HB-4479, As Passed Senate, July 1, 2003                                     

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

    REPRINT                                                                     

                                                                                

    SUBSTITUTE FOR                                                              

                                                                                

    HOUSE BILL NO. 4479                                                         

                                                                                

    (As Passed the House, April 8, 2003)                                        

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1978 PA 368, entitled                                             

                                                                                

    "Public health code,"                                                       

                                                                                

    by amending section 10102a (MCL 333.10102a), as added by 1986               

                                                                                

    PA 186.                                                                     

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 10102a.  (1) Subject to section  10102(3)  10102 and                   

                                                                                

2   subsections (2) to  (7)  (8),  the person  an individual                    

                                                                                

3   designated  pursuant to  under subsection (7) shall, at or near             

                                                                                

4   the death of a patient whose body, according to accepted medical            

                                                                                

5   standards, is suitable for donation or for the donation of                  

                                                                                

6   physical parts, request 1 of the  persons  individuals listed in            

                                                                                

7   section 10102(2), in the order of priority stated, to consent to            

                                                                                

8   the gift of all or any physical part of the decedent's body.                

                                                                                

9       (2) The  person  individual designated  pursuant to  under                  

                                                                                

10  subsection (7) shall not make a request for consent pursuant to             

                                                                                


                                                                                

1   subsection (1) if 1 or more of the following conditions exist:              

                                                                                

2       (a) The  person  individual designated  pursuant to  under                  

                                                                                

3   subsection (7) has actual notice  of contrary indications by                

                                                                                

4   that the patient or decedent had expressed an unwillingness to              

                                                                                

5   make the gift.                                                              

                                                                                

6       (b) The  person  individual designated  pursuant to  under                  

                                                                                

7   subsection (7) has actual notice  of opposition by a person  that           

                                                                                

8   an individual with a higher priority or equal priority listed               

                                                                                

9   in section 10102(2)  unless a person in a prior class under that            

                                                                                

10  section is available for a request to be made  opposes the making           

                                                                                

11  of a gift.                                                                  

                                                                                

12      (c) The  person  individual designated  pursuant to  under                  

                                                                                

13  subsection (7) has knowledge that the gift of all or  a  any                

                                                                                

14  physical part of a body is contrary to the religious beliefs of             

                                                                                

15  the decedent.                                                               

                                                                                

16      (3) Each hospital shall maintain a hospital organ donation                  

                                                                                

17  log sheet on a form provided by the department.  The organ                  

                                                                                

18  donation log sheet shall include all of the following                       

                                                                                

19  information:                                                                

                                                                                

20      (a) The name and age of the patient or decedent for whom a                  

                                                                                

21  request is made  pursuant to  under this section.                           

                                                                                

22      (b) A list of patients or decedents for whom a request was                  

                                                                                

23  not made pursuant to this section and the reason for not making             

                                                                                

24  the request, as set forth in subsection (2) or (8).                         

                                                                                

25      (c) An indication that a request for consent to a gift of all               

                                                                                

26  or  a  any physical part of a body has been made.                           

                                                                                

27      (d) An indication of whether or not consent was granted.                    


                                                                                

1       (e) If consent was granted, an indication of which physical                 

                                                                                

2   parts of the body were donated  ,  or whether the entire body was           

                                                                                

3   donated.                                                                    

                                                                                

4       (f) The name and signature of the person making the                         

                                                                                

5   request.                                                                    

                                                                                

6       (4) After making a request for a gift  pursuant to  under                   

                                                                                

7   subsection (1) or after the death of a patient or decedent who              

                                                                                

8   made a gift under section 10102(1), the  person  individual                 

                                                                                

9   designated  pursuant to  under subsection (7) shall complete the            

                                                                                

10  hospital's organ donation log sheet.                                        

                                                                                

11      (5) A summary of the information contained in the organ                     

                                                                                

12  donation log sheets annually shall be transmitted by each                   

                                                                                

13  hospital to the department.  The summary shall include all of the           

                                                                                

14  following:                                                                  

                                                                                

15      (a) The number of deaths.                                                   

                                                                                

16      (b) The number of requests made.                                            

                                                                                

17      (c) The number of consents granted.                                         

                                                                                

18      (d) The number of bodies or physical parts donated in each                  

                                                                                

19  category as specified on the organ donation log sheet.                      

                                                                                

20      (6) A gift made pursuant to a request required by this                      

                                                                                

21  section shall be executed pursuant to this part.                            

                                                                                

22      (7) The chief executive officer of each hospital shall                      

                                                                                

23  develop and implement a policy regarding requests made  pursuant            

                                                                                

24  to  under this section.  The policy shall provide, at a minimum,            

                                                                                

25  for all of the following:                                                   

                                                                                

26      (a) The designation of  persons  individuals who shall make                 

                                                                                

27  requests under this section.                                                


                                                                                

1       (b) That if a patient's religious preference is known, a                    

                                                                                

2   clergy of that denomination shall, if possible, be made available           

                                                                                

3   upon request to the  persons  individuals to whom a request under           

                                                                                

4   this section is made.                                                       

                                                                                

5       (c) The development of a support system  which  that                        

                                                                                

6   facilitates the making of requests under this section.                      

                                                                                

7       (d) The maintenance of the organ donation log sheet required                

                                                                                

8   by subsection (3).                                                          

                                                                                

9       (8) If an individual has made a gift under section 10102(1),                

                                                                                

10  the gift is not revocable after the death of that individual and            

                                                                                

11  the individual designated under subsection (7) is not required to           

                                                                                

12  make a request for consent under this section unless the decedent           

                                                                                

13  had revoked the gift under section 10107.                                   

                                                                                

14      (9)  (8)  The director may promulgate rules to establish                    

                                                                                

15  minimum training standards for persons required to make requests            

                                                                                

16  pursuant to this section and to revise the organ donation log               

                                                                                

17  sheet required by subsection (3).                                           

                                                                                

18      (10)  (9)  This section shall not be construed to authorize                 

                                                                                

19  the withdrawal or withholding of medical care for a patient who             

                                                                                

20  is a possible donor and who is near death.