Bill Text: MI HB6056 | 2017-2018 | 99th Legislature | Engrossed


Bill Title: Health occupations; health professionals; pilot program allowing certain military medical personnel to practice under the supervision of a licensed physician; create. Amends sec. 16215 of 1978 PA 368 (MCL 333.16215) & adds sec. 16215a.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Engrossed - Dead) 2018-12-05 - Referred To Committee On Health Policy [HB6056 Detail]

Download: Michigan-2017-HB6056-Engrossed.html

HB-6056, As Passed House, December 4, 2018

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOUSE BILL No. 6056

 

 

May 23, 2018, Introduced by Reps. Farrington, Marino, Canfield, Yaroch, Sabo, Wentworth, Frederick, LaFave and Kesto and referred to the Committee on Military and Veterans Affairs.

 

     A bill to amend 1978 PA 368, entitled

 

"Public health code,"

 

by amending section 16215 (MCL 333.16215), as amended by 2005 PA

 

211, and by adding section 16215a.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 16215. (1) Subject to subsections (2) to (6) and section

 

16215a, a licensee who holds a license other than a health

 

profession subfield license may delegate to a licensed or

 

unlicensed individual who is otherwise qualified by education,

 

training, or experience the performance of selected acts, tasks, or

 

functions where the acts, tasks, or functions fall within the scope

 

of practice of the licensee's profession and will be performed

 

under the licensee's supervision. A licensee shall not delegate an

 

act, task, or function under this section if the act, task, or

 

function, under standards of acceptable and prevailing practice,


requires the level of education, skill, and judgment required of

 

the licensee under this article.

 

     (2) Subject to subsection (1) and except as otherwise provided

 

in this subsection and subsections (3) and (4), a licensee who is

 

an allopathic physician or osteopathic physician and surgeon shall

 

delegate an act, task, or function that involves the performance of

 

a procedure that requires the use of surgical instrumentation only

 

to an individual who is licensed under this article. A licensee who

 

is an allopathic physician or osteopathic physician and surgeon may

 

delegate an act, task, or function described in this subsection to

 

an individual who is not licensed under this article if the

 

unlicensed individual is 1 or more of the following and if the

 

procedure is directly supervised by a licensed allopathic physician

 

or osteopathic physician and surgeon who is physically present

 

during the performance of the procedure:

 

     (a) A student enrolled in a school of medicine or osteopathic

 

medicine approved by the Michigan board of medicine or the Michigan

 

board of osteopathic medicine and surgery.

 

     (b) A student enrolled in a physician's assistant training

 

program approved by the joint physician's assistant task force

 

created under part 170.

 

     (3) Subject to subsection (1), a licensee who is an allopathic

 

physician or osteopathic physician and surgeon may delegate an act,

 

task, or function described in subsection (2) to an individual who

 

is not licensed under this article and who is 1 of the following:

 

     (a) Performing acupuncture.

 

     (b) Surgically removing only bone, skin, blood vessels,


cartilage, dura mater, ligaments, tendons, pericardial tissue, or

 

heart valves only from a deceased individual for transplantation,

 

implantation, infusion, injection, or other medical or scientific

 

purpose.

 

     (4) Subject to subsection (1), a licensee who is an allopathic

 

physician or osteopathic physician and surgeon may delegate an act,

 

task, or function described in subsection (2) to an individual who

 

is not licensed under this article if the procedure is directly

 

supervised by a licensed allopathic physician or osteopathic

 

physician and surgeon who is physically present during the

 

performance of the procedure, the delegation of such procedure is

 

not prohibited or otherwise restricted by the board or that health

 

facility or agency, and the delegation of that act, task, or

 

function is specifically authorized by that health facility or

 

agency to be delegated and performed by either of the following

 

unlicensed individuals:

 

     (a) A surgical technologist who meets the qualifications

 

established by the health facility or agency with which he or she

 

is employed or under contract with.

 

     (b) A surgical first assistant who meets the qualifications

 

established by the health facility or agency with which he or she

 

is employed or under contract with.

 

     (5) A board may promulgate rules to further prohibit or

 

otherwise restrict delegation of specific acts, tasks, or functions

 

to a licensed or unlicensed individual if the board determines that

 

the delegation constitutes or may constitute a danger to the

 

health, safety, or welfare of the patient or public.


     (6) To promote safe and competent practice, a board may

 

promulgate rules to specify conditions under which, and categories

 

and types of licensed and unlicensed individuals for whom, closer

 

supervision may be required for acts, tasks, and functions

 

delegated under this section.

 

     (7) An individual who performs acts, tasks, or functions

 

delegated pursuant to this section does not violate the part that

 

regulates the scope of practice of that health profession.

 

     (8) The amendatory act that added this subsection does not

 

require new or additional third party reimbursement or mandated

 

worker's compensation benefits for services rendered by an

 

individual authorized to perform those services under subsection

 

(4).

 

     Sec. 16215a. (1) Subject to section 16215(1), a physician or

 

podiatrist may delegate an act, task, or function to military

 

medical personnel while that individual is participating in the

 

pilot program described in subsection (2).

 

     (2) The department, in collaboration with the department of

 

military and veterans affairs, shall establish a pilot program in

 

which military medical personnel may practice and perform certain

 

delegated acts, tasks, or functions under the supervision of a

 

physician or podiatrist who is licensed under this article. All of

 

the following apply to the pilot program described in this

 

subsection:

 

     (a) The delegation of an act, task, or function to military

 

medical personnel must reflect his or her level of training and

 

experience.


     (b) The supervising physician or podiatrist retains

 

responsibility for the care of the patient.

 

     (c) Any licensed physician or podiatrist, a professional

 

corporation, professional limited liability company, or partnership

 

of a licensed physician or podiatrist, any hospital that is

 

licensed under article 17, or any commercial enterprise that has

 

medical facilities for its employees that are supervised by 1 or

 

more physicians or podiatrists may participate in the pilot

 

program.

 

     (d) The department, in collaboration with the department of

 

military and veterans affairs, shall establish general requirements

 

for participating military medical personnel, licensees, and

 

employers.

 

     (3) As used in this section:

 

     (a) "Military medical personnel" means an individual who has

 

recently served as a medic in the United States Army, medical

 

technician in the United States Air Force, or corpsman in the

 

United States Navy or the United States Coast Guard and who was

 

discharged or released from that service under conditions other

 

than dishonorable.

 

     (b) "Physician" means an individual who is licensed as a

 

physician under part 170 or part 175.

 

     (c) "Podiatrist" means an individual who is licensed as a

 

podiatrist under part 180.

 

     Enacting section 1. This amendatory act takes effect 90 days

 

after the date it is enacted into law.

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