Michigan 2025-2026 Regular Session Status: Introduced 1 R cosponsors

HB 4399 — Health occupations: advanced practice registered nurses; scope of practice of registered professional nurses who hold specialty certifications as nurse practitioners; modify. Amends secs. 17201, 17210, 17211a & 17212 of 1978 PA 368 (MCL 333.17201 et seq.) & adds sec. 17210a.

Last action — recommendation concurred in

  1. 1
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been introduced in the House. Introduced November 05, 2025. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Not enough signal yet

Not enough signal yet to read this bill's trajectory — we surface a likelihood only once there's real movement (stage, sponsorship, committee, or votes) to point to.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Health occupations: advanced practice registered nurses; scope of practice of registered professional nurses who hold specialty certifications as nurse practitioners; modify. Amends secs. 17201, 17210, 17211a & 17212 of 1978 PA 368 (MCL 333.17201 et seq.) & adds sec. 17210a.

Bill Text

What changed in the latest version

1097 added · 311 removed

Plain-language change summary

The recent amendment to House Bill 4399 includes the addition of a section that clarifies the definition of "advanced practice registered nurse" (APRN) and specifies the types of specialties they can have. This change aims to improve the understanding of APRNs' roles in the healthcare system, which could enhance patient care by clearly defining their qualifications. By ensuring that patients and healthcare providers recognize these healthcare professionals’ expertise, the amendment seeks to promote better collaboration within the healthcare field.

