C.R.S. Section 25-4-1004
Newborn screening

  • rules

(1)

Intentionally left blank —Ed.

(a)

Repealed.

(b)

Infants born in the state of Colorado shall be tested for the following conditions: Phenylketonuria, hypothyroidism, abnormal hemoglobins, galactosemia, cystic fibrosis, biotinidase deficiency, and such other conditions as the state board may determine meet the criteria set forth in subsection (1)(c) of this section. The birthing facility where the infant is born shall forward all appropriate specimens to the laboratory operated or designated by the department. The physician, nurse, midwife, or other health professional attending a birth outside a birthing facility is responsible for collecting and forwarding the specimens. The laboratory shall forward the results of the testing directly to the physician, primary care provider, or other health-care provider as needed for the provision of such information to the parent, parents, or guardians of the child. The results of any testing or follow-up testing pursuant to section 25-4-1004.5 may be sent to the immunization tracking system authorized by section 25-4-2403 and accessed by the physician or other primary health-care provider. The state board may discontinue testing for any condition listed in this subsection (1)(b) if, upon consideration of criteria set forth in subsection (1)(c) of this section, the state board finds that the public health is better served by not testing infants for that condition. Testing under this subsection (1)(b) is not required if the parent or legal guardian objects.

(c)

The state board shall use the following criteria to determine whether to test infants for conditions that are not specifically enumerated in this subsection (1):

(I)

The condition for which the test is designed presents a significant danger to the health of the infant or his family and is amenable to treatment;

(II)

The incidence of the condition is sufficiently high to warrant screening;

(III)

The test meets commonly accepted clinical standards of reliability, as demonstrated through research or use in another state or jurisdiction; and

(IV)

The cost-benefit consequences of screening are acceptable within the context of the total newborn screening program.

(1.5)

If the department deems that new conditions for which an infant must be tested should be added, the department shall report the added conditions to the general assembly during its presentation in accordance with the “State Measurement for Accountable, Responsive, and Transparent (SMART) Government Act”, part 2 of article 7 of title 2. The department shall also notify the joint budget committee and the health and human services committee of the senate and the health, insurance, and environment committee and the public health care and human services committee of the house of representatives, or their successor committees, within sixty days after the department recommends a new condition and include the added conditions in the department’s annual budget request submitted to the general assembly each November 1.

(2)

The executive director of the department of public health and environment shall assess a fee that is sufficient to cover the direct and indirect costs of the testing required by this section and to accomplish the other purposes of this part 10. Birthing facilities may assess a reasonable fee to be charged the parent, parents, or guardians of the infant to cover the costs of handling the specimens, the reimbursement of laboratory costs, and the costs of providing other services, including the connection of follow-up services and care to infants identified as at risk through screening, necessary to implement the purposes of this part 10.

(3)

The state board shall promulgate rules concerning the requirements of the newborn screening program for genetic and metabolic disorders, including:

(a)

In addition to those conditions listed in subsection (1)(b) of this section, any other conditions for which testing must occur;

(b)

Obtaining samples or specimens from newborn infants required for the tests prescribed by the state board; and

(c)

The handling and delivery of samples or specimens for testing and examination.

Source: Section 25-4-1004 — Newborn screening - rules, https://leg.­colorado.­gov/sites/default/files/images/olls/crs2023-title-25.­pdf (accessed Oct. 20, 2023).

