Newborn screening is required in every U.S. state because it catches serious, treatable conditions early, usually before any symptoms appear. Parents sometimes ask whether they can decline, so here is a balanced look at how it works.
Is newborn screening mandatory?
Yes, all states require newborn screening, but most allow parents to opt out for religious reasons, and many also permit personal or philosophical exemptions. The exact rules vary from state to state.
How opting out usually works
Where an exemption is allowed, parents typically sign a written refusal that is added to the baby’s medical record. Your hospital or state newborn screening program can explain the specific process and any documentation required.
Why screening is strongly recommended
The conditions on the panel can cause serious, sometimes irreversible harm if missed, and most are highly treatable when caught early. For that reason, pediatricians and public health authorities strongly recommend that every baby be screened. If you have concerns, the best step is a conversation with your pediatrician rather than skipping screening.
Going further, not less
Many parents want more coverage, not less. Fore Genomics’ genomic screen is an add-on to state screening, not a replacement, looking at more than 1,000 clinically actionable conditions from an at-home cheek swab. See how it works or start screening.
Frequently asked questions
Can I opt out of newborn screening?
In most states yes, usually for religious reasons and sometimes personal or philosophical ones, with a signed waiver. Rules vary, so check your state program.
Should I opt out?
Screening is strongly recommended because it identifies treatable conditions early. Discuss any concerns with your pediatrician before making a decision.
Medically reviewed by Fore’s Clinical Team. This article is for general educational purposes and is not medical advice. Sources: HRSA Newborn Screening; state newborn screening programs.