HOUSE BILL No. 4794

 

June 3, 2003, Introduced by Reps. Woodward, Vagnozzi and Tobocman and referred to the Committee on Health Policy.

        

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1978 PA 368, entitled                                             

                                                                                

    "Public health code,"                                                       

                                                                                

    (MCL 333.1101 to 333.25211) by adding part 97.                              

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1                   PART 97. EMERGENCY CONTRACEPTIVES                           

                                                                                

2       Sec. 9701.  This part shall be known and may be cited as the                

                                                                                

3   "emergency contraceptive education act".                                    

                                                                                

4       Sec. 9703.  The legislature finds all of the following:                     

                                                                                

5       (a) Each year, 3,000,000 pregnancies, or 1/2 of all                         

                                                                                

6   pregnancies, in the United States are unintended, and 1/2 of all            

                                                                                

7   of these unintended pregnancies end in abortion.                            

                                                                                

8       (b) That the federal food and drug administration has                       

                                                                                

9   declared emergency contraception to be safe and effective in                

                                                                                

10  preventing unintended pregnancy, reducing the risk of unintended            

                                                                                

11  pregnancy by as much as 89%.                                                

                                                                                


                                                                                

1       (c) That the most commonly used forms of emergency                          

                                                                                

2   contraception are regimens of ordinary birth control pills taken            

                                                                                

3   within 72 hours of unprotected sexual intercourse or                        

                                                                                

4   contraceptive failure.                                                      

                                                                                

5       (d) That emergency contraception, also known as postcoital                  

                                                                                

6   contraception, is a responsible means of preventing pregnancy               

                                                                                

7   that works like other hormonal contraception to delay ovulation,            

                                                                                

8   to prevent fertilization, or to prevent implantation.                       

                                                                                

9       (e) That emergency contraception does not cause abortion and                

                                                                                

10  will not affect an established pregnancy.                                   

                                                                                

11      (f) That it is estimated that the use of emergency                          

                                                                                

12  contraception could cut the number of unintended pregnancies in             

                                                                                

13  half, thereby reducing the need for abortion.                               

                                                                                

14      (g) That emergency contraceptive use in the United States                   

                                                                                

15  remains low, and 9 in 10 women of reproductive age remain unaware           

                                                                                

16  of the method of emergency contraception.                                   

                                                                                

17      (h) That although the American college of obstetricians and                 

                                                                                

18  gynecologists recommends that doctors routinely offer women of              

                                                                                

19  reproductive age a prescription for emergency contraceptive pills           

                                                                                

20  during their annual visit, only 1 in 5 obstetricians and                    

                                                                                

21  gynecologists routinely discuss emergency contraception with                

                                                                                

22  their patients, suggesting the need for greater health care                 

                                                                                

23  provider and patient education.                                             

                                                                                

24      (i) That in light of their safety and efficacy, both the                    

                                                                                

25  American medical association and the American college of                    

                                                                                

26  obstetricians and gynecologists have endorsed more widespread               

                                                                                

27  availability of emergency contraceptive pills, and have                     


                                                                                

1   recommended that emergency contraceptive pills be available                 

                                                                                

2   without a prescription.                                                     

                                                                                

3       (j) That "healthy people 2010", published by the office of                  

                                                                                

4   the surgeon general of the United States, establishes a 10-year             

                                                                                

5   national public health goal of increasing the proportion of                 

                                                                                

6   health care providers who provide emergency contraception to                

                                                                                

7   their patients.                                                             

                                                                                

8       (k) That public awareness campaigns targeting women and                     

                                                                                

9   health care providers will help remove many of the barriers to              

                                                                                

10  emergency contraception and will help bring this important means            

                                                                                

11  of pregnancy prevention to American women.                                  

                                                                                

12      Sec. 9705.  (1) As used in this part:                                       

                                                                                

13      (a) "Department" means the department of community health.                  

                                                                                

14      (b) "Emergency contraceptive" means a prescription drug that                

                                                                                

15  meets both of the following criteria:                                       

                                                                                

16                                                                               (i) Is used after sexual relations.                                                 

                                                                                

17      (ii) Prevents pregnancy by preventing ovulation,                             

                                                                                

18  fertilization of an egg, or implantation of an egg in a uterus.             

                                                                                

19      (c) "Health care professional" means an individual who is                   

                                                                                

20  licensed or registered in a health profession under article 15.             

                                                                                

21      (d) "Institution of higher education" means a degree or                     

                                                                                

22  certificate granting public or private college, university,                 

                                                                                

23  junior college, or community college.                                       

                                                                                

24      (e) "Prescription drug" means that term as defined in section               

                                                                                

25  17708.                                                                      

                                                                                

26      (f) "Secretary" means the secretary of health and human                     

                                                                                

27  services.                                                                   


                                                                                

1       (2) Article 1 contains general definitions and principles of                

                                                                                

2   construction applicable to all articles in this code.                       

                                                                                

3       Sec. 9707.  (1) Subject to subsection (3), the department                   

                                                                                

4   shall develop and disseminate to the public information on                  

                                                                                

5   emergency contraceptives.                                                   

                                                                                

6       (2) The department may disseminate information developed                    

                                                                                

7   under subsection (1) directly or through arrangements with                  

                                                                                

8   nonprofit organizations, consumer groups, institutions of higher            

                                                                                

9   education, federal, state, or local agencies, health facilities,            

                                                                                

10  and the media.                                                              

                                                                                

11      (3) The department shall include in the information                         

                                                                                

12  disseminated under subsection (1), at a minimum, a description of           

                                                                                

13  emergency contraceptives, and an explanation of the use, safety,            

                                                                                

14  efficacy, and availability of emergency contraceptives.                     

                                                                                

15      Sec. 9709.  (1) The department, in consultation with major                  

                                                                                

16  medical and public health organizations, shall develop and                  

                                                                                

17  disseminate to health care professionals and health facilities or           

                                                                                

18  agencies information on emergency contraceptives.                           

                                                                                

19      (2) The department shall include in the information                         

                                                                                

20  disseminated under subsection (1), at a minimum, all of the                 

                                                                                

21  following:                                                                  

                                                                                

22      (a) Information describing the use, safety, efficacy, and                   

                                                                                

23  availability of emergency contraceptives.                                   

                                                                                

24      (b) A recommendation regarding the use of emergency                         

                                                                                

25  contraceptives in specific, appropriate cases.                              

                                                                                

26      (c) Information explaining how to obtain additional copies                  

                                                                                

27  of the information for distribution to the patients of the health           


                                                                                

1   care professionals and health facilities or agencies.