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

HB 4726 — Health facilities: county medical care facilities; maintenance of effort reimbursement; extend sunset. Amends sec. 109 of 1939 PA 280 (MCL 400.109).

Last action — assigned PA 45'25 with immediate effect

Track this bill free

No card. One bill, free forever — alerts when it moves.

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

This bill has been enacted into law. Introduced December 31, 2025. Enacted.

Prognosis

Likely to advance 72% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

  • Cleared a recorded vote

    Passed 4 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Health facilities: county medical care facilities; maintenance of effort reimbursement; extend sunset. Amends sec. 109 of 1939 PA 280 (MCL 400.109). — Public Act 45 of 2025

Bill Text

What changed in the latest version

7 added · 7 removed

Plain-language change summary

In the latest version of Bill HB 4726, several lines of text have been added while others have been removed. This shift may clarify the bill's intent or streamline its provisions, making it easier for lawmakers to understand and implement. The updates can also reflect new considerations or feedback that emerged during discussions, which are important for ensuring the legislation meets its intended goals effectively.

→
Previous
Latest
HB-4726, House Concurred, December 18, 2025 HOUSE BILL NO.
HB-4726, As Passed House, November 6, 2025 HOUSE BILL NO.
(a) Hospital services that an eligible individual may receive consist of medical, surgical, or obstetrical care, together with necessary drugs, X-rays, physical therapy, prosthesis, OOI H03717'25_HB4726_HCB_1 64jd2e 1 transportation, and nursing care incident to the medical, surgical, or obstetrical care.
(a) Hospital services that an eligible individual may receive consist of medical, surgical, or obstetrical care, together with necessary drugs, X-rays, physical therapy, prosthesis, OOI H03717'25_HB4726_APH_1 k2cb6d 1 transportation, and nursing care incident to the medical, surgical, or obstetrical care.
An eligible individual may receive nursing home services in an extended care OOI H03717'25_HB4726_HCB_1 64jd2e 1 services program established under section 22210 of the public health code, 1978 PA 368, MCL 333.22210, to the extent found necessary by the attending physician when the combined length of stay in the acute care bed and short-term nursing care bed exceeds the average length of stay for Medicaid hospital diagnostic related group reimbursement.
An eligible individual may receive nursing home services in an extended care OOI H03717'25_HB4726_APH_1 k2cb6d 1 services program established under section 22210 of the public health code, 1978 PA 368, MCL 333.22210, to the extent found necessary by the attending physician when the combined length of stay in the acute care bed and short-term nursing care bed exceeds the average length of stay for Medicaid hospital diagnostic related group reimbursement.
(ii) For county-owned facilities with per patient day updated variable costs not exceeding the variable cost limit for the county facility, county maintenance of effort rate means 45% of the difference between per patient day updated variable cost and the OOI H03717'25_HB4726_HCB_1 64jd2e 1 concomitant nursing home class variable cost limit.
(ii) For county-owned facilities with per patient day updated variable costs not exceeding the variable cost limit for the county facility, county maintenance of effort rate means 45% of the difference between per patient day updated variable cost and the OOI H03717'25_HB4726_APH_1 k2cb6d 1 concomitant nursing home class variable cost limit.
(d) Pharmaceutical services from a licensed pharmacist of the OOI H03717'25_HB4726_HCB_1 64jd2e 1 individual's choice as prescribed by a licensed physician or dentist and approved by the department.
(d) Pharmaceutical services from a licensed pharmacist of the OOI H03717'25_HB4726_APH_1 k2cb6d 1 individual's choice as prescribed by a licensed physician or dentist and approved by the department.
(2) The director must provide notice to the public, according to applicable federal regulations, and must obtain the approval of the committees on appropriations of the house of representatives and senate of the state legislature, of a proposed change in the statewide method or level of reimbursement for a service, if the OOI H03717'25_HB4726_HCB_1 64jd2e 1 proposed change is expected to increase or decrease payments for that service by 1% or more during the 12 months after the effective date of the change.
(2) The director must provide notice to the public, according to applicable federal regulations, and must obtain the approval of the committees on appropriations of the house of representatives and senate of the state legislature, of a proposed change in the statewide method or level of reimbursement for a service, if the OOI H03717'25_HB4726_APH_1 k2cb6d 1 proposed change is expected to increase or decrease payments for that service by 1% or more during the 12 months after the effective date of the change.
Final Page OOI H03717'25_HB4726_HCB_1 64jd2e
Final Page OOI H03717'25_HB4726_APH_1 k2cb6d
⬇ Download PDF
View plain text versions (4)

Action History

  1. assigned PA 45'25 with immediate effect

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 146 not signed on · 3 voted No

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (146)

146 members have not signed on to this bill.

Show all 146 →

"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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

PASSED; GIVEN IMMEDIATE EFFECT

Passed 35 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 18000
Democrat 17002
Total 35002
% of votes cast 95%0%0%5%
How each member voted (37)
Member Party Vote
Darrin Camilleri Democrat Yea
Dayna Polehanki Democrat Yea
Erika Geiss Democrat Yea
Jeff Irwin Democrat Yea
Jeremy Moss Democrat Yea
John Cherry Democrat Yea
Kevin Hertel Democrat Yea
Mallory McMorrow Democrat Yea
Mary Cavanagh Democrat Not Voting
Paul Wojno Democrat Yea
Rosemary Bayer Democrat Yea
Sam Singh Democrat Yea
Sarah Anthony Democrat Yea
Sean McCann Democrat Not Voting
Stephanie Chang Democrat Yea
Sue Shink Democrat Yea
Sylvia Santana Democrat Yea
Veronica Klinefelt Democrat Yea
Winnie Brinks Democrat Yea
Aric Nesbitt Republican Yea
Dan Lauwers Republican Yea
Edward McBroom Republican Yea
Jim Runestad Republican Yea
John Damoose Republican Yea
Jon Bumstead Republican Yea
Jonathan Lindsey Republican Yea
Joseph Bellino Jr. Republican Yea
Kevin Daley Republican Yea
Lana Theis Republican Yea
Mark Huizenga Republican Yea
Michael Webber Republican Yea
Michele Hoitenga Republican Yea
Rick Outman Republican Yea
Roger Hauck Republican Yea
Roger Victory Republican Yea
Ruth Johnson Republican Yea
Thomas Albert Republican Yea

Official roll call →

PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 361 YEAS 35 NAYS 0 EXCUSED 2 NOT VOTING 0

Passed 35 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 18000
Democrat 17002
Total 35002
% of votes cast 95%0%0%5%
How each member voted (37)
Member Party Vote
Darrin Camilleri Democrat Yea
Dayna Polehanki Democrat Yea
Erika Geiss Democrat Yea
Jeff Irwin Democrat Yea
Jeremy Moss Democrat Yea
John Cherry Democrat Yea
Kevin Hertel Democrat Yea
Mallory McMorrow Democrat Yea
Mary Cavanagh Democrat Not Voting
Paul Wojno Democrat Yea
Rosemary Bayer Democrat Yea
Sam Singh Democrat Yea
Sarah Anthony Democrat Yea
Sean McCann Democrat Not Voting
Stephanie Chang Democrat Yea
Sue Shink Democrat Yea
Sylvia Santana Democrat Yea
Veronica Klinefelt Democrat Yea
Winnie Brinks Democrat Yea
Aric Nesbitt Republican Yea
Dan Lauwers Republican Yea
Edward McBroom Republican Yea
Jim Runestad Republican Yea
John Damoose Republican Yea
Jon Bumstead Republican Yea
Jonathan Lindsey Republican Yea
Joseph Bellino Jr. Republican Yea
Kevin Daley Republican Yea
Lana Theis Republican Yea
Mark Huizenga Republican Yea
Michael Webber Republican Yea
Michele Hoitenga Republican Yea
Rick Outman Republican Yea
Roger Hauck Republican Yea
Roger Victory Republican Yea
Ruth Johnson Republican Yea
Thomas Albert Republican Yea

