2017 House Bill 4170 / Public Act 154

Authorize Physician Orders for Scope of Treatment form and procedures

Introduced in the House

Feb. 7, 2017

Introduced by Rep. Jim Tedder (R-43)

To authorize a process for creating a standardized form for individuals to express their wishes regarding medical treatment and end of life care, which is called Physician Orders for Scope of Treatment (POST). This would be like the current Do Not Resuscitate form but with more details. This bill establishes an ad hoc committee to draft a form, procedures and more.

Referred to the Committee on Health Policy

June 14, 2017

Reported without amendment

With the recommendation that the substitute (H-1) be adopted and that the bill then pass.

June 20, 2017

Passed in the House 106 to 1 (details)

Received in the Senate

June 21, 2017

Referred to the Committee on Health Policy

Oct. 11, 2017

Reported without amendment

With the recommendation that the substitute (S-1) be adopted and that the bill then pass.

Oct. 19, 2017

Amendment offered

To remove a provision that qualifies the extent to which a certified nurse practitioner is authorized to issue the medical orders on a POST form.

The amendment passed by voice vote

Oct. 31, 2017

Amendment offered by Sen. Rebekah Warren (D-18)

To essentially remove the authority of a “health facility” to not comply with orders in a POST form on the basis of religious beliefs or moral convictions. The bill requires a facility to arrange the transfer of a patient to another facility when this applies, but the amendment would impose a mandate for the facility to comply if it was unable to find another medical facility or professional willing or able to take on the patient or comply with the order.

The amendment failed 11 to 24 (details)

Passed in the Senate 35 to 0 (details)

To authorize a process for creating a standardized form for individuals to express their wishes regarding medical treatment and end of life care, which is called Physician Orders for Scope of Treatment (POST). This would be like the current Do Not Resuscitate form but with more details. This bill establishes an ad hoc committee to draft a form, procedures and more.

Received in the House

Oct. 31, 2017

Nov. 1, 2017

Passed in the House 107 to 1 (details)

To concur with the Senate-passed version of the bill.

Signed by Gov. Rick Snyder

Nov. 8, 2017