HOUSE BILL No. 4084 January 28, 1999, Introduced by Reps. Law, Julian, Raczkowski, DeWeese, Gosselin and Richner and referred to the Committee on Criminal Law and Corrections. A bill to amend 1953 PA 181, entitled "An act relative to investigations in certain instances of the causes of death within this state due to violence, negligence or other act or omission of a criminal nature or to protect public health; to provide for the taking of statements from injured per- sons under certain circumstances; to abolish the office of coro- ner and to create the office of county medical examiner in cer- tain counties; to prescribe the powers and duties of county medi- cal examiners; to prescribe penalties for violations of the pro- visions of this act; and to prescribe a referendum thereon," by amending sections 2, 3, and 5 (MCL 52.202, 52.203, and 52.205), section 5 as amended by 1980 PA 401, and by adding section 5b. THE PEOPLE OF THE STATE OF MICHIGAN ENACT: 1 Sec. 2. (1)CountyA COUNTY medicalexaminersEXAMINER 2 or deputy county medicalexaminersEXAMINER shallmake inves-3tigations as toINVESTIGATE the cause and manner of death in 4allEACH OF THE FOLLOWING cases:of persons who have come to5their death00224'99 CPD 2 1 (A) THE CASE OF A PERSON WHO HAS DIED by violence.; or2 (B) THE CASE OF A PERSON whose death was unexpected.; or3 (C) THE CASE OF A PERSON WHO HAS DIED without medical 4 attendance during the 48 hoursprior toIMMEDIATELY PRECEDING 5 the hour of death, unless the attending physician, if any, is 6 able to ACCURATELY determineaccuratelythe cause of death.;7or8 (D) THE CASE OF A PERSON WHO HAS DIED as the result of 9 HAVING an abortion, whether self-induced or otherwise. 10 (E) THE CASE OF A PERSON WHO HAS DIED AS A RESULT OF 1 OR 11 MORE INJURIES SUSPECTED TO HAVE BEEN CAUSED BY A FIRE. 12 (2) IfanyA prisoner inanyA county or city jail dies 13 whilesoimprisoned, the county medical examiner, upon being 14 notified of the death of the prisoner, shallmake an examination15uponEXAMINE the body of the deceased prisoner. 16 Sec. 3.Any physician and anyA PHYSICIAN, A person in 17 charge ofanyA hospital orinstitutionOTHER HEALTH 18 FACILITY, oranyANOTHER person whoshall haveHAS first 19 knowledge ofthe1 OR MORE OF THE FOLLOWING SHALL IMMEDIATELY 20 NOTIFY THE COUNTY MEDICAL EXAMINER OR DEPUTY COUNTY MEDICAL 21 EXAMINER OF THAT FACT: 22 (A) THE death ofanyA person whoshall havedied sud- 23 denly, unexpectedly, accidentally, violently, or as the result of 24anysuspicious circumstances., or25 (B) A PERSON WHO DIED AS A RESULT OF 1 OR MORE INJURIES SUS- 26 PECTED TO HAVE BEEN CAUSED BY A FIRE. 00224'99 3 1 (C) A PERSON WHO DIED without medical attendance during the 2 48 hoursprior toIMMEDIATELY PRECEDING the hour of death, 3 unless the attending physician, if any, is able to determine 4 accurately the cause of death., or in any5 (D) A case of death due to what is commonly known as an 6 abortion, whether self-induced or otherwise., shall notify the7county medical examiner or his deputy immediately of the death.8 Sec. 5. (1)WhenIF a county medical examiner OR DEPUTY 9 COUNTY MEDICAL EXAMINER has notice thatthere