HB-5225, As Passed House, April 22, 2004                                    

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                              SUBSTITUTE FOR                                    

                                                                                

                           HOUSE BILL NO. 5225                                  

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 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                

    persons under certain circumstances; to abolish the office of               

    coroner and to create the office of county medical examiner in              

    certain counties; to prescribe the powers and duties of county              

    medical examiners; to prescribe penalties for violations of the             

    provisions of this act; and to prescribe a referendum thereon,"             

                                                                                

    by amending section 5a (MCL 52.205a).                                       

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 5a.  (1) When a child under the age of 2 years dies                    

                                                                                

2   within this state under circumstances of sudden death, cause                

                                                                                

3   unknown, or found dead, cause unknown, that death shall be                  

                                                                                

4   immediately reported to the county medical examiner or deputy               

                                                                                

5   county medical examiner of the county  wherein  where the body              

                                                                                

6   lies, whereupon the  is located.  The county medical examiner or           

                                                                                

7   deputy county medical examiner shall inform the parents or legal            

                                                                                


                                                                                

1   guardians of the child that they may request an autopsy to be               

                                                                                

2   performed on the child.  , the costs of which shall be borne by             

                                                                                

3   the  The state shall cover the costs of an autopsy requested                

                                                                                

4   under this section An autopsy requested by the parents or                

                                                                                

5   legal guardians shall be arranged for by the  The county medical            

                                                                                

6   examiner or the deputy county medical examiner shall arrange the            

                                                                                

7   autopsy requested under this section and  the parents or legal              

                                                                                

8   guardians shall be  shall promptly  notified  notify the parents            

                                                                                

9   or legal guardians of the results of that autopsy.  The county              

                                                                                

10  medical examiner or the deputy county medical examiner shall                

                                                                                

11  report the costs of the autopsy performed under this section                

                                                                                

12  shall be reported  to the  state  director of  public  the                 

                                                                                

13  department of community health.  who shall pay the account to  If           

                                                                                

14  the director determines the claim to be reasonable and proper, he           

                                                                                

15  or she shall reimburse the person  entitled thereto  for the                

                                                                                

16  costs incurred under this section out of funds appropriated for             

                                                                                

17  this purpose by the legislature.   The reasonableness and                   

                                                                                

18  propriety of all claims and accounts under this section shall be            

                                                                                

19  passed upon and determined by the state director of public                  

                                                                                

20  health.  Nothing in this section shall be construed  as                     

                                                                                

21  interfering  to interfere with the duties and responsibilities of           

                                                                                

22  the county medical examiner or deputy county medical examiner as            

                                                                                

23  defined  provided in  other sections of  this act.                         

                                                                                

24      (2) The department of community health shall promulgate rules               

                                                                                

25  and regulations under this act to promote consistency and                   

                                                                                

26  accuracy among county medical examiners and deputy county medical           

                                                                                

27  examiners in determining the cause of death under this section.             


                                                                                

1   The department may adopt, by reference in its rules, all or any             

                                                                                

2   part of the "State of Michigan Protocols to Determine Cause and             

                                                                                

3   Manner of Sudden and Unexplained Child Deaths" published by the             

                                                                                

4   Michigan child death review program.