MI SB0226

Healthcare providers cannot perform vaginal or anal penetration examinations on minors without written consent from a parent, guardian, or person in loco parentis, unless the procedure qualifies for specific exemptions (medical emergencies, urological/gynecological care, children's advocacy centers, sexual assault exams, temperature measurement, or rectal drug administration).

A medical assistant or another licensed healthcare provider must be present in the room during examinations involving vaginal or anal penetration of minors, unless the consenting adult waives this requirement.

Providers performing procedures requiring multiple visits may conduct subsequent examinations within 6 months of obtaining initial consent without re-obtaining consent.

Consent forms must be maintained in the patient's medical record for at least 15 years from the date of the examination.

Violators face felony penalties: up to 2 years imprisonment or $5,000 fine for first offense; up to 5 years imprisonment or $10,000 fine for subsequent offenses, with possible consecutive sentencing.

The Department of Health and Human Services must create and maintain a standardized consent form addressing gloves, right to alternatives, explanations, chaperone presence, and other medical practice standards.