January 27, 2015, Introduced by Reps. Banks, Gay-Dagnogo, Byrd, Garrett, Dillon, Brinks, Zemke, Durhal, Neeley, Greig, Sarah Roberts, Talabi and Chang 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 section 5474d.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 5474d. (1) A health professional who provides primary
care services to a patient who is 12 to 24 months old shall comply
with this section. This section does not apply to a health
professional who provides emergency or nonprimary care services to
a patient described in this subsection.
(2) A health professional who is subject to this section shall
order lead exposure screening of a patient described in subsection
(1). The screening required under this subsection must seek to
determine if any of the following lead exposure criteria apply to
the patient:
(a) The patient lives in 1 of this state's target communities.
As used in this subdivision, "target communities" includes Battle
Creek, Benton Harbor, Dearborn, Detroit, Flint, Grand Rapids,
Hamtramck, Highland Park, Jackson, Kalamazoo, Lansing, Muskegon,
Muskegon Heights, Pontiac, and Saginaw. By order, the department
may revise the list of target communities in this state based upon
information available to the department under this part or other
reliable sources.
(b) The patient is not enrolled in medicaid; is not a
participant in the special supplemental food program for women,
infants, and children; and is not enrolled in any other government-
sponsored health care program under which lead exposure screening
is provided and, based upon the answers to questions posed by the
health professional, the parent, guardian, or person in loco
parentis of the patient indicates that the patient could have been
exposed to lead or does not know whether the patient has been
exposed to lead. A health professional shall use the statewide lead
testing/lead screening plan published by the department of
community health's Michigan childhood lead poisoning prevention
program as the basis for the questions asked under this
subdivision.
(c) The patient is a newly arrived refugee or an
internationally adopted child.
(3) A health professional who determines that 1 or more of the
criteria listed in subsection (2) apply to the patient shall order
blood lead diagnostic testing for that patient. A health
professional shall follow the provider guidelines published by the
department of community health's Michigan childhood lead poisoning
prevention program in ordering blood lead diagnostic testing under
this subsection.
(4) The parent, guardian, or person in loco parentis of a
patient for whom blood lead diagnostic testing is ordered under
subsection (3) shall provide for the child's blood lead diagnostic
testing by an authorized health professional, physician, local
health department, clinic, or other agency offering blood lead
diagnostic testing. This section does not require any child to
undergo blood lead diagnostic testing whose parent or guardian
objects on the grounds that blood lead diagnostic testing conflicts
with the parent's or guardian's religious beliefs.