Limitedwww.hhh258

STATEOFMICHIGANDepartmentofHumanServicesPUBLICHEALTHCODE(EXCERPT)Act368of1978BUREAUOFCHILDRENANDADULTLICENSINGwww.
michigan.
gov/afchfaiTABLEOFCONTENTSPUBLICHEALTHCODE(EXCERPT)Act368of1978ARTICLE17FACILITIESANDAGENCIESPART201GENERALPROVISIONS333.
20101Meaningsofwordsandphrases;principlesofconstruction.
1333.
20102Definitions;A.
1333.
20104Definitions;CtoF.
1333.
20106Definitions;H.
2333.
20108Definitions;ItoN.
3333.
20109Definitions;NtoS.
4333.
20115Rulesdefiningordifferentiatinghealthfacilityoragency;republicationofcertainrules;waiverormodification;"abortion"defined.
.
.
.
.
4333.
20131Comprehensivesystemoflicensureandcertification;establishment;purpose;certificationofhealthfacilityoragency;coordination,cooperation,andagreements;publicdisclosure.
5333.
20132Regulationofmedicalorsurgicaltreatmentprohibited;controlofcommunicablediseases;protectionofindividualsreceivingcareandservices;standardsforinpatientfoodserviceestablishment;compliance.
5333.
20141Healthfacilityoragency;licenserequired;eligibilitytoparticipateinfederalorstatehealthprogram;personnel;services;andequipment;evidenceofcompliance;providingdataandstatistics.
6333.
20142Applicationforlicensureandcertification;form;certifyingaccuracyofinformation;disclosures,reports;andnotices;violation;penalty;falsestatementasfelony.
6333.
20143Complianceasconditiontoissuanceoflicense,certificate,orcertificateofneed.
8333.
20144Licensingonbasisofapprovedbuildingprogram.
8333.
20145Constructionpermit;certificateofneedasconditionofissuance;rules;informationrequiredforprojectnotrequiringcertificateofneed;reviewandapprovalofarchitecturalplansandnarrative;waiver;fee;capitalexpendituredefined.
8333.
20151Cooperation;professionaladviceandconsultation.
10333.
20152Certificationbylicensee;developingfacilitiesandprogramsofcare;ratingindividualsforpurposesofreimbursement.
10ii333.
20155Visitstohealthfacilitiesandagencies,clinicallaboratories,nursinghomes,hospices,andhospitals;purposes;waiver;confidentialityofaccreditationinformation;limitationandeffect;consultationengineeringsurvey;summaryofsubstantial.
noncomplianceordeficienciesandhospitalresponse;investigationsorinspections;priornotice;misdemeanor;consultationvisits;record;periodicreports;accesstodocuments;confidentiality;disclosureandcopiesofrecords;delegationoffunction;voluntaryinspections;forwardingevidenceofviolationtolicensingagency;reports;definitions.
10333.
20156Enteringpremisesofapplicantorlicensee;enforcementofrules;certificateofapprovalfromstatefiremarshaldivision;applicabilityofsubsections(2)and(3)14333.
20161Feesandassessmentsforhealthfacilityandagencylicensesandcertificatesofneed;surcharge;feeforprovisionallicenseortemporarypermit;feetorecovercostofproficiencyevaluationsamples;feeforreissuanceofclinicallaboratorylicense;costoflicensureactivities;applicationfeeforwaiverunder§333.
21564;travelexpenses;feesforlicensureorrenewalunderpart209;depositoffees;useofqualityassuranceassessment;earmarking;"medicaid"defined.
.
.
15333.
20162License;issuance;nonrenewabletemporarypermit;provisionallicense;procedureforclosingfacility;ordertolicenseeuponfindingofnoncompliance;noticehearing,andstatusrequirements.
17333.
20164Durationoflicenseorcertification;license,certification,orcertificateofneednontransferable;transferofownershiporownershipinterest;notice;applicationforlicenseandcertification.
19333.
20165Denying,limiting,suspending,orrevokinglicenseorcertification;noticeofintent;impositionofadministrativefine.
19333.
20166Noticeofintenttodeny,limitsuspend,orrevokelicenseorcertification;service;contents;hearing;record;transcript;determination;powersofdepartment;.
judicialordertoappearandgivetestimony;contempt;failuretoshowneedforhealthfacilityoragency.
20333.
20168Emergencyorderlimiting,suspending,orrevokinglicense;limitingreimbursementsorpayments;hearing;contentsoforder;ordernotsuspendedbyhearing.
21333.
20170Medicalrecordsaccess;compliance.
21333.
20171Rulesimplementingarticle;rulespromulgatedunder333.
21563.
22333.
20172Policiesandprocedures;publicationanddistribution.
23333.
20173Repealed,2006,Act.
28,Imd.
Eff.
April1,2006.
23333.
20173aHealthfacilityoragencythatisnursinghome,countymedicalcarefacility,hospice,hospitalthatprovidesswingbedservices,homefortheaged,orhomehealthagency;employeesorapplicantsforemployment;prohibitions;criminalhistorycheck;conditionofcontinuedemployment;establishmentofautomatedfingerprintidentificationsystemdatabase;reporttolegislature;web-basedsystem;definitions.
23iii333-20173bIndividualdisqualifiedordeniedemploymentpursuanttoMCL330.
1134a;appeal;reporttolegislature;"businessday"defined.
31333.
20175Maintainingrecordforeachpatient;wrongfullyalteringordestroyingrecords;noncompliance;fine;licensingandcertificationrecordsaspublicrecords;confidentiality;disclosure;reportornoticeofdisciplinaryaction;informationprovidedinreport;natureanduseofcertainrecords,data,andknowledge.
32333.
20176Noticeofviolation'investigationofcomplaints;noticeofproposedaction;publicrecord;appeal;reinvestigation.
33333.
20176aHealthfacilityoragency;prohibitedconduct;violation;fine.
34333.
20177Actiontorestrainenjoin,orpreventestablishment,maintenance,oroperationofhealthfacultyoragency.
34333.
20178Nursinghome,homefortheaged,orcountymedicalcarefacility;descriptionofservicestopatientsorresidentswithAlzheimer'sdisease;contents;"representstothepublic"defined.
34333.
20180Healthfacilityoragency;personmakingorassistinginoriginating,investigating,orpreparingreportorcomplaint;immunityfromcivilorcriminalliability;disclosureofidentity.
35333.
20192Do-not-resuscitateorder;executionnotrequired.
36333.
20198Healthfacility,agencyinpatientfacility,orresidentialfacility;prohibitedconduct;violationasmisdemeanor;penalty;nonapplicabilityofsubsections(1)and(2)36333.
20201Policydescribingrightsandresponsibilitiesofpatientsorresidents;adoption;postinganddistribution;contents;additionalrequirements;discharging,harassing,retaliating,ordiscriminatingagainstpatientexercisingprotectedright;exerciseofrightsbypatient'srepresentative;informingpatientorresidentofpolicy;designationofpersontoexerciserightsandresponsibilities;additionalpatients'rights.
36333.
20202Responsibilitiesofpatientorresident.
41333.
20203Guidelines;immunity;otherremediesatlawneitherexpandednordiminished.
42333.
20211Summaryofactivities;availabilityoflistandcurrentinspectionreports.
.
.
.
42PART213HOMESFORTHEAGED333.
21301Definitionsandprinciplesofconstructions.
42333.
21307Exemptions.
43333.
21311Licenserequired;useof"homeforaged"orsimilartermorabbreviation;minimumageforadmission;waiverofagelimitation.
43333.
21313Owner,operator,andgoverningbodyofhomeforaged;responsibilitiesanddutiesgenerally.
44333.
21321Bondrequired.
44333.
21325Removalofresidentfromhomefortheaged;conditions.
44333.
21331Licenseeconsideredconsumeroftangiblepersonalproperty.
45iv333.
21332Homefortheaged;influenzavaccination.
45333.
21333Smokingpolicy.
45333.
21335Requirementofemergencygeneratorsysteminhomefortheaged.
46PART217NURSINGHOMES333.
21711Licenserequired;prohibitedtermsorabbreviations;licenseforformalorinformalnursingcareservices;exception.
47333.
21715Programsofplannedandcontinuingnursingandmedicalcarerequired;nursesandphysiciansincharge;expirationofsubsection(1)(a);natureandscopeofservices.
471PUBLICHEALTHCODE(EXCERPT)Act368of1978ARTICLE17FACILITIESANDAGENCIESPART201GENERALPROVISIONS333.
20101Meaningsofwordsandphrases;principlesofconstruction.
(1)Thewordsandphrasesdefinedinsections20102to20109applytoallpartsinthisarticleexceptpart222andhavethemeaningsascribedtotheminthosesections.
(2)Inaddition,article1containsgeneraldefinitionsandprinciplesofconstructionapplicabletoallarticlesinthiscode.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1988,Act332,Eff.
Oct.
1,1988.
333.
20102Definitions;A.
(1)"Advisorycommission"meansthehealthfacilitiesandagenciesadvisorycommissioncreatedinsection20121.
(2)"Aircrafttransportoperation"meansthattermasdefinedinsection20902.
(3)"Ambulanceoperation"meansthattermasdefinedinsection20902.
(4)"Attendingphysician"meansthephysicianselectedby,orassignedto,thepatientandwhohasprimaryresponsibilityforthetreatmentandcareofthepatient.
(5)"Authorizedrepresentative"meanstheindividualdesignatedinwritingbytheboardofdirectorsofthecorporationorbytheownerorpersonwithlegalauthoritytoactonbehalfofthecompanyororganizationonlicensingmatters.
Theauthorizedrepresentativewhoisnotanownerorlicenseeshallnotsigntheoriginallicenseapplicationoramendmentstotheapplication.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1978,Act493,Eff.
Mar.
30,1979;—Am.
1981,Act79,Imd.
Eff.
June30,1981;—Am.
1990,Act179,Imd.
Eff.
July2,1990;--2010,Act1102,Eff.
Dec.
22,2010.
333.
20104Definitions;CtoF.
(1)"Certification"meanstheissuanceofadocumentbythedepartmenttoahealthfacilityoragencyattestingtothefactthatthefacilityoragencymeetsbothofthefollowing:2(a)Itcomplieswithapplicablestatutoryandregulatoryrequirementsandstandards.
(b)Itiseligibletoparticipateasaproviderofcareandservicesinaspecificfederalorstatehealthprogram.
(2)"Clinicallaboratory"meansafacilitypatronizedby,oratthedirectionof,aphysician,healthofficer,orotherpersonauthorizedbylawtoobtaininformationforthediagnosis,prevention,ortreatmentofdiseaseortheassessmentofamedicalconditionbythemicrobiological,serological,histological,hematological,immunohematological,biophysical,cytological,pathological,orbiochemicalexaminationofmaterialsderivedfromthehumanbody,exceptasprovidedinsection20507.
(3)"Consumer"meansapersonwhoisnotaproviderofhealthcareasdefinedinsection1531(3)oftitle15ofthepublichealthserviceact,42U.
S.
C.
300n.
(4)"Countymedicalcarefacility"meansanursingcarefacility,otherthanahospitallong-termcareunit,whichprovidesorganizednursingcareandmedicaltreatmentto7ormoreunrelatedindividualswhoaresufferingorrecoveringfromillness,injury,orinfirmityandwhichisownedbyacountyorcounties.
(5)"Directaccess"meansaccesstoapatientorresidentortoapatient'sorresident'sproperty,financialinformation,medialrecords,treatmentinformation,oranyotheridentifyinginformation.
(6)"Freestandingsurgicaloutpatientfacility"meansafacility,otherthantheofficeofaphysician,dentist,podiatrist,orotherprivatepracticeoffice,offeringasurgicalprocedureandrelatedcarethatintheopinionoftheattendingphysiciancanbesafelyperformedwithoutrequiringovernightinpatienthospitalcare.
Itdoesnotincludeasurgicaloutpatientfacilityownedbyandoperatedaspartofahospital.
(7)"Goodmoralcharacter"meansthattermasdefinedinsection1of1974PA381,MCL338.
41.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1978,Act493,Eff.
Mar.
30,1979;--2010,Act1102,Eff.
Dec.
22,2010.
333.
20106Definitions;H.
(1)"Healthfacilityoragency",exceptasprovidedinsection20115,means:(a)Anambulanceoperation,aircrafttransportoperation,nontransportprehospitallifesupportoperation,ormedicalfirstresponseservice.
(b)Aclinicallaboratory.
(c)Acountymedicalcarefacility.
(d)Afreestandingsurgicaloutpatientfacility.
3(e)Ahealthmaintenanceorganization.
(f)Ahomefortheaged.
(g)Ahospital.
(h)Anursinghome.
(i)Ahospice.
(j)Ahospiceresidence.
(k)Afacilityoragencylistedinsubdivisions(a)to(h)locatedinauniversity,college,orothereducationalinstitution.
(2)"Healthmaintenanceorganization"meansthattermasdefinedinsection3501oftheinsurancecodeof1956,1956PA218,MCL500.
3501.
(3)"Homefortheaged"meansasupervisedpersonalcarefacility,otherthanahotel,adultfostercarefacility,hospital,nursinghome,orcountymedicalcarefacilitythatprovidesroom,board,andsupervisedpersonalcareto21ormoreunrelated,nontransient,individuals60yearsofageorolder.
Homefortheagedincludesasupervisedpersonalcarefacilityfor20orfewerindividuals60yearsofageorolderifthefacilityisoperatedinconjunctionwithandasadistinctpartofalicensednursinghome.
(4)"Hospice"meansahealthcareprogramthatprovidesacoordinatedsetofservicesrenderedathomeorinoutpatientorinstitutionalsettingsforindividualssufferingfromadiseaseorconditionwithaterminalprognosis.
(5)"Hospital"meansafacilityofferinginpatient,overnightcare,andservicesforobservation,diagnosis,andactivetreatmentofanindividualwithamedical,surgical,obstetric,chronic,orrehabilitativeconditionrequiringthedailydirectionorsupervisionofaphysician.
Hospitaldoesnotincludeamentalhealthhospitallicensedoroperatedbythedepartmentofcommunityhealthorahospitaloperatedbythedepartmentofcorrections.
(6)"Hospitallong-termcareunit"meansanursingcarefacility,ownedandoperatedbyandaspartofahospital,providingorganizednursingcareandmedicaltreatmentto7ormoreunrelatedindividualssufferingorrecoveringfromillness,injury,orinfirmity.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1980,Act293,Eff.
Mar.
31,1981;—Am.
1981,Act79,Imd.
Eff.
June30,1981;—Am.
1982,Act354,Imd.
Eff.
Dec.
21,1982;—Am.
1984,Act311,Eff.
Mar.
29,1985;—Am.
1990,Act179,Imd.
Eff.
July2,1990;—Am.
1996,Act267,Imd.
Eff.
June12,1996;—Am.
2000,Act253,Imd.
Eff.
June29,2000.
4333.
20108Definitions;ItoN.
(1)"Intermediatecarefacility"meansahospitallong-termcareunit,nursinghome,countymedicalcarefacility,orothernursingcarefacility,ordistinctpartthereof,certifiedbythedepartmenttoprovideintermediatecareorbasiccarethatislessthanskillednursingcarebutmorethanroomandboard.
(2)"License"meansanauthorization,annualorasotherwisespecified,grantedbythedepartmentandevidencedbyacertificateoflicensureorpermitgrantingpermissiontoapersontoestablishormaintainandoperate,orboth,ahealthfacilityoragency.
Forpurposesofpart209,"license"includesalicenseissuedtoanindividualunderthatpart.
(3)"Licensee"meanstheholderofalicenseorpermittoestablishormaintainandoperate,orboth,ahealthfacilityoragency.
Forpurposesofpart209,"licensee"includesanindividuallicensedunderthatpart.
(4)"Limitedlicense"meansaprovisionallicenseortemporarypermitoralicenseotherwiselimitedasprescribedbythedepartment.
(5)"Medicallycontraindicated"means,withreferencetonursinghomesonly,havingasubstantialadverseeffectonthepatient'sphysicalhealth,asdeterminedbytheattendingphysician,whicheffectisexplicitlystatedinwritingwiththereasonsthereforinthepatient'smedicalrecord.
(6)"Medicalfirstresponseservice"meansthattermasdefinedinsection20906.
(7)"Nontransportprehospitallifesupportoperation"meansthattermasdefinedinsection20908.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1978,Act493,Eff.
Mar.
30,1979;—Am.
1986,Act78,Imd.
Eff.
Apr.
7,1986;—Am.
1990,Act179,Imd.
Eff.
July2,1990.
333.
20109Definitions;NtoS.
(1)"Nursinghome"meansanursingcarefacility,includingacountymedicalcarefacility,thatprovidesorganizednursingcareandmedicaltreatmentto7ormoreunrelatedindividualssufferingorrecoveringfromillness,injury,orinfirmity.
Nursinghomedoesnotincludeaunitinastatecorrectionalfacility.
Nursinghomedoesnotinclude1ormoreofthefollowing:(a)Ahospital.
(b)AveteransfacilitycreatedunderActNo.
152ofthePublicActsof1885,beingsections36.
1to36.
12oftheMichiganCompiledLaws.
(c)Ahospiceresidencethatislicensedunderthisarticle.
(d)Ahospicethatiscertifiedunder42C.
F.
R.
418.
100.
5(2)"Person"meansapersonasdefinedinsection1106oragovernmentalentity.
(3)"Publicmember"meansamemberofthegeneralpublicwhoisnotaprovider;whodoesnothaveanownershipinterestinorcontractualrelationshipwithanursinghomeotherthanapatientcontract;whodoesnothaveacontractualrelationshipwithapersonwhodoessubstantialbusinesswithanursinghome;andwhoisnotthespouse,parent,sibling,orchildofanindividualwhohasanownershipinterestinorcontractualrelationshipwithanursinghome,otherthanapatientcontract.
(4)"Skillednursingfacility"meansahospitallong-termcareunit,nursinghome,countymedicalcarefacility,orothernursingcarefacility,oradistinctpartthereof,certifiedbythedepartmenttoprovideskillednursingcare.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1978,Act493,Eff.
Mar.
30,1979;—Am.
1991,Act39,Imd.
