DEPARTMENT OF HEALTH AND HUMAN SERVICES
BUREAU OF EPIDEMIOLOGY
DIVISION OF LIFECOURSE EPIDEMIOLOGY AND GENOMICS
MANDATORY REPORTING OF CHRONIC DISEASES
Filed with the secretary of state on May 1, 2024
These rules become effective immediately after filing with the secretary of state unless adopted
under section 33, 44, or 45a(9) of the administrative procedures act of 1969, 1969 PA 306, MCL
24.233, 24.244, or 24.245a. Rules adopted under these sections become effective 7 days after
filing with the secretary of state.
(By authority conferred on the director of the department of health and human services by
sections 2221, 2226, 2233, and 5111 of the public health code, 1978 PA 368, MCL 333.2221,
333.2226, 333.2233, 333.5111, and section 8 of the critical health problems reporting act, 1978
PA 312, MCL 325.78)
R 330.131, R 330.132, R 330.133, R 330.134, R 330.135, and R 330.136 are added to the
Michigan Administrative Code, as follows:
R 330.131 Definitions.
Rule 131. (1) As used in these rules:
(a) “Chronic disease registry” means the database maintained by the department that contains
patient-level health information about individuals with a diagnosed chronic disease, including,
but not limited to, diagnostic and demographic information.
(b) “Code” means the public health code, 1978 PA 368, MCL 333.1101 to 333. 25211.
(c) "Department" means the department of health and human services.
(d) “Director” means the director of the department.
(e) "Health information" means information about an individual, whether oral or recorded in
any form or medium that relates to the past, present, or future physical or mental health or
condition of an individual, and the provision of health care to an individual. Health information
includes aggregate information if, in the opinion of the department, it could potentially lead to
reidentification of an individual.
(f) “Health professional" means an individual licensed under article 15 of the code, MCL
333.16101 to 333.18838, to work as a physician, a physician's assistant, or a nurse practitioner.
(g) "Local health department" means a health department established under the provisions of
part 24 of the code, MCL 333.2401 to 333.2498.
(h) "Public health investigation" means the collection of medical, epidemiologic, exposure, and
other information to determine the cause of illness or disability, which is used to determine
appropriate actions to prevent or mitigate additional illness or disability.
March 27, 2023