An Act To Require Screening for Cytomegalovirus in Certain Newborn Infants
Maine Legislature, Session 130, LD 1747
Committee Amendment CA_A_S432 (Senate)
Amends: 22 MRSA §1534

COMMITTEE Al\1ENDMENT "(t " to S.P. 603, L.D. 1747, "An Act To Require 
Screening for Cytomegalovirus in Certain Newborn Infants" 
Amend the bill by striking out everything after the enacting clause and inserting the 
following: 
'Sec. 1. 22 MRSA §1534 is enacted to read: 
§1534. Cytomegalovirus screening 
1. Cytomegalovirus screening. The depaiiment shall establish a cytomegalovirus 
. screening program for newborn infants. 
2. Religious objection exemption. The department may not require that a newborn 
infant be tested for the presence of cytomegalovirus if the parents of that infant object on 
the grounds that a test conflicts with their religious tenets and practices. 
3. Report. A health care provider that tests or causes to be tested a newborn infant 
pursuant to this section shall report to the department aggregate data, including the number 
of infants born, the number tested for cytomegalovirus, the results of the screening and 
testing and the type of screening sample used. 
4. Public education. The depatiment shall provide public educational resources to 
pregnant individuals and individuals who may become pregnant that include information 
regarding the incidence of cytomegalovirus, the transmission of cytomegalovirus during 
and before pregnancy, birth defects caused by congenital cytomegalovirus, methods of 
diagnosing congenital cytomegalovirus, available preventive measures and resources for 
the family of an infant born with congenital cytomegalovirus. The department may solicit 
and accept the assistance of relevant medical associations or community resources to 
develop, promote and distribute the public educational resources. 
5. Rulemaking. The depatiment shall adopt rules to implement this section. Rules 
adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 
375, subchapter 2-A. In developing rules to implement the requirements of this section, the 
COMMITTEE AMENDMENT 
ROS 
COMMITTEE AMENDMENT"~ "to S.P. 603, L.D. 1747 ( ".)-'-\ J ·i') 
department shall convene a group of medical professionals to advise on best practices in 
congenital cytomegalovirus screening. 
Sec. 2. Report by department. By February I, 2023, the Department of Health and 
Human Services shall report on its progress toward implementing the requirements of the 
Maine Revised Statutes, Title 22, section 1534 to the joint standing committee of the 
Legislature having jurisdiction over health and human services matters. 
Sec. 3. Review. No later than 3 years after the final adoption of rules pursuant to the 
Maine Revised Statutes, Title 22, section 1534, subsection 5, the Department of Health and 
Human Services shall convene a stakeholder group of clinicians and researchers with 
knowledge of cytomegalovirus screening to review the cytomegalovirus screening program 
and to consider changes to the program. No later than February 1, 2026, the department 
shall provide an update on this review process to the joint standing committee of the 
Legislature having jurisdiction over health and human services matters. 
Sec. 4. 
Appropriations and allocations. The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Maine Center for Disease Control and Prevention 0143 
Initiative: Provides funding for the ongoing costs for the annual education campaign, 
including the educational materials production and distribution. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Maine Center for Disease Control and Prevention 0143 
2021-22 
$0 
$0 
2022-23 
$40,000 
$40,000 
Initiative: Provides one-time funding to update the child health surveillance tracking 
system to accommodate the new data. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Maine Center for Disease Control and Prevention 0143 
2021-22 
$0 
$0 
2022-23 
$3,000 
$3,000 
Initiative: Provides funding for one half-time Public Health Educator III position to collect 
data, update material as needed and promote and distribute the public educational 
resources. 
GENERAL FUND 
POSITIONS - LEGISLATNE COUNT 
Personal Services 
All Other 
GENERAL FUND TOTAL 
2021-22 
0.000 
$0 
$0 
$0 
COMMITTEE AMENDMENT 
2022-23 
0.500 
$55,908 
$6,537 
$62,445 
ROS 
COMMITTEE AMENDMENT" A" to S.P. 603, L.D. 1747 ( S- L-j~L) 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
DEPARTMENT TOTAL - ALL FUNDS 
2021-22 
$0 
$0 
2022-23 
$105,445 
$105,445 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section 
number to read consecutively. 
SUMMARY 
This amendment replaces the bill. It: 
1. Requires the Department of Health and Human Services to establish a 
cytomegalovirus screening program for newborn infants; 
2. Requires the Department of Health and Human Services to exempt a newborn infant 
from cytomegalovirus testing if the parents of that infant object on the grounds that a test 
conflicts with their religious tenets and practices; 
3. Requires a health care provider that tests or causes to be tested a newborn infant for 
cytomegalovirus to report to the Department of Health and Human Services aggregate data 
on the testing, including the number of infants born, the number tested for cytomegalovirus, 
the results of the screening and testing and the type of screening sample used; 
4. Requires the Department of Health and Human Services to provide public 
educational resources to pregnant individuals and individuals who may become pregnant 
that include information regarding the incidence of cytomegalovirus, the transmission of 
cytomegalovirus during and before pregnancy, birth defects caused by congenital 
cytomegalovirus, methods of diagnosing congenital cytomegalovirus, available preventive 
measures and resources for the family of an infant born with congenital cytomegalovirus; 
5. Requires the Department of Health and Human Services to adopt rules to implement 
the cytomegalovirus screening program. In developing rules, the department is required to 
convene a group of medical professionals to advise on best practices in congenital 
cytomegalovirus screening; 
6. Requires the Department of Health and Human Services to report on its progress 
toward implementing the screening program to the joint standing committee of the 
Legislature having jurisdiction over health and human services matters by February 1, 
2023; 
7. Requires that, no later than 3 years after final adoption of rules, the Department of 
7 
Health and Human Services convene a stakeholder group of clinicians and researchers with 
8 
knowledge of cytomegalovirus screening to review the cytomegalovirus screening program 
and to consider changes to the program. No later than February 1, 2026, the department 
must provide an update on this review process to the joint standing committee of the 
Legislature having jurisdiction over health and human services matters; and 
COMMITTEE AMENDMENT 
ROS 
COMMITTEE AMENDMENT" ff "to S.P. 603, L.D. 1747 [ ')- Lj~·y 
8. Adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Revised: 02/17/22 feaC!-
LD 1747 
LR2144(02) 
An Act To Require Screening for Cytomegalovirus in Certain Newborn Infants 
Fiscal Note for Bill as Amended by Committee Amendment''(+' ( S-L\~-0 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY2021-22 
FY 2022-23 
$0 
$105,445 
$0 
$105,445 
Projections 
FY2023-24 
$103,906 
$103,906 
Projections 
FY2024-25 
$105,436 
$105,436 
The bill includes General Fund appropriations to the Department of Health and Human Services of $105,445 in fiscal 
year 2022-23 for one half-time Public Health Educator ill position to manage the program, the ongoing costs for the 
annual education campaign and one-time funding to update the child health surveillance tracking system to 
accommodate the new data. 
LR2144(02) - Fiscal Note - Page 1 of 1