HOUSE BILL NO. 4302

March 07, 2019, Introduced by Reps. Miller and Calley and referred to the Committee on Health Policy.

"Public health code,"

(MCL 333.1101 to 333.25211) by adding section 5145.

the people of the state of michigan enact:

Sec. 5145. (1) The advisory council on pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections is created within the department.

(2) The advisory council shall consist of the following 15 members, appointed by the director:

(a) An immunologist who is practicing in this state and has experience treating individuals with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome and the use of intravenous immunoglobulin.

(b) A health professional who is licensed under article 15 who has expertise in treating individuals with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome and autism.

(d) A physician who is licensed under article 15 to engage in the practice of osteopathic medicine and surgery who has experience treating individuals with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome.

(e) A medical researcher with experience conducting research concerning pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections, pediatric acute neuropsychiatric syndrome, obsessive-compulsive disorder, tic disorder, and other neurological disorders.

(f) A dietitian who is practicing in this state and who provides services to children with autism spectrum disorder, attention-deficit hyperactivity disorder, and other neuro-developmental conditions.

(g) A representative of a professional organization in this state for school psychologists.

(h) A child psychiatrist who has experience treating individuals with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome.

(i) A representative of a professional organization in this state for school nurses.

(j) A pediatrician who has experience treating individuals with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome.

(k) A representative of an organization focused on autism.

(l) A parent of a child who has been diagnosed with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections or pediatric acute neuropsychiatric syndrome and autism.

(m) An individual who is licensed under article 15 as a licensed master's social worker or licensed bachelor's social worker.

(n) A representative of the office of special education within the department of education.

(o) A representative of the general public.

(3) The director, or his or her designee, shall serve as an ex officio member of the advisory council without the right to vote.

(4) The members first appointed to the advisory council shall be appointed within 60 days after the effective date of this section.

(5) Members of the advisory council shall serve for terms of 4 years or until a successor is appointed, whichever is later, except that of the members first appointed 5 shall serve for 1 year, 5 shall serve for 2 years, and 5 shall serve for 3 years.

(6) If a vacancy occurs on the advisory council, the director shall make an appointment for the unexpired term in the same manner as the original appointment.

(7) The director may remove a member of the advisory council for incompetence, dereliction of duty, malfeasance, misfeasance, or nonfeasance in office, or any other good cause.

(8) The first meeting of the advisory council shall be called by the director within 90 days after the effective date of this section. At the first meeting, the advisory council shall elect from among its members a chairperson and other officers as it considers necessary or appropriate. After the first meeting, the advisory council shall meet at the call of the chairperson or if requested by a majority of the members of the advisory council.

(9) A majority of the members of the advisory council constitute a quorum for the transaction of business at a meeting of the advisory council. A majority of the members present and serving are required for official action of the advisory council.

(10) The business that the advisory council may perform shall be conducted at a public meeting of the advisory council held in compliance with the open meetings act, 1976 PA 267, MCL 15.261 to 15.275.

(11) A writing prepared, owned, used, in the possession of, or retained by the advisory council in the performance of an official function is subject to the freedom of information act, 1976 PA 442, MCL 15.231 to 15.246.

(12) Members of the advisory council shall serve without compensation. However, members of the advisory council may be reimbursed for their actual and necessary expenses incurred in the performance of their official duties as members of the advisory council.

(13) By January 1, 2020, and annually thereafter, the advisory council shall submit a report to the legislature with recommendations on all of the following:

(a) Practice guidelines for the diagnosis and treatment of pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome.

(b) Mechanisms to increase clinical awareness and education regarding pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome among physicians, school-based health centers, and providers of mental health services.

(c) Outreach to educators and parents to increase awareness of pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome.

(d) Development of a network of volunteer experts on the diagnosis and treatment of pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome to assist in education and outreach.

(e) Any other recommendation that the advisory council considers appropriate.

(14) As used in this section, "advisory council" means the advisory council on pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections created in subsection (1).

Enacting section 1. This amendatory act takes effect 90 days after the date it is enacted into law.