HB 5252 — Health facilities: licensing; licensing of prescribed pediatric extended care facilities; provide for. Amends secs. 20106, 20109, 20115 & 20161 of 1978 PA 368 (MCL 333.20106 et seq.) & adds pt. 219A.

(3)other; "Prescribed pediatric extended care center" means that term as defined in section 21951.

(4)discount (3)for "Publicspecially member"designated meansdistributors aand memberon-premises oflicensees; the general public who is not a provider;

whoincrease. does not have an ownership interest in or contractual relationship with a nursing home other than a resident contract;

whoAmends doessec. not have a contractual relationship with a person who does substantial business with a nursing home;

and233 who is not the spouse, parent, sibling, or child of an1998 individualPA who58 has(MCL an436.1233). ownership interest in or contractual relationship with a nursing home, other than a resident contract.

(5)2025-05-15, (4)2025-05-22 "SkilledReferred nursing05/08/2025reported facility"with meansrecommendation awithout hospitalamendment long-termHB care4119 unit,of nursing2025 home,Rules countySteve medicalFrisbie careSales facility,tax: or other nursing care facility, or a distinct part thereof, certified by the department to provide skilled nursing care.

Sec.exemptions;

20115.purchase of certain aircraft and aviation equipment;

Theexempt. department may promulgate rules to further define the term "health facility or agency" and the definition of a health facility or agency listed in section 20106 as required to implement this article.

TheAmends departmentsec. may define a specific organization as a health facility or agency for the sole purpose of certification authorized under this article.

For4x purpose of certification1933 only,PA an167 organization(MCL defined205.54x). in section 20106(5), 20108(1), or 20109(4) 20109(5) is considered a health facility or agency.

TheReferred term06/18/2026 "healthHB facility4120 or agency" does not mean a EMR H00430'25_HB5252_INTR_1 z7gun5 visiting nurse service or home aide service conducted by and for the adherents of a2025 churchRules orJoey religiousAndrews denominationUse fortax: the purpose of providing service for those who depend upon spiritual means through prayer alone for healing.

Sec.exemptions;

20161.purchase of certain aircraft and aviation equipment;

(1)exempt. The department shall assess fees and other assessments for health facility and agency licenses and certificates of need on an annual basis as provided in this article.

UntilAmends Octobersec. 1, 2027, except as otherwise provided in this article, fees and assessments must be paid as provided in the following schedule:

(a)4k Freestandingof surgical1937 $500.00PA per94 facility(MCL license.205.94k).

outpatientTIE facilitiesBAR (b)WITH: Hospitals $500.00 per facility license and $10.00 per licensed bed.

(c)HR Nursing0002'25 homes,Referred county06/18/2026 $500.00HB per4125 facilityof license2025 andRules medicalMike careMcFall facilities,Higher andeducation: $3.00 per licensed bed over 100 hospital long-term care units licensed beds.

(d)education Homesprograms; for the aged $500.00 per facility license and $6.27 per licensed bed.

(e)nuclear Hospiceand agencieshydrogen $500.00education pergrant agencyprogram; license.

(f)create. Hospice residences $500.00 per facility license and $5.00 per licensed bed.

(g)Creates Freestandingnew birthact. center $500.00 per facility license.

(h)TIE PrescribedBAR pediatricWITH: $500.00 per facility license.

extendedHB care4127'25, centerHB (i)4129'25, (h)HB Subject4126'25, toHB subsection4128'25, anHB amount4124'25 resulting2025-04-17 inReferred not03/25/2025reported morewith (11),recommendation qualitywithout assuranceamendment assessmentHB than4129 6% of total2025 industryRules forJoey nursingAndrews homesLabor: and hospital revenues.

long-termemployment careincentives; units EMR H00430'25_HB5252_INTR_1 z7gun5 (j) (i) Subject to subsection at a fixed or variable rate that (12), quality assurance assessment generates funds not more than for hospitals the maximum allowable under the federal matching requirements, after consideration for the amounts in subsection (12)(a) and (i).

(k)employment (j)incentives Initialnuclear licensureand $2,000.00hydrogen pergraduate initialattraction license.and retention program act;

applicationcreate. fee for subdivisions (a), (b), (c), (d), (e), (f), and (g), and (h) (2) If a hospital requests the department to conduct a certification survey for purposes of title XVIII or title XIX, the hospital shall pay a license fee surcharge of $23.00 per bed.

AsCreates usednew inact. this subsection:

(a)TIE "TitleBAR XVIII"WITH: means title XVIII of the social security act, 42 USC 1395 to 1395lll.1395mmm.

(b)HB "Title4127'25, XIX"HB means4125'25, titleHB XIX4126'25, ofHB the4128'25, socialHB security4124'25 act,2025-04-17 42Referred USC03/25/2025reported 1396with torecommendation 1396w-8.without amendment HB 4148 of 2025 Rules Cameron Cavitt Education:

(3)board Allmembers; of the following apply to the assessment under this section for certificates of need:

(a)state Theboard base fee for a certificate of neededucation; is $3,000.00 for each application.

Forrequire amembers project requiring a projected capital expenditure of more than $500,000.00 but less than $4,000,000.00, an additional fee of $5,000.00 is added to thebe baseselected fee.from districts.

