HOUSE BILL No. 4041

 

 

January 28, 2003, Introduced by Rep. Rocca and referred to the Committee on Health Policy.

        

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1978 PA 368, entitled                                             

                                                                                

    "Public health code,"                                                       

                                                                                

    by amending sections 20141 and 20171 (MCL 333.20141 and                     

                                                                                

    333.20171), section 20171 as amended by 1990 PA 252.                        

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 20141.  (1) A person shall not establish or maintain                   

                                                                                

2   and operate a health facility or agency without holding a license           

                                                                                

3   from  issued by the department.                                            

                                                                                

4       (2) A health facility or agency is not eligible to                          

                                                                                

5   participate in a federal or state health program requiring                  

                                                                                

6   certification without current certification from the department.            

                                                                                

7       (3) A health facility or agency shall have the physician,                   

                                                                                

8   professional nursing, health professional, technical and                    

                                                                                

9   supportive personnel, and the technical, diagnostic, and                    

                                                                                

10  treatment services and equipment necessary to assure the safe               


                                                                                

1   performance of the health care undertaken by or in the facility             

                                                                                

2   or agency.                                                                  

                                                                                

3       (4) A health facility or agency licensed under this article                 

                                                                                

4   shall make available to its health professional staff and may               

                                                                                

5   make available to other staff training in first aid,                        

                                                                                

6   cardiopulmonary resuscitation, and foreign body obstruction of              

                                                                                

7   the airway approved by the department and offered or approved by            

                                                                                

8   the American red cross, American heart association, or a                    

                                                                                

9   comparable organization.  A health facility or agency licensed              

                                                                                

10  under this article shall have on duty during all hours of                   

                                                                                

11  operation at least 1 health professional staff member who has               

                                                                                

12  successfully completed the course of training described in this             

                                                                                

13  subsection and who holds a valid, current certification in first            

                                                                                

14  aid and cardiopulmonary resuscitation issued by the organization            

                                                                                

15  offering the training.                                                      

                                                                                

16      (5)  (4)  Licensure and certification of a health facility                  

                                                                                

17  or agency  shall be  is evidence of the fact that the health                

                                                                                

18  facility or agency complies with applicable statutory and                   

                                                                                

19  regulatory requirements and standards at the time of issuance.              

                                                                                

20      (6)  (5)  A health facility or agency shall provide the                     

                                                                                

21  department with the data and statistics required to enable the              

                                                                                

22  department to carry out functions required by federal and state             

                                                                                

23  law, including rules and regulations.                                       

                                                                                

24      Sec. 20171.  (1) The department, after obtaining approval of                

                                                                                

25  the advisory commission, shall promulgate and enforce rules to              

                                                                                

26  implement this article, including, but not limited to, rules                

                                                                                

27  necessary to enable a health facility or agency to qualify for              


                                                                                

1   and receive federal funds available for patient care or for                 

                                                                                

2   projects involving new construction, additions, modernizations,             

                                                                                

3   or conversions.                                                             

                                                                                

4       (2) The rules promulgated under subsection (1) that are                     

                                                                                

5   applicable to health facilities or agencies shall be uniform                

                                                                                

6   insofar as is reasonable.                                                   

                                                                                

7       (3) The  rules shall establish  department shall promulgate                 

                                                                                

8   rules under subsection (1) establishing standards relating to all           

                                                                                

9   of the following:                                                           

                                                                                

10      (a) Ownership of a health facility or agency.                               

                                                                                

11      (b) Reasonable disclosure of ownership interests in                         

                                                                                

12  proprietary corporations and of financial interests of trustees             

                                                                                

13  of voluntary, nonprofit corporations and owners of proprietary              

                                                                                

14  corporations and partnerships.                                              

                                                                                

15      (c) Organization and function of  the  a health facility or                 

                                                                                

16  agency, and of the health facility or agency's owner, operator,             

                                                                                

17  and governing body.                                                         

                                                                                

18      (d) Administration of a health facility or agency.                          

                                                                                

19      (e) Professional and nonprofessional staff, training,                       

                                                                                

20  services, and equipment appropriate to implement section 20141(3)           

                                                                                

21  and (4).                                                                    

                                                                                

22      (f) Policies and procedures of a health facility or agency.                 

                                                                                

23      (g) Fiscal and medical audit of a health facility or                        

                                                                                

24  agency.                                                                     

                                                                                

25      (h) Utilization and quality control review.                                 

                                                                                

26      (i) Physical plant including, but not limited to, planning,                 

                                                                                

27  construction, functional design, sanitation, maintenance,                   


                                                                                

1   housekeeping, and fire safety.                                              

                                                                                

2       (j) Arrangements for the continuing evaluation of the                       

                                                                                

3   quality of health care provided in a health facility or agency.             

                                                                                

4       (k) Other pertinent organizational, operational, and                        

                                                                                

5   procedural requirements for each type of health facility or                 

                                                                                

6   agency.                                                                     

                                                                                

7       (4) The rules promulgated under section 21563 for the                       

                                                                                

8   designation of rural community hospitals may also specify all of            

                                                                                

9   the following:                                                              

                                                                                

10      (a) Maximum bed size.                                                       

                                                                                

11      (b) The level of services to be provided in each category as                

                                                                                

12  described in section 21562(2).                                              

                                                                                

13      (c) Requirements for transfer agreements with other                         

                                                                                

14  hospitals to assure efficient and appropriate patient care.