Michigan lawmakers revamp death certificate process with new electronic registration bills

The Health Policy - Behavioral Health Committee convened on March 5, 2025, to discuss significant legislative proposals aimed at improving the process of medical certification for death certificates in Michigan. The meeting focused on two key bills, House Bill 4077 and House Bill 4078, which aim to modernize the certification process and alleviate delays that grieving families face.

The first item on the agenda was House Bill 4077, presented by Representative Rogers. This bill mandates that physicians use the electronic death registration system (EDRS) to certify death records, replacing the current requirement for physical documentation that often leads to delays. Under existing law, physicians must complete their certification within 48 hours, but many still rely on traditional methods, resulting in significant wait times for families needing death certificates for legal and burial processes. The bill aims to streamline this process, ensuring that families can access necessary documentation more quickly during their time of grief.

Representative Mueller then introduced House Bill 4078, which addresses the timeframe for certification. The proposed legislation would extend the period for a medical examiner to certify a death from 48 hours to one year if the deceased had seen a physician within that timeframe. This change aims to reduce ambiguity and delays, particularly in cases of unexpected or suspicious deaths, thereby easing the burden on families during difficult times.

The committee heard testimony from stakeholders, including Jared Rzycki from the Michigan Funeral Directors Association and funeral director Sarah Jensen Vatter. They expressed strong support for the bills, highlighting the inefficiencies and emotional toll that current practices impose on families. Vatter shared her experiences, noting that many physicians do not utilize the EDRS, leading to delays that can conflict with cultural and religious practices regarding burial and cremation.

The committee members raised questions about the potential impact on medical examiners and the need for training to ensure that physicians can effectively use the EDRS. It was noted that a significant percentage of death certificates—75%—are not certified within the required 48 hours, underscoring the urgency of these legislative changes.

In conclusion, the committee's discussions emphasized the need for legislative action to modernize the death certification process in Michigan. The proposed bills aim to reduce delays, improve efficiency, and ultimately provide better support for families navigating the challenges of loss. Further steps will be taken to address the concerns raised during the meeting, with the hope of advancing these bills in the legislative process.