ForAmends asec. project requiring a projected capital expenditure of $4,000,000.00 or more but less than $10,000,000.00, an additional fee of $8,000.00 is added to the base fee.

For282a a project requiring a projected capital expenditure of $10,000,000.001954 orPA more,116 an(MCL EMR168.282a) H00430'25_HB5252_INTR_1& z7gun5adds additionalsec. fee of $12,000.00 is added to the base fee.

(b)282b. In addition to the fees under subdivision (a), the applicant shall pay $3,000.00 for any designated complex project including a project scheduled for comparative review or for a consolidated licensed health facility application for acquisition or replacement.

(c)Referred If05/13/2025 requiredHB by4151 the department, the applicant shall pay $1,000.00 for a certificate of need2025 applicationRules thatDavid receivesMartin expeditedEducation: processing at the request of the applicant.

(d)teachers The department shall charge a fee of $500.00 to review any letter of intent requesting or resulting in a waiver from certificate of need review and anyadministrators; amendment request to an approved certificate of need.

(e)endorsement Arequirements; health facility or agency that offers certificate of need covered clinical services shall pay $100.00 for each certificate of need approved covered clinical service as part of the certificate of need annual survey at the time of submission of the survey data.

(f)modify. Except as otherwise provided in this section, the department shall use the fees collected under this subsection only to fund the certificate of need program.

FundsAmends remainingsec. in the certificate of need program at the end of the fiscal year do not lapse to the general fund but remain available to fund the certificate of need program in subsequent years.

(4)1531 Aof license1976 issuedPA under451 this(MCL part380.1531). is effective for no longer than 1 year after the date of issuance.

(5)2025-03-06 FeesReferred described03/05/2025reported inwith thisrecommendation sectionwithout areamendment payableHB to4152 theof department2025 atRules theKathy timeSchmaltz anEducation: application for a license, permit, or certificate is submitted.

Ifother; an application for a license, permit, EMR H00430'25_HB5252_INTR_1 z7gun5 or certificate is denied or if a license, permit, or certificate is revoked before its expiration date, the department shall not refund fees paid to the department.

(6)certain Therequirements fee for a provisional license or temporary permit is the sameapproval asof forteacher apreparation license.institutions;

Acreate. license may be issued at the expiration date of a temporary permit without an additional fee for the balance of the period for which the fee was paid if the requirements for licensure are met.

(7)Amends Thesec. cost of licensure activities must be supported by license fees.

(8)1531e Theof application1976 feePA for451 a(MCL waiver380.1531e). under section 21564 is $200.00 plus $40.00 per hour for the professional services and travel expenses directly related to processing the application.

TheReferred travel05/13/2025 expensesHB must4153 be calculated in accordance with the state standardized travel regulations of the2025 departmentRules ofNancy technology,DeBoer management,Education: and budget in effect at the time of the travel.

(9)teachers Anand applicantadministrators; for licensure or renewal of licensure under part 209 shall pay the applicable fees set forth in part 209.

(10)district-level Exceptcertifications; as otherwise provided in this section, the fees and assessments collected under this section must be deposited in the state treasury, to the credit of the general fund.

Theprovide departmentfor. may use the unreserved fund balance in fees and assessments for the criminal history check program required under this article.

(11)Amends Thesecs. quality assurance assessment collected under subsection (1)(h) (1)(i) and all federal matching funds attributed to that assessment must be used only for the following purposes and under the following specific circumstances:

(a)501, The521, quality551, assurance1231, assessment1233, and1311b, all1526, federal1535a matching& EMR1809 H00430'25_HB5252_INTR_1of z7gun51976 fundsPA attributed451 to(MCL that380.501 assessmentet mustseq.) be& usedadds tosec. finance Medicaid nursing home reimbursement payments.

Only1531l. licensed nursing homes and hospital long-term care units that are assessed the quality assurance assessment and participate in the Medicaid program are eligible for increased per diem Medicaid reimbursement rates under this subdivision.

A2025-03-06 nursingReferred home03/05/2025reported or long-term care unit that is assessed the quality assurance assessment and that does not pay the assessment required under subsection (1)(h) (1)(i) in accordance with subdivisionrecommendation (c)(i) or in accordance with asubstitute written(H-1) paymentHB agreement4154 with this state shall not receive the increased per diem Medicaid reimbursement rates under this subdivision until all of its2025 outstandingRules qualityBrian assuranceBeGole assessmentsEducation: and any penalties assessed under subdivision (f) have been paid in full.

Thiscareer subdivision does not authorize or require the department to overspend tax revenue in violation of the management and budgettechnical; act, 1984 PA 431, MCL 18.1101 to 18.1594.

(b)trade Exceptschools; as otherwise provided under subdivision (c), beginning October 1, 2005, the quality assurance assessment is based on the total number of patient days of care each nursing home and hospital long-term care unit provided to non-Medicare patients within the immediately preceding year, must be assessed at a uniform rate on October 1, 2005 and subsequently on October 1 of each following year, and is payable on a quarterly basis, with the first payment due 90 days after the date the assessment is assessed.

