A provider of health care who delivers or provides medical services to an infant in a medical facility and who knows or has reasonable cause to believe that the infant was born with a fetal alcohol spectrum disorder, is affected by prenatal substance abuse or is experiencing symptoms of withdrawal from a substance as a result of exposure to the substance in utero, shall ensure that a CARA Plan of Care is established for the infant before the infant is discharged from the medical facility.

If the examination and tests reveal the existence of preventable/inheritable disorders or conditions in an infant, the provider or hospital attending or assisting at the birth of the infant shall report to the State's Chief Medical Officer, and local county health officers. Upon notification by the State Public Health Laboratory that a test is abnormal or questionable, the child’s physician or the person who is legally responsible for registering the birth of the child shall cause to have taken an additional blood sample and any additional tests which are required to evaluate the possible abnormality and shall report that action to the State Public Health Laboratory. A hospital or obstetric center shall complete a newborn screening collection form obtained from the State Public Health Laboratory if a blood sample is not taken from an infant before his or her discharge from the hospital or obstetric center, unless the infant is transferred to a hospital that provides a higher level of neonatal care. The hospital or obstetric center shall send the newborn screening collection form indicating that a blood sample was not taken from an infant to the State Public Health Laboratory within 2 working days after the infant is discharged from the hospital or obstetric center.

Providers, hospitals, and anyone knowing the condition exists must immediately report cases of ophthalmia neonatorum (ON). The report must be signed by the parent or guardian.

Facilities must report death or serious injury of neonate associated with labor or delivery in a pregnancy. Includes, for the office-based surgery, birthing center or “home” setting, unplanned admission to an inpatient
setting within 24 hours of delivery. Unplanned admission to other than the birth setting should be verified with the identified birth setting.

Facilities must report maternal death or serious injury associated with labor or delivery in a pregnancy while being cared for in a healthcare setting. Includes events that occur within 42 days post-delivery. Excludes deaths from pulmonary or amniotic fluid embolism, acute fatty liver of pregnancy, or cardiomyopathy.

Must report number of patients admitted for hospital care for a complication which resulted from an abortion.

For hospitals who regularly offer obstetric services (not only on emergency basis), attending physician must examine infants and report any cases of congenital heart disease.

Any licensed health care professional or hospital personnel who has reasonable knowledge to believe that a child under 18 has been abused or neglected shall report the abuse or neglect. Additionally, if the reporter has reason to believe that a newborn infant has been affected by a fetal alcohol spectrum disorder or prenatal substance abuse or has withdrawal symptoms resulting from prenatal drug exposure an agency which provides child welfare services of the condition of the infant shall be notified and each person who is responsible for the welfare of the infant shall be referred to an agency which provides child welfare services for appropriate counseling, training or other services.

Chief administrative officer of each hospital must prepare and make available list of patients who are under the age of seven and have one or more birth defects, as well as patients discharged with adverse birth outcomes.

If a birth (incl. a stillbirth) occurs in a hospital or the mother and child are immediately transported to a hospital, the person in charge of the hospital or his or her designated representative shall obtain the necessary information, prepare a birth certificate, secure the signatures required by the certificate and file it within 10 days with the health officer of the registration district where the birth occurred. The physician in attendance shall provide the medical information required by the certificate and certify to the fact of birth within 72 hours after the birth. If the physician does not certify to the fact of birth within the required 72 hours, the person in charge of the hospital or the designated representative shall complete and sign the certification.