Eff.
June11,1991;—Am.
1996,Act224,Eff.
June12,1996.
333.
20115Rulesdefiningordifferentiatinghealthfacilityoragency;republicationofcertainrules;waiverormodification;"abortion"defined.
(1)Thedepartmentmaypromulgaterulestofurtherdefinetheterm"healthfacilityoragency"andthedefinitionofahealthfacilityoragencylistedinsection20106asrequiredtoimplementthisarticle.
Thedepartmentmaydefineaspecificorganizationasahealthfacilityoragencyforthesolepurposeofcertificationauthorizedunderthisarticle.
Forpurposeofcertificationonly,anorganizationdefinedinsection20106(5),20108(1),or20109(4)isconsideredahealthfacilityoragency.
Theterm"healthfacilityoragency"doesnotmeanavisitingnurseserviceorhomeaideserviceconductedbyandfortheadherentsofachurchorreligiousdenominationforthepurposeofprovidingserviceforthosewhodependuponspiritualmeansthroughprayeraloneforhealing.
NOTE:333.
20115(2)–(5)appliestosurgicaloutpatientfacilities.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1999,Act206,Eff.
Mar.
10,2000.
333.
20131Comprehensivesystemoflicensureandcertification;establishment;purpose;certificationofhealthfacilityoragency;coordination,cooperation,andagreements;publicdisclosure.
(1)Thedepartmentshallestablishacomprehensivesystemoflicensureandcertificationforhealthfacilitiesoragenciesinaccordancewiththisarticleto:(a)Protectthehealth,safety,andwelfareofindividualsreceivingcareandservicesinorfromahealthfacilityoragency.
(b)Assurethemedicalaccountabilityforreimbursedcareprovidedbyacertifiedhealthfacilityoragencyparticipatinginafederalorstatehealthprogram.
6(2)Thedepartmentmaycertifyahealthfacilityoragency,orpartthereof,definedinsection20106orundersection20115whencertificationisrequiredbystateorfederallaw,rule,orregulation.
(3)Thedepartmentshallcoordinateallfunctionsinstategovernmentaffectinghealthfacilitiesandagencieslicensedunderthisarticleandcooperatewithotherstateagencieswhichestablishstandardsorrequirementsforhealthfacilitiesandagenciestoassurenecessary,equitable,andconsistentstatesupervisionoflicenseeswithoutunnecessaryduplicationofsurvey,evaluation,andconsultationservicesorcomplaintinvestigations.
Thedepartmentmayenterintoagreementswithotherstateagenciesnecessarytoaccomplishthispurpose.
(4)Thedepartmentshallutilizepublicdisclosuretoimprovetheeffectivenessoflicensure.
History:1978,Act368,Eff.
Sept.
30,1978.
333.
20132Regulationofmedicalorsurgicaltreatmentprohibited;controlofcommunicablediseases;protectionofindividualsreceivingcareandservices;standardsforinpatientfoodserviceestablishment;compliance.
(1)Thedepartmentshallnotregulatethemedicalorsurgicaltreatmentprovidedtoanindividualbyhisorherattendingphysicianinahealthfacilityoragency.
(2)Thisarticledoesnotaffecttheauthorityofthedepartmenttocontrolcommunicablediseasesortotakeimmediateactionnecessarytoprotectthepublichealth,safety,andwelfareofindividualsreceivingcareandservicesinorfromahealthfacilityoragency.
(3)Alicenseforahealthfacilityoragencyshallincludetheoperationofaninpatientfoodserviceestablishmentwithinthefacilityoragency.
Standardsforaninpatientfoodserviceestablishmentshallbethesameasthoseestablishedunderpart129.
Ahealthfacilityoragencyissuedalicenseunderthisarticleisconsideredincompliancewiththatpart.
History:1978,Act368,Eff.
Sept.
30,1978.
333.
20141Healthfacilityoragency;licenserequired;eligibilitytoparticipateinfederalorstatehealthprogram;personnel;services;andequipment;evidenceofcompliance;providingdataandstatistics.
(1)Apersonshallnotestablishormaintainandoperateahealthfacilityoragencywithoutholdingalicensefromthedepartment.
(2)Ahealthfacilityoragencyisnoteligibletoparticipateinafederalorstatehealthprogramrequiringcertificationwithoutcurrentcertificationfromthedepartment.
7(3)Ahealthfacilityoragencyshallhavethephysician,professionalnursing,healthprofessional,technicalandsupportivepersonnel,andthetechnical,diagnostic,andtreatmentservicesandequipmentnecessarytoassurethesafeperformanceofthehealthcareundertakenbyorinthefacilityoragency.
(4)Licensureandcertificationofahealthfacilityoragencyshallbeevidenceofthefactthatthefacilityoragencycomplieswithapplicablestatutoryandregulatoryrequirementsandstandardsatthetimeofissuance.
(5)Ahealthfacilityoragencyshallprovidethedepartmentwiththedataandstatisticsrequiredtoenablethedepartmenttocarryoutfunctionsrequiredbyfederalandstatelaw,includingrulesandregulations.
History:1978,Act368,Eff.
Sept.
30,1978.
333.
20142Applicationforlicensureandcertification;form;certifyingaccuracyofinformation;disclosures,reports;andnotices;violation;penalty;falsestatementasfelony.
(1)Ahealthfacilityoragencyshallapplyforlicensureorcertificationonaformauthorizedandprovidedbythedepartment.
Theapplicationshallincludeattachments,additionaldata,andinformationrequiredbythedepartment.
(2)Anapplicantshallcertifytheaccuracyofinformationsuppliedintheapplicationandsupplementalstatements.
(3)Anapplicantoralicenseeunderpart213or217shalldisclosethenames,addresses,principaloccupations,andofficialpositionsofallpersonswhohaveanownershipinterestinthehealthfacilityoragency.
Ifthehealthfacilityoragencyislocatedonorinleasedrealestate,theapplicantorlicenseeshalldisclosethenameofthelessorandanydirectorindirectinteresttheapplicantorlicenseehasintheleaseotherthanaslessee.
Achangeinownershipshallbereportedtothedirectornotlessthan15daysbeforethechangeoccurs,exceptthatapersonpurchasingstockofacompanyregisteredpursuanttothesecuritiesexchangeactof1934,15U.
S.
C.
78ato78kk,isexemptfromdisclosingownershipinthefacility.
Apersonrequiredtofileabeneficialownershipreportpursuanttosection16(a)ofthesecuritiesexchangeactof1934,15U.
S.
C.
78pshallfilewiththedepartmentinformationrelatingtosecuritiesownershiprequiredbythedepartmentruleororder.
Anapplicantorlicenseeproposingasaleofanursinghometoanotherpersonshallprovidethedepartmentwithwritten,advancenoticeoftheproposedsale.
Theapplicantorlicenseeandtheotherpartiestothesaleshallarrangetomeetwithspecifieddepartmentrepresentativesandshallobtainbeforethesaleadeterminationoftheitemsofnoncompliancewithapplicablelawandruleswhichshallbecorrected.
Thedepartmentshallnotifytherespectivepartiesoftheitemsofnoncompliancepriortothechangeofownershipandshallindicatethattheitemsofnoncompliancemustbecorrectedasaconditionofissuanceofalicensetothenewowner.
Thedepartmentmayacceptreportsfiledwiththesecuritiesandexchange8commissionrelatingtothefilings.
Apersonwhoviolatesthissubsectionisguiltyofamisdemeanor,punishablebyafineofnotmorethan$1,000.
00foreachviolation.
(4)Anapplicantorlicenseeunderpart217shalldisclosethenamesandbusinessaddressesofsupplierswhofurnishgoodsorservicestoanindividualnursinghomeoragroupofnursinghomesundercommonownership,theaggregatechargesforwhichexceed$5,000.
00ina12-monthperiodwhichincludesamonthinanursinghome'scurrentfiscalyear.
Anapplicantorlicenseeshalldisclosethenames,addresses,principaloccupations,andofficialpositionsofallpersonswhohaveanownershipinterestinabusinesswhichfurnishesgoodsorservicestoanindividualnursinghomeortoagroupofnursinghomesundercommonownership,ifbothofthefollowingapply:(a)Theperson,ortheperson'sspouse,parent,sibling,orchildhasanownershipinterestinthenursinghomepurchasingthegoodsorservices.
(b)Theaggregatechargesforthegoodsorservicespurchasedexceeds$5,000.
00ina12-monthperiodwhichincludesamonthinthenursinghome'scurrentfiscalyear.
(5)Anapplicantorlicenseewhomakesafalsestatementinanapplicationorstatementrequiredbythedepartmentpursuanttothisarticleisguiltyofafelony,punishablebyimprisonmentfornotmorethan4years,orafineofnotmorethan$30,000.
00,orboth.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1978,Act493,Eff.
Mar.
30,1979.
333.
20143Complianceasconditiontoissuanceoflicense,certificate,orcertificateofneed.
(1)Alicenseorcertificateunderthispartshallnotbeissuedunlesstheapplicantisincompliancewithpart222.
(2)Alicenseewhoisissuedacertificateofneedunderpart222shallcomplywithpart222andalloftheterms,conditions,andstipulationsofthecertificateofneed.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1988,Act332,Eff.
Oct.
1,1988.
333.
20144Licensingonbasisofapprovedbuildingprogram.
Ahealthfacilityoragencynotmeetingstatutoryandregulatoryrequirementsforitsphysicalplantandequipmentmaybelicensedbythedepartmentonthebasisofabuildingprogramapprovedbythedepartmentwhich:(a)Setsforthaplanandtimetableforcorrectionofphysicalplantorequipmentdeficienciesanditemsofnoncompliance.
(b)Includesdocumentedevidenceoftheavailabilityandcommitmentofmoneyforcarryingouttheapprovedbuildingprogram.
9(c)Includesotherdocumentationthedepartmentreasonablyrequirestoassurecompliancewiththeplanandtimetable.
History:1978,Act368,Eff.
Sept.
30,1978.
333.
20145Constructionpermit;certificateofneedasconditionofissuance;rules;informationrequiredforprojectnotrequiringcertificateofneed;reviewandapprovalofarchitecturalplansandnarrative;rules;waiver;fee;"capitalexpenditure"defined.
(1)Beforecontractingforandinitiatingaconstructionprojectinvolvingnewconstruction,additions,modernizations,orconversionsofahealthfacilityoragencywithacapitalexpenditureof$1,000,000.
00ormore,apersonshallobtainaconstructionpermitfromthedepartment.
Thedepartmentshallnotissuethepermitunderthissubsectionunlesstheapplicantholdsavalidcertificateofneedifacertificateofneedisrequiredfortheprojectpursuanttopart222.
(2)Toprotectthepublichealth,safety,andwelfare,thedepartmentmaypromulgaterulestorequireconstructionpermitsforprojectsotherthanthosedescribedinsubsection(1)andthesubmissionofplansforotherconstructionprojectstoexpandorchangeserviceareasandservicesprovided.
(3)Ifaconstructionprojectrequiresaconstructionpermitundersubsection(1)or(2),butdoesnotrequireacertificateofneedunderpart222,thedepartmentshallrequiretheapplicanttosubmitinformationconsiderednecessarybythedepartmenttoassurethatthecapitalexpenditurefortheprojectisnotacoveredcapitalexpenditureasdefinedinsection22203(9).
(4)Ifaconstructionprojectrequiresaconstructionpermitundersubsection(1),butdoesnotrequireacertificateofneedunderpart222,thedepartmentshallrequiretheapplicanttosubmitinformationona1-pagesheet,alongwiththeapplicationforaconstructionpermit,consistingofallofthefollowing:(a)Ashortdescriptionofthereasonfortheprojectandthefundingsource.
(b)Acontactpersonforfurtherinformation,includingaddressandphonenumber.
(c)Theestimatedresultingincreaseordecreaseinannualoperatingcosts.
(d)Thecurrentgoverningboardmembershipoftheapplicant.
(e)Theentity,ifany,thatownstheapplicant.
(5)Theinformationfiledundersubsection(4)shallbemadepubliclyavailablebythedepartmentbythesamemethodsusedtomakeinformationaboutcertificateofneedapplicationspubliclyavailable.
10(6)Thereviewandapprovalofarchitecturalplansandnarrativeshallrequirethattheproposedconstructionprojectisdesignedandconstructedinaccordwithapplicablestatutoryandotherregulatoryrequirements.
Inperformingaconstructionpermitreviewforahealthfacilityoragencyunderthissection,thedepartmentshall,ataminimum,applythestandardscontainedinthedocumententitled"MinimumDesignStandardsforHealthCareFacilitiesinMichigan"publishedbythedepartmentanddatedMarch1998.
Thestandardsareincorporatedbyreferenceforpurposesofthissubsection.
Thedepartmentmaypromulgaterulesthataremorestringentthanthestandardsifnecessarytoprotectthepublichealth,safety,andwelfare.
(7)Thedepartmentshallpromulgaterulestofurtherprescribethescopeofconstructionprojectsandotheralterationssubjecttoreviewunderthissection.
(8)Thedepartmentmaywaivetheapplicabilityofthissectiontoaconstructionprojectoralterationifthewaiverwillnotaffectthepublichealth,safety,andwelfare.
(9)Uponrequestbythepersoninitiatingaconstructionproject,thedepartmentmayreviewandissueaconstructionpermittoaconstructionprojectthatisnotsubjecttosubsection(1)or(2)ifthedepartmentdeterminesthatthereviewwillpromotethepublichealth,safety,andwelfare.
(10)Thedepartmentshallassessafeeforeachreviewconductedunderthissection.
Thefeeis.
5%ofthefirst$1,000,000.
00ofcapitalexpenditureand.
85%ofanyamountover$1,000,000.
00ofcapitalexpenditure,uptoamaximumof$60,000.
00.
(11)Asusedinthissection,"capitalexpenditure"meansthattermasdefinedinsection22203(2),exceptthatitdoesnotincludethecostofequipmentthatisnotfixedequipment.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1988,Act332,Eff.
Oct.
1,1988;—Am.
1990,Act331,Imd.
Eff.
Dec.
21,1990;—Am.
1991,Act13,Imd.
Eff.
Apr.
25,1991;—Am.
1993,Act88,Imd.
Eff.
July9,1993;—Am.
2002,Act683,Imd.
Eff.
Dec.
30,2002;—Am.
2004,Act469,Imd.
Eff.
Dec.
28,2004.
333.
20151Cooperation;professionaladviceandconsultation.
Alicenseeorcertificateholdershallcooperatewiththedepartmentincarryingoutitsresponsibilityunderthisarticle.
Thedepartmentshall,totheextentallowedbylaw,provideprofessionaladviceandconsultationastothequalityoffacilityoragencyaspectsofhealthcareandservicesprovidedbytheapplicantorlicensee.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
2000,Act171,Imd.
Eff.
June20,2000.
333.
20152Certificationbylicensee;developingfacilitiesandprogramsofcare;ratingindividualsforpurposesofreimbursement.
(1)Alicenseeshallcertifytothedepartmentaspartofitsapplicationforlicensingandcertification,that:11(a)Allphasesofitsoperation,includingitstrainingprograms,complywithstateandfederallawsprohibitingdiscrimination.
Theapplicantshalldirecttheadministratorofthehealthfacilityoragencytotakethenecessaryactiontoassurethatthefacilityoragencyis,infact,sooperated.
(b)Selectionandappointmentofphysicianstoitsmedicalstaffiswithoutdiscriminationonthebasisoflicensureorregistrationasdoctorsofmedicineordoctorsofosteopathicmedicineandsurgery.
(2)Thissectiondoesnotprohibitahealthfacilityoragencyfromdevelopingfacilitiesandprogramsofcarethatareforspecificagesorsexesorratingindividualsforpurposesofdeterminingappropriatereimbursementforcareandservices.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1981,Act111,Imd.
Eff.
July17,1981.
333.
20155Visitstohealthfacilitiesandagencies,clinicallaboratories,nursinghomes,hospices,andhospitals;purposes;waiver;confidentialityofaccreditationinformation;limitationandeffect;consultationengineeringsurvey;summaryofsubstantialnoncomplianceordeficienciesandhospitalresponse;investigationsorinspections;priornotice;misdemeanor;consultationvisits;record;periodicreports;accesstodocuments;confidentiality;disclosure;delegationoffunctions;voluntaryinspections;forwardingevidenceofviolationtolicensingagency;reports;clarificationofterms;clinicalprocessguidelines;clinicaladvisorycommittee;definitions.
(1)Exceptasotherwiseprovidedinthissection,thedepartmentofconsumerandindustryservicesshallmakeannualandothervisitstoeachhealthfacilityoragencylicensedunderthisarticleforthepurposesofsurvey,evaluation,andconsultation.
Avisitmadepursuanttoacomplaintshallbeunannounced.
Exceptforacountymedicalcarefacility,ahomefortheaged,anursinghome,orahospiceresidence,thedepartmentshalldeterminewhetherthevisitsthatarenotmadepursuanttoacomplaintareannouncedorunannounced.
BeginningJune20,2001,thedepartmentshallassurethateachnewlyhirednursinghomesurveyor,aspartofhisorherbasictraining,isassignedfull-timetoalicensednursinghomeforatleast10dayswithina14-dayperiodtoobserveactualoperationsoutsideofthesurveyprocessbeforethetraineebeginsoversightresponsibilities.
Amemberofasurveyteamshallnotbeemployedbyalicensednursinghomeoranursinghomemanagementcompanydoingbusinessinthisstateatthetimeofconductingasurveyunderthissection.
Thedepartmentshallnotassignanindividualtobeamemberofasurveyteamforpurposesofasurvey,evaluation,orconsultationvisitatanursinghomeinwhichheorshewasanemployeewithinthepreceding5years.
(2)Thedepartmentofconsumerandindustryservicesshallmakeatleastabiennialvisittoeachlicensedclinicallaboratory,eachnursinghome,andeachhospiceresidenceforthepurposesofsurvey,evaluation,andconsultation.
Thedepartmentofconsumerandindustryservicesshallsemiannuallyprovideforjointtrainingwithnursinghomesurveyorsandprovidersonatleast1ofthe10mostfrequentlyissuedfederal12citationsinthisstateduringthepastcalendaryear.