(c)include Withinin 30 days after September 30, 2005, the departmentpostsecondary shallenrollment submitoptions anact. application to the Centers for Medicare and Medicaid Services to request a waiver according to 42 CFR 433.68(e) to implement this subdivision as follows:

EMRAmends H00430'25_HB5252_INTR_1sec. z7gun5 (i) If the waiver is approved, the quality assurance assessment rate for a nursing home or hospital long-term care unit with less than 40 licensed beds or with the maximum number, or more than the maximum number, of licensed beds necessary to secure federal approval of the application is $2.00 per non-Medicare patient day of care provided within the immediately preceding year or a rate as otherwise altered on the application for the waiver to obtain federal approval.

If3 the waiver is approved, for all other nursing homes and long-term care units the quality assurance assessment rate is to be calculated by dividing the total statewide maximum allowable assessment permitted under subsection (1)(h) (1)(i) less the total amount to be paid by the nursing homes and long-term care units with less than 40 licensed beds or with the maximum number, or more than the maximum number, of licensed1996 bedsPA necessary160 to(MCL secure388.513). federal approval of the application by the total number of non-Medicare patient days of care provided within the immediately preceding year by those nursing homes and long-term care units with more than 39 licensed beds, but less than the maximum number of licensed beds necessary to secure federal approval.

TheReferred quality03/12/2025reported assurancewith assessment,recommendation aswithout providedamendment underHB this4155 subparagraph, must be assessed in the first quarter after federal approval of the2025 waiverRules andAlicia mustSt. be subsequently assessed on October 1 of each following year, and is payable on a quarterly basis, with the first payment due 90 days after the date the assessment is assessed.

(ii)Germaine IfEducation: the waiver is approved, continuing care retirement centers are exempt from the quality assurance assessment if the continuing care retirement center requires each center resident to provide an initial life interest payment of $150,000.00, on average, per resident to ensure payment for that resident's EMR H00430'25_HB5252_INTR_1 z7gun5 residency and services and the continuing care retirement center utilizes all of the initial life interest payment before the resident becomes eligible for medical assistance under the state's Medicaid plan.

Ascurriculum; used in this subparagraph, "continuing care retirement center" means a nursing care facility that provides independent living services, assisted living services, and nursing care and medical treatment services, in a campus-like setting that has shared facilities or common areas, or both.

(d)recommendations Beginning May 10, 2002, the department shall increase the per diem nursing home Medicaid reimbursement rates for thecurriculum balancecompanies ofand thatassessment year.companies;

Forrequire each subsequent year in which the quality assurance assessment is assessed and collected, the department shallto maintainprovide. the Medicaid nursing home reimbursement payment increase financed by the quality assurance assessment.

(e)Amends The1976 departmentPA shall451 implement(MCL this380.1 section- in380.1852) aby manneradding thatsec. complies with federal requirements necessary to ensure that the quality assurance assessment qualifies for federal matching funds.

(f)1278e. If a nursing home or a hospital long-term care unit fails to pay the assessment required by subsection (1)(h), (1)(i), the department may assess the nursing home or hospital long-term care unit a penalty of 5% of the assessment for each month that the assessment and penalty are not paid up to a maximum of 50% of the assessment.

TheReferred department05/13/2025 mayHB also4160 refer for collection to the department of treasury2025 pastRules dueGina amountsJohnsen consistentAdministrative withprocedure: section 13 of 1941 PA 122, MCL 205.13.

(g)rules; The Medicaid nursing home quality assurance assessment fund is established in the state treasury.

Theadoption departmentof shallrules depositby the revenue raised through the quality assurance assessment EMR H00430'25_HB5252_INTR_1 z7gun5 with the state treasureragencies formore depositstringent inthan thefederal Medicaidregulations; nursing home quality assurance assessment fund.

(h)prohibit. The department shall not implement this subsection in a manner that conflicts with 42 USC 1396b(w).

(i)Amends Thesecs. quality assurance assessment collected under subsection (1)(h) (1)(i) must be prorated on a quarterly basis for any licensed beds added to or subtracted from a nursing home or hospital long-term care unit since the immediately preceding July 1.

Any32 adjustments& in45 paymentsof are1969 duePA on306 the(MCL next24.232 quarterly& installment24.245). due date.

(j)2025-09-04, In2025-09-18 eachReferred fiscal02/26/2025reported yearwith governedrecommendation bywithout thisamendment subsection,HB Medicaid4221 reimbursement rates must not be reduced below the Medicaid reimbursement rates in effect on April 1, 2002 as a direct result of the2025 qualityRules assuranceLaurie assessmentPohutsky collectedHealth underoccupations: subsection (1)(h).(1)(i).

(k)veterinarians; The state retention amount of the quality assurance assessment collected under subsection (1)(h) (1)(i) must be equal to 13.2% of the federal funds generated by the nursing homes and hospital long-term care units quality assurance assessment, including the state retention amount.

Theveterinarian-client-patient staterelationship; retention amount must be appropriated each fiscal year to the department to support Medicaid expenditures for long-term care services.

Theserequire. funds must offset an identical amount of general fund/general purpose revenue originally appropriated for that purpose.

(l)Amends Beginningsecs. October 1, 2027, the department shall not assess or collect the quality assurance assessment or apply for federal matching funds.

The16287 quality& assurance18811 assessmentof collected1978 underPA subsection368 (1)(h)(MCL (1)(i)333.16287 must& not333.18811). be assessed or collected after September 30, 2011 if the quality assurance assessment is not EMR H00430'25_HB5252_INTR_1 z7gun5 eligible for federal matching funds.

