1 | 1 | | HB544INTRODUCED |
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2 | 2 | | Page 0 |
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3 | 3 | | HB544 |
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4 | 4 | | G33DL26-1 |
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5 | 5 | | By Representative Baker (N & P) |
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6 | 6 | | RFD: Local Legislation |
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7 | 7 | | First Read: 08-Apr-25 |
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12 | 12 | | 5 G33DL26-1 03/03/2025 THR (L)THR 2025-1074 |
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13 | 13 | | Page 1 |
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14 | 14 | | First Read: 08-Apr-25 |
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15 | 15 | | A BILL |
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16 | 16 | | TO BE ENTITLED |
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17 | 17 | | AN ACT |
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18 | 18 | | Relating to Escambia County; to amend Sections |
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19 | 19 | | 45-27-60.01, 45-27-60.02, 45-27-60.03, 45-27-60.04, |
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20 | 20 | | 45-27-60.06, 45-27-60.07, 45-27-60.12, and 45-27-60.15, Code |
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21 | 21 | | of Alabama 1975; to further provide for the powers, duties, |
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22 | 22 | | and appointment of the county medical examiner; and to repeal |
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23 | 23 | | Section 45-27-60.14, Code of Alabama 1975, relating to the |
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24 | 24 | | compensation of the county medical examiner. |
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25 | 25 | | BE IT ENACTED BY THE LEGISLATURE OF ALABAMA: |
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26 | 26 | | Section 1. Sections 45-27-60.01, 45-27-60.02, |
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27 | 27 | | 45-27-60.03, 45-27-60.04, 45-27-60.06, 45-27-60.07, |
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28 | 28 | | 45-27-60.12, and 45-27-60.15, Code of Alabama 1975, are |
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29 | 29 | | amended to read as follows: |
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30 | 30 | | "§45-27-60.01 |
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31 | 31 | | (a) The county medical examiner Escambia County Medical |
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32 | 32 | | Examiner shall be a physician licensed to practice medicine in |
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33 | 33 | | Alabama. |
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34 | 34 | | (b) The Escambia County Medical Examiner county medical |
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35 | 35 | | examiner shall be appointed by the senior state medical |
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36 | 36 | | examiner in Region IV of the Alabama Department of Forensic |
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37 | 37 | | Sciences. The appointment shall be made, with the approval of |
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66 | 66 | | Page 2 |
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67 | 67 | | Sciences. The appointment shall be made, with the approval of |
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68 | 68 | | the Director of the Alabama Department of Forensic Sciences, |
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69 | 69 | | from a list of qualified physicians candidates submitted by |
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70 | 70 | | the Escambia County Medical Society after review by the |
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71 | 71 | | district attorney of the county a nominating committee |
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72 | 72 | | consisting of all of the following individuals: |
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73 | 73 | | (1) The Chair of the Escambia County Commission, or his |
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74 | 74 | | or her designee. |
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75 | 75 | | (2) The Escambia County District Attorney, or his or |
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76 | 76 | | her designee. |
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77 | 77 | | (3) The Sheriff of Escambia County, or his or her |
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78 | 78 | | designee. |
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79 | 79 | | (4) The Chief Medical Examiner of the Alabama |
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80 | 80 | | Department of Forensic Sciences, or his or her designee . |
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81 | 81 | | (c) The nominating committee shall submit a list to the |
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82 | 82 | | director at least 90 days before the end of a term. |
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83 | 83 | | (d) The appointment shall establish the Escambia County |
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84 | 84 | | Medical Examiner county medical examiner as a contract |
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85 | 85 | | employee an agent of the Alabama Department of Forensic |
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86 | 86 | | Sciences with the same liability coverage as provided to Merit |
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87 | 87 | | System employees of the State of Alabama. |
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88 | 88 | | (e) The county medical examiner shall serve a term of |
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89 | 89 | | six years beginning the first Monday after the second Tuesday |
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90 | 90 | | in January in the same manner and cycle as the Escambia County |
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91 | 91 | | District Attorney. |
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92 | 92 | | (f) The first county medical examiner appointed after |
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93 | 93 | | October 1, 2025, shall serve until the expiration of the |
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94 | 94 | | current district attorney term on January 20, 2029. |
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95 | 95 | | (g) If a vacancy occurs during a term, the Director of |
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125 | 125 | | (g) If a vacancy occurs during a term, the Director of |
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126 | 126 | | the Alabama Department of Forensic Sciences shall appoint an |
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127 | 127 | | interim county medical examiner within 14 days of the vacancy. |
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128 | 128 | | The nominating committee shall submit a list to the director |
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129 | 129 | | within 90 days of the vacancy, after which the director shall |
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130 | 130 | | make an appointment to serve the remainder of the term. |
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131 | 131 | | (h) The Director of the Alabama Department of Forensic |
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132 | 132 | | Sciences may waive the requirement that the county medical |
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133 | 133 | | examiner be a physician when appointing an interim county |
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134 | 134 | | medical examiner. " |
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135 | 135 | | "§45-27-60.02 |
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136 | 136 | | The Escambia County Medical Examiner shall may appoint |
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137 | 137 | | one or more assistant county medical examiners to assist the |
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138 | 138 | | investigation and certification of deaths from the list of |
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139 | 139 | | qualified physicians provided by the Escambia County Medical |
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140 | 140 | | Society. Each assistant county medical examiner shall also |
