Bill Text: MI HB5731 | 2011-2012 | 96th Legislature | Introduced

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Bill Title: Health; abortion; gender-based abortions; prohibit. Amends secs. 16221 & 16226 of 1978 PA 368 (MCL 333.16221 & 333.16226) & adds secs. 17015b & 17515b. TIE BAR WITH: HB 5713'12

Spectrum: Partisan Bill (Republican 14-0)

Status: (Introduced - Dead) 2012-06-13 - Printed Bill Filed 06/13/2012 [HB5731 Detail]

Download: Michigan-2011-HB5731-Introduced.html

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HOUSE BILL No. 5731

 

June 12, 2012, Introduced by Reps. LaFontaine, Gilbert, Daley, Kurtz, Jenkins, Rendon, Yonker, Hooker, Pscholka, Heise, Muxlow, Goike, McBroom and Shaughnessy and referred to the Committee on Health Policy.

 

      A bill to amend 1978 PA 368, entitled

 

"Public health code,"

 

by amending sections 16221 and 16226 (MCL 333.16221 and

 

333.16226), section 16221 as amended by 2011 PA 222 and section

 

16226 as amended by 2011 PA 224, and by adding sections 17015b

 

and 17515b.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

 1        Sec. 16221. The department may investigate activities

 

 2  related to the practice of a health profession by a licensee, a

 

 3  registrant, or an applicant for licensure or registration. The

 

 4  department may hold hearings, administer oaths, and order the

 

 5  taking of relevant testimony to be taken and shall report its

 

 6  findings to the appropriate disciplinary subcommittee. The

 

 7  disciplinary subcommittee shall proceed under section 16226 if it

 

 8  finds that 1 or more of the following grounds exist:

 

 1        (a) A violation of general duty, consisting of negligence or

 

 2  failure to exercise due care, including negligent delegation to

 

 3  or supervision of employees or other individuals, whether or not

 

 4  injury results, or any conduct, practice, or condition that

 

 5  impairs, or may impair, the ability to safely and skillfully

 

 6  practice the health profession.

 

 7        (b) Personal disqualifications, consisting of 1 or more of

 

 8  the following:

 

 9        (i) Incompetence.

 

10        (ii) Subject to sections 16165 to 16170a, substance abuse as

 

11  defined in section 6107.

 

12        (iii) Mental or physical inability reasonably related to and

 

13  adversely affecting the licensee's ability to practice in a safe

 

14  and competent manner.

 

15        (iv) Declaration of mental incompetence by a court of

 

16  competent jurisdiction.

 

17        (v) Conviction of a misdemeanor punishable by imprisonment

 

18  for a maximum term of 2 years; a misdemeanor involving the

 

19  illegal delivery, possession, or use of a controlled substance;

 

20  or a felony. A certified copy of the court record is conclusive

 

21  evidence of the conviction.

 

22        (vi) Lack of good moral character.

 

23        (vii) Conviction of a criminal offense under section 520e or

 

24  520g of the Michigan penal code, 1931 PA 328, MCL 750.520e and

 

25  750.520g. A certified copy of the court record is conclusive

 

26  evidence of the conviction.

 

27        (viii) Conviction of a violation of section 492a of the

 

 1  Michigan penal code, 1931 PA 328, MCL 750.492a. A certified copy

 

 2  of the court record is conclusive evidence of the conviction.

 

 3        (ix) Conviction of a misdemeanor or felony involving fraud in

 

 4  obtaining or attempting to obtain fees related to the practice of

 

 5  a health profession. A certified copy of the court record is

 

 6  conclusive evidence of the conviction.

 

 7        (x) Final adverse administrative action by a licensure,

 

 8  registration, disciplinary, or certification board involving the

 

 9  holder of, or an applicant for, a license or registration

 

10  regulated by another state or a territory of the United States,

 

11  by the United States military, by the federal government, or by

 

12  another country. A certified copy of the record of the board is

 

13  conclusive evidence of the final action.

 

14        (xi) Conviction of a misdemeanor that is reasonably related

 

15  to or that adversely affects the licensee's ability to practice

 

16  in a safe and competent manner. A certified copy of the court

 

17  record is conclusive evidence of the conviction.

