Newborn Screening in Hawaii: Conditions Covered (2026)

Fore’s Clinical Team· 2 min read

Hawaii screens newborns through the Department of Health’s Newborn Metabolic Screening Program. Federal profiles list roughly 39 conditions on the current panel, more than an older state figure that is now out of date.

Hawaii newborn screening at a glance

  • Conditions screened: about 39, plus newborn hearing and critical congenital heart disease (CCHD) screening
  • Program: Hawaii Department of Health Newborn Metabolic Screening Program
  • Compared to the federal RUSP: screens the full RUSP core
  • Official source: Hawaii newborn screening program

What the Hawaii panel covers

The panel covers PKU and other metabolic disorders, endocrine and hemoglobin conditions such as sickle cell disease, cystic fibrosis, and spinal muscular atrophy (SMA), plus lysosomal disorders including Pompe disease and MPS I.

An older 33-conditions figure still circulates for Hawaii but predates recent additions, so current federal data is the more reliable reference for the state’s panel size.

Why the Hawaii panel stops where it does

The size of Hawaii’s panel is not a limit of technology. Every condition on a state panel has to clear evidence review, secure ongoing funding, and be formally adopted, which is why recent additions took years of work. Many treatable, childhood-onset conditions that today’s sequencing can already detect simply have not moved through that public-health pipeline yet.

How Fore extends newborn screening

Fore Genomics offers an at-home genetic screen that uses a simple cheek swab to look at the genes tied to more than 1,000 clinically actionable, childhood-onset conditions — well beyond any state panel. Samples are sequenced in CLIA-certified and CAP-accredited labs, and results are delivered with support from board-certified genetic counselors. It does not replace the Hawaii state screen; it extends it, using technology available today rather than waiting for the public program to expand. Compare all 50 states, read what newborn screening tests for, or start screening.

Frequently asked questions

How many conditions does Hawaii screen for?

Hawaii screens for about 39 through its bloodspot panel and point-of-care checks. Counts are approximate and change as the state updates its panel, so confirm current details with the Hawaii program.

Is newborn screening required in Hawaii?

Newborn screening is standard for every baby born in Hawaii. Rules on declining vary, so check current guidance from the Hawaii newborn screening program.

How do I get my baby’s Hawaii results?

Results are sent to your baby’s healthcare provider. Ask your pediatrician, or contact the Hawaii newborn screening program for a copy.

Medically reviewed by Fore’s Clinical Team. This article is for general educational purposes and is not medical advice. State screening panels change; confirm current details with the Hawaii Department of Health Newborn Metabolic Screening Program (as of March 2026). Sources: Hawaii newborn screening program; HRSA Recommended Uniform Screening Panel.

Screen for more than the standard panel

Fore Genomics screens for 1,000+ clinically actionable childhood conditions with a simple at-home cheek swab.