EGMN -- All states adopted expanded newborn screening as of 2009. This came after the American College of Medical Genetics published its influential report entitled, “Newborn Screening: Toward a Uniform Screening Panel and System” (Genet. Med. 2006;8[suppl. 1]:1S-52S). Receiving a report resulting from such screening is the worst nightmare for a pediatrician – an alphabet soup of metabolic disorders and lab tests that require a sophisticated clinical Garmin or TomTom GPS system to navigate.