 

18        (xii) Conviction of a violation of section 430 of the

 

19  Michigan penal code, 1931 PA 328, MCL 750.430. A certified copy

 

20  of the court record is conclusive evidence of the conviction.

 

21        (xiii) Conviction of a criminal offense under section 520b,

 

22  520c, 520d, or 520f of the Michigan penal code, 1931 PA 328, MCL

 

23  750.520b, 750.520c, 750.520d, and 750.520f. A certified copy of

 

24  the court record is conclusive evidence of the conviction.

 

25        (c) Prohibited acts, consisting of 1 or more of the

 

26  following:

 

27        (i) Fraud or deceit in obtaining or renewing a license or

 

 1  registration.

 

 2        (ii) Permitting the a license or registration to be used by

 

 3  an unauthorized person.

 

 4        (iii) Practice outside the scope of a license.

 

 5        (iv) Obtaining, possessing, or attempting to obtain or

 

 6  possess a controlled substance as defined in section 7104 or a

 

 7  drug as defined in section 7105 without lawful authority; or

 

 8  selling, prescribing, giving away, or administering drugs for

 

 9  other than lawful diagnostic or therapeutic purposes.

 

10        (d) Unethical business practices, consisting of 1 or more of

 

11  the following:

 

12        (i) False or misleading advertising.

 

13        (ii) Dividing fees for referral of patients or accepting

 

14  kickbacks on medical or surgical services, appliances, or

 

15  medications purchased by or in behalf of patients.

 

16        (iii) Fraud or deceit in obtaining or attempting to obtain

 

17  third party reimbursement.

 

18        (e) Unprofessional conduct, consisting of 1 or more of the

 

19  following:

 

20        (i) Misrepresentation to a consumer or patient or in

 

21  obtaining or attempting to obtain third party reimbursement in

 

22  the course of professional practice.

 

23        (ii) Betrayal of a professional confidence.

 

24        (iii) Promotion for personal gain of an unnecessary drug,

 

25  device, treatment, procedure, or service.

 

26        (iv) Either of the following:

 

27        (A) A requirement by a licensee other than a physician that

 

 1  an individual purchase or secure a drug, device, treatment,

 

 2  procedure, or service from another person, place, facility, or

 

 3  business in which the licensee has a financial interest.

 

 4        (B) A referral by a physician for a designated health

 

 5  service that violates 42 USC 1395nn or a regulation promulgated

 

 6  under that section. For purposes of this subparagraph,

 

 7  subdivision, 42 USC 1395nn and the regulations promulgated under

 

 8  that section as they exist on June 3, 2002 are incorporated by

 

 9  reference. A disciplinary subcommittee shall apply 42 USC 1395nn

 

10  and the regulations promulgated under that section regardless of

 

11  the source of payment for the designated health service referred

 

12  and rendered. If 42 USC 1395nn or a regulation promulgated under

 

13  that section is revised after June 3, 2002, the department shall

 

14  officially take notice of the revision. Within 30 days after

 

15  taking notice of the revision, the department shall decide

 

16  whether or not the revision pertains to referral by physicians

 

17  for designated health services and continues to protect the

 

18  public from inappropriate referrals by physicians. If the

 

19  department decides that the revision does both of those things,

 

20  the department may promulgate rules to incorporate the revision

 

21  by reference. If the department does promulgate rules to

 

22  incorporate the revision by reference, the department shall not

 

23  make any changes to the revision. As used in this subparagraph,

 

24  sub-subparagraph, "designated health service" means that term as

 

25  defined in 42 USC 1395nn and the regulations promulgated under

 

26  that section and "physician" means that term as defined in

 

27  sections 17001 and 17501.

 

 1        (v) For a physician who makes referrals pursuant to 42 USC

 

 2  1395nn or a regulation promulgated under that section, refusing

 

 3  to accept a reasonable proportion of patients eligible for

 

 4  medicaid and refusing to accept payment from medicaid or medicare

 

 5  as payment in full for a treatment, procedure, or service for

 

 6  which the physician refers the individual and in which the

 

 7  physician has a financial interest. A physician who owns all or

 

 8  part of a facility in which he or she provides surgical services

 

 9  is not subject to this subparagraph if a referred surgical

 

10  procedure he or she performs in the facility is not reimbursed at

 

11  a minimum of the appropriate medicaid or medicare outpatient fee

 

12  schedule, including the combined technical and professional

 

13  components.

 

14        (f) Beginning June 3, 2003, the department of consumer and

 

15  industry services shall prepare the first of 3 annual reports on

 

16  the effect of 2002 PA 402 on access to care for the uninsured and

 

17  medicaid patients. The department shall report on the number of

 

18  referrals by licensees of uninsured and medicaid patients to

 

19  purchase or secure a drug, device, treatment, procedure, or

 

20  service from another person, place, facility, or business in

 

21  which the licensee has a financial interest.

 

22        (g) Failure to report a change of name or mailing address

 

23  within 30 days after the change occurs.

 

24        (h) A violation, or aiding or abetting in a violation, of

 

25  this article or of a rule promulgated under this article.

 

26        (i) Failure to comply with a subpoena issued pursuant to

 

27  this part, failure to respond to a complaint issued under this

 

 1  article or article 7, failure to appear at a compliance

 

 2  conference or an administrative hearing, or failure to report

 

 3  under section 16222 or 16223.

 

 4        (j) Failure to pay an installment of an assessment levied

 

 5  pursuant to under the insurance code of 1956, 1956 PA 218, MCL

 

 6  500.100 to 500.8302, within 60 days after notice by the

 

 7  appropriate board.

 

 8        (k) A violation of section 17013 or 17513.

 

 9        (l) Failure to meet 1 or more of the requirements for

 

10  licensure or registration under section 16174.

 

11        (m) A violation of section 17015 or 17515.

 

12        (n) A violation of section 17016 or 17516.

 

13        (o) Failure to comply with section 9206(3).

 

14        (p) A violation of section 5654 or 5655.

 

15        (q) A violation of section 16274.

 

16        (r) A violation of section 17020 or 17520.

 

17        (s) A violation of the medical records access act, 2004 PA

 

18  47, MCL 333.26261 to 333.26271.

 

19        (t) A violation of section 17764(2).

 

20        (u) A violation of section 17015b or 17515b.

 

21        Sec. 16226. (1) After finding the existence of 1 or more of

 

22  the grounds for disciplinary subcommittee action listed in

 

23  section 16221, a disciplinary subcommittee shall impose 1 or more

 

24  of the following sanctions for each violation:

 

 

25  Violations of Section 16221                   Sanctions

26 Subdivision (a), (b)(ii),          Probation, limitation, denial,

27 (b)(iv), (b)(vi), or                suspension, revocation,

1  (b)(vii)                            restitution, community service,

2                                     or fine.

3                                    

4  Subdivision (b)(viii)               Revocation or denial.

5                                    

6  Subdivision (b)(i),                Limitation, suspension,

7  (b)(iii), (b)(v),                   revocation, denial,

8  (b)(ix), (b)(x),                   probation, restitution,

9  (b)(xi), or (b)(xii)                community service, or fine.

10                                   

11 Subdivision (b)(xiii)               Probation, limitation, denial,

12                                    suspension, revocation,

13                                    restitution, community service,

14                                    fine, or, subject to subsection

15                                    (5), permanent revocation.

16                                   

17                                   

18 Subdivision (c)(i)                 Denial, revocation, suspension,

19                                    probation, limitation, community

20                                    service, or fine.

21                                   

22 Subdivision (c)(ii)                Denial, suspension, revocation,

23                                    restitution, community service,

24                                    or fine.

25                                   

26 Subdivision (c)(iii)                Probation, denial, suspension,

27                                    revocation, restitution,

28                                    community service, or fine.

29                                   

30 Subdivision (c)(iv)                Fine, probation, denial,

31 or (d)(iii)                         suspension, revocation, community

1                                     service, or restitution.

2                                    

3  Subdivision (d)(i)                 Reprimand, fine, probation,

4  or (d)(ii)                         community service, denial,

5                                     or restitution.

6                                    

7  Subdivision (e)(i)                 Reprimand, fine, probation,

8                                     limitation, suspension, community

9                                     service, denial, or restitution.

10                                   

11 Subdivision (e)(ii)                Reprimand, probation,

12 or (i)(i)                          suspension, restitution,

13                                    community service, denial, or

14                                    fine.