Official roll call →

passed; given immediate effect

Passed 97 Yea · 3 Nay · 10 Other
Party YeaNayPresentNot Voting
Democrat 43000
Unaffiliated 2000
Republican 52300
Total 97300
% of votes cast 97%3%0%0%
How each member voted (100)
Member Party Vote
Myers-Phillips — Yea
O’Neal — Yea
Alabas Farhat Democrat Yea
Angela Witwer Democrat Yea
Brenda Carter Democrat Yea
Carol Glanville Democrat Yea
Chedrick Greene Democrat Yea
Cynthia Neeley Democrat Yea
Denise Mentzer Democrat Yea
Donavan McKinney Democrat Yea
Dylan Wegela Democrat Yea
Emily Dievendorf Democrat Yea
Erin Byrnes Democrat Yea
Helena Scott Democrat Yea
Jason Morgan Democrat Yea
Jasper Martus Democrat Yea
Jimmie Wilson Jr Democrat Yea
Joey Andrews Democrat Yea
John Fitzgerald Democrat Yea
Joseph Tate Democrat Yea
Julie Brixie Democrat Yea
Julie M. Rogers Democrat Yea
Kara Hope Democrat Yea
Kelly A Breen Democrat Yea
Laurie Pohutsky Democrat Yea
Mai Xiong Democrat Yea
Matt Koleszar Democrat Yea
Matt Longjohn Democrat Yea
Mike McFall Democrat Yea
Natalie Price Democrat Yea
Noah Arbit Democrat Yea
Penelope Tsernoglou Democrat Yea
Peter Herzberg Democrat Yea
Phil Skaggs Democrat Yea
Ranjeev Puri Democrat Yea
Reggie Miller Democrat Yea
Regina Weiss Democrat Yea
Samantha Steckloff Democrat Yea
Sharon MacDonell Democrat Yea
Stephanie A Young Democrat Yea
Stephen Wooden Democrat Yea
Tullio Liberati Jr. Democrat Yea
Tyrone Carter Democrat Yea
Veronica Paiz Democrat Yea
Will Snyder Democrat Yea
Alicia St. Germaine Republican Yea
Angela Rigas Republican Yea
Ann M. Bollin Republican Yea
Bill Schuette Republican Yea
Brad Paquette Republican Yea
Bradley Slagh Republican Yea
Brian BeGole Republican Yea
Bryan Posthumus Republican Yea
Cameron Cavitt Republican Yea
Curtis S VanderWall Republican Yea
David Prestin Republican Yea
David W. Martin Republican Yea
Donni Steele Republican Yea
Douglas C Wozniak Republican Yea
Gina Johnsen Republican Nay
Greg VanWoerkom Republican Yea
Gregory Alexander Republican Yea
Gregory Markkanen Republican Yea
James DeSana Republican Yea
Jamie Thompson Republican Yea
Jason Woolford Republican Yea
Jay DeBoyer Republican Yea
Jennifer Wortz Republican Yea
Jerry Neyer Republican Yea
John R. Roth Republican Yea
Joseph A. Aragona Republican Yea
Joseph Fox Republican Yea
Joseph Pavlov Republican Yea
Karl Bohnak Republican Yea
Kathy Schmaltz Republican Yea
Ken Borton Republican Yea
Mark A Tisdel Republican Yea
Matt Hall Republican Yea
Matt Maddock Republican Yea
Matthew Bierlein Republican Yea
Mike Harris Republican Yea
Mike Hoadley Republican Yea
Mike Mueller Republican Yea
Nancy DeBoer Republican Yea
Nancy Jenkins-Arno Republican Yea
Parker Fairbairn Republican Yea
Pauline Wendzel Republican Yea
Phil Green Republican Yea
Rachelle Smit Republican Yea
Rick Outman Republican Yea
Ron Robinson Republican Yea
Rylee Linting Republican Yea
Sarah Lightner Republican Yea
Steve Carra Republican Nay
Steve Frisbie Republican Yea
Thomas Kuhn Republican Yea
Tim Kelly Republican Nay
Timothy Beson Republican Yea
Tom Kunse Republican Yea
William Bruck Republican Yea

Official roll call →

passed; given immediate effect Roll Call #294 Yeas 97 Nays 3 Excused 0 Not Voting 10

