Newborn Screening Clinical Care


Program Overview

The Texas Department of State Health Services (DSHS) Newborn Screening Program consists of testing, follow-up and clinical care coordination. All babies born in Texas are required to get a newborn screening blood test soon after birth for certain inheritable and other disorders. An abnormal laboratory result triggers follow-up and case management to ensure that the baby receives confirmatory testing and treatment, if needed. Early treatment can prevent serious complications such as growth problems, developmental delays, deafness or blindness, intellectual disability, seizures or even early death. Learn more about the program and view frequent questions.

Screened Disorders

Texas newborn screening tests all babies for a number of rare disorders. View a list of screened disorders.


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Specimen Collection

View a video on specimen collection and other related resources.

Legislative Information

Newborn Screening Program Rules

Newborn screening program rules are found in the Texas Administrative Code which compiles all state agency rules in Texas.

  • §37.51 – Purpose
  • §37.52 – Definitions
  • §37.53 – Disorders for which blood specimen screening is performed
  • §37.54 – Newborn screening exemption
  • §37.55 – Newborn screening specimen collection kits
  • §37.56 – Responsibilities of the physician (or other person attending a newborn, if no physician is present) and collection of first and second specimen
  • §37.57 – Screening procedures to be used
  • §37.58 – Follow-up, reporting, and record keeping on abnormal screening results and confirmed cases
  • §37.59 – Coordination with children with special health care needs services program
  • §37.60 – Newborn screening program benefits
  • §37.61 – Eligibility requirements for the newborn screening program benefits
  • §37.62 – Application process for the newborn screening program benefits
  • §37.63 – Denial of application, and modification, suspension, or termination of newborn screening program benefits
  • §37.64 – Newborn screening advisory committee

Phenylketonuria (PKU) and Other Heritable Diseases

  • Health & Safety Code, Chapter 33: Phenylketonuria, Other Heritable Diseases, Hypothyroidism, and Certain Other Disorders
  • PKU or Other Heritable Diseases Dietary Supplement
    Article 3.79: Coverage for Special Dietary Formulas for Individuals with Phenylketonuria or Other Heritable Diseases
    Section 1-Definitions:
    (1) "Health insurance policy" means any group policy, contract, or certificate of health insurance or evidence of coverage delivered, issued for delivery, or renewed in this state by an insurance company, including a group hospital service corporation under Chapter 20 of this code and a health maintenance organization under the Texas Health Maintenance Organization Act (Chapter 20A, Vernon's Texas Insurance Code).
    (2) "Heritable disease" means an inherited disease that may result in mental or physical retardation or death.
    (3) "Phenylketonuria" means an inherited condition that may cause severe mental retardation if not treated.
    Section 2-Coverage Required:
    Each health insurance policy shall include coverage for formulas necessary for the treatment of phenylketonuria or other heritable diseases to the same extent as for drugs available only on the orders of a physician.
    This Act takes effect September 1, 1999, and applies only to an insurance policy that is delivered, issued for delivery, or renewed on or after January 1, 2000. A policy delivered, issued for delivery, or renewed before January 1, 2000, is governed by the law as it existed immediately before the effective date of this Act.
  • Interim Status Report on Rider 58: PKU Low Protein Medical Food Pilot
  • Final Report on Rider 58: PKU Low Protein Medical Food Pilot 

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Last updated March 17, 2015