has been found10within his or her county or districtthe body of a person who 11is supposed to have come to his or her deathMAY HAVE DIED in a 12 manneras indicatedDESCRIBED in section 3 HAS BEEN FOUND 13 WITHIN THE COUNTY MEDICAL EXAMINER'S GEOGRAPHICAL JURISDICTION, 14 the COUNTY medical examiner OR DEPUTY COUNTY MEDICAL EXAMINER 15 shall take charge of the body., and if, on view ofIF AFTER 16 EXAMINING the body andpersonal inquiry intoINVESTIGATING the 17 cause and manner of the death,the COUNTY medical examiner OR 18 DEPUTY COUNTY MEDICAL EXAMINER considers a further examination 19 necessary,the county medical examiner or a deputyHE OR SHE 20 may cause the dead body to be removed to the public morgue. If 21 the investigation is SOLELY for the reasononlythat the dead 22 person had no medical attendance during THE 48 hoursbefore23 IMMEDIATELY PRECEDING the hour of death, and if the dead person 24 had chosen not to have medical attendance because of his or her 25 bona fide held religious convictions, removalshallIS notbe26 required unless there is evidence of other conditions 27stipulatedDESCRIBED in section 3. If there is no public 00224'99 4 1 morgue,thenthe body may be removed to a private morgueas2 DESIGNATED BY the county medical examinerhas designatedOR 3 DEPUTY COUNTY MEDICAL EXAMINER. 4 (2) The COUNTY medical examiner OR DEPUTY COUNTY MEDICAL 5 EXAMINER may designate apersonMEDICAL EXAMINER INVESTIGATOR 6 appointedpursuant toUNDER section 1a(2) to take charge of the 7 body, make pertinent inquiry, note the circumstances surrounding 8 the death, and, if considered necessary, cause the body to be 9 transported to the morgue for examination by the COUNTY medical 10 examiner OR DEPUTY COUNTY MEDICAL EXAMINER. The COUNTY medical 11 examiner OR DEPUTY COUNTY MEDICAL EXAMINER shall maintain a list 12 ofpersonsMEDICAL EXAMINER INVESTIGATORS appointedpursuant13toUNDER section 1a(2) and their qualifications,whichAND 14 shallbe filedFILE THE LIST with the local law enforcement 15 agencies.The personA MEDICAL EXAMINER INVESTIGATOR appointed 16pursuant toUNDER section 1a(2) shall not be an agent or 17 employee ofanyA person or funeral establishment licensed 18 underAct No. 268 of the Public Acts of 1949, as amended, being19sections 338.861 to 338.875 of the Michigan Compiled LawsTHE 20 OCCUPATIONAL CODE, 1980 PA 299, MCL 339.101 TO 339.2721, receive, 21 directly or indirectly,anyremuneration in connection with the 22 disposition of the body, or makeanyfuneral or burial arrange- 23 ments without approval of the next of kin, ifthey are found24 KNOWN, or the person responsible for the funeral expenses. 25 (3)TheEXCEPT AS OTHERWISE PROVIDED IN SECTION 5B, THE 26 county medical examiner may perform or direct to be performed an 27 autopsy and shall carefully reduce or cause to be reduced to 00224'99 5 1 writingeveryEACH fact and circumstance tending to show the 2 condition of the body and the cause and manner of death, 3together withAND SHALL INCLUDE IN THAT WRITING the names and 4 addresses ofany personsEACH PERSON present at the autopsy. 