HOUSE BILL No. 4408
March 4, 1997, Introduced by Reps. Baade, Harder, Mathieu, Gernaat, Law, DeHart, McBryde, Lowe, Walberg, Martinez, Hammerstrom, Cherry, Geiger, Baird, Varga, Fitzgerald, Hale, Oxender, Brackenridge and Tesanovich and referred to the Committee on Health Policy. A bill to amend 1978 PA 368, entitled "Public health code," by amending section 17401 (MCL 333.17401), as amended by 1994 PA 384. THE PEOPLE OF THE STATE OF MICHIGAN ENACT: 1 Sec. 17401. (1) As used in this part: 2 (a) "Optometrist" means an individual licensed under this 3 article to engage in the practice of optometry. 4 (b) "Practice of optometry" means 1 or more of the follow- 5 ing, but does not include the performance of invasive 6 procedures: 7 (i) The examination of the human eye to ascertain the pres- 8 ence of defects or abnormal conditions which may be corrected, 9 remedied, or relieved, or the effects of which may be corrected, 01138'97 CPD 2 1 remedied, or relieved by the use of lenses, prisms, or other 2 mechanical devices. 3 (ii) The employment of objective or subjective physical 4 means to determine the accommodative or refractive conditions or 5 the range of powers of vision or muscular equilibrium of the 6 human eye. 7 (iii) The adaptation or the adjustment of the lenses or 8 prisms or the use of therapeutic pharmaceutical agents to cor- 9 rect, remedy, or relieve a defect or abnormal condition or to 10 correct, remedy, or relieve the effect of a defect or abnormal 11 condition of the human eye. 12 (iv) The examination of the human eye for contact lenses and 13 the fitting or insertion of contact lenses to the human eye. 14 (v) The employment of objective or subjective means, includ- 15 ing diagnostic pharmaceutical agents by an optometrist who meets 16 the requirements of section 17412, for the examination of the 17 human eye for the purpose of ascertaining a departure from the 18 normal, measuring of powers of vision, and adapting lenses for 19 the aid thereof. 20 (c) "Diagnostic pharmaceutical agent" means: 21 (i) The following commercially prepared topical anesthetic: 22 Proparacaine HCL 0.5%. 23 (ii) The following commercially prepared 24 cycloplegic/mydriatic: Tropicamide in strength not greater than 25 1%. 26 (d) "Therapeutic pharmaceutical agent" means a 1 OR MORE 27 OF THE FOLLOWING: 01138'97 3 1 (i) A topically administered prescription drug or other 2 topically administered drug used for the purpose of correcting, 3 remedying, or relieving a defect or abnormal condition of the 4 anterior segment of the human eye or for the purpose of correct- 5 ing, remedying, or relieving the effects of a defect or abnormal 6 condition of the anterior segment of the human eye. 7 (ii) A TOPICALLY ADMINISTERED ANTIGLAUCOMA DRUG. 8 (e) "Drug" means that term as defined in section 17703, but 9 does not include a controlled substance as defined in section 10 7104 or a prescription drug. 11 (f) "Prescription drug" means that term as defined in 12 section 17708, but does not include a controlled substance as 13 defined in section 7104. 14 (g) "Physician" means that term as defined in section 17001 15 or 17501. 16 (h) "Invasive procedures" means all of the following: 17 (i) The use of lasers other than for observation. 18 (ii) The use of ionizing radiation. 19 (iii) The use of therapeutic ultrasound. 20 (iv) The administration of medication by injection. 21 (v) Procedures that include an incision. 22 (2) In addition to the definitions in this part, article 1 23 contains general definitions and principles of construction 24 applicable to all articles in this code and part 161 contains 25 definitions applicable to this part. 01138'97 Final page. CPD