AnyTIE portionBAR ofWITH: the quality assurance assessment collected from a nursing home or hospital long-term care unit that is not eligible for federal matching funds must be returned to the nursing home or hospital long-term care unit.

(12)HB The4221'25 quality2025-10-23, assurance2025-10-30 dedicationReferred is10/16/2025reported anwith earmarkedrecommendation assessmentwithout collectedamendment underHB subsection4227 (1)(i).of 2025 Rules Parker Fairbairn Education:

(1)(j).safety;

That1 assessmentemergency and allsafety federalmanager matching funds attributed to that assessment must be used only for the following purpose and underat theleast following1 specificmental circumstances:health coordinator;

(a)require Toeach maintainintermediate theschool increaseddistrict Medicaidto reimbursementemploy. rate increases as provided for in subdivision (c).

(b)Amends The1976 qualityPA assurance451 assessment(MCL must380.1 be- assessed380.1852) onby alladding netsec. patient revenue, before deduction of expenses, less Medicare net revenue, as reported in the most recently available Medicare cost report and is payable on a quarterly basis, with the first payment due 90 days after the date the assessment is assessed.

As1308g. used in this subdivision, "Medicare net revenue" includes Medicare payments and amounts collected for coinsurance and deductibles.

(c)Referred Beginning05/14/2025 OctoberHB 1,4235 2002,of the2025 departmentRules shallRachelle increaseSmit thePublic hospitalemployees Medicaidand reimbursementofficers: rates for the balance of that year.

Forstate; each subsequent year in which the quality assurance assessment is assessed and collected, the department shall maintain the hospital Medicaid reimbursement rate increase financed by the quality assurance assessments.

(d)use Theof departmentcertain shallapplications implementon thisstate sectiondevices; in a manner that complies with federal requirements necessary to ensure that the quality assurance assessment qualifies for federal matching funds.

EMRprohibit. H00430'25_HB5252_INTR_1 z7gun5 (e) If a hospital fails to pay the assessment required by subsection (1)(i), (1)(j), the department may assess the hospital a penalty of 5% of the assessment for each month that the assessment and penalty are not paid up to a maximum of 50% of the assessment.

TheCreates departmentnew mayact. also refer for collection to the department of treasury past due amounts consistent with section 13 of 1941 PA 122, MCL 205.13.

(f)2025-04-17 TheReferred hospital03/26/2025reported qualitywith assurancerecommendation assessmentwith fundsubstitute is(H-1) establishedHB in4240 theof state2025 treasury.Rules Bill Schuette State agencies (existing):

Theother; department shall deposit the revenue raised through the quality assurance assessment with the state treasurer for deposit in the hospital quality assurance assessment fund.

(g)foreign Ininfluence each fiscal year governed by this subsection, the quality assurance assessment must only be collected and expended if Medicaid hospital inpatient DRG and outpatient reimbursement rates and graduate medical education payments are not below the level of ratespublic andbodies; payments in effect on April 1, 2002 as a direct result of the quality assurance assessment collected under subsection (1)(i), (1)(j), except as provided in subdivision (h).

(h)prohibit. The quality assurance assessment collected under subsection (1)(i) (1)(j) must not be assessed or collected after September 30, 2011 if the quality assurance assessment is not eligible for federal matching funds.

AnyCreates portionnew ofact. the quality assurance assessment collected from a hospital that is not eligible for federal matching funds must be returned to the hospital.

(i)2025-04-17 TheReferred state03/26/2025reported retentionwith amountrecommendation ofwithout theamendment qualityHB assurance4241 assessment collected under subsection (1)(i) (1)(j) must be equal to 13.2% of the2025 federalRules fundsMike generatedHoadley byEconomic thedevelopment: hospital quality assurance assessment, including the state retention amount.

Theother; EMR H00430'25_HB5252_INTR_1 z7gun5 13.2% state retention amount described in this subdivision does not apply to the Healthy Michigan plan.

Beginningeconomic inincentives theto fiscalcertain yearforeign endingcountries; September 30, 2018, and for each fiscal year thereafter, there is a retention amount of at least $118,420,600.00 for each fiscal year for the Healthy Michigan plan.

Byprohibit. May 31 of each year, the department, the state budget office, and the Michigan Health and Hospital Association shall identify an appropriate retention amount for the Healthy Michigan plan.

TheAmends state1984 retentionPA percentage270 must(MCL be125.2001 applied- proportionately125.2094) toby eachadding hospitalsec. quality assurance assessment program to determine the retention amount for each program.

The7c. state retention amount must be appropriated each fiscal year to the department to support Medicaid expenditures for hospital services and therapy.

These2025-04-17 fundsReferred must03/26/2025reported offsetwith anrecommendation identicalwithout amountamendment ofHB general4244 fund/generalof purpose2025 revenueRules originallyMatt appropriatedMaddock forAdministrative thatprocedure: purpose.

(13)other; The department may establish a quality assurance assessment to increase ambulance reimbursement as follows:

(a)references The quality assurance assessment authorized under this subsection must be used to providethe reimbursementGulf toof MedicaidMexico; ambulance providers.

Therequire department may promulgate rules to providebe the structureGulf of theAmerica. quality assurance assessment authorized under this subsection and the level of the assessment.

