HOUSE BILL No. 6152

 

September 9, 2004, Introduced by Reps. Kolb and Bieda and referred to the Committee on Health Policy.

        

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1978 PA 368, entitled                                             

                                                                                

    "Public health code,"                                                       

                                                                                

    by amending sections 5717 and 5721 (MCL 333.5717 and 333.5721),             

                                                                                

    section 5717 as added by 1987 PA 48 and section 5721 as amended             

                                                                                

    by 1988 PA 236.                                                             

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 5717.  The department shall establish a birth defects                  

                                                                                

2   registry for all of the following purposes:                                 

                                                                                

3       (a) To provide information on the incidence, prevalence, and                

                                                                                

4   trends of birth defects, fetal deaths, and miscarriages among               

                                                                                

5   Vietnam-era veterans,  and  their families, and  among  the                 

                                                                                

6   general population.                                                         

                                                                                

7       (b) To provide information to determine whether environmental               

                                                                                

8   hazards,  such as  including, but not limited to, exposure to               

                                                                                

9   agent orange, pesticides, or chemical agents and location in                

                                                                                


                                                                                

1   close proximity to an industrial or manufacturing facility, are             

                                                                                

2   associated with birth defects,  and to  fetal deaths, and                   

                                                                                

3   miscarriages among Vietnam-era veterans, their families, and the            

                                                                                

4   general population.                                                         

                                                                                

5       (c) To provide information as to other possible causes of                   

                                                                                

6   birth defects, fetal deaths, and miscarriages among Vietnam-era             

                                                                                

7   veterans, their families, and  among  the general population.               

                                                                                

8       (d)  (c)  To develop prevention strategies including, but not               

                                                                                

9   limited to, education and outreach for reducing the incidence of            

                                                                                

10  birth defects, fetal deaths, and miscarriages among Vietnam-era             

                                                                                

11  veterans,  and  their families, and  among  the general                     

                                                                                

12  population.                                                                 

                                                                                

13      Sec. 5721.  (1) Each diagnosed incidence of a birth defect,                 

                                                                                

14  including a congenital or structural malformation, or a                     

                                                                                

15  biochemical or genetic disease, and any other information                   

                                                                                

16  relevant to incidents of birth defects, shall be reported to the            

                                                                                

17  department within 30 days of the diagnosis The reporting shall           

                                                                                

18  begin not later than the next calendar year after June 11, 1987.            

                                                                                

19      (2) Each fetal death and miscarriage and any other                          

                                                                                

20  information relevant to the fetal death or miscarriage,                     

                                                                                

21  including, but not limited to, the medical records of the mother            

                                                                                

22  shall be reported to the department within 30 days of the                   

                                                                                

23  incident.                                                                   

                                                                                

24      (3)  (2)  The department shall maintain comprehensive                       

                                                                                

25  statewide records of all information reported to the birth                  

                                                                                

26  defects registry.  The information reported  shall be  is                   

                                                                                

27  confidential and subject to the same requirements  of                       


                                                                                

1   confidentiality as  provided  in  under section 2631 for data or            

                                                                                

2   records concerning medical research projects.                               

                                                                                

3       (4)  (3)  The director shall promulgate rules  which  that                  

                                                                                

4   provide for all of the following:                                           

                                                                                

5       (a) A list of birth defects, including, but not limited to,                 

                                                                                

6   congenital and structural malformations, and biochemical or                 

                                                                                

7   genetic diseases, and other relevant information to be reported.            

                                                                                

8       (b) The quality,  and  manner,  in which the incidents of                   

                                                                                

9   birth defects  and form for reporting each birth defect, fetal              

                                                                                

10  death, miscarriage, and other information  is to be reported  to            

                                                                                

11  the department.                                                             

                                                                                

12      (c) The terms and conditions under which records maintained                 

                                                                                

13  under this section, including any records containing the name and           

                                                                                

14  medical condition of a specific individual, may be released by              

                                                                                

15  the department.                                                             

                                                                                

16      (5)  (4)  This section does not compel an individual to                     

                                                                                

17  submit to medical examination or supervision by the department or           

                                                                                

18  otherwise.                                                                  

                                                                                

19      (6)  (5)  The department may  contract  do 1 or more of the                 

                                                                                

20  following:                                                                  

                                                                                

21      (a) Contract for the collection and analysis of, and research               

                                                                                

22  related to, the data required under this section.                           

                                                                                

23      (b) Contract for the study of environmental hazards in this                 

                                                                                

24  state and its relation to birth defects, fetal deaths, and                  

                                                                                

25  miscarriages.                                                               

                                                                                

26      (c) Contract for the monitoring of the birth registry program               

                                                                                

27  and evaluating compliance with the program.                                 


                                                                                

1       (7)  (6) Within 2 years after June 11, 1987, the  The                       

                                                                                

2   department shall  begin evaluating  evaluate the information                

                                                                                

3   reported to the birth defects registry.  The department shall               

                                                                                

4   publish and make available to the public annual reports                     

                                                                                

5   summarizing the information collected.   The first summary report           

                                                                                

6   shall be published not later than 180 days after the end of the             

                                                                                

7   first 2 full calendar years after June 11, 1987.  Subsequent                

                                                                                

8   annual  Annual summary reports shall be made on a full calendar             

                                                                                

9   year basis and published not later than 180 days after the end of           

                                                                                

10  each calendar year.