Thedepartmentofconsumerandindustryservicesshalldevelopaprotocolforthereviewofcitationpatternscomparedtoregionaloutcomesandstandardsandcomplaintsregardingthenursinghomesurveyprocess.
Thereviewwillresultinareportprovidedtothelegislature.
Exceptasotherwiseprovidedinthissubsection,beginningwithhisorherfirstfullrelicensureperiodafterJune20,2000,eachmemberofadepartmentofconsumerandindustryservicesnursinghomesurveyteamwhoisahealthprofessionallicenseeunderarticle15shallearnnotlessthan50%ofhisorherrequiredcontinuingeducationcredits,ifany,ingeriatriccare.
Ifamemberofanursinghomesurveyteamisapharmacistlicensedunderarticle15,heorsheshallearnnotlessthan30%ofhisorherrequiredcontinuingeducationcreditsingeriatriccare.
(3)Thedepartmentofconsumerandindustryservicesshallmakeabiennialvisittoeachhospitalforsurveyandevaluationforthepurposeoflicensure.
Subjecttosubsection(6),thedepartmentmaywaivethebiennialvisitrequiredbythissubsectionifahospital,aspartofatimelyapplicationforlicenserenewal,requestsawaiverandsubmitsbothofthefollowingandifalloftherequirementsofsubsection(5)aremet:(a)EvidencethatitiscurrentlyfullyaccreditedbyabodywithexpertiseinhospitalaccreditationwhosehospitalaccreditationsareacceptedbytheUnitedStatesdepartmentofhealthandhumanservicesforpurposesofsection1865ofpartCoftitleXVIIIofthesocialsecurityact,42U.
S.
C.
1395bb.
(b)Acopyofthemostrecentaccreditationreportforthehospitalissuedbyabodydescribedinsubdivision(a),andthehospital'sresponsestotheaccreditationreport.
(4)Exceptasprovidedinsubsection(8),accreditationinformationprovidedtothedepartmentofconsumerandindustryservicesundersubsection(3)isconfidential,isnotapublicrecord,andisnotsubjecttocourtsubpoena.
Thedepartmentshallusetheaccreditationinformationonlyasprovidedinthissectionandshallreturntheaccreditationinformationtothehospitalwithinareasonabletimeafteradecisiononthewaiverrequestismade.
(5)Thedepartmentofconsumerandindustryservicesshallgrantawaiverundersubsection(3)iftheaccreditationreportsubmittedundersubsection(3)(b)islessthan2yearsoldandthereisnoindicationofsubstantialnoncompliancewithlicensurestandardsorofdeficienciesthatrepresentathreattopublicsafetyorpatientcareinthereport,incomplaintsinvolvingthehospital,orinanyotherinformationavailabletothedepartment.
Iftheaccreditationreportis2ormoreyearsold,thedepartmentmaydo1ofthefollowing:(a)Grantanextensionofthehospital'scurrentlicenseuntilthenextaccreditationsurveyiscompletedbythebodydescribedinsubsection(3)(a).
(b)Grantawaiverundersubsection(3)basedontheaccreditationreportthatis2ormoreyearsold,onconditionthatthehospitalpromptlysubmitthenextaccreditationreporttothedepartment.
13(c)Denythewaiverrequestandconductthevisitsrequiredundersubsection(3).
(6)Thissectiondoesnotprohibitthedepartmentfromcitingaviolationofthispartduringasurvey,conductinginvestigationsorinspectionspursuanttosection20156,orconductingsurveysofhealthfacilitiesoragenciesforthepurposeofcomplaintinvestigationsorfederalcertification.
Thissectiondoesnotprohibitthestatefiremarshalfromconductingannualsurveysofhospitals,nursinghomes,andcountymedicalcarefacilities.
(7)Attherequestofahealthfacilityoragency,thedepartmentofconsumerandindustryservicesmayconductaconsultationengineeringsurveyofahealthfacilityandprovideprofessionaladviceandconsultationregardinghealthfacilityconstructionanddesign.
Ahealthfacilityoragencymayrequestavoluntaryconsultationsurveyunderthissubsectionatanytimebetweenlicensuresurveys.
Thefeesforaconsultationengineeringsurveyarethesameasthefeesestablishedforwaiversundersection20161(10).
(8)Ifthedepartmentofconsumerandindustryservicesdeterminesthatsubstantialnoncompliancewithlicensurestandardsexistsorthatdeficienciesthatrepresentathreattopublicsafetyorpatientcareexistbasedonareviewofanaccreditationreportsubmittedpursuanttosubsection(3)(b),thedepartmentshallprepareawrittensummaryofthesubstantialnoncomplianceordeficienciesandthehospital'sresponsetothedepartment'sdetermination.
Thedepartment'swrittensummaryandthehospital'sresponsearepublicdocuments.
(9)Thedepartmentofconsumerandindustryservicesoralocalhealthdepartmentshallconductinvestigationsorinspections,otherthaninspectionsoffinancialrecords,ofacountymedicalcarefacility,homefortheaged,nursinghome,orhospiceresidencewithoutpriornoticetothehealthfacilityoragency.
Anemployeeofastateagencychargedwithinvestigatingorinspectingthehealthfacilityoragencyoranemployeeofalocalhealthdepartmentwhodirectlyorindirectlygivespriornoticeregardinganinvestigationoraninspection,otherthananinspectionofthefinancialrecords,tothehealthfacilityoragencyortoanemployeeofthehealthfacilityoragency,isguiltyofamisdemeanor.
Consultationvisitsthatarenotforthepurposeofannualorfollow-upinspectionorsurveymaybeannounced.
(10)Thedepartmentofconsumerandindustryservicesshallmaintainarecordindicatingwhetheravisitandinspectionisannouncedorunannounced.
Informationgatheredateachvisitandinspection,whetherannouncedorunannounced,shallbetakenintoaccountinlicensuredecisions.
(11)Thedepartmentofconsumerandindustryservicesshallrequireperiodicreportsandahealthfacilityoragencyshallgivethedepartmentaccesstobooks,records,andotherdocumentsmaintainedbyahealthfacilityoragencytotheextentnecessarytocarryoutthepurposeofthisarticleandtherulespromulgatedunderthisarticle.
Thedepartmentshallrespecttheconfidentialityofapatient'sclinicalrecordandshallnotdivulgeordisclosethecontentsoftherecordsinamannerthatidentifiesanindividual14exceptundercourtorder.
Thedepartmentmaycopyhealthfacilityoragencyrecordsasrequiredtodocumentfindings.
(12)Thedepartmentofconsumerandindustryservicesmaydelegatesurvey,evaluation,orconsultationfunctionstoanotherstateagencyortoalocalhealthdepartmentqualifiedtoperformthosefunctions.
However,thedepartmentshallnotdelegatesurvey,evaluation,orconsultationfunctionstoalocalhealthdepartmentthatownsoroperatesahospiceorhospiceresidencelicensedunderthisarticle.
Thedelegationshallbebycostreimbursementcontractbetweenthedepartmentandthestateagencyorlocalhealthdepartment.
Survey,evaluation,orconsultationfunctionsshallnotbedelegatedtonongovernmentalagencies,exceptasprovidedinthissection.
Thedepartmentmayacceptvoluntaryinspectionsperformedbyanaccreditingbodywithexpertiseinclinicallaboratoryaccreditationunderpart205iftheaccreditingbodyutilizesformsacceptabletothedepartment,appliesthesamelicensingstandardsasappliedtootherclinicallaboratoriesandprovidesthesameinformationanddatausuallyfiledbythedepartment'sownemployeeswhenengagedinsimilarinspectionsorsurveys.
Thevoluntaryinspectiondescribedinthissubsectionshallbeagreeduponbyboththelicenseeandthedepartment.
(13)If,uponinvestigation,thedepartmentofconsumerandindustryservicesorastateagencydeterminesthatanindividuallicensedtopracticeaprofessioninthisstatehasviolatedtheapplicablelicensurestatuteortherulespromulgatedunderthatstatute,thedepartment,stateagency,orlocalhealthdepartmentshallforwardtheevidenceithastotheappropriatelicensingagency.
NOTE:333.
20155(14)to(24)appliestonursinghomes.
(25)Nothinginthisamendatoryactshallbeconstruedtolimittherequirementsofrelatedstateandfederallaw.
(26)Asusedinthissection:(a)"TitleXVIII"meanstitleXVIIIofthesocialsecurityact,chapter531,49Stat.
620,42U.
S.
C.
1395to1395b,1395b-2,1395b-6to1395b-7,1395cto1395i,1395i-2to1395i-5,1395jto1395t,1395uto1395w,1395w-2to1395w-4,1395w-21to1395w-28,1395xto1395yy,and1395bbbto1395ggg.
(b)"TitleXIX"meanstitleXIXofthesocialsecurityact,chapter531,49Stat.
620,42U.
S.
C.
1396to1396f,1396g-1to1396r-6,and1396r-8to1396v.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1978,Act493,Eff.
Mar.
30,1979;—Am.
1981,Act111,Imd.
Eff.
July17,1981;—Am.
1982,Act474,Eff.
Mar.
30,1983;—Am.
1992,Act80,Imd.
Eff.
June2,1992;—Am.
1996,Act267,Imd.
Eff.
June12,1996;—Am.
2000,Act170,Imd.
Eff.
June20,2000;—Am.
2000,Act171,Imd.
Eff.
June20,2000;—Am.
2001,Act218,Imd.
Eff.
Dec.
28,2001.
15333.
20156Enteringpremisesofapplicantorlicensee;enforcementofrules;certificateofapprovalfromstatefiremarshaldivision;applicabilityofsubsections(2)and(3).
(1)Arepresentativeofthedepartmentofpublichealthorthestatefiremarshaldivisionofthedepartmentofstatepolice,uponpresentationofproperidentification,mayenterthepremisesofanapplicantorlicenseeatanyreasonabletimetodeterminewhethertheapplicantorlicenseemeetstherequirementsofthisarticleandtherulespromulgatedunderthisarticle.
Thedirector;thedirectorofsocialservices;thestatefiremarshal;thedirectoroftheofficeofservicestotheaging;orthedirectorofalocalhealthdepartment;oranauthorizedrepresentativeofthedirector,thedirectorofsocialservices,thestatefiremarshal,thedirectoroftheofficeofservicestotheaging,orthedirectorofalocalhealthdepartmentmayenteronthepremisesofanapplicantorlicenseeunderpart217atanytimeinthecourseofcarryingoutprogramresponsibilities.
(2)Thestatefiremarshaldivisionofthedepartmentofstatepoliceshallenforcerulespromulgatedbythestatefiresafetyboardforhealthfacilitiesandagenciestoassurethatphysicalfacilitiesowned,maintained,oroperatedbyahealthfacilityoragencyareplanned,constructed,andmaintainedinamannertoprotectthehealth,safety,andwelfareofpatients.
(3)Thedepartmentofpublichealthshallnotissuealicenseorcertificatetoahealthfacilityoragencyuntilitreceivesanappropriatecertificateofapprovalfromthestatefiremarshaldivisionofthedepartmentofstatepolice.
Forpurposesofthissection,adecisionofthestatefiremarshaldivisionofthedepartmentofstatepolicetoissueacertificatecontrolsoverthatofalocalfiredepartment.
(4)Subsections(2)and(3)donotapplytoahealthfacilityoranagencylicensedunderpart205,209,or210.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1978,Act493,Eff.
Mar.
30,1979;—Am.
1982,Act474,Eff.
Mar.
30,1983;—Am.
1986,Act78,Imd.
Eff.
Apr.
7,1986;—Am.
1990,Act179,Imd.
Eff.
July2,1990.
333.
20161Feesandassessmentsforhealthfacilityandagencylicensesandcertificatesofneed;surcharge;feeforprovisionallicenseortemporarypermit;feetorecovercostofproficiencyevaluationsamples;feeforreissuanceofclinicallaboratorylicense;costoflicensureactivities;applicationfeeforwaiverunder§333.
21564;travelexpenses;feesforlicensureorrenewalunderpart209;depositoffees;useofqualityassuranceassessment;earmarking;"medicaid"defined.
(1)Thedepartmentshallassessfeesandotherassessmentsforhealthfacilityandagencylicensesandcertificatesofneedonanannualbasisasprovidedinthisarticle.
Exceptasotherwiseprovidedinthisarticle,feesandassessmentsshallbepaidinaccordancewiththefollowingschedule:16(a)Freestandingsurgicaloutpatientfacilities$238.
00perfacility.
(b)Hospitals$8.
28perlicensedbed.
(c)Nursinghomes,countymedicalcarefacilities,andhospitallong-termcareunits$2.
20perlicensedbed.
(d)Homesfortheaged$6.
27perlicensedbed.
(e)Clinicallaboratories$475.
00perlaboratory.
(f)Hospiceresidences$200.
00perlicensesurvey;and$20.
00perlicensedbed.
(g)Subjecttosubsection(13),qualityassuranceassessmentfornongovernmentallyownednursinghomesandhospitallong-termcareunitsanamountresultinginnotmorethan6%oftotalindustryrevenues.
(h)Subjecttosubsection(14),qualityassuranceassessmentforhospitalsatafixedorvariableratethatgeneratesfundsnotmorethanthemaximumallowableunderthefederalmatchingrequirements,afterconsiderationfortheamountsinsubsection(14)(a)and(k).
(2)IfahospitalrequeststhedepartmenttoconductacertificationsurveyforpurposesoftitleXVIIIortitleXIXofthesocialsecurityact,thehospitalshallpayalicensefeesurchargeof$23.
00perbed.
Asusedinthissubsection,"titleXVIII"and"titleXIX"meanthosetermsasdefinedinsection20155.
(3)Thebasefeeforacertificateofneedis$750.
00foreachapplication.
Foraprojectrequiringaprojectedcapitalexpenditureofmorethan$150,000.
00butlessthan$1,500,000.
00,anadditionalfeeof$2,000.
00shallbeaddedtothebasefee.
Foraprojectrequiringaprojectedcapitalexpenditureof$1,500,000.
00ormore,anadditionalfeeof$3,500.
00shallbeaddedtothebasefee.
(4)Iflicensureisformorethan1year,thefeesdescribedinsubsection(1)aremultipliedbythenumberofyearsforwhichthelicenseisissued,andthetotalamountofthefeesshallbecollectedintheyearinwhichthelicenseisissued.
(5)Feesdescribedinthissectionarepayabletothedepartmentatthetimeanapplicationforalicense,permit,orcertificateissubmitted.
Ifanapplicationforalicense,permit,orcertificateisdeniedorifalicense,permit,orcertificateisrevokedbeforeitsexpirationdate,thedepartmentshallnotrefundfeespaidtothedepartment.
(6)Thefeeforaprovisionallicenseortemporarypermitisthesameasforalicense.
Alicensemaybeissuedattheexpirationdateofatemporarypermitwithoutanadditionalfeeforthebalanceoftheperiodforwhichthefeewaspaidiftherequirementsforlicensurearemet.
17(7)Thedepartmentmaychargeafeetorecoverthecostofpurchaseorproductionanddistributionofproficiencyevaluationsamplesthataresuppliedtoclinicallaboratoriespursuanttosection20521(3).
(8)Inadditiontothefeesimposedundersubsection(1),aclinicallaboratoryshallsubmitafeeof$25.
00tothedepartmentforeachreissuanceduringthelicensureperiodoftheclinicallaboratory'slicense.
(9)Exceptforthelicensureofclinicallaboratories,notmorethanhalftheannualcostoflicensureactivitiesasdeterminedbythedepartmentshallbeprovidedbylicensefees.
(10)Theapplicationfeeforawaiverundersection21564is$200.
00plus$40.
00perhourfortheprofessionalservicesandtravelexpensesdirectlyrelatedtoprocessingtheapplication.
Thetravelexpensesshallbecalculatedinaccordancewiththestatestandardizedtravelregulationsofthedepartmentofmanagementandbudgetineffectatthetimeofthetravel.
(11)Anapplicantforlicensureorrenewaloflicensureunderpart209shallpaytheapplicablefeessetforthinpart209.
(12)Exceptasotherwiseprovidedinthissection,thefeesandassessmentscollectedunderthissectionshallbedepositedinthestatetreasury,tothecreditofthegeneralfund.
Thedepartmentmayusetheunreservedfundbalanceinfeesandassessmentsforthebackgroundcheckprogramrequiredunderthisarticle.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1981,Act76,Eff.
Oct.
1,1981;—Am.
1984,Act376,Eff.
Mar.
29,1985;—Am.
1987,Act217,Imd.
Eff.
Dec.
22,1987;—Am.
1988,Act332,Eff.
Oct.
1,1988;—Am.
1990,Act179,Imd.
Eff.
July2,1990;—Am.
1990,Act252,Imd.
Eff.
Oct.
12,1990;—Am.
1996,Act267,Imd.
Eff.
June12,1996;—Am.
2000,Act253,Imd.
Eff.
June29,2000;—Am.
2002,Act303,Imd.
Eff.
May10,2002;—Am.
2002,Act562,Imd.
Eff.
Oct.
1,2002;—Am.
2003,Act113,Imd.
Eff.
July24,2003;—Am.
2003,Act234,Imd.
Eff.
Dec.
29,2003;—Am,Act173,Imd.
Eff.
July2,2008.
333.
20162License;receiptofcompletedapplication;issuanceoflicensewithincertainperiodoftime;nonrenewabletemporarypermit;provisionallicense;procedureforclosingfacility;ordertolicenseeuponfindingofnoncompliance;notice,hearing,andstatusrequirements;report;"completedapplication"defined.
(1)Beginningontheeffectivedateoftheamendatoryactthataddedsection20935,uponadeterminationthatahealthfacilityoragencyisincompliancewiththisarticleandtherulespromulgatedunderthisarticle,thedepartmentshallissueaninitiallicensewithin6monthsaftertheapplicantfilesacompletedapplication.
Receiptoftheapplicationisconsideredthedatetheapplicationisreceivedbyanyagencyordepartmentofthisstate.
Iftheapplicationisconsideredincompletebythedepartment,thedepartmentshallnotifytheapplicantinwritingormakethenoticeelectronicallyavailablewithin30daysafterreceiptoftheincompleteapplication,describingthe18deficiencyandrequestingadditionalinformation.