15                                   

16 Subdivision (e)(iii),               Reprimand, fine, probation,

17 (e)(iv), or (e)(v)                 suspension, revocation,

18                                    limitation, community service,

19                                    denial, or restitution.

20                                   

21 Subdivision (g)                   Reprimand or fine.

22                                   

23 Subdivision (h) or (s)            Reprimand, probation, denial,

24                                    suspension, revocation,

25                                    limitation, restitution,

26                                    community service, or fine.

27                                   

28 Subdivision (j)                   Suspension or fine.

29                                   

30 Subdivision (k), (p),             Reprimand or fine.

31 or (r)                           

1                                    

2  Subdivision (l)                    Reprimand, denial, or

3                                     limitation.

4                                    

5  Subdivision (m) or (o)            Denial, revocation, restitution,

6                                     probation, suspension,

7                                     limitation, reprimand, or fine.

8                                    

9  Subdivision (n)                   Revocation or denial.

10                                   

11 Subdivision (q)                   Revocation.

12                                   

13 Subdivision (t) or (u)            Revocation, fine, and

14                                    restitution.

 

 

15        (2) Determination of sanctions for violations under this

 

16  section shall be made by a disciplinary subcommittee. If, during

 

17  judicial review, the court of appeals determines that a final

 

18  decision or order of a disciplinary subcommittee prejudices

 

19  substantial rights of the petitioner for 1 or more of the grounds

 

20  listed in section 106 of the administrative procedures act of

 

21  1969, 1969 PA 306, MCL 24.306, and holds that the final decision

 

22  or order is unlawful and is to be set aside, the court shall

 

23  state on the record the reasons for the holding and may remand

 

24  the case to the disciplinary subcommittee for further

 

25  consideration.

 

26        (3) A disciplinary subcommittee may impose a fine of up to,

 

27  but not exceeding, $250,000.00 for a violation of section

 

28  16221(a) or (b).

 

 1        (4) A disciplinary subcommittee may require a licensee or

 

 2  registrant or an applicant for licensure or registration who has

 

 3  violated this article or article 7 or a rule promulgated under

 

 4  this article or article 7 to satisfactorily complete an

 

 5  educational program, a training program, or a treatment program,

 

 6  a mental, physical, or professional competence examination, or a

 

 7  combination of those programs and examinations.

 

 8        (5) A disciplinary subcommittee shall not impose the

 

 9  sanction of permanent revocation for a violation of section

 

10  16221(b)(xiii) unless the violation occurred while the licensee or

 

11  registrant was acting within the health profession for which he

 

12  or she was licensed or registered.

 

13        Sec. 17015b. (1) A physician shall not intentionally perform

 

14  an abortion with knowledge that the pregnant woman is seeking the

 

15  abortion because of the sex of the fetus or that the pregnant

 

16  woman is being coerced to seek an abortion in violation of

 

17  section 213a of the Michigan penal code, 1931 PA 328, MCL

 

18  750.213a.

 

19        (2) This section does not create a right to an abortion.

 

20  Notwithstanding any other provision of this section, a person

 

21  shall not perform an abortion that is prohibited by law.

 

22        (3) As used in this section:

 

23        (a) "Abortion" means that term as defined in section 17015.

 

24        (b) "Fetus" means that term as defined in section 17015.

 

25        Sec. 17515b. (1) A physician shall not intentionally perform

 

26  an abortion with knowledge that the pregnant woman is seeking the

 

27  abortion because of the sex of the fetus or that the pregnant

 

 1  woman is being coerced to seek an abortion in violation of

 

 2  section 213a of the Michigan penal code, 1931 PA 328, MCL

 

 3  750.213a.

 

 4        (2) This section does not create a right to an abortion.

 

 5  Notwithstanding any other provision of this section, a person

 

 6  shall not perform an abortion that is prohibited by law.

 

 7        (3) As used in this section:

 

 8        (a) "Abortion" means that term as defined in section 17015.

 

 9        (b) "Fetus" means that term as defined in section 17015.

 

10        Enacting section 1. This amendatory act does not take effect

 

11  unless House Bill No. 5713 of the 96th Legislature is enacted

 

12  into law.