Bill Text: MI SB0365 | 2023-2024 | 102nd Legislature | Introduced
Bill Title: Health: occupations; examination and evaluation for purchase of contact lenses; allow to be in person or by telemedicine. Amends secs. 5553, 5555, 5557 & 5561 of 1978 PA 368 (MCL 333.5553 et seq.) & adds secs. 5560 & 5562.
Spectrum: Bipartisan Bill
Status: (Introduced) 2023-05-30 - Referred To Committee On Health Policy [SB0365 Detail]
Download: Michigan-2023-SB0365-Introduced.html
SENATE BILL NO. 365
A bill to amend 1978 PA 368, entitled
"Public health code,"
by amending sections 5553, 5555, 5557, and 5561 (MCL 333.5553, 333.5555, 333.5557, and 333.5561), as added by 2014 PA 269, and by adding sections 5560 and 5562.
the people of the state of michigan enact:
Sec. 5553. (1) "Contact lens" means a lens placed directly on the surface of the eye, regardless of whether it is intended to correct a visual defect. Contact lens includes, but is not limited to, a cosmetic, therapeutic, or corrective lens.
(2) "Department" means the department of licensing and regulatory affairs.
(3) "Diagnostic contact lens" means a contact lens used to determine a proper contact lens fit.
(4) "Examination Subject to section 5560, "examination and evaluation" means, for the purpose of writing a valid prescription, means an assessment of the ocular health and visual status of a patient that does not consist solely of objective refractive data or information generated by an automated refracting device or other automated testing device.
Sec. 5555. (1) "Licensee" means any of the following:
(a) A physician who is licensed or otherwise authorized to engage in the practice of medicine under part 170 and who specializes in eye care.
(b) A physician who is licensed or otherwise authorized to engage in the practice of osteopathic medicine and surgery under part 175 and who specializes in eye care.
(c) An optometrist who is licensed or otherwise authorized to engage in the practice of optometry under part 174.
(2) "Spectacles" means an optical instrument or device worn or used by an individual that has 1 or more lenses designed to correct or enhance vision to address the visual needs of the individual wearer and commonly known as glasses, including spectacles that may be adjusted by the wearer to achieve different types or levels of visual correction or enhancement.
(3) "Telemedicine" means the use of electronic media to link a patient with a licensee in a different location. To be considered telemedicine for purposes of this part, the licensee must be able to conduct an examination and evaluation of the patient via a health insurance portability and accountability act of 1996, Public Law 104-191, compliant, secure interactive audio or video, or both, telecommunications system, or through the use of store and forward online technology.
Sec. 5557. "Valid prescription" means 1 of the following, as applicable:
(a) For a contact lens, a written or electronic order by a licensee who has conducted an examination and evaluation of a patient and, for the initial contact lens prescription, has determined a satisfactory fit for the contact lens based on an analysis of the physiological compatibility of the lens on the cornea and the physical fit and refractive functionality of the lens on the patient's eye. To be a valid prescription under this subdivision, it must include at least all of the following information:
(i) A statement that the prescription is for a contact lens.
(ii) The contact lens type or brand name, or for a private label contact lens, the name of the manufacturer, trade name of the private label brand, and, if applicable, trade name of the equivalent or similar brand.
(iii) All specifications necessary to order and fabricate the contact lens, including power, material, base curve or appropriate designation, and diameter, if applicable.
(iv) The quantity of contact lenses to be dispensed.
(v) The number of refills.
(vi) Specific wearing instructions and contact lens disposal parameters, if any.
(vii) The patient's name.
(viii) The date of the examination and evaluation.
(ix) The date the prescription is originated.
(x) The prescribing licensee's name, address, and telephone number.
(xi) The prescribing licensee's written or electronic signature, or other form of authentication.
(xii) An expiration date of not less than 1 year from the date of the examination and evaluation or a statement of the reasons why a shorter time is appropriate based on the medical needs of the patient.
(b) For spectacles, a written or electronic order by a licensee who has examined and evaluated conducted an examination and evaluation of a patient. To be a valid prescription under this subdivision, it must include at least all of the following information:
(i) A statement that the prescription is for spectacles.
(ii) As applicable and as specified for each eye, the lens power including the spherical power, cylindrical power including axis, prism, and power of the multifocal addition.
(iii) Any special requirements, the omission of which would, in the opinion of the prescribing licensee, adversely affect the vision or ocular health of the patient. As used in this subparagraph, "special requirements" includes, but is not limited to, type of lens design, lens material, tint, or lens treatments.
(iv) The patient's name.
(v) The date of the examination and evaluation.
(vi) The date the prescription is originated.
(vii) The prescribing licensee's name, address, and telephone number.
(viii) The prescribing licensee's written or electronic signature, or other form of authentication.
(ix) An expiration date of not less than 1 year from the date of the examination and evaluation or a statement of the reasons why a shorter time is appropriate based on the medical needs of the patient.
Sec. 5560. An examination and evaluation may occur through telemedicine if all of the following requirements are met:
(a) The standard of care applicable to the licensee's profession for the examination and evaluation is maintained at the same level as if the examination and evaluation were performed in person.
(b) The patient has had an in-person examination and evaluation within the immediately preceding 2 years.
(c) The licensee is not writing an initial contact lens prescription for the patient or changing the refractive power of the patient's previous contact lens prescription.
Sec. 5561. (1) A person shall not do any of the following:
(a) Employ objective or subjective physical means to determine the accommodative or refractive condition or range of power of vision or muscular equilibrium of the human eye as the sole basis for issuing a prescription unless that activity is performed by a licensee or under the supervision of a licensee.
(b) Prescribe spectacles or contact lenses based on a determination described in subdivision (a) unless that activity is performed by a licensee.
(c) Dispense, give, or sell spectacles or contact lenses unless the spectacles or contact lenses are dispensed, given, or sold pursuant to a valid prescription.
(d) Use an automated refractor or other automated testing device to generate objective refractive data unless that use is by a licensee or under the supervision of a licensee.
(2) As used in this section, "supervision" means that term as defined in section 16109.
Sec. 5562. (1) A licensee and a person that sells contact lenses shall comply with the fairness to contact lens consumers act, 15 USC 7601 to 7610, and regulations promulgated under that act, 16 CFR part 315.
(2) A licensee and a person that sells spectacles shall comply with the eyeglass rule. As used in this subsection, "eyeglass rule" means 16 CFR part 456.