Ifthedepartmentidentifiesadeficiencyorrequiresthefulfillmentofacorrectiveactionplan,the6-monthperiodistolleduntileitherofthefollowingoccurs:(a)Uponnotificationbythedepartmentofadeficiency,untilthedatetherequestedinformationisreceivedbythedepartment.
(b)Uponnotificationbythedepartmentthatacorrectiveactionplanisrequired,untilthedatethedepartmentdeterminestherequirementsofthecorrectiveactionplanhavebeenmet.
(2)Thedeterminationofthecompletenessofanapplicationdoesnotoperateasanapprovaloftheapplicationforthelicenseanddoesnotconfereligibilityofanapplicantdeterminedotherwiseineligibleforissuanceofalicense.
(3)Exceptasotherwiseprovidedinthissubsection,ifthedepartmentfailstoissueordenyalicensewithinthetimeperiodrequiredbythissection,thedepartmentshallreturnthelicensefeeandshallreducethelicensefeefortheapplicant'snextlicensureapplication,ifany,by15%.
Failuretoissueordenyalicensewithinthetimeperiodrequiredunderthissectiondoesnotallowthedepartmenttootherwisedelayprocessinganapplication.
Thecompletedapplicationshallbeplacedinsequencewithothercompletedapplicationsreceivedatthatsametime.
Thedepartmentshallnotdiscriminateagainstanapplicantintheprocessingoftheapplicationbaseduponthefactthattheapplicationfeewasrefundedordiscountedunderthissubsection.
Thedepartmentmayissueanonrenewabletemporarypermitfornotmorethan6monthsifadditionaltimeisneededtomakeaproperinvestigationortopermittheapplicanttoundertakeremedialactionrelatedtooperationalorproceduraldeficienciesoritemsofnoncompliance.
Atemporarypermitshallnotbeissuedtocoverdeficienciesinphysicalplantrequirements.
(4)Exceptasprovidedinpart217,thedepartmentmayissueaprovisionallicensefornotmorethan3consecutiveyearstoanapplicantwhotemporarilyisunabletocomplywiththerulesastothephysicalplantowned,maintained,oroperatedbyahealthfacilityoragencyexceptasotherwiseprovidedinthisarticle.
AprovisionallicenseshallnotbeissuedtoanewhealthfacilityoragencyorafacilityoragencywhoseownershipistransferredafterSeptember30,1978,unlessthefacilityoragencywaslicensedandoperatingunderthisarticleorapriorlawfornotlessthan5years.
Provisionallicensureunderactsrepealedbythiscodeshallbecountedagainstthe3-yearmaximumforlicensure.
(5)Thedepartment,inordertoprotectthepeopleofthisstate,shallprovideaprocedurefortheorderlyclosingofafacilityifitisunabletomaintainitslicenseunderthissection.
(6)Exceptasprovidedinpart217,thedepartment,uponfindingthatahealthfacilityoragencyisnotoperatinginaccordwiththerequirementsofitslicense,may:19(a)Issueanorderdirectingthelicenseeto:(i)Discontinueadmissions.
(ii)Transferselectedpatientsoutofthefacility.
(iii)Reduceitslicensedcapacity.
(iv)Complywithspecificrequirementsforlicensureorcertificationasappropriate.
(b)Throughtheofficeoftheattorneygeneral,initiatemisdemeanorproceedingsagainstthelicenseeasprovidedinsection20199(1).
(7)Anorderissuedundersubsection(6)shallbegovernedbythenoticeandhearingrequirementsofsection20168(1)andthestatusrequirementsofsection20168(2).
(8)BeginningOctober1,2005,thedirectorofthedepartmentshallsubmitareportbyDecember1ofeachyeartothestandingcommitteesandappropriationssubcommitteesofthesenateandhouseofrepresentativesconcernedwithpublichealthissues.
Thedirectorshallincludeallofthefollowinginformationinthereportconcerningtheprecedingfiscalyear:(a)Thenumberofinitialapplicationsthedepartmentreceivedandcompletedwithinthe6-monthtimeperiodrequiredundersubsection(1).
(b)Thenumberofapplicationsrequiringarequestforadditionalinformation.
(c)Thenumberofapplicationsdenied.
(d)Theaverageprocessingtimeforinitiallicensesgrantedafterthe6-monthperiod.
(e)Thenumberoftemporarypermitsissuedundersubsection(3).
(f)Thenumberofinitiallicenseapplicationsnotissuedwithinthe6-monthperiodandtheamountofmoneyreturnedtoapplicantsundersubsection(3).
(9)Asusedinthissection,"completedapplication"meansanapplicationcompleteonitsfaceandsubmittedwithanyapplicablelicensingfeesaswellasanyotherinformation,records,approval,security,orsimilaritemrequiredbylaworrulefromalocalunitofgovernment,afederalagency,oraprivateentitybutnotfromanotherdepartmentoragencyofthisstate.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1978,Act493,Eff.
Mar.
30,1979;—Am.
2004,Act284,Imd.
Eff.
July23,2004.
20333.
20164Durationoflicenseorcertification;license,certification,orcertificateofneednontransferable;transferofownershiporownershipinterest;notice;applicationforlicenseandcertification.
(1)Alicense,certification,provisionallicense,orlimitedlicenseisvalidfornotmorethan1yearafterthedateofissuance,exceptasprovidedinsection20511orpart209or210.
Alicenseforafacilitylicensedunderpart215shallbevalidfor2years,exceptthatprovisionalandlimitedlicensesmaybevalidfor1year.
(2)Alicense,certification,orcertificateofneedisnottransferableandshallstatethepersons,buildings,andpropertiestowhichitapplies.
Applicationsforlicensureorcertificationbecauseoftransferofownershiporessentialownershipinterestshallnotbeacteduponuntilsatisfactoryevidenceisprovidedofcompliancewithpart222.
(3)Ifownershipisnotvoluntarilytransferred,thedepartmentshallbenotifiedimmediatelyandthenewownershallapplyforalicenseandcertificationnotlaterthan30daysafterthetransfer.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1981,Act111,Imd.
Eff.
July17,1981;—Am.
1982,Act474,Eff.
Mar.
30,1983;—Am.
1988,Act332,Eff.
Oct.
1,1988;—Am.
1990,Act179,Imd.
Eff.
July2,1990.
333.
20165Denying,limiting,suspending,orrevokinglicenseorcertification;noticeofintent;impositionofadministrativefine.
(1)Exceptasotherwiseprovidedinthissection,afternoticeofintenttoanapplicantorlicenseetodeny,limit,suspend,orrevoketheapplicant'sorlicensee'slicenseorcertificationandanopportunityforahearing,thedepartmentmaydeny,limit,suspend,orrevokethelicenseorcertificationorimposeanadministrativefineonalicenseeif1ormoreofthefollowingexist:(a)Fraudordeceitinobtainingorattemptingtoobtainalicenseorcertificationorintheoperationofthelicensedhealthfacilityoragency.
(b)Aviolationofthisarticleorarulepromulgatedunderthisarticle.
(c)Falseormisleadingadvertising.
(d)Negligenceorfailuretoexerciseduecare,includingnegligentsupervisionofemployeesandsubordinates.
(e)Permittingalicenseorcertificatetobeusedbyanunauthorizedhealthfacilityoragency.
(f)Evidenceofabuseregardingapatient'shealth,welfare,orsafetyorthedenialofapatient'srights.
(g)Failuretocomplywithsection10102a(7).
21(h)Failuretocomplywithpart222oraterm,condition,orstipulationofacertificateofneedissuedunderpart222,orboth.
(i)Aviolationofsection20197(1).
(2)Thedepartmentmaydenyanapplicationforalicenseorcertificationbasedonafindingofaconditionorpracticethatwouldconstituteaviolationofthisarticleiftheapplicantwerealicensee.
(3)Denial,suspension,orrevocationofanindividualemergencymedicalservicespersonnellicenseunderpart209isgovernedbysection20958.
(4)Ifthedepartmentdeterminesundersubsection(1)thatahealthfacilityoragencyhasviolatedsection20197(1),thedepartmentshallimposeanadministrativefineof$5,000,000.
00onthehealthfacilityoragency.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1986,Act186,Eff.
Oct.
7,1986;—Am.
1988,Act332,Eff.
Oct.
1,1988;—Am.
1990,Act179,Imd.
Eff.
July2,1990;—Am.
1998,Act108,Eff.
Mar.
23,1999.
333.
20166Noticeofintenttodeny,limit,suspend,orrevokelicenseorcertification;service;contents;hearing;record;transcript;determination;powersofdepartment;judicialordertoappearandgivetestimony;contempt;failuretoshowneedforhealthfacilityoragency.
(1)Noticeofintenttodeny,limit,suspend,orrevokealicenseorcertificationshallbegivenbycertifiedmailorpersonalservice,shallsetforththeparticularreasonsfortheproposedaction,andshallfixadate,notlessthat30daysafterthedateofservice,onwhichtheapplicantorlicenseeshallbegiventheopportunityforahearingbeforethedirectororthedirector'sauthorizedrepresentative.
Thehearingshallbeconductedinaccordancewiththeadministrativeproceduresactof1969andrulespromulgatedbythedepartment.
Afullandcompleterecordshallbekeptoftheproceedingandshallbetranscribedwhenrequestedbyaninterestedparty,whoshallpaythecostofpreparingthetranscript.
(2)Onthebasisofahearingoronthedefaultoftheapplicantorlicensee,thedepartmentmayissue,deny,limit,suspend,orrevokealicenseorcertification.
Acopyofthedeterminationshallbesentbycertifiedmailorservedpersonallyupontheapplicantorlicensee.
Thedeterminationbecomesfinal30daysafteritismailedorserved,unlesstheapplicantorlicenseewithinthe30daysappealsthedecisiontothecircuitcourtinthecountyofjurisdictionortotheInghamcountycircuitcourt.
(3)Thedepartmentmayestablishprocedures,holdhearings,administeroaths,issuesubpoenas,orordertestimonytobetakenatahearingorbydepositioninaproceedingpendingatanystageoftheproceeding.
Apersonmaybecompelledtoappearandtestifyandtoproducebooks,papers,ordocumentsinaproceeding.
22(4)Incaseofdisobedienceofasubpoena,apartytoahearingmayinvoketheaidofhecircuitcourtofthejurisdictioninwhichthehearingisheldtorequiretheattendanceandtestimonyofwitnesses.
Thecircuitcourtmayissueanorderrequiringanindividualtoappearandgivetestimony.
Failuretoobeytheorderofthecircuitcourtmaybepunishedbythecourtasacontempt.
(5)Thedepartmentshallnotdeny,limit,suspend,orrevokealicenseonthebasisofanapplicant'sorlicensee'sfailuretoshowaneedforahealthfacilityoragencyunlessthehealthfacilityoragencyhasnotobtainedacertificateofneedrequiredbypart222.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1988,Act332,Eff.
Oct.
1,1988.
333.
20168Emergencyorderlimiting,suspending,orrevokinglicense;limitingreimbursementsorpayments;hearing;contentsoforder;ordernotsuspendedbyhearing.
(1)Uponafindingthatadeficiencyorviolationofthisarticleortherulespromulgatedunderthisarticleseriouslyaffectsthehealth,safety,andwelfareofindividualsreceivingcareorservicesinorfromalicensedhealthfacilityoragency,thedepartmentmayissueanemergencyorderlimiting,suspending,orrevokingthelicenseofthehealthfacilityoragency.
Ifthedepartmentofpublichealthissuesanemergencyorderaffectingthelicenseofanursinghome,thedepartmentofpublichealthmayrequestthedepartmentofsocialservicestolimitreimbursementsorpaymentsauthorizedundersection21718.
Thedepartmentshallprovideanopportunityforahearingwithin5workingdaysafterissuanceoftheorder.
(2)Anordershallincorporatethedepartment'sfindings.
Theconductofahearingunderthissectionshallnotsuspendthedepartment'sorder.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1978,Act493,Eff.
Mar.
30,1979.
333.
20170Medicalrecordsaccess;compliance.
Ahealthfacilityoragencyshallcomplywiththemedicalrecordsaccessact.
History:Add.
2004,Act48,Imd.
Eff.
Apr.
1,2004333.
20171Rulesimplementingarticle;rulespromulgatedunder§333.
21563.
(1)Thedepartment,afterobtainingapprovaloftheadvisorycommission,shallpromulgateandenforcerulestoimplementthisarticle,includingrulesnecessarytoenableahealthfacilityoragencytoqualifyforandreceivefederalfundsavailableforpatientcareorforprojectsinvolvingnewconstruction,additions,modernizations,orconversions.
(2)Therulesapplicabletohealthfacilitiesoragenciesshallbeuniforminsofarasisreasonable.
23(3)Therulesshallestablishstandardsrelatingto:(a)Ownership.
(b)Reasonabledisclosureofownershipinterestsinproprietarycorporationsandoffinancialinterestsoftrusteesofvoluntary,nonprofitcorporationsandownersofproprietarycorporationsandpartnerships.
(c)Organizationandfunctionofthehealthfacilityoragency,owner,operator,andgoverningbody.
(d)Administration.
(e)Professionalandnonprofessionalstaff,services,andequipmentappropriatetoimplementsection20141(3).
(f)Policiesandprocedures.
(g)Fiscalandmedicalaudit.
(h)Utilizationandqualitycontrolreview.
(i)Physicalplantincludingplanning,construction,functionaldesign,sanitation,maintenance,housekeeping,andfiresafety.
(j)Arrangementsforthecontinuingevaluationofthequalityofhealthcareprovided.
(k)Otherpertinentorganizational,operational,andproceduralrequirementsforeachtypeofhealthfacilityoragency.
(4)Therulespromulgatedundersection21563forthedesignationofruralcommunityhospitalsmayalsospecifyallofthefollowing:(a)Maximumbedsize.
(b)Thelevelofservicestobeprovidedineachcategoryasdescribedinsection21562(2).
(c)Requirementsfortransferagreementswithotherhospitalstoassureefficientandappropriatepatientcare.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1978,Act493,Eff.
Mar.
30,1979;—Am.
1990,Act252,Imd.
Eff.
Oct.
12,1990.
333.
20172Policiesandprocedures;publicationanddistribution.
Thedepartmentmaypublishanddistributewrittenpoliciesandproceduresintheformofdepartmentallettersnecessarytotheeffectiveadministrationofthisarticle.
History:1978,Act368,Eff.
Sept.
30,1978.
24333.
20173Repealed,2006,Act.
28,Imd.
Eff.
April1,2006****333.
20173aTHISSECTIONISAMENDEDEFFECTIVEJANUARY9,2009ExceptSection20173a(1)(e)(iv)after"or"whichwillnotbeeffectiveuntilOctober31,2010****333.
20173aHealthfacilityoragencythatisnursinghome,countymedicalcarefacility,hospice,hospitalthatprovidesswingbedservices,homefortheaged,orhomehealthagency;employeesorapplicantsforemployment;prohibitions;criminalhistorycheck;conditionofcontinuedemployment;failuretoconductcriminalhistorycheckasmisdemeanor;establishmentofautomatedfingerprintidentificationsystemdatabase;reporttolegislature;electronicweb-basedsystem;definitions.
Sec.
20173a.
(1)Exceptasotherwiseprovidedinsubsection(2),ahealthfacilityoragencythatisanursinghome,countymedicalcarefacility,hospice,hospitalthatprovidesswingbedservices,homefortheaged,orhomehealthagencyshallnotemploy,independentlycontractwith,orgrantclinicalprivilegestoanindividualwhoregularlyhasdirectaccesstoorprovidesdirectservicestopatientsorresidentsinthehealthfacilityoragencyafterApril1,2006iftheindividualsatisfies1ormoreofthefollowing:(a)Hasbeenconvictedofarelevantcrimedescribedunder42USC1320a-7.
(b)Hasbeenconvictedofanyofthefollowingfelonies,anattemptorconspiracytocommitanyofthosefelonies,oranyotherstateorfederalcrimethatissimilartothefeloniesdescribedinthissubdivision,otherthanafelonyforarelevantcrimedescribedunder42USC1320a-7,unless15yearshavelapsedsincetheindividualcompletedallofthetermsandconditionsofhisorhersentencing,parole,andprobationforthatconvictionpriortothedateofapplicationforemploymentorclinicalprivilegesorthedateoftheexecutionoftheindependentcontract:(i)Afelonythatinvolvestheintenttocausedeathorseriousimpairmentofabodyfunction,thatresultsindeathorseriousimpairmentofabodyfunction,thatinvolvestheuseofforceorviolence,orthatinvolvesthethreatoftheuseofforceorviolence.
(ii)Afelonyinvolvingcrueltyortorture.
(iii)AfelonyunderchapterXXAoftheMichiganpenalcode,1931PA328,MCL750.
145mto750.
145r.
(iv)Afelonyinvolvingcriminalsexualconduct.
(v)Afelonyinvolvingabuseorneglect.
(vi)Afelonyinvolvingtheuseofafirearmordangerousweapon.
25(vii)Afelonyinvolvingthediversionoradulterationofaprescriptiondrugorothermedications.
(c)Hasbeenconvictedofafelonyoranattemptorconspiracytocommitafelony,otherthanafelonyforarelevantcrimedescribedunder42USC1320a-7orafelonydescribedundersubdivision(b),unless10yearshavelapsedsincetheindividualcompletedallofthetermsandconditionsofhisorhersentencing,parole,andprobationforthatconvictionpriortothedateofapplicationforemploymentorclinicalprivilegesorthedateoftheexecutionoftheindependentcontract.
(d)Hasbeenconvictedofanyofthefollowingmisdemeanors,otherthanamisdemeanorforarelevantcrimedescribedunder42USC1320a-7,orastateorfederalcrimethatissubstantiallysimilartothemisdemeanorsdescribedinthissubdivision,withinthe10yearsimmediatelyprecedingthedateofapplicationforemploymentorclinicalprivilegesorthedateoftheexecutionoftheindependentcontract:(i)Amisdemeanorinvolvingtheuseofafirearmordangerousweaponwiththeintenttoinjure,theuseofafirearmordangerousweaponthatresultsinapersonalinjury,oramisdemeanorinvolvingtheuseofforceorviolenceorthethreatoftheuseofforceorviolence.
