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Michigan Legislature· SB 136PA 63 of 2025

Health: testing; notification of dense breast tissue; eliminate, and provide for other general amendments to the use of radiation machines, the official text

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Act
No. 63

Public
Acts of 2025

Approved
by the Governor

December
23, 2025

Filed
with the Secretary of State

December
23, 2025

EFFECTIVE
DATE:  Sine Die

(91st day after final adjournment of the 2025 Regular Session)

state of michigan

103rd Legislature

Regular session of 2025

Introduced by Senators Anthony, McCann, Johnson, Bayer,
Klinefelt, Chang, Geiss, Cavanagh, McMorrow and Shink

ENROLLED SENATE BILL No. 136

AN ACT to amend 1978 PA 368,
entitled “An act to protect and promote the public health; to codify, revise,
consolidate, classify, and add to the laws relating to public health; to
provide for the prevention and control of diseases and disabilities; to provide
for the classification, administration, regulation, financing, and maintenance
of personal, environmental, and other health services and activities; to create
or continue, and prescribe the powers and duties of, departments, boards,
commissions, councils, committees, task forces, and other agencies; to
prescribe the powers and duties of governmental entities and officials; to
regulate occupations, facilities, and agencies affecting the public health; to
regulate health maintenance organizations and certain third party
administrators and insurers; to provide for the imposition of a regulatory fee;
to provide for the levy of taxes against certain health facilities or agencies;
to promote the efficient and economical delivery of health care services, to
provide for the appropriate utilization of health care facilities and services,
and to provide for the closure of hospitals or consolidation of hospitals or
services; to provide for the collection and use of data and information; to
provide for the transfer of property; to provide certain immunity from
liability; to regulate and prohibit the sale and offering for sale of drug
paraphernalia under certain circumstances; to provide for the implementation of
federal law; to provide for penalties and remedies; to provide for sanctions
for violations of this act and local ordinances; to provide for an
appropriation and supplements; to repeal certain acts and parts of acts; to
repeal certain parts of this act; and to repeal certain parts of this act on
specific dates,” by amending sections 13501, 13521, 13522, and 13523 (MCL
333.13501, 333.13521, 333.13522, and 333.13523), sections 13501 and 13523 as
amended by 1994 PA 100, section 13521 as amended by 2018 PA 544, and section
13522 as amended by 2023 PA 138; and to repeal acts and parts of acts.

The People of the State of
Michigan enact:

Sec.
13501. (1) As used in this part:

(a)
“General license” means a license, effective
pursuant to rules promulgated by the department without the filing of an
application, to transfer, acquire, own, possess, or use quantities of, or
devices or equipment utilizing, radioactive material.

(b)
“Ionizing radiation” means gamma rays and
x-rays, alpha particles, beta particles, high speed electrons, neutrons,
protons, high speed ions, and other high speed nuclear particles.

(c)
“Mammography” means any of the following:

(i) Radiography of the breast for the
purpose of enabling a physician to determine the presence, size, location, and
extent of cancerous or potentially cancerous tissue in the breast.

(ii) Interventional mammography.

(d) “Person” means a person as that term is defined in
section 1106 or a governmental entity.

(e) “Radiation machine” means a machine, other than those
exempted by department rule, that emits ionizing radiation.

(f) “Radioactive material” means a solid, liquid, or gas
material that emits ionizing radiation spontaneously.

(g) “Radiography” means the making of a film or other record
of an internal structure of the body by passing x-rays or gamma rays through
the body to act on film or other image receptor.

(h) “Registration” means registration of a source of ionizing
radiation in writing with the department.

(i) “Source of ionizing radiation” means a device or material
that emits ionizing radiation.

(j) “Specific license” means a license issued to use,
manufacture, produce, transfer, receive, acquire, own, or possess quantities
of, or devices or equipment utilizing, radioactive material.

(2) In addition, article 1 contains general definitions and
principles of construction applicable to all articles in this code.

Sec.
13521. (1) The department shall promulgate rules providing for general licenses
or specific licenses or registration, or exemption from licensing or registration, for
radioactive materials and other sources of ionizing radiation. The rules must
provide for the amendment, suspension, or revocation of licenses. In connection
with those rules, subject to section 13527, the department may promulgate rules
to establish requirements for record keeping, permissible levels of exposure,
notification and reports of accidents, protective measures, technical
qualifications of personnel, handling, transportation, storage, waste disposal,
posting and labeling of hazardous sources and areas, surveys, and monitoring.

(2) The rules must not limit the intentional exposure of
patients to radiation for the purpose of lawful therapy or research conducted
by licensed health professionals.

