The adoption
of the proposed screening and surveillance practices, may lengthen visit time to discuss results without additional
payment to
support that time and create significant non — face - to - face work.60 This includes referring patients and families to appropriate resources,
tracking referrals, communicating with other professionals (which may require reviewing lengthy reports and school plans), and following up with
children and families.
For many years, policy makers approached the problem
of noncustodial, unwed fathers on a single
track — by trying to increase their
child support payments.