5, which record he or she shall subscribe.THE PERSON PERFORMING 6 THE AUTOPSY SHALL SUBSCRIBE THE WRITING DESCRIBED IN THIS 7 SUBSECTION. 8 (4) EXCEPT AS OTHERWISE PROVIDED IN SECTION 5B, UPON RECEIPT 9 OF A WRITTEN REQUEST FROM A LAW ENFORCEMENT AGENCY OR PROSECUTING 10 ATTORNEY INVESTIGATING THE DEATH OF AN INDIVIDUAL WHO DIED AS A 11 RESULT OF 1 OR MORE INJURIES SUSPECTED TO HAVE BEEN CAUSED BY A 12 FIRE, THE COUNTY MEDICAL EXAMINER OR HIS OR HER DESIGNEE MAY PER- 13 FORM AN AUTOPSY UPON THE BODY OF THE INDIVIDUAL. IF THE COUNTY 14 MEDICAL EXAMINER DOES NOT PERFORM OR ORDER THE PERFORMANCE OF AN 15 AUTOPSY PURSUANT TO A REQUEST RECEIVED UNDER THIS SUBSECTION, THE 16 COUNTY MEDICAL EXAMINER SHALL EXPLAIN TO THE REQUESTER IN WRITING 17 WITHIN 48 HOURS OF RECEIVING THE WRITTEN REQUEST FOR THE AUTOPSY 18 THAT THE DEATH WAS DIRECTLY CAUSED BY FIRE AND THAT AN AUTOPSY 19 WAS NOT REQUIRED TO DETERMINE OTHER POSSIBLE CAUSES OF DEATH. IF 20 THE LAW ENFORCEMENT AGENCY OR PROSECUTING ATTORNEY BELIEVES THAT 21 AN AUTOPSY WOULD CONTRIBUTE MATERIALLY TO THE INVESTIGATION, THE 22 LAW ENFORCEMENT AGENCY OR PROSECUTING ATTORNEY MAY FILE A PETI- 23 TION WITH A COURT OF COMPETENT JURISDICTION FOR A REVIEW OF THE 24 COUNTY MEDICAL EXAMINER'S DECISION NOT TO PERFORM AN AUTOPSY. A 25 LAW ENFORCEMENT AGENCY OR PROSECUTING ATTORNEY MUST FILE A PETI- 26 TION UNDER THIS SUBSECTION WITHIN 24 HOURS AFTER RECEIVING ORAL 27 OR WRITTEN NOTICE OF THE COUNTY MEDICAL EXAMINER'S DECISION NOT 00224'99 6 1 TO PERFORM THE AUTOPSY OR WITHIN 24 HOURS AFTER THE COUNTY 2 MEDICAL EXAMINER FAILS TO RESPOND WITHIN THE 48-HOUR TIME LIMIT. 3 THE COURT IN WHICH THE PETITION IS FILED SHALL HOLD A HEARING ON 4 THE PETITION WITHIN 48 HOURS AFTER THE PETITION IS FILED. IF THE 5 COURT DETERMINES THAT AN AUTOPSY WOULD CONTRIBUTE MATERIALLY TO 6 THE INVESTIGATION, THE COURT SHALL ORDER THE COUNTY MEDICAL 7 EXAMINER TO PERFORM THE AUTOPSY IMMEDIATELY AND TO TRANSMIT THE 8 RESULTS OF THE AUTOPSY TO THE PETITIONER WITHIN 24 HOURS AFTER 9 THE AUTOPSY IS PERFORMED AND ALL NECESSARY TESTS ARE COMPLETED. 10 (5)(4) TheEXCEPT AS PROVIDED IN SUBSECTION (6), THE 11 COUNTY medical examiner OR DEPUTY COUNTY MEDICAL EXAMINER shall 12 ascertain the identity of the deceased andnotifyimmediately 13 AND as compassionately as possible NOTIFY the next of kin of the 14 DECEDENT'S death and the location of the body.except that such15 (6) THE notification DESCRIBED IN SUBSECTION (5) is not 16 required if a person from the state police or acounty sheriff17department or a township police department or a municipal police18departmentLOCAL LAW ENFORCEMENT AGENCY states to the COUNTY 19 medical examiner that the notification has already occurred. The 20 county medical examiner may conduct an autopsy UNDER SUBSECTION 21 (3) if he or she determines that an autopsy reasonably appears to 22 be required pursuant to law.AfterEXCEPT AS OTHERWISE PRO- 23 VIDED IN SECTION 5B, AFTER the county medical examiner or a 24deputy or aperson from the state police or acounty sheriff25department or a township police department or a municipal police26departmentLOCAL LAW ENFORCEMENT AGENCY has made diligent effort 27 to locate and notify the next of kin,he or sheTHE COUNTY 00224'99 7 1 MEDICAL EXAMINER may order and conduct the autopsy with or 2 without the consent of the next of kin of the deceased. 