Iowa 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


All newborns and infants born in Iowa shall be screened for hearing loss.


The birthing hospital or other facility completing the hearing screening shall report the results of the screening to the parent or guardian of the newborn and to the department. The birthing hospital or other facility shall also report the results of the screening to the primary care provider of the newborn or infant upon discharge from the birthing hospital or other facility.

The department may share information with agencies and persons involved with newborn and infant hearing screenings, follow-up, and intervention services, including the local birth-to-three coordinator or similar agency, the local area education agency, and local health care providers.

Follow up may include:  

  • Contact with the parent or legal guardian of an infant who was not screened or does not pass the initial hearing screening, outpatient hearing screening or diagnostic audiologic assessment.
  • Contact with the infant’s primary care provider to ensure the infant receives appropriate follow-up no later than the recommended time line as outlined in the Joint Committee on Infant Hearing position statement.
  • Contact with the birthing hospital or health care professional for inquiries on missing results, data entry discrepancies and recommendations for additional referrals.
  • Referrals to family support or early intervention service providers for infants or toddlers diagnosed with a hearing loss.
  • Technical assistance to birthing facilities, primary care providers and health care professionals regarding best practices related to newborn hearing screening, diagnosis and follow-up best practices.


Newborn hearing screening shall be performed by  a licensed physician, nurse practitioner, physician assistant, certified midwife, registered nurse, licensed practical nurse, patient care technician, certified nursing assistant, licensed audiologist, audiology assistant, audiometrist, hearing aid specialist, speech-language pathologist or other licensed or certified professional for whom hearing screening is within the professional’s scope of practice.

The person required to perform the screening shall use at least one of the following procedures:

  1. Automated or diagnostic auditory brainstem response.
  2. Otoacoustic emissions.
  3. Any other technology approved by the department.


A birthing hospital, birth center, physician, or other health care professional required to report information shall report the results of the newborn hearing screening to the department and to the child’s primary care provider.

Agency Oversight

Iowa Department of Public Health, Early Hearing Detection and Intervention Program

School-Age Screening

Iowa laws/regulations do not require school-age hearing screenings.


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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