reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 1 - Reportable Diseases, Poisonings and Conditions, and Quarantine and Isolation › Rule 641-1.4 - Reporting Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Who is
			 required to report.
a. Communicable
			 and infectious diseases, and poisonings.
(1)
			 Health care providers, hospitals, and clinical laboratories and other health
			 care facilities are required to report cases of reportable diseases, poisonings
			 and conditions. Health care providers and hospitals are exempted from reporting
			 communicable and infectious disease laboratory results and blood lead testing
			 if the health care provider or hospital ensures that the laboratory performing
			 the analysis provides a report containing the required information to the
			 department.
(2) School nurses are
			 required to report suspected cases of a reportable disease, poisoning or
			 condition occurring among the children supervised.
(3) Poison control and poison information
			 centers are required to report inquiries about cases of a reportable disease,
			 poisoning or condition received by them.
(4) Medical examiners are required to report
			 their investigatory findings of any death that was caused by or otherwise
			 involved a reportable disease, poisoning or condition.
(5) Occupational nurses are required to
			 report cases of reportable diseases, poisonings and conditions.
(6) Hospitals, health care providers and
			 clinical laboratories outside the state of Iowa shall immediately report any
			 confirmed or suspected case of a reportable disease, poisoning or condition in
			 an Iowa resident.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 1 - Reportable Diseases, Poisonings and Conditions, and Quarantine and Isolation › Rule 641-1.5 - Investigation of Reportable Diseases

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A health care
			 provider and a public, private, or hospital clinical laboratory will provide
			 the department, local board, or local department with all information necessary
			 to conduct the investigation, including but not limited to medical records;
			 exposure histories; medical histories; contact information; and test results
			 necessary to the investigation, including positive, pending, and negative test
			 results.
(2) Issuance of
			 investigatory subpoenas.
a. The department
			 may, upon the written request of a local board of health, the state public
			 health medical director or the state public health epidemiologist or designee,
			 subpoena records, reports, or any other evidence necessary to conduct a disease
			 investigation. The subpoena will be signed by the department following review
			 and approval of the written request for subpoena.
b. Process to challenge a subpoena. Any
			 person who is aggrieved or adversely affected by compliance with the subpoena
			 and who desires to challenge the subpoena shall follow 441-Chapter
			 7.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 1 - Reportable Diseases, Poisonings and Conditions, and Quarantine and Isolation › Rule 641-1.6 - Isolation and Quarantine

Current through Register Vol. 47, No. 3, July 24, 2024
Isolation and quarantine should be consistent with guidelines
				provided by the Centers for Disease Control and Prevention.
(1)
General provisions.
a.
Voluntary confinement.
Prior to instituting mandatory isolation or quarantine pursuant to this rule,
			 the department or a local board of health may request that an individual or
			 group of individuals voluntarily confine themselves to a private home or other
			 facility.
b.
Quarantine and
			 isolation.
The department and local boards of health are authorized to
			 impose and enforce quarantine and isolation restrictions. Quarantine and
			 isolation shall rarely be imposed by the department or by local boards of
			 health. If a quarantinable disease occurs in Iowa, individuals with a suspected
			 or active quarantinable disease and contacts to the case may be quarantined or
			 isolated as the particular situation requires. Any quarantine or isolation
			 imposed by the department or a local board of health shall be established and
			 enforced in accordance with this rule.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 1 - Reportable Diseases, Poisonings and Conditions, and Quarantine and Isolation › Rule 641-1.7 - Confidentiality

Current through Register Vol. 47, No. 3, July 24, 2024
Reportable disease records and information, with the exception
				of AIDS and HIV records, that identify a person or a business named in a report
				may be disclosed under the following limited circumstances:
(1) By and between department employees and
			 agents who have a need for the record in the performance of their
			 duties.
(2) By and between
			 department employees and agents and local boards of health and local health
			 departments as necessary to conduct disease surveillance and investigation, to
			 the extent necessary to protect the health or life of the named party, or to
			 enforce a department order or an order of a local board of health.
(3) By and between department employees and
			 agents and health care providers, laboratories, and hospitals as necessary to
			 conduct disease surveillance or an investigation, to the extent necessary to
			 protect the health or life of the named party, or to enforce a department order
			 or an order of a local board of health.
(4) By and between department employees and
			 agents and employees and agents of federal, state, and local agencies as
			 necessary to conduct disease surveillance or an investigation or to enforce a
			 department order or an order of a local board of health.
(5) By and between department employees and
			 agents and employees and agents of tribes and tribal public health authorities
			 as necessary to conduct disease surveillance or an investigation or to enforce
			 a department order or an order of a local board of health.
(6) Reportable disease information may be
			 included in an isolation or quarantine order or placard as necessary to prevent
			 the spread of a quarantinable disease.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 1 - Reportable Diseases, Poisonings and Conditions, and Quarantine and Isolation › Rule 641-1.8 - Specimens for Which the Fee Charged by the State Hygienic Laboratory Will Be Waived