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HOUSE BILL NO.
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4399 April 29, 2025, Introduced by Reps.
on small devices, or if your browser window is not maximized, you may need to scroll horizontally to see the entire table Bill ▲▼ Committee Sponsor ▲▼ Subject Meetings ▲▼ Status ▲▼ HB 4007 of 2025 Rules Karl Bohnak Energy:
Prestin, Outman, Frisbie, Tisdel, Bohnak, Cavitt, Markkanen, Schmaltz, Borton, Rheingans, Neeley, Pohutsky and VanderWall and referred to Committee on Health Policy.
alternative sources;
A bill to amend 1978 PA 368, entitled "Public health code," by amending sections 17201, 17210, 17211a, and 17212 (MCL 333.17201, 333.17210, 333.17211a, and 333.17212), sections 17201 and 17212 as amended and section 17211a as added by 2016 PA 499 and section 17210 as amended by 2021 PA 53, and by adding section 17210a.
clean energy system;
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
expand definition of.
EMR H00900'25 *_HB4399_INTR_1 hcf32v 1 Sec.
Amends sec.
17201.
3 of 2008 PA 295 (MCL 460.1003).
(1) As used in this part:
2025-05-01 Referred 04/15/2025reported with recommendation without amendment HB 4017 of 2025 Rules Jerry Neyer Labor:
(a) "Advanced practice registered nurse" or "a.p.r.n." means a registered professional nurse who has been granted a specialty certification under section 17210 in 1 of the following health profession specialty fields:
health and safety;
(i) Nurse midwifery.
penalty for failure to report a death;
(ii) Nurse practitioner.
decrease by the maximum allowable amount if the death occurs to a certain individual on a family farm.
(iii) Clinical nurse specialist.
Amends sec.
(b) "Physician" means a physician who is licensed under part 170 or part 175.
35 of 1974 PA 154 (MCL 408.1035).
(c) "Practice Subject to sections 17210 and 17210a, "practice of nursing" means the systematic application of substantial specialized knowledge and skill, derived from the biological, physical, and behavioral sciences, to the care, treatment, counsel, and health teaching of individuals who are experiencing changes in the normal health processes or who require assistance in the maintenance of health and the prevention or management of illness, injury, or disability.
2025-05-22, 2025-06-26 Referred 03/13/2025reported with recommendation with substitute (H-2) HB 4021 of 2025 Rules Joseph Aragona Civil procedure:
(d) "Practice of nursing as a licensed practical nurse" or "l.p.n." means the practice of nursing based on less comprehensive knowledge and skill than that required of a registered professional nurse and performed under the supervision of a registered professional nurse, physician, or dentist.
evictions;
(e) "Registered professional nurse" or "r.n." means an individual who is licensed under this part to engage in the practice of nursing which scope of practice includes the teaching, direction, and supervision of less skilled personnel in the performance of delegated nursing activities.
pretrial and trial;
(2) In addition to the definitions in this part, article 1 EMR H00900'25 *_HB4399_INTR_1 hcf32v 1 contains general definitions and principles of construction applicable to all articles in the code and part 161 contains definitions applicable to this part.
require pretrial, and allow trial and pretrial to be conducted by magistrate.
Sec.
Amends secs.
17210.
5735 & 8511 of 1961 PA 236 (MCL 600.5735 & 600.8511).
(1) The Michigan Subject to this section and section 17210a, the board of nursing may grant a specialty certification to a registered professional nurse who has advanced training beyond that required for initial licensure, who has demonstrated competency through examination or other evaluative processes, and who practices in 1 of the following health profession specialty fields:
2025-05-15 Referred 03/18/2025 HB 4039 of 2025 Rules Pat Outman Administrative procedure:
(a) Nurse midwifery.
rules;
(b) Nurse anesthetist.
requirement to eliminate regulations;
(c) Nurse practitioner.
provide for.
(d) Subject to subsection (2), clinical Clinical nurse specialist.
Amends sec.
(2) The Michigan board of nursing shall promulgate rules establishing the qualifications for the training and competency of the health profession specialty field of clinical nurse specialist.
39 of 1969 PA 306 (MCL 24.239).
The Michigan board of nursing shall not grant a specialty certification as a clinical nurse specialist under subsection (1) until after the effective date of the rules promulgated under this subsection.
2025-09-04, 2025-09-18 Referred 01/29/2025reported with recommendation without amendment HB 4101 of 2025 (PA 42 of 2026) Rules Matt Bierlein Health occupations:
(3) All of the following apply to a registered professional nurse who holds a specialty certification as a nurse anesthetist:
physical therapists;
(a) In addition to performing duties within the scope of the practice of nursing, his or her the individual's scope of practice includes any of the following anesthesia and analgesia services if the services are performed in accordance with the American Association of Nurse Anesthetists Standards for Nurse Anesthesia EMR H00900'25 *_HB4399_INTR_1 hcf32v 1 Practice:
physical therapy licensure compact;
(i) Development of Developing a plan of care.
enact.
(ii) Performance of Performing all patient assessments, procedures, and monitoring to implement the plan of care or to address patient emergencies that arise during implementation of the plan of care.
Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding sec.
