TABLE 1. State legislation and regulations for newborn screening for critical congenital heart disease (CCHD) — United States, 2011–2018.

State	Citation	Statute*	Regulation/Guidance†	Actions	Date enacted	Date effective	Date universal screening policy implemented§
Alabama	Ala. Admin. Code 420–10–1	—	X¶	Mandates screening	May 2013	Jun 2013	Jun 21, 2013
Alaska	Alaska Stat § 18.15.205	X¶	—	Mandates screening	Sep 2013	Jan 2014 (Jan 2016 for providers who attend <20 births/yr)	Mar 19, 2014
	Alaska Admin. Code tit. 7, § 27.630 Alaska Admin. Code tit. 7, § 27.635	—	X	Specifies type of provider who is required to perform screen; reporting requirements	Feb 2014	Mar 2014
Arizona	Ariz. Rev. Stat. § 36–694	X¶	—	Mandates screening	Apr 2014	Jul 2014	Jul 1, 2015
	Ariz. Admin. Code § R9–13–202	—	X	Screening and reporting requirement	May 2015	Jul 2015
Arkansas	Ark. Code Ann. § 20–9-13	X¶	—	Mandates screening	Apr 2013	Aug 2013	Jul 1, 2015
California	Cal. Hsc. Code § 124121	X	—	Mandates screening be offered	Sep 2012	Jan 2013	Jul 1, 2013
Colorado	Colo. Rev. Stat. § 25–4-1004.3	X¶	—	Mandates screening in birthing facilities below 7,000 ft. altitude	May 2015	Aug 2015	Jan 1, 2016
	Colo. Rev. Stat. § 12–37–105	X	—	Mandates direct entry midwives perform screen**	Jun 2016	Aug 2016
Connecticut	Conn. Gen. Stat. § 19a-55	X¶	—	Mandates screening	May 2012	Jan 2013	Jan 1, 2013
Delaware	16 Del. Admin. Code § 4107.4	—	X¶	Mandates screening	May 2013	May 2013	May 1, 2013
District of Columbia	D.C. Code § 7–857.02	X¶	—	Mandates screening	Jun 2015	Sep 2015	Sep 7, 2015
Florida	Fla. Admin. Code r. 64C-7.002	—	X¶	Mandates screening	Oct 2014	Oct 2014	Mar 26, 2015
Georgia	Ga. Comp. R. and Regs. 511–5-5-.03	—	X¶	Mandates screening	May 2014	Jun 2014	Jul 1, 2015
Hawaii	Haw. Rev. Stat. § 321–296	X¶	—	Mandates screening	Jul 2015	Jul 2015	Jan 2014
Idaho	Idaho. Admin. Code. r. 16.02.12.301	—	X¶	Mandates screening	Jul 2018	Jul 2018	Jul 1, 2018
Illinois	410 Ill. Comp. Stat. § 240/1.10	X¶	—	Mandates screening	Aug 2013	Aug 2013	Aug 20, 2013
Indiana	Ind. Code § 16–41–17–2	X¶	—	Mandates screening	May 2011	Jan 2012	Jan 1, 2012
Iowa	Iowa Code § 136A.5A	X¶	—	Mandates screening	Jun 2013	Jul 2013	Jan 8, 2015
	Iowa Admin. Code r. 641.4.3	—	X	Screening and reporting requirements	Dec 2014	Jan 2015
Kansas	Kan. Admin. Regs. § 28–4-502	—	X¶	Mandates screening	Feb 2018	Feb 2018	Feb 2018
Kentucky	Ky. Rev. Stat. Ann. § 214.155	X¶	—	Mandates screening	Mar 2013	Jan 2014	Jan 1, 2014
	902 Ky. Admin. Regs. 4:030	—	X	Screening and reporting requirements	Dec 2013	Dec 2013
Louisiana	La. Stat. Ann. § 40:1083.3	X¶	—	Mandates screening	Jun 2013	Aug 2013	Aug 1, 2013
Maine	Me. Stat. tit. 22, § 1532	X¶	—	Mandates screening	Jul 2013	Jul 2013	Oct 9, 2013
	10–144 Me. Code. R. 709	—	X	Screening and reporting requirements	Sep 2015	Sep 2015