Current through Register Vol. 47, No. 3, July 24, 2024
Pursuant to Iowa Code section
				263.8, the state hygienic
				laboratory will waive testing fees for conditions deemed to be of public health
				significance by the department with approval from the state medical director or
				the state epidemiologist. A list of conditions and the criteria for which the
				fee is waived can be found on the HHS website.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 2 - Hepatitis Programs › Rule 641-2.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions shall
				apply:
"Contracted agencies "
means local health
				departments, clinics, and community-based organizations that are funded by the
				department to provide HCV testing and vaccination services.
"Department"
means the Iowa department of
				public health.
"HCV"
means the hepatitis C virus as defined
				by the Centers for Disease Control and Prevention of the United States
				Department of Health and Human Services.
"Viral hepatitis "
means inflammation of the
				liver caused by one of several viruses: hepatitis A, B, C (formerly non-A,
				non-B), D and E.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 2 - Hepatitis Programs › Rule 641-2.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions shall
				apply:
"Contracted agencies"
means local health
				departments, clinics, and community-based organizations that are funded by the
				department to provide HCV testing and vaccination services.
"HCV"
means the hepatitis C virus as defined
				by the Centers for Disease Control and Prevention of the United States
				Department of Health and Human Services.
"HIV"
means the same as defined in Iowa Code
				section 141A.1.
"Viral hepatitis"
means inflammation of the
				liver caused by one of several viruses: hepatitis A, B, C, D, and
				E.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 2 - Hepatitis Programs › Rule 641-2.2 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The purpose of the viral hepatitis program shall be to
				distribute information, offer HCV testing, and offer hepatitis A and B
				vaccinations to the citizens of this state who are at an increased risk of
				viral hepatitis exposure.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 2 - Hepatitis Programs › Rule 641-2.2 - Exposure Risks for Hepatitis C Virus

Current through Register Vol. 47, No. 3, July 24, 2024
The following individuals are at increased risk of exposure to
				HCV as described by the Centers for Disease Control and Prevention of the
				United States Department of Health and Human Services:
1. People living with HIV;
2. People who have ever injected
			 drugs;
3. People with selected
			 medical conditions, including those who ever received maintenance hemodialysis;
4. Recipients of clotting factors
			 made before 1987;
5. Recipients of
			 blood transfusions, blood products, and organ transplants that occurred before
			 1992;
6. Health care, emergency
			 medical, and public safety personnel after needle sticks, sharps, or mucosal
			 exposures to HCV-positive blood; and
7. Infants born to mothers living with
			 HCV.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 2 - Hepatitis Programs › Rule 641-2.3 - Exposure Risks for Hepatitis C Virus

Current through Register Vol. 47, No. 3, July 24, 2024
The following individuals are at increased risk of exposure to
				HCV as outlined by the Centers for Disease Control and Prevention of the United
				States Department of Health and Human Services.
(1) The following individuals are at high
			 risk of infection:
a. Injection drug users
			 (IDUs);
b. Recipients of clotting
			 factors made before 1987; and
c.
			 Hemodialysis patients.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 2 - Hepatitis Programs › Rule 641-2.4 - Information for Public Distribution

Current through Register Vol. 47, No. 3, July 24, 2024
The department shall make available educational materials to
				the public on hepatitis C infection, how to avoid transmitting the virus, and
				where to seek counseling and testing services. The information shall be
				available on the department's Web site at
http://www.idph.state.ia.us/adper/hepatitis.asp
and by mail to HIV/AIDS Hepatitis Program, Lucas State Office Building, 321
				East 12th Street, Des Moines, Iowa 50319.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 2 - Hepatitis Programs › Rule 641-2.4 - Hepatitis Vaccination and Testing Program