(ii)AmisdemeanorunderchapterXXAoftheMichiganpenalcode,1931PA328,MCL750.
145mto750.
145r.
(iii)Amisdemeanorinvolvingcriminalsexualconduct.
(iv)Amisdemeanorinvolvingcrueltyortortureunlessotherwiseprovidedundersubdivision(e).
(v)Amisdemeanorinvolvingabuseorneglect.
(e)Hasbeenconvictedofanyofthefollowingmisdemeanors,otherthanamisdemeanorforarelevantcrimedescribedunder42USC1320a-7,orastateorfederalcrimethatissubstantiallysimilartothemisdemeanorsdescribedinthissubdivision,withinthe5yearsimmediatelyprecedingthedateofapplicationforemploymentorclinicalprivilegesorthedateoftheexecutionoftheindependentcontract:(i)Amisdemeanorinvolvingcrueltyifcommittedbyanindividualwhoislessthan16yearsofage.
(ii)Amisdemeanorinvolvinghomeinvasion.
(iii)Amisdemeanorinvolvingembezzlement.
(iv)Amisdemeanorinvolvingnegligenthomicideoraviolationofsection601d(1)oftheMichiganvehiclecode,1949PA300,MCL257.
601d.
(TextinboldisnoteffectiveuntilOctober31,2010.
)26(v)Amisdemeanorinvolvinglarcenyunlessotherwiseprovidedundersubdivision(g).
(vi)Amisdemeanorofretailfraudintheseconddegreeunlessotherwiseprovidedundersubdivision(g).
(vii)Anyothermisdemeanorinvolvingassault,fraud,theft,orthepossessionordeliveryofacontrolledsubstanceunlessotherwiseprovidedundersubdivision(d),(f),or(g).
(f)Hasbeenconvictedofanyofthefollowingmisdemeanors,otherthanamisdemeanorforarelevantcrimedescribedunder42USC1320a-7,orastateorfederalcrimethatissubstantiallysimilartothemisdemeanorsdescribedinthissubdivision,withinthe3yearsimmediatelyprecedingthedateofapplicationforemploymentorclinicalprivilegesorthedateoftheexecutionoftheindependentcontract:(i)Amisdemeanorforassaultiftherewasnouseofafirearmordangerousweaponandnointenttocommitmurderorinflictgreatbodilyinjury.
(ii)Amisdemeanorofretailfraudinthethirddegreeunlessotherwiseprovidedundersubdivision(g).
(iii)Amisdemeanorunderpart74unlessotherwiseprovidedundersubdivision(g).
(g)Hasbeenconvictedofanyofthefollowingmisdemeanors,otherthanamisdemeanorforarelevantcrimedescribedunder42USC1320a-7,orastateorfederalcrimethatissubstantiallysimilartothemisdemeanorsdescribedinthissubdivision,withintheyearimmediatelyprecedingthedateofapplicationforemploymentorclinicalprivilegesorthedateoftheexecutionoftheindependentcontract:(i)Amisdemeanorunderpart74iftheindividual,atthetimeofconviction,isundertheageof18.
(ii)Amisdemeanorforlarcenyorretailfraudinthesecondorthirddegreeiftheindividual,atthetimeofconviction,isundertheageof16.
(h)Isthesubjectofanorderordispositionundersection16bofchapterIXofthecodeofcriminalprocedure,1927PA175,MCL769.
16b.
(i)Hasbeenthesubjectofasubstantiatedfindingofneglect,abuse,ormisappropriationofpropertybyastateorfederalagencypursuanttoaninvestigationconductedinaccordancewith42USC1395i-3or1396r.
(2)Exceptasotherwiseprovidedinsubsection(5),ahealthfacilityoragencythatisanursinghome,countymedicalcarefacility,hospice,hospitalthatprovidesswingbedservices,homefortheaged,orhomehealthagencyshallnotemploy,independentlycontractwith,orgrantprivilegestoanindividualwhoregularlyhasdirectaccesstoor27providesdirectservicestopatientsorresidentsinthehealthfacilityoragencyafterApril1,2006untilthehealthfacilityoragencyconductsacriminalhistorycheckincompliancewithsubsection(4).
Thissubsectionandsubsection(1)donotapplytoanyofthefollowing:(a)Anindividualwhoisemployedby,underindependentcontractto,orgrantedclinicalprivilegesinahealthfacilityoragencybeforeApril1,2006.
BeginningApril1,2011,anindividualwhoisexemptunderthissubdivisionshallprovidethedepartmentofstatepolicewithasetoffingerprintsandthedepartmentofstatepoliceshallinputthosefingerprintsintotheautomatedfingerprintidentificationsystemdatabaseestablishedundersubsection(12).
Anindividualwhoisexemptunderthissubdivisionisnotlimitedtoworkingwithinthehealthfacilityoragencywithwhichheorsheisemployedby,underindependentcontractto,orgrantedclinicalprivilegesonApril1,2006.
Thatindividualmaytransfertoanotherhealthfacilityoragencythatisunderthesameownershipwithwhichheorshewasemployed,undercontract,orgrantedprivileges.
Ifthatindividualwishestotransfertoanotherhealthfacilityoragencythatisnotunderthesameownership,heorshemaydosoprovidedthatacriminalhistorycheckisconductedbythenewhealthfacilityoragencyinaccordancewithsubsection(4).
Ifanindividualwhoisexemptunderthissubdivisionissubsequentlyconvictedofacrimedescribedundersubsection(1)(a)to(g)orfoundtobethesubjectofasubstantiatedfindingdescribedundersubsection(1)(i)oranorderordispositiondescribedundersubsection(1)(h),orisfoundtohavebeenconvictedofarelevantcrimedescribedundersubsection(1)(a),thenheorsheisnolongerexemptandshallbeterminatedfromemploymentordeniedemployment.
(b)Anindividualwhoisanindependentcontractorwithahealthfacilityoragencythatisanursinghome,countymedicalcarefacility,hospice,hospitalthatprovidesswingbedservices,homefortheaged,orhomehealthagencyiftheservicesforwhichheorsheiscontractedarenotdirectlyrelatedtotheprovisionofservicestoapatientorresidentoriftheservicesforwhichheorsheiscontractedallowfordirectaccesstothepatientsorresidentsbutarenotperformedonanongoingbasis.
Thisexceptionincludes,butisnotlimitedto,anindividualwhoindependentlycontractswiththehealthfacilityoragencytoprovideutility,maintenance,construction,orcommunicationsservices.
(3)Anindividualwhoappliesforemploymenteitherasanemployeeorasanindependentcontractororforclinicalprivilegeswithahealthfacilityoragencythatisanursinghome,countymedicalcarefacility,hospice,hospitalthatprovidesswingbedservices,homefortheaged,orhomehealthagencyandhasreceivedagoodfaithofferofemployment,anindependentcontract,orclinicalprivilegesfromthehealthfacilityoragencyshallgivewrittenconsentatthetimeofapplicationforthedepartmentofstatepolicetoconductaninitialcriminalhistorycheckunderthissection,alongwithidentificationacceptabletothedepartmentofstatepolice.
(4)Uponreceiptofthewrittenconsentandidentificationrequiredundersubsection(3),ahealthfacilityoragencythatisanursinghome,countymedicalcarefacility,28hospice,hospitalthatprovidesswingbedservices,homefortheaged,orhomehealthagencythathasmadeagoodfaithofferofemploymentoranindependentcontractorclinicalprivilegestotheapplicantshallmakearequesttothedepartmentofstatepolicetoconductacriminalhistorycheckontheapplicant,toinputtheapplicant'sfingerprintsintotheautomatedfingerprintidentificationsystemdatabase,andtoforwardtheapplicant'sfingerprintstothefederalbureauofinvestigation.
Thedepartmentofstatepoliceshallrequestthefederalbureauofinvestigationtomakeadeterminationoftheexistenceofanynationalcriminalhistorypertainingtotheapplicant.
Theapplicantshallprovidethedepartmentofstatepolicewithasetoffingerprints.
Therequestshallbemadeinamannerprescribedbythedepartmentofstatepolice.
Thehealthfacilityoragencyshallmakethewrittenconsentandidentificationavailabletothedepartmentofstatepolice.
Thehealthfacilityoragencyshallmakearequesttotherelevantlicensingorregulatorydepartmenttoconductacheckofallrelevantregistriesestablishedpursuanttofederalandstatelawandregulationsforanysubstantiatedfindingsofabuse,neglect,ormisappropriationofproperty.
Ifthedepartmentofstatepoliceorthefederalbureauofinvestigationchargesafeeforconductingtheinitialcriminalhistorycheck,ahealthfacilityoragencythatisanursinghome,countymedicalcarefacility,hospice,hospitalthatprovidesswingbedservices,orhomehealthagencyshallpaythecostofthecharge.
Ifthedepartmentofstatepoliceorthefederalbureauofinvestigationchargesafeeforconductingtheinitialcriminalhistorycheck,thedepartmentshallpaythecostoforreimbursethechargeforahealthfacilityoragencythatisahomefortheaged.
Thehealthfacilityoragencyshallnotseekreimbursementforachargeimposedbythedepartmentofstatepoliceorthefederalbureauofinvestigationfromtheindividualwhoisthesubjectoftheinitialcriminalhistorycheck.
Aprospectiveemployee,oraprospectiveindependentcontractorcoveredunderthissectionmaynotbechargedforthecostofaninitialcriminalhistorycheckrequiredunderthissection.
Thedepartmentofstatepoliceshallconductacriminalhistorycheckontheapplicantnamedintherequest.
Thedepartmentofstatepoliceshallprovidethedepartmentwithawrittenreportofthecriminalhistorycheckconductedunderthissubsectionifthecriminalhistorycheckcontainsanycriminalhistoryrecordinformation.
Thereportshallcontainanycriminalhistoryrecordinformationontheapplicantmaintainedbythedepartmentofstatepolice.
Thedepartmentofstatepoliceshallprovidetheresultsofthefederalbureauofinvestigationdeterminationtothedepartmentwithin30daysaftertherequestismade.
Iftherequestinghealthfacilityoragencyisnotastatedepartmentoragencyandifacriminalconvictionisdisclosedonthewrittenreportofthecriminalhistorycheckorthefederalbureauofinvestigationdetermination,thedepartmentshallnotifythehealthfacilityoragencyandtheapplicantinwritingofthetypeofcrimedisclosedonthewrittenreportofthecriminalhistorycheckorthefederalbureauofinvestigationdeterminationwithoutdisclosingthedetailsofthecrime.
Anychargesimposedbythedepartmentofstatepoliceorthefederalbureauofinvestigationforconductinganinitialcriminalhistorycheckormakingadeterminationunderthissubsectionshallbepaidinthemannerrequiredunderthissubsection.
Thenoticeshallincludeastatementthattheapplicanthasarighttoappealadecisionmadebythehealthfacilityoragencyregardinghisorheremploymenteligibilitybasedonthecriminalbackgroundcheck.
Thenoticeshallalsoincludeinformationregardingwheretofileand29describingtheappellateproceduresestablishedundersection20173b.
(5)Ifahealthfacilityoragencythatisanursinghome,countymedicalcarefacility,hospice,hospitalthatprovidesswingbedservices,homefortheaged,orhomehealthagencydeterminesitnecessarytoemployorgrantclinicalprivilegestoanapplicantbeforereceivingtheresultsoftheapplicant'scriminalhistorycheckunderthissection,thehealthfacilityoragencymayconditionallyemployorgrantconditionalclinicalprivilegestotheindividualifallofthefollowingapply:(a)Thehealthfacilityoragencyrequeststhecriminalhistorycheckunderthissectionuponconditionallyemployingorconditionallygrantingclinicalprivilegestotheindividual.
(b)Theindividualsignsastatementinwritingthatindicatesallofthefollowing:(i)Thatheorshehasnotbeenconvictedof1ormoreofthecrimesthataredescribedinsubsection(1)(a)to(g)withintheapplicabletimeperiodprescribedbyeachsubdivisionrespectively.
(ii)Thatheorsheisnotthesubjectofanorderordispositiondescribedinsubsection(1)(h).
(iii)Thatheorshehasnotbeenthesubjectofasubstantiatedfindingasdescribedinsubsection(1)(i).
(iv)Thatheorsheagreesthat,iftheinformationinthecriminalhistorycheckconductedunderthissectiondoesnotconfirmtheindividual'sstatementsundersubparagraphs(i)to(iii),hisorheremploymentorclinicalprivilegeswillbeterminatedbythehealthfacilityoragencyasrequiredundersubsection(1)unlessanduntiltheindividualappealsandcanprovethattheinformationisincorrect.
(v)Thatheorsheunderstandsthattheconditionsdescribedinsubparagraphs(i)to(iv)mayresultintheterminationofhisorheremploymentorclinicalprivilegesandthatthoseconditionsaregoodcausefortermination.
(6)Thedepartmentshalldevelopanddistributeamodelformforthestatementrequiredundersubsection(5)(b).
Thedepartmentshallmakethemodelformavailabletohealthfacilitiesoragenciessubjecttothissectionuponrequestatnocharge.
(7)Ifanindividualisemployedasaconditionalemployeeorisgrantedconditionalclinicalprivilegesundersubsection(5),andthereportdescribedinsubsection(4)doesnotconfirmtheindividual'sstatementundersubsection(5)(b)(i)to(iii),thehealthfacilityoragencyshallterminatetheindividual'semploymentorclinicalprivilegesasrequiredbysubsection(1).
(8)Anindividualwhoknowinglyprovidesfalseinformationregardinghisorheridentity,criminalconvictions,orsubstantiatedfindingsonastatementdescribedin30subsection(5)(b)(i)to(iii)isguiltyofamisdemeanorpunishablebyimprisonmentfornotmorethan93daysorafineofnotmorethan$500.
00,orboth.
(9)Ahealthfacilityoragencythatisanursinghome,countymedicalcarefacility,hospice,hospitalthatprovidesswingbedservices,homefortheaged,orhomehealthagencyshallusecriminalhistoryrecordinformationobtainedundersubsection(4)onlyforthepurposeofevaluatinganapplicant'squalificationsforemployment,anindependentcontract,orclinicalprivilegesinthepositionforwhichheorshehasappliedandforthepurposesofsubsections(5)and(7).
Ahealthfacilityoragencyoranemployeeofthehealthfacilityoragencyshallnotdisclosecriminalhistoryrecordinformationobtainedundersubsection(4)toapersonwhoisnotdirectlyinvolvedinevaluatingtheapplicant'squalificationsforemployment,anindependentcontract,orclinicalprivileges.
Anindividualwhoknowinglyusesordisseminatesthecriminalhistoryrecordinformationobtainedundersubsection(4)inviolationofthissubsectionisguiltyofamisdemeanorpunishablebyimprisonmentfornotmorethan93daysorafineofnotmorethan$1,000.
00,orboth.
Uponwrittenrequestfromanotherhealthfacilityoragency,psychiatricfacilityorintermediatecarefacilityforpeoplewithmentalretardation,oradultfostercarefacilitythatisconsideringemploying,independentlycontractingwith,orgrantingclinicalprivilegestoanindividual,ahealthfacilityoragencythathasobtainedcriminalhistoryrecordinformationunderthissectiononthatindividualshall,withtheconsentoftheapplicant,sharetheinformationwiththerequestinghealthfacilityoragency,psychiatricfacilityorintermediatecarefacilityforpeoplewithmentalretardation,oradultfostercarefacility.
Exceptforaknowingorintentionalreleaseoffalseinformation,ahealthfacilityoragencyhasnoliabilityinconnectionwithacriminalbackgroundcheckconductedunderthissectionorthereleaseofcriminalhistoryrecordinformationunderthissubsection.
(10)Asaconditionofcontinuedemployment,eachemployee,independentcontractor,orindividualgrantedclinicalprivilegesshalldoeachofthefollowing:(a)Agreeinwritingtoreporttothehealthfacilityoragencyimmediatelyuponbeingarraignedfor1ormoreofthecriminaloffenseslistedinsubsection(1)(a)to(g),uponbeingconvictedof1ormoreofthecriminaloffenseslistedinsubsection(1)(a)to(g),uponbecomingthesubjectofanorderordispositiondescribedundersubsection(1)(h),anduponbeingthesubjectofasubstantiatedfindingofneglect,abuse,ormisappropriationofpropertyasdescribedinsubsection(1)(i).
Reportingofanarraignmentunderthissubdivisionisnotcauseforterminationordenialofemployment.
(b)Ifasetoffingerprintsisnotalreadyonfilewiththedepartmentofstatepolice,providethedepartmentofstatepolicewithasetoffingerprints.
(11)Inadditiontosanctionssetforthinsection20165,alicensee,owner,administrator,oroperatorofanursinghome,countymedicalcarefacility,hospice,hospitalthatprovidesswingbedservices,homefortheaged,orhomehealthagencywhoknowinglyandwillfullyfailstoconductthecriminalhistorychecksasrequiredunderthissectionisguiltyofamisdemeanorpunishablebyimprisonmentfornotmorethan1yearorafineofnotmorethan$5,000.
00,orboth.
31(12)Incollaborationwiththedepartmentofstatepolice,thedepartmentofinformationtechnologyshallestablishanautomatedfingerprintidentificationsystemdatabasethatwouldallowthedepartmentofstatepolicetostoreandmaintainallfingerprintssubmittedunderthissectionandwouldprovideforanautomaticnotificationifandwhenasubsequentcriminalarrestfingerprintcardsubmittedintothesystemmatchesasetoffingerprintspreviouslysubmittedinaccordancewiththissection.
Uponsuchnotification,thedepartmentofstatepoliceshallimmediatelynotifythedepartmentandthedepartmentshallimmediatelycontacttherespectivehealthfacilityoragencywithwhichthatindividualisassociated.
Informationinthedatabaseestablishedunderthissubsectionisconfidential,isnotsubjecttodisclosureunderthefreedomofinformationact,1976PA442,MCL15.
231to15.
246,andshallnotbedisclosedtoanypersonexceptforpurposesofthisactorforlawenforcementpurposes.
