HB 1487-2_ Filed 02/26/2001, 16:52


Text Box

Adopted Rejected


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COMMITTEE REPORT


                                                        YES:

26

                                                        NO:
0

MR. SPEAKER:
    Your Committee on       Ways and Means     , to which was referred       House Bill 1487     , has had the same under consideration and begs leave to report the same back to the House with the recommendation that said bill be amended as follows:

    Delete the committee report of the Public Health Committee adopted February 8, 2001.

SOURCE: Page 1, line 3; (01)AM148702.1. -->     Page 1, line 3, strike "subsection (c)," and insert " subsections (c) and (d),".
    Page 1, line 12, delete "significant medical".
    Page 1, line 13, delete "illness, death, or".
    Page 1, between lines 14 and 15, begin a new line block indented and insert:
        " (8) Congenital adrenal hyperplasia.
        (9) Biotinidase deficiency.
        (10) Disorders detected by tandem mass spectrometry, if the state department determines that the technology is available for use by a designated laboratory under section 7 of this chapter.
".
    Page 2, after line 3, begin a new paragraph and insert:
    " (d) The examinations under subsection (a)(10) are not required until the state department determines that there are sufficient funds in the newborn screening fund from appropriations from the general assembly and gifts and grants to the fund for the state department to pay for the cost of the tests performed under subsection (a)(10).
SOURCE: IC 16-41-17-10; (01)AM148702.2. -->     SECTION 2. IC 16-41-17-10 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2001]: Sec. 10. (a) The state department shall develop the following:
        (1) A registry for tracking and follow-up of all newborns and individuals for screening.
        (2) A centralized program that provides follow-up, diagnosis, management, and family counseling and support, including equipment, supplies, formula, and other materials, for all infants and individuals identified as having one (1) of the disorders listed in section 2 of this chapter.
        (3) A laboratory quality assurance program, including proficiency testing.
        (4) A statewide network of genetic evaluation and counseling services.
        (5) A system for using, for epidemiological survey and research purposes, any waste blood specimen generated under this chapter.
    (b) The program described in subsection (a) shall be funded by collection of a newborn screening fee for each newborn screened by a designated laboratory.
    (c) The state department shall set the fee and procedures for disbursement under rules adopted under IC 4-22-2. The fee must be based upon the projected cost of the program. The state department may not assess the part of the fee that is attributable to tests that are performed under section 2(a)(10) of this chapter. The proposed fee must be approved by the budget agency before the rule is adopted.
    (d) The designated laboratory shall assess, collect, and deposit the fees established under subsection (c) in the newborn screening fund established under section 11 of this chapter.
    (e) The state department shall annually review:
         (1) the newborn screening fee; and
        (2) the fee assessed by each designated laboratory for testing under section 2(a)(1) through 2(a)(9) of this chapter.
    (f) Waste blood specimens used for the purpose of implementing the system described under subsection (a)(5) may not include the name or other identifying characteristics that would identify the individual submitting the specimen.
SOURCE: IC 16-41-17-11; (01)AM148702.3. -->     SECTION 3. IC 16-41-17-11 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2001]: Sec. 11. (a) The newborn screening fund is established for the purpose of carrying out this chapter. The state department shall administer the fund.
    (b) The expenses of the newborn screening program shall be paid from money in the fund. The expenses of performing the tests under section 2(a)(10) of this chapter shall be paid from money in the fund subject to section 2(d) of this chapter.
    (c) Money in the fund at the end of a state fiscal year does not revert to the state general fund.
     (d) The fund consists of appropriations from the general assembly, fees assessed under this chapter, and gifts and grants to the fund.
SOURCE: ; (01)AM148702.4. -->     SECTION 4. [EFFECTIVE JULY 1, 2001] (a) The state department of health shall develop the following:
        (1) Criteria for a laboratory to qualify as a designated laboratory under IC 16-41-17-7 to test for disorders detectable through the use of tandem mass spectrometry under IC 16-41-17-2 (a)(10), as amended by this act, and to test for the disorders listed under IC 16-41-17-2 (a)(1) through IC 16-41-17-2 (a)(9), as amended by this act.
        (2) A process for designating one (1) or more qualified laboratories to serve as a designated laboratory under IC 16-41-17-7 to test for disorders detectable through the use of tandem mass spectrometry under IC 16-41-17-2 (a)(10), as amended by this act, and to test for the disorders listed under IC 16-41-17-2 (a)(1) through IC 16-41-17-2 (a)(9), as amended by this act.
    (b) Except as provided in subsection (c), after the state department of health has developed the qualifying criteria in subsection (a)(1) and the designating processes in subsection (a)(2), the state department of health may designate one (1) or more

qualified laboratories under IC 16-42-17-7 to test for disorders detectable through the use of tandem mass spectrometry under IC 16-41-17-2 (a)(10), as amended by this act, and to test for the disorders listed under IC 16-41-17-2 (a)(1) through IC 16-41-17-2 (a)(9), as amended by this act. A designated laboratory may use tandem mass spectrometry to test for those disorders listed under IC 16-41-17-2 (a)(1) through IC 16-41-17-2 (a)(9), as amended by this act, that are detectable through the use of tandem mass spectrometry.
    (c) The state department of health may not designate a laboratory to test for disorders detectable through the use of tandem mass spectrometry under IC 16-41-17-2 (a)(10), as amended by this act, until funds have been received by the state department of health to pay for the tests
under IC 16-41-17-2 (a)(10), as amended by this act.
    (d) The state department of health shall apply for a grant through the federal Public Health Service Act and any other federal grants available to expand or improve programs to provide screening, testing, or other specialty services for newborns or children at risk of disorders detectable through the use of tandem mass spectrometry.
    (e) This SECTION expires July 1, 2006.
".
    (Reference is to HB 1487 as introduced, and as amended by the committee report of the Public Health Committee on February 8, 2001.)

and when so amended that said bill do pass.

__________________________________

Representative Bauer


AM148702/DI 92    2001