(iii) Selection, Selecting, ordering, or prescribing and the administration of administering anesthesia and analgesic agents, including pharmacological agents that are prescription drugs as defined in section 17708 or controlled substances.
16187a.
For purposes of this subparagraph, the authority of a registered professional nurse who holds a specialty certification as a nurse anesthetist to prescribe pharmacological agents is limited to pharmacological agents for administration to patients as described in subdivision (b), (c), or (d), and his or her the individual's authority does not include any activity that would permit a patient to self- administer, obtain, or receive pharmacological agents, including prescription drugs or controlled substances, outside of the facility in which the anesthetic or analgesic service is performed or beyond the perioperative, periobstetrical, or periprocedural period.
TIE BAR WITH:
(b) If he or she the individual meets both of the following requirements, he or she the individual may provide the anesthesia and analgesia services described in subdivision (a) without supervision:
HB 4102'25 2025-05-08, 2025-05-15 Referred 04/30/2025reported with recommendation with substitute (H-1) HB 4103 of 2025 (PA 43 of 2026) Rules Julie Rogers Health occupations:
(i) He or she The individual meets either of the following:
occupational therapists;
(A) He or she The individual has practiced in the health profession specialty field of nurse anesthetist for 3 years or more and has practiced in that health profession specialty field in a EMR H00900'25 *_HB4399_INTR_1 hcf32v 1 health care facility for a minimum of 4,000 hours.
occupational therapy licensure compact;
(B) He or she The individual has a doctor of nurse anesthesia practice degree or doctor of nursing practice degree.
enact.
(ii) He or she The individual is collaboratively participating in a patient-centered care team.
Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding sec.
(c) He or she The individual may provide the anesthesia and analgesia services described in subdivision (a) in a health care facility if the health care facility has a policy in place under subsection (4) allowing for the provision of the anesthesia and analgesia services and ensuring that a qualified health care professional is immediately available in person or through telemedicine to address any urgent or emergent clinical concerns.
16188.
(d) The anesthesia and analgesia services described in subdivision (a) may be performed for and during the perioperative, periobstetrical, or periprocedural period.
TIE BAR WITH:
(e) If he or she the individual is practicing pain management in a freestanding pain clinic, he or she the individual must be under the supervision of a physician.
HB 4104'25 2025-05-01, 2025-05-08 Referred 04/16/2025reported with recommendation without amendment HB 4113 of 2025 Rules Samantha Steckloff Liquor:
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(4) A health care facility may adopt policies relating to the provision of anesthesia and analgesia services.
other;
If a health care facility uses a registered professional nurse who holds a specialty certification as a nurse anesthetist to perform the anesthesia and analgesia services described in subsection (3) who is not employed by the health care facility, the health care facility shall ensure that the registered professional nurse or the person employing the registered professional nurse maintains malpractice insurance.
discount for specially designated distributors and on-premises licensees;
(5) Subsection (3) does not require new or additional third party third-party reimbursement or mandated worker's compensation benefits for anesthesia and analgesia services provided under that EMR H00900'25 *_HB4399_INTR_1 hcf32v 1 subsection by a registered professional nurse who holds a specialty certification as a nurse anesthetist under this part.
increase.
(6) As used in this section:
Amends sec.
(a) "Collaboratively participating" means practicing and communicating with health care professionals involved in the patient-centered care team to optimize the overall care delivered to the patient.
233 of 1998 PA 58 (MCL 436.1233).
(b) "Health care facility" means any of the following:
2025-05-15, 2025-05-22 Referred 05/08/2025reported with recommendation without amendment HB 4119 of 2025 Rules Steve Frisbie Sales tax:
(i) A hospital inpatient or outpatient facility.
exemptions;
(ii) A freestanding surgical outpatient facility.
purchase of certain aircraft and aviation equipment;
(iii) An office of a physician, podiatrist, or dentist.
exempt.
(iv) Any other office or facility in which diagnostic or therapeutic procedures are provided to a patient, including, but not limited to, imaging, endoscopy, or cystoscopy services.
Amends sec.
(c) "Health care professional" means an individual who is licensed or registered to perform a health profession under this article.
4x of 1933 PA 167 (MCL 205.54x).
(d) "Patient-centered care team" means a group of health care professionals, which must include, but is not limited to, a qualified health care professional, who directly or indirectly care for a patient by each contributing his or her the professional's specialized knowledge, skill, and experience to the care of the patient.
Referred 06/18/2026 HB 4120 of 2025 Rules Joey Andrews Use tax:
(e) "Qualified health care professional" means any of the following health care professionals who has completed the necessary education, training, and experience in anesthesia care or pharmacology, or has experience with procedures requiring anesthesia:
exemptions;
(i) A physician.
purchase of certain aircraft and aviation equipment;
EMR H00900'25 *_HB4399_INTR_1 hcf32v 1 (ii) A dentist licensed under part 166.
exempt.
(iii) A podiatric physician licensed under part 180.
Amends sec.
Sec.
4k of 1937 PA 94 (MCL 205.94k).
TIE BAR WITH:
HR 0002'25 Referred 06/18/2026 HB 4125 of 2025 Rules Mike McFall Higher education:
education programs;
nuclear and hydrogen education grant program;
create.
Creates new act.
TIE BAR WITH:
HB 4127'25, HB 4129'25, HB 4126'25, HB 4128'25, HB 4124'25 2025-04-17 Referred 03/25/2025reported with recommendation without amendment HB 4129 of 2025 Rules Joey Andrews Labor:
employment incentives;
employment incentives nuclear and hydrogen graduate attraction and retention program act;
create.
Creates new act.
TIE BAR WITH:
HB 4127'25, HB 4125'25, HB 4126'25, HB 4128'25, HB 4124'25 2025-04-17 Referred 03/25/2025reported with recommendation without amendment HB 4148 of 2025 Rules Cameron Cavitt Education:
board members;
state board of education;
require members to be selected from districts.
Amends sec.
282a of 1954 PA 116 (MCL 168.282a) & adds sec.
282b.
Referred 05/13/2025 HB 4151 of 2025 Rules David Martin Education:
teachers and administrators;
endorsement requirements;
modify.
Amends sec.
1531 of 1976 PA 451 (MCL 380.1531).
2025-03-06 Referred 03/05/2025reported with recommendation without amendment HB 4152 of 2025 Rules Kathy Schmaltz Education:
other;
certain requirements for the approval of teacher preparation institutions;
create.
Amends sec.
1531e of 1976 PA 451 (MCL 380.1531e).
Referred 05/13/2025 HB 4153 of 2025 Rules Nancy DeBoer Education:
teachers and administrators;
district-level certifications;
provide for.
Amends secs.
501, 521, 551, 1231, 1233, 1311b, 1526, 1535a & 1809 of 1976 PA 451 (MCL 380.501 et seq.) & adds sec.
1531l.
2025-03-06 Referred 03/05/2025reported with recommendation with substitute (H-1) HB 4154 of 2025 Rules Brian BeGole Education:
career and technical;
trade schools;
include in the postsecondary enrollment options act.
Amends sec.
3 of 1996 PA 160 (MCL 388.513).
Referred 03/12/2025reported with recommendation without amendment HB 4155 of 2025 Rules Alicia St.
Germaine Education:
curriculum;
recommendations for curriculum companies and assessment companies;
require the department to provide.
Amends 1976 PA 451 (MCL 380.1 - 380.1852) by adding sec.
1278e.
Referred 05/13/2025 HB 4160 of 2025 Rules Gina Johnsen Administrative procedure:
rules;
adoption of rules by state agencies more stringent than federal regulations;
prohibit.
Amends secs.
32 & 45 of 1969 PA 306 (MCL 24.232 & 24.245).
2025-09-04, 2025-09-18 Referred 02/26/2025reported with recommendation without amendment HB 4221 of 2025 Rules Laurie Pohutsky Health occupations:
veterinarians;
veterinarian-client-patient relationship;
require.
Amends secs.
16287 & 18811 of 1978 PA 368 (MCL 333.16287 & 333.18811).
TIE BAR WITH:
HB 4221'25 2025-10-23, 2025-10-30 Referred 10/16/2025reported with recommendation without amendment HB 4227 of 2025 Rules Parker Fairbairn Education:
safety;
1 emergency and safety manager and at least 1 mental health coordinator;
require each intermediate school district to employ.
Amends 1976 PA 451 (MCL 380.1 - 380.1852) by adding sec.
1308g.
Referred 05/14/2025 HB 4235 of 2025 Rules Rachelle Smit Public employees and officers:
state;
use of certain applications on state devices;
prohibit.
Creates new act.
2025-04-17 Referred 03/26/2025reported with recommendation with substitute (H-1) HB 4240 of 2025 Rules Bill Schuette State agencies (existing):
other;
foreign influence of public bodies;
prohibit.
Creates new act.
2025-04-17 Referred 03/26/2025reported with recommendation without amendment HB 4241 of 2025 Rules Mike Hoadley Economic development:
other;
economic incentives to certain foreign countries;
prohibit.
Amends 1984 PA 270 (MCL 125.2001 - 125.2094) by adding sec.
7c.
2025-04-17 Referred 03/26/2025reported with recommendation without amendment HB 4244 of 2025 Rules Matt Maddock Administrative procedure:
other;
references to the Gulf of Mexico;
require to be the Gulf of America.
Creates new act.
Referred 05/13/2025 HB 4246 of 2025 Rules Phil Green Health occupations:
nurses;
nurse licensure compact;
enact.
Amends secs.
16170a, 16222, 16231, 16238 & 17201 of 1978 PA 368 (MCL 333.16170a et seq.) & adds secs.
16187, 17225 & 17225a.
2025-05-22, 2025-06-05 Referred 05/14/2025reported with recommendation without amendment HB 4254 of 2025 Rules Joseph Aragona Animals:
care and treatment;
conducting of research or training activities on dogs in a manner that causes pain or distress;
prohibit.
Amends secs.
2674, 2675 & 2678 of 1978 PA 368 (MCL 333.2674 et seq.);
adds secs.
2670 & 2675a & repeals secs.
2672 & 2673 of 1978 PA 368 (MCL 333.2672 & 333.2673).
Referred 10/30/2025 HB 4279 of 2025 Rules Jaime Greene Military affairs:
other;
Michigan National Guard apprenticeship program;
create.
Creates new act.
2025-08-21, 2025-09-04 Referred 05/20/2025reported with recommendation with substitute (H-3) HB 4306 of 2025 Rules Curtis VanderWall Traffic control:
driver license;
exceptions to driver license suspension for certain individuals who suffered an epileptic seizure;
provide for.
Amends sec.
309 of 1949 PA 300 (MCL 257.309) & adds sec.
309a.
TIE BAR WITH:
HB 4307'25 2025-09-04, 2025-10-23 Referred 06/25/2025reported with recommendation with substitute (H-1) HB 4309 of 2025 (PA 45 of 2026) Rules David Prestin Health occupations:
physician's assistants;
physician's assistants licensure compact;
provide for.
Amends secs.
16337 & 18001 of 1978 PA 368 (MCL 333.16337 & 333.18001) & adds secs.
16187d, 17011b, 17061a, 17511b & 18011b.
2025-05-01, 2025-05-08 Referred 04/23/2025reported with recommendation with substitute (H-1) HB 4345 of 2025 (PA 5 of 2025) Rules Cameron Cavitt School aid:
penalties;
exception to minimum days of pupil instruction requirement for district closure during a declared state of emergency;
provide for.
Amends sec.
101 of 1979 PA 94 (MCL 388.1701).
2025-05-01 Referred 04/30/2025reported with recommendation with substitute (H-1) HB 4346 of 2025 Rules Angela Witwer Gaming:
other;
allocation of revenue under the lawful internet gaming act to the Michigan agriculture equine industry development fund;
remove cap.
Amends sec.
15 of 2019 PA 152 (MCL 432.315).
TIE BAR WITH:
HB 4347'25 2025-10-30, 2025-12-11 Referred 10/21/2025reported with recommendation with substitute (H-1) HB 4347 of 2025 Rules Tom Kunse Gaming:
horse racing;
Michigan agriculture and equine industry development fund;
modify.
Amends secs.
2 & 20 of 1995 PA 279 (MCL 431.302 & 431.320).
TIE BAR WITH:
HB 4346'25 2025-10-30, 2025-12-11 Referred 10/21/2025reported with recommendation with substitute (H-4) HB 4352 of 2025 Rules Tyrone Carter Water supply:
systems;
authority as municipal authority;
modify.
Amends title & secs.
1, 4, 4a, 4b, 4c & 4d of 1955 PA 233 (MCL 124.281 et seq.).
2025-06-26, 2025-08-21 Referred 06/05/2025reported with recommendation with substitute (H-1) HB 4354 of 2025 Rules Mike Mueller Water supply:
systems;
authority as municipal authority;
modify.
Amends sec.
2 of 1965 PA 203 (MCL 28.602).
TIE BAR WITH:
HB 4352'25 2025-06-26, 2025-08-21 Referred 06/05/2025reported with recommendation without amendment HB 4361 of 2025 Rules Phil Green Public utilities:
other;
guidelines for trimming trees and branches around power lines;
modify.
Amends sec.
10p of 1939 PA 3 (MCL 460.10p).
2026-01-15, 2026-01-22 Referred 12/09/2025 HB 4385 of 2025 Rules Joey Andrews Natural resources:
shorelands;
temporary erosion control structures;
authorize without permit during high water levels.
Amends secs.
32312, 32312a & 32510 of 1994 PA 451 (MCL 324.32312 et seq.) & adds sec.
32510a.
Referred 06/25/2025 HB 4391 of 2025 Rules Julie Rogers Crimes:
intoxication or impairment;
methods of testing intoxication or impairment in the Michigan vehicle code;
expand to include other bodily fluid.
Amends secs.
625a, 625c & 625g of 1949 PA 300 (MCL 257.625a et seq.).
TIE BAR WITH:
HB 4390'25 2025-06-05, 2025-06-26 Referred 05/22/2025reported with recommendation with substitute (H-2) HB 4399 of 2025 Rules David Prestin Health occupations:
advanced practice registered nurses;
scope of practice of registered professional nurses who hold specialty certifications as nurse practitioners;
modify.
Amends secs.
17201, 17210, 17211a & 17212 of 1978 PA 368 (MCL 333.17201 et seq.) & adds sec.
(1) The board may grant a specialty certification as a nurse practitioner under section 17210 to a registered professional nurse who meets all of the following requirements:
Referred 11/05/2025 HB 4402 of 2025 Rules Curtis VanderWall Health:
(a) Has completed a graduate, postgraduate, or doctoral level nursing education program that the board determines prepares the registered professional nurse for the health profession specialty field of nurse practitioner.
diseases;
(b) Holds a certification from a nationally accredited certification body approved by the board.
dissemination of information about cytomegalovirus (CMV) to certain individuals and in certain situations;
(c) Meets any other requirement established by the board by rule.
provide for.
(2) All of the following apply to a registered professional nurse who holds a specialty certification as a nurse practitioner:
Amends secs.
(a) In addition to performing duties within the practice of nursing, the individual's scope of practice includes all of the following:
5431 & 5432 of 1978 PA 368 (MCL 333.5431 & 333.5432) & adds sec.
(i) Performing comprehensive assessments, providing physical examinations and other health assessments, and providing screening activities.
5143.
(ii) Diagnosing, treating, and managing patients with acute and chronic illnesses and diseases.
2025-10-16, 2025-10-23 Referred 09/17/2025reported with recommendation without amendment HB 4422 of 2025 Rules Pauline Wendzel Liquor:
(iii) Ordering, performing, supervising, and interpreting laboratory and imaging studies.
authorized distribution agents;
(iv) Prescribing pharmacological and nonpharmacological interventions and treatments that are within the registered professional nurse's specialty role.
authorized distribution agent fees;
(v) Engaging in health promotion and disease prevention.
increase.
EMR H00900'25 *_HB4399_INTR_1 hcf32v 1 (vi) Providing health education.
Amends sec.
(vii) Counseling patients and families with potential, acute, and chronic health disorders.
205 of 1998 PA 58 (MCL 436.1205).
(b) The individual shall do both of the following:
2025-09-25 Referred 09/18/2025 HB 4484 of 2025 Rules Joseph Fox Human services:
(i) Comply with the standards established by the board and with the national accreditation standards of the national professional nursing associations applicable to the individual's specialty certification.
medical services;
(ii) Consult with other health professionals and refer a patient to other health professionals, as the board considers appropriate.
coverage policies for speech-language pathologists;
(c) The individual may supervise registered professional nurses, licensed practical nurses, and other individuals performing health occupations.
modify.
Sec.
Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec.
17211a.
109z.
(1) An advanced practice registered nurse may prescribe any of the following:
2025-09-18, 2025-09-25 Referred 09/03/2025reported with recommendation without amendment HB 4501 of 2025 Rules Mike Mueller Marihuana:
(a) A nonscheduled prescription drug.
other;
(b) Subject to subsection (2), Except as otherwise provided in subsection (2), a controlled substance included in schedules 2 to 5 of part 72, as a delegated act of a physician.
cannabis regulatory agency;
(2) If an advanced practice registered nurse prescribes a controlled substance under subsection (1)(b), this subdivision, both the advanced practice registered nurse's name and the physician's name shall must be used, recorded, or otherwise indicated in connection with that prescription, .
allow to operate a marihuana reference laboratory and to collect, transport, possess, test, and perform research with marihuana.
If an advanced practice registered nurse prescribes a controlled substance under subsection (1)(b), and both the advanced practice registered nurse's and the physician's DEA registration numbers shall must be used, recorded, or otherwise indicated in connection with that EMR H00900'25 *_HB4399_INTR_1 hcf32v 1 prescription.
Amends sec.
(2) An advanced practice registered nurse who holds a specialty certification in the specialty field of nurse practitioner may prescribe a controlled substance included in schedules 2 to 5 of part 72 without delegation from a physician if the advanced practice registered nurse prescribes the controlled substance while practicing in the health profession specialty field of nurse practitioner.
7 of 2018 IL 1 (MCL 333.27957).
If a controlled substance is prescribed under this subsection, only the name of the advanced practice registered nurse described in this subsection must be used, recorded, or otherwise indicated in connection with the prescription and only the advanced practice registered nurse's DEA registration number must be used, recorded, or otherwise indicated in connection with the prescription.
2026-01-15, 2026-01-22 Referred 11/13/2025reported with recommendation without amendment HB 4509 of 2025 Rules Luke Meerman Health occupations:
(3) The amendatory act that added this This section does not require new or additional third-party reimbursement or mandated worker's compensation benefits for services rendered by an advanced practice registered nurse who is authorized to prescribe nonscheduled prescription drugs and controlled substances included in schedules 2 to 5 of part 72.
audiologists;
under this section.
audiologist and speech language pathologist licensure compact;
Sec.
provide for.
17212.
Amends secs.
(1) Subject to subsections (2), and (3), and (4), in addition to acts, tasks, and functions delegated under section 16215, 17211a(1)(b), 17745, 17745a, or 17745b, a supervising physician may delegate in writing to a registered professional nurse the ordering, receipt, and dispensing of complimentary starter dose drugs other than controlled substances as defined in article 7 or federal law.
16801 & 17601 of 1978 PA 368 (MCL 333.16801 & 333.17601) & adds secs.
If a delegated ordering, receipt, or dispensing of complimentary starter dose drugs described in this subsection occurs, both the registered professional nurse's name EMR H00900'25 *_HB4399_INTR_1 hcf32v 1 and the supervising physician's name shall must be used, recorded, or otherwise indicated in connection with each order, receipt, or dispensing.
16187, 16804 & 17603a.
(2) Subject to subsection (3), an An advanced practice registered nurse may order, receive, and dispense a complimentary starter dose drug other than a controlled substance without delegation from a physician.
2025-09-18, 2025-10-16 Referred 09/03/2025 HB 4552 of 2025 Rules Brad Paquette Health:
Only the name of the advanced practice registered nurse shall must be used, recorded, or otherwise indicated in connection with an order, receipt, or dispensing of a complimentary starter dose drug under this subsection.
immunizations;
(3) An Except as otherwise provided in subsection (4), an advanced practice registered nurse may order, receive, and dispense complimentary starter doses of controlled substances included in schedules 2 to 5 of part 72 as a delegated act of a physician.
promulgation of certain rules and regulations that are more stringent than the vaccination exemptions provided in statute and that exclude individuals from school as a disease control measure;
If a delegated ordering, receipt, or dispensing of complimentary starter dose drugs described in this subsection occurs, the advanced practice registered nurse's name and the delegating physician's name shall must be used, recorded, or otherwise indicated in connection with each order, receipt, or dispensing and both the advanced practice registered nurse's and the delegating physician's DEA registration number shall must be used, recorded, or otherwise indicated in connection with each order, receipt, or dispensing.
prohibit.
(4) An advanced practice registered nurse who holds a specialty certification in the specialty field of nurse practitioner may order, receive, and dispense complimentary starter doses of controlled substances included in schedules 2 to 5 of part 72 without delegation from a physician.
Amends secs.
If an advanced practice registered nurse described in this subsection orders, receives, or dispenses a complimentary starter dose drug described in this EMR H00900'25 *_HB4399_INTR_1 hcf32v 1 subsection, only the advanced practice registered nurse's name must be used, recorded, or otherwise indicated in connection with each order, receipt, or dispensing and only the advanced practice registered nurse's DEA registration number must be used, recorded, or otherwise indicated in connection with each order, receipt, or dispensing.
9215 & 9227 of 1978 PA 368 (MCL 333.9215 & 333.9227) & adds sec.
(5) (4) It is the intent of the legislature in enacting this section to allow a pharmaceutical manufacturer or wholesale distributor, as those terms are defined in part 177, sections 17706 and 17709, to distribute complimentary starter dose drugs to an advanced practice registered nurse described in subsections (2), and (3), and (4), or to a registered professional nurse described in subsection (1), in compliance with section 503(d) of the federal food, drug, and cosmetic act, 21 USC 353.
5115a.
(6) (5) As used in this section, "complimentary starter dose" means that term as defined in section 17745.
TIE BAR WITH:
Final Page EMR H00900'25 *_HB4399_INTR_1 hcf32v
HB 4553'25 Referred 06/05/2025 HB 4553 of 2025 Rules James DeSana Education:
attendance;
promulgation of certain rules that are more stringent than the requirements for claiming exemption from immunizations;
prohibit.
Amends sec.
1177 of 1976 PA 451 (MCL 380.1177).
TIE BAR WITH:
HB 4552'25 Referred 06/05/2025 HB 4558 of 2025 Rules Curtis VanderWall Health:
occupations;
examination and evaluation for purchase of contact lenses;
allow to be in person or by telemedicine.
Amends secs.
5553, 5555, 5557 & 5561 of 1978 PA 368 (MCL 333.5553 et seq.) & adds secs.
5560 & 5562.
Referred 06/25/2025 HB 4591 of 2025 Rules Karl Bohnak Health occupations:
counselors;
professional counselors licensure compact;
provide for.
Amends sec.
18101 of 1978 PA 368 (MCL 333.18101) & adds secs.
16190a & 18105a.
2025-09-18, 2025-09-25 Referred 09/03/2025reported with recommendation without amendment HB 4593 of 2025 Rules Matt Bierlein Health occupations:
dentists;
representing oneself as a "dental specialist" or as specializing in other dental areas;
prohibit under certain circumstances.
Amends sec.
16608 of 1978 PA 368 (MCL 333.16608).
TIE BAR WITH:
HB 4594'25 2026-01-15, 2026-01-22 Referred 11/05/2025reported with recommendation with substitute (H-4) HB 4642 of 2025 Rules Angela Rigas Campaign finance:
violations;
authority of the attorney general's office to resolve violations involving the secretary of state;
provide for.
Amends sec.
15 of 1976 PA 388 (MCL 169.215).
2025-09-18, 2025-09-25 Referred 08/19/2025reported with recommendation without amendment HB 4679 of 2025 Rules Tullio Liberati Agriculture:
weights and measures;
certain definitions;
provide for.
Amends secs.
10 & 28c of 1964 PA 283 (MCL 290.610 & 290.628c).
TIE BAR WITH:
HB 4678'25 2026-01-15 Referred 11/13/2025reported with recommendation without amendment HB 4692 of 2025 Rules Angela Rigas Occupations:
cosmetologists;
branch facilities for a school of cosmetology;
provide for.
Amends 1980 PA 299 (MCL 339.101 - 339.2677) by adding sec.
1205b.
TIE BAR WITH:
HB 4693'25 2025-12-11, 2025-12-16 Referred 10/30/2025reported with recommendation with substitute (H-1) HB 4693 of 2025 Rules Tullio Liberati Occupations:
cosmetologists;
cosmetology licensing fees;
modify.
Amends secs.
9 & 25 of 1979 PA 152 (MCL 338.2209 & 338.2225).
TIE BAR WITH:
HB 4692'25 Referred 10/30/2025 HB 4696 of 2025 Rules Luke Meerman Children:
guardians;
definition of relative under the guardianship assistance act;
modify.
Amends sec.
2 of 2008 PA 260 (MCL 722.872).
TIE BAR WITH:
HB 4697'25 2026-03-12, 2026-03-19 Referred 02/24/2026reported with recommendation without amendment HB 4720 of 2025 Rules Rachelle Smit Elections:
voting equipment;
use of electronic voting systems that contain certain parts or equipment;
prohibit.
Amends secs.
795 & 795a of 1954 PA 116 (MCL 168.795 & 168.795a).
2026-03-12, 2026-03-19 Referred 12/09/2025reported with recommendation with substitute (H-1) HB 4790 of 2025 Rules Jamie Thompson Health occupations:
physicians;
continuing education on menopause and related conditions;
provide for.
Amends secs.
17033 & 17533 of 1978 PA 368 (MCL 333.17033 & 333.17533).
2026-02-04, 2026-02-19 Referred 10/22/2025reported with recommendation with substitute (H-1) HB 4809 of 2025 Rules Bryan Posthumus Highways:
bridges;
tolling enforcement program;
provide for.
Amends title & sec.
219 of 1949 PA 300 (MCL 257.219) & adds secs.
820a & 820b.
2025-11-13, 2025-12-11 Referred 09/30/2025reported with recommendation with substitute (H-4) HB 4813 of 2025 Rules Joseph Pavlov Education:
other;
interstate compact on educational opportunity for military children;
modify.
Amends secs.
1 & 2 of 2008 PA 160 (MCL 3.1041 & 3.1042).
2026-06-25 Referred 11/05/2025reported with recommendation with substitute (H-2) HB 4816 of 2025 Rules Nancy Jenkins-Arno Individual income tax:
credit;
credit for certain investments in Michigan businesses;
provide for.
Amends 1967 PA 281 (MCL 206.1 - 206.847) by adding sec.
281.
2026-03-12, 2026-04-16 Referred 11/04/2025reported with recommendation with substitute (H-3) HB 4823 of 2025 Rules Joseph Aragona Liquor:
distribution;
general amendments;
provide for.
Amends secs.
105, 303, 526, 607, 609b & 1025 of 1998 PA 58 (MCL 436.1105 et seq.) & adds sec.
412.
TIE BAR WITH:
HB 4824'25, HB 4825'25 2025-09-25 Referred 09/18/2025reported with recommendation with substitute (H-1) HB 4824 of 2025 (PA 83 of 2026) Rules Matt Bierlein Liquor:
other;
definition of brand;
modify.
Amends secs.
