American Speech-Language-Hearing Association

Nebraska Hearing Screening Requirements for Newborns and School-Aged Children

The following information summarizes hearing screening programs for newborns and school-aged children.

The information has been collected by researching individual state statutes, regulations, policy documents, and by contacting each state. The information is reviewed on an annual basis. Please be advised that regulations and policy may change at any time, so always check with your state for the most up-to-date information.

Newborn Screening

Screening

The Department of Health and Human Services shall determine and implement the most appropriate system for this state which is available to track newborns and infants identified with a hearing loss.

Intervention

Every birthing facility shall educate the parents of newborns born in such facilities of the importance of receiving a hearing screening test and any necessary follow-up care. This educational information shall explain, in lay terms, the hearing screening test, the likelihood of the newborn having a hearing loss, follow-up procedures, and community resources, including referral for early intervention services under the Early Intervention Act. The educational information shall also include a description of the normal auditory, speech, and language developmental process in children. Education shall not be considered a substitute for the hearing screening test.

Standards/Protocols

The Department of Health and Human Services, in consultation with the State Department of Education, birthing facilities, and other providers, shall develop approved screening methods and protocol for statewide hearing screening tests of substantially all newborns and infants.

Tracking/Reporting

Every birthing facility shall annually report to the Department of Health and Human Services the number of:

  • Newborns born;
  • Newborns and infants recommended for a hearing screening test;
  • Newborns who received a hearing screening test during birth admission;
  • Newborns who passed a hearing screening test during birth admission if administered;
  • Newborns who did not pass a hearing screening test during birth admission if administered; and
  • Newborns recommended for monitoring, intervention, and follow-up care.

Every confirmatory testing facility shall annually report to the Department of Health and Human Services the number of:

  • Newborns and infants who return for a follow-up hearing test;
  • Newborns and infants who do not have a hearing loss based upon the follow-up hearing test; and
  • Newborns and infants who are shown to have a hearing loss based upon the follow-up hearing test.

The Department of Health and Human Services shall determine which birthing facilities are administering hearing screening tests to newborns and infants on a voluntary basis and the number of newborns and infants screened. The Department shall annually report to the legislature the number of:

  • Birthing facilities administering voluntary hearing screening tests during birth admission;
  • Newborns screened as compared to the total number of newborns born in such facilities;
  • Newborns who passed a hearing screening test during birth admission if administered;
  • Newborns who did not pass a hearing screening test during birth admission if administered; and
  • Newborns recommended for follow-up care.

School-Age Screening

Ages/Populations Screened

Every school district shall cause children under its jurisdiction to be separately and carefully inspected to ascertain if a child is suffering from defective sight or hearing. Such inspections shall be conducted on a schedule prescribed by the Department and shall be based on current medical and public health practice.

Who Can Screen

Who can screen is not addressed by laws/regulations.

Training for Screeners

Training for screeners is not addressed by laws/regulations.

Type of Testing

Type of testing is not addressed by laws/regulations.

Equipment Standards

Equipment standards is not addressed by laws/regulations.

Follow-up Protocols & Documentation

The school shall notify the parent of the child in writing of such condition and explain to such parent the necessity of professional attendance for such child.

Resources

For further information on hearing screening requirements, visit these websites:

Questions regarding state advocacy issues? Call ASHA at 800-498-2071 and ask for the State Advocacy Team.

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