Bill Text: MI HB4991 | 2019-2020 | 100th Legislature | Chaptered
Bill Title: Health occupations: health professionals; licensing sanctions for health professionals who are nonparticipating providers and fail to provide certain disclosures or accept certain payment; establish. Amends sec. 16226 of 1978 PA 368 (MCL 333.16226). TIE BAR WITH: HB 4460'19, HB 4459'19, HB 4990'19
Spectrum: Bipartisan Bill
Status: (Passed) 2020-10-28 - Assigned Pa 233'20 With Immediate Effect [HB4991 Detail]
Download: Michigan-2019-HB4991-Chaptered.html
Act No. 233
Public Acts of 2020
Approved by the Governor
October 22, 2020
Filed with the Secretary of State
October 22, 2020
EFFECTIVE DATE: October 22, 2020
state of michigan
100th Legislature
Regular session of 2020
Introduced by Reps. Liberati and Hauck
ENROLLED HOUSE BILL No. 4991
AN ACT to amend 1978 PA 368, entitled “An act to protect and promote the public health; to codify, revise, consolidate, classify, and add to the laws relating to public health; to provide for the prevention and control of diseases and disabilities; to provide for the classification, administration, regulation, financing, and maintenance of personal, environmental, and other health services and activities; to create or continue, and prescribe the powers and duties of, departments, boards, commissions, councils, committees, task forces, and other agencies; to prescribe the powers and duties of governmental entities and officials; to regulate occupations, facilities, and agencies affecting the public health; to regulate health maintenance organizations and certain third party administrators and insurers; to provide for the imposition of a regulatory fee; to provide for the levy of taxes against certain health facilities or agencies; to promote the efficient and economical delivery of health care services, to provide for the appropriate utilization of health care facilities and services, and to provide for the closure of hospitals or consolidation of hospitals or services; to provide for the collection and use of data and information; to provide for the transfer of property; to provide certain immunity from liability; to regulate and prohibit the sale and offering for sale of drug paraphernalia under certain circumstances; to provide for the implementation of federal law; to provide for penalties and remedies; to provide for sanctions for violations of this act and local ordinances; to provide for an appropriation and supplements; to repeal certain acts and parts of acts; to repeal certain parts of this act; and to repeal certain parts of this act on specific dates,” by amending section 16226 (MCL 333.16226), as amended by 2020 PA 136.
The People of the State of Michigan enact:
Sec. 16226. (1) After finding the existence of 1 or more of the grounds for disciplinary subcommittee action listed in section 16221, a disciplinary subcommittee shall impose 1 or more of the following sanctions for each violation:
Violations of Section 16221 Sanctions
Subdivision (a), (b)(i), (b)(ii), (b)(iii), (b)(iv), Probation,
limitation, denial, suspension, revocation,
(b)(v), (b)(vi), (b)(vii), (b)(ix), (b)(x), (b)(xi), permanent
revocation, restitution, or fine.
or (b)(xii)
Subdivision (b)(viii) Revocation, permanent revocation, or denial.
Subdivision (b)(xiii) Permanent
revocation for a violation described in
subsection (5);
otherwise, probation, limitation, denial,
suspension,
revocation, restitution, or fine.
Subdivision (b)(xiv) Permanent revocation.
Subdivision (c)(i) Denial,
revocation, suspension, probation, limitation,
or
fine.
Subdivision (c)(ii) Denial, suspension, revocation, restitution, or fine.
Subdivision (c)(iii) Probation,
denial, suspension, revocation, restitution,
or
fine.
Subdivision (c)(iv) or (d)(iii) Fine,
probation, denial, suspension, revocation,
permanent
revocation, or restitution.
Subdivision (d)(i) or (d)(ii) Reprimand, fine, probation, denial, or restitution.
Subdivision (e)(i), (e)(iii), (e)(iv), (e)(v), (h), or (s) Reprimand,
fine, probation, limitation, suspension,
revocation,
permanent revocation, denial, or restitution.
Subdivision (e)(ii) or (i) Reprimand,
probation, suspension, revocation,
permanent
revocation, restitution, denial, or fine.
Subdivision (e)(vi), (e)(vii), or (e)(viii) Probation,
suspension, revocation, limitation, denial,
restitution,
or fine.
Subdivision (f) Reprimand, denial, limitation, probation, or fine.
Subdivision (g) Reprimand or fine.
Subdivision (j) Suspension or fine.
Subdivision (k), (p),
or (r) Reprimand,
probation, suspension, revocation,
permanent
revocation, or fine.
Subdivision (l) Reprimand, denial, or limitation.
Subdivision (m) or
(o) Denial,
revocation, restitution, probation, suspension,
limitation,
reprimand, or fine.
Subdivision (n) Revocation or denial.
Subdivision (q) Revocation.
Subdivision (t) Revocation, permanent revocation, fine, or restitution.
Subdivision (u) Denial,
revocation, probation, suspension, limitation,
reprimand,
or fine.
Subdivision (v) or
(x) Probation,
limitation, denial, fine, suspension,
revocation,
or permanent revocation.
Subdivision (w) Denial,
fine, reprimand, probation, limitation,
suspension,
revocation, or permanent revocation.
Subdivision (y) Subject to subsection (7), fine.
Subdivision (z) Fine.
(2) Determination of sanctions for violations under this section shall be made by a disciplinary subcommittee. If, during judicial review, the court of appeals determines that a final decision or order of a disciplinary subcommittee prejudices substantial rights of the petitioner for 1 or more of the grounds listed in section 106 of the administrative procedures act of 1969, MCL 24.306, and holds that the final decision or order is unlawful and is to be set aside, the court shall state on the record the reasons for the holding and may remand the case to the disciplinary subcommittee for further consideration.
(3) A disciplinary subcommittee may impose a fine in an amount that does not exceed $250,000.00 for a violation of section 16221(a) or (b). A disciplinary subcommittee shall impose a fine of at least $25,000.00 if the violation of section 16221(a) or (b) results in the death of 1 or more patients.
(4) A disciplinary subcommittee may require a licensee or registrant or an applicant for licensure or registration who has violated this article, article 7, or article 8 or a rule promulgated under this article, article 7, or article 8 to satisfactorily complete an educational program, a training program, or a treatment program, a mental, physical, or professional competence examination, or a combination of those programs and examinations.
(5) A disciplinary subcommittee shall impose the sanction of permanent revocation for a violation of section 16221(b)(xiii) if the violation occurred while the licensee or registrant was acting within the health profession for which he or she was licensed or registered.
(6) Except as otherwise provided in subsection (5) and
this subsection, a disciplinary subcommittee shall not impose the sanction of
permanent revocation under this section without a finding that the licensee or
registrant engaged in a pattern of intentional acts of fraud or deceit
resulting in personal financial gain to the licensee or registrant and harm to
the health of patients under the licensee’s or registrant’s care. This
subsection does not apply if a disciplinary subcommittee finds that a licensee
or registrant has violated section 16221(b)(xiv).
(7) A disciplinary subcommittee shall impose a fine of not more than $250.00 for each violation of section 16221(y).
Enacting section 1. This amendatory act does not take effect unless all of the following bills of the 100th Legislature are enacted into law:
(a) House Bill No. 4459.
(b) House Bill No. 4460.
(c) House Bill No. 4990.
This act
is ordered to take immediate effect.
Clerk of the House of Representatives
Secretary of the Senate
Approved___________________________________________
____________________________________________________
Governor
