An act to amend 1978 PA 368, entitled “An act to protect and promote the public health; to codify, revise, consolidate, classify, and add to the laws relating to public health; to provide for the prevention and control of diseases and disabilities; to provide for the classification, administration, regulation, financing, and maintenance of personal, environmental, and other health services and activities; to create or continue, and prescribe the powers and duties of, departments, boards, commissions, councils, committees, task forces, and other agencies; to prescribe the powers and duties of governmental entities and officials; to regulate occupations, facilities, and agencies affecting the public health; to regulate health maintenance organizations and certain third party administrators and insurers; to provide for the imposition of a regulatory fee; to provide for the levy of taxes against certain health facilities or agencies; to promote the efficient and economical delivery of health care services, to provide for the appropriate utilization of health care facilities and services, and to provide for the closure of hospitals or consolidation of hospitals or services; to provide for the collection and use of data and information; to provide for the transfer of property; to provide certain immunity from liability; to regulate and prohibit the sale and offering for sale of drug paraphernalia under certain circumstances; to provide for the implementation of federal law; to provide for penalties and remedies; to provide for sanctions for violations of this act and local ordinances; to provide for an appropriation and supplements; to repeal certain acts and parts of acts; to repeal certain parts of this act; and to repeal certain parts of this act on specific dates,” (MCL 333.1101 to 333.25211) by adding section 5474d.
SB 31 amends the 1978 PA 368 to introduce new regulations for lead poisoning testing in minors. Effective from January 1, 2024, it mandates physicians to test minors for lead poisoning at specified intervals using department-approved methods and to record these tests on the minor's immunization certificate. The Department is tasked with promulgating rules for implementing this section, including testing requirements based on age, identification of high-risk geographic areas, factors for identifying high-risk minors, procedures for recording test information on immunization certificates, and allowing for adjustments in testing requirements or exemptions based on data or parental objection.
HB 4200 mandates health care providers to issue a written certificate of immunization to the person accompanying a child, detailing the immunizations administered, including the diseases covered, doses given, dates of administration, and any further immunizations needed. Starting January 1, 2024, this certificate will also require information on lead poisoning tests. Additionally, it introduces a provision for parents or guardians to object to the reporting of their child's immunization to the department, provided they submit a written notice of objection to the health care provider before the reporting. Health care providers are protected from civil liability for damages as a result of compliance or failure to comply in good faith with this provision, except in cases of gross negligence or willful misconduct. The act specifies definitions for "health care provider" and "health professional."
Co-sponsored by Sens.
Referred to the Committee on Health Policy
Reported with substitute S-2
Referred to the Committee of the Whole
Reported with substitute S-2
Substitute S-2 concurred in by voice vote
1. Amend page 1, line 2, after “do” by striking out “both” and inserting “all”.
2. Amend page 1, following line 5, by inserting:
“(b) Test the minor for arsenic poisoning at the intervals and using the methods specified by the department by rule if the minor lives in a household that uses a private well as its primary source of drinking water.” and relettering the remaining subdivision.
3. Amend page 2, line 5, after “tested” by inserting “for lead poisoning”.
4. Amend page 2, line 7, after “test” by inserting “for lead poisoning”.
5. Amend page 2, line 23, after “subsection” by striking out “(1)(b)” and inserting “(1)(c)”.
The amendment failed 18 to 20 (details)
Passed in the Senate 27 to 11 (details)
Referred to the Committee on Health Policy
Reported with substitute H-1
Substitute H-1 concurred in by voice vote
Passed in the House 67 to 42 (details)
Motion to give immediate effect
by
The motion prevailed by voice vote
Substitute H-1 concurred in 27 to 10 (details)
Motion to give immediate effect
by
The motion prevailed by voice vote
