All 50 states have screening programs, so you'd have to go international. But you can refuse the test, and in fact the Mayo Clinic Labs have a test they can ma

All 50 states have screening programs, so you'd have to go international. But you can refuse the test, and in fact the Mayo Clinic Labs have a test they can mail to your doctor that you can use instead: https://www.mayocliniclabs.com/test-info/newborn/index.html https://www.mayocliniclabs.com/test-info/newborn/index.html Better plan it in advance though.