Maryland	Md. Code, Health. Law § 13–111	X¶	X	Mandates screening and creates advisory committee to develop implementation recommendations	May 2011	Jul 2011	Sep 1, 2012
	Md. Code Regs. 10. 52.15.01-.08	—	X	Screening and reporting requirements	Oct 2012	Oct 2012 (emergency adoption) Apr 2013 (permanent adoption)
	Md. Code, Bus. and Occ. Law § 8–6C-2	X¶	—	Mandates direct entry midwives** perform screen	May 2015	Jun 2015
Massachusetts	Mass. Gen. Laws ch. 111, § 110C	X¶	—	Mandates screening	Mar 2014	Jun 2014	Jun 2014
	105 Code Mass. Regs. 142.303	—	X	Requires freestanding birth centers to develop screening protocols	Oct 2014	Jan 2015
	105 Code Mass. Regs. 130.616	—	X	Requires hospitals to develop screening protocols	Oct 2014	Jan 2015
Michigan	CCHD mandate letter to hospital administrators (authority under Mich. Comp. Laws § 333.5431)	—	X¶	Mandates screening	Oct 2013	Apr 2014	Apr 1, 2014
Minnesota	Minn. Stat. § 144.1251	X¶	—	Mandates screening	May 2013	Aug 2013	Aug 1, 2013
Mississippi	Miss. Code R. § 15.4.1.1	—	X¶	Mandates screening	Oct 2014	Nov 2014	Jul 1, 2015
Missouri	Mo. Rev. Stat. § 191.334	X¶	—	Mandates screening	Jul 2013	Aug 2013	Jan 1, 2014
Montana	Mont. Admin. R. 37.57.305	—	X¶	Mandates screening	Jun 2014	Jul 2014	Jul 1, 2014
Nebraska	Neb. Rev. Stat. § 71–556	X¶	—	Mandates screening	Jun 2013	Sep 2013	Sep 6, 2013
	181 Neb. Admin. Code 10	—	X	Screening requirements	Aug 2014	Aug 2014
Nevada	Nev. Rev. Stat. § 442.680	X¶	—	Mandates screening	Jun 2013	Jul 2015	Jul 2015
New Hampshire	N.H. Rev. Stat. Ann. § 132:10-aa	X¶	—	Mandates screening	Jun 2012	Aug 2012	Aug 11, 2012
New Jersey	N.J. Rev. Stat. § 26:2–111.4	X¶	—	Mandates screening	Jun 2011	Aug 2011	Aug 31, 2011
	N.J. Code Admin. § 8:43G-19.15	—	X	Reporting requirements	Dec 2013	Jan 2014
New Mexico	N.M. Stat. § 24–1-6	X¶	—	Mandates screening	Mar 2014	May 2014	Jul 1, 2014
New York	N.Y. P.B.H. Law § 2500-A	X¶	—	Mandates screening	Jul 2013	Jan 2014	Jan 27, 2014
North Carolina	N.C. Gen. Stat. § 130A-125	X¶	—	Mandates screening	May 2013	May 2013	Jul 25, 2014
	10 N.C. Admin. Code 43K.0102–0103	—	X	Screening and reporting requirements	Jul 2014	Jul 2014 (temporary effective date) Apr 2015 (permanent effective date)
North Dakota	N.D. Cent. Code § 25–17–06	X¶	—	Mandates screening	Apr 2013	Aug 2013	Aug 2013
Ohio	Ohio Rev. Code § 3701.5010	X¶	—	Mandates screening	Jun 2013	Sep 2013	Oct 1, 2014
	Ohio Admin. Code 3701:54	—	X	Reporting requirements	Jun 2014	Oct 2014
Oklahoma	Okla. Stat. tit. 63, § 1–550.5 Okla. Admin. Code § 310:550	X¶	—	Mandates screenin	Apr 2013	Jul 2013	Jul 1, 2013
	Okla. Admin. Code § 310:550	—	X	Screening and reporting requirements	Jun 2014	Sep 2014
Oregon	Or. Rev. Stat. § 433.318	X¶	—	Mandates screening	Jun 2013	Jun 2013	Mar 1, 2014
	Or. Admin. R. 333–520–0060	—	X	Screening requirements	Dec 2013Jun 2014	Jan 2014 (temporary effective date) Jun 2014 (permanent effective date)
