MI HB4078

Modifies requirements for medical examiner death investigations, allowing a physician's authorized representative to determine cause of death when the attending physician is unavailable.

Expands hospice care provisions to allow registered nurses (in addition to physicians) to provide medical attendance within 48 hours preceding death to avoid triggering a medical examiner investigation.

Defines key terms including "physician" (licensed under Michigan's public health code), "registered nurse," and "home hospice care."

Requires immediate notification to medical examiners for deaths occurring suddenly, unexpectedly, violently, or without medical attendance within 48 hours unless the cause can be accurately determined.

Takes effect only if companion bill HB 4077 is also enacted into law; ordered to take immediate effect upon passage.