HOUSE BILL NO. 5804 A bill to amend 1978 PA 368, entitled "Public health code," (MCL 333.1101 to 333.25211) by adding section 5143. the people of the state of michigan enact: Sec. 5143. (1) Subject to subsection (14), the advisory council on pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections is created within the department. (2) The advisory council must consist of the following 15 members, appointed by the director: (a) An immunologist who is practicing in this state and has experience treating individuals with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome and the use of intravenous immunoglobulin. (b) A health professional who is licensed under article 15 who has expertise in treating individuals with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome and autism. (c) A representative of PANDAS/PANS Advocacy and Support. (d) A physician who is licensed under article 15 to engage in the practice of osteopathic medicine and surgery who has experience treating individuals with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome. (e) A medical researcher with experience conducting research concerning pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections, pediatric acute neuropsychiatric syndrome, obsessive-compulsive disorder, tic disorder, and other neurological disorders. (f) A dietitian who is practicing in this state and who provides services to children with autism spectrum disorder, attention-deficit hyperactivity disorder, and other neurodevelopmental conditions. (g) A representative of a professional organization in this state for school psychologists. (h) A child psychiatrist who has experience treating individuals with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome. (i) A representative of a professional organization in this state for school nurses. (j) A pediatrician who has experience treating individuals with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome. (k) A representative of an organization focused on autism. (l) A parent of a child who has been diagnosed with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections or pediatric acute neuropsychiatric syndrome and autism. (m) An individual who is licensed under article 15 as a licensed master's social worker or licensed bachelor's social worker. (n) A representative of the office of special education within the department of education. (o) A representative of the general public. (3) The director, or the director's designee, shall serve as an ex officio member of the advisory council without the right to vote. (4) The director shall appoint the members of the advisory council not more than 90 days after the effective date of this section. (5) Members of the advisory council serve for a term of 4 years or until a successor is appointed. (6) If a vacancy occurs on the advisory council, the director shall make an appointment for the unexpired term in the same manner as the original appointment. (7) The director may remove a member of the advisory council for incompetence, dereliction of duty, malfeasance, misfeasance, or nonfeasance in office, or any other good cause. (8) The director shall call the first meeting of the advisory council not later than 90 days after the effective date of this section. At the first meeting, the advisory council shall elect from among its members a chairperson and other officers as it considers necessary or appropriate. After the first meeting, the advisory council shall meet at the call of the chairperson or if requested by a majority of the members of the advisory council. (9) A majority of the members of the advisory council constitute a quorum for transacting business. A majority of the members present and serving are required for official action of the advisory council. (10) The advisory council shall conduct its business in compliance with the open meetings act, 1976 PA 267, MCL 15.261 to 15.275. (11) A writing prepared, owned, used, in the possession of, or retained by the advisory council in performing an official function is subject to the freedom of information act, 1976 PA 442, MCL 15.231 to 15.246. (12) A member of the advisory council is not entitled to compensation for service on the advisory council, but the advisory council may reimburse a member for actual and necessary expenses incurred in serving. (13) Subject to subsection (14), not later than 1 year after the members are appointed under subsection (4) and annually thereafter, the advisory council shall submit a report to the legislature with recommendations on all of the following: (a) Practice guidelines for the diagnosis and treatment of pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome. (b) Mechanisms to increase clinical awareness and education regarding pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome among physicians, school-based health centers, and providers of mental health services. (c) Outreach to educators and parents to increase awareness of pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome. (d) Development of a network of volunteer experts on the diagnosis and treatment of pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome to assist in education and outreach. (e) Any other recommendation that the advisory council considers appropriate. (14) The advisory council is abolished upon submitting the fourth report required under subsection (13). (15) As used in this section, "advisory council" means the advisory council on pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections created in subsection (1). Enacting section 1. This amendatory act takes effect 90 days after the date it is enacted into law. HOUSE BILL NO. 5804 A bill to amend 1978 PA 368, entitled "Public health code," (MCL 333.1101 to 333.25211) by adding section 5143. the people of the state of michigan enact: Sec. 5143. (1) Subject to subsection (14), the advisory council on pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections is created within the department. (2) The advisory council must consist of the following 15 members, appointed by the director: (a) An immunologist who is practicing in this state and has experience treating individuals with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome and the use of intravenous immunoglobulin. (b) A health professional who is licensed under article 15 who has expertise in treating individuals with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome and autism. (c) A representative of PANDAS/PANS Advocacy and Support. (d) A physician who is licensed under article 15 to engage in the practice of osteopathic medicine and surgery who has experience treating individuals with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome. (e) A medical researcher with experience conducting research concerning pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections, pediatric acute neuropsychiatric syndrome, obsessive-compulsive disorder, tic disorder, and other neurological disorders. (f) A dietitian who is practicing in this state and who provides services to children with autism spectrum disorder, attention-deficit hyperactivity disorder, and other neurodevelopmental conditions. (g) A representative of a professional organization in this state for school psychologists. (h) A child psychiatrist who has experience treating individuals with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome. (i) A representative of a professional organization in this state for school nurses. (j) A pediatrician who has experience treating individuals with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome. (k) A representative of an organization focused on autism. (l) A parent of a child who has been diagnosed with pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections or pediatric acute neuropsychiatric syndrome and autism. (m) An individual who is licensed under article 15 as a licensed master's social worker or licensed bachelor's social worker. (n) A representative of the office of special education within the department of education. (o) A representative of the general public. (3) The director, or the director's designee, shall serve as an ex officio member of the advisory council without the right to vote. (4) The director shall appoint the members of the advisory council not more than 90 days after the effective date of this section. (5) Members of the advisory council serve for a term of 4 years or until a successor is appointed. (6) If a vacancy occurs on the advisory council, the director shall make an appointment for the unexpired term in the same manner as the original appointment. (7) The director may remove a member of the advisory council for incompetence, dereliction of duty, malfeasance, misfeasance, or nonfeasance in office, or any other good cause. (8) The director shall call the first meeting of the advisory council not later than 90 days after the effective date of this section. At the first meeting, the advisory council shall elect from among its members a chairperson and other officers as it considers necessary or appropriate. After the first meeting, the advisory council shall meet at the call of the chairperson or if requested by a majority of the members of the advisory council. (9) A majority of the members of the advisory council constitute a quorum for transacting business. A majority of the members present and serving are required for official action of the advisory council. (10) The advisory council shall conduct its business in compliance with the open meetings act, 1976 PA 267, MCL 15.261 to 15.275. (11) A writing prepared, owned, used, in the possession of, or retained by the advisory council in performing an official function is subject to the freedom of information act, 1976 PA 442, MCL 15.231 to 15.246. (12) A member of the advisory council is not entitled to compensation for service on the advisory council, but the advisory council may reimburse a member for actual and necessary expenses incurred in serving. (13) Subject to subsection (14), not later than 1 year after the members are appointed under subsection (4) and annually thereafter, the advisory council shall submit a report to the legislature with recommendations on all of the following: (a) Practice guidelines for the diagnosis and treatment of pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome. (b) Mechanisms to increase clinical awareness and education regarding pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome among physicians, school-based health centers, and providers of mental health services. (c) Outreach to educators and parents to increase awareness of pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome. (d) Development of a network of volunteer experts on the diagnosis and treatment of pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections and pediatric acute neuropsychiatric syndrome to assist in education and outreach. (e) Any other recommendation that the advisory council considers appropriate. (14) The advisory council is abolished upon submitting the fourth report required under subsection (13). (15) As used in this section, "advisory council" means the advisory council on pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections created in subsection (1). Enacting section 1. This amendatory act takes effect 90 days after the date it is enacted into law.