(13)OnorbeforeApril1,2009,thedepartmentshallsubmitawrittenreporttothelegislatureoutliningaplantocoverthecostsofthecriminalhistorychecksrequiredunderthissectioniffederalfundingisnolongeravailableorisinadequatetocoverthosecosts.
(14)Thedepartmentandthedepartmentofstatepoliceshallmaintainanelectronicweb-basedsystemtoassistthosehealthfacilitiesandagenciesrequiredtocheckrelevantregistriesandconductcriminalhistorychecksofitsemployeesandindependentcontractorsandtoprovideforanautomatednoticetothosehealthfacilitiesoragenciesforthoseindividualsinputtedinthesystemwho,sincetheinitialcheck,havebeenconvictedofadisqualifyingoffenseorhavebeenthesubjectofasubstantiatedfindingofabuse,neglect,ormisappropriationofproperty.
(15)Asusedinthissection:(a)"Adultfostercarefacility"meansanadultfostercarefacilitylicensedundertheadultfostercarefacilitylicensingact,1979PA218,MCL400.
701to400.
737.
(b)"Directaccess"meansaccesstoapatientorresidentortoapatient'sorresident'sproperty,financialinformation,medicalrecords,treatmentinformation,oranyotheridentifyinginformation.
(c)"Homehealthagency"meansapersoncertifiedbymedicarewhosebusinessistoprovidetoindividualsintheirplacesofresidenceotherthaninahospital,nursinghome,orcountymedicalcarefacility1ormoreofthefollowingservices:nursingservices,therapeuticservices,socialworkservices,homemakerservices,homehealthaideservices,orotherrelatedservices.
(d)"Independentcontract"meansacontractenteredintobyahealthfacilityoragencywithanindividualwhoprovidesthecontractedservicesindependentlyoracontractenteredintobyahealthfacilityoragencywithanorganizationoragencythatemploysorcontractswithanindividualaftercomplyingwiththerequirementsofthissectiontoprovidethecontractedservicestothehealthfacilityoragencyonbehalfoftheorganizationoragency.
32(e)"Medicare"meansbenefitsunderthefederalmedicareprogramestablishedundertitleXVIIIofthesocialsecurityact,42USC1395to1395hhh.
History:Add.
2006,Act28,Eff.
Apr.
1,2006;--Am.
2008,Act123,Imd.
Eff.
May9,2008;--Am.
2008,Act443,Imd.
Eff.
Jan.
9,2009;--Am.
2008,Act444,Eff.
Oct.
31,2010.
Sec.
20173b.
IndividualdisqualifiedordeniedemploymentpursuanttoMCL330.
1134a;appeal;reporttolegislature;"businessday"defined.
(1)Anindividualwhohasbeendisqualifiedfromordeniedemploymentbyahealthfacilityoragencythatisanursinghome,countymedicalcarefacility,hospice,hospitalthatprovidesswingbedservices,homefortheaged,orhomehealthagencyorbyapsychiatricfacilityorintermediatecarefacilityforpeoplewithmentalretardationbasedonacriminalhistorycheckconductedpursuanttosection20173or20173aorpursuanttosection134aofthementalhealthcode,1974PA258,MCL330.
1134a,respectively,mayappealtothedepartmentifheorshebelievesthatthecriminalhistoryreportisinaccurate,andtheappealshallbeconductedasacontestedcasehearingpursuanttotheadministrativeproceduresactof1969.
Theindividualshallfiletheappealwiththedirectorofthedepartmentwithin15businessdaysafterreceivingthewrittenreportofthecriminalhistorycheckunlesstheconvictioncontainedinthecriminalhistoryreportisonethatmaybeexpungedorsetaside.
Ifanindividualhasbeendisqualifiedordeniedemploymentbasedonaconvictionthatmaybeexpungedorsetaside,thenheorsheshallfiletheappealonaformprovidedbythedepartmentwithin15businessdaysafteracourtordergrantingordenyinghisorherapplicationtoexpungeorsetasidethatconvictionisgranted.
Iftheorderisgrantedandtheconvictionisexpungedorsetaside,thentheindividualshallnotbedisqualifiedordeniedemploymentbasedsolelyonthatconviction.
Thedirectorshallreviewtheappealandissueawrittendecisionwithin30businessdaysafterreceivingtheappeal.
Thedecisionofthedirectorisfinal.
(2)Oneyearaftertheeffectivedateofthissectionandeachyearthereafterforthenext3years,thedepartmentshallprovidethelegislaturewithawrittenreportregardingtheappealsprocessimplementedunderthissectionforemployeessubjecttocriminalhistorychecks.
Thereportshallinclude,butisnotlimitedto,fortheimmediatelyprecedingyearthenumberofapplicationsforappealreceived,thenumberofinaccuraciesfoundandappealsgrantedwithregardtothecriminalhistorychecksconductedundersection20173a,theaveragenumberofdaysnecessarytocompletetheappealsprocessforeachappeal,andthenumberofappealsrejectedwithoutahearingandabriefexplanationofthedenial.
(3)Asusedinthissection,"businessday"meansadayotherthanaSaturday,Sunday,oranylegalholiday.
History:Add.
2006,Act28,Eff.
Apr.
1,200633333.
20175Maintainingrecordforeachpatient;wrongfullyalteringordestroyingrecords;noncompliance;fine;licensingandcertificationrecordsaspublicrecords;confidentiality;disclosure;reportornoticeofdisciplinaryaction;informationprovidedinreport;natureanduseofcertainrecords,data,andknowledge.
(1)Ahealthfacilityoragencyshallkeepandmaintainarecordforeachpatientincludingafullandcompleterecordoftestsandexaminationsperformed,observationsmade,treatmentsprovided,andinthecaseofahospital,thepurposeofhospitalization.
Inadditiontothesanctionssetforthinsection20165,ahospitalthatfailstocomplywiththissubsectionissubjecttoanadministrativefineof$10,000.
00.
(2)Ahospitalshalltakeprecautionstoassurethattherecordsrequiredbysubsection(1)arenotwrongfullyalteredordestroyed.
Ahospitalthatfailstocomplywiththissubsectionissubjecttoanadministrativefineof$10,000.
00.
(3)Unlessotherwiseprovidedbylaw,thelicensingandcertificationrecordsrequiredbythisarticlearepublicrecords.
(4)Departmentalofficersandemployeesshallrespecttheconfidentialityofpatientclinicalrecordsandshallnotdivulgeordisclosethecontentsofrecordsinamannerthatidentifiesanindividualexceptpursuanttocourtorder.
(5)Ahealthfacilityoragencythatemploys,contractswith,orgrantsprivilegestoahealthprofessionallicensedorregisteredunderarticle15shallreportthefollowingtothedepartmentofconsumerandindustryservicesnotmorethan30daysafteritoccurs:(a)Disciplinaryactiontakenbythehealthfacilityoragencyagainstahealthprofessionallicensedorregisteredunderarticle15basedonthelicensee'sorregistrant'sprofessionalcompetence,disciplinaryactionthatresultsinachangeofemploymentstatus,ordisciplinaryactionbasedonconductthatadverselyaffectsthelicensee'sorregistrant'sclinicalprivilegesforaperiodofmorethan15days.
Asusedinthissubdivision,"adverselyaffects"meansthereduction,restriction,suspension,revocation,denial,orfailuretorenewtheclinicalprivilegesofalicenseeorregistrantbyahealthfacilityoragency.
(b)Restrictionoracceptanceofthesurrenderoftheclinicalprivilegesofalicenseeorregistrantundereitherofthefollowingcircumstances:(i)Thelicenseeorregistrantisunderinvestigationbythehealthfacilityoragency.
(ii)Thereisanagreementinwhichthehealthfacilityoragencyagreesnottoconductaninvestigationintothelicensee'sorregistrant'sallegedprofessionalincompetenceorimproperprofessionalconduct.
(c)Acaseinwhichahealthprofessionalresignsorterminatesacontractorwhosecontractisnotrenewedinsteadofthehealthfacilitytakingdisciplinaryactionagainstthehealthprofessional.
34(6)Uponrequestbyanotherhealthfacilityoragencyseekingareferenceforpurposesofchangingorgrantingstaffprivileges,credentials,oremployment,ahealthfacilityoragencythatemploys,contractswith,orgrantsprivilegestohealthprofessionalslicensedorregisteredunderarticle15shallnotifytherequestinghealthfacilityoragencyofanydisciplinaryorotheractionreportableundersubsection(5)thatithastakenagainstahealthprofessionallicensedorregisteredunderarticle15andemployedby,undercontractto,orgrantedprivilegesbythehealthfacilityoragency.
(7)Forthepurposeofreportingdisciplinaryactionsunderthissection,ahealthfacilityoragencyshallincludeonlythefollowingintheinformationprovided:(a)Thenameofthelicenseeorregistrantagainstwhomdisciplinaryactionhasbeentaken.
(b)Adescriptionofthedisciplinaryactiontaken.
(c)Thespecificgroundsforthedisciplinaryactiontaken.
(d)Thedateoftheincidentthatisthebasisforthedisciplinaryaction.
(8)Therecords,data,andknowledgecollectedfororbyindividualsorcommitteesassignedaprofessionalreviewfunctioninahealthfacilityoragency,oraninstitutionofhighereducationinthisstatethathascollegesofosteopathicandhumanmedicine,areconfidential,shallbeusedonlyforthepurposesprovidedinthisarticle,arenotpublicrecords,andarenotsubjecttocourtsubpoena.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1986,Act174,Imd.
Eff.
July7,1986;—Am.
1993,Act79,Eff.
Apr.
1,1994;—Am.
2000,Act319,Imd.
Eff.
Oct.
24,2000.
333.
20176Noticeofviolation'investigationofcomplaints,noticeofproposedaction;publicrecord;appeal;reinvestigation.
(1)Apersonmaynotifythedepartmentofaviolationofthisarticleorofarulepromulgatedunderthisarticlethatthepersonbelievesexists.
Thedepartmentshallinvestigateeachwrittencomplaintreceivedandshallnotifythecomplainantinwritingoftheresultsofarevieworinvestigationofthecomplaintandanyactionproposedtobetaken.
Exceptasotherwiseprovidedinsections20180,21743(1)(d),and21799a,thenameofthecomplainantandthechargescontainedinthecomplaintareamatterofpublicrecord.
(2)Exceptasotherwiseprovidedinsection21799a,acomplainantwhoisaggrievedbythedecisionofthedepartmentunderthissectionmayappealtothedirector.
Afterreviewofanappealunderthissubsection,thedirectormayorderthedepartmenttoreinvestigatethecomplaint.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1978,Act493,Eff.
Mar.
30,1979;—Am.
1994,Act52,Imd.
Eff.
Mar.
31,1994.
35333.
20176aHealthfacilityoragency;prohibitedconduct;violation;fine.
(1)Ahealthfacilityoragencyshallnotdischargeordiscipline,threatentodischargeordiscipline,orotherwisediscriminateagainstanemployeeregardingtheemployee'scompensation,terms,conditions,location,orprivilegesofemploymentbecausetheemployeeoranindividualactingonbehalfoftheemployeedoeseitherorbothofthefollowing:(a)Ingoodfaithreportsorintendstoreport,verballyorinwriting,themalpracticeofahealthprofessionaloraviolationofthisarticle,article7,orarticle15orarulepromulgatedunderthisarticle,article7,orarticle15.
(b)Actsasanexpertwitnessinacivilactioninvolvingmedicalmalpracticeorinanadministrativeaction.
(2)Inadditiontothesanctionssetforthinsection20165,ahealthfacilityoragencythatviolatessubsection(1)issubjecttoanadministrativefineofnotmorethan$10,000.
00foreachviolation.
History:Add.
1993,Act79,Eff.
Apr.
1,1994;—Am.
1994,Act52,Imd.
Eff.
Mar.
31,1994.
333.
20177Actiontorestrain,enjoin,orpreventestablishment,maintenance,oroperationofhealthfacilityoragency.
Notwithstandingtheexistenceandpursuitofanyotherremedy,thedirector,withoutpostingabond,mayrequesttheprosecutingattorneyorattorneygeneraltobringanactioninthenameofthepeopleofthisstatetorestrain,enjoin,orpreventtheestablishment,maintenance,oroperationofahealthfacilityoragencyinviolationofthisarticleorrulespromulgatedunderthisarticle.
History:1978,Act368,Eff.
Sept.
30,1978.
333.
20178Nursinghome,homefortheaged,orcountymedicalcarefacility;descriptionofservicestopatientsorresidentswithAlzheimer'sdisease;contents;"representstothepublic"defined.
(1)Beginningnotmorethan90daysaftertheeffectivedateoftheamendatoryactthataddedthissection,ahealthfacilityoragencythatisanursinghome,homefortheaged,orcountymedicalcarefacilitythatrepresentstothepublicthatitprovidesinpatientcareorservicesorresidentialcareorservices,orboth,topersonswithAlzheimer'sdiseaseorarelatedconditionshallprovidetoeachprospectivepatient,resident,orsurrogatedecisionmakerawrittendescriptionoftheservicesprovidedbythehealthfacilityoragencytopatientsorresidentswithAlzheimer'sdiseaseorarelatedcondition.
Awrittendescriptionshallinclude,butnotbelimitedto,allofthefollowing:(a)TheoverallphilosophyandmissionreflectingtheneedsofpatientsorresidentswithAlzheimer'sdiseaseorarelatedcondition.
36(b)TheprocessandcriteriaforplacementinortransferordischargefromaprogramforpatientsorresidentswithAlzheimer'sdiseaseorarelatedcondition.
(c)Theprocessusedforassessmentandestablishmentofaplanofcareanditsimplementation.
(d)Stafftrainingandcontinuingeducationpractices.
(e)ThephysicalenvironmentanddesignfeaturesappropriatetosupportthefunctionofpatientsorresidentswithAlzheimer'sdiseaseorarelatedcondition.
(f)ThefrequencyandtypesofactivitiesforpatientsorresidentswithAlzheimer'sdiseaseorarelatedcondition.
(g)IdentificationofsupplementalfeesforservicesprovidedtopatientsorresidentswithAlzheimer'sdiseaseorarelatedcondition.
(2)Asusedinthissection,"representstothepublic"meansadvertisesormarketsthefacilityasprovidingspecializedAlzheimer'sordementiacareservices.
History:Add.
2000,Act500,Imd.
Eff.
Jan.
11,2001.
333.
20180Healthfacilityoragency;personmakingorassistinginoriginating,investigating,orpreparingreportorcomplaint;immunityandprotectionfromcivilorcriminalliability;disclosureofidentity;notice;"hospital"defined.
(1)Apersonemployedbyorundercontracttoahealthfacilityoragencyoranyotherpersonactingingoodfaithwhomakesareportorcomplaintincluding,butnotlimitedto,areportorcomplaintofaviolationofthisarticleorarulepromulgatedunderthisarticle;whoassistsinoriginating,investigating,orpreparingareportorcomplaint;orwhoassiststhedepartmentincarryingoutitsdutiesunderthisarticleisimmunefromcivilorcriminalliabilitythatmightotherwisebeincurredandisprotectedunderthewhistleblowers'protectionact,1980PA469,MCL15.
361to15.
369.
Apersondescribedinthissubsectionwhomakesorassistsinmakingareportorcomplaint,orwhoassiststhedepartmentasdescribedinthissubsection,ispresumedtohaveactedingoodfaith.
Theimmunityfromcivilorcriminalliabilitygrantedunderthissubsectionextendsonlytoactsdonepursuanttothisarticle.
(2)Unlessapersondescribedinsubsection(1)otherwiseagreesinwriting,thedepartmentshallkeeptheperson'sidentityconfidentialuntildisciplinaryproceedingsunderthisarticleareinitiatedagainstthesubjectofthereportorcomplaintandthepersonmakingorassistinginoriginating,investigating,orpreparingthereportorcomplaintisrequiredtotestifyinthedisciplinaryproceedings.
Ifdisclosureoftheperson'sidentityisconsideredbythedepartmenttobeessentialtothedisciplinary37proceedingsandifthepersonisthecomplainant,thedepartmentshallgivethepersonanopportunitytowithdrawthecomplaintbeforedisclosure.
NOTE:333.
20180(3)–(7)appliestohospitals.
History:Add.
1994,Act52,Imd.
Eff.
Mar.
31,1994;—Am.
2002,Act731,Imd.
Eff.
Dec.
30,2002.
333.
20192Do-not-resuscitateorder;executionnotrequired.
Ahealthfacilityoragencyshallnotrequiretheexecutionofado-not-resuscitateorderundertheMichigando-not-resuscitateprocedureactasaconditionforadmissionorreceiptofservices.
History:Add.
1996,Act192,Eff.
Aug.
1,1996.
333.
20198Healthfacility,agencyinpatientfacility,orresidentialfacility;prohibitedconduct;violationasmisdemeanor;penalty;nonapplicabilityofsubsections(1)and(2).
(1)Subjecttosubsection(3),anindividualshallnotenteruponthepremisesofahealthfacilityoragencythatisaninpatientfacility,anoutpatientfacility,oraresidentialfacilityforthepurposeofengaginginanactivitythatwouldcauseareasonablepersontofeelterrorized,frightened,intimidated,threatened,harassed,ormolestedandthatactuallycausesahealthfacilityoragencyemployee,patient,resident,orvisitortofeelterrorized,frightened,intimidated,threatened,harassed,ormolested.
Thissubsectiondoesnotprohibitconstitutionallyprotectedactivityorconductthatservesalegitimatepurpose.
(2)Anindividualwhoviolatessubsection(1)isguiltyofamisdemeanor,punishablebyimprisonmentfornotmorethan1yearorafineofnotlessthan$1,000.
00ormorethan$10,000.
00,orboth.
(3)Subsections(1)and(2)donotapplytoanursinghomecoveredundersections21763(5)and21799c(1)(c).
History:Add.
1998,Act270,Eff.
Mar.
23,1999.
333.
20201Policydescribingrightsandresponsibilitiesofpatientsorresidents;adoption;postinganddistribution;contents;additionalrequirements;discharging,harassing,retaliating,ordiscriminatingagainstpatientexercisingprotectedright;exerciseofrightsbypatient'srepresentative;informingpatientorresidentofpolicy;designationofpersontoexerciserightsandresponsibilities;additionalpatients'rights;definitions.
