Health facilities: other; surgical smoke plume evacuation plan; require. Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding sec. 20187.
SB 443 requires Michigan health facilities performing specific surgical procedures to implement policies mandating the use of surgical smoke plume evacuation systems. It directly affects hospitals and clinics conducting procedures involving heat-producing equipment (like electrosurgery, lasers, or other heated instruments), which generate harmful smoke containing vapor, gas, or particles. The bill mandates that facilities develop and enforce policies ensuring evacuation systems capture and neutralize the smoke at the surgical site before it can contact staff or patients' eyes or airways. This creates a concrete safety requirement to protect healthcare workers and patients from exposure to potentially hazardous surgical smoke.
Bill status
passed
3 of 5 stages cleared
Introduction
Jun 2025
Committee Review
Nov 2025
Senate Passage
Nov 2025
House Passage
Governor
Introduced Jun 25, 2025
Last action Nov 13, 2025
Maddy AI version diff · 1 comparison
What changed between versions
Senate Introduced Bill
→
As Passed by the Senate
·
2 edits
·
Nov 13, 2025
MINOR
This bill amends Michigan's Public Health Code to require health facilities and agencies performing surgical procedures with heat-producing equipment to develop and implement policies mandating the use of surgical smoke plume evacuation systems. The amendment clarifies the definitions of key terms including surgical procedures using heat-producing equipment, surgical smoke plume, and surgical smoke plume evacuation systems to ensure consistent application of the new requirement.
Scope change
The bill's scope remains focused on health facilities and agencies performing specific surgical procedures, with no change to applicability beyond the existing framework.
REQUIREMENT
Added a new requirement for health facilities and agencies to develop and implement policies requiring surgical smoke plume evacuation systems during procedures using heat-producing equipment.
DEFINITION
Added formal definitions for 'surgical procedure using heat-producing equipment,' 'surgical smoke plume,' and 'surgical smoke plume evacuation system' to clarify the scope of the new requirement.
Floor votes · Senate Nov 13, 2025
How they voted
34–3
Passed · 1 other
Total votes 38
Nov 13, 2025
D
Democratic19
100% Yea
R
Republican19
78% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
10
Key actions
3
Committee
5
Nov 13, 2025
Committee
referred to Committee on Health Policy
lower
Nov 13, 2025
Introduced
received on 11/13/2025
lower
Nov 13, 2025
Upper · Passed
PASSED ROLL CALL # 298 YEAS 33 NAYS 3 EXCUSED 1 NOT VOTING 0
upper
Oct 30, 2025
Upper · Passed
REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITHOUT AMENDMENT(S)
upper
Oct 29, 2025
Committee
REFERRED TO COMMITTEE OF THE WHOLE
upper
Oct 29, 2025
Upper · Passed
REPORTED FAVORABLY WITHOUT AMENDMENT 10/28/2025
upper
Jun 25, 2025
Committee
REFERRED TO COMMITTEE ON REGULATORY AFFAIRS
upper
Jun 25, 2025
Introduced
INTRODUCED BY SENATOR SEAN MCCANN
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Sean McCann
DDemocratic
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