SB 46 — Eye Care for Newborns and Infants

Florida Senate - 2020 CS for SB 46 By Senatorsthe Farmer,Committee Book,on andHealth BermanPolicy; 32-00052-20 202046__ A bill to be entitled An act relating to eye care for newborns and infants;

and Senators Farmer, Book, Berman, Cruz, Rouson, Hooper, Perry, Powell, Braynon, and Rader 588-03474-20 202046c1 A bill to be entitled An act relating to eye care for newborns and infants;

383.04,383.14, F.S.;

requiring athe certainDepartment eyeof examinationHealth forto newborns;create and make available electronically a pamphlet with specified information;

providing applicability;

383.07,383.318, F.S.;

clarifyingrequiring applicationbirth ofcenters ato criminalprovide penalty;the informational pamphlet to clients during postpartum care;

amending ss.s.

627.6416395.1053, and 641.31, F.S.;

requiring hospitals that coverageprovide forbirthing childrenservices underto healthprovide insurancethe policiesinformational andpamphlet healthto maintenanceparents contractsduring includepostpartum certaineducation; eye examinations for newborns and infants;

creating s.

456.0496, F.S.;

requiring certain health care practitioners to ensure that the pamphlet is provided to parents after a planned out of-hospital birth;

1216 Be It Enacted by the Legislature of the State of Florida:

1418 Section 1. Section1. Paragraph 383.04,(i) Floridais Statutes,added isto amendedsubsection (3) of section 383.14, Florida Statutes, to read:

383.04 Prophylactic383.14 Screening for metabolic disorders, other hereditary and eyecongenital examinationdisorders, requiredand forenvironmental eyesrisk offactors.— newborns;(3) DEPARTMENT OF HEALTH;

exceptionPOWERS infants.—AND (1) TheDUTIES.—The Everydepartment physician,shall midwife,administer orand otherprovide personcertain inservices attendanceto atimplement the birthprovisions of a child in this thesection stateand shallshall: is required to instill or have instilled into the eyes of the newborn baby within 1 hour after birth an effective prophylactic recommended by the Committee on Infectious Diseases of the American Academy of Pediatrics for the prevention of neonatal ophthalmia.

(2) Before(i) Create beingand dischargedmake fromavailable theelectronically hospital, each child born in a hospitalpamphlet inwith thisinformation stateon mustscreening receivefor, anand eyethe examination,treatment usingof, apreventable directinfant ophthalmoscope,and inchildhood whicheye theand newborn’svision pupilsdisorders, areincluding, dilatedbut tonot allowlimited detectionto, ofretinoblastoma pediatric congenital and ocularamblyopia. abnormalities and developmental abnormalities.

3230 ThisAll sectionprovisions does not apply if a parent of thethis newbornsubsection filesmust abe writtencoordinated objection to the instillation of the prophylactic or a written objection to the eye examination with a signed informed consent explaining the risksprovisions associatedand withplans optingestablished outunder ofthis thechapter, eyechapter examination411, toand casesPub. where the parents file with the physician, midwife, or other person in attendance at the birth of a child written objections on account of religious beliefs contrary to the use of drugs.

IfL. such an objection is filed, In such case the physician, midwife, or other person in attendance shall maintain a record that reflects that the instillation or eye examination was not performed such measures were or were not employed and shall attach the thereto any written objection.

SectionNo. 2. Section 383.07, Florida Statutes, is amended to read:

383.07 Penalty99-457. for violation.—Any person who fails to comply with s.

383.04(1)Section or2. Paragraph s.(i) is added to subsection (3) of section 383.318, Florida Statutes, to read:

383.06383.318 Postpartum commitscare thefor provisionsbirth center clients and infants.— (3) The birth center shall provide a postpartum evaluation and followup care that includes all of ss.the following:

383.04-383.06(i) Provision shallof bethe guiltyinformational ofpamphlet aon misdemeanorinfant ofand thechildhood secondeye degree,and punishablevision asdisorders providedcreated inby the department pursuant to s.

775.083.383.14(3)(i).

Section 3. Paragraph3. Section (a)395.1053, of subsection (2) of section 627.6416, Florida Statutes, is amended to read:

627.6416 Coverage395.1053 Postpartum foreducation.—A childhospital healththat supervisionprovides services.—birthing (2) Asservices usedshall inincorporate thisinformation section,on safe sleep practices and the termpossible “childcauses healthof supervisionSudden services”Unexpected meansInfant physician-deliveredDeath orinto physicianthe supervisedhospital’s servicespostpartum thatinstruction include,on atthe acare minimum,of servicesnewborns deliveredand atprovide to each parent the intervalsinformational pamphlet on infant and scopechildhood statedeye inand thisvision section.disorders created by the department pursuant to s.

(a) Child383.14(3)(i). health supervision services must include:

1. PeriodicSection visits4. Section that456.0496, whichFlorida shallStatutes, includeis thecreated takingto ofread: a history, a physical examination, a developmental assessment and anticipatory guidance, and appropriate immunizations and laboratory tests;

and456.0496 Provision 2. Eyeof examinations,information usingto aparents directduring ophthalmoscope,planned atout-of-hospital birthbirths.—A orhealth withincare 2practitioner weeks,who atattends 6an toout-of-hospital 8birth weeksmust ofensure age,that and at 6 to 9 months of age in which the child’sinformational pupilspamphlet areon dilatedinfant toand allowchildhood foreye detectionand ofvision pediatricdisorders congenitalcreated andby ocularthe abnormalitiesdepartment andpursuant developmentalto abnormalities.s.

68383.14(3)(i) Suchis services must and periodic visits shall be provided into accordanceeach withparent prevailingafter medicalsuch standardsa consistentbirth. with the Recommendations for Preventive Pediatric Health Care of the American Academy of Pediatrics.

Section 4. Paragraph (b) of subsection (30) of section 641.31, Florida Statutes, is amended to read:

641.31 Health maintenance contracts.— (30) (b) As used in this subsection, the term “child health supervision services” means physician-delivered or physician supervised services that include, at a minimum, services delivered at the intervals and scope stated in this subsection.

1. Child health supervision services must include:

a. Periodic visits that which shall include the taking of a history, a physical examination, a developmental assessment and anticipatory guidance, and appropriate immunizations and laboratory tests;

and b. Eye examinations, using a direct ophthalmoscope, at birth or within 2 weeks, at 6 to 8 weeks of age, and at 6 to 9 months of age in which the child’s pupils are dilated to allow for detection of pediatric congenital and ocular abnormalities and developmental abnormalities.

2. Such services and periodic visits must shall be provided in accordance with prevailing medical standards consistent with the Recommendations for Preventive Pediatric Health Care of the American Academy of Pediatrics.

3.2. Minimum benefits may be limited to one visit payable to one provider for all of the services provided at each visit cited in this subsection.