HOUSE BILL No. 5238 October 7, 1997, Introduced by Rep. Law and referred to the Committee on Health Policy. A bill to amend 1953 PA 181, entitled "An act relative to investigations in certain instances of the causes of death within this state due to violence, negligence or other act or omission of a criminal nature or to protect public health; to provide for the taking of statements from injured per- sons under certain circumstances; to abolish the office of coro- ner and to create the office of county medical examiner in cer- tain counties; to prescribe the powers and duties of county medi- cal examiners; to prescribe penalties for violations of the pro- visions of this act; and to prescribe a referendum thereon," by amending sections 2, 3, and 5 (MCL 52.202, 52.203, and 52.205), section 5 as amended by 1980 PA 401. THE PEOPLE OF THE STATE OF MICHIGAN ENACT: 1 Sec. 2. (1)CountyA COUNTY medicalexaminersEXAMINER 2 or deputy county medicalexaminersEXAMINER shallmake inves-3tigations as toINVESTIGATE the cause and manner of death in 4allEACH OF THE FOLLOWING cases:of persons who have come to5their death00156'97 CPD 2 1 (A) THE CASE OF A PERSON WHO HAS DIED by violence.; or2 (B) THE CASE OF A PERSON whose death was unexpected.; or3 (C) THE CASE OF A PERSON WHO HAS DIED without medical 4 attendance during the 48 hoursprior toIMMEDIATELY PRECEDING 5 the hour of death, unless the attending physician, if any, is 6 able to determine accurately the cause of death.; or7 (D) THE CASE OF A PERSON WHO HAS DIED as the result of an 8 abortion, whether self-induced or otherwise. 9 (E) THE CASE OF A PERSON WHO HAS DIED AT THE SCENE OF A 10 FIRE. 11 (2) IfanyA prisoner inanyA county or city jail dies 12 whilesoimprisoned, the county medical examiner, upon being 13 notified of the death of the prisoner, shallmake an examination14uponEXAMINE the body of the deceased prisoner. 15 Sec. 3.Any physician and anyA PHYSICIAN, A person in 16 charge ofanyA hospital or institution, oranyA person who 17shall haveHAS first knowledge of the death ofanyA person 18 whoshall havedied suddenly, unexpectedly, accidentally, vio- 19 lently,oras the result ofanysuspicious circumstances, AT 20 THE SCENE OF A FIRE, or without medical attendance during the 48 21 hoursprior toIMMEDIATELY PRECEDING the hour of death, unless 22 the attending physician, if any, is able to determine accurately 23 the cause of death, or in any case of death due to what is com- 24 monly known as an abortion, whether self-induced or otherwise, 25 shall notify the county medical examiner or his OR HER deputy 26 immediately of the death. 00156'97 3 1 Sec. 5. (1)WhenIF a county medical examiner has notice 2 thatthere has been found within his or her county or district3 the body of a person whois supposed to have come to his or her4deathMAY HAVE DIED in a manneras indicatedDESCRIBED in sec- 5 tion 3 HAS BEEN FOUND WITHIN THE MEDICAL EXAMINER'S GEOGRAPHICAL 6 JURISDICTION, the COUNTY medical examiner shall take charge of 7 the body., and if, on view ofSUBJECT TO SUBSECTION (3), IF 8 AFTER EXAMINING the body andpersonal inquiry into9 INVESTIGATING the cause and manner of the death,the COUNTY 10 medical examiner considers a further examination necessary,the11county medical examiner or aHE OR SHE OR HIS OR HER deputy may 12 cause the dead body to be removed to the public morgue. If the 13 investigation is SOLELY for the reasononlythat the dead 14 person had no medical attendance during 48 hours before the hour 15 of death, and if the dead person had chosen not to have medical 16 attendance because of his or her bona fide held religious convic- 17 tions, removalshallIS notberequired unless there is evi- 18 dence of other conditionsstipulatedDESCRIBED in section 3. 19 If there is no public morgue,thenthe body may be removed to a 20 private morgueasDESIGNATED BY the county medical examiner. 