Sec.
13522. (1) In promulgating rules under this part, the department shall avoid
requiring dual licensing, insofar as practical. Rules promulgated by the
department may provide for the recognition of other state or federal licenses
as the department considers desirable, subject to registration requirements
prescribed by the department. A person that, on the effective date of an
agreement under 1965 PA 54, MCL 3.801 to 3.802, possesses a license issued by
the federal government for a source of ionizing radiation of the type for which
this state assumes regulatory responsibility under the agreement, is considered
to possess an identical license issued under this part, which license expires
either 90 days after receipt of a written notice of termination from the
department or on the date of expiration stated in the federal license,
whichever occurs first.

(2) The department may promulgate rules to establish a
schedule of fees to be paid by applicants for licenses for radioactive
materials and devices and equipment utilizing the radioactive materials.

(3) Except as otherwise provided in this subsection, the
department may promulgate rules to establish a schedule of fees to be paid by
an applicant for a license for other sources of ionizing radiation and the
renewal of the license, and by a person possessing sources of ionizing
radiation that are subject to registration. The registration or registration
renewal fee for a radiation machine registered under this part is $108.45 for
the first veterinary or dental x-ray or electron tube and $60.17 for each additional
veterinary or dental x-ray or electron tube annually, or $180.83 annually per
nonveterinary or nondental x-ray or electron tube. The department shall not
assess a fee for the amendment of a radiation machine registration certificate.
In addition, the department shall assess a fee of $241.26 for each follow-up
inspection due to noncompliance during the same year. The department may accept
a written certification from the licensee or registrant that the items of
noncompliance have been corrected instead of performing a follow-up inspection.
If the department does not inspect a source of ionizing radiation for a period
of 5 consecutive years, the licensee or registrant of the source of ionizing
radiation does not have to pay further license or registration fees as to that
source of ionizing radiation until the first license or registration renewal
date following the time an inspection of the source of ionizing radiation is
made.

(4) A fee collected under this part must be deposited in the
state treasury and credited to the general fund of this state.

(5) The department shall assess the following
nonrefundable fees in connection with mammography inspection:

(a) Inspection, per
radiation machine..............................................................................

$

241.26

(b) Follow-up inspection
due to noncompliance, per radiation machine........................

$

241.26

(6) Except as otherwise provided in
subsection (3), the department shall not waive a fee required under this
section.

(7) The department shall adjust on an annual basis the fees
prescribed by subsections (3) and (5) by an amount determined by the state
treasurer to reflect the cumulative annual percentage change in the Detroit
Consumer Price Index, not to exceed 5%. As used in this subsection, “Detroit
Consumer Price Index” means the most comprehensive index of consumer prices
available for the Detroit-Warren-Dearborn area from the Bureau of Labor
Statistics of the United States Department of Labor.

Sec.
13523. (1) A person shall not use a radiation machine to perform mammography
unless the radiation machine is registered with the department under department
rules for registration of radiation machines and

the radiation machine, the personnel operating the radiation
machine, and the facility in which the radiation machine is used meet
requirements established by the department by rule for radiation machines.

(2) To ensure compliance with the requirements described in
this section, the department shall inspect a radiation machine at intervals
that the department considers necessary or appropriate, including initiating a
follow-up inspection of a radiation machine due to noncompliance.

(3) In addition to the penalties provided in section 13535
and the fee required under section 13522(5) for a follow-up inspection due to noncompliance,
if a person violates subsection (1), the department may impose an
administrative fine against the owner of the radiation machine or, if a lessee
of the radiation machine has effective control of the radiation machine, the
lessee, of not more than $500.00 for each calendar week in which a mammography
is performed in violation of subsection (1). If a person continues to violate
subsection (1) for a period of 2 weeks after a fine is imposed under this
subsection, the department shall post a conspicuous notice on the radiation
machine and at the entry to the facility where the radiation machine is located
warning the public that the facility is performing mammography using a
radiation machine that is a substantial hazard to the public health.

(4) The department shall promulgate rules necessary to
implement this section. In promulgating rules to implement this section, the
department shall comply with both of the following:

(a) The department shall incorporate by reference what the
department determines to be the applicable standards for mammography,
including, but not limited to, standards under the mammography quality
standards act of 1992, Public Law 102-539, and any regulations promulgated
under that act, that exist on the effective date of the amendatory act that
added this sentence. If a standard described in this subdivision is revised
after the effective date of the amendatory act that added this sentence, the
department shall take notice of the revision and the department shall
promulgate rules to incorporate the revision by reference.

(b) The rules must specify the minimum training and
performance standards for an individual using a radiation machine for
mammography.

Enacting section 1. Sections 13524 and 13531 of the
public health code, 1978 PA 368, MCL 333.13524 and 333.13531, are repealed.

Secretary of the Senate

Clerk of the House of
Representatives

Approved___________________________________________

____________________________________________________

Governor
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