“…16 Today, all US programs use IRT/DNA with few using an expanded DNA panel, which could improve equity for Black and Hispanic children with less common CF DNA variants. 17 As a public health program, NBS should be designed to decrease health care disparities. 18 Incorporating whole genome sequencing into NBS may exacerbate healthcare disparities and should be avoided until we have more diverse racial and ethnic genomic data for conditions included in state NBS panels and a pediatric workforce prepared to counsel families about the actionable and nonactionable findings.…”