End of Life Care of 2001
H.B. 5148, P.A. 216, MCL 257.310
H.B. 5255, P.A. 219, MCL 333.21534
H.B. 5258, P.A. 239, MCL 333.5652-5655
H.B. 5259, P.A. 240, MCL 333.20201
H.B. 5260, P.A. 231, MCL 333.7333-7333a
H.B. 5261, P.A. 232, MCL 333.16315
H.B . 5262, P.A . 233, MCL 333.7104,7107, 7109
H.B . 5263, P.A. 234, MCL 333.16204a
S.B. 660, P.A. 241, MCL 333.16204b-d
S.B. 661, P.A. 242, MCL 550.1402a
S.B. 662, P.A. 235, MCL 500.2212a
S.B. 781, P.A. 237, MCL 333.5656-5660
S.B. 826, P.A. 243, MCL 333.21766
S.B. 827, P.A .236, MCL 333.7401, 7403, 7407, 7521
S.B. 828, P.A. 238, MCL 28.292
This package of legislation was developed from the recommendations developed by the End of Life Care Commission in accordance with the executive orders of June 11, 1999 and January 24, 2000. The commission was charged with examining end of life care in Michigan and developing ways to improve it. One of the major accomplishments of this package was to repeal the Official Prescription Program and replace it with a system that supports electronic monitoring to make it easier to prescribe palliative medications safely. This legislation also aims to change the perception of palliative care so that patients will receive adequate palliative care even if they are not near death.
Pain & Symptom Management
In his 1999 State of the State Address, Governor Engler announced that he would appoint a Michigan Commission on End of Life Care to provide a comprehensive report and recommendations on how to improve humane and dignified treatment at the end of life. The commission was appointed and it issued a report in August of 2001. The legislature developed a package based upon the recommendations developed by the End of Life Care Commission in accordance with the executive orders of June 11, 1999 and January 24, 2000. One of the major accomplishments of this package was to repeal the Official Prescription Program and replace it with a system that supports electronic monitoring to make it easier to prescribe palliative medications safely. This legislation also aims to change the perception of palliative care so that patients will receive adequate palliative care even if they are not near death. The 15-bill package introduced by a coalition of senators and representatives are as follows:
These bills were signed on January 3, 2002 and became effective on January 8, 2002.
Governor Engler signed into law a bi-partisan, bi-cameral five bill package of initial pain management legislation on June 30, 1994. The laws were given immediate effect as Public Acts 232-236.
The first version of pain management bills were introduced by Sen. Fred Dillingham on December 18, 1993 as Senate Bills 960-964. A bi-partisan group of representatives introduced identical companion bills H.B. 5335-5339 in the House on February 15,1994. After being unanimously reported from the Senate Health Policy Committee, the full Senate unanimously passed the Senate package on March 1, 1994. The House Public Health Committee took up and unanimously reported a combination of the House and Senate bills, S.B. 961, 962, H.B. 5335, 5337, 5339. The House overwhelmingly approved the bills on June 8, 1994. The House and Senate gave final approval to the package on June 14, 1994.
On December 9, 1997, after over a year of working on and redrafting a second version of pain management bills, H.B. 4681 - 4686, the House Health Policy Committee adopted a watered down version of the original RLM supported bills. As introduced, the bills would have provided greater access to and coverage of multi-disciplinary pain management for the chronically ill. Although the bills were extremely watered down, RLM did not oppose the committee's action in order to ensure that the bills would not be further delayed in committee. The bills were then quickly taken up for the consideration the following day, December 9, 1997, on the House floor. RLM prepared and supported substitute bills to restore the package to it's original strength. Within a matter of hours, a massive lobbying effort of insurance, business and labor interests converged on the House and succeeded in defeating the RLM supported substitute bills. The weak bills then passed the House by a unanimous 105 - 0 vote, leaving efforts to restore the bills to their original strength for the Senate.
In April of 1998, efforts by Senator Bill VanRegenmorter and Senator Mike Rogers, including drafting a revised set of bills, began to put the pain management legislation on the front burner again.
On September 29, 1998, Senator Dale Shugars, chair of the Senate Health Policy Committee, held a work group with Right to Life and the numerous special interests involved in the pain management bills to begin working on the bills.
A major confrontation on the Senate floor was avoided between the House originated package and a stronger set of bills Right to Life of Michigan was promoting after leaders in both chambers agreed to form a House/Senate task force on pain management in exchange for RLM not pressing for a vote on the RLM supported substitutes.
Due to mounting pressure to pass pain management legislation by the end of the year, the Senate Health Policy Committee sent the bills to the full Senate on 12/1/98, by a vote of 5-0. The Senate unanimously approved the six-bill package on 12/3/98. The House then concurred in the package on 12/8/98, sending the bills to the governor.
Overview of the Bills