(1)Ahealthfacilityoragencythatprovidesservicesdirectlytopatientsorresidentsandislicensedunderthisarticleshalladoptapolicydescribingtherightsand38responsibilitiesofpatientsorresidentsadmittedtothehealthfacilityoragency.
Exceptforalicensedhealthmaintenanceorganizationwhichshallcomplywithchapter35oftheinsurancecodeof1956,1956PA218,MCL500.
3501to500.
3580,thepolicyshallbepostedatapublicplaceinthehealthfacilityoragencyandshallbeprovidedtoeachmemberofthehealthfacilityoragencystaff.
Patientsorresidentsshallbetreatedinaccordancewiththepolicy.
(2)Thepolicydescribingtherightsandresponsibilitiesofpatientsorresidentsrequiredundersubsection(1)shallinclude,asaminimum,allofthefollowing:(a)Apatientorresidentshallnotbedeniedappropriatecareonthebasisofrace,religion,color,nationalorigin,sex,age,disability,maritalstatus,sexualpreference,orsourceofpayment.
(b)Anindividualwhoisorhasbeenapatientorresidentisentitledtoinspect,orreceiveforareasonablefee,acopyofhisorhermedicalrecorduponrequestinaccordancewiththemedicalrecordsaccessact,2004PA47,MCL333.
26261to333.
26271.
Exceptasotherwisepermittedorrequiredunderthehealthinsuranceportabilityandaccountabilityactof1996,PublicLaw104-191,orregulationspromulgatedunderthatact,45CFRparts160and164,athirdpartyshallnotbegivenacopyofthepatient'sorresident'smedicalrecordwithoutpriorauthorizationofthepatientorresident.
(c)Apatientorresidentisentitledtoconfidentialtreatmentofpersonalandmedicalrecords,andmayrefusetheirreleasetoapersonoutsidethehealthfacilityoragencyexceptasrequiredbecauseofatransfertoanotherhealthcarefacility,asrequiredbylaworthirdpartypaymentcontract,oraspermittedorrequiredunderthehealthinsuranceportabilityandaccountabilityactof1996,PublicLaw104-191,orregulationspromulgatedunderthatact,45CFRparts160and164.
(d)Apatientorresidentisentitledtoprivacy,totheextentfeasible,intreatmentandincaringforpersonalneedswithconsideration,respect,andfullrecognitionofhisorherdignityandindividuality.
(e)Apatientorresidentisentitledtoreceiveadequateandappropriatecare,andtoreceive,fromtheappropriateindividualwithinthehealthfacilityoragency,informationabouthisorhermedicalcondition,proposedcourseoftreatment,andprospectsforrecovery,intermsthatthepatientorresidentcanunderstand,unlessmedicallycontraindicatedasdocumentedinthemedicalrecordbytheattendingphysicianoraphysician'sassistanttowhomthephysicianhasdelegatedtheperformanceofmedicalcareservices.
(f)Apatientorresidentisentitledtorefusetreatmenttotheextentprovidedbylawandtobeinformedoftheconsequencesofthatrefusal.
Ifarefusaloftreatmentpreventsahealthfacilityoragencyoritsstafffromprovidingappropriatecareaccordingtoethicalandprofessionalstandards,therelationshipwiththepatientorresidentmaybeterminateduponreasonablenotice.
39(g)Apatientorresidentisentitledtoexercisehisorherrightsasapatientorresidentandasacitizen,andtothisendmaypresentgrievancesorrecommendchangesinpoliciesandservicesonbehalfofhimselforherselforotherstothehealthfacilityoragencystaff,togovernmentalofficials,ortoanotherpersonofhisorherchoicewithinoroutsidethehealthfacilityoragency,freefromrestraint,interference,coercion,discrimination,orreprisal.
Apatientorresidentisentitledtoinformationaboutthehealthfacility'soragency'spoliciesandproceduresforinitiation,review,andresolutionofpatientorresidentcomplaints.
(h)Apatientorresidentisentitledtoinformationconcerninganexperimentalprocedureproposedasapartofhisorhercareandhastherighttorefusetoparticipateintheexperimentalprocedurewithoutjeopardizinghisorhercontinuingcare.
(i)Apatientorresidentisentitledtoreceiveandexamineanexplanationofhisorherbillregardlessofthesourceofpaymentandtoreceive,uponrequest,informationrelatingtofinancialassistanceavailablethroughthehealthfacilityoragency.
(j)Apatientorresidentisentitledtoknowwhoisresponsibleforandwhoisprovidinghisorherdirectcare,isentitledtoreceiveinformationconcerninghisorhercontinuinghealthneedsandalternativesformeetingthoseneeds,andtobeinvolvedinhisorherdischargeplanning,ifappropriate.
(k)Apatientorresidentisentitledtoassociateandhaveprivatecommunicationsandconsultationswithhisorherphysician,attorney,oranyotherpersonofhisorherchoiceandtosendandreceivepersonalmailunopenedonthesamedayitisreceivedatthehealthfacilityoragency,unlessmedicallycontraindicatedasdocumentedinthemedicalrecordbytheattendingphysicianoraphysician'sassistanttowhomthephysicianhasdelegatedtheperformanceofmedicalcareservices.
Apatient'sorresident'scivilandreligiousliberties,includingtherighttoindependentpersonaldecisionsandtherighttoknowledgeofavailablechoices,shallnotbeinfringedandthehealthfacilityoragencyshallencourageandassistinthefullestpossibleexerciseoftheserights.
Apatientorresidentmaymeetwith,andparticipatein,theactivitiesofsocial,religious,andcommunitygroupsathisorherdiscretion,unlessmedicallycontraindicatedasdocumentedbytheattendingphysicianinthemedicalrecord.
(l)Apatientorresidentisentitledtobefreefrommentalandphysicalabuseandfromphysicalandchemicalrestraints,exceptthoserestraintsauthorizedinwritingbytheattendingphysicianoraphysician'sassistanttowhomthephysicianhasdelegatedtheperformanceofmedicalcareservicesforaspecifiedandlimitedtimeorasarenecessitatedbyanemergencytoprotectthepatientorresidentfrominjurytoselforothers,inwhichcasetherestraintmayonlybeappliedbyaqualifiedprofessionalwhoshallsetforthinwritingthecircumstancesrequiringtheuseofrestraintsandwhoshallpromptlyreporttheactiontotheattendingphysicianorphysician'sassistant.
Incaseofachemicalrestraint,aphysicianshallbeconsultedwithin24hoursafterthecommencementofthechemicalrestraint.
40(m)Apatientorresidentisentitledtobefreefromperformingservicesforthehealthfacilityoragencythatarenotincludedfortherapeuticpurposesintheplanofcare.
(n)Apatientorresidentisentitledtoinformationaboutthehealthfacilityoragencyrulesandregulationsaffectingpatientorresidentcareandconduct.
(o)Apatientorresidentisentitledtoadequateandappropriatepainandsymptommanagementasabasicandessentialelementofhisorhermedicaltreatment.
(3)Thefollowingadditionalrequirementsforthepolicydescribedinsubsection(2)applytolicenseesunderparts213and217:(a)Thepolicyshallbeprovidedtoeachnursinghomepatientorhomefortheagedresidentuponadmission,andthestaffofthefacilityshallbetrainedandinvolvedintheimplementationofthepolicy.
(b)Eachnursinghomepatientmayassociateandcommunicateprivatelywithpersonsofhisorherchoice.
Reasonable,regularvisitinghours,whichshallbenotlessthan8hoursperday,andwhichshalltakeintoconsiderationthespecialcircumstancesofeachvisitor,shallbeestablishedforpatientstoreceivevisitors.
Apatientmaybevisitedbythepatient'sattorneyorbyrepresentativesofthedepartmentsnamedinsection20156,duringotherthanestablishedvisitinghours.
Reasonableprivacyshallbeaffordedforvisitationofapatientwhosharesaroomwithanotherpatient.
Eachpatientshallhavereasonableaccesstoatelephone.
Amarriednursinghomepatientorhomefortheagedresidentisentitledtomeetprivatelywithhisorherspouseinaroomthatassuresprivacy.
Ifbothspousesareresidentsinthesamefacility,theyareentitledtosharearoomunlessmedicallycontraindicatedanddocumentedinthemedicalrecordbytheattendingphysicianoraphysician'sassistanttowhomthephysicianhasdelegatedtheperformanceofmedicalcareservices.
(c)Anursinghomepatientorhomefortheagedresidentisentitledtoretainandusepersonalclothingandpossessionsasspacepermits,unlesstodosowouldinfringeupontherightsofotherpatientsorresidents,orunlessmedicallycontraindicatedasdocumentedinthemedicalrecordbytheattendingphysicianoraphysician'sassistanttowhomthephysicianhasdelegatedtheperformanceofmedicalcareservices.
Eachnursinghomepatientorhomefortheagedresidentshallbeprovidedwithreasonablespace.
Attherequestofapatient,anursinghomeshallprovideforthesafekeepingofpersonaleffects,funds,andotherpropertyofapatientinaccordancewithsection21767,exceptthatanursinghomeisnotrequiredtoprovideforthesafekeepingofapropertythatwouldimposeanunreasonableburdenonthenursinghome.
(d)Anursinghomepatientorhomefortheagedresidentisentitledtotheopportunitytoparticipateintheplanningofhisorhermedicaltreatment.
Anursinghomepatientshallbefullyinformedbytheattendingphysicianofthepatient'smedicalconditionunlessmedicallycontraindicatedasdocumentedbyaphysicianinthemedicalrecord.
Eachnursinghomepatientshallbeaffordedtheopportunitytodischargehimselforherselffromthenursinghome.
41(e)Ahomefortheagedresidentmaybetransferredordischargedonlyformedicalreasons,forhisorherwelfareorthatofotherresidents,orfornonpaymentofhisorherstay,exceptasprovidedbytitleXVIIIortitleXIX.
Anursinghomepatientmaybetransferredordischargedonlyasprovidedinsections21773to21777.
Anursinghomepatientorhomefortheagedresidentisentitledtobegivenreasonableadvancenoticetoensureorderlytransferordischarge.
Thoseactionsshallbedocumentedinthemedicalrecord.
(f)Anursinghomepatientorhomefortheagedresidentisentitledtobefullyinformedbeforeoratthetimeofadmissionandduringstayofservicesavailableinthefacility,andoftherelatedchargesincludinganychargesforservicesnotcoveredundertitleXVIII,ornotcoveredbythefacility'sbasicperdiemrate.
Thestatementofservicesprovidedbythefacilityshallbeinwritingandshallincludethoserequiredtobeofferedonanas-neededbasis.
(g)Anursinghomepatientorhomefortheagedresidentisentitledtomanagehisorherownfinancialaffairs,ortohaveatleastaquarterlyaccountingofpersonalfinancialtransactionsundertakeninhisorherbehalfbythefacilityduringaperiodoftimethepatientorresidenthasdelegatedthoseresponsibilitiestothefacility.
Inaddition,apatientorresidentisentitledtoreceiveeachmonthfromthefacilityanitemizedstatementsettingforththeservicespaidforbyoronbehalfofthepatientandtheservicesrenderedbythefacility.
Theadmissionofapatienttoanursinghomedoesnotconferonthenursinghomeoritsowner,administrator,employees,orrepresentativestheauthoritytomanage,use,ordisposeofapatient'sproperty.
(h)Anursinghomepatientorapersonauthorizedbythepatientinwritingmayinspectandcopythepatient'spersonalandmedicalrecords.
Therecordsshallbemadeavailableforinspectionandcopyingbythenursinghomewithinareasonabletime,notexceeding1week,afterthereceiptofawrittenrequest.
(i)Ifanursinghomepatientdesirestreatmentbyalicensedmemberofthehealingarts,thetreatmentshallbemadeavailableunlessitismedicallycontraindicated,andthemedicalcontraindicationisjustifiedinthepatient'smedicalrecordbytheattendingphysician.
(j)Anursinghomepatienthastherighttohavehisorherparents,ifaminor,orhisorherspouse,nextofkin,orpatient'srepresentative,ifanadult,stayatthefacility24hoursadayifthepatientisconsideredterminallyillbythephysicianresponsibleforthepatient'scare.
(k)Eachnursinghomepatientshallbeprovidedwithmealsthatmeettherecommendeddietaryallowancesforthatpatient'sageandsexandthatmaybemodifiedaccordingtospecialdietaryneedsorabilitytochew.
(l)Eachnursinghomepatienthastherighttoreceiverepresentativesofapprovedorganizationsasprovidedinsection21763.
42(4)Anursinghome,itsowner,administrator,employee,orrepresentativeshallnotdischarge,harass,orretaliateordiscriminateagainstapatientbecausethepatienthasexercisedarightprotectedunderthissection.
(5)Inthecaseofanursinghomepatient,therightsenumeratedinsubsection(2)(c),(g),and(k)andsubsection(3)(d),(g),and(h)maybeexercisedbythepatient'srepresentative.
(6)Anursinghomepatientorhomefortheagedresidentisentitledtobefullyinformed,asevidencedbythepatient'sorresident'swrittenacknowledgment,beforeoratthetimeofadmissionandduringstay,ofthepolicyrequiredbythissection.
Thepolicyshallprovidethatifapatientorresidentisadjudicatedincompetentandnotrestoredtolegalcapacity,therightsandresponsibilitiessetforthinthissectionshallbeexercisedbyapersondesignatedbythepatientorresident.
Thehealthfacilityoragencyshallprovideproperformsforthepatientorresidenttoprovideforthedesignationofthispersonatthetimeofadmission.
(7)Thissectiondoesnotprohibitahealthfacilityoragencyfromestablishingandrecognizingadditionalpatients'rights.
(8)Asusedinthissection:(a)"Patient'srepresentative"meansthattermasdefinedinsection21703.
(b)"TitleXVIII"meanstitleXVIIIofthesocialsecurityact,chapter531,49Stat.
620,42U.
S.
C.
1395to1395b,1395b-2,1395b-6to1395b-7,1395cto1395i,1395i-2to1395i-5,1395jto1395t,1395uto1395w,1395w-2to1395w-4,1395w-21to1395w-28,1395xto1395yy,and1395bbbto1395ggg.
(c)"TitleXIX"meanstitleXIXofthesocialsecurityact,chapter531,49Stat.
620,42U.
S.
C.
1396to1396f,1396g-1to1396r-6,and1396r-8to1396v.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1978,Act493,Eff.
Mar.
30,1979;—Am.
1982,354,Imd.
Eff.
Dec.
21,1982;—Am.
1998,Act88,Imd.
Eff.
May13,1998;—Am.
2001,Act240,Imd.
Eff.
Jan.
8,2002;Am.
2006,Act38,Imd.
Eff.
Mar.
2,2006;—Am.
2011,Act210,lmd.
Eff.
Nov.
8,2011.
333.
20202Responsibilitiesofpatientorresident.
(1)Apatientorresidentisresponsibleforfollowingthehealthfacilityrulesandregulationsaffectingpatientorresidentcareandconduct.
(2)Apatientorresidentisresponsibleforprovidingacompleteandaccuratemedicalhistory.
(3)Apatientorresidentisresponsibleformakingitknownwhetherheorsheclearlycomprehendsacontemplatedcourseofactionandthethingsheorsheisexpectedtodo.
(4)Apatientorresidentisresponsibleforfollowingtherecommendationsandadviceprescribedinacourseoftreatmentbythephysician.
43(5)Apatientorresidentisresponsibleforprovidinginformationaboutunexpectedcomplicationsthatariseinanexpectedcourseoftreatment.
(6)Apatientorresidentisresponsibleforbeingconsiderateoftherightsofotherpatientsorresidentsandhealthfacilitypersonnelandproperty.
(7)Apatientorresidentisresponsibleforprovidingthehealthfacilitywithaccurateandtimelyinformationconcerninghisorhersourcesofpaymentandabilitytomeetfinancialobligations.
History:1978,Act368,Eff.
Sept.
30,1978.
333.
20203Guidelines;immunity;otherremediesatlawneitherexpandednordiminished.
(1)Therightsandresponsibilitiesprescribedinsections20201and20202areguidelinesforhealthfacilities,facilitystaff,facilityemployees,patients,andresidents.
Anindividualshallnotbecivillyorcriminallyliableforfailuretocomplywiththosesections.
(2)sections20201and20202shallnotbeconstruedtoexpandordiminishotherremediesatlawavailabletoapatientorresidentunderthiscodeorthestatutoryandcommonlawofthisstate.
(3)Thedepartmentshalldevelopguidelinestoassisthealthfacilitiesandagenciesintheimplementationofsections20201and20202.
History:1978,Act368,Eff.
Sept.
30,1978.
333.
20211Summaryofactivities;availabilityoflistandcurrentinspectionreports.
(1)Every6monthsthedepartmentshallissueasummaryofitsactivitiesinrelationtolicensingandregulationandshallcausetheinformationtobemadeavailabletothenewsmediaandallpersonswhomakeawrittenrequesttoreceivecopiesoftheinformation.
(2)Thelistandcurrentinspectionreportsshallbeavailableforinspectionandcopying.
History:Add.
1978,Act493,Eff.
Mar.
30,1979PART213HOMESFORTHEAGED333.
21301Definitionsandprinciplesofconstruction.
Article1containsgeneraldefinitionsandprinciplesofconstructionapplicabletoallarticlesinthiscodeandpart201containsdefinitionsapplicabletothispart.
44History:1978,Act368,Eff.
Sept.
30,1978.
333.
21307Exemptions.
Thispartdoesnotauthorizethemedicalsupervision,regulation,orcontroloftheremedialcareortreatmentofresidentsinahomefortheagedoperatedfortheadherentsofabonafidechurchorreligiousdenominationwhorelyontreatmentbyprayerorspiritualmeansonlyinaccordancewiththecreedortenetsofthatchurchordenomination.
Theresidents,personnel,oremployees,otherthanfoodhandlers,ofthehomearenotrequiredtosubmittoamedicalorphysicalexamination.
History:1978,Act368,Eff.
Sept.
30,1978.
333.