25‑4‑101
Premises sanitation - food defined 25‑4‑102
Sanitary regulations 25‑4‑103
Construction requirements 25‑4‑104
Protection from dirt 25‑4‑105
Toilet rooms and lavatories 25‑4‑106
Nuisances - petty offense 25‑4‑107
Rooms not used for sleeping 25‑4‑108
Work by persons with contagious diseases - forbidden 25‑4‑109
Enforcement 25‑4‑110
Prosecutions - disposition of fines 25‑4‑111
Penalty 25‑4‑112
Rules 25‑4‑201
Pregnant woman to take blood test 25‑4‑203
Birth certificate - blood test 25‑4‑204
Penalty 25‑4‑205
District attorneys to prosecute 25‑4‑301
Inflammation of eyes 25‑4‑401
Legislative declaration 25‑4‑402
Definitions 25‑4‑403
Eligibility - nondiscrimination 25‑4‑404
Rules 25‑4‑405
Reporting requirements - immunity 25‑4‑406
Reports - confidentiality 25‑4‑407
Reporting requirements - research exemption 25‑4‑408
Infection control - duties 25‑4‑409
Minors - treatment - consent 25‑4‑410
Patient consent - rights of patients, victims, and pregnant women 25‑4‑411
Confidential counseling and testing sites - legislative declaration 25‑4‑412
Public safety - public health procedures - orders for compliance - petitions - hearings 25‑4‑413
Emergency public health procedures - injunctions 25‑4‑414
Penalties 25‑4‑500.3
Definitions 25‑4‑501
Tuberculosis declared to be an infectious and communicable disease 25‑4‑502
Tuberculosis to be reported 25‑4‑506
Investigation and examination of suspected or known tuberculosis cases 25‑4‑507
Isolation order - enforcement - court review 25‑4‑508
Inspection of records 25‑4‑509
Violations - penalty 25‑4‑510
Jurisdiction 25‑4‑511
Duties of board of health and department - confidentiality of records - rules 25‑4‑512
Nondiscrimination in the provision of general services 25‑4‑513
Funding 25‑4‑601
Definitions 25‑4‑602
Notice to health department or officer if animal affected or suspected of being affected by rabies 25‑4‑603
Report of person bitten by animal to health department or health officer 25‑4‑604
Animal attacking or biting person to be confined - examination 25‑4‑605
Animals bitten by animals known or suspected of having rabies to be confined 25‑4‑606
Animals to be confined to prevent spread of rabies 25‑4‑607
Order of board of health requiring inoculation of animals - veterinarian waiver of order 25‑4‑608
Notice of order requiring inoculation of animals 25‑4‑609
Effect of order requiring inoculation of animals 25‑4‑610
Uninoculated animals not to run at large - impounding and disposition of animals 25‑4‑611
Report to state department 25‑4‑612
Enforcement of part 6 25‑4‑613
Liability for accident or subsequent disease from inoculation 25‑4‑614
Penalties 25‑4‑615
Further municipal restrictions not prohibited 25‑4‑701
Definitions 25‑4‑702
Board to establish rules - department to administer 25‑4‑709
Quarantine 25‑4‑710
Right of entry - inspections 25‑4‑712
Unlawful acts 25‑4‑713
Penalty for violations 25‑4‑901
Definitions 25‑4‑902
Immunization prior to attending school - standardized immunization information 25‑4‑902.5
Immunization prior to attending a college or university - tuberculosis screening process development 25‑4‑903
Exemptions from immunization - rules 25‑4‑904
Rules - immunization rules - rule-making authority of state board of health 25‑4‑904.5
Annual alignment evaluation 25‑4‑905
Immunization of indigent children 25‑4‑906
Certificate of immunization - forms 25‑4‑907
Noncompliance 25‑4‑908
When exemption from immunization not recognized 25‑4‑909
Vaccine-related injury or death - limitations on liability 25‑4‑910
Immunization data collection 25‑4‑911
Vaccinated children standard - legislative declaration 25‑4‑912
Confidentiality 25‑4‑1001
Short title 25‑4‑1002
Legislative declaration 25‑4‑1002.5
Definitions 25‑4‑1003
Powers and duties of executive director - newborn screening programs - genetic counseling and education programs - rules 25‑4‑1004
Newborn screening - rules 25‑4‑1004.3
Newborn heart defect screening - pulse oximetry - rules - definition 25‑4‑1004.5
Follow-up testing and treatment - second screening - fee - rules 25‑4‑1004.7
Newborn hearing screening - advisory committee - report - rules 25‑4‑1005
Exceptions 25‑4‑1006
Cash funds 25‑4‑1201
Powers and duties of executive director 25‑4‑1202
Streptococcus cash fund 25‑4‑1301
Legislative declaration 25‑4‑1302
Definitions 25‑4‑1303
Labeling - product modules - take-home containers 25‑4‑1304