Current through Register Vol. 47, No. 3, July 24, 2024
(1) When sufficient state and federal funds
			 are available, the department will maintain a vaccination and testing program.
			 The program shall offer HCV testing and hepatitis A and B vaccinations through
			 local health departments, clinics, and community-based organizations to
			 individuals at an increased risk of exposure to viral hepatitis as described in
			 the Viral Hepatitis Prevention and Testing Services Manual dated December 2023
			 and available on the department's website. Contracted agencies offering testing
			 and vaccination services shall be required to provide integrated HIV, viral
			 hepatitis, and sexually transmitted infection education; pretest and posttest
			 counseling; and referral services.
(2) Contracted agencies shall provide
			 individuals presenting for testing or vaccination services with education
			 explaining viral hepatitis and how to reduce the risk of acquiring
			 it.
(3) Contracted agencies shall
			 provide individuals testing positive for viral hepatitis with information about
			 the diagnosis and treatment options and with a referral list of health care
			 providers to aid in seeking treatment, additional follow-up testing, and other
			 hepatitis-related services.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 2 - Hepatitis Programs › Rule 641-2.5 - Hepatitis Vaccination and Testing Program

Current through Register Vol. 47, No. 3, July 24, 2024
(1) When sufficient state and federal funds
			 are available, the department will establish a vaccination and testing program.
			 The program shall offer HCV testing and hepatitis A and B vaccinations through
			 local health departments, clinics, and commiunity-based organizations to
			 high-risk individuals as defined in 2.5(2) and 2.5(3). Contracted agencies
			 offering testing and vaccination services shall be required to provide
			 integrated HIV, viral hepatitis, and sexually transmitted disease education;
			 pretest and posttest counseling; and referral services.
(2) Contracted agencies shall offer HCV
			 testing to the following high-risk individuals:
a. Persons who have ever injected
			 drugs;
b. Injection drug users who
			 share needles or other equipment;
c. Persons who receive blood, blood products,
			 or organ transplants prior to 1992; and
d. Persons ever on long-term
			 hemodialysis.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 2 - Hepatitis Programs › Rule 641-2.9 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions shall
				apply:
"Department"
means the Iowa department of
				public health.
"HCV"
means the hepatitis C virus as defined
				by the Centers for Disease Control and Prevention of the United States
				Department of Health and Human Services.
"Veteran"
means an individual meeting the
				definition contained in Iowa Code section
				35.1.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 2 - Hepatitis Programs › Rule 641-2.10 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The purpose of the hepatitis C awareness program shall be to
				distribute information to veterans regarding the higher incidence of hepatitis
				C exposure and infection among veterans, the dangers presented by the disease,
				and contact information and referrals.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 2 - Hepatitis Programs › Rule 641-2.12 - Awareness Information

Current through Register Vol. 47, No. 3, July 24, 2024
Information distributed by the department shall contain the
				following statements:
(1) HCV
			 infection rates for veterans are estimated to be at least three times higher
			 than the general population.
(2)
			 Vietnam veterans experience a higher HCV infection rate than other veteran
			 groups.
(3) Exposure to blood
			 during combat and combat-related medical services poses a risk for HCV
			 infection.
(4) Many veterans
			 currently infected with HCV may have been exposed prior to the development of
			 screening tests.
(5) Symptoms and
			 liver complications associated with chronic hepatitis infection may not appear
			 for decades after initial infection.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.2 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The overall purpose of this chapter is to establish
				administrative rules in accordance with Iowa Code section
				135.131
				relative to the following:
1.
			 Universal hearing screening of all newborns and infants in Iowa.
2. Facilitating the transfer of data to the
			 department to enhance the capacity of agencies and practitioners to provide
			 services to children and their families.
3. Establishing procedures for infants who
			 were not screened or do not pass their initial hearing screening to receive
			 appropriate follow-up to determine if the infants have normal hearing or have
			 hearing loss.
4. Establishing the
			 procedure for distribution of funds to support the purchase of hearing aids and
			 audiologic services for children.
5. Establishing the procedure for
			 documentation of parent refusal of newborn testing for congenital
			 cytomegalovirus.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.3 - Goal and Outcomes

Current through Register Vol. 47, No. 3, July 24, 2024
The goal of universal hearing screening of all newborns and
				infants in Iowa is early detection of hearing loss to allow children and their
				families the earliest possible opportunity to obtain appropriate early
				intervention services.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.4 - Program Components

