Table 1.

Common Challenges faced by state NBS programs during the COVID-19 Pandemic and Identified Solutions.

Challenge	Identified Solution
Short Staffing (staff furloughs, sick or quarantined staff, staff reassignment)	Identifying essential functions, staggered work schedules, and staff cross-training
Staff Stress	Assist staff to cope in healthy way, frequent virtual team meetings to keep contact with each other during isolation and to address any issues that the team members were facing
Specimen Collection Timing with Early Hospital Discharges	Re-evaluate cut-offs and modifying protocol to collect repeats “as soon as possible”
Courier Pick-up	Work with couriers to determine a new pick-up location
Non-typical health care staff interacting with families regarding newborn screening	Create educational materials
Pilot Study Recruitment	Hybrid recruitment to include both remote and in-person methods
Collection of specimen for follow-up NBS research	Remote sample collection in combination with telehealth visits