(b)Creates Thenew departmentact. shall implement this subsection in a manner that complies with federal requirements necessary to ensure that the quality assurance assessment qualifies for federal matching funds.

(c)Referred The05/13/2025 totalHB annual4246 collectionsof by2025 theRules departmentPhil underGreen thisHealth subsectionoccupations: must not exceed $20,000,000.00.

(d)nurses; The quality assurance assessment authorized under this EMR H00430'25_HB5252_INTR_1 z7gun5 subsection must not be collected after October 1, 2027.

Thenurse qualitylicensure assurancecompact; assessment authorized under this subsection must no longer be collected or assessed if the quality assurance assessment authorized under this subsection is not eligible for federal matching funds.

(e)enact. By November 1 of each year, the department shall send a notification to each ambulance operation that will be assessed the quality assurance assessment authorized under this subsection during the year in which the notification is sent.

(14)Amends Thesecs. quality assurance assessment provided for under this section is a tax that is levied on a health facility or agency.

(15)16170a, As16222, used16231, in16238 this& section:17201 of 1978 PA 368 (MCL 333.16170a et seq.) & adds secs.

(a)16187, "Healthy17225 Michigan& plan"17225a. means the medical assistance program described in section 105d of the social welfare act, 1939 PA 280, MCL 400.105d, that has a federal matching fund rate of not less than 90%.

(b)2025-05-22, "Medicaid"2025-06-05 meansReferred that05/14/2025reported termwith asrecommendation definedwithout inamendment sectionHB 22207.4254 of 2025 Rules Joseph Aragona Animals:

PARTcare 219Aand PRESCRIBEDtreatment; PEDIATRIC EXTENDED CARE CENTERS Sec.

21951.conducting of research or training activities on dogs in a manner that causes pain or distress;

(1)prohibit. As used in this part:

(a)Amends "Basicsecs. service" includes, but is not limited to, both of the following:

(i)2674, Developing,2675 implementing,& and2678 monitoring a comprehensive protocol of care1978 forPA a368 patient(MCL that333.2674 meetset theseq.); requirements described in section 21965.

(ii)adds Thesecs. caregiver training needs to the extent it is for the parent or guardian of a patient.

(b)2670 "Center& administrator"2675a means& therepeals centersecs. administrator of the prescribed pediatric extended care center who is designated EMR H00430'25_HB5252_INTR_1 z7gun5 under section 21955.

(c)2672 "Child& with2673 medicalof complexity"1978 meansPA an368 individual(MCL who333.2672 is& under333.2673). the age of 22 with medical complexity.

AReferred child10/30/2025 withHB medical4279 complexityof does2025 notRules includeJaime anGreene individualMilitary ifaffairs: the individual has a severe and persistent mental health disorder.

(d)other; "Contracted or supportive service" includes, but is not limited to, speech therapy, occupational therapy, physical therapy, social work services, developmental services, child life services, and psychology services.

(e)Michigan "DirectNational care"Guard meansapprenticeship education,program; social services, or child care.

(f)create. "Medical complexity" means a condition or disability that meets all of the following requirements:

(i)Creates Isnew acute,act. chronic, or intermittent.

(ii)2025-08-21, Requires2025-09-04 ongoing,Referred physician05/20/2025reported prescribed,with skilledrecommendation nursingwith caresubstitute to(H-3) avertHB death4306 orof further2025 disability.Rules Curtis VanderWall Traffic control:

(iii)driver Requireslicense; the use of a medical device to compensate for a deficit in a life-sustaining body function.

(iv)exceptions Requiresto continuousdriver nursinglicense care.suspension for certain individuals who suffered an epileptic seizure;

(g)provide "Medicalfor. director" means the medical director of the prescribed pediatric extended care center who meets the requirements of section 21959.

(h)Amends "Nursingsec. director" means the nursing director of the prescribed pediatric extended care center who meets the requirements of section 21959.

(i)309 "Patient"of means1949 aPA child300 with(MCL medical257.309) complexity& whoadds receivessec. a basic service in a prescribed pediatric extended care center.

(j)309a. "Prescribed pediatric extended care center" or "center" EMR H00430'25_HB5252_INTR_1 z7gun5 means a facility, other than a hospital or nursing home, that provides a basic service in a nonresidential setting to 3 or more individuals, each of whom is a child with medical complexity.

(2)TIE InBAR addition,WITH: article 1 contains general definitions and principles of construction applicable to all articles in this code, and part 201 contains definitions applicable to this part.

Sec.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:

21953.physician's assistants;

Beginningphysician's Octoberassistants 1,licensure 2026,compact; all of the following apply:

(a)provide Afor. prescribed pediatric extended care center must be licensed under this article.

(b)Amends "Prescribedsecs. pediatric extended care center" or "p.p.e.c.

center"16337 must& not18001 beof used1978 toPA describe368 or(MCL refer333.16337 to& a333.18001) health& facilityadds unlesssecs. the health facility is licensed as a prescribed pediatric extended care center by the department under this article.

Sec.16187d, 17011b, 17061a, 17511b & 18011b.

21955.2025-05-01, 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:

Thepenalties; owner, operator, and governing body of a prescribed pediatric extended care center licensed under this article:

(a)exception Areto responsibleminimum fordays all phases of thepupil operationinstruction ofrequirement thefor prescribeddistrict pediatricclosure extendedduring carea centerdeclared andstate quality of careemergency; rendered in the prescribed pediatric extended care center.

