83R3616 AED-D
 
  By: Deuell S.B. No. 253
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to newborn screening for congenital heart defects.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  The heading to Chapter 33, Health and Safety
  Code, is amended to read as follows:
  CHAPTER 33. PHENYLKETONURIA, OTHER HERITABLE DISEASES,
  HYPOTHYROIDISM, CONGENITAL HEART DEFECTS, AND CERTAIN OTHER
  DISORDERS
         SECTION 2.  Section 33.001, Health and Safety Code, is
  amended by amending Subdivision (1) and adding Subdivisions (1-a)
  and (4-a) to read as follows:
               (1)  "Congenital heart defect" means a structural
  abnormality of the heart that is present at birth.
               (1-a)  "Heritable disease" means an inherited disease
  that may result in mental or physical retardation or death.
               (4-a)  "Pulse oximetry screening test" means a
  noninvasive test that estimates the percentage of hemoglobin in
  blood that is saturated with oxygen.
         SECTION 3.  Sections 33.002(a) and (c), Health and Safety
  Code, are amended to read as follows:
         (a)  The department shall carry out a program to combat
  morbidity, including mental retardation, and mortality in persons
  who have phenylketonuria, other heritable diseases, [or]
  hypothyroidism, or congenital heart defects.
         (c)  The department shall establish and maintain a
  laboratory to:
               (1)  conduct experiments, projects, and other
  activities necessary to develop screening or diagnostic tests for
  the early detection of phenylketonuria, other heritable diseases,
  [and] hypothyroidism, and congenital heart defects;
               (2)  develop ways and means or discover methods to be
  used to prevent or treat phenylketonuria, other heritable diseases,
  [and] hypothyroidism, and congenital heart defects; and
               (3)  serve other purposes considered necessary by the
  department to carry out the program.
         SECTION 4.  Section 33.011, Health and Safety Code, is
  amended by amending Subsections (a) and (c) and adding Subsection
  (d) to read as follows:
         (a)  The physician attending a newborn child or the person
  attending the delivery of a newborn child that is not attended by a
  physician shall subject the child to:
               (1)  screening tests approved by the department for
  phenylketonuria, other heritable diseases, hypothyroidism, and
  other disorders for which screening is required by the department;
  and
               (2)  a pulse oximetry screening test for congenital
  heart defects if the child is attended by the physician or person at
  a birthing facility.
         (c)  Except for the pulse oximetry screening test required by
  Subsection (a)(2), the [The] screening tests required by this
  section must be performed by the laboratory established by the
  department or by a laboratory approved by the department under
  Section 33.016.
         (d)  In this section, "birthing facility" means an inpatient
  or ambulatory health care facility that offers obstetrical and
  newborn care services.  The term includes:
               (1)  a hospital licensed under Chapter 241 that offers
  obstetrical services;
               (2)  a birthing center licensed under Chapter 244;
               (3)  a children's hospital licensed by the department;
  or
               (4)  a facility maintained and operated by the
  department.
         SECTION 5.  As soon as practicable after the effective date
  of this Act, the Department of State Health Services shall
  implement the changes in law made by this Act to the newborn
  screening program under Chapter 33, Health and Safety Code.
         SECTION 6.  This Act takes effect September 1, 2013.