HOUSE BILL No. 4518

 

April 2, 2003, Introduced by Reps. Gieleghem, Byrum, Bieda, Brown, Lipsey, Gillard, Elkins, Gleason, Meisner, Law, Hopgood, Murphy, Wojno, Cheeks, Paletko, Accavitti, Tobocman, Smith, Zelenko, Dennis, Vagnozzi, McConico, Sak, Farrah, Hune, Williams, Woodward, Reeves, Palsrok, Ruth Johnson, Pappageorge, Hart, Hager, Shaffer, Vander Veen, Voorhees, Kooiman, O'Neil, Hunter, Whitmer, Anderson, Rivet, Condino, Waters, Rocca, Jamnick, Plakas, Kolb, Hoogendyk, Sheen, Wenke, Nofs, Phillips, Adamini, Sheltrown and Daniels and referred to the Committee on Health Policy.

        

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1978 PA 368, entitled                                             

                                                                                

    "Public health code,"                                                       

                                                                                

    (MCL 333.1101 to 333.25211) by adding sections 17750b and 20911.            

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 17750b.  Pursuant to a prescription issued by a                        

                                                                                

2   prescriber, a pharmacist may dispense 1 or more premeasured dose            

                                                                                

3   epinephrine auto-injectors to a person or individual licensed               

                                                                                

4   under part 209.                                                             

                                                                                

5       Sec. 20911.  (1) A person or individual licensed under this                 

                                                                                

6   part shall purchase, acquire, possess, and use epinephrine                  

                                                                                

7   auto-injectors in accordance with this section.                             

                                                                                

8       (2) The use of epinephrine auto-injectors under this section                

                                                                                

9   is limited as follows:                                                      

                                                                                

10      (a) A person or individual licensed under this part shall not               

                                                                                

11  use epinephrine auto-injectors unless he or she has successfully            

                                                                                


                                                                                

1   completed a training course in the use of epinephrine                       

                                                                                

2   auto-injectors approved by the director pursuant to rules of the            

                                                                                

3   department.  This subdivision does not prohibit the use of                  

                                                                                

4   epinephrine auto-injectors by either of the following:                      

                                                                                

5                                                                                (i) A health care practitioner licensed or registered under                         

                                                                                

6   article 15 and acting within the scope of his or her practice.              

                                                                                

7       (ii) An individual acting pursuant to a lawful prescription.                 

                                                                                

8       (b) Each person or individual licensed under this part and                  

                                                                                

9   authorized to possess and use epinephrine auto-injectors under              

                                                                                

10  this section shall use, maintain, and dispose of the devices                

                                                                                

11  pursuant to rules promulgated by the department.                            

                                                                                

12      (c) Each person or individual licensed under this part that                 

                                                                                

13  uses an epinephrine auto-injector pursuant to this section shall            

                                                                                

14  immediately report the use to the emergency health care                     

                                                                                

15  provider.                                                                   

                                                                                

16      (3) Use of an epinephrine auto-injector pursuant to this                    

                                                                                

17  section is considered first aid or emergency treatment for the              

                                                                                

18  purpose of statutes relating to liability.  The purchase,                   

                                                                                

19  acquisition, possession, or use of an epinephrine auto-injector             

                                                                                

20  pursuant to this section does not constitute the unlawful                   

                                                                                

21  practice of a licensed health profession under article 15.  A               

                                                                                

22  person otherwise authorized to sell or provide an epinephrine               

                                                                                

23  auto-injector may sell or provide it to a person or individual              

                                                                                

24  licensed under this part and authorized to possess and use it               

                                                                                

25  pursuant to this section.                                                   

                                                                                

26      (4) As used in this section, "emergency health care provider"               

                                                                                

27  means any of the following:                                                 


                                                                                

1       (a) A physician supervising the activities of the person or                 

                                                                                

2   individual licensed under this part.                                        

                                                                                

3       (b) A physician with knowledge and experience in the delivery               

                                                                                

4   of emergency care.                                                          

                                                                                

5       (c) A hospital licensed under article 17 that has an                        

                                                                                

6   emergency department.