(b)provide Shallfor. cooperate with the department in the enforcement of this article and require that a physician and other individuals working in the prescribed pediatric extended care center and for whom a license or registration is required are currently licensed or registered.

(c)Amends Shallsec. designate 1 individual to act as the center administrator.

Sec.101 of 1979 PA 94 (MCL 388.1701).

21957.2025-05-01 Referred 04/30/2025reported with recommendation with substitute (H-1) HB 4346 of 2025 Rules Angela Witwer Gaming:

Theother; center administrator is responsible for the overall management of the prescribed pediatric extended care EMR H00430'25_HB5252_INTR_1 z7gun5 center.

Theallocation centerof administratorrevenue shallunder dothe alllawful ofinternet gaming act to the following:Michigan agriculture equine industry development fund;

(a)remove Designatecap. in writing an individual who is responsible for the prescribed pediatric extended care center when the center administrator is absent from the prescribed pediatric extended care center for more than 24 hours.

(b)Amends Maintainsec. all of the following written records and make them available to the department for inspection on the department's request:

(i)15 A daily census record that includes the number of patients2019 currentlyPA receiving152 a(MCL basic432.315). service at the prescribed pediatric extended care center.

(ii)TIE ABAR recordWITH: of each accident or unusual incident involving a patient or employee of the prescribed pediatric extended care center that caused, or had the potential to cause, injury or harm to an individual at the prescribed pediatric extended care center or to property of the prescribed pediatric extended care center.

(iii)HB A4347'25 copy2025-10-30, of2025-12-11 eachReferred agreement10/21/2025reported with arecommendation providerwith ofsubstitute a(H-1) contractedHB or4347 supportiveof service2025 atRules theTom prescribedKunse pediatricGaming: extended care center.

(iv)horse Aracing; copy of each agreement with a consultant who is employed by the prescribed pediatric extended care center and documentation of each of the consultant's visits.

(v)Michigan Aagriculture personnel record for each employee of the prescribed pediatric extended care center that includes the employee's application for employment, references, employment history for the years immediately preceding the date of application for employment, and aequine copyindustry ofdevelopment eachfund; performance evaluation for the employee.

(c)modify. Develop and maintain a current job description for each EMR H00430'25_HB5252_INTR_1 z7gun5 employee of the prescribed pediatric extended care center.

(d)Amends Providesecs. necessary qualified employees and ancillary services to ensure the health, safety, and proper care for each patient at the prescribed pediatric extended care center.

(e)2 Develop& and20 implementof an1995 infectionPA control279 policy(MCL that431.302 complies& with431.320). any rules promulgated by the department.

Sec.TIE BAR WITH:

21959.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:

(1)systems; The department shall not grant a license to a prescribed pediatric extended care center under this part unless the prescribed pediatric extended care center has all of the following on its staff:

(a)authority Aas medicalmunicipal directorauthority; who is a physician licensed under article 15 and who is board certified in pediatrics.

(b)modify. A nursing director who is responsible for the daily operation of the prescribed pediatric extended care center.

TheAmends nursingtitle director& mustsecs. meet all of the following requirements:

(i)1, Be4, a4a, registered4b, professional4c nurse& licensed4d underof article1955 15.PA 233 (MCL 124.281 et seq.).

(ii)2025-06-26, Be2025-08-21 certifiedReferred in06/05/2025reported basicwith liferecommendation support.with substitute (H-1) HB 4354 of 2025 Rules Mike Mueller Water supply:

(iii)systems; At the time of hire, have not less than 2 years of nursing experience within the previous 6 years, at least 1 year of which was spent in a pediatric intensive care unit or neonatal intensive care setting.

(2)authority Exceptas formunicipal theauthority; nursing director described in subsection (1), a registered professional nurse who is employed by a prescribed pediatric extended care center must be licensed under article 15, be certified in basic life support, and meet 1 of the following requirements:

(a)modify. At the time of hire, have not less than 2 years of nursing experience within the previous 6 years, at least 1 year of which EMR H00430'25_HB5252_INTR_1 z7gun5 was spent in a pediatric intensive care unit or neonatal intensive care setting.

(b)Amends Havesec. successfully completed a training program that meets all of the following requirements:

(i)2 The training program demonstrates sufficient skills for the responsibilities of a1965 registeredPA professional203 nurse(MCL in28.602). a prescribed pediatric extended care center.

(ii)TIE TheBAR trainingWITH: program is considered appropriate by the center administrator, the medical director, and the nursing director.

(iii)HB The4352'25 training2025-06-26, program2025-08-21 isReferred outlined06/05/2025reported inwith arecommendation writtenwithout policyamendment HB 4361 of the2025 prescribedRules pediatricPhil extendedGreen carePublic center.utilities:

(3)other; A licensed practical nurse who is employed by a prescribed pediatric extended care center must be licensed under article 15, be certified in basic life support, and meet 1 of the following requirements:

(a)guidelines Atfor thetrimming timetrees ofand hire,branches havearound notpower lesslines; than 2 years of nursing experience within the previous 6 years, at least 1 year of which was spent in a pediatric intensive care unit or neonatal intensive care setting.

