September 17, 2013, Introduced by Reps. Tlaib, Kosowski, Darany, Hobbs and Cavanagh and referred to the Committee on Local Government.
A bill to amend 1978 PA 368, entitled
"Public health code,"
by amending section 20918 (MCL 333.20918), as amended by 2000 PA
375.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 20918. (1) Each hospital licensed under part 215 and each
freestanding surgical outpatient facility licensed under part 208
that operates a service for treating emergency patients 24 hours a
day, 7 days a week and meets standards established by medical
control authority protocols shall be given the opportunity to
participate in the ongoing planning and development activities of
the local medical control authority designated by the department
and shall adhere to protocols for providing services to a patient
before care of the patient is transferred to hospital personnel, to
the extent that those protocols apply to a hospital or freestanding
surgical outpatient facility. The department shall designate a
medical control authority for each Michigan county or part of a
county, except that the department may designate a medical control
authority to cover 2 or more counties if the department and
affected medical control authorities determine that the available
resources would be better utilized with a multiple county medical
control authority. In designating a medical control authority, the
department shall assure that there is a reasonable relationship
between the existing emergency medical services capacity in the
geographical area to be served by the medical control authority and
the estimated demand for emergency medical services in that area.
(2) A medical control authority shall be administered by the
participating hospitals. A medical control authority shall accept
participation in its administration by a freestanding surgical
outpatient facility licensed under part 208 if the freestanding
surgical outpatient facility operates a service for treating
emergency patients 24 hours a day, 7 days a week determined by the
medical control authority to meet the applicable standards
established by medical control authority protocols. Subject to
subsection (4), the participating hospitals shall appoint an
advisory body for the medical control authority that shall include,
at a minimum, a representative of each type of life support agency
and each type of emergency medical services personnel functioning
within the medical control authority's boundaries.
(3) With the advice of the advisory body of the medical
control authority appointed under subsection (2), a medical control
authority shall appoint a medical director of the medical control
authority. The medical director shall be a physician who is board
certified in emergency medicine by a national organization approved
by the department, or who practices emergency medicine and is
certified in both advanced cardiac life support and advanced trauma
life support by a national organization approved by the department,
and who meets other standards set forth in department rules. A
medical control authority's medical director shall not also be a
director of, be affiliated with, or perform duties assigned to an
emergency medical services agency that the medical control
authority supervises. The director of a medical control authority
shall not be affiliated with or receive a benefit from an entity
that contracts to provide services that are supervised by that
medical control authority. The medical director is responsible for
medical control for the emergency medical services system served by
the medical control authority.
(4) No more than 10% of the membership of the advisory body of
a medical control authority shall be employees of the medical
director or of an entity substantially owned or controlled by the
medical director.
(5) A designated medical control authority shall operate in
accordance with the terms of its designation.
(6) Each life support agency and individual licensed under
this part is accountable to the medical control authority in the
provision of emergency medical services, as defined in protocols
developed by the medical control authority and approved by the
department under this part.