May 2, 2017, Introduced by Reps. Sabo, Sneller, Gay-Dagnogo, Chirkun, Byrd, Scott, Yanez, Durhal, Howell, Lucido, Elder, Greig, Camilleri, Neeley, Jones, Singh, Brinks, Faris, Pagan, Hoadley, Hertel, Chang, Dianda, Robinson, Wittenberg, Love, Geiss, Liberati, Ellison, Garrett, Rabhi, Yaroch, Lasinski, Peterson, Victory, Zemke, Bizon, Hughes, VanSingel, Moss, Hammoud and Santana 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 20135.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 20135. (1) Beginning June 1, 2018, a dialysis center
operating in this state shall do 1 of the following:
(a) Have a backup emergency generator with sufficient capacity
to provide electricity necessary to sustain dialysis treatments
while also maintaining water pressure levels required to operate
its dialysis treatment system. A dialysis center shall maintain
enough fuel on the premises to maintain the operation of the backup
emergency generator for at least 48 hours. A dialysis center shall
test its backup emergency generator by making it operational for at
least 1/2 hour every month.
(b) Have access to a permanent hookup for a mobile backup
emergency generator unit that meets all of the following
requirements:
(i) Has sufficient capacity as described in subdivision (a).
(ii) Is available to that dialysis center within 12 hours of
the event that causes the need for the generator.
(2) The department shall develop guidelines for dialysis
centers to follow regarding the installation, capacity, testing,
and use of backup emergency generators required under this section.
The department may promulgate rules for dialysis centers to follow
regarding the installation, capacity, testing, and use of backup
emergency generators required under this section.
(3) On or before January 1, 2019, the department shall submit
a report to the legislature identifying each dialysis center
operating in this state and the level of compliance by those
centers with this section.
(4) As used in this section:
(a) "Dialysis" means a process by which dissolved substances
are removed from a patient's body by diffusion from 1 fluid
compartment to another across a semipermeable membrane. Dialysis
includes hemodialysis and peritoneal dialysis.
(b) "Dialysis center" means a nonhospital outpatient dialysis
unit that provides dialysis treatment on an outpatient basis or
training for home dialysis.
(c) "Dialysis treatment" means either of the following:
(i) Chronic dialysis given to end-stage renal disease
patients.
(ii) Acute dialysis given to patients who require dialysis
because of temporary kidney failure.
(d) "End-stage renal disease" means that state of renal
impairment that appears irreversible and permanent and requires a
regular course of dialysis or kidney transplantation to maintain
life.
Enacting section 1. This amendatory act takes effect 90 days
after the date it is enacted into law.