(b)modify. Have successfully completed a training program that meets all of the following requirements:

(i)Amends Thesec. training program demonstrates sufficient skills for the responsibilities of a licensed practical nurse in a prescribed pediatric extended care center.

(ii)10p Theof training1939 programPA is3 considered(MCL appropriate460.10p). by the center administrator, the medical director, and the nursing director.

(iii)2026-01-15, The2026-01-22 trainingReferred program12/09/2025 isHB outlined4385 in a written policy of EMR2025 H00430'25_HB5252_INTR_1Rules z7gun5Joey theAndrews prescribedNatural pediatricresources: extended care center.

(4)shorelands; An individual providing direct care who is employed by a prescribed pediatric extended care center must work under the supervision of a registered professional nurse meeting the requirements described in subsection (2).

Antemporary individualerosion providingcontrol directstructures; care to a patient at a prescribed pediatric extended care center must be certified in basic life support and meet 1 of the following requirements:

(a)authorize Havewithout extensive,permit documentedduring educationhigh andwater traininglevels. in providing direct care to infants and toddlers and provide employment references documenting skill in the direct care of infants and toddlers.

(b)Amends Havesecs. successfully completed a training program that meets all of the following requirements:

(i)32312, The32312a training& program32510 demonstratesof sufficient1994 skillsPA for451 individuals(MCL providing324.32312 directet careseq.) in& aadds prescribedsec. pediatric extended care center.

(ii)32510a. The training program is considered appropriate by the center administrator, the medical director, and the nursing director.

(iii)Referred The06/25/2025 trainingHB program4391 is outlined in a written policy of the2025 prescribedRules pediatricJulie extendedRogers careCrimes: center.

Sec.intoxication or impairment;

21961.methods of testing intoxication or impairment in the Michigan vehicle code;

(1)expand Ato prescribedinclude pediatricother extendedbodily carefluid. center shall develop and maintain a staffing plan for nursing services and direct care at the prescribed pediatric extended care center.

TheAmends staffingsecs. plan must require not less than 2 registered professional nurses and not less than 1 nurse aide registered under part 219, and must meet the following additional staffing requirements, as applicable:

EMR625a, H00430'25_HB5252_INTR_1625c z7gun5& (a)625g Forof a1949 centerPA with300 3(MCL to257.625a 12et patients,seq.). 2 registered professional nurses and 2 additional staff who are nurse aides registered under part 219 or are health professionals with education and training that is greater than that of a nurse aide.

(b)TIE ForBAR aWITH: center with 13 to 18 patients, 2 registered professional nurses, 1 licensed practical nurse, and 3 individuals providing direct care to patients.

(c)HB For4390'25 a2025-06-05, center2025-06-26 withReferred 1905/22/2025reported towith 24recommendation patients,with 2substitute registered(H-2) professionalHB nurses,4399 2of licensed2025 practicalRules nurses,David andPrestin 4Health individualsoccupations: providing direct care to patients.

(d)advanced Forpractice a center with 25 to 30 patients, 3 registered professionalnurses; nurses, 3 licensed practical nurses, and 5 individuals providing direct care to patients.

(e)scope Forof apractice centerof with 31 to 36 patients, 4 registered professional nurses,nurses 4who licensedhold practicalspecialty nurses,certifications andas 6nurse individualspractitioners; providing direct care to patients.

(f)modify. For a center with 37 to 42 patients, 5 registered professional nurses, 5 licensed practical nurses, and 7 individuals providing direct care to patients.

(g)Amends Forsecs. a center with more than 43 patients, the number of registered professional nurses, licensed practical nurses, and direct staff described in subdivision (f) is increased by 1 for each qualified increase.

As17201, used17210, in17211a this& subdivision,17212 "qualified increase" means increase of patients1978 byPA not368 less(MCL than333.17201 1et toseq.) not& moreadds thansec. 6.

(2)17210a. The staffing plan required under this section must be in writing, be updated and disclosed quarterly, and be available to the employees of the prescribed pediatric extended care center and the public for inspection on request.

EMRReferred H00430'25_HB5252_INTR_111/05/2025 z7gun5HB Sec.4402 of 2025 Rules Curtis VanderWall Health:

21962.diseases;

(1)dissemination Aof prescribedinformation pediatricabout extendedcytomegalovirus care(CMV) centerto shallcertain complyindividuals withand allin ofcertain thesituations; following:

(a)provide Subjectfor. to subsection (2), conduct monthly staff development programs to maintain quality patient care.

AAmends staffsecs. development program must be appropriate to the category of employee attending the program and must be documented by the prescribed pediatric extended care center.

(b)5431 Ensure& that5432 anof employee1978 maintainsPA certification368 in(MCL basic333.5431 life& support.333.5432) & adds sec.

(c)5143. Ensure that a new employee participates in an orientation to acquaint the employee with the philosophy, organization, program, practices, and goals of the prescribed pediatric extended care center.

(d)2025-10-16, Ensure2025-10-23 thatReferred a09/17/2025reported parent or guardian of a child with medicalrecommendation complexitywithout attendsamendment aHB comprehensive4422 orientationof to2025 acquaintRules thePauline parentWendzel orLiquor: guardian with the philosophy and services provided to a child with medical complexity in the prescribed pediatric extended care center.

