SB0443

Health facilities: other; surgical smoke plume evacuation plan; require. Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding sec. 20187.

Chamber Passed·11/13/25

Overview

This bill aims to improve safety in healthcare facilities by mandating the use of surgical smoke evacuation systems during certain surgical procedures. The legislation seeks to protect healthcare workers and patients from the potential health hazards associated with surgical smoke plume, which is generated during heat-based surgical techniques. By requiring health facilities to implement policies for smoke evacuation, the bill addresses an important occupational health concern in surgical environments.

Core Provisions

The core provision of this bill requires health facilities and agencies that perform surgical procedures using heat-producing equipment to develop and implement a policy mandating the use of surgical smoke plume evacuation systems. The bill defines key terms to ensure clear understanding and compliance. 'Surgical procedures using heat-producing equipment' are specified as those involving electric current to cut, remove, or destroy tissue and control bleeding, procedures using lasers, and any other procedures using heat-generating surgical instruments. 'Surgical smoke plume' is defined as the vapor, gas, or harmful particles produced as a byproduct of such procedures. The bill also provides a definition for 'surgical smoke plume evacuation system' as a dedicated device designed to capture, transport, filter, and neutralize surgical smoke plume at its source before ocular or respiratory contact occurs.

Key Points

  • Mandates policy implementation for surgical smoke plume evacuation
  • Defines heat-producing surgical procedures
  • Specifies what constitutes surgical smoke plume
  • Describes requirements for smoke evacuation systems

Legal References

  • §20187(1)
  • §20187(2)(a)
  • §20187(2)(b)
  • §20187(2)(c)

Implementation

The bill does not provide specific details on implementation mechanisms. It places the responsibility on health facilities and agencies to develop and implement the required policies. However, the legislation does not specify any particular agency for oversight, enforcement procedures, funding mechanisms, or reporting requirements. The absence of these details suggests that individual healthcare facilities will be expected to self-implement the mandated policies without direct governmental supervision or support.

Impact

The primary beneficiaries of this legislation are healthcare workers and patients who will be protected from exposure to surgical smoke plume. Health facilities and agencies performing surgical procedures with heat-producing equipment will bear the administrative burden of developing and implementing the required policies. They may also incur costs associated with purchasing and maintaining surgical smoke evacuation systems. The expected outcome is a reduction in health risks associated with surgical smoke exposure in healthcare settings. However, without specific implementation timelines or enforcement mechanisms, the rate and extent of compliance may vary across facilities.

Legal Framework

This bill appears to be an addition to existing health and safety regulations for medical facilities. It creates a new statutory requirement for health facilities to address surgical smoke plume. The legislation does not explicitly reference its constitutional basis or preemption of state or local laws. There are no provisions mentioned regarding judicial review or the bill's interaction with existing regulatory frameworks. The lack of specificity in these areas may leave room for interpretation in how this mandate fits within the broader legal landscape of healthcare facility regulation.

Critical Issues

Several critical issues arise from this legislation. Implementation challenges may include the cost of acquiring and maintaining smoke evacuation systems, particularly for smaller or resource-constrained facilities. There may be resistance from facilities due to the potential financial burden. The lack of specified enforcement mechanisms or penalties for non-compliance could lead to inconsistent adoption of the required policies. Additionally, the absence of a clear timeline for implementation may result in delayed action by some facilities. The bill's broad definition of procedures requiring smoke evacuation could potentially lead to over-application in some cases, while its lack of specificity in other areas might result in under-implementation.

Where it stands

Last
Passed the Senate · 33–3 · Nov 13, 2025
Current
Health Policy Committee
Next
House floor vote

Sponsors

D
1
0
Democratic CaucusRepublican Caucus

Roll Call Votes

33 Yea

RRDDDRDDDRRRRDDRDRDRRRDRDDDDDDRDD

3 Nay

RRR

1 Absent

R

Calendar

Oct 28, 2025

1:30 PM

Senate Regulatory Affairs

Oct 22, 2025

2:00 PM

Senate Regulatory Affairs

History

Nov 13, 2025

Senate

Passed Roll Call # 298 Yeas 33 Nays 3 Excused 1 Not Voting 0

Nov 13, 2025

House

Received On 11/13/2025

Nov 13, 2025

House

Read A First Time