HOUSE BILL No. 4473 March 11, 1997, Introduced by Rep. Profit and referred to the Committee on Conservation, Environment and Recreation. A bill to amend 1994 PA 451, entitled "Natural resources and environmental protection act," by amending section 40115 (MCL 324.40115), as added by 1995 PA 57. THE PEOPLE OF THE STATE OF MICHIGAN ENACT: 1 Sec. 40115. (1) As used in this section: 2 (a) "Crossbow" means a weapon consisting of a bow mounted 3 transversely on a stock or frame and designed to fire an arrow, 4 bolt, or quarrel by the release of a bow string which is con- 5 trolled by a mechanical or electric trigger and has a working 6 safety and a draw weight of 100 pounds or greater. 7 (b) "Physical therapist" means a person licensed to engage 8 in the practice of physical therapy under article 15 of the 9 public health code,Act No. 368 of the Public Acts of 1978,02187'97 TMV 2 1being sections 333.16101 to 333.18838 of the Michigan Compiled2Laws1978 PA 368, MCL 333.16101 TO 333.18838. 3 (c) "Physician" means a person licensed by the state to 4 engage in the practice of medicine or the practice of osteopathic 5 medicine and surgery OR THE PRACTICE OF CHIROPRACTIC under 6 article 15 of the public health code,Act No. 368 of the Public7Acts of 19781978 PA 368, MCL 333.16101 TO 333.18838. 8 (2) The department may issue a permit to a person who is 9 certified as being permanently disabledby a physicianas pro- 10 vided in this section. That permit shall be issued without cost 11 to the applicant and shall authorize that person to take game 12 with a crossbow during the open season for that game if that 13 person holds a license to take that game issued pursuant to 14 part 435 and complies with all other laws and rules for the 15 taking of game. 16 (3) An applicant for a permit under this section shall 17 submit to the department a signed certification from a physician. 18indicating that the physician received from a physical therapist19and reviewed and confirmed objective test findings indicating the20percentage of disability determined to be present in the permit21applicant by the physical therapist.A PHYSICIAN MAY BASE HIS OR 22 HER CERTIFICATION UNDER THIS SECTION ON THE REPORT OF A PHYSICAL 23 THERAPIST. Based on the test findings, the physician may certify 24 that the applicant is permanently disabled as required by this 25 section if the physician finds that the permit applicant has at 26 least 80%, in combination or individual impairment, of a hand, 27 elbow, or shoulder. In support of such a determination, the 02187'97 3 1 physicianand the physical therapistshall utilize the 2 following standards and criteria: 3 (a) If applicable, PERIPHERAL NERVE INVOLVEMENT OR muscle 4 weaknesses with a grade of fair or below for involved upper 5 extremity muscle groups OR A REDUCTION IN FUNCTION will be used 6 to determine if a person is eligible for a permit under this 7 section.Testing by the physical therapist will use as a guide-8line "Techniques of Manual Muscle Testing", by Daniels and9Worthingham, or other guidelines accepted by the American medical10association.11(b) Impaired range of motion. Goniometric measurements12using the "American medical association guide to evaluation and13permanent impairment rating", or other guidelines accepted by the14American medical association.15(c) Peripheral nerve involvement, using the "American medi-16cal association guide to evaluation and permanent impairment17rating", or other guidelines accepted by the American medical18association.19 (B)(d)Amputations involving 4 fingers at the proximal 20 interphalangeal joint, wrist, elbow, and shoulder do not require 21 objective test findings. However, the applicant is required to 22 present a physician's diagnosis to be qualified for a permit. 23 (C)(e) Unilateral hand weakness disabilities. InTO 24 ASSESS UNILATERAL HAND WEAKNESS DISABILITIES, IN addition to 25 manual muscle testing, a grip dynamometer, pinch grip, and lat- 26 eral grip measurementswillSHALL be used to compare dominant 27 to nondominant hand. A 5% deficit is standard acceptance for the 02187'97 4 1 nondominant hand. Bilateral hand weaknesses or bilateral upper 2 extremity weaknesses, or both, are subject to manual muscle test- 3 ing only. 4 (D)(f)Any spinal cord injury above the level of C-8, 5 resulting in permanent disability to the lower extremities, leav- 6 ing the applicant permanently nonambulatory, as diagnosed by a 7 physician, do not require objective test findings. However, the 8 applicant is required to present a physician's diagnosis to be 9 qualified for a permit. 10 (E)(g) Coordination assessment.CoordinationisSHALL 11 BE TESTED TO ASSESS THE ABILITY OF MUSCLES OR GROUPS OF MUSCLES 12 TO WORK TOGETHER TO PERFORM A TASK. FOR SAFETY PURPOSES, THIS 13 TEST SHALL DISQUALITY FROM ELIGIBILITY FOR A PERMIT APPLICANTS 14 SEVERELY IMPAIRED BY INCOORDINATION OR COORDINATION DEFICIT. AS 15 USED IN THIS SUBDIVISION, "COORDINATION" MEANS the ability to 16 execute smooth, accurate, controlled movement. Incoordination or 17 coordination deficit describes abnormal motor function character- 18 ized by awkward, extraneous, uneven, or inaccurate movements, 19 caused by central nervous disorders, including, but not limited 20 to, Parkinson's disease, cerebral palsy, hemiplegia, hemiparesis, 21andclosed head trauma, ARTHRITIS, OR CARPAL TUNNEL SYNDROME; 22 or by progressive neuromuscular diseases, such as muscular dys- 23 trophy, multiple sclerosis, and amyotrophic lateral sclerosis. 24Purpose: to assess the ability of muscles or groups of muscles25to work together to perform a task. For safety considerations,26this test will eliminate severely impaired applicants from27qualifying for a permit.02187'97 5 1 (4) A person shall not seek diagnosis from a physical 2 therapist or a physician for purposes of meeting the requirements 3 of this section on more than 2 occasions within a 6-month 4 period. If a person seeks a diagnosis from a PHYSICIAN OR physi- 5 cal therapist and the results of the testing do not meet the 6 requirements of this section for eligibility for a permit, the 7 person may do either of the following: 8 (a) Within 30 days of obtaining the test results, seek 9 another opinion from the same or a different PHYSICIAN OR physi- 10 cal therapist. 11 (b) After 180 days or more, seek another opinion from the 12 same or a different PHYSICIAN OR physical therapist. 13 (5) A permit issued under this section to a person who is 14 eligible for that permit because he or she has a progressive neu- 15 romuscular disease or a central nervous disorder shall be issued 16 for 2 years and then is renewable only upon reapplication pursu- 17 ant to this section. All other crossbow permits issued pursuant 18 to this section are valid unless revoked pursuant to the adminis- 19 trative procedures act of 1969,Act No. 306 of the Public Acts20of 1969, being sections 24.201 to 24.328 of the Michigan Compiled21Laws1969 PA 306, MCL 24.201 TO 24.328. 22 (6) Arrows, bolts, and quarrels used for taking deer, bear, 23 elk, and turkey with a crossbow under a permit issued under this 24 sectionare required toSHALL have a broadhead hunting type of 25 point not less than 7/8 of an inch wide andmust be a minimum26ofSHALL BE NOT LESS THAN 14 inches in length. 02187'97 6 1 (7) A person who falsely obtains or uses a permit authorized 2 in this section is guilty of a misdemeanor, punishable by 3 imprisonment for not more than 90 days, or a fine of not less 4 than $200.00 or more than $1,000.00, or both, and the cost of 5 prosecution. 02187'97 Final page. TMV