21311Licenserequired;useof"homeforaged"orsimilartermorabbreviation;minimumageforadmission;waiverofagelimitation;documentation;determinationbydirector.
(1)Ahomefortheagedshallbelicensedunderthisarticle.
(2)"Homefortheaged"orasimilartermorabbreviationshallnotbeusedtodescribeorrefertoahealthfacilityoragencyunlessthehealthfacilityoragencyislicensedasahomefortheagedbythedepartmentunderthisarticle.
(3)Exceptasotherwiseprovidedinthissubsection,ahomefortheagedshallnotadmitanindividualunder60yearsofage.
Upontherequestofahomefortheagedandsubjecttosubsection(4),thedirectorshallwaivetheagelimitationimposedbythissubsectioniftheindividual,theindividual'sguardianorotherlegalrepresentative,ifappointed,andtheowner,operator,andgoverningbodyofthehomefortheaged,uponconsultationwiththeindividual'sphysician,agreeoneachofthefollowing:(a)Thehomefortheagediscapableofmeetingalloftheindividual'smedical,social,andotherneedsasdeterminedintheindividual'splanofservice.
(b)Theindividualwillbecompatiblewiththeotherresidentsofthathomefortheaged.
(c)Theplacementinthathomefortheagedisinthebestinterestsoftheindividual.
(4)Theowner,operator,andgoverningbodyofthehomefortheagedshallsubmit,withitsrequestforawaiver,documentationtothedirectorthatsupportseachofthepointsofagreementnecessaryundersubsection(3).
Within5daysafterreceiptoftheinformationrequiredunderthissubsection,thedirectorshalldetermineifthatdocumentationcollectivelysubstantiateseachofthepointsofagreementnecessaryundersubsection(3)andapproveordenythewaiver.
Ifdenied,thedirectorshallsendawrittennoticeofthedenialandthereasonsfordenialtotherequestingparty.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1984,Act311,Eff.
Mar.
29,1985;—Am.
2004,Act74,Imd.
Eff.
Apr.
21,2004.
45333.
21313Owner,operator,andgoverningbodyofhomeforaged;responsibilitiesanddutiesgenerally.
(1)Theowner,operator,andgoverningbodyofahomefortheagedareresponsibleforallphasesoftheoperationofthehomeandshallassurethatthehomemaintainsanorganizedprogramtoprovideroomandboard,protection,supervision,assistance,andsupervisedpersonalcareforitsresidents.
(2)Theowner,operator,andgoverningbodyshallassuretheavailabilityofemergencymedicalcarerequiredbyaresident.
(3)Theowner,operator,ormemberofthegoverningbodyofahomefortheagedandtheauthorizedrepresentativeshallbeofgoodmoralcharacter.
(4)Thedepartmentofhumanservicesshallnotissuealicensetoorrenewthelicenseofanowner,operator,ormemberofthegoverningbody,whohasregulardirectaccesstoresidentsorwhohason-sitefacilityoperationalresponsibilities,oranapplicant,ifanindividualortheauthorizedrepresentative,ifanyofthoseindividualshavebeenconvictedof1ormoreofthefollowing:(a)AfelonyunderthisactorunderchapterXXAoftheMichiganpenalcode,1931PA328,MCL750.
145mto750.
145r.
(b)AmisdemeanorunderthisactorunderchapterXXAoftheMichiganpenalcode,1931PA328,MCL750.
145mto750.
145r,withinthe10yearsimmediatelyprecedingtheapplication.
(c)Amisdemeanorinvolvingabuse,neglect,assault,battery,orcriminalsexualconductorinvolvingfraudortheftagainstavulnerableadultasthattermisdefinedinsection145moftheMichiganpenalcode,1931PA328,MCL750.
145m,orastateorfederalcrimethatissubstantiallysimilartoamisdemeanordescribedinthissubdivisionwithinthe10yearsimmediatelyprecedingtheapplication.
(5)Theapplicantforalicenseforahomefortheaged,ifanindividual,shallgivewrittenconsentatthetimeoflicenseapplicationandtheauthorizedrepresentativeshallgivewrittenconsentatthetimeofappointmentforthedepartmentofstatepolicetoconductbothofthefollowing:(a)acriminalhistorycheck.
(b)acriminalrecordscheckthroughthefederalbureauofinvestigation.
(6)Unlessalreadysubmittedundersubsection(5),anowner,operator,ormemberofthegoverningbodywhohasregulardirectaccesstoresidentsorwhohason-sitefacilityoperationalresponsibilitiesforahomefortheagedshallgivewrittenconsentatthetimeoflicenseapplicationforthedepartmentofstatepolicetoconductbothofthefollowing:(a)acriminalhistorycheck.
(b)acriminalrecordscheckthroughthefederalbureauofinvestigation.
46(7)Thedepartmentofhumanservicesshallrequiretheapplicant,authorizedrepresentative,owner,operator,ormemberofthegoverningbodywhohasregulardirectaccesstoresidentsorwhohason-sitefacilityoperationalresponsibilitiestosubmithisorherfingerprintstothedepartmentofstatepoliceforthecriminalhistorycheckandcriminalrecordscheckdescribedinsubsection(5)and(6).
(8)Notlaterthan1yearaftertheeffectivedateofthe2012amendatoryactthatamendedthissubsection,allowners,operators,andmembersofthegoverningbodyofhomesfortheagedwhohaveregulardirectaccesstoresidentsorwhohaveon-sitefacilityoperationalresponsibilitiesandallauthorizedrepresentativesshallcomplywiththerequirementsofthissection.
(9)Thedepartmentofhumanservicesshallrequestacriminalhistorycheckandcriminalrecordscheckinthemannerprescribedbythedepartmentofstatepolice.
Thedepartmentofstatepoliceshallconductthecriminalhistorycheckandprovideareportoftheresultstothelicensingorregulatorybureauofthedepartmentofhumanservices.
Thereportshallcontainanycriminalhistoryinformationonthepersonmaintainedbythedepartmentofstatepoliceandtheresultsofthecriminalrecordscheckfromthefederalbureauofinvestigation.
Thedepartmentofstatepolicemaychargethepersononwhomthecriminalhistorycheckandcriminalrecordscheckareperformedunderthissectionafeeforthechecksrequiredunderthissectionthatdoesnotexceedtheactualcostandreasonablecostofconductingthechecks.
(10)Beginningtheeffectivedateofthe2012amendatoryactthataddedthissubsection,ifanapplicant,authorizedrepresentative,owner,operator,ormemberofthegoverningbodywhohasregulardirectaccesstoresidentsorwhohason-sitefacilityoperationalresponsibilitiesappliesforalicenseortorenewalicensetooperateahomefortheagedandpreviouslyunderwentacriminalhistorycheckandcriminalrecordscheckrequiredundersubsection(5)and(6)orundersection134aofthementalhealthcode,1974pa258,mcl300.
1134a,andhasremainedcontinuouslylicensedorcontinuouslyemployedundersection20173aorundersection34boftheadultfostercarefacilitylicensingact,1979pa218,mcl400.
734b,afterthecriminalhistorycheckandcriminalrecordscheckhavebeenperformed,theapplicant,authorizedrepresentative,owner,operator,ormemberofthegoverningbodywhohasregulardirectaccesstoresidentsorwhohason-sitefacilityoperationalresponsibilitiesisnotrequiredtosubmittoanothercriminalhistorycheckorcriminalrecordscheckuponrenewalofthelicenseobtainedunderthissection.
(11)Thedepartmentofstatepoliceshallstoreandmaintainallfingerprintssubmittedunderthisactinanautomatedfingerprintidentificationsystemdatabasethatprovidesforanautomaticnotificationatthetimeasubsequentcriminalarrestfingerprintcardsubmittedintothesystemmatchesasetoffingerprintspreviouslysubmittedinaccordancewiththisact.
Atthetimeofthatnotification,thedepartmentofstatepoliceshallimmediatelynotifythedepartmentofhumanservices.
Thedepartmentofhumanservicesshalltaketheappropriateactionuponnotificationbythedepartmentofstatepoliceunderthissubsection.
47(12)Anapplicant,owner,operator,memberofagoverningbody,orauthorizedrepresentativeofahomefortheagedshallnotbepresentinahomefortheagedifheorshehasbeenconvictedofeitherofthefollowing:(a)Vulnerableadultabuse,neglect,orfinancialexploitation.
(b)Alistedoffenseasdefinedinsection2ofthesexoffendersregistrationact,1994PA295,MCL28.
722.
History:1978,Act368,Eff.
Sept.
30,1978;--2010,Act1102,Eff.
Dec.
22,2010;--Am.
2012,Act787,Eff.
Mar.
13,2012.
333.
21321Bondrequired.
(1)Beforeissuanceofalicenseunderthisarticle,theowner,operator,orgoverningbodyoftheapplicantshallgiveabondwithasuretyapprovedbythedepartment.
Thebondshallinsurethedepartmentforthebenefitoftheresidents.
Thebondshallbeconditionedthattheapplicantdoallofthefollowing:(a)Holdseparatelyandintrustallresidentfundsdepositedwiththeapplicant.
(b)Administerthefundsonbehalfofaresidentinthemannerdirectedbythedepositor.
(c)Renderatrueandcompleteaccounttotheresident,thedepositor,andthedepartmentwhenrequested.
(d)Account,onterminationofthedeposit,forallfundsreceived,expended,andheldonhand.
(2)Thebondshallbeinanamountequaltonotlessthan1-1/4timestheaveragebalanceofresidentfundsheldduringtheprioryear.
Thedepartmentmayrequireanadditionalbondorpermitfilingofabondinaloweramount,ifthedepartmentdeterminesthatachangeintheaveragebalancehasoccurredormayoccur.
Anapplicantforanewlicenseshallfileabondinanamountwhichthedepartmentestimatesas1-1/4timestheaverageamountoffundswhichtheapplicant,uponissuanceofthelicense,islikelytoholdduringthefirstyearofoperation.
History:1978,Act368,Eff.
Sept.
30,1978.
333.
21325Removalofresidentfromhomefortheaged;conditions.
Ifaresidentofahomefortheagedisreceivingcareinthefacilityinadditiontotheroom,board,andsupervisedpersonalcarespecifiedinsection20106(3),asdeterminedbyaphysician,thedepartmentshallnotordertheremovaloftheresidentfromthehomefortheagedifbothofthefollowingconditionsaremet:(a)Theresident,theresident'sfamily,theresident'sphysician,andtheowner,operator,andgoverningbodyofthehomefortheagedconsenttotheresident'scontinuedstayinthehomefortheaged.
48(b)Theowner,operator,andgoverningbodyofthehomefortheagedcommittoassuringthattheresidentreceivesthenecessaryadditionalservices.
History:Add.
2000,Act437,Imd.
Eff.
Jan.
9,2001.
333.
21331Licenseeconsideredconsumeroftangiblepersonalproperty.
Alicenseeofahomefortheagedoperatedforprofitisconsideredtobetheconsumer,andnottheretailer,oftangiblepersonalpropertypurchasedandusedorconsumedinoperationofthehome.
History:1978,Act368,Eff.
Sept.
30,1978.
333.
21332Homefortheaged;influenzavaccination.
Ahomefortheagedshalloffereachresident,orshallprovideeachresidentwithinformationandassistanceinobtaining,anannualvaccinationagainstinfluenzainaccordancewiththemostrecentrecommendationsoftheadvisorycommitteeonimmunizationpracticesofthefederalcentersfordiseasecontrolandprevention,asapprovedbythedepartmentofcommunityhealth.
History:Add.
2000,Act437,Imd.
Eff.
Jan.
9,2001.
333.
21333Smokingpolicy.
(1)Ahomefortheagedlicensedunderthisarticleshalladoptapolicyregulatingthesmokingoftobaccoonthehomefortheagedpremises.
(2)Ahomefortheagedpolicygoverningsmokingshallataminimumprovidethat:(a)Uponadmissioneachresidentorpersonresponsiblefortheresident'sadmissionshallbeaskedifthereisapreferenceforplacementwithsmokersornonsmokers.
(b)Smokingbyresidentsshallberestrictedtoprivaterooms,roomssharedwithothersmokersonly,orotherdesignatedsmokingareas.
(c)Visitorsshallnotbepermittedtosmokeinroomsorwardsoccupiedbyresidentswhodonotsmoke.
(d)Visitorsshallbepermittedtosmokeonlyindesignatedareas.
(e)Staffshallbepermittedtosmokeindesignatedareasonly.
(f)Staffshallnotbepermittedtosmokeinresidents'roomsorwhileperformingtheirdutiesinthepresenceofresidents.
(g)Eatingareasshallhavesectionsforsmokersandnonsmokers.
(h)Cigarettes,cigars,andpipetobaccoshallnotbesoldordispensedwithinthelicensedfacilityexceptasprovidedforbytheownerorgoverningboard.
49(i)Asignindicatingthatsmokingisprohibitedinthefacilityexceptindesignatedareasshallbepostedateachentrancetothefacility.
Eachdesignatedsmokingareashallbepostedassuchbysign.
(3)Ahomefortheagedlicensedunderthisarticleshallretainacopyofthesmokingpolicywhichwillbeavailabletothepublicuponrequest.
History:1978,Act368,Eff.
Sept.
30,1978.
333.
21335Requirementofemergencygeneratorsysteminhomefortheaged.
(1)Exceptasprovidedundersubsection(2),ahomefortheagedseekingalicenseorarenewalofalicenseunderthisarticleshallhave,ataminimum,anemergencygeneratorsystemthatduringaninterruptionofthenormalelectricalsupplyiscapableofbothofthefollowing:(a)Providingnotlessthan4hoursofservice.
(b)Generatingenoughpowertoprovidelightingatallentrancesandexitsandtooperateequipmenttomaintainfiredetection,alarm,andextinguishingsystems,telephoneswitchboards,heatingplantcontrols,andothercriticalmechanicalequipmentessentialtothesafetyandwelfareoftheresidents,personnel,andvisitors.
(2)Ahomefortheagedthatislicensedunderthisarticleontheeffectivedateoftheamendatoryactthataddedthissectionisnotrequiredtocomplywithsubsection(1)untilthathomefortheagedundergoesanymajorbuildingmodification.
Asusedinthissection,"majorbuildingmodification"meansanalterationofwallsthatcreatesanewarchitecturalconfigurationorrevisiontothemechanicalorelectricalsystemsthatsignificantlyrevisesthedesignofthesystemorsystems.
Majorbuildingmodificationdoesnotincludenormalbuildingmaintenance,repair,orreplacementwithequivalentcomponentsorachangeinroomfunction.
(3)Ahomefortheagedthatisexemptfromcomplianceundersubsection(2)shallnotifythelocalmedicalcontrolauthorityandthelocallawenforcementagencythatitdoesnothaveanemergencygeneratoronsite.
Untilahomefortheagedundergoesanymajorbuildingmodificationasprovidedundersubsection(2),ahomefortheagedthatisexemptfromcomplianceundersubsection(2)shallfilewiththedepartmentacopyofthehomefortheaged'swrittenpoliciesandproceduresandexistingplansoragreementsforemergencysituations,includingintheeventofaninterruptionofthenormalelectricalsupply.
(4)Ahomefortheagedthatfailstocomplywiththissectionissubjecttoacivilpenaltyofnotmorethan$2,000.
00foreachviolation.
Eachdayaviolationcontinuesisaseparateoffenseandshallbeassessedacivilpenaltyofnotlessthan$500.
00foreachdayduringwhichthefailurecontinues.
History:Add.
2004,Act397,Eff.
Apr.
15,200550PART217NURSINGHOMES333.
21711Licenserequired;prohibitedtermsorabbreviations;licenseforformalorinformalnursingcareservices;exception.
(1)Anursinghomeshallbelicensedunderthisarticle.
(2)"Nursinghome","nursingcenter","convalescentcenter","extendedcarefacility",orasimilartermorabbreviationshallnotbeusedtodescribeorrefertoahealthfacilityoragencyunlessthehealthfacilityoragencyislicensedasanursinghomebythedepartmentunderthisarticle.
(3)Apersonshallnotpurporttoprovideformalorinformalnursingcareservicesofthekindnormallyprovidedinanursinghomewithoutobtainingalicenseasprovidedinthisarticle.
ThissubsectiondoesnotapplytoahospitalorafacilitycreatedbyActNo.
152ofthePublicActsof1885,asamended,beingsections36.
1to36.
12oftheMichiganCompiledLaws.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1978,Act493,Eff.
Mar.
30,1979.
333.
21715Programsofplannedandcontinuingnursingandmedicalcarerequirednursesandphysiciansincharge;expirationofsubsection(1)(a);natureandscopeofservices.
(1)Anursinghomeshallprovide:(a)Aprogramofplannedandcontinuingnursingcareunderthechargeofaregisterednurseinaskilledfacilityandalicensedpracticalnursewitharegisterednurseconsultantinanintermediatecarefacility.
ThissubdivisionshallexpireDecember31,1979.
(b)Aprogramofplannedandcontinuingmedicalcareunderthechargeofphysicians.
(2)Nursingcareandmedicalcareshallconsistofservicesgiventoindividualswhoaresubjecttoprolongedsufferingfromillnessorinjuryorwhoarerecoveringfromillnessorinjury.
Theservicesshallbewithintheabilityofthehometoprovideandshallincludethefunctionsofmedicalcaresuchasdiagnosisandtreatmentofanillness;nursingcareviaassessment,planning,andimplementation;evaluationofapatient'shealthcareneeds;andthecarryingoutofrequiredtreatmentprescribedbyaphysician.
History:1978,Act368,Eff.
Sept.
30,1978;—Am.
1978,Act493,Eff.
Mar.
30,1979.
BCALPUB-338(Rev.
6-14)Previouseditionsobsolete.
DepartmentofHumanServices(DHS)willnotdiscriminateagainstanyindividualorgroupbecauseofrace,religion,age,nationalorigin,color,height,weight,maritalstatus,sex,sexualorientation,genderidentityorexpression,politicalbeliefsordisability.
Ifyouneedhelpwithreading,writing,hearing,etc.
,undertheAmericanswithDisabilitiesAct,youareinvitedtomakeyourneedsknowntoaDHSofficeinyourarea.