CHILD ABUSE/NEGLECT REPORTING - S.B. 434: FIRST ANALYSIS
Senate Bill 434 (as passed by the Senate)
Sponsor: Senator Bev Hammerstrom
Committee: Families, Mental Health and Human Services
RATIONALE
Under the Child Protection Law (CPL), certain professionals who have reasonable cause to suspect child abuse or neglect must immediately report the suspected abuse or neglect to the Family Independence Agency (FIA). These professionals include, for example, physicians, nurses, social workers, and teachers. These individuals are often in a position to see evidence of abuse or neglect, and their observations not only can alert the authorities to possible abuse or neglect but also can facilitate the investigation of cases and the collection of evidence. Since many physician's assistants also have direct contact with young patients, it has been suggested that they, too, should be required to report suspected abuse or neglect.
CONTENT
The bill would amend the Child Protection Law to include a physician's assistant in the list of professionals who are required to make a report to the FIA if they have reasonable cause to suspect child abuse or neglect.
The CPL requires that a professional subject to the reporting requirement immediately make an oral report of the suspected abuse or neglect to the FIA, by telephone or otherwise, or cause an oral report to be made. Within 72 hours after making the oral report, the person must file a written report. The bill would include a physician's assistant in these provisions.
The reporting requirements currently apply to a physician, coroner, dentist, registered dental hygienist, medical examiner, nurse, emergency medical care licensee, audiologist, psychologist, marriage and family therapist, licensed professional counselor, certified social worker, social worker, social work technician, school administrator, school counselor, teacher, law enforcement officer, and regulated child care provider.
MCL 722.623
BACKGROUND
The Public Health Code provides for the licensure and regulation of physician's assistants. Physician's assistants practice under the supervision of licensed physicians. In emergency situations, the Code allows physician's assistants to provide medical care without the supervision of a physician.
The first Michigan law governing physician's assistants was Public Act 312 of 1972. That Act's initial aim was for these professionals to help alleviate problems in some areas where the patient-to-physician ratio was inordinately high. Since 1972, the duties of physician's assistants have expanded: Although they act under the supervision of a physician, physician's assistants are permitted to make rounds, write progress reports, assist in surgery, run tests, take histories, prescribe medication, and perform other necessary procedures.
ARGUMENTS
(Please note: The arguments contained in this analysis originate from sources outside the Senate Fiscal Agency. The Senate Fiscal Agency neither supports nor opposes legislation.)
Supporting Argument
Abuse or neglect of a child is a serious crime that can have long-lasting effects on the victim, particularly if allowed to continue for an extended period of time. Often, health care professionals, social workers, or school personnel are the only people outside of a child's family to have contact with the child. The Child Protection Law requires certain professionals who have frequent contact with children to report suspected cases of abuse or neglect, in order to notify the authorities that a child may be in danger. A person acting in good faith who makes a report or cooperates in an investigation is immune from civil or criminal liability that might otherwise be incurred. This means that a professional required to report suspected abuse or neglect, who might otherwise be bound by health care provider/patient or professional/client confidentiality requirements, can report his or her observations without fear of civil suit from the patient or client.
The list of people required to report suspected child abuse or neglect has been expanded over the years to include more professionals who have direct contact with children and may be in a position to detect indications of possible child abuse or neglect. A 1984 amendment to the CPL added people licensed to provide emergency medical care, psychologists, and family therapists; licensed professional counselors and registered dental hygienists were added in 1994. Physician's assistants should be included in the Law's reporting requirements, as they, too, are regulated health professionals who may have frequent contact with children and are in a position to detect signs of child abuse and neglect.
Response: The CPL's reporting requirement should be extended more generally to anyone who performs professional or official duties with respect to children.
- Legislative Analyst: P. Affholter
FISCAL IMPACT
The bill would have no fiscal impact on State or local government.
- Fiscal Analyst: C. ColeA0102\s434a
This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent.