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St. Clair advisory board asks state to clarify whether physician 'appropriateness' exemptions must use state waiver form

St. Clair County Health Department Advisory Board · December 17, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

The St. Clair County Health Department Advisory Board voted to ask Health Officer Liz King, with legal counsel, to request a declaratory ruling from the state clarifying whether physician-issued 'appropriateness' exemptions are equivalent to state waivers and must be entered on the state form. The motion passed on a recorded 6–0 roll call.

The St. Clair County Health Department Advisory Board voted to direct Health Officer Liz King, with advice from legal counsel, to ask the Michigan Department of Health and Human Services to formalize its interpretation of whether physician-issued "appropriateness" exemptions for school immunization requirements are equivalent to state waivers that must be recorded on the state form. The motion passed on a recorded roll-call vote 6–0.

Medical Director Dr. Remington Nevin told the board that a state letter sent to the department — included in the meeting packet — treats physician exemptions as the same as waivers and therefore subject to the state's form requirement. He said he had provided a sealed copy of a…

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