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The
			 EHDI coordinator assigned within the department provides administrative
			 oversight, including follow-up activities, for the EHDI program within Iowa.
(2) The EHDI advisory committee
			 represents the interests of the people of Iowa and assists in the development
			 of programming that ensures the availability and access to quality hearing
			 health care for Iowa children.
(3)
			 The EHDI program has an association with the Iowa Title V maternal and child
			 health programs to promote comprehensive services for infants and children with
			 special health care needs.
(4) The
			 EHDI program provides hearing screening surveillance and follow-up for infants
			 and children under the age of three. Follow-up may include:
a. Contact with the parent or legal guardian
			 of an infant who was not screened or does not pass the initial hearing
			 screening, outpatient hearing screening or diagnostic audiologic
			 assessment.
b. Contact with the
			 infant's primary care provider to ensure the infant receives appropriate
			 follow-up no later than the recommended time line as outlined in the Joint
			 Committee on Infant Hearing position statement at
www.jcih.org.
c. Contact with the birthing hospital or
			 health care professional for inquiries on missing results, data entry
			 discrepancies and recommendations for additional referrals.
d. Referrals to family support or early
			 intervention service providers for infants or toddlers diagnosed with a hearing
			 loss.
e. Technical assistance to
			 birthing facilities, primary care providers and health care professionals
			 regarding best practices related to newborn hearing screening, diagnosis and
			 follow-up best practices.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.5 - Screening the Hearing of All Newborns

Current through Register Vol. 47, No. 3, July 24, 2024
All newborns and infants bom in Iowa, except those bom with a
				condition that is incompatible with life, shall be screened for hearing loss.
				The person required to perform the screening shall use at least one of the
				following procedures:
1. Automated or
			 screening auditory brainstem response, or
2. Evoked otoacoustic emissions.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.6 - Procedures Required of Birthing Hospitals

Current through Register Vol. 47, No. 3, July 24, 2024
Each birthing hospital in Iowa shall follow these
				procedures:
(1) Each birthing hospital
			 shall designate an employee of the hospital to be responsible for the newborn
			 hearing screening program in that institution. If a birthing hospital contracts
			 with a third party for newborn screening services, the hospital retains
			 ultimate responsibility for screening and reporting.
(2) Prior to the discharge of the newborn,
			 each birthing hospital shall provide hearing screening to every newborn
			 delivered in the hospital, except in the following circumstances:
a. The newborn is transferred for acute care
			 prior to completion of the hearing screening.
b. The newborn is born with a condition that
			 is incompatible with life.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.7 - Procedures Required of Birth Centers

Current through Register Vol. 47, No. 3, July 24, 2024
Each birth center in Iowa shall follow these procedures:
(1) Each birth center shall designate an
			 employee of the birth center to be responsible for the newborn hearing
			 screening program in that institution.
(2) Prior to discharge of the newborn, each
			 birth center shall refer every newborn delivered in the birth center to a
			 health care professional for a newborn hearing screening. Before discharge of
			 the newborn, the birth center shall arrange an appointment for the newborn
			 hearing screening no more than 15 days from the date of discharge and report
			 the appointment time, date and location to the parent.
(3) The health care professional to whom the
			 newborn is referred for screening shall complete the screening within 30 days
			 of the newborn's discharge from the birth center, unless the parent fails to
			 attend the appointment. If the parent fails to attend the appointment, the
			 health care professional shall document such failure in the medical or
			 educational record and shall report such failure to the department.
(4) The health care professional who
			 completes the newborn hearing screening shall report screening results to the
			 parent in written form.
(5) The
			 health care professional who completes the newborn hearing screening shall
			 report screening results to the department pursuant to
			 641-3.9
			 (135).
(6) The health care
			 professional who completes the newborn hearing screening shall report the
			 results of the hearing screening to the primary care provider of the newborn or
			 infant.
(7) The person who
			 completes the screening shall follow the hearing screening protocols prescribed
			 by the department.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.8 - Procedures to Ensure That Children Born in Locations Other Than a Birth Center or Birthing Hospital Receive a Hearing Screening

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The primary care provider who undertakes
			 primary pediatric care of a newborn delivered in a location other than a
			 birthing hospital or birth center shall refer the newborn to a health care
			 professional for completion of the newborn hearing screening no later than one
			 month of age. The health care professional shall arrange an appointment for the
			 newborn hearing screening and report to the parent the appointment time, date,
			 and location.
(2) The health care
			 professional who completes the newborn hearing screening shall report screening
			 results to the parent in written form.
(3) The health care professional who
			 completes the newborn hearing screening shall report screening results to the
			 department pursuant to
			 641-3.9
			 (135). If the parent fails to attend the appointment, the facility shall
			 document such failure in the medical or educational record and shall report
			 such failure to the department.
(4) The health care professional who
			 completes the newborn hearing screening shall report the results of the hearing
			 screening to the primary care provider of the newborn or infant.
(5) The person who completes the newborn
			 hearing screening shall follow the hearing screening protocols prescribed by
			 the department.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.9 - Reporting Hearing Screening Results and Information to the Department and Child's Primary Care Provider

