HB 4466 — Health: licensing; sanctions for performing gender reassignment procedures or treatment to minors; provide for. Amends secs. 16221 & 16226 of 1978 PA 368 (MCL 333.16221 & 333.16226). TIE BAR WITH: HB 4467'25

HB-4466, As Passed House, June 3, 2026 HOUSE BILL NO.

Subject to section 16221b, the department shall investigate any allegation that 1 or more of the grounds for disciplinary subcommittee action under this section exist, and may investigate activities related to the practice of a health EMR H01972'25_HB4466_INTR_1H01972'25_HB4466_APH_1 twxbdc0q9ui3 profession by a licensee, a registrant, or an applicant for licensure or registration.

EMR H01972'25_HB4466_INTR_1H01972'25_HB4466_APH_1 twxbdc0q9ui3 or conviction of any felony other than a felony listed or described in another subparagraph of this subdivision.

EMR H01972'25_HB4466_INTR_1H01972'25_HB4466_APH_1 twxbdc0q9ui3 (xiii) Conviction of a criminal offense under section 83, 84, 316, 317, 321, 520b, 520c, 520d, or 520f of the Michigan penal code, 1931 PA 328, MCL 750.83, 750.84, 750.316, 750.317, 750.321, 750.520b, 750.520c, 750.520d, and 750.520f.

(d) Except as otherwise specifically provided in this section, EMR H01972'25_HB4466_INTR_1H01972'25_HB4466_APH_1 twxbdc0q9ui3 unethical business practices, consisting of 1 or more of the following:

A disciplinary subcommittee shall apply 42 USC 1395nn and the regulations promulgated under that section regardless of the source of payment for the designated EMR H01972'25_HB4466_INTR_1H01972'25_HB4466_APH_1 twxbdc0q9ui3 health service referred and rendered.

(vi) Any conduct by a licensee or registrant with a patient while the licensee or registrant is acting within the health EMR H01972'25_HB4466_INTR_1H01972'25_HB4466_APH_1 twxbdc0q9ui3 profession for which the licensee or registrant is licensed or registered, including conduct initiated by a patient or to which the patient consents, that is sexual or may reasonably be interpreted as sexual, including, but not limited to, sexual intercourse, kissing in a sexual manner, or touching of a body part for any purpose other than appropriate examination, treatment, or comfort.

EMR H01972'25_HB4466_INTR_1H01972'25_HB4466_APH_1 twxbdc0q9ui3 (p) A violation of section 16274.

(c)(v) Subdivision (b)(xiii) Permanent revocation for a violation described in EMR H01972'25_HB4466_INTR_1H01972'25_HB4466_APH_1 twxbdc0q9ui3 subsection (5);

EMR H01972'25_HB4466_INTR_1H01972'25_HB4466_APH_1 twxbdc0q9ui3 Subdivision (f) Reprimand, denial, limitation, probation, or fine.

If, during judicial review, the court of appeals determines that a final EMR H01972'25_HB4466_INTR_1H01972'25_HB4466_APH_1 twxbdc0q9ui3 decision or order of a disciplinary subcommittee prejudices substantial rights of the petitioner for 1 or more of the grounds listed in section 106 of the administrative procedures act of 1969, MCL 24.306, and holds that the final decision or order is unlawful and is to be set aside, the court shall state on the record the reasons for the holding and may remand the case to the disciplinary subcommittee for further consideration.

(6) Except as otherwise provided in subsection (5) and this subsection, a disciplinary subcommittee shall not impose the sanction of permanent revocation under this section without a finding that the licensee or registrant engaged in a pattern of EMR H01972'25_HB4466_INTR_1H01972'25_HB4466_APH_1 twxbdc0q9ui3 intentional acts of fraud or deceit resulting in personal financial gain to the licensee or registrant and harm to the health of patients under the licensee's or registrant's care.

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