Pennsylvania	42 Pa. B. 7348	—	X	Mandates reporting if screening is performed	Dec 2012	Mar 2013	Sep 2014
	Act of Jul. 2, 2014, P.L. 853, No. 94	X¶	—	Mandates screening	Jul 2014	Sep 2014
Rhode Island	216 R.I. Code R. § 20–05–01	—	X¶	Mandates screening	Aug 2014	Jul 2015	Jul 1, 2015
South Carolina	S.C. Code Ann. § 44–37–70	X¶	—	Mandates screening	Jun 2013	Sep 2013	Sep 11, 2013
	S.C. Code Regs. 61–123	—	X	Screening requirements	Jun 2014	Jun 2014
South Dakota	S.D. Codified Laws §34–24–32	X¶	—	Mandates screening	Mar 2013	Jul 2013	Jul 2013
Tennessee	Tenn. Code Ann. § 68–5-507	X	—	Creates advisory committee to develop screening program	Mar 2012	Jan 2013	May 31, 2013
	Tenn. Comp. R. and Regs. 1200–15–01	—	X¶	Mandates screening	May 2013	May 2013
Texas	Tex. HSC. Code § 33.011	X¶	—	Mandates screening	Jun 2013	Sep 2013	Aug 7, 2014
	Tex. Admin. Code § 37.78-.79	—	X	Screening and reporting requirements	Jul 2014	Aug 2014
Utah	Utah Code § 26–10–6	X¶	—	Mandates screening	Mar 2013	Oct 2014	Oct 1, 2014
Vermont	18 Vt. State. Ann. § 5087	X	—	Requires screening rules be issued	May 2016	Jul 2016	Dec 2016
	13 Vt. Code R. 140 057	—	X¶	Mandates screening	Dec 2016	Dec 2016
Virginia	Va. Code Ann. § 32.1–65.1	X¶	—	Mandates screening	Feb 2014/Mar 2014	Jul 2014	Jan 1, 2015
	12 Va. Admin. Code § 5–71–30/12 Va. Admin. Code § 5–71–210	—	X¶	Screening and reporting requirements	Aug 2016	Oct 2016
Washington	Wash. Rev. Code § 70.83.090	X¶	—	Mandates screening	Apr 2015	Jul 2015	Jul 24, 2015
West Virginia	W. Va. Code § 16–44–2	X¶	—	Mandates screening	Apr 2012	Jun 2012	Sep 1, 2012
Wisconsin	Wis. Stat. § 253.13	X	—	Allows the state’s department of health to add conditions to the state’s screening panel of disorders	Mar 2014	Mar 2014	Jul 3, 2014
	Wis. Admin. Reg. Em. Rule 1410	—	X¶	Mandates screening	Jun 2014	Jul 2014 (emergency effective date)
	Wis. Admin. Code DHS § 115	—	X¶	Mandates screening	Jul 2015	Aug 2015 (permanent effective date)
Wyoming	Wyo. Code R. § 048.0035.1.09072017	—	X¶	Mandates screening	Sep 2017	Sep 2017	Sep 7, 2017

Abbreviation: X = presence of state action.

* Thirty-nine states and the District of Columbia (DC) have enacted legislation related to newborn screening for CCHD; laws in 35 of those states (and the District of Columbia) require screening.

^† Thirty-one states issued regulations related to newborn screening; 15 of those states issued regulations requiring screening.

^§ Implementation date refers to the date on which all birthing hospitals were expected to be screening, which might differ from the date when the health department implemented a screening policy or reporting requirement.

^¶ Mandates CCHD screening of newborns.

** Direct entry midwives are midwives who typically attend home births and who have become credentialed without first becoming a nurse.