Rep. Emily Dievendorf

Maddy summaryHB 5353 requires Michigan health insurers to cover all immunizations listed in the state's Public Health Code (MCL 333.9227) under health insurance policies. This applies to insurers offering policies in Michigan, directly affecting both insurers and policyholders who need these vaccinations. The bill adds a new section (3406uu) to the insurance code, mandating coverage for recommended vaccines without additional cost to the patient. The law will only take effect if companion bill HB 5351 is also enacted.

Maddy summaryHB 5347 updates Michigan school immunization reporting rules. It requires public school districts to submit two annual reports (by November 1 and February 1) detailing vaccination status for new K-12 students and grade 7 enrollees, with a focus on deidentified, aggregated data. Districts must maintain 90% compliance for initial enrollments and 95% for annual reports to avoid penalties. Non-compliance triggers a 5% withholding of school funds until standards are met, with full forfeiture if unresolved by year-end. The bill directly affects all public school districts and intermediate districts in Michigan.

Maddy summaryHB 5352 requires Michigan's Department of Health to consult the Michigan Advisory Committee on Immunizations on three key areas: reviewing childhood vaccine requirements based on recommendations from major medical organizations (like the CDC and AAP), creating evidence-based materials about vaccine risks and benefits, and identifying policy changes to reduce preventable diseases. This bill directly affects the Department of Health and the Advisory Committee by mandating their collaboration on vaccine policy updates. The key mechanism is a formal consultation requirement for reviewing vaccine lists, developing public information, and proposing policy adjustments. The bill aims to align Michigan's immunization policies with current scientific guidelines from recognized health authorities. It does not change existing vaccine requirements but establishes a process for future updates.

Maddy summaryHB 5345 requires child care centers in Michigan serving more than 12 children to track and report immunization rates for enrolled children and staff starting June 1, 2028. It mandates that centers provide parents with anonymous, aggregated data on vaccination status (fully vaccinated, partially vaccinated, or exempt due to medical, religious, or philosophical reasons) and post this information publicly on their website or in a visible location at the facility. The bill applies only to licensed child care centers, not group or family child care homes, and requires centers to convert all data to anonymous, aggregated form before sharing. This is a transparency measure focused on providing parents with clear, factual information about immunization rates within the child care setting.

Maddy summaryHB 5351 amends Michigan's Public Health Code to update how the state health department creates rules for childhood immunizations. It requires the department to consider recommendations from major health organizations like the CDC, American Academy of Pediatrics, and others when setting immunization rules, including minimum ages, doses, and school requirements. If recommendations from these groups conflict, the department must consult Michigan's advisory committee on immunizations. The bill also mandates that immunization requirements stay at least as strict as those in effect on January 1, 2025, if federal guidelines change. This bill directly affects the health department's rulemaking process and impacts schools, healthcare providers, and families managing childhood vaccination schedules.

Maddy summaryHB 5346 amends Michigan's Public Health Code to update access to the Michigan Care Improvement Registry (formerly the Childhood Immunization Registry). It requires the state department to allow users to query and extract immunization records by school building, directly affecting school health staff and administrators. The bill also adds a provision enabling individuals aged 20 or older to request that their personal immunization records be made inaccessible in the registry upon submitting a written request. These changes focus on improving data accessibility for school-based health management while enhancing privacy options for adult patients.

Maddy summaryHB 5354 amends Michigan's Public Health Code to allow pharmacists and community-based organizations to dispense or administer opioid antagonists (like naloxone) under standing orders issued by the chief medical executive during public health emergencies or when prescription requirements conflict with public health needs. It specifies conditions for issuing these orders - such as protecting public health during emergencies or ensuring access without individual prescriptions - and requires detailed documentation in each standing order. The bill also provides liability protection for pharmacists, community organizations, and health department staff acting under these orders, unless the action involves willful misconduct or gross negligence. Standing orders expire after 1 year (for non-emergency uses) or 6 months (for emergencies), with extensions requiring public justification on the state health department website.

Maddy summaryHB 5333 increases penalties for environmental violations related to landfills under Michigan's Natural Resources and Environmental Protection Act. It raises the maximum administrative, civil, and criminal fines for landfill owners or operators from $10,000 to $100,000 per violation (or per day of ongoing violation), and increases the total administrative fine cap for landfill operators from $100,000 to $1,000,000. The bill amends specific sections (5529, 5530, 5531) to implement these higher fines for violations including failure to obtain permits, noncompliance with permits, or other regulatory breaches. These changes directly affect landfill operators by imposing significantly higher financial penalties for violations. The bill does not create new requirements but increases enforcement consequences for existing regulatory breaches.

Maddy summaryHB 4108 amends Michigan's tort law to grant legal immunity to individuals who provide emergency bleeding control during medical crises. It directly protects ordinary citizens (not just professionals) who act in good faith to stop severe bleeding, such as at accident scenes or public events. The key provision shields these helpers from lawsuits for unintentional harm caused while applying bleeding control techniques, like using tourniquets or pressure dressings. This change applies specifically to bleeding control efforts during emergencies, not general emergency assistance.

Maddy summaryHB 4220 amends Michigan's veterinary practice law (MCL 333.1101 - 333.25211) by adding a new section (18818) that establishes requirements for the veterinarian-client-patient relationship. The bill directly affects veterinarians and pet owners by defining the legal obligations within this relationship. Key provisions require veterinarians to maintain clear communication and documentation when providing care, ensuring patient welfare and professional accountability. The bill passed the House overwhelmingly (84-17) and was transmitted to the Regulatory Affairs Committee for further review.