21has designated.22 (2) The COUNTY medical examiner may designate a person 23 appointed pursuant to section 1a(2) to take charge of the body, 24 make pertinent inquiry, note the circumstances surrounding the 25 death, and, if considered necessary, cause the body to be trans- 26 ported to the morgue for examination by the COUNTY medical 27 examiner. The COUNTY medical examiner shall maintain a list of 00156'97 4 1 persons appointed pursuant to section 1a(2) and their 2 qualifications which shall be filed with the local law enforce- 3 ment agencies. The person appointed pursuant to section 1a(2) 4 shall not be an agent or employee ofanyA person or funeral 5 establishment licensed underAct No. 268 of the Public Acts of61949, as amended, being sections 338.861 to 338.875 of the7Michigan Compiled LawsTHE OCCUPATIONAL CODE, 1980 PA 299, MCL 8 339.101 TO 339.2721, receive, directly or indirectly,anyremu- 9 neration in connection with the disposition of the body, or make 10 any funeral or burial arrangements without approval of the next 11 of kin, ifthey are foundKNOWN, or the person responsible for 12 the funeral expenses. 13 (3) The county medical examiner OR HIS OR HER DESIGNEE SHALL 14 PERFORM AN AUTOPSY UPON THE BODY OF A PERSON WHO DIED AT THE 15 SCENE OF A FIRE. THE COUNTY MEDICAL EXAMINER may perform or 16 direct to be performedan autopsy andANY OTHER AUTOPSY. A 17 PERSON PERFORMING AN AUTOPSY UNDER THIS ACT shall carefully 18 reduce or cause to be reduced to writing every fact and circum- 19 stance tending to show the condition of the body and the cause 20 and manner of death,together withAND INCLUDE IN THAT WRITING 21 the names and addresses ofany personsEACH PERSON present at 22 the autopsy., which record he or she shall subscribe.THE 23 PERSON PERFORMING THE AUTOPSY SHALL SUBSCRIBE THE WRITING 24 DESCRIBED IN THIS SUBSECTION. 25 (4)TheEXCEPT AS PROVIDED IN SUBSECTION (5), THE COUNTY 26 medical examiner shall ascertain the identity of the deceased and 27notifyimmediately AND as compassionately as possible NOTIFY 00156'97 5 1 the next of kin of the DECEDENT'S death and the location of the 2 body.except that such3 (5) THE notification DESCRIBED IN SUBSECTION (4) is not 4 required if a person from the state police or a county sheriff 5 department or a township police department or a municipal police 6 department states to the COUNTY medical examiner that the notifi- 7 cation has already occurred. The county medical examiner may 8 conduct an autopsy if he or she determines that an autopsy rea- 9 sonably appears to be required pursuant to law. After the county 10 medical examiner or a deputy or a person from the state police, 11ora county sheriff department,ora township police 12 department, or a municipal police department has made diligent 13 effort to locate and notify the next of kin,he or sheTHE 14 COUNTY MEDICAL EXAMINER may order and conduct the autopsy with or 15 without the consent of the next of kin of the deceased. 16 (6)(5)The county medical examiner oraHIS OR HER 17 deputy shall keep a written record of the efforts to locate and 18 notify the next of kin for a period of 1 year from the date of 19 the autopsy.The county medical examiner shall, after any20 AFTER A required examination or autopsy, THE COUNTY MEDICAL 21 EXAMINER SHALL promptly deliver or return the body to relatives 22 or representatives of the deceased.or, ifIF there are no 23 relatives or representatives OF THE DECEASED known to the COUNTY 24 MEDICAL examiner, he or she may cause the body to bedecently25 buried, except that the medical examinerPURSUANT TO LAW, BUT 26 may retain, as long asmay beHE OR SHE DETERMINES necessary, 00156'97 6 1anyA portion of the body believed by the COUNTY medical 2 examiner to be necessary for the detection ofanyA crime. 00156'97 Final page. CPD