Current through Register Vol. 47, No. 3, July 24, 2024
Any birthing hospital, birth center, physician, audiologist or
				other health care professional required to report information pursuant to Iowa
				Code section
				135.131
				shall report all of the following information to the department relating to
				each newborn's hearing screening within six working days of the birth of the
				newborn and within six working days of any hearing rescreen, utilizing the
				department's designated reporting system.
(1) The name, date of birth, and gender of
			 the newborn.
(2) The name,
			 address, and telephone number, if available, of the mother of the newborn. If
			 the mother is not the person designated as legally responsible for the child's
			 care, the name, address, and telephone number of the parent, as defined in
			 641-3.1 (135), shall
			 be reported.
(3) The name of the
			 primary care provider for the newborn upon the newborn's discharge from the
			 birthing hospital or birth center.
(4) The results of the newborn hearing
			 screening, either "pass," "refer," or "not screened," for each ear
			 separately.
(5) The results of any
			 rescreening, either "pass" or "refer," and the diagnostic audiologic assessment
			 procedures used for each ear separately.
(6) Known risk indicators for hearing loss of
			 the infant or child.
(7) If the
			 parent fails to attend the appointment, the facility shall document such
			 failure in the medical or educational record and shall report such failure to
			 the department.
(8) The person who
			 completes the newborn hearing screening shall report the results of the hearing
			 screening to the primary care provider of the infant or child.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.10 - Conducting and Reporting Screening Results and Diagnostic Audiologic Assessments to the Department and Child's Primary Care Provider

Current through Register Vol. 47, No. 3, July 24, 2024
Any health care professional conducting newborn hearing
				screens, rescreens, or diagnostic audiologic assessments shall report the
				results within six working days for any child under three years of age to the
				department utilizing the department's designated reporting system. The health
				care professional shall conduct the diagnostic hearing assessment in accordance
				with the Pediatric Audiologic Diagnostic Protocol prescribed by the department
				at
www.idph.iowa.gov
. Results of a
				hearing screen, rescreen or diagnostic audiologic assessment shall be reported
				as follows.
(1) Reports shall include:
a. The name, date of birth, and gender of the
			 child.
b. The name, address, and
			 telephone number, if available, of the mother of the child. If the mother is
			 not the person designated as legally responsible for the child's care, the
			 name, address, and telephone number of the parent, as defined in
			 641-3.1 (135), shall
			 be reported.
c. The name of the
			 primary care provider for the child.
d. Known risk indicators for hearing
			 loss.
e. The date the child is fit
			 with a hearing aid(s) or a cochlear implant(s), if applicable.
f. The date of referral to early
			 intervention, if applicable.
g. The
			 date of referral to family support, if applicable.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.11 - Congenital Cytomegalovirus (cCMV) Testing for Newborns Who Do Not Pass the Initial Newborn Hearing Screening

Current through Register Vol. 47, No. 3, July 24, 2024
If the newborn hearing screen indicates potential hearing loss,
				as evidenced when a newborn does not pass the initial newborn hearing
				screening, the birthing hospital, birth center, physician, or other health care
				professional required to ensure that the hearing screening is performed shall
				do the following:
(1) Test the newborn
			 or ensure that the newborn is tested for cCMV before the newborn is 21 days of
			 age.
(2) Provide information to the
			 parent of the newborn regarding the birth defects caused by cCMV and early
			 intervention and treatment resources and services available for children
			 diagnosed with cCMV.
(3) If a
			 parent objects to the testing, follow the procedures in
			 641-3.13 (135).
This rule is intended to implement Iowa Code sections
				135.131(9)
"a"
and 136A.5B.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.12 - Sharing of Information and Confidentiality

Current through Register Vol. 47, No. 3, July 24, 2024
Reports, records, and other information collected by or
				provided to the department relating to a child's newborn hearing screening,
				rescreen, diagnostic audiologic assessment, and early intervention enrollment
				are confidential records pursuant to Iowa Code section
				22.7.
(1) Personnel of the department shall
			 maintain the confidentiality of all information and records used in the review
			 and analysis of newborn hearing screenings, rescreens, diagnostic audiologic
			 assessments, and early intervention enrollment, including information which is
			 confidential under Iowa Code chapter 22 or any other provisions of state
			 law.
(2) No individual or
			 organization providing information to the department in accordance with this
			 rule shall be deemed to be or held liable for divulging confidential
			 information.
(3) The department
			 shall not release confidential information except to the following persons and
			 entities under the following conditions:
a.
			 The parent or guardian of an infant or child for whom the report is
			 made.
b. A local birth-to-three
			 coordinator with the Early ACCESS program or an agency under contract with the
			 department to administer the children with special health care needs
			 program.
c. A health care
			 professional or primary care provider.
d. A representative of a federal or state
			 agency, to the extent that the information is necessary to perform a legally
			 authorized function of that agency.
e. A representative of a state agency, or an
			 entity bound by that state, to the extent that the information is necessary to
			 perform newborn hearing screening follow-up. The state agency or the entity
			 bound by that state shall be subject to confidentiality regulations that are
			 the same as or more stringent than those in the state of Iowa. The state agency
			 or the entity bound by that state shall not use the information obtained from
			 the department to market services to patients or nonpatients or identify
			 patients for any purposes other than those expressly provided in this
			 rule.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.13 - Procedure to Accommodate Parental Objection

