HB-4272, As Passed Senate, May 12, 2004                                     

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                              SUBSTITUTE FOR                                    

                                                                                

                           HOUSE BILL NO. 4272                                  

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1978 PA 368, entitled                                             

                                                                                

    "Public health code,"                                                       

                                                                                

    (MCL 333.1101 to 333.25211) by adding section 20188; and to                 

                                                                                

    repeal acts and parts of acts.                                              

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 20188.  (1) To examine means to improve patient safety                 

                                                                                

2   and reduce medical errors in this state, the governor shall                 

                                                                                

3   create and appoint a commission on patient safety within the                

                                                                                

4   department of community health or designate an existing                     

                                                                                

5   organization or patient safety initiative to act as the state               

                                                                                

6   commission on patient safety.  If the governor chooses to                   

                                                                                

7   designate an existing organization or patient safety initiative             

                                                                                

8   to act as the state commission, the organization or initiative              

                                                                                

9   designated shall include, but is not limited to, individuals with           

                                                                                

10  education, experience, and expertise in health and human services           

                                                                                


    House Bill No. 4272 as amended May 20, 2003                                 

1   and individuals representing health care consumers, providers,              

                                                                                

2   and payers.  If the governor chooses to create a commission, the            

                                                                                

3   commission shall consist of 7 members appointed by the governor             

                                                                                

4   as follows:                                                                 

                                                                                

5       (a) Two individuals from the general public.                                

                                                                                

6       (b) One individual representing hospitals.                                  

                                                                                

7       (c) Three licensed health care professionals.                               

                                                                                

8       (d) One individual representing the health care insurance                   

                                                                                

9   industry.                                                                   

                                                                                

10      (2) The commission on patient safety shall conduct public                   

                                                                                

11  hearings to seek input from the public and from all of the                  

                                                                                

12  following organizations that have an interest in patient safety:            

                                                                                

13      (a) The Michigan health and hospital association or its                     

                                                                                

14  successor organization.                                                     

                                                                                

15      (b) The Michigan state medical society or its successor                     

                                                                                

16  organization.                                                               

                                                                                

17      (c) The Michigan osteopathic association or its successor                   

                                                                                

18  organization.                                                               

                                                                                

19      (d) The [Michigan college of emergency physicians] or its successor         

                                                                                

20  organization.                                                               

                                                                                

21      (e) The Michigan nurses association or its successor                        

                                                                                

22  organization.                                                               

                                                                                

23      (f) The emergency nurses association or its successor                       

                                                                                

24  organization.                                                               

                                                                                

25      (g) The Michigan association of emergency medical technicians               

                                                                                

26  or its successor organization.                                              

                                                                                

27      (h) The Michigan pharmacists association or its successor                   


                                                                                

1   organization.                                                               

                                                                                

2       (i) The Michigan society for clinical laboratory sciences or                

                                                                                

3   its successor organization.                                                 

                                                                                

4       (j) The Michigan academy of physician assistants or its                     

                                                                                

5   successor organization.                                                     

                                                                                

6       (k) The Michigan society of healthcare risk management or its               

                                                                                

7   successor organization.                                                     

                                                                                

8                                                                                (l) The Michigan association of health plans or its successor                       

                                                                                

9   organization.                                                               

                                                                                

10      (m) The American society of clinical pathologists or its                    

                                                                                

11  successor organization.                                                     

                                                                                

12      (n) The Michigan physical therapy association or its                        

                                                                                

13  successor organization.                                                     

                                                                                

14      (o) The Michigan speech-language-hearing association or its                 

                                                                                

15  successor organization.                                                     

                                                                                

16      (p) The American dietetics association or its successor                     

                                                                                

17  organization.                                                               

                                                                                

18      (q) The national association of social workers, Michigan                    

                                                                                

19  chapter or its successor organization.                                      

                                                                                

20      (r) The mental health association of Michigan or its                        

                                                                                

21  successor organization.                                                     

                                                                                

22      (s) The Michigan occupational therapy association or its                    

                                                                                

23  successor organization.                                                     

                                                                                

24      (t) Health care association of Michigan or its successor                    

                                                                                

25  organization.                                                               

                                                                                

26      (u) Michigan association for local public health or its                     

                                                                                

27  successor organization.                                                     


                                                                                

1       (v) Michigan hospice and palliative care organization or its                

                                                                                

2   successor organization.                                                     

                                                                                

3       (w) Michigan society of anesthesiologists or its successor                  

                                                                                

4   organization.                                                               

                                                                                

5       (x) The Michigan home health association or its successor                   

                                                                                

6   organization.                                                               

                                                                                

7       (y) The Michigan dental association or its successor                        

                                                                                

8   organization.                                                               

                                                                                

