.0032 to read as follows: | 
         
         
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                   Sec. 47.0032.  TESTING FOR CONGENITAL CYTOMEGALOVIRUS.  (a)   | 
         
         
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            In this section, "congenital cytomegalovirus" has the meaning  | 
         
         
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            assigned by Section 46.001. | 
         
         
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                   (b)  If a newborn or infant does not pass the hearing  | 
         
         
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            screening performed under Section 47.003, the program that  | 
         
         
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            performed the screening shall perform or cause to be performed a  | 
         
         
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            test for congenital cytomegalovirus on the newborn or infant unless  | 
         
         
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            the newborn's or infant's parent declines the test. | 
         
         
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                   (c)  If the newborn or infant receives a positive test for  | 
         
         
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            congenital cytomegalovirus, the entity that performed the test  | 
         
         
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            shall provide the newborn's or infant's parents with: | 
         
         
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                         (1)  the results of the test; | 
         
         
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                         (2)  information on the potential effects of congenital  | 
         
         
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            cytomegalovirus and the available treatment options; and | 
         
         
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                         (3)  a referral to an appropriate physician or facility  | 
         
         
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            for the treatment of congenital cytomegalovirus. | 
         
         
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                   SECTION 4.  Section 33.054, Health and Safety Code, is  | 
         
         
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            repealed. | 
         
         
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                   SECTION 5.  Section 47.0032, Health and Safety Code, as  | 
         
         
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            added by this Act, applies only to a newborn or infant hearing  | 
         
         
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            screening performed on or after the effective date of this Act. | 
         
         
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                   SECTION 6.  This Act takes effect September 1, 2023. | 
         
         
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            ______________________________ | 
            ______________________________ | 
         
         
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               President of the Senate | 
            Speaker of the House      | 
         
         
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                   I certify that H.B. No. 2478 was passed by the House on April  | 
         
         
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            28, 2023, by the following vote:  Yeas 148, Nays 0, 1 present, not  | 
         
         
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            voting. | 
         
         
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            ______________________________ | 
         
         
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            Chief Clerk of the House    | 
         
         
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                   I certify that H.B. No. 2478 was passed by the Senate on May  | 
         
         
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            23, 2023, by the following vote:  Yeas 30, Nays 1. | 
         
         
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            ______________________________ | 
         
         
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            Secretary of the Senate     | 
         
         
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            APPROVED:  _____________________ | 
         
         
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                               Date           | 
         
         
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                      _____________________ | 
         
         
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                             Governor        |