<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.52.15.03" title_num="10" subtitle_num="52" chapter_num="15" heading="Pre-Test Information and the Right to Refuse Screening.">
  <paragraph num="A.">
    <text>Before a newborn infant is screened for CCHD, a health care provider shall provide to the newborn infant's parent or guardian an explanation of CCHD screening that includes:</text>
    <paragraph num="(1)">
      <text>Reasons for screening, including:</text>
      <paragraph num="(a)">
        <text>The purpose and benefits of the screening; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The nature, risks, and consequences of not screening for CCHD.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A parent or guardian's right to refuse having the screening performed, including:</text>
      <paragraph num="(a)">
        <text>Explaining any risk involved with the screening; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Providing a reasonable opportunity to refuse the screening.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Refusal of Screening.</text>
    <paragraph num="(1)">
      <text>All newborn infants shall be screened for CCHD unless the parent or guardian refuses the screening.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If a parent or guardian refuses screening, a provider may not perform CCHD screening on the infant.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>When a parent or guardian refuses screening, the birthing facility or nurse midwife shall:</text>
      <paragraph num="(a)">
        <text>Document parent refusal in the medical record; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Enter this information into the web-based system in accordance with Regulation .05 in this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>If the parent or guardian of the newborn infant does not refuse the screening, the birthing facility or nurse midwife shall:</text>
      <paragraph num="(a)">
        <text>Perform screening on the newborn infant; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Follow-up with results in accordance with Regulation .05 of this chapter.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>