On Sept. 25 the Prenatally and Postnatally Diagnosed Conditions Awareness Act was approved by the House and is now on its way to President Bush for signature to make this a law.
There has been a lot of confusion among families on what this bill is meant to do, so I thought it would be helpful to break the bill down and explain it in simple terms, so everyone can understand it better.
You can read this bill in legal terms from here. I will divide these legal terms into sections so you can understand exactly what all of this means.
Prenatally and Postnatally Diagnosed Conditions Awareness Act - (Sec. 3) Amends the Public Health Service Act to require the Secretary of Health and Human Services, acting through either the Director of the National Institutes of Health (NIH), the Director of the Centers for Disease Control and Prevention (CDC), or the Administrator of the Health Resources and Services Administration (HRSA), to authorize and oversee certain activities relating to Down syndrome or other prenatally or postnatally diagnosed conditions.
This bill was made as an amendment to the Public Health Service Act with the intention to make medical professionals provide accurate, current information on Down syndrome and other genetic diagnosis when a parent has a prenatal or postnatal (up to 12 months) diagnosis for their baby. Currently, information given to these parents is extremely outdated and inaccurate according to current research and services that are available to families today. In addition, the medical professionals must provide information for support services to these families, so they will know they are not alone in raising their child and will have the opportunity to speak with families who are experiencing these same diagnosis. The secretary will oversee this operation to ensure that everyone is doing what is indicated in this bill.
Includes among such activities the awarding of grants, contracts or cooperative agreements to eligible entities to: (1) collect, synthesize, and disseminate current evidence-based information relating to such conditions; and (2) coordinate the provision of, and access to, new or existing supportive services for patients receiving a positive diagnosis for such conditions.
What this means is the government will help financially and otherwise to gain this information on these conditions to provide to families and will help the Disability Advocacy Groups to provide services to these families.
Includes within such supportive services:
(1) the establishment of a resource telephone hotline;
(2) the expansion of the National Dissemination Center for Children with Disabilities;
(3) the expansion of national and local peer-support programs;
(4) the establishment of a national registry, or network of local registries, of families willing to adopt newborns with such conditions; and
(5) the establishment of awareness and education programs for health care providers who provide, interpret, or inform parents of the results of prenatal tests for such conditions.
I think all of those five areas are pretty self explanatory. We are very excited about these avenues because it will help organizations such as IMDSA to further our information and support to families throughout the country. Number five is exceptionally good because health care professionals will not have the excuse of “the information wasn’t available to me”.
Requires the Secretary to place an emphasis on funding partnerships between health care professional groups and disability advocacy organizations in distributing funds.
What this means is that the available funds will now be encouraged to be distributed to nonprofit disability advocacy organizations as well as health care professionals. What is cool about this is finally someone said, “the parent is the expert” and these organizations will be working side by side more often with the health care professionals and researchers.
Requires a grantee under this Act to make available to health care providers of parents who receive a prenatal or postnatal diagnosis: (1) up-to-date, evidence-based, written information concerning the range of outcomes for individuals living with the diagnosed condition, including physical, developmental, educational, and psychosocial outcomes;
What this means is when you are receiving funds to do research, you need to provide that information to health care providers who are treating or are in contact with parents who receive a diagnosis during pregnancy or up to 12 months after birth. And, again, the health care providers will not have an excuse of not knowing the accurate information.
(2) contact information regarding support services, including information hotlines, resource centers or clearinghouses, national and local peer support groups, and other educational and support programs. Requires information provided to be culturally and linguistically appropriate and to be approved by the Secretary.
This is part two of what the person or group receiving the grant has to provide. Also, the support information has to be approved by the Secretary of Health and Human Services to ensure that it meets the needs of anyone regardless of culture or language.
Requires the Government Accountability Office (GAO) to report to Congress concerning the effectiveness of current health care and family support programs serving as resources for the families of children with disabilities.
This part just makes good sense. Everyone will be held accountable and everyone will be expected to provide this information to these families. Then, the GAO will report back to congress and let them know how this is all working out.
This bill was first introduced by Sen. Sam Brownback (KS) and a few months later Sen. Edward Kennedy (MA) joined in as a co-sponsor. Other Co-sponsors of this bill are, Sen. Byron Dorgan (ND), Sen Jospeh Lieberman (CT), Sen. Ted Stevens (AK), Sen. John McCain (AZ), and Sen. John Thune (SD)
This was passed unanimously in the Senate, so everyone there is to be congratulated and thanked tremendously!
It was passed through the Senate on Sep. 23 and two days later it passed through the House. Now, it is on to the president for signature and then we can get started in making a difference for all of these families!
The main reason why this bill has had to happen is because the American College of Obstetricians and Gynecologists made a new rule to push for every single mother to have genetic testing in her first trimester of pregnancy. (previously this was only done on mothers over the age of 35) The reason they made this recommendation was because they realized that the majority of children born with Down syndrome were to mothers under the age of 35. So, with the recommendation, came the push to abort all babies born with Down syndrome and other genetic conditions. In the midst of all of this, the abortion rate for babies with Down syndrome climbed rapidly to 90%. The reason for this is because the doctors refused to provide accurate, current information to the families and they did not provide any information on support services. (I would like to note that not all doctors do this, however, the majority of them do. There are some wonderful doctors out there, it is just a matter of finding them. When you do, hold tight because they are made of gold!)
With this in place as a law, families will have accurate information and access to support and a national registry of families interested in adoption of children with genetic disorders. (Currently there is a two year waiting list to adopt a child with Down syndrome). This will enable families to make informed decisions when faced with a prenatal or postnatal diagnosis.
It is scary when you are facing the unknown about your child. But hopefully with this law in place, families will know they are not alone on this journey and there is plenty of support and information out there just waiting for them to have access to!