Bulk food protection 25‑4‑1305
Bulk food display 25‑4‑1306
Dispensing utensils 25‑4‑1307
Materials 25‑4‑1308
Food-contact surfaces 25‑4‑1309
Non-food-contact surfaces 25‑4‑1310
Accessibility 25‑4‑1311
Equipment sanitization 25‑4‑1312
Violation - penalty 25‑4‑1313
Rules and regulations 25‑4‑1314
Limitation 25‑4‑1401
Drug assistance program - program fund - HIV medications rebate fund - created - legislative declaration - no entitlement created 25‑4‑1402
Definitions 25‑4‑1403
Colorado HIV and AIDS prevention grant program 25‑4‑1404
Grant program - rules - conflict of interest 25‑4‑1405
AIDS and HIV prevention fund - administration - limitation 25‑4‑1501
Legislative declaration 25‑4‑1502
Definitions 25‑4‑1503
Fund created 25‑4‑1504
Allocation of fund 25‑4‑1505
Powers and duties of department and advisory board 25‑4‑1601
Legislative declaration 25‑4‑1602
Definitions 25‑4‑1603
Licensing, certification, and food protection agency 25‑4‑1604
Powers and duties of department - rules 25‑4‑1605
Submission of plans for approval - required 25‑4‑1606
Licensure - exception 25‑4‑1607
Fees 25‑4‑1607.5
Retail food establishment regulation - fees - investigations - stakeholder process 25‑4‑1607.7
Health inspection results - development of a uniform system - communication to the public 25‑4‑1607.9
Department targets - audits - reporting 25‑4‑1608
Food protection cash fund - creation 25‑4‑1609.5
Grievance process 25‑4‑1610
Unlawful acts 25‑4‑1611.5
Violations - penalties - review 25‑4‑1612
Judicial review 25‑4‑1614
Home kitchens - exemption - food inspection - short title - definitions - rules 25‑4‑1615
Pet dogs in retail food establishments - prohibited - exceptions 25‑4‑1616
Food donations to nonprofit organizations encouraged 25‑4‑1617
Animal shares and meat sales by farmers and ranchers - short title - definitions 25‑4‑1701
Short title 25‑4‑1702
Legislative declaration 25‑4‑1703
Definitions 25‑4‑1704
Infant immunization program - delegation of authority to immunize minor 25‑4‑1705
Department of public health and environment - powers and duties - rules 25‑4‑1706
Infant immunization program - eligibility 25‑4‑1707
Moneys targeted for medical assistance for infants - reimbursement 25‑4‑1708
Fund created 25‑4‑1709
Limitations on liability 25‑4‑1801
Short title 25‑4‑1802
Legislative declaration 25‑4‑1803
Definitions 25‑4‑1804
Department designated as certifying and inspecting agency 25‑4‑1805
Powers and duties of department - rules 25‑4‑1806
Shellfish dealers - certificate required - application - fees 25‑4‑1807
Record-keeping requirements 25‑4‑1808
Unlawful acts 25‑4‑1809
Inspections - investigations - access - subpoena 25‑4‑1810
Enforcement 25‑4‑1811
Disciplinary actions - denial of certification 25‑4‑1812
Civil penalties 25‑4‑1813
Criminal penalties 25‑4‑1901
Short title 25‑4‑1902
Definitions 25‑4‑1903
Gulf war syndrome registry - creation - reporting 25‑4‑1905
Confidentiality of information collected 25‑4‑1906
Gulf war syndrome registry fund 25‑4‑2001
Short title 25‑4‑2002
Legislative declaration 25‑4‑2003
Definitions 25‑4‑2004
Powers and duties of executive director - hepatitis C program 25‑4‑2005
Hepatitis C testing - recommendations - definitions 25‑4‑2101
Powers and duties of department - rules 25‑4‑2102
Penalties for violations 25‑4‑2103
Parental consent for minors 25‑4‑2201
Legislative declaration 25‑4‑2202
Definitions 25‑4‑2203
Health disparities and community grant program - rules 25‑4‑2204
Office of health equity - creation 25‑4‑2205
Powers and duties of the office of health equity - rules - working group 25‑4‑2206
Health equity commission - creation - repeal 25‑4‑2208
Necessary document program - report - definition 25‑4‑2209
Culturally relevant and affirming health-care training - health-care providers - grants - definitions 25‑4‑2301
Colorado immunization fund - supplemental tobacco litigation settlement moneys account - creation 25‑4‑2401
Short title 25‑4‑2402
Legislative declaration 25‑4‑2403
Department of public health and environment - powers and duties - immunization tracking system - rules - definitions 25‑4‑2404
Vaccines - access to the public - definitions 25‑4‑2501
Short title 25‑4‑2502
Definitions 25‑4‑2503
Cervical cancer immunization program - rules 25‑4‑2504
Public awareness campaign - fund
Green check means up to date. Up to date

Current through Fall 2024

§ 25-4-1004’s source at colorado​.gov