9       (z) The Michigan association of community mental health                     

                                                                                

10  boards or its successor organization.                                       

                                                                                

11      (aa) The Michigan chiropractic society or its successor                     

                                                                                

12  organization.                                                               

                                                                                

13      (bb) The Michigan association of nurse anesthetists or its                  

                                                                                

14  successor organization.                                                     

                                                                                

15      (cc) The Michigan association of homes and services for the                 

                                                                                

16  aging or its successor organization.                                        

                                                                                

17      (dd) The Michigan radiological society or its successor                     

                                                                                

18  organization.                                                               

                                                                                

19      (ee) Blue cross/blue shield of Michigan or its successor                    

                                                                                

20  organization.                                                               

                                                                                

21      (ff) The service employees international union or its                       

                                                                                

22  successor organization.                                                     

                                                                                

23      (gg) The AARP or its successor organization.                                

                                                                                

24      (hh) The Michigan council of nurse practitioners or its                     

                                                                                

25  successor organization.                                                     

                                                                                

26      (ii) The Michigan advocacy project or its successor                         

                                                                                

27  organization.                                                               


    House Bill No. 4272 as amended May 20, 2003                                 

1       (jj) The Michigan primary care association or its successor                 

                                                                                

2   organization.                                                               

                                                                                

3       (kk) The Michigan association of ambulance services or its                  

                                                                                

4   successor organization.                                                     

                                                                                

5       (ll) The economic alliance of Michigan or its successor                      

                                                                                

6   organization.                                                               

                                                                                

7       (mm) The Michigan society for respiratory care or its                       

                                                                                

8   successor organization.                                                     

                                                                                

9       (nn) The Michigan psychological association or its successor                

                                                                                

10  organization.                                                               

                                                                                

11      (oo) The Michigan podiatric medical association or its                      

                                                                                

12   successor organization.

     [pp) The Michigan chiropractic association or its successor organization.

    (qq) The Michigan county medical care facilities council or its successor organization.]                                                                  

13      [rr] Any other organization that the commission determines                  

                                                                                

14  has an interest in patient safety.                                          

                                                                                

15      (3) If the governor creates and appoints a commission on                    

                                                                                

16  patient safety under subsection (1), the commission shall meet              

                                                                                

17  and appoint a chairperson within 30 days after all members are              

                                                                                

18  appointed by the governor.  The commission shall conduct its                

                                                                                

19  first public hearing within 60 days after all members are                   

                                                                                

20  appointed by the governor.  If an organization or patient safety            

                                                                                

21  Initiative is designated to act as the state commission on                  

                                                                                

22  patient safety under subsection (1), the commission shall conduct           

                                                                                

23  its first public hearing as the commission within 60 days after             

                                                                                

24  Designated by the governor.                                                 

                                                                                

25      (4) The commission shall consider all information received                  

                                                                                

26  from its public hearings, review information from other patient             

                                                                                

27  safety initiatives, and study the causes of medical errors                  


                                                                                

1   occurring in the continuum of care, including in health                     

                                                                                

2   Facilities and in private practices.  Within 1 year after the               

                                                                                

3   Commission is appointed or designated by the governor, the                  

                                                                                

4   Commission shall issue a written report.  The report shall                  

                                                                                

5   contain recommendations for improvements in medical practice and            

                                                                                

6   a system for reducing medical errors, both in health facilities             

                                                                                

7   and in private practice.                                                    

                                                                                

8       (5) The commission shall conduct its business as the                        

                                                                                

9   commission at a public meeting of the commission held in                    

                                                                                

10  compliance with the open meetings act, 1976 PA 267, MCL 15.261 to           

                                                                                

11  15.275.  The commission shall give public notice of the time,               

                                                                                

12  date, and place of the meeting in the manner required by the open           

                                                                                

13  meetings act, 1976 PA 267, MCL 15.261 to 15.275.                            

                                                                                

14      (6) The commission shall make available a writing prepared,                 

                                                                                

15  owned, used, in the possession of, or retained by the patient               

                                                                                

16  safety commission in the performance of an official function as             

                                                                                

17  the commission to the public in compliance with the freedom of              

                                                                                

18  information act, 1976 PA 442, MCL 15.231 to 15.246.                         

                                                                                

19      (7) As used in this section, "commission" means the                         

                                                                                

20  commission created and appointed by the governor under subsection           

                                                                                

21  (1) or the organization or patient safety initiative designated             

                                                                                

22  to act as the commission by the governor under subsection (1).              

                                                                                

23      Enacting section 1.  Section 20188 of the public health                     

                                                                                

24  code, 1978 PA 368, MCL 333.20188, is repealed 18 months after the           

                                                                                

25  effective date of this amendatory act.