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141 | 141 | | have approval of the senior medical examiner of Region IV and |
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142 | 142 | | the Director of the Alabama Department of Forensic Sciences |
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143 | 143 | | and also shall be a contract employee of the Alabama |
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144 | 144 | | Department of Forensic Sciences ." |
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145 | 145 | | "§45-27-60.03 |
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146 | 146 | | The county medical examiners examiner shall complete |
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147 | 147 | | eight hours of training in death investigation each year. The |
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148 | 148 | | Department of Forensic Sciences state medical examiners shall |
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149 | 149 | | may provide the training , or the county medical examiners may |
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150 | 150 | | attend other training in death investigation with prior |
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151 | 151 | | approval of the senior medical examiner of Region IV of the |
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152 | 152 | | Alabama Department of Forensic Sciences. All training shall be |
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153 | 153 | | approved for continuing medical education credits ." |
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183 | 183 | | approved for continuing medical education credits ." |
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184 | 184 | | "§45-27-60.04 |
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185 | 185 | | It shall be the duty of the county medical examiner, or |
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186 | 186 | | designated assistant county medical examinerexaminers, to |
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187 | 187 | | investigate any death in Escambia County when the death falls |
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188 | 188 | | within one or more of the following categories: |
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189 | 189 | | (1) Deaths that occur suddenly and unexpectedly, that |
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190 | 190 | | is, when the person has not been under medical care for |
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191 | 191 | | significant disease of the heart or lung, or other disease. |
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192 | 192 | | (2) Deaths suspected to be due to violence, resulting |
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193 | 193 | | from anyone of the following: Suicide, accident, homicide, or |
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194 | 194 | | undetermined injury, regardless of when or where the injury |
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195 | 195 | | occurred. |
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196 | 196 | | (3) Deaths suspected to be due to alcohol, or drugs, or |
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197 | 197 | | exposure to toxic agents. |
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198 | 198 | | (4) Deaths due to poisoning. |
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199 | 199 | | (5) Deaths of persons in the custody of law enforcement |
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200 | 200 | | officers or in penal institutions. |
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201 | 201 | | (6) Deaths suspected to be involved with the occupation |
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202 | 202 | | of the decedent. |
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203 | 203 | | (7) Deaths unattended by a physician. |
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204 | 204 | | (8) Deaths due to neglect. |
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205 | 205 | | (9) Any stillbirth of 20 or more weeks gestation |
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206 | 206 | | unattended by a physician. |
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207 | 207 | | (10) Deaths due to criminal abortion. |
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208 | 208 | | (11) Any death of an infant or child under 19 years of |
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209 | 209 | | age where the medical history has not established some |
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210 | 210 | | preexisting medical condition to clearly explain the death and |
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211 | 211 | | the preterminal circumstances. |
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241 | 241 | | the preterminal circumstances. |
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242 | 242 | | (12) Deaths which are possibly directly or indirectly |
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243 | 243 | | attributable to environmental exposure not otherwise |
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244 | 244 | | specified. |
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245 | 245 | | (13) Deaths suspected to be caused by infectious or |
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246 | 246 | | contagious disease wherein the diagnosis and extent of disease |
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247 | 247 | | at the time are undetermined. |
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248 | 248 | | (14) Deaths occurring under suspicious or unusual |
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249 | 249 | | circumstances. |
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250 | 250 | | (15) When a body is to be cremated, dissected, or |
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251 | 251 | | buried at sea. |
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252 | 252 | | (16) When a body is brought into Escambia County |
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253 | 253 | | without proper medical certification." |
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254 | 254 | | "§45-27-60.06 |
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255 | 255 | | (a) After investigating a death, if the county medical |
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256 | 256 | | examiner or the a designated assistant is satisfied that the |
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257 | 257 | | death was not caused by criminal act or omission and that |
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258 | 258 | | there are no suspicious circumstances about the death, then |
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259 | 259 | | the county medical examiner, or designated assistant, may |
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260 | 260 | | execute a death certificate as required by law, and authorize |
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261 | 261 | | release of the body for final disposition on a certificate as |
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262 | 262 | | prescribed by the State Health Department. |
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263 | 263 | | (b) The county medical examiner shall contact the |
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264 | 264 | | office of the district attorney and the State Chief Medical |
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265 | 265 | | Examiner of the Alabama Department of Forensic Sciences under |
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266 | 266 | | the following circumstances: |
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267 | 267 | | (1) If the deceased is unidentified. |
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268 | 268 | | (2) If the county medical examiner suspects a death was |
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269 | 269 | | caused by a criminal act or omission. |
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299 | 299 | | caused by a criminal act or omission. |
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300 | 300 | | (3) If the cause of death is obscure. |
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301 | 301 | | (c) The In the event of a death qualifying under |
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302 | 302 | | subsection (b), the State Medical Examiner county medical |
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303 | 303 | | examiner shall further examine the body, take, retain, and |