Passed 97 Yea · 3 Nay
Party YeaNayPresentNot Voting
Republican 53300
Democrat 42000
Unaffiliated 2000
Total 97300
% of votes cast 97%3%0%0%
How each member voted (100)
Member Party Vote
Myers-Phillips — Yea
O’Neal — Yea
Alabas Farhat Democrat Yea
Angela Witwer Democrat Yea
Brenda Carter Democrat Yea
Carol Glanville Democrat Yea
Cynthia Neeley Democrat Yea
Denise Mentzer Democrat Yea
Donavan McKinney Democrat Yea
Dylan Wegela Democrat Yea
Emily Dievendorf Democrat Yea
Erin Byrnes Democrat Yea
Helena Scott Democrat Yea
Jason Morgan Democrat Yea
Jasper Martus Democrat Yea
Jimmie Wilson Jr Democrat Yea
Joey Andrews Democrat Yea
John Fitzgerald Democrat Yea
Joseph Tate Democrat Yea
Julie Brixie Democrat Yea
Julie M. Rogers Democrat Yea
Kara Hope Democrat Yea
Kelly A Breen Democrat Yea
Laurie Pohutsky Democrat Yea
Mai Xiong Democrat Yea
Matt Koleszar Democrat Yea
Matt Longjohn Democrat Yea
Mike McFall Democrat Yea
Natalie Price Democrat Yea
Noah Arbit Democrat Yea
Penelope Tsernoglou Democrat Yea
Peter Herzberg Democrat Yea
Phil Skaggs Democrat Yea
Ranjeev Puri Democrat Yea
Reggie Miller Democrat Yea
Regina Weiss Democrat Yea
Samantha Steckloff Democrat Yea
Sharon MacDonell Democrat Yea
Stephanie A Young Democrat Yea
Stephen Wooden Democrat Yea
Tullio Liberati Jr. Democrat Yea
Tyrone Carter Democrat Yea
Veronica Paiz Democrat Yea
Will Snyder Democrat Yea
Alicia St. Germaine Republican Yea
Angela Rigas Republican Yea
Ann M. Bollin Republican Yea
Bill Schuette Republican Yea
Brad Paquette Republican Yea
Bradley Slagh Republican Yea
Brian BeGole Republican Yea
Bryan Posthumus Republican Yea
Cameron Cavitt Republican Yea
Curtis S VanderWall Republican Yea
David Prestin Republican Yea
David W. Martin Republican Yea
Donni Steele Republican Yea
Douglas C Wozniak Republican Yea
Gina Johnsen Republican Nay
Greg VanWoerkom Republican Yea
Gregory Alexander Republican Yea
Gregory Markkanen Republican Yea
Jaime Greene Republican Yea
James DeSana Republican Yea
Jamie Thompson Republican Yea
Jason Woolford Republican Yea
Jay DeBoyer Republican Yea
Jennifer Wortz Republican Yea
Jerry Neyer Republican Yea
John R. Roth Republican Yea
Joseph A. Aragona Republican Yea
Joseph Fox Republican Yea
Joseph Pavlov Republican Yea
Karl Bohnak Republican Yea
Kathy Schmaltz Republican Yea
Ken Borton Republican Yea
Mark A Tisdel Republican Yea
Matt Hall Republican Yea
Matt Maddock Republican Yea
Matthew Bierlein Republican Yea
Mike Harris Republican Yea
Mike Hoadley Republican Yea
Mike Mueller Republican Yea
Nancy DeBoer Republican Yea
Nancy Jenkins-Arno Republican Yea
Parker Fairbairn Republican Yea
Pauline Wendzel Republican Yea
Phil Green Republican Yea
Rachelle Smit Republican Yea
Rick Outman Republican Yea
Ron Robinson Republican Yea
Rylee Linting Republican Yea
Sarah Lightner Republican Yea
Steve Carra Republican Nay
Steve Frisbie Republican Yea
Thomas Kuhn Republican Yea
Tim Kelly Republican Nay
Timothy Beson Republican Yea
Tom Kunse Republican Yea
William Bruck Republican Yea

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 4726 do?
Health facilities: county medical care facilities; maintenance of effort reimbursement; extend sunset. Amends sec. 109 of 1939 PA 280 (MCL 400.109). — Public Act 45 of 2025
Who sponsors HB 4726?
HB 4726 is sponsored by Matthew Bierlein (Republican).
What is the current status of HB 4726?
This bill has been enacted into law. Introduced December 31, 2025. Enacted.
Where can I track HB 4726?
Track HB 4726 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on HB 4726

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of HB 4726

Last checked for changes 3 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →