Michigan Compiled Laws
368-1978-2-24 - Part 24 Local Health Departments (333.2401...333.2498)
Section 333.2453.amended - Epidemic; Emergency Order and Procedures; Involuntary Detention and Treatment; Visitation Within Qualified Health Care Facility; Linda; Definitions.

***** 333.2453.amended THIS AMENDED SECTION IS EFFECTIVE MARCH 29, 2023 *****
Sec. 2453.
(1) Subject to subsections (3) and (4), if a local health officer determines that control of an epidemic is necessary to protect the public health, the local health officer by emergency order may make a declaration of that determination and may within that emergency order prohibit the gathering of people for any purpose and establish procedures to be followed by persons, including a local governmental entity, during the epidemic to ensure continuation of essential public health services and enforcement of health laws. Emergency procedures are not limited to this code.
(2) A local health department or the department may provide for the involuntary detention and treatment of individuals with hazardous communicable disease in the manner prescribed in sections 5201 to 5210.
(3) Beginning June 1, 2023, an emergency order issued under subsection (1) may prohibit or otherwise limit any visitation of a patient or resident in a qualified health care facility for a period not to exceed 30 days after the date the local health officer first declares that control of the epidemic is necessary to protect the public health.
(4) Beginning June 1, 2023, because LINDA, after 30 days after the local health officer first declares that control of an epidemic is necessary to protect the public health in an emergency order issued under subsection (1), all of the following apply:
(a) Subject to subdivision (b), the emergency order must not prohibit or otherwise limit a patient representative from visiting a patient or resident with a cognitive impairment in a qualified health care facility.
(b) The emergency order may do any of the following:
(i) Implement reasonable safety measures before or during a patient representative's visit to a patient or resident with a cognitive impairment in the qualified health care facility, including, but not limited to, prescreening or testing a patient representative, imposing a visit duration on a patient representative, restricting the number of patient representatives who may visit at 1 time, and requiring a patient representative to preschedule a visit.
(ii) Establish procedures for the visitation of a patient or resident with a cognitive impairment in a qualified health care facility if the local health officer determines that establishing the procedures is vital to maintaining a safe health care environment. The local health officer shall consult with qualified health care facilities before establishing procedures under this subparagraph.
(5) As used in this section:
(a) "Assisted living facility" means an unlicensed entity that offers community-based residential care for at least 3 unrelated adults who are 65 years of age or older or who need assistance with activities of daily living that are available 24 hours a day, including, but not limited to, personal, supportive, or intermittent health-related services.
(b) "Cognitive impairment" means a deficiency in the patient's or resident's mental capability or loss of intellectual ability, either of which affects the patient's or resident's comprehension, decision-making, reasoning, adaptive functioning, judgment, learning, or memory and that materially affects the patient's or resident's ability to function. A cognitive impairment may be a temporary short-term change in cognition, a medically induced change in cognition, or a long-term ongoing change in cognition.
(c) "Family member" means an individual related to a patient or resident by blood, marriage, or adoption who is within the fifth degree of kinship to the patient or resident.
(d) "LINDA" means loved individuals need dedicated attention.
(e) "Patient representative" means any of the following:
(i) A family member.
(ii) A patient advocate as that term is defined in section 1106 of the estates and protected individuals code, 1998 PA 386, MCL 700.1106.
(iii) An individual who is named as the attorney-in-fact under a durable or nondurable power of attorney for the patient or resident.
(f) "Qualified health care facility" means any of the following:
(i) A health facility or agency as that term is defined in section 20106.
(ii) An assisted living facility.
(iii) A physician's private practice office.
History: 1978, Act 368, Eff. Sept. 30, 1978 ;-- Am. 2022, Act 274, Eff. Mar. 29, 2023 Popular Name: Act 368

Structure Michigan Compiled Laws

Michigan Compiled Laws

Chapter 333 - Health

Act 368 of 1978 - Public Health Code (333.1101 - 333.25211)

Article 2 - Administration (333.2201...333.3625)

368-1978-2-24 - Part 24 Local Health Departments (333.2401...333.2498)

Section 333.2401 - Meanings of Words and Phrases; General Definitions and Principles of Construction.

Section 333.2403 - Definitions; a to D.

Section 333.2406 - Definitions; L.

Section 333.2408 - Definitions; R to U.

Section 333.2411 - Division of Powers and Duties.

Section 333.2413 - County Health Department; County Board of Health.

Section 333.2415 - Creation of District Health Department; Composition of District Board of Health.

Section 333.2417 - Claim Against District Health Department; Audit; Allowance of Claim; Report; Appeal; Apportionment of Allowed Claims; Formula; Voucher.

Section 333.2419 - Employment of Personnel; Consolidation of Functions.

Section 333.2421 - City Health Department; Creation; Powers and Duties.

Section 333.2422 - Selection of Option by City; Notice of Intent.

Section 333.2423 - Selection of Option by City; Failure to Notify Department; Continuing Local Financial Support for Affected Services.

Section 333.2424 - Selection of Option by City; Planning Period; Transition Plan; Responsibility for Local Cost of Required Services; Approval of Developed Plan; Disposition of Federal Funds.

Section 333.2426 - Real and Personal Property of Village or Township Board or Department of Health; Title; Use and Administration.

Section 333.2428 - Local Health Officer; Appointment; Qualifications; Powers and Duties.

Section 333.2431 - Local Health Department; Requirements; Report; Reviewing Plan for Organization of Local Health Department; Waiver.

Section 333.2433 - Local Health Department; Powers and Duties Generally.

Section 333.2435 - Local Health Department; Additional Powers.

Section 333.2437 - Exercise by Department of Public Health of Power Vested in Local Health Department.

Section 333.2441 - Adoption of Regulations; Purpose; Approval; Effective Date; Stringency; Conflicting Regulations.

Section 333.2442 - Adoption of Regulation; Notice of Public Hearing.

Section 333.2443 - Violation of Regulation or Order; Misdemeanor; Penalty.

Section 333.2444 - Fees for Services; Expenses and Compensation.

Section 333.2446 - Inspection or Investigation.

Section 333.2448 - Intergovernmental Contracts; Existing Contracts Not Affected.

Section 333.2451 - Imminent Danger to Health or Lives; Informing Individuals Affected; Order; Noncompliance; Petition to Restrain Condition or Practice; “Imminent Danger” and “Person” Defined.

Section 333.2453 - Epidemic; Emergency Order and Procedures; Involuntary Detention and Treatment.

Section 333.2453.amended - Epidemic; Emergency Order and Procedures; Involuntary Detention and Treatment; Visitation Within Qualified Health Care Facility; Linda; Definitions.

Section 333.2455 - Building or Condition Violating Health Laws or Constituting Nuisance, Unsanitary Condition, or Cause of Illness; Order; Noncompliance; Warrant; Assessment and Collection of Expenses; Liability; Judicial Order; Other Powers Not Affe...

Section 333.2458 - Establishment of Cemetery; Requirements; Determinations; Approval; Disposition of Plats; Vacating Cemetery; Removal and Reinterment of Bodies and Remains.

Section 333.2461 - Violation; Schedule of Monetary Civil Penalties; Issuance, Contents, and Delivery of Citation.

Section 333.2462 - Citation; Petition for Administrative Hearing; Decision of Local Health Officer; Review; Petition for Judicial Review; Civil Penalty.

Section 333.2463 - Appearance Tickets.

Section 333.2465 - Injunctive Action; Liability for Damages.

Section 333.2471 - Program; Establishment; Objectives.

Section 333.2472 - Services Eligible for Cost Sharing; Criteria and Procedures for Additional Services; Minimum Standards for Delivery of Services.

Section 333.2473 - Specific Objectives of Required Services; Demonstrating Provision of Service; Contracts.

Section 333.2475 - Reimbursement for Costs of Services; Equitable Distribution; Schedule; Local Expenditure in Excess of Prior Appropriation.

Section 333.2476 - Reimbursement of Certain Expenditures Prohibited.

Section 333.2477 - Local Governing Entity Not to Receive Less Than Received Under Prior Provisions; Providing, Designating, and Reallocating Funds; Accountability.

Section 333.2479 - Criteria for Determining Costs for Services.

Section 333.2481 - Condition for Approval of Funding.

Section 333.2482 - Minimum Expenditure for Health Services; Waiving Maintenance of Local Funding; Certain Services Considered Health Services.

Section 333.2483 - Conditions for Reimbursement.

Section 333.2484 - Agreement Implementing Standards; Basis for Reimbursement; Operating Advance; Adjustments.

Section 333.2486 - Notice of Appeal; Informal Conference; Reaffirming, Modifying, or Revoking Decision; Hearing; Petition for Redress.

Section 333.2488 - Appropriation Request to Include Funds for Reimbursement of Local Health Departments; Basis of Sums Requested.

Section 333.2490 - Administration of MCL 333.2471 to 333.2498.

Section 333.2492 - Status Report; Appropriation for Development and Implementation of Evaluation and Related Training.

Section 333.2495 - Rules; Determinations; Review and Comment.

Section 333.2497 - Administrative Compliance Order.

Section 333.2498 - Petition for Administrative Hearing; Finality of Order or Compliance Date; Reaffirming, Modifying, or Revoking Order; Modifying Time for Compliance; Petition for Writ of Mandamus.