HOUSE BILL No. 4278


     February 15, 2001, Introduced by Reps. Kowall, Minore, Allen, Patterson, Bishop, Ehardt, Meyer, Faunce, Ruth Johnson,
Spade, Vear, Vander Veen, Birkholz, George, Voorhees, Gosselin, Shulman, Garcia, Kooiman, Toy, Anderson, Richner and
Raczkowski 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 part 94C.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1
                      PART 94C. HEARING IMPAIRED INFANTS

 2
           SEC. 9481.  (1) AS USED IN THIS PART:

 3
           (A) "AUDIOLOGIST" MEANS AN INDIVIDUAL WHO WAS AWARDED A

 4
      MASTER'S OR A DOCTORATE DEGREE IN AUDIOLOGY FROM AN ACCREDITED

 5
      UNIVERSITY APPROVED BY THE DEPARTMENT.

 6
           (B) "HEARING IMPAIRED INFANT" MEANS A NEWBORN INFANT OR

 7
      OTHER INFANT WHO HAS A DISORDER OF THE AUDITORY SYSTEM OF A TYPE

 8
      OR DEGREE THAT CAUSES A HEARING IMPAIRMENT THAT INTERFERES WITH

 9
      THE DEVELOPMENT OF THE NEWBORN INFANT'S OR OTHER INFANT'S

10
      LANGUAGE AND SPEECH SKILLS.




   02205'01                                                 CPD
                                              2

 1
           (C) "HEALTH PROFESSIONAL" MEANS AN INDIVIDUAL WHO IS

 2
      LICENSED, REGISTERED, OR OTHERWISE AUTHORIZED IN A HEALTH

 3
      PROFESSION UNDER ARTICLE 15.

 4
           (D) "HEARING IMPAIRMENT SCREENING" MEANS THE EMPLOYMENT OF 1

 5
      OR MORE OF THE FOLLOWING TESTS TO IDENTIFY WHETHER A NEWBORN

 6
      INFANT OR OTHER INFANT IS A HEARING IMPAIRED INFANT:

 7
           (i) AUDITORY BRAIN STEM RESPONSE.

 8
           (ii) OTOACOUSTIC EMISSIONS.

 9
           (iii) A TEST APPROVED BY THE DEPARTMENT.

10
           (E) "HOSPITAL" MEANS A HOSPITAL LICENSED UNDER ARTICLE 17.

11
           (F) "INFANT" MEANS A MINOR WHO IS 30 DAYS OLD OR OLDER BUT

12
      LESS THAN 1 YEAR OF AGE.

13
           (G) "NEWBORN INFANT" MEANS A MINOR WHO IS LESS THAN 30 DAYS

14
      OLD.

15
           (2) IN ADDITION TO THE DEFINITIONS CONTAINED IN SUBSECTION

16
      (1), ARTICLE 1 CONTAINS DEFINITIONS OF GENERAL APPLICATION TO

17
      THIS CODE.

18
           SEC. 9483.  (1) BEGINNING NOT LATER THAN OCTOBER 1, 2002,

19
      EACH HOSPITAL THAT PROVIDES BIRTHING SERVICES AND EACH HEALTH

20
      PROFESSIONAL WHO PROVIDES BIRTHING SERVICES OUTSIDE OF A HOSPITAL

21
      SHALL HAVE A HEALTH PROFESSIONAL OR AN AUDIOLOGIST PERFORM HEAR-

22
      ING IMPAIRMENT SCREENING FOR EACH NEWBORN INFANT BEFORE THE NEW-

23
      BORN INFANT IS DISCHARGED FROM THE HOSPITAL OR BEFORE THE HEALTH

24
      PROFESSIONAL LEAVES THE BIRTHING SITE OUTSIDE OF A HOSPITAL.  IF

25
      THE HEARING IMPAIRMENT SCREENING IS NOT PERFORMED WITHIN THOSE

26
      TIME FRAMES DUE TO EXIGENT CIRCUMSTANCES, THE HOSPITAL OR HEALTH

27
      PROFESSIONAL SHALL HAVE A HEALTH PROFESSIONAL OR AN AUDIOLOGIST



   02205'01                                    3

 1
      PERFORM THE HEARING IMPAIRMENT SCREENING WITHIN 90 DAYS AFTER

 2
      BIRTH.

 3
           (2) EACH HOSPITAL AND HEALTH PROFESSIONAL THAT PROVIDES

 4
      BIRTHING SERVICES AS DESCRIBED IN SUBSECTION (1) SHALL TRANSMIT

 5
      THE RESULTS OF THE HEARING IMPAIRMENT SCREENING PERFORMED UNDER

 6
      SUBSECTION (1) TO EACH OF THE FOLLOWING:

 7
           (A) THE DEPARTMENT.

 8
           (B) THE PARENT OR GUARDIAN OF THE NEWBORN INFANT OR OTHER

 9
      INFANT.

10
           (C) THE NEWBORN INFANT'S OR OTHER INFANT'S PRIMARY CARE PHY-

11
      SICIAN, IF KNOWN.

12
           (D) THE NEWBORN INFANT'S OR OTHER INFANT'S PROVIDER OF

13
      AUDIOLOGICAL SERVICES, IF KNOWN.

14
           (3) A HEALTH PROFESSIONAL OR AN AUDIOLOGIST WHO PERFORMS A

15
      HEARING IMPAIRMENT SCREENING UNDER SUBSECTION (1) AND OBTAINS AN

16
      ABNORMAL RESULT ON 1 OR MORE OF THE TESTS USED IN THE HEARING

17
      IMPAIRMENT SCREENING SHALL RECOMMEND TO THE PARENT OR GUARDIAN OF

18
      THE NEWBORN INFANT THAT THE NEWBORN INFANT OR OTHER INFANT

19
      UNDERGO AN AUDIOLOGICAL EVALUATION AS SOON AS PRACTICABLE AFTER

20
      THE ABNORMAL TEST RESULT IS OBTAINED.  THE HEALTH PROFESSIONAL OR

21
      AUDIOLOGIST SHALL ALSO PROVIDE THE PARENT OR GUARDIAN WITH A LIST

22
      OF AGENCIES AND HEALTH PROFESSIONALS AND AUDIOLOGISTS THAT PRO-

23
      VIDE AUDIOLOGICAL EVALUATION SERVICES.

24
           (4) A HOSPITAL WITH 100 OR FEWER BIRTHS PER YEAR MAY HAVE

25
      THE HEARING IMPAIRMENT SCREENING REQUIRED UNDER THIS PART PER-

26
      FORMED AT ANOTHER FACILITY.





   02205'01
                                   4

 1
           SEC. 9485.  THE DEPARTMENT MAY PROMULGATE RULES TO IMPLEMENT

 2
      THIS PART.




















































   02205'01          Final page.                            CPD