105 & 1115 of 1998 PA 58 (MCL 436.1105 436.2115) & adds sec.
604.
TIE BAR WITH:
HB 4823'25 2025-09-25 Referred 09/18/2025reported with recommendation with substitute (H-3) HB 4834 of 2025 Rules Jaime Greene Aeronautics:
other;
aeronautics code;
revise.
Amends title & secs.
2, 3, 7, 8, 9, 26, 27, 33, 34, 35, 51, 52, 53, 55, 76, 76a, 77, 80b, 80e, 82, 86, 109 & 155 of 1945 PA 327 (MCL 259.2 et seq.);
adds sec.
89c & repeals sec.
36 of 1945 PA 327 (MCL 259.36).
TIE BAR WITH:
HB 4835'25 Referred 09/30/2025 HB 4835 of 2025 Rules Jaime Greene Aeronautics:
other;
definition of law enforcement officer;
update.
Amends sec.
2 of 1965 PA 203 (MCL 28.602).
TIE BAR WITH:
HB 4834'25 Referred 09/30/2025 HB 4845 of 2025 Rules Tom Kunse Transportation:
funds;
requirements for competitive bidding for certain road construction project contracts;
modify.
Amends sec.
11c of 1951 PA 51 (MCL 247.661c).
Referred 02/18/2026 HB 4855 of 2025 Rules David Prestin Weapons:
firearms;
possession of a pistol by a bow hunter;
allow.
Amends sec.
43510 of 1994 PA 451 (MCL 324.43510).
2026-01-15, 2026-01-22 Referred 11/05/2025reported with recommendation with substitute (H-1) HB 4864 of 2025 Rules Julie Rogers Health:
children;
definition of elevated blood lead level;
modify.
Amends sec.
5456 of 1978 PA 368 (MCL 333.5456).
2026-06-18, 2026-06-25 Referred 06/03/2026reported with recommendation with substitute (H-1) HB 4878 of 2025 Rules Curtis VanderWall Health:
pharmaceuticals;
reporting certain information and regulating certain conduct related to drugs and the federal 340B program;
provide for.
Creates new act.
Referred 01/28/2026 HB 4881 of 2025 Rules Jerry Neyer Occupations:
individual licensing and registration;
reference to wholesale potato dealers licensing;
update.
Amends sec.
4105 of 2000 PA 92 (MCL 289.4105).
TIE BAR WITH:
HB 4882'25 2025-11-06, 2025-11-13 Referred 10/30/2025reported with recommendation without amendment HB 4882 of 2025 Rules Jerry Neyer Occupations:
individual licensing and registration;
licensing of potato dealers;
eliminate.
Repeals 1964 PA 158 (MCL 290.451 - 290.466).
2025-11-06, 2025-11-13 Referred 10/30/2025reported with recommendation without amendment HB 4892 of 2025 Rules Steve Frisbie Occupations:
accounting;
requirements for an accountancy firm license;
modify.
Amends secs.
724 & 728 of 1980 PA 299 (MCL 339.724 & 339.728).
2025-11-13, 2025-12-11 Referred 11/04/2025reported with recommendation with substitute (H-1) HB 4894 of 2025 Rules Ron Robinson Occupations:
residential builders;
restrictions on qualifying experience for building inspectors;
modify.
Amends sec.
207 of 2016 PA 407 (MCL 339.5207) & adds sec.
1020.
Referred 06/25/2026 HB 4895 of 2025 Rules Rylee Linting Occupations:
individual licensing and registration;
continuing education requirements;
allow to be fulfilled with online remote learning.
Amends sec.
314 of 1980 PA 299 (MCL 339.314).
2025-11-13, 2025-12-11, 2025-12-16 Referred 11/05/2025reported with recommendation without amendment HB 4896 of 2025 Rules Jason Woolford Health occupations:
physicians;
license to engage in the practice of medicine for international medical school graduates;
provide for under certain circumstances.
Amends secs.
17001 & 17011 of 1978 PA 368 (MCL 333.17001 & 333.17011).
TIE BAR WITH:
HB 4925'25 2025-12-11, 2026-01-15 Referred 11/12/2025reported with recommendation with substitute (H-1) HB 4897 of 2025 Rules David Martin Occupations:
individual licensing and registration;
boiler installer license;
provide for.
Amends sec.
939 of 2016 PA 407 (MCL 339.5939) & adds secs.
926, 926a & 926b.
2026-01-15 Referred 12/18/2025reported with recommendation with substitute (H-1) HB 4898 of 2025 Rules Ann Bollin Occupations:
individual licensing and registration;
boiler repair license;
provide for.
Amends sec.
941 of 2016 PA 407 (MCL 339.5941) & adds secs.
928, 928a & 928b.
2026-01-15 Referred 12/18/2025reported with recommendation with substitute (H-1) HB 4899 of 2025 Rules Jamie Thompson Health occupations:
nurses;
evaluation of foreign trained registered nurses;
modify.
Amends sec.
17213 of 1978 PA 368 (MCL 333.17213).
2026-02-04, 2026-02-19 Referred 01/28/2026reported with recommendation without amendment HB 4901 of 2025 Rules Jamie Thompson Health:
licensing;
licensing of nurses and speech-language pathologists;
modify.
Amends secs.
17211 & 17603 of 1978 PA 368 (MCL 333.17211 & 333.17603).
2026-03-19 Referred 02/18/2026reported with recommendation without amendment HB 4907 of 2025 Rules David Prestin Occupations:
individual licensing and registration;
testing of control and safety devices by boiler repairers and installers;
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Action History

  1. recommendation concurred in

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 146 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (146)

146 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

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Frequently asked questions

What does HB 4399 do?
Health occupations: advanced practice registered nurses; scope of practice of registered professional nurses who hold specialty certifications as nurse practitioners; modify. Amends secs. 17201, 17210, 17211a & 17212 of 1978 PA 368 (MCL 333.17201 et seq.) & adds sec. 17210a.
Who sponsors HB 4399?
HB 4399 is sponsored by David Prestin (Republican).
What is the current status of HB 4399?
This bill has been introduced in the House. Introduced November 05, 2025. It must pass committee before a floor vote.
Where can I track HB 4399?
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