Current through Register Vol. 47, No. 3, July 24, 2024
These rules shall not apply if the parent objects to the
				hearing screening, diagnostic audiologic assessment, or cCMV testing.
(1) If a parent objects to the screening, the
			 birthing hospital, birth center, physician, or other health care professional
			 shall obtain a written refusal from the parent or guardian on the department
			 newborn hearing screening or diagnostic audiologic assessment refusal form and
			 shall maintain the original copy of the written refusal in the newborn's,
			 infant's or child's medical record.
(2) The birthing hospital, birth center,
			 physician, or other health care professional shall send a copy of the written
			 newborn hearing screening or diagnostic audiologic assessment refusal form to
			 the department within six days of the birth of the newborn.
(3) If a parent objects to a hearing rescreen
			 or diagnostic audiologic assessment orally to a department EHDI staff member
			 during follow-up, the staff member shall document the refusal in the
			 department's designated reporting system and mail to the parent or guardian the
			 department newborn hearing screening or diagnostic audiologic assessment
			 refusal form in an attempt to obtain a written refusal to be maintained in the
			 newborn's, infant's or child's medical record.
(4) If a parent objects to cCMV testing, the
			 birthing hospital, birth center, physician, or other health care professional
			 required to ensure cCMV testing shall obtain, on the department cCMV testing
			 refusal form, a written refusal from the parent or guardian, shall maintain the
			 original copy of the written refusal in the child's medical record, and shall
			 send a copy of the written refusal to the department within 21 days of the
			 child's birth.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.14 - Civil/criminal Liability

Current through Register Vol. 47, No. 3, July 24, 2024
A person who acts in good faith in complying with these rules
				shall not be held civilly or criminally liable for reporting the information
				required.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.15 - Early Hearing Detection and Intervention Advisory Committee

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Membership.
The
			 membership of the advisory committee shall be geographically representative of
			 stakeholders with an interest in and concern for newborn hearing screening and
			 follow-up. The advisory committee shall be appointed by the department director
			 and consist of no more than 25 members and include the state EHDI coordinator.
			 The EHDI coordinator will assist in facilitation of committee meetings.
			 Membership will include a minimum of one representative from each of the
			 following areas:
a. Advocate (e.g., office of
			 deaf services).
b.
			 Audiology.
c. Children with special
			 health care needs program.
d.
			 Deaf/hard-of-hearing community.
e.
			 Early intervention services.
f.
			 Ears, nose and throat specialist/otolaryngologists.
g. Family support.
h. Iowa Hospital Association or
			 designee.
i. Hospitals (preferably
			 hearing screening coordinator).
j.
			 Parent(s) of deaf or hard-of-hearing child.
k. Family practice physician.
l. Pediatrician.
m. Representation from a state agency that is
			 not the department.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.17 - Eligibility Criteria

Current through Register Vol. 47, No. 3, July 24, 2024
The enrollment process to determine eligibility for services
				under this program includes the following requirements:
(1) Age. Individuals are eligible from birth
			 through 20 years of age.
(2)
			 Residency. Individuals must currently reside in Iowa.
(3) The applicant must not be eligible for
			 hearing aids or audiologic services under Title XIX or HAWK-I.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.18 - Covered Services

