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

HB 5249 — Health: emergency services; ambulance operation adaptive care license; create. Amends sec. 20920 of 1978 PA 368 (MCL 333.20920).

Last action — 7/29/2026 - assigned PA 90'26 with immediate effect

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  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 July 29, 2026. Enacted.

Prognosis

Advancing 56% · 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).

  • Mixed recorded votes

    3 passed, 1 failed in 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.

In plain language

The bill creates an adaptive care license for ambulance operations.

This legislation establishes a new type of license for ambulance services that focus on adaptive care. It is aimed at improving emergency medical services.

Summary

Health: emergency services; ambulance operation adaptive care license; create. Amends sec. 20920 of 1978 PA 368 (MCL 333.20920). — Public Act 90 of 2026

Bill Text

What changed in the latest version

0 added · 7 removed

Plain-language change summary

The updated version of House Bill 5249 includes a series of changes to how ambulance operations are licensed in Michigan. Key amendments specify that a person cannot run an ambulance service without a proper license, and it ensures that details about each ambulance and the level of life support it can provide are clearly stated in the licensing applications. These changes are significant as they aim to enhance safety and accountability in emergency medical services, ensuring that only qualified operations can provide critical care to individuals in need.

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Act No.
STATE OF MICHIGAN 103RD LEGISLATURE REGULAR SESSION OF 2026 Introduced by Reps.
90 Public Acts of 2026 Approved by the Governor July 21, 2026 Filed with the Secretary of State July 27, 2026 EFFECTIVE DATE:
July 27, 2026 STATE OF MICHIGAN 103RD LEGISLATURE REGULAR SESSION OF 2026 Introduced by Reps.
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Action History

  1. 7/29/2026 - assigned PA 90'26 with immediate effect

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 146 not signed on · 1 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 36 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 16001
Democrat 18001
Unaffiliated 2000
Total 36002
% of votes cast 95%0%0%5%
How each member voted (38)
Member Party Vote
Outman — Yea
Greene — Yea
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 Yea
Paul Wojno Democrat Yea
Rosemary Bayer Democrat Yea
Sam Singh Democrat Yea
Sarah Anthony Democrat Yea
Sean McCann Democrat Yea
Stephanie Chang Democrat Yea
Sue Shink Democrat Yea
Sylvia Santana Democrat Not Voting
Veronica Klinefelt Democrat Yea
Winnie Brinks Democrat Yea
Aric Nesbitt Republican Yea
Dan Lauwers Republican Not Voting
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
Roger Hauck Republican Yea
Roger Victory Republican Yea
Ruth Johnson Republican Yea
Thomas Albert Republican Yea

Official roll call →

passed; given immediate effect

Passed 103 Yea · 1 Nay · 6 Other
Party YeaNayPresentNot Voting
Republican 55100
Democrat 45000
Unaffiliated 3000
Total 103100
% of votes cast 99%1%0%0%
How each member voted (104)
Member Party Vote
Myers-Phillips — Yea
O’Neal — Yea
Outman — Yea
Alabas Farhat Democrat Yea
Betsy Coffia Democrat Yea
Brenda Carter Democrat Yea
Carol Glanville Democrat Yea
Carrie Rheingans 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
Jason M Hoskins Democrat Yea
Jason Morgan Democrat Yea
Jasper Martus Democrat Yea
Jennifer Conlin 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
Kimberly Edwards Democrat Yea
Kristian Grant Democrat Yea
Laurie Pohutsky Democrat Yea
Mai Xiong Democrat Yea
Matt Koleszar Democrat Yea
Matt Longjohn Democrat Yea
Mike McFall Democrat Yea
Morgan Foreman Democrat Yea
Natalie Price 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
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 Yea
Greg VanWoerkom Republican Yea
Gregory Alexander Republican Yea
Gregory Markkanen Republican Yea
Jaime Greene Republican Nay
James DeSana Republican Yea
Jamie Thompson Republican Yea
Jason Woolford Republican Yea
Jay DeBoyer Republican Yea
Jerry Neyer Republican Yea
John R. Roth Republican Yea
Joseph A. Aragona Republican Yea
Joseph Fox Republican Yea
Joseph Pavlov Republican Yea
Josh Schriver Republican Yea
Karl Bohnak Republican Yea
Kathy Schmaltz Republican Yea
Ken Borton Republican Yea
Luke Meerman 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
Ron Robinson Republican Yea
Rylee Linting Republican Yea
Sarah Lightner Republican Yea
Steve Carra Republican Yea
Steve Frisbie Republican Yea
Thomas Kuhn Republican Yea
Tim Kelly Republican Yea
Timothy Beson Republican Yea
Tom Kunse Republican Yea
William Bruck Republican Yea

Official roll call →

passed; given immediate effect Roll Call #90 Yeas 103 Nays 1 Excused 0 Not Voting 6

Passed 103 Yea · 1 Nay
Party YeaNayPresentNot Voting
Republican 56100
Democrat 46000
Unaffiliated 1000
Total 103100
% of votes cast 99%1%0%0%
How each member voted (104)
Member Party Vote
Myers-Phillips — Yea
Alabas Farhat Democrat Yea
Amos O'Neal Democrat Yea
Betsy Coffia Democrat Yea
Brenda Carter Democrat Yea
Carol Glanville Democrat Yea
Carrie Rheingans 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
Jason M Hoskins Democrat Yea
Jason Morgan Democrat Yea
Jasper Martus Democrat Yea
Jennifer Conlin 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
Kimberly Edwards Democrat Yea
Kristian Grant Democrat Yea
Laurie Pohutsky Democrat Yea
Mai Xiong Democrat Yea
Matt Koleszar Democrat Yea
Matt Longjohn Democrat Yea
Mike McFall Democrat Yea
Morgan Foreman Democrat Yea
Natalie Price 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
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 Yea
Greg VanWoerkom Republican Yea
Gregory Alexander Republican Yea
Gregory Markkanen Republican Yea
Jaime Greene Republican Nay
James DeSana Republican Yea
Jamie Thompson Republican Yea
Jason Woolford Republican Yea
Jay DeBoyer Republican Yea
Jerry Neyer Republican Yea
John R. Roth Republican Yea
Joseph A. Aragona Republican Yea
Joseph Fox Republican Yea
Joseph Pavlov Republican Yea
Josh Schriver Republican Yea
Karl Bohnak Republican Yea
Kathy Schmaltz Republican Yea
Ken Borton Republican Yea
Luke Meerman 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 Yea
Steve Frisbie Republican Yea
Thomas Kuhn Republican Yea
Tim Kelly Republican Yea
Timothy Beson Republican Yea
Tom Kunse Republican Yea
William Bruck Republican Yea

Official roll call →

Subjects

public-safety healthcare
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 5249 do?
Health: emergency services; ambulance operation adaptive care license; create. Amends sec. 20920 of 1978 PA 368 (MCL 333.20920). — Public Act 90 of 2026
Who sponsors HB 5249?
HB 5249 is sponsored by David Prestin (Republican).
What is the current status of HB 5249?
This bill has been enacted into law. Introduced July 29, 2026. Enacted.
Where can I track HB 5249?
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Last checked for changes about 1 month ago · updated continuously

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