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304 | 304 | | examine or have examined whatever tissues, biological fluids, |
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305 | 305 | | or other evidence from the body that he or she deems necessary |
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306 | 306 | | to determine the cause, manner, or circumstances of death, and |
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307 | 307 | | the identity of the deceased. The county medical examiner or |
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308 | 308 | | state medical examiner shall then execute a death certificate, |
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309 | 309 | | as required by law, and also shall authorize release of the |
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310 | 310 | | body for final disposition by executing a certificate required |
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311 | 311 | | by the State Health Department." |
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312 | 312 | | "§45-27-60.07 |
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313 | 313 | | (a) An In compliance with the provisions of Section |
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314 | 314 | | 36-18-2, an autopsy or postmortem examination may be performed |
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315 | 315 | | by a state medical examiner at the written direction of the |
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316 | 316 | | Governor, the Attorney General, a circuit judge, or the |
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317 | 317 | | Escambia County District Attorney or his or her authorized |
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318 | 318 | | representative in any case in which the Attorney General or |
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319 | 319 | | the district attorney is conducting a criminal investigation. |
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320 | 320 | | (b) The county A state medical examiner or the State |
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321 | 321 | | Medical Examiner may authorize an autopsy or postmortem |
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322 | 322 | | examination, or the autopsy may be performed by the State |
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323 | 323 | | Medical Examiner a state medical examiner, when the county |
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324 | 324 | | medical examiner suspects the death was caused by a criminal |
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325 | 325 | | act or omission, or the cause of death is obscure or, in his |
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326 | 326 | | or her opinion, an autopsy is advisable and in the public |
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327 | 327 | | interest. |
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357 | 357 | | interest. |
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358 | 358 | | (c) In a death where the county medical examiner does |
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359 | 359 | | not deem it advisable and in the public interest that an |
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360 | 360 | | autopsy be performed, but the next of kin of the deceased |
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361 | 361 | | requests that an autopsy be performed, the State Medical |
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362 | 362 | | Examiner, or a designated pathologist, may perform the autopsy |
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363 | 363 | | and the cost therefor shall be paid by the next of kin. The |
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364 | 364 | | funds paid by the next of kin shall be deposited by the State |
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365 | 365 | | Treasurer into the Forensic Services Trust Fund. " |
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366 | 366 | | "§45-27-60.12 |
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367 | 367 | | The county medical examiner shall maintain the reports |
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368 | 368 | | of death investigations conducted by the Escambia County |
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369 | 369 | | Medical Examiner and a copy shall be forwarded to the Region |
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370 | 370 | | IV Laboratory of the Alabama Department of Forensic Sciences. |
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371 | 371 | | These reports, or true copies thereof duly certified by the |
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372 | 372 | | county medical examiner or the director of the department, are |
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373 | 373 | | admissible in evidence in any court in Escambia County, with |
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374 | 374 | | or without testimony by the county medical examiner or |
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375 | 375 | | Department of Forensic Sciences officials, provided, any |
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376 | 376 | | person preparing a report given in evidence pursuant to this |
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377 | 377 | | article may be summoned as a witness in any civil or criminal |
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378 | 378 | | case by either party to the cause." |
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379 | 379 | | "§45-27-60.15 |
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380 | 380 | | Upon Beginning January 15, 1998, title and control of |
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381 | 381 | | all equipment in the office of the Escambia County Coroner |
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382 | 382 | | shall be transferred by Escambia County the county to the |
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383 | 383 | | county medical examiner and to the Alabama Department of |
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384 | 384 | | Forensic Sciences . The Escambia County Commission shall |
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385 | 385 | | establish a Medical Examiner Fund. Thereafter, all funds |
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415 | 415 | | establish a Medical Examiner Fund. Thereafter, all funds |
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416 | 416 | | previously appropriated by the county commission to the office |
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417 | 417 | | of coroner shall be appropriated to the Medical Examiner Fund. |
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418 | 418 | | The appropriation shall be in the amount agreed to between the |
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419 | 419 | | county commission and the Alabama Department of Forensic |
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420 | 420 | | Sciences county medical examiner's office each year, but the |
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421 | 421 | | amount shall not be less than the amount appropriated to the |
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422 | 422 | | office of the coroner in the Escambia County 1997-98 fiscal |
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423 | 423 | | year budget. The senior state medical examiner in Region IV of |
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424 | 424 | | the Alabama Department of Forensic Sciences, in conjunction |
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425 | 425 | | with the Escambia County Medical Examiner, shall review the |
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426 | 426 | | funding of the county medical examiner each year with the |
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427 | 427 | | Escambia County Commission to assure adequate support for the |
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428 | 428 | | investigations of death in the county. " |
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429 | 429 | | Section 2. Section 45-27-60.14, Code of Alabama 1975, |
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430 | 430 | | relating to the compensation of the county medical examiner, |
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431 | 431 | | is repealed. |
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432 | 432 | | Section 3. This act shall become effective on October |
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433 | 433 | | 1, 2025. |
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