Marcus Gaffney, MPH¹, Tammy O'Hollearn, BA², Gayla Hutsell Guignard, MA³, Xidong Deng, PhD¹, Eric Cahill, MS¹ and Stephanie Henry, AS¹, 1National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, 2Bureau of Family Health, Iowa Department of Public Health, Des Moines, IA, 3Department of Genomics and Newborn Screening, Indiana State Department of Health, Indianapolis, IN