3 (7)(5)The county medical examiner oraHIS OR HER 4 deputy shall keep a written record of the efforts to locate and 5 notify the next of kin for a period of 1 year from the date of 6 the autopsy.The county medical examiner shall, after any7 AFTER A required examination or autopsy, THE COUNTY MEDICAL 8 EXAMINER SHALL promptly deliver or return the body to relatives 9 or representatives of the deceased.or, ifIF there are no 10 relatives or representatives OF THE DECEASED known to the COUNTY 11 MEDICAL examiner, he or she may cause the body to bedecently12 buried, except that the medical examinerPURSUANT TO LAW, BUT 13 may retain, as long asmay beHE OR SHE DETERMINES necessary, 14anyA portion of the body believed by the COUNTY medical 15 examiner to be necessary for the detection ofanyA crime. 16 SEC. 5B. (1) SUBJECT TO SUBSECTION (2), A COUNTY MEDICAL 17 EXAMINER OR DEPUTY COUNTY MEDICAL EXAMINER SHALL NOT PERFORM AN 18 AUTOPSY ON THE BODY OF A DECEASED PERSON IF A RELATIVE OR FRIEND 19 OF THE DECEASED PERSON INFORMS THE COUNTY MEDICAL EXAMINER OR 20 DEPUTY COUNTY MEDICAL EXAMINER THAT AN AUTOPSY WOULD BE CONTRARY 21 TO THE DECEASED PERSON'S RELIGIOUS BELIEFS. 22 (2) A COUNTY MEDICAL EXAMINER OR DEPUTY COUNTY MEDICAL 23 EXAMINER MAY PERFORM AN AUTOPSY UNDER THE CIRCUMSTANCES DESCRIBED 24 IN SUBSECTION (1) IF THE COUNTY MEDICAL EXAMINER OR DEPUTY COUNTY 25 MEDICAL EXAMINER DETERMINES THAT THERE IS A COMPELLING PUBLIC 26 NECESSITY FOR THE AUTOPSY. IF THE COUNTY MEDICAL EXAMINER OR 27 DEPUTY COUNTY MEDICAL EXAMINER DETERMINES THAT THERE IS A 00224'99 8 1 COMPELLING PUBLIC NECESSITY FOR THE AUTOPSY, HE OR SHE SHALL NOT 2 PERFORM THE AUTOPSY FOR A PERIOD OF 48 HOURS AFTER MAKING THE 3 DETERMINATION OF COMPELLING PUBLIC NECESSITY. A COMPELLING 4 PUBLIC NECESSITY EXISTS FOR THE PURPOSES OF THIS SECTION IF 5 EITHER OF THE FOLLOWING CIRCUMSTANCES EXISTS: 6 (A) AN AUTOPSY IS NECESSARY FOR THE CONDUCT OF A CRIMINAL 7 INVESTIGATION BY A LAW ENFORCEMENT AGENCY. 8 (B) AN AUTOPSY IS NECESSARY TO DETERMINE THE CAUSE OF THE 9 DECEASED PERSON'S DEATH IN ORDER TO PROTECT AGAINST AN IMMEDIATE 10 AND SUBSTANTIAL THREAT TO THE PUBLIC HEALTH. 11 (3) DURING THE 48-HOUR PERIOD DESCRIBED IN SUBSECTION (2), A 12 RELATIVE OR FRIEND DESCRIBED IN SUBSECTION (1) MAY PETITION A 13 COURT OF COMPETENT JURISDICTION TO ENJOIN THE AUTOPSY. THE RELA- 14 TIVE OR FRIEND SHALL INFORM THE COUNTY MEDICAL EXAMINER OR DEPUTY 15 COUNTY MEDICAL EXAMINER IN WRITING OF THE PETITION. THE COURT IN 16 WHICH THE PETITION IS FILED SHALL CONDUCT A HEARING ON THE MATTER 17 WITHIN 48 HOURS OF THE FILING OF THE PETITION. IF THE COURT 18 FINDS THAT THERE IS A COMPELLING PUBLIC NECESSITY, THE COURT 19 SHALL ALLOW THE COUNTY MEDICAL EXAMINER OR DEPUTY COUNTY MEDICAL 20 EXAMINER TO PERFORM THE AUTOPSY. A COUNTY MEDICAL EXAMINER OR 21 DEPUTY COUNTY MEDICAL EXAMINER WHO PERFORMS AN AUTOPSY UNDER THIS 22 SECTION SHALL USE THE LEAST INTRUSIVE PROCEDURES ALLOWED UNDER 23 THE CIRCUMSTANCES. 00224'99 Final page. CPD