Michigan 2019 Annual Report
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<strong>2019</strong> ANNUAL BOOK OF REPORTS<br />
Hospice Exemptions:<br />
Senate Bills 127 and 128 would amend the Public Health Code and exempt patients under the care of<br />
a hospice from certain requirements related to a bona fide prescriber-patient relationship and MAPS<br />
reporting. SB 128 is now law.<br />
<strong>Michigan</strong> Essential Health Provider Repayment Program:<br />
SB 343 increases the maximum amount of debt or expense that the Department of Health and Human<br />
Services could pay on behalf of a designated health professional through a health provider repayment<br />
program to $250,000 over ten or more years. The bill has passed the Senate and is awaiting action in<br />
the House Health Policy committee.<br />
Updates the Mental Health Code:<br />
Senator Vanderwall, Chair of the Senate Health Policy and Human Services committee, and Rep. Ben<br />
Fredrick, Vice Chair of the House Health Policy committee, are drafting legislation to update the<br />
mental health code. The intent of the legislation will be to address access issues and update the MHC<br />
by including PAs, NPs, and CNSs in the definition of “mental health professional,” among other updates.<br />
Title Protection for “Nurse:”<br />
Representative Julie Calley is drafting legislation to protect the title “nurse.”<br />
LARA Update:<br />
The Pharmacy Controlled Substance Administrative Rules were changed last year to require that<br />
individuals with a controlled substance license complete a one-time training in opioids and other<br />
controlled substances awareness that meets the standards under Rule 338.3135.<br />
Now, those applying for a Controlled Substance license are required to certify that they have completed<br />
the one-time training in opioids and controlled substances awareness as part of the application process.<br />
Current controlled substance licensees will have to certify that they have met the training requirement<br />
when they renew at their first full renewal cycle. Meaning if the licensee was part way through their<br />
current license cycle when Rule 338.3135 went into effect (January 4, <strong>2019</strong>) the licensee would have<br />
another full licensure cycle to meet the requirement.<br />
The rules also state that a prescriber or dispenser shall not delegate or order the prescribing, dispensing,<br />
or administering of a controlled substance as authorized by this act to an advanced practice registered<br />
nurse, registered professional nurse or licensed practical nurse unless the nurse complies with the rule.<br />
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