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H.B. 141 Enrolled

                 

MEDICAL EXAMINER ACT

                 
1999 GENERAL SESSION

                 
STATE OF UTAH

                 
Sponsor: Katherine M. Bryson

                  AN ACT RELATING TO HEALTH; PERMITTING LAW ENFORCEMENT TO REQUEST
                  THE MEDICAL EXAMINER TO EXERCISE ITS JURISDICTION OVER A DEATH; AND
                  CLARIFYING THE DISCRETION OF THE MEDICAL EXAMINER TO DECLINE TO
                  PERFORM A REQUESTED AUTOPSY OF AN UNATTENDED DEATH.
                  This act affects sections of Utah Code Annotated 1953 as follows:
                  AMENDS:
                      26-4-7, as last amended by Chapter 6, Laws of Utah 1984, Second Special Session
                      26-4-9, as last amended by Chapter 38, Laws of Utah 1993
                  Be it enacted by the Legislature of the state of Utah:
                      Section 1. Section 26-4-7 is amended to read:
                       26-4-7. Deaths over which medical examiner has jurisdiction.
                      Upon notification under Section 26-4-8 or investigation by the medical examiner's office,
                  the medical examiner shall assume custody of the body in all deaths that appear to be:
                      (1) deaths by violence, gunshot, suicide, or accident, except highway accidents;
                      (2) sudden death while in apparent health;
                      (3) unattended deaths except that an autopsy may only be performed in accordance with
                  the provisions of Subsection 26-4-9 (3);
                      (4) deaths under suspicious or unusual circumstances;
                      (5) deaths resulting from poisoning or overdose of drugs;
                      (6) deaths resulting from diseases that may constitute a threat to the public health;
                      (7) deaths resulting from disease, injury, toxic effect, or unusual exertion incurred within
                  the scope of the deceased's employment;
                      (8) deaths due to sudden infant death syndrome;
                      (9) deaths resulting while the deceased was in prison, jail, in police custody, in the state
                  hospital, or in a detention or medical facility operated for the treatment of the mentally ill or


                  emotionally disturbed or delinquent persons; [and]
                      (10) deaths associated with diagnostic and therapeutic procedures; and
                      (11) deaths described in this section when request is made to assume custody by a county
                  or district attorney or law enforcement agency in connection with a potential homicide investigation
                  or prosecution.
                      Section 2. Section 26-4-9 is amended to read:
                       26-4-9. Custody of dead body and personal effects -- Examination of scene of death --
                  Preservation of body -- Autopsies.
                      (1) Upon notification of a death under Section 26-4-8 , the medical examiner shall assume
                  custody of the deceased body, clothing on the body, biological samples taken, and any article on or
                  near the body which may aid him in determining the cause of death except those articles which will
                  assist the investigative agency to proceed without delay with the investigation. In all cases the scene
                  of the event shall not be disturbed until authorization is given by the senior ranking peace officer
                  from the law enforcement agency having jurisdiction of the case and conducting the investigation.
                  Where death appears to have occurred under circumstances listed in Section 26-4-7 , the person or
                  persons finding or having custody of the body, or jurisdiction over the investigation of the death,
                  shall take reasonable precautions to preserve the body and body fluids so that minimum deterioration
                  takes place. The body shall not be moved without permission of the medical examiner, district
                  attorney, or county attorney having criminal jurisdiction, or his authorized deputy except in cases of
                  affront to public decency or circumstances where it is not practical to leave the body where found,
                  or in such cases where the cause of death is clearly due to natural causes. The body can under
                  direction of a licensed physician or the medical examiner or his designated representative be moved
                  to a place specified by a funeral director, the attending physician, the medical examiner, or his
                  representative.
                      (2) In the event the body, where referred to the medical examiner, is moved, no cleansing
                  or embalming of the body shall occur without the permission of the medical examiner. An
                  intentional or knowing violation of this Subsection (2) is a class B misdemeanor.
                      (3) When the medical examiner assumes lawful custody of a body under Subsection

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                  26-4-7 (3) solely because the death was unattended, an autopsy shall not be performed unless
                  requested by the district attorney, county attorney having criminal jurisdiction, or law enforcement
                  agency having jurisdiction of the place where the body is found, or a licensed physician, or a spouse,
                  child, parent or guardian of the deceased, and a licensed physician. The county attorney or district
                  attorney and law enforcement agency having jurisdiction shall consult with the medical examiner
                  to determine the need for an autopsy. In any such case concerning unattended deaths qualifying as
                  exempt from autopsy, a death certificate may be certified by a licensed physician. In this case the
                  physician may be established as the medical examiner's designated representative. Requested
                  autopsies shall not be performed when the medical examiner or his designated representative [deem]
                  determines the autopsy to be unnecessary, provided that an autopsy requested by a district or county
                  attorney or law enforcement agency may only be determined to be unnecessary if the cause of death
                  can be ascertained without an autopsy being performed.

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