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
			 Funding does not cover either the surgical costs associated with a cochlear or
			 Baha implant or the cost of the devices.
(2) Funding does not pay for services covered
			 by insurance.
(3) The following
			 hearing aids and audiologic services may be provided through the hearing aids
			 and audiologic services funding program:
1.
			 Repair/modification of hearing aid
2. Hearing aid, monaural, behind the
			 ear
3. Hearing aid dispensing fee,
			 monaural
4. Hearing aid, binaural,
			 in the ear
5. Hearing aid,
			 binaural, behind the ear
6. Hearing
			 aid dispensing fee, binaural
7.
			 Hearing aid, bicros, glasses
8. Ear
			 mold/insert, not disposable, any type
9. Battery for use in hearing aid
10. Hearing aid supplies,
			 accessories
11. Assistive listening
			 device, not otherwise specified
12.
			 Assistive listening device, dispensing
13. Service handling charge
14. Service charge, ear mold
15. Annual charge, ear mold
16. Pure tone audiometry, air only
17. Pure tone audiometry, air and speech
			 audiometry threshold
18. Speech
			 audiometry threshold
19. Speech
			 audiometry threshold with speech
20. Comprehensive audiometry threshold
			 evaluation
21. Tympanometry
			 (impedance testing)
22.
			 Conditioning play audiometry
23.
			 Auditory-evoked potentials for evoked response audiometry,
			 comprehensive
24. Auditory-evoked
			 potentials for evoked response audiometry, limited
25. Visual reinforcement audiometry
26. Evoked otoacoustic emissions,
			 limited
27. Hearing aid examination
			 and selection, monaural
28. Hearing
			 aid examination and selection, binaural
29. Hearing aid check, monaural
30. Hearing aid check, binaural
31. Electroacoustic evaluation for hearing
			 aid, monaural
32. Electroacoustic
			 evaluation for hearing aid, binaural
33. Office/outpatient visit related to
			 audiologic services
34.
			 Consultations related to audiologic services
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.19 - Application Procedures

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A
			 child, or the parent or guardian of a child, desiring hearing aids or
			 audiologic services may apply to the contractor.
(2) The following information shall be
			 provided to the contractor by the applicant to be considered for eligibility
			 under this program:
a. Patient's first name,
			 middle initial and last name.
b.
			 Patient's date of birth.
c.
			 Patient's address, including city, state and ZIP code.
d. Parent/guardian's first name, middle
			 initial and last name.
e.
			 Parent/guardian's telephone number.
f. Parent/guardian's E-mail
			 address.
g. Parent/guardian's or
			 child's medical insurance plan coverage.
h. Hearing aid/audiologic service provider
			 name and telephone number.
i.
			 Whether the request is for hearing aids or audiologic services or
			 both.
j. Estimated service
			 costs.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.20 - Hearing Aids and Audiologic Services Funding Wait List

Current through Register Vol. 47, No. 3, July 24, 2024
(1) If an applicant is eligible for hearing
			 aid and audiologic services funding and sufficient funds are available to
			 provide services to the applicant, the contractor shall enroll the applicant
			 upon approval by the department. If the applicant is eligible for hearing aid
			 and audiologic services funding and sufficient funds are not available to
			 provide services to the applicant, the contractor upon approval by the
			 department shall place the applicant's name on the hearing aid and audiologic
			 services funding wait list in the order provided for in this rule.
(2) The contractor, upon approval by the
			 department, shall place names on the wait list in the following order:
a. Applicants under the age of three
			 diagnosed with a hearing loss who are in need of hearing aids.
b. Applicants in need of hearing aids or
			 audiologic services.
c. All other
			 applicants, who shall be placed on the wait list in chronological order based
			 upon the date of receipt of a completed application by the contractor upon
			 approval by the department.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.21 - Reimbursement of Providers

Current through Register Vol. 47, No. 3, July 24, 2024
(1) To
			 receive reimbursement for hearing aids and audiologic services, the provider
			 must complete a provider information sheet and 1-9 form provided by the
			 department.
(2) The provider must
			 be a Title XIX provider.
(3)
			 Reimbursement of hearing aids and audiologic services will be paid directly to
			 the provider based on Title XIX reimbursement rates.
a. Bills will be adjusted accordingly by the
			 department prior to payment.
b.
			 Reimbursement for hearing aids or supplemental hearing devices includes the
			 costs of shipping and handling.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.22 - Appeals

Current through Register Vol. 47, No. 3, July 24, 2024
The department shall cause an applicant to be notified of the
				department's decision to approve or deny an application or to place an
				applicant on the child hearing aids and audiologic services wait list. In the
				event an applicant is dissatisfied with the department's decision, the
				applicant may submit a formal appeal in writing to the EHDI advisory committee.
				Such request shall be delivered in person or shall be mailed by certified mail,
				return receipt requested, to EHDI Advisory Committee, Iowa Department of Public
				Health, Lucas State Office Building, 321 E. 12th Street, Des Moines, Iowa
				50319. Upon receipt of such an appeal, the EHDI advisory committee shall review
				the case and issue a written determination within 15 days of receipt of the
				request. The decision shall refer to the applicant by initials or other
				nonidentifying means. The EHDI advisory committee's decision shall be final and
				binding. This appeal process does not constitute a contested case proceeding as
				defined in Iowa Code chapter 17A.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 4 - Center for Congenital and Inherited Disorders › Rule 641-4.1 - Program Overview

