#aae? ,,congress  #a/ ,session  ,s4 #feb
  ,,an ,,act  ,to am5d ! ,public ,heal? 
,s]vice ,act to reau?orize a program =  
e>ly detection1 diagnosis1 & treatm5t   
reg>d+ deaf & h>d-(-he>+ newborns1      
infants1 & "y *ildr54  #a4 ,%ort title  
,?is ,act may be cit$ z ! ,e>ly ,he>+   
,detection & ,int]v5tion ,act ( #bjag4  
#b4 ,reau?orization ( program = e>ly    
detection1 diagnosis1 & treatm5t reg>d+ 
deaf & h>d-(-he>+ newborns1 infants1 &  
"y *ildr5  7a7 ,section head+ ,! section
 head+ ( section #cii,m ( ! ,public     
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bhj;g-#a7 is am5d$ to read z foll[s3   
#cii,m4 ,e>ly ,detection1 ,diagnosis1 & 
,treatm5t ,reg>d+ ,deaf & ,h>d-(-,he>+  
,newborns1 ,infants1 & ,"y ,*ildr5  4   
7b7 ,/atewide sy/ems ,section #cii,m7a7 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bhj;g-#a7;a77 is am5d$-- 7#a7
 9 ! subsection head+1 by /rik+ ,newborn
 & ,infant & ins]t+ ,newborn1 ,infant1 &
 ,"y ,*ild2  7#b7 9 ! matt] prec$+      
p>agraph 7#a7-- 7,a7 by /rik+ newborn & 

infant & ins]t+ newborn1 infant1 & "y   
*ild2 &  7,b7 by /rik+ provid]s1 &      
ins]t+ provid]s 7includ+1 z appropriate1
 education & tra9+ ( family memb]s712   
7#c7 9 p>agraph 7#a7-- 7,a7 9 ! fir/    
s5t5ce--  7i7 by /rik+ newborns &       
infants & ins]t+ newborns1 infants1 & "y
 *ildr5 7ref]r$ to 9 ?is section z      
*ildr572 &  7ii7 by /rik+ & m$ical & all
 t foll[s ?r\gh ! p]iod & ins]t+ m$ical1
 & communication 7or language           
acquisition7 int]v5tions 7includ+ family
 support71 = *ildr5 id5tifi$ z deaf or  
h>d-(-he>+1 consi/5t ) ! foll[+32  7,b7 
9 ! second s5t5ce-- 7i7 by /rik+ ,e>ly &
 ins]t+ ! foll[+3  7,a7 ,e>ly  2  7ii7  
by /rik+ & deliv]y ( & ins]t+ 1 &       
deliv]y (12  7iii7 by /rik+ by s*ools & 
all t foll[s ?r\gh programs m&at$ &     
ins]t+ by organizations su* z s*ools &  
ag5cies 7includ+ community1 consum]1 &  
family-bas$ ag5cies71 9 heal? c>e sett+s
 7includ+ m$ical homes = *ildr571 & 9   
programs m&at$2 &  7iv7 by /rik+ h>d (  
he>+ & all t foll[s ?r\gh ! p]iod &     

ins]t+ h>d-(-he>+ *ildr542 &  7,c7 by   
/rik+ ! la/ s5t5ce & ins]t+ ! foll[+3   
7,b7 ,in=mation provid$ to families %\ld
 be accurate1 compreh5sive1 up-to-date1 
& evid5ce-bas$1 z appropriate1 to all[  
families to make important decisions =  
_! *ildr5 9 a timely mann]1 includ+     
decisions ) respect to ! full range (   
assi/ive he>+ te*nologies &             
communications modalities1 z            
appropriate4  7,c7 ,programs & sy/ems "u
 ?is p>agraph %all (f] me*anisms t fo/] 
family-to-family & deaf & h>d-(-he>+    
consum]-to-family supports4  2  7#d7 9  
p>agraph 7#b71 by /rik+ ,to collect &   
all t foll[s ?r\gh ! p]iod & ins]t+ ,to 
cont9ue to provide te*nical support to  
,/ates1 ?r\gh "o or m te*nical res\rce  
c5t]s1 to assi/ 9 fur!r develop+ &      
enhanc+ ,/ate e>ly he>+ detection &     
int]v5tion programs42 &  7#e7 by /rik+  
p>agraph 7#c7 & ins]t+ ! foll[+3  7#c7  
,to id5tify or develop effici5t models  
7educational & m$ical7 to ensure t      
*ildr5 :o are id5tifi$ z deaf or        

