HB-5637, As Passed House, June 9, 2004                                      

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                              SUBSTITUTE FOR                                    

                                                                                

                           HOUSE BILL NO. 5637                                  

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1978 PA 368, entitled                                             

                                                                                

    "Public health code,"                                                       

                                                                                

    (MCL 333.1101 to 333.25211) by adding section 9141.                         

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 9141.  (1) The department shall establish and                          

                                                                                

2   administer a grant program to provide grants for the purchase of            

                                                                                

3   ultrasound equipment.  The department shall use the grant program           

                                                                                

4   to make grants to qualified entities that apply for a grant and             

                                                                                

5   that do not have at least 2 ultrasound machines.                            

                                                                                

6       (2) The ultrasound equipment fund is created within the                     

                                                                                

7   state treasury.  The state treasurer may receive money or other             

                                                                                

8   assets from any source for deposit into the fund including, but             

                                                                                

9   not limited to, appropriations, other state revenues, federal               

                                                                                

10  money, gifts, bequests, donations, and money from any other                 

                                                                                

11  source provided by law.  The state treasurer shall direct the               

                                                                                


     House Bill No. 5637 (H-1) as amended June 9, 2004

   

1   investment of the fund.  The state treasurer shall credit to the            

                                                                                

2   fund interest and earnings from fund investments.  Money in the             

                                                                                

3   fund at the close of the fiscal year shall remain in the fund and           

                                                                                

4   shall not lapse to the general fund.                                        

                                                                                

5       (3) The department shall use the fund to make grants as                     

                                                                                

6   provided under subsection (1) for the purchase of ultrasound                

                                                                                

7   equipment.  An application for a grant under the grant program              

                                                                                

8   shall be made on a form or format prescribed by the department.             

                                                                                

9   The department may require the applicant to provide information             

                                                                                

10  reasonably necessary to allow the department to make a                      

                                                                                

11  determination required under this section.  In making its                   

                                                                                

12  determination, the department shall give priority to those                  

                                                                                

13  applicants that do not have an ultrasound machine or that have              

                                                                                

14  only 1 ultrasound machine that is outdated based on industry                

                                                                                

15  standards.  The director of the department shall have final                 

                                                                                

16  approval of grants made under this section and the grants shall             

                                                                                

17  only be approved if the money is available in the fund.                     

                                                                                

18      (4) A cash match of at least 50% of the grant or other                      

                                                                                

19  repayment guarantee with a dedicated funding source is required             

                                                                                

20  before a grant can be awarded.                                              

                                                                                

21      (5) The department shall not make a grant to a qualified                    

                                                                                

22  entity for the purchase of ultrasound equipment unless the                  

                                                                                

23  following conditions are met:                                               

                                                                                

24      (a) The entity [                          ] provides family                 

                                                                                

25  planning or reproductive health services to low-income women at             

                                                                                

26  no cost [or at a reduced cost].                                             

                                                                                

27      (b) The entity agrees to comply with each of the following:                 


     House Bill No. 5637 (H-1) as amended June 9, 2004

   

1                                                                                (i) Shall have at least 1 ultrasound monitor that is fully                          

                                                                                

2   accessible to the pregnant woman to view during the performance             

                                                                                

3   of her ultrasound.                                                          

                                                                                

4       (ii) Inform each pregnant woman upon whom the ultrasound                     

                                                                                

5   equipment is used that she has the right to view the ultrasound             

                                                                                

6   image.                                                                      

                                                                                

7       (iii) If the ultrasound equipment is capable, inform each                    

                                                                                

8   pregnant woman upon whom the ultrasound equipment is used that              

                                                                                

9   she has the right to record the ultrasound image for her own                

                                                                                

10  records if she provides the entity with the videocassette, film,            

                                                                                

11  or other medium now known or later developed on which images can            

                                                                                

12  be recorded or otherwise stored.                                            

                                                                                

13      (iv) Certify in writing that the woman was offered an                        

                                                                                

14  opportunity to view the ultrasound image, obtain the woman's                

                                                                                

15  acceptance or rejection to view the image in writing, and                   

                                                                                

16  maintain a copy of each in the woman's medical file.                        

                                                                                

17      (v) Shall not use the ultrasound equipment to assist in the                 

                                                                                

18  performance of an elective abortion.                                        

        [(vi) Shall have a trained medical professional or a qualified medical director on staff to perform the ultrasound.]                                            

19      (6) The department shall annually prepare a report                          

                                                                                

20  summarizing the grants made under this section, contractual                 

                                                                                

21  commitments made and achieved, and a preliminary evaluation of              

                                                                                

22  the effectiveness of this section and shall provide a copy of               

                                                                                

23  this report to the chairs of the house and senate appropriations            

                                                                                

24  subcommittees for the department of community health.                       

                                                                                

25      (7) The department may promulgate rules under the                           

                                                                                

26  administrative procedures act of 1969 to implement this grant               

                                                                                

27  program.                                                                    


                                                                                

1       (8) As used in this section:                                                

                                                                                

2       (a) "Department" means the department of community health.                  

                                                                                

3       (b) "Elective abortion" means the performance of a procedure                

                                                                                

4   involving the intentional use of an instrument, drug, or other              

                                                                                

5   substance or device to terminate a woman's pregnancy for a                  

                                                                                

6   purpose other than to increase the probability of a live birth,             

                                                                                

7   to preserve the life or health of the child after live birth, or            

                                                                                

8   to remove a dead fetus.  Elective abortion does not include                 

                                                                                

9   either of the following:                                                    

                                                                                

10                                                                               (i) The use or prescription of a drug or device intended as                         

                                                                                

11  a contraceptive.                                                            

                                                                                

12      (ii) The intentional use of an instrument, drug, or other                    

                                                                                

13  substance or device by a physician to terminate a woman's                   

                                                                                

14  pregnancy if the woman's physical condition, in the physician's             

                                                                                

15  reasonable medical judgment, necessitates the termination of the            

                                                                                

16  woman's pregnancy to avert her death.                                       

                                                                                

17      (c) "Entity" means a local agency, organization, or                         

                                                                                

18  corporation or a subdivision, contractee, subcontractee, or grant           

                                                                                

19  recipient of a local agency, organization, or corporation.                  

                                                                                

20      (d) "Fund" means the ultrasound equipment fund created under                

                                                                                

21  subsection (2).                                                             

                                                                                

22      (e) "Qualified entity" means an entity reviewed and                         

                                                                                

23  determined by the department of community health to satisfy all             

                                                                                

24  of the conditions required under subsection (5) and to be                   

                                                                                

25  technically and logistically capable of providing the quality and           

                                                                                

26  quantity of services required within a cost range considered                

                                                                                

27  appropriate by the department.