(e)authorized Providedistribution trainingagents; to an employee when implementing new technology.

(f)authorized Ensuredistribution thatagent afees; patient is admitted to the center for not more than 12 consecutive hours per day.

(g)increase. Ensure that patients receive basic services only during standard, daytime working hours, as established by the center.

(2)Amends Asec. staff development program required under this section must do all of the following:

(a)205 Facilitate the ability of an1998 employeePA to58 function(MCL as436.1205). a member of an interdisciplinary team with other health professionals and a parent or guardian of a child with medical complexity.

EMR2025-09-25 H00430'25_HB5252_INTR_1Referred z7gun509/18/2025 (b)HB Improve4484 the communication skills of an2025 employeeRules toJoseph facilitateFox aHuman collaborativeservices: relationship with a parent or guardian of a patient.

(c)medical Increaseservices; employee understanding of how to cope with the effects of childhood illness.

(d)coverage Coverpolicies allfor ofspeech-language thepathologists; following topics:

(i)modify. Issues related to death and dying.

(ii)Amends Information1939 onPA services280 that(MCL the400.1 prescribed- pediatric400.119b) extendedby careadding centersec. considers appropriate that are available from hospitals, schools, and community, state, and professional organizations.

(e)109z. Foster advocacy skills and develop case management skills to assist a parent or guardian of a patient with setting priorities and planning and implementing the patient's care at home.

Sec.2025-09-18, 2025-09-25 Referred 09/03/2025reported with recommendation without amendment HB 4501 of 2025 Rules Mike Mueller Marihuana:

21963.other;

(1)cannabis Aregulatory prescribedagency; pediatric extended care center shall perform a functional assessment of a patient and create an individualized program plan for the patient to accommodate the patient's developmental needs.

(2)allow Theto functionaloperate assessmenta requiredmarihuana underreference thislaboratory sectionand mustto assesscollect, alltransport, ofpossess, thetest, followingand forperform aresearch patient,with consideringmarihuana. the patient's age:

(a)Amends Self-care.sec.

(b)7 Communication,of social,2018 andIL motor1 skills.(MCL 333.27957).

(c)2026-01-15, Cognitive2026-01-22 function.Referred 11/13/2025reported with recommendation without amendment HB 4509 of 2025 Rules Luke Meerman Health occupations:

(d)audiologists; Play.

(e)audiologist Growth and development.speech language pathologist licensure compact;

(3)provide Thefor. individualized program plan required under this section must be in writing and include all of the following for a patient:

EMRAmends H00430'25_HB5252_INTR_1secs. z7gun5 (a) Specific programs and actions to facilitate the developmental progress of the patient.

(b)16801 Measurable& goals17601 forof each1978 needPA area.368 (MCL 333.16801 & 333.17601) & adds secs.

(c)16187, The16804 patient's& strengths17603a. and present performance level with respect to each goal described in subdivision (b).

(d)2025-09-18, Anticipatory2025-10-16 planningReferred for09/03/2025 specificHB areas4552 identifiedof as2025 atRules riskBrad forPaquette futureHealth: problems.

(4)immunizations; The prescribed pediatric extended care center shall include a parent or guardian of a patient in a care-related conference for the patient and, if applicable, facilitate the training of the parent or guardian on how to meet the developmental and psychosocial needs of the patient while the patient is at home.

Sec.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;

21965.prohibit.

(1)Amends Subjectsecs. to this section, a prescribed pediatric extended care center shall have a written policy governing the admission, transfer, and discharge of a child with medical complexity.

(2)9215 After& consulting9227 with the parent or guardian of a1978 childPA with368 medical(MCL complexity,333.9215 a& physician333.9227) may& referadds thesec. child with medical complexity to a prescribed pediatric extended care center.

A5115a. child with medical complexity must not be admitted to a prescribed pediatric extended care center unless at least all of the following are met:

(a)TIE BeforeBAR admission,WITH: it is determined that the child with medical complexity does not present a significant risk of infection to other children or employees in the prescribed pediatric extended care center.

TheHB medical4553'25 directorReferred and06/05/2025 nursingHB director4553 shall review a child with medical complexity who is suspected of having2025 anRules infectiousJames diseaseDeSana toEducation: determine whether the admission of the child with medical complexity to the prescribed pediatric extended care EMR H00430'25_HB5252_INTR_1 z7gun5 center is appropriate.

(b)attendance; The child with medical complexity is medically stable, requires skilled nursing care or other intervention, and has a clinical condition that is appropriate for outpatient care.

(c)promulgation The admission of thecertain childrules withthat medicalare complexitymore isstringent inthan accordancethe withrequirements afor writtenclaiming orderexemption offrom aimmunizations; physician.

Aprohibit. copy of the order must be provided to the parent or guardian of the child with medical complexity and must be placed in the child's medical record.

(3)Amends Ifsec. a child with medical complexity meets the requirements described in subsection (2), the medical director or nursing director shall implement a preadmission plan.

The1177 preadmissionof plan1976 mustPA describe451 the(MCL services380.1177). to be provided to the child with medical complexity in the prescribed pediatric extended care center and the sources for the services.

IfTIE theBAR childWITH: with medical complexity is hospitalized at the time of the referral to the prescribed pediatric extended care center, the development of the preadmission plan must include the parent or guardian of