reglab/statecodes huggingface dataset:
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Amendments to Vital Records › Section R. 325.3255 - Review of applications and evidence by state registrar; dismissals and denials of applications

Current through Vol. 24-12, July 15, 2024
Rule 5.
(1) The
				state registrar shall evaluate each application and the evidence submitted in
				support of the request to change a registered vital record document.
(2) The state registrar may in his discretion
				require the submission of additional documentary evidence to support a
				requested change.
(3) The state
				registrar shall dismiss an application when additional evidence requested is
				not received within 6 months of the request for the additional evidence. When
				an application is dismissed, the state registrar shall send a written notice of
				dismissal to the applicant and return the documentary evidence. The application
				fee submitted shall be retained.
(4) The state registrar shall deny an
				application when the applicant is not eligible to apply, or when the applicant
				cannot provide satisfactory documentary evidence in support of the facts. When
				an application is denied, a written notice of denial shall be forwarded to the
				applicant which indicates the reason for the denial. All documentary evidence
				shall be returned to the applicant. The application fee submitted shall be
				retained, except if the applicant is not eligible to apply.
(5) If, after review of the application and
				the evidence, the state registrar is satisfied that the evidence supports the
				requested change, the state registrar shall prepare the appropriate replacement
				record and place it in the active files of the system of vital
				statistics.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Amendments to Vital Records › Section R. 325.3256 - Supporting evidence; erasures, alterations, or changes

Current through Vol. 24-12, July 15, 2024
Rule 6. Documents submitted in support of a request to
				  correct a vital record document which contain signs of erasure, alterations, or
				  changes to the pertinent information shall not be accepted.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Amendments to Vital Records › Section R. 325.3257 - Changes initiated by the state registrar

Current through Vol. 24-12, July 15, 2024
Rule 7.
(1) The
				state registrar may make changes to items on a registered record for the
				purpose of making all items on the record consistent with the known
				facts.
(2) The state registrar may
				make changes to a registered record if it is discovered that an error was made
				by the office of a local registrar or the state registrar in the filing or
				registration of the record.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Amendments to Vital Records › Section R. 325.3258 - Sealing of record and evidence used to prepare replacement record

Current through Vol. 24-12, July 15, 2024
Rule 8.
(1) After
				preparation of a replacement record pursuant to sections 2831 and 2832 of the
				code, both of the following shall be complied with:
(a) The existing record, the existing copies
				of that record on file in the office of the state registrar and the offices of
				all local registrars, and the evidence used to prepare the replacement record
				shall be sealed.
(b) All records,
				evidence, and associated documents used as a basis for creating a replacement
				record pursuant to sections 2831 and 2832 of the code shall not be subject to
				inspection or copying, except upon order of a court of competent jurisdiction
				or by the state registrar for the purposes of properly administering the system
				of vital statistics.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Amendments to Vital Records › Section R. 325.3259 - Amendment of amended record

Current through Vol. 24-12, July 15, 2024
Rule 9. Items on a record previously amended under these
				  rules shall not be amended again by the state registrar, unless it can be
				  documented that the amendment was made in error by the office of the state
				  registrar or upon order of a court of competent jurisdiction.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Amendments to Vital Records › Section R. 325.3260 - Retention of previous amendment notations

Current through Vol. 24-12, July 15, 2024
Rule 10. Notations of amendments to items changed by the
				  preparation of a replacement record shall be retained and shall appear on the
				  subsequent preparation of a replacement record, unless the replacement record
				  is prepared pursuant to sections 2831 and 2872(1) of the
				  code.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Amendments to Vital Records › Section R. 325.3261 - Rescission of replacement records

Current through Vol. 24-12, July 15, 2024
Rule 11.
(1) If the
				state registrar becomes aware that a replacement record is invalid or that the
				evidence received in support of the preparation of the replacement record is
				false or invalid, the replacement record shall be rescinded. The prior record
				shall be unsealed and placed in the active file.
(2) The state registrar shall forward notice
				of the rescission to the last known address of the applicant.
(3) The state registrar shall notify the
				local registrar of the rescission of the replacement record and instruct the
				local registrar to activate the prior record.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Amendments to Vital Records › Section R. 325.3262 - Change to birth or death records; notification of local registrar; local registrar duties

Current through Vol. 24-12, July 15, 2024
Rule 12.
(1) When
				the state registrar makes a change to the official recording of a birth or
				death, he or she shall notify the local registrar who retains a record of the
				event of the change.
(2) Upon
				notification of a change to a registered record, the local registrar shall seal
				the existing record as directed by the state registrar.
(3) The local registrar shall properly record
				the change as directed by the state registrar.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Amendments to Vital Records › Section R. 325.3263 - Preparation of replacement records

Current through Vol. 24-12, July 15, 2024
Rule 13.
(1) The
				department shall prepare a new record as a replacement for a registered record
				when the state registrar receives any of the following:
(a) Documents described in sections 2831 and
				2872 of the code as evidence of:
(i)
				Adoption.
(ii) Paternity.
(iii) Legitimation.
(iv) Sex designation.
(v) Legal change of name of a
				minor.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Amendments to Vital Records › Section R. 325.3264 - Preservation of original information

Current through Vol. 24-12, July 15, 2024
Rule 14. A change to the information initially recorded on an
				  original record shall not be made to the face of the original vital record
				  document after it is registered, unless changed pursuant to
				  R
				  325.3212.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Amendments to Vital Records › Section R. 325.3265 - Replacement records; form

Current through Vol. 24-12, July 15, 2024
Rule 15.
(1) A
				replacement record shall be on a form that conforms as closely as possible to
				the form in use at the time the replacement record is prepared.
(2) A record prepared pursuant to an adoption
				shall conform as closely as possible to the form in use at the time of
				preparation, except that only the name of the county of birth shall be shown as
				the place of birth.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Amendments to Vital Records › Section R. 325.3266 - Requests for changes to vital records documents; eligible persons

Current through Vol. 24-12, July 15, 2024
Rule 16.
(1) A
				change to a registered birth record may be requested by any of the following:
(a) The parents named on the
				record.
(b) A parent not named on
				the record who can establish that he or she may be named pursuant to section
				2824 of the code for the purpose of having his or her name added to the
				record.
(c) The legal guardian of
				the registrant.
(d) The registrant,
				if 18 years of age or older.
(e) An
				heir to the registrant, if the registrant and the parents of the registrant are
				deceased.
(f) The individual or
				facility administrator responsible for filing the original
				certificate.
(g) A legal
				representative of any individual listed in subdivisions (a) to (f) of this
				subrule.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Amendments to Vital Records › Section R. 325.3267 - Correction of vital record information; evidence required

Current through Vol. 24-12, July 15, 2024
Rule 17.
(1)
				Documentary evidence is not required to correct the spelling of the
				registrant's first or middle name on a registered birth record if the request
				is made by either parent named on the birth record before the sixth birthday of
				the registrant.
(2) To delete the
				name of a father recorded on a registered birth record, a true or certified
				copy of a court determination of non-paternity, which contains an explicit
				statement to the effect that, based on the evidence presented to the court, the
				man named on the registered birth record as the father is not the father of the
				registrant, is required.
(3) To
				change the cause or mode of death on a registered death record, a certified
				copy of a court determination of the facts or the affidavit of a person named
				in
				R 325.3266(2)(c) is
				required.
(4) Except as specified
				in subrule (1), (2), or (3) of this rule, or except as specified by law or
				rule, a request to amend a vital record shall be accompanied by a certified
				copy of a court order specifying the correct facts or 1 or more pieces of the
				following documentary evidence:
(a) Records of
				regularly conducted activity as specified in rule 803(6) of the Michigan rules
				of evidence.
(b) Public records and
				reports as specified in rule 803(8) of the Michigan rules of
				evidence.
(c) Records of vital
				statistics as specified in rule 803(9) of the Michigan rules of
				evidence.
(d) Records of religious
				organizations as specified in rule 803(11) of the Michigan rules of
				evidence.
(e) Marriage, baptismal,
				and similar certificates as specified in rule 803(12) of the Michigan rules of
				evidence.
(f) Family records as
				specified in rule 803(13) of the Michigan rules of evidence.
(g) Records of documents affecting an
				interest in property as specified in rule 803(14) of the Michigan rules of
				evidence.
(h) Statements in ancient
				documents as specified in rule 803(16) of the Michigan rules of
				evidence.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Disinterment - Reinterment › Section R. 325.8051 - Discovery of remains; notification of police required; exception

Current through Vol. 24-12, July 15, 2024
Rule 1. A person who inadvertently discovers a burial or
				  parts of a human skeleton shall immediately notify the police authority of the
				  jurisdiction where the remains are found. If preliminary inspection by the
				  police authority indicates that the remains are those of a prehistoric or
				  historic native American, the state archaeologist of the Michigan history
				  division, department of state, shall be immediately notified of the finding.
				  This rule does not apply to archaeological excavations conducted by
				  representatives of established scientific institutions or
				  societies.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Disinterment - Reinterment › Section R. 325.8052 - Disinterment permit; application; fee

Current through Vol. 24-12, July 15, 2024
Rule 2.
(1) A
				request for a disinterment permit shall be made to the local health officer in
				whose district the cemetery is located, and the request shall be made on an
				affidavit which is signed by a licensed funeral director and by a person or
				persons as follows:
(a) The surviving
				spouse.
(b) If no surviving spouse,
				then by all surviving children.
(c)
				If no surviving children, then by the surviving parents.
(d) If no surviving parents, then by all
				surviving brothers and sisters.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Disinterment - Reinterment › Section R. 325.8053 - Affidavit content

Current through Vol. 24-12, July 15, 2024
Rule 3. An affidavit shall contain all of the following
				  information:
(a) The name and address
				of the licensed funeral director to whom the permit is to be issued.
(b) The name and address of the person
				petitioning for the permit.
(c) The
				name of the lot or the burial right owner.
(d) The name of the deceased.
(e) The present location of the grave,
				including the lot number, the section number, or other location, such as a
				location in a mausoleum.
(f)
				Reinterment location.
(g)
				Relationship of petitioner to deceased.
(h) Reason for disinterment.
(i) Approval of all persons who may have a
				claim for the deceased as specified in
				R
				325.8052.
(j) Written consent of the lot or burial
				space owner or owners, if other than petitioner.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Disinterment - Reinterment › Section R. 325.8054 - Local health officer; duties

Current through Vol. 24-12, July 15, 2024
Rule 4. The local health officer or his or her designated
				  representative shall do all of the following:
(a) Review the affidavit for
				disinterment-reinterment.
(b) Issue
				the disinterment-reinterment permit if the consent required by
				R
				325.8052(1) has been obtained, or
				deny the disinterment-reinterment permit if the consent required by
				R
				325.8052(1) has not been
				obtained.
(c) Provide instructions
				or guidance to the funeral director on the handling of the disintered body
				which is necessary to protect the health of the public and those handling the
				disintered body.
(d) Retain the
				affidavit for a period of not less than 5 years.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Disinterment - Reinterment › Section R. 325.8055 - Disinterment of cremated remains; opening casket; permit not required

Current through Vol. 24-12, July 15, 2024
Rule 5.
(1) A permit
				is not required to disinter cremated remains. A request to disinter cremated
				remains may be made to the cemetery by the next surviving kin, as designated in
				R
				325.8052, on an affidavit described in
				R
				325.8053. The affidavit shall be maintained as part of
				the permanent records of the cemetery from which the cremated remains are
				removed.
(2) A permit is not
				required to open a casket to remove an article or to place an article in a
				casket.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Disinterment - Reinterment › Section R. 325.8057 - Transportation of disintered body

Current through Vol. 24-12, July 15, 2024
Rule 7. A disintered body shall not be accepted for
				  transportation by common or contract carrier unless it has been enclosed in a
				  container which insures against leakage, offensive odors, and other menaces to
				  the public health and safety. A disintered body may be transported by private
				  vehicle, under the supervision of a licensed funeral director, if enclosed in
				  any suitable container which insures against leakage, offensive odors, and
				  other menaces to the public health and safety. The licensed funeral director in
				  charge of disinterment shall be responsible for the proper conduct of the
				  disinterment and removal.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Definition of Infectious Agent › Section R. 325.9031 - Definition; "infectious agent"

Current through Vol. 24-12, July 15, 2024
Rule 1. For purposes of section 2843b of Act No. 368 of the
				  Public Acts of 1978, as amended, being S333.2843b of the Michigan Compiled
				  Laws, "infectious agent" means any of the following diseases or
				  organisms:
(a) Acquired
				immunodeficiency syndrome (AIDS) or human immunodeficiency virus (HIV)
				infection.
(b) Anthrax.
(c) Brucellosis.
(d) Cholera.
(e) Creutzfeldt-Jakob disease.
(f) Diphtheria.
(g) [si=?]Campylobacter
				species[ri=?].
(h)
				[si=?]Cryptosporidium species[ri=?].
(i) [si=?]Entamoeba histolytica[ri=?](amebic
				dysentery).
(j) [si=?]Giardia
				lamblia[ri=?].
(k) [si=?]Salmonella
				species,[ri=?] including typhoid fever.
(l) [si=?]Shigella species[ri=?].
(m) [si=?]Yersinia
				enterocolitica[ri=?].
(n)
				Hepatitis, viral, any type.
(o)
				[si=?]Group A streptococcus[ri=?].
(p) Plague.
(q) Poliomyelitis, acute
				infectious.
(r) Rat-bite fever,
				spirillum or [si=?]streptobacillary[ri=?].
(s) Relapsing fever.
(t) Rickettsial fevers, including Rocky
				Mountain spotted fever and typhus.
(u) Syphilis, primary and
				secondary.
(v) [si=?]Mycobacterium
				tuberculosis[ri=?].
(w) Tularemia
				([si=?]Pasteurella tularesis[ri=?]).
(x) Viral hemorrhagic fevers, including Lassa
				fever, Ebola disease, and Marburg virus disease.
(y) Meningococcus ([si=?]Neisseria
				meningitidis[ri=?]).
(z) Leprosy
				(Hansen's disease; [si=?]Mycobacterium leprae[ri=?]).
(aa) Leptospirosis.
(bb) Trypanosomiasis, such as Chagas' disease
				and African sleeping sickness.
(cc)
				Rabies.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Cancer Reporting › Section R. 325.9050 - Registry

Current through Vol. 24-12, July 15, 2024
Rule 9050.
(1) The
				department shall establish a registry to record cases of cancer and other
				specified tumorous and precancerous diseases that occur in the state. The
				registry shall include information concerning these cases as the department
				considers necessary and appropriate to conduct epidemiologic surveys of cancer
				and cancer-related diseases in the state.
(2) Each diagnosed case of cancer and other
				specified tumorous and precancerous diseases shall be reported to the
				department pursuant to subrule (4) of this rule, or reported to a cancer
				reporting registry if the cancer reporting registry meets standards established
				pursuant to subrule (4) of this rule by a reporting entity as defined in
				R
				325.9051 to ensure the accuracy and completeness of
				the reported information. A reporting entity required to report a diagnosis
				pursuant to subrule (4) of this rule may elect to report the diagnosis to the
				state through an existing cancer registry only if the registry meets minimum
				reporting standards established by the department.
(3) The department shall maintain
				comprehensive records of all reports submitted pursuant to this rule. These
				reports shall be subject to the same requirements of confidentiality as
				provided in section 2631 of the public health code, 1978 PA 368, MCL 333.2619
				for data or records concerning medical research projects.
(4) The director shall provide for all of the
				following:
(a) A list of tumorous and
				precancerous disease other than cancer to be reported pursuant to subrule (2)
				of this rule.
(b) The quality and
				manner in which the cases and other information described in subrule (1) of
				this rule are reported to the department.
(c) The terms and conditions under which
				records disclosing the name and medical condition of a specific individual and
				kept pursuant to this rule are released by the department.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Cancer Reporting › Section R. 325.9051 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 9051.
As used in these rules:
(a) "Primary brain-related tumor" means a
				primary tumor, whether malignant or benign, of the brain, meninges, spinal
				cord, cauda equina, a cranial nerve or nerves, or any part of the central
				nervous system or of the pituitary gland, pineal gland, or craniopharyngeal
				gland.
(b)"Cancer" means all
				diagnoses with a behavior code of 2 (carcinoma in situ) or 3 (malignant primary
				site) which is listed in publication found in department policy and made
				available to the public including carcinomas of skin of the vagina, prepuce,
				clitoris, vulva, labia, penis, and scrotum but excluding basal, epithelial,
				papillary, and squamous cell carcinomas of the skin.
(c) "Department" means the department of
				health and human services.
(d)
				"Reporting entity or reporting entities" means an individual, facility, or
				other entity described in these rules as required to report patient information
				with a diagnosed cancer or other reportable condition to the state cancer
				registry. A reporting entity includes the following:
(i) Physician as defined in sections 17001
				and 17501 of the public health code, 1978 PA 368, MCL 333.17001 and
				333.17501.
(ii) Dentist as defined
				in in section 16601 of the public health code, 1978 PA 368, MCL
				333.16601.
(iii) Hospital as
				defined in section 20106 of the public health code, 368 PA 1978 of the public
				health code, MCL 333.20106.
(iv)
				Clinic defined as an outpatient facility that provides advice, counseling,
				diagnosis, treatment, surgery, care, or services relating to the preservation
				or maintenance of health.
(v)
				Clinical laboratory as defined in section 20104 of the public health code, 1978
				PA 368, MCL 333.20104.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Cancer Reporting › Section R. 325.9052 - Reportable diagnoses

Current through Vol. 24-12, July 15, 2024
Rule 9052.
(1) Cancer
				diagnoses, diagnoses of benign brain-related tumors, and any tumorous and
				precancerous diseases otherwise required to be reported by state or federal law
				shall be reported to the department in a manner consistent with these rules and
				procedures issued by the department.
(2) Diagnoses shall be reported by all
				reporting entities.
(3) A reporting
				entity may elect to report cases through a hospital or regional cancer registry
				that meets the rules set by the department.
(4) Reports shall be submitted within 180
				days of a diagnosis on a form prescribed or approved by the department, except
				for reports forwarded on electronic media.
(5) Reports submitted on electronic media
				shall meet data quality, format, and timeliness standards prescribed by the
				department.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Cancer Reporting › Section R. 325.9053 - Quality assurance

Current through Vol. 24-12, July 15, 2024
Rule 3.
(1) For the
				purpose of assuring the quality of submitted data, each reporting entity shall
				allow the department to inspect such parts of a patient's medical records as
				are necessary to verify the accuracy of submitted data.
(2) A reporting entity which meets the
				standards of quality and completeness set by the department shall be subject to
				inspection not more than once every 2 years for the purpose of assessing the
				quality and completeness of reporting from the entity.
(3) A reporting entity shall, upon request of
				the department, supply missing information, if known, or clarify information
				submitted to the department.
(4)
				Upon mutual agreement between a reporting entity and the department, the
				reporting entity may elect to submit copies of medical records instead of
				inspection. Each copy of a medical record or part thereof submitted to the
				department pursuant to this rule shall be used only for verification of
				corresponding reported data, shall not be recopied by the department, and shall
				be kept in a locked file cabinet when not being used. Such copies shall be
				destroyed promptly following verification of the corresponding reported data
				or, if the reported data appears to be inaccurate, following clarification or
				correction of the reported data.
(5) Both of the following provisions shall be
				complied with to preserve the confidentiality of each patient's medical
				records:
(a) Each reporting entity shall
				provide to the department, for inspection only, all of the following records
				and reports:
(i) Reports of tissue analyses
				which have been performed for the purpose of determining the presence or
				absence of malignant disease.
(ii)
				Reports of radiological examinations performed for the purpose of determining
				the presence or absence of malignant disease.
(iii) Reports of diagnoses of malignant
				disease and notations of the reasons for such diagnoses, including both the
				primary clinician's reports and consultation reports.
(iv) Those parts of medical records which
				contain the specific information required to be reported.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Cancer Reporting › Section R. 325.9054 - Confidentiality of reports

Current through Vol. 24-12, July 15, 2024
Rule 4.
(1) The
				department shall maintain the confidentiality of all reports of cancer
				submitted to the department and shall not release such reports, or any
				information which, because of name, identifying number, mark, or description,
				can be readily associated with a particular individual, except in accordance
				with subrules (2), (3), (4), and (5) of this rule. The department shall not
				release any information that would indicate whether or not the name of a
				particular person is listed in the cancer registry, except in accordance with
				subrules (2), (3), (4), and (5) of this rule.
(2) A report of cancer submitted to the
				department concerning a particular individual, and any other information
				maintained in the cancer reporting system which, because of name, identifying
				number, mark, or description, can be readily associated with a particular
				individual, shall be released as follows:
(a)
				To the particular individual upon compliance with both of the following
				provisions:
(i) Receipt of a written request
				which is signed by the particular individual and which is witnessed or
				notarized as required by subrule (3) of this rule.
(ii) Presentation by the particular
				individual of suitable identification as required by subrule (4) of this
				rule.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Cancer Reporting › Section R. 325.9055 - Scientific advisory panel; release of information for research

Current through Vol. 24-12, July 15, 2024
Rule 5.
(1) The
				director of the department shall appoint a scientific advisory panel of not
				less than 3 scientists to review research proposals whereby a release of
				information maintained by the department which identifies an individual
				reported to have a diagnosis of cancer is required.
(2) All research proposals which require the
				release of information that identifies individuals with reported diagnoses of
				cancer shall be reviewed by the scientific advisory panel.
(3) The panel shall, in writing, advise the
				director concerning the merits of the study.
(4) The release of information for research
				which identifies individuals with reported diagnoses of cancer shall be subject
				to the terms and conditions set by the department. Such study or research
				project shall not publish the name of any individual who is or was the subject
				of a report of cancer submitted to the department, and such study or research
				project shall not release any identifying number, mark, or description which
				can be readily associated with an individual who is or was the subject of a
				report of cancer submitted to the department.
(5) A reporting entity shall, upon
				notification that the director has approved a research project, provide to the
				department or a researcher named by the director the name of the primary
				physician responsible for the medical care of persons selected for the research
				study as indicated in the reporting entity's records.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Cancer Reporting › Section R. 325.9056 - Exchange of records

Current through Vol. 24-12, July 15, 2024
Rule 6. The department, by agreement, may transmit
				  transcripts or copies of reports of cancer diagnoses to state or national
				  cancer registries when the reports relate to residents of other states or
				  countries. The agreement shall require that the transcripts or records be used
				  for statistical purposes only as specified in the agreement and that the
				  identity of a person subject to the report shall not be
				  released.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Birth Defects Reporting › Section R. 325.9071 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 1.
(1) As used
				in these rules:
(a) "Birth defect" means an
				abnormality of the body's structure or inherent function present at birth,
				whether the abnormality is detected in utero at the time of delivery or becomes
				apparent at a later date.
(b)
				"Birth defects registry" means the data base that contains individual case
				level demographic and diagnostic information maintained by the
				department.
(c) "Department" means
				the department of health and human services.
(d) "Institutional Review Board for the
				Protection of Human Research Subjects (IRB)" means the board within the
				department of health and human services that is established under 45 CFR
				46.
(e) "Registrant" means a child
				who is diagnosed with a reportable birth defect.
(f) "Reporting entity" means a hospital,
				clinical laboratory, physician, genetic counselor, health clinic, and other
				health professional or health facility required to report birth defects under
				R
				325.9072.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Birth Defects Reporting › Section R. 325.9072 - Reportable birth defects

Current through Vol. 24-12, July 15, 2024
Rule 2.
(1)
				Reportable birth defects are those birth defects identified in the following
				list of medical conditions:
(a) Congenital
				anomalies of the central nervous system.
(b) Congenital anomalies of the
				eye.
(c) Congenital anomalies of
				the ear, face, and neck.
(d)
				Congenital anomalies of the heart and circulatory system.
(e) Congenital anomalies of the respiratory
				system.
(f) Cleft palate and cleft
				lip.
(g) Congenital anomalies of
				the upper alimentary canal/ digestive system.
(h) Congenital anomalies of the genital and
				urinary systems.
(i) Congenital
				anomalies of the musculoskeletal system.
(j) Congenital anomalies of the
				integument.
(k) Chromosomal
				anomalies.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Birth Defects Reporting › Section R. 325.9073 - Quality assurance

Current through Vol. 24-12, July 15, 2024
Rule 3.
(1) For the
				purposes of assuring the quality of submitted data, each reporting entity shall
				allow the department or an authorized agent of the department, with not less
				than 5 working days' notice and during reasonable working hours, to inspect the
				parts of a patient's medical records as necessary to verify the accuracy of the
				submitted data.
(2) A reporting
				entity shall, upon the request of the department, supply missing information,
				if known, or clarify information submitted to the department.
(3) Upon mutual agreement between a reporting
				entity and the department, the reporting entity may elect to submit copies of
				medical records instead of on-site inspection of the records by the department.
				Each copy of a medical record or part thereof that is submitted to the
				department under this rule shall be used only for verification of corresponding
				reported data, shall not be recopied by the department, and shall be kept in a
				locked file cabinet when not being used. The copies shall be promptly destroyed
				following verification of the corresponding reported data or, if the reported
				data appears to be inaccurate, following clarification or correction of the
				reported data.
(4) Both of the
				following provisions shall be complied with to preserve the confidentiality of
				each patient's medical records:
(a) Each
				reporting entity, when requested, shall provide the department with, for
				inspection only, all of the following records and reports:
(i) Reports of diagnoses of birth defects and
				notations of the reasons for such diagnoses, including the primary clinician's
				reports and consultation reports.
(ii) Those parts of medical records that
				contain the specific information required to be reported.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Birth Defects Reporting › Section R. 325.9074 - Confidentiality of reports

Current through Vol. 24-12, July 15, 2024
Rule 4.
(1) The
				department shall maintain the confidentiality of all reports of birth defects
				submitted to the department and shall not release such reports or any
				information which, because of name, identifying number, mark, or description,
				can be readily associated with a particular individual, except in accordance
				subrules (2), (3), (4), (5), and (6) of this rule. The department shall not
				release any information that would indicate if the name of a particular person
				is listed in the registry, except in accordance with subrules (2), (3), (4),
				(5), and (6) of this rule.
(2) A
				report of birth defects that is submitted to the department concerning a
				particular individual, and any other information maintained in the birth
				defects registry reporting system which, because of name, identifying number,
				mark, or description, can be readily associated with a particular individual,
				shall be released only as follows:
(a) To the
				particular individual upon compliance with both of the following provisions:
(i) Receipt of a written request which is
				signed by the particular individual and which is witnessed or notarized as
				required by subrule (3) of this rule.
(ii) Presentation by the particular
				individual of suitable identification as required by subrule (4) of this
				rule.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Birth Defects Reporting › Section R. 325.9075 - Scientific advisory panel; release of information for research

Current through Vol. 24-12, July 15, 2024
Rule 5.
(1) The
				director of the department shall appoint a scientific advisory panel of not
				less than 3 scientists to review research proposals for which a release of
				information which is maintained by the department and which identifies an
				individual reported to have a diagnosis of a birth defect is
				required.
(2) The scientific
				advisory panel shall review a research proposal that requires the release of
				information that identifies an individual who has a reported diagnosis of a
				birth defect.
(3) The panel shall,
				in writing, advise the director on the merits of the study.
(4) The study or research project shall not
				publish the name of any individual who is or was the subject of a report of a
				birth defect that was submitted to the department. The study or research
				project shall not release any identifying number, mark, or description that can
				be readily associated with an individual who is or was the subject of a report
				of a birth defect that was submitted to the department. A formal memorandum of
				agreement that is signed by an authorized representative of the department and
				the director of the research project shall include all of the following
				provisions:
(a) That electronic files, optical
				files, or hard copy of the data provided by the department shall not be copied
				for retention, resold, or otherwise provided to another person or agency and
				will be returned to the department upon completion of processing of the
				study.
(b) That any reports or
				published papers relying in whole or in part on the data furnished by the
				department to the study or research project shall acknowledge the Michigan
				birth defects registry of the Michigan department of health and human services
				as the source of the data.
(c) That
				a prepublication copy of all resulting papers shall be sent to the department
				at least 15 days before to the expected date of publication.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Birth Defects Reporting › Section R. 325.9077 - Exchange of records

Current through Vol. 24-12, July 15, 2024
Rule 7. The department, by agreement, may transmit
				  transcripts or copies of reports of birth defects diagnoses to state or
				  national birth defects registries when the reports relate to residents of other
				  states or countries. The agreement shall require that the transcripts or
				  records be used only for statistical or research purposes, or to offer
				  referrals to medical and other support services.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Local Health Personnel › Section R. 325.13001 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 1. As used in these rules:
(a) "Code" means 1978 PA 368, MCL
				333.1101.
(b) "Health officer"
				means the administrative officer of a city, county, district, or associated
				health department who is appointed by the local governing entity or, in the
				case of a district health department, by the district board of health and who
				is responsible for the planning, implementation, and evaluation of a public
				health program designed to prevent disease and disability and to promote
				health. A health officer shall be a medical health officer or administrative
				health officer. If the health officer is not a physician, a medical director
				shall also be employed who is responsible to the health officer for medical
				decisions.
(c) "Local health
				department" means local health department as defined in section 1105 of the
				code.
(d) "Medical director" means
				a physician who qualifies as a medical health officer but who is employed by a
				local governing entity or, in the case of a district health department, by the
				district board of health to provide direction in the formulation of medical
				public health policy and program operation. A medical director shall be
				responsible for developing and carrying out medical policies, procedures, and
				standing orders and for advising the administrative health officer on matters
				related to medical specialty judgments.
(e) "Public health administrator" means a
				person who is responsible for developing and implementing good administrative
				practices and policies for a local health department and its
				programs.
(f) "Public health
				physician advisor" means a physician who is responsible for providing public
				health medical consultation and advice to persons serving under provisional or
				acting appointments as medical health officers, administrative health officers,
				or medical directors.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Local Health Personnel › Section R. 325.13002 - Medical health officer; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 2. A medical health officer shall be a physician
				  licensed in Michigan as an M.D. or D.O. who complies with 1 of the following
				  requirements:
(a) Is board certified
				in preventive medicine or public health.
(b) Has an M.P.H. or M.S.P.H. degree and not
				less than 2 years of full-time public health practice.
(c) Has an unexpired provisional appointment
				issued by the department under the authority of MCL 325.2495, provided the
				appointment was issued before the effective date of these rules.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Local Health Personnel › Section R. 325.13003 - Administrative health officer; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 3. An administrative health officer shall comply with 1
				  of the following requirements:
(a)
				Have an M.P.H. or M.S.P.H. degree and 3 years of full-time public health
				administrative experience.
(b) Have
				a related graduate degree and 5 years of full-time public health administrative
				experience.
(c) Have a bachelor's
				degree and 8 years of full-time public health experience, 5 years of which
				shall have been in the administration of a broad range of public health
				programs.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Local Health Personnel › Section R. 325.13004a - Medical director; requirements

Current through Vol. 24-12, July 15, 2024
Rule 4a. A medical director shall comply with all of the
				  following requirements:
(a) Except as
				provided in subdivision (c) of this rule, a medical director shall devote his
				or her full time to the needs of a local health department.
(b) For purposes of this rule, "full time"
				means 32 hours or more per week.
(c) If a local health department serves a
				population of not more than 250,000 and cannot obtain full time medical
				direction, the time may be reduced to not less than 16 hours per week. This
				exception does not apply if the medical director is covering 3 or more local
				health departments, even if the combined population served is not more than
				250,000. Medical directors covering 3 or more local health departments must be
				full time, regardless of the total combined population.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Local Health Personnel › Section R. 325.13005 - Public health administrator; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 5. A public health administrator shall comply with
				  either of the following requirements:
(a) Have an M.P.H. or M.S.P.H. degree, or
				equivalent graduate degree, and 3 years of full-time administrative
				experience.
(b) Have a bachelor's
				degree and 5 years of full-time public health administrative
				experience.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Local Health Personnel › Section R. 325.13006 - Public health physician advisor; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 6. A public health physician advisor shall be a
				  physician licensed in Michigan as an M.D. or D.O. who complies with either of
				  the following requirements:
(a) Is
				board certified in preventative medicine or public health.
(b) Has an M.P.H. or M.S.P.H. degree and 3
				years of public health experience.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Local Health Personnel › Section R. 325.13007 - Provisional appointments; medical health officers; administrative health officers; medical directors

Current through Vol. 24-12, July 15, 2024
Rule 7.
(1) A
				provisional appointment of a medical health officer, medical director, or
				administrative health officer may be made for a period of not more than 3
				years, if an arrangement satisfactory to the state health director is made for
				the fulfillment of the appropriate qualifications specified in these rules, and
				if during such time a qualified public health physician advisor is
				appointed.
(2) A provisional
				medical health officer or medical director shall be a physician licensed in
				Michigan as an M.D. or D.O., but with less than the necessary qualifications
				for permanent appointment as specified in these rules.
(3) A provisional administrative health
				officer shall have an M.P.H., M.S.P.H., or equivalent graduate degree, or a
				bachelor's degree in a health-related field and not less than 3 years of public
				health experience.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Local Health Personnel › Section R. 325.13008 - Acting health officers; medical directors; appointments

Current through Vol. 24-12, July 15, 2024
Rule 8.
(1) If a
				health officer position is vacant, the local governing entity or in the case of
				a district health department the district board of health shall appoint an
				acting health officer. If a medical director position is vacant, the health
				officer shall appoint an acting medical director. Such appointments shall be
				for 6 months, subject to the approval of the state health director, and may be
				renewed upon his approval. Approval shall be based on the performance of the
				individual and the efforts being made to hire a qualified, permanent, full-time
				person.
(2) If the person appointed
				to the position of acting health officer or acting medical director does not
				meet the appropriate qualifications specified in these rules, an arrangement
				shall be made for consultation and advice. This may be provided without charge
				by the state department of public health or, subject to approval of the state
				health director, through local arrangement by a person meeting the appropriate
				qualifications.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › Local Health Personnel › Section R. 325.13009 - Rescission

Current through Vol. 24-12, July 15, 2024
Rule 9.
				  R
				  327.47 of the Michigan Administrative Code, appearing
				  on pages 7918 and 7919 of the 1979 Annual Supplement to the Code, is
				  rescinded.
Michigan Administrative Code › Department - Health and Human Services › Population Health and Community Services › EMS Organization Licensure Rules › Part 1 - GENERAL PROVISIONS › Section R. 325.22101 - Definitions; A to D

Current through Vol. 24-12, July 15, 2024
Rule 101. As used in these rules:
(a) "Accountable" means ensuring compliance
				  on the part of each life support agency or emergency medical services personnel
				  in carrying out emergency medical services based upon protocols established by
				  the medical control authority and approved by the department.
(b) "Air ambulance service" means providing
				  at least advanced life support services utilizing an air ambulance or
				  ambulances that operate in conjunction with a base hospital or hospitals. Air
				  ambulance service may also include any of the following:
(i) Searches.
(ii) Emergency transportation of any of the
				  following:
(A) Drugs.
(B) Organs.
(C) Medical supplies.
(D) Equipment.
(E) Personnel.