Current through Register Vol. 47, No. 3, July 24, 2024
The center for congenital and inherited disorders within the
				department of public health provides administrative oversight to the following:
				Iowa newborn screening program, Iowa maternal prenatal screening program,
				regional genetic consultation service, neuromuscular and related genetic
				disease program, Iowa registry for congenital and inherited disorders, and Iowa
				early hearing detection and intervention program.
(1)
Advisory committee.
The
			 center for congenital and inherited disorders advisory committee represents the
			 interests of the people of Iowa and assists in the development of programs that
			 ensure the availability of and access to quality genetic and genomic health
			 care services by all residents. The advisory committee advises the director of
			 the department of public health regarding issues related to genetics and
			 hereditary and congenital disorders and makes recommendations about the design
			 and implementation of the center's programs.
(2)
Genetics coordinator.
The state genetics coordinator assigned within the department provides
			 administrative oversight to the center for congenital and inherited disorders
			 program within Iowa.
(3)
Title V.
The center for congenital and inherited disorders has
			 an association with the state Title V maternal child health program to promote
			 comprehensive services for women, infants and children.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 4 - Center for Congenital and Inherited Disorders › Rule 641-4.3 - Iowa Newborn Screening Program (INSP)

Current through Register Vol. 47, No. 3, July 24, 2024
This program provides comprehensive newborn screening services
				for hereditary and congenital disorders for the state.
(1)
Newborn screening
			 policy.
a. All newborns and infants
			 born in the state of Iowa shall be screened for all congenital and inherited
			 disorders on the Iowa newborn screening panel as specified by the
			 center.
b. As new disorders are
			 recognized and new technologies and tests become available, the center shall
			 follow protocols developed by the department in regard to the addition of
			 disorders to or the deletion of disorders from the screening panel.
c. The center may monitor individuals
			 identified as having a genetic or metabolic disorder for the purpose of
			 conducting public health surveillance or intervention and for determining
			 whether early detection, treatment, and counseling lead to the amelioration or
			 avoidance of the adverse outcomes of the disorder. Birthing facilities and
			 health care providers shall provide patient data and records to the center upon
			 request to facilitate the monitoring. Any identifying information provided to
			 the center shall remain confidential pursuant to Iowa Code section
			 22.7(2).
d. For purposes of newborn screening, the
			 department shall collect newborn screening specimens and data, test the
			 specimens for disorders on the universal screening panel, conduct follow-up on
			 abnormal screening results, conduct quality improvement and quality assurance
			 activities, and store specimens for a time period determined by policies
			 established by the CIDAC and the department.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 4 - Center for Congenital and Inherited Disorders › Rule 641-4.4 - Iowa Maternal Prenatal Screening Program (IMPSP)

Current through Register Vol. 47, No. 3, July 24, 2024
This program provides comprehensive maternal prenatal
				screening services for the state.
(1)
Maternal screening policy.
It shall be the policy of the state
			 of Iowa that all pregnant women are offered maternal prenatal screening. The
			 Iowa maternal prenatal screening program provides a risk assessment for open
			 neural tube defects, ventral wall defects, Down syndrome, and Trisomy 18.
a. If a patient desires this screening test,
			 her health care provider shall direct that a specimen be drawn and submitted to
			 the SHL.
b. As new technologies and
			 tests become available, the center shall follow protocols developed by the
			 department with regard to the addition of disorders to or the deletion of
			 disorders from the screening program.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 4 - Center for Congenital and Inherited Disorders › Rule 641-4.5 - Regional Genetic Consultation Service (RGCS)

Current through Register Vol. 47, No. 3, July 24, 2024
This program provides comprehensive genetic and genomic
				services statewide through outreach clinics.
(1)
Provision of comprehensive
			 genetic and genomic services.
The department shall contract with the
			 division of medical genetics within the department of pediatrics at the
			 University of Iowa to provide genetic and genomic health care and education
			 outreach services for individuals and families within Iowa. The contractor
			 shall provide annual reports to the department as specified in the
			 contract.
(2)
Clinical
			 services.
The services provided may include, but are not limited to:
			 diagnostic evaluations, confirmatory testing, consultation by board-certified
			 geneticists, genetic counseling, medical case management, and referral to
			 appropriate agencies.
(3) The
			 University of Iowa Hospitals and Clinics under the control of the state board
			 of regents shall not receive indirect costs from state funds appropriated for
			 this program.