Resources for Health Care Providers

ACT Sheets

ACT Sheets or ACTion sheets are action plans for each disorder that provide recommended immediate next steps for a health professional to follow when a newborn has an out-of-range test result. 

Amino Acid Disorders

Argininosuccinic Acidemia (ASA)
Citrullinemia (CIT) 
Homocystinuria (HCY) 
Maple Syrup Urine Disease (MSUD) 
Phenylketonuria (PKU)
Tyrosinemia Type I (TYR I)

Argininemia (ARG)
Benign Hyperphenylalaninemia (H-PHE) 
Biopterin Defect in Cofactor Biosynthesis (BIOPT-BS)
Biopterin Defect in Cofactor Regeneration (BIOPT-REG) 
Citrullinemia, type II (CIT II) 
Hypermethioninemia (MET)
Tyrosinemia, type II (TYR II)  
Tyrosinemia, type III (TYR III)

Fatty Acid Oxidation Disorders

Carnitine Uptake Defect (CUD)
Long-chain L-3-OH acyl-CoA Dehydrogenase Deficiency (LCHAD) 
Medium-chain acyl-CoA dehydrogenase Deficiency (MCAD)
Trifunctional Protein Deficiency (TFP)
Very Long-chain acyl-CoA Dehydrogenase Deficiency (VLCAD)

2,4 Dienoyl-CoA reductase deficiency (DE RED)
3-Hydroxyacyl-Coenzyme A Dehydrogenase Deficiency (HADH) (previously named Medium/Short Chain Acyl-CoA Dehydrogenase (M/SCHAD)) 
Carnitine Acylcarnitine Translocase Deficiency (CACT) 
Carnitine Palmitoyl Transferase I Deficiency (CPT1) 
Carnitine Palmitoyltransferase Type II Deficiency (CPTII) 
Glutaric Academia, Type II (GA2) 
Medium-chain Ketoacyl-CoA Thiolase Deficiency (MCAT) 
Short-Chain Acyl-CoA Dehydrogenase Deficiency (SCAD) 

Organic Acid Disorders

3-Methylcrotonyl-CoA Carboxylase Deficiency (3MCC)
3-Hydroxy-3methylglutaric Aciduria (HMG) 
Beta-Ketothiolase Deficiency (BKT)
Glutaric Acidemia Type 1 (GA1)
Isovaleric Acidemia (IVA) 
Methylmalonic Acidemia (Cbl A,B)
Methylmalonic Acidemia (mutase deficiency form) (MUT) 
Multiple Carboxylase Deficiency (MCD)
Propionic Acidemia (PROP)

2 Methylbutyryl-CoA Dehydrogenase Deficiency (2MBG) 
2-Methyl-3-Hydroxybutyric Acidemia (2M3HBA)
3-Methylglutaconic Aciduria (3MGA) 
Isobutyrylglycinuria (IBG)
Methylmalonic Acidemia with Homocystinuria (Cbl C,D)
Malonic Acidemia (MAL) 

Endocrine Disorders

Congenital Adrenal Hyperplasia (CAH)
Congenital Hypothyroidism (CH) 

Hemoglobin Disorders or Hemoglobinopathies

Sickle Cell Anemia (Hb SS)
Hemoglobin S/Beta Zero Thalassemia (Hb S/ßTh) 
[FSC] Hemoglobin S/C Disease (Hb S/C)
[FSA] Hemoglobin S/Beta+ Thalassemia (HbSß+Disease)

Various Hemoglobinopathies (Var Hb)
F,A, Other (Probable Unidentified Hb Variant)
FC (HbCC Disease or HbC/Beta Zero Thalassemia) HbC/ß0 Disease 
FCA (HbC/Beta Plus Thalassemia) HbC/ß+Disease 
FD (HbDD Disease) Hemoglobin D Disease  
FE (HbEE or HbE/Beta Zero Thalassemia) EE or Hb E/ß0 Disease 
FEA (HbE/Beta Plus Thalassemia) HbE/ß+Disease 
Beta Thalassemia Major (Hemoglobin F [Fetal] Only) 

Other Disorders

Biotinidase Deficiency (BIOT)
Cystic Fibrosis (CF)
Galactosemia (GALT)
Severe Combined Immunodeficiency (SCID)
Spinal Muscular Atrophy (SMA)
X-linked Adrenoleukodystrophy (X-ALD)

T-cell related lymphocyte deficiencies 

Other Resources

Financial Assistance

NBS Benefits Program - Contractor Manual, Eligibility Forms, Instructions and Billing

DSHS Health Providers

DSHS Laboratory Health Care Providers Resource Page
Medical Consultants


Texas Health Steps Online Provider Education - program offers self-paced modules with free continuing education credits for primary care providers and other health professionals.  


Baby's First Test - Facts, advice and support for parents and professionals
Save Babies Through Screening Foundation - Non-profit organization that advocates for comprehensive newborn screening.

Additional Disorder/NBS Information

External links to other sites are intended to be informational and do not have the endorsement of the Texas Department of State Health Services. These sites may not be accessible to people with disabilities.