h>d-(-he>+ ?r\gh scre5+ receive foll[-up
 by qualifi$ e>ly int]v5tion provid]s or
 qualifi$ heal? c>e provid]s 7includ+ ^?
 at m$ical homes = *ildr571 & ref]rals1 
z appropriate1 includ+ to e>ly          
int]v5tion s]vices "u "p ,c ( !         
,individuals ) ,disabilities ,education 
,act4 ,/ate ag5cies %all be enc\rag$ to 
effectively increase ! rate ( su*       
foll[-up & ref]ral4  4  7c7 ,te*nical   
assi/ance1 data managem5t1 & appli$     
rese>* ,section #cii,m7b77#a7 ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;g-#a7;b77#a77 is am5d$-- 
7#a7 9 ! fir/ s5t5ce--  7,a7 by /rik+ ,!
 ,secret>y & ins]t+ ! foll[+3  7,a7 ,9  
g5]al ,! ,secret>y  2  7,b7 by /rik+ to 
complem5t an intramural program & &     
ins]t+ ! foll[+3 8or designat$ entities 
( ,/ates--  7i7 to develop1 ma9ta91 &   
improve data collection sy/ems relat$ to
 newborn1 infant1 & "y *ild he>+ scre5+1
 evaluation 7includ+ audiologic1 m$ical1
 & language acquisition evaluations71   
diagnosis1 & int]v5tion s]vices2  2     

7,c7 by /rik+ to conduct & ins]t+ !     
foll[+3  7ii7 to conduct  2 &  7,d7 by  
/rik+ newborn & all t foll[s ?r\gh !    
p]iod & ins]t+ ! foll[+3 8newborn1      
infant1 & "y *ild he>+ scre5+1          
evaluation1 & int]v5tion programs &     
outcomes2  7iii7 to ensure quality      
monitor+ ( he>+ scre5+1 evaluation1 &   
int]v5tion programs & sy/ems = newborns1
 infants1 & "y *ildr52 &  7iv7 to       
support newborn1 infant1 & "y *ild he>+ 
scre5+1 evaluation1 & int]v5tion        
programs1 & in=mation sy/ems4  2  7#b7 9
 ! second s5t5ce-- 7,a7 by /rik+ ! matt]
 t prec$es subp>agraph 7,a7 & all t     
foll[s ?r\gh subp>agraph 7,c7 & ins]t+ !
 foll[+3  7,b7 ,use ( aw>ds ,! aw>ds    
made "u subp>agraph 7,a7 may be us$--   
7i7 to provide te*nical assi/ance on    
data collection & managem5t1 includ+ to 
coord9ate & develop /&>diz$ proc$ures = 
data managem5t2  7ii7 to assess & report
 on ! co/ & program effectiv5ess (      
newborn1 infant1 & "y *ild he>+ scre5+1 
evaluation1 & int]v5tion programs &     

sy/ems2  7iii7 to collect data & report 
on newborn1 infant1 & "y *ild he>+      
scre5+1 evaluation1 diagnosis1 &        
int]v5tion programs & sy/ems = appli$   
rese>*1 program evaluation1 & policy    
improvem5t2  2  7,b7 by r$esignat+      
subp>agraphs 7,d71 7,e71 & 7,f7 z       
clauses 7iv71 7v71 & 7vi71 respectively1
 & align+ ! m>g9s ( ^? clauses ) ! m>g9s
 ( clause 7i7 ( subp>agraph 7,b7 7z     
ins]t$ by subp>agraph 7,a7 ( ?is        
p>agraph72  7,c7 9 clause 7v7 7z        
r$esignat$ by subp>agraph 7,b7 ( ?is    
p>agraph7-- 7i7 by /rik+ newborn &      
infant & ins]t+ newborn1 infant1 & "y   
*ild2 &  7ii7 by /rik+ language /atus & 
ins]t+ he>+ /atus2 &  7,d7 9 clause 7vi7
 7z r$esignat$ by subp>agraph 7,b7 ( ?is
 p>agraph7--  7i7 by /rik+ %>+ & ins]t+ 
integration & int]op]ability2 &  7ii7 by
 /rik+ ) ,/ate-bas$ & all t foll[s ?r\gh
 ! p]iod & ins]t+ across multiple s\rces
 to increase ! fl[ ( in=mation betwe5   
cl9ical c>e & public heal? sett+s1      
includ+ ! ability ( ,/ates & t]ritories 

to ex*ange & %>e data44  7d7            
,coord9ation & collaboration ,section   
#cii,m7c7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #bhj;g-#a7;c77 is   
am5d$-- 7#a7 9 p>agraph 7#a7--  7,a7 by 
/rik+ consult ) & ins]t+ consult )--2   
7,b7 by /rik+ o!r ,f$]al & ins]t+ !     
foll[+3  7,a7 o!r ,f$]al  2  7,c7 by    
/rik+ ,/ate & local ag5cies1 includ+ ^? 
& ins]t+ ! foll[+3  7,b7 ,/ate & local  
ag5cies1 includ+ ag5cies  2  7,d7 by    
/rik+ consum] gr\ps ( & t s]ve & ins]t+ 
! foll[+3  7,c7 consum] gr\ps (1 & t    
s]ve1  2  7,e7 by /rik+ appropriate     
national & ins]t+ ! foll[+3  7,d7       
appropriate national  2  7,f7 by /rik+  
p]sons :o are deaf & & ins]t+ ! foll[+3 
7,e7 individuals :o are deaf or  2  7,g7
 by /rik+ o!r qualifi$ & ins]t+ !       
foll[+3  7,f7 o!r qualifi$  2  7,h7 by  
/rik+ newborns1 infants1 toddl]s1       
*ildr51 & ins]t+ *ildr512  7,i7 by /rik+
 ?ird-p>ty & ins]t+ ! foll[+3  7,g7     
?ird-p>ty  2 &  7,j7 by /rik+ relat$    
comm]cial & ins]t+ ! foll[+3  7,h7      

relat$ comm]cial  2 &  7#b7 9 p>agraph  
7#c7-- 7,a7 by /rik+ ,/ates to e/abli%  
newborn & infant & ins]t+ ! foll[+3     
8,/ates--  7,a7 to e/abli% newborn1     
infant1 & "y *ild  2  7,b7 by ins]t+ a  
semicolon aft] subsection 7a72 &  7,c7  
by /rik+ to develop & ins]t+ ! foll[+3  
7,b7 to develop  4  7e7 ,rule (         
con/ruction2 religi\s accommodation     
,section #cii,m7d7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#bhj;g-#a7;d77 is am5d$-- 7#a7 by /rik+ 
:i* & ins]t+ t2  7#b7 by /rik+ newborn  
infants or "y2 &  7#c7 by /rik+ p>5ts' &
 ins]t+ p>5t's4  7f7 ,def9itions        
,section #cii,m7e7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#bhj;g-#a7;e77 is am5d$-- 7#a7 9        
p>agraph 7#a7--  7,a7 by /rik+ 7#a7 &   
all t foll[s ?r\gh to proc$ures & ins]t+
 ! foll[+3  7#a7 ,! t]m audiologic1 :5  
us$ 9 connection ) evaluation1 means    
proc$ures--  2  7,b7 by /rik+ to assess 
& ins]t+ ! foll[+3  7,a7 to assess  2   
7,c7 by /rik+ to e/abli% & ins]t+ !     

foll[+3  7,b7 to e/abli%  2  7,d7 by    
/rik+ auditory disord]2 & ins]t+        
auditory disord]12  7,e7 by /rik+ to    
id5tify & ins]t+ ! foll[+3  7,c7 to     
id5tify  2  7,f7 by /rik+ options4 & all
 t foll[s ?r\gh l9kage & ins]t+ !       
foll[+3 8options1 includ+--  7i7 l9kage 
2  7,g7 by /rik+ appropriate ag5cies1 & 
all t foll[s ?r\gh national & ins]t+ !  
foll[+3 8appropriate ag5cies2  7ii7     
m$ical evaluation2  7iii7 assessm5t = ! 
full range ( assi/ive he>+ te*nologies  
appropriate = newborns1 infants1 & "y   
*ildr52  7iv7 audiologic rehabilitation 
treatm5t2 &  7v7 ref]ral to national  2 
&  7,h7 by /rik+ p>5t1 & education &    
ins]t+ p>5t1 family1 & education2  7#b7 
by /rik+ p>agraph 7#b72  7#c7 by        
r$esignat+ p>agraphs 7#c7 ?r\gh 7#f7 z  
p>agraphs 7#b7 ?r\gh 7#e72  7#d7 9      
p>agraph 7#b7 7z r$esignat$ by p>agraph 
7#c7 ( ?is subsection7--  7,a7 by /rik+ 
ref]s to provid+ & ins]t+ ! foll[+3     
8means--  7,a7 provid+  2  7,b7 by /rik+
 ) he>+ loss1 includ+ nonm$ical s]vices1

 & ins]t+ :o is deaf or h>d-(-he>+1     
includ+ nonm$ical s]vices22  7,c7 by    
/rik+ ensur+ t families ( ! *ild are    
provid$ & ins]t+ ! foll[+3  7,b7 ensur+ 
t ! family ( ! *ild is-- 7i7 provid$  2 
7,d7 by /rik+ language & communication  
options & are giv5 & ins]t+ ! foll[+3   
8language acquisition 9 oral & visual   
modalities2 &  7ii7 giv5  2 &  7,e7 by  
/rik+ _! *ild & ins]t+ ! *ild2  7#e7 9  
p>agraph 7#c7 7z r$esignat$ by p>agraph 
7#c7 ( ?is subsection71 by /rik+ 7#c7 & 
all t foll[s ?r\gh decision mak+ &      
ins]t+ ,! t]m m$ical evaluation means   
key compon5ts p]=m$ by a physician      
includ+ hi/ory1 exam9ation1 & m$ical    
decisionmak+2  7#f7 9 p>agraph 7#d7 7z  
r$esignat$ by p>agraph 7#c7 ( ?is       
subsection7-- 7,a7 by /rik+ ref]s to &  
ins]t+ means2  7,b7 by /rik+ &_/or      
surgical & ins]t+ or surgical2 &  7,c7  
by /rik+ ( he>+ & all t foll[s ?r\gh    
disord] & ins]t+ = he>+ loss or o!r     
m$ical disord]s2 &  7#g7 9 p>agraph 7#e7
 7z r$esignat$ by p>agraph 7#c7 ( ?is   

subsection7-- 7,a7 by /rik+ 7#e7 & all t
 foll[s ?r\gh ref]s to & ins]t+ 7#e7 ,! 
t]m newborn1 infant1 & "y *ild he>+     
scre5+ means2 &  7,b7 by /rik+ & infants
 & ins]t+ 1 infants1 & "y *ildr5 "u #c  
ye>s ( age4  7g7 ,au?orization (        
appropriations ,section #cii,m7f7 ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;g-#a7;f77 is am5d$--     
7#a7 9 p>agraph 7#a71 by /rik+ su* sums 
& all t foll[s ?r\gh ! p]iod & ins]t+   
#ag1hah1jjj = fiscal ye> #bjah1         
#ah1agc1hjj = fiscal ye> #bjai1         
#ah1fbh1ade = fiscal ye> #bjbj1         
#ai1jef1eib = fiscal ye> #bjba1 &       
#ai1ebb1geh = fiscal ye> #bjbb42 &  7#b7
 9 p>agraph 7#b71 by /rik+ su* sums &   
all t foll[s ?r\gh ! p]iod & ins]t+     
#aj1hjj1jjj = fiscal ye> #bjah1         
#aa1jbf1hjj = fiscal ye> #bjai1         
#aa1cjb1dgj = fiscal ye> #bjbj1         
#aa1efb1dbg = fiscal ye> #bjba1 &       
#aa1hea1dhh = fiscal ye> #bjbb44  ,pass$
 ! ,s5ate ,septemb] #f1 #bjag4,secret>y