American Speech-Language-Hearing Association

New York State 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

All infants born in the facility shall receive an initial hearing screening prior to discharge from the facility.

Intervention

Prior to the hearing screening, parents shall be provided educational materials, supplied by the Department of Health to the facility, or consistent in content with Department-supplied materials, regarding infant hearing screening. The parent shall be provided educational materials, supplied by the Department of Health to the facility, on developmental milestones for communication and signs of hearing loss in young children.

If the infant fails the inpatient hearing screening, a repeat screening shall be conducted whenever possible prior to the infant's discharge from the facility to minimize the likelihood of false positive results and need for a follow-up outpatient screening. The parent shall be informed of the screening results prior to the infant's discharge from the facility. If the infant fails the inpatient screening and any repeat screening, if performed, an outpatient follow-up screening shall be performed to confirm the results of the inpatient screens.

Standards/Protocols

All personnel performing infant hearing screening must be supervised and trained in the performance of infant hearing screening.

Training shall include the following:

  1. the performance of infant hearing screening,
  2. the risks including psychological stress for the parent,
  3. infection control practices,
  4. the general care and handling of infants in hospital settings according to established hospital policies and procedures,
  5. the recording and documentation of screening results as directed, and
  6. procedures for communicating screening results to parents.

Personnel other than licensed audiologists may perform infant hearing screening provided that:

  1. the screening equipment and protocol used are fully automated,
  2. equipment parameters are not accessible for alteration or adjustment by such personnel, and
  3. the results of the screening are determined without clinical decision-making and are reported as pass or fail.

Equipment that requires clinical decision-making shall be used to conduct infant hearing screenings only by personnel licensed under State Education Law and authorized to perform infant hearing screening. Equipment used for infant hearing screening shall be maintained and calibrated. The facility shall provide adequate physical space for equipment and supplies and an environment suitable to obtain reliable infant hearing screening results.

Tracking/Reporting

If an infant does not present for a scheduled appointment for a follow-up screening based on the infant's failure of an in-patient screen, the facility or provider under contract with the facility shall make at least two documented attempts either by United States mail or by telephone, excluding a busy signal or no answer, to contact the parent and reschedule the appointment.

If the facility or provider under contract with the facility cannot reach the family or for any other reason cannot schedule and complete a follow-up screening within seventy-five days from discharge, the infant shall be referred to the Early Intervention Official in his or her county of residence as an at-risk child.

Facilities must report aggregate data on infant hearing screenings to the Department of Health upon Department request, in a format and frequency prescribed by the commissioner.

School-Age Screening

Ages/Populations Screened

All students within six months of admission to the school and in kindergarten and grades 1, 3, 5, 7 and 10, and at any other time deemed necessary

Who Can Screen

School nurse

Training for Screeners

Training for screeners is not addressed by laws/regulations.

Type of Testing

Screening shall include, but not be limited to, pure tone and threshold air conduction screening.

Equipment Standards

Equipment standards are not addressed by laws/regulations.

Follow-up Protocols & Documentation

The results of any such hearing tests shall be in writing and shall be provided to the pupil's parent or person in parental relation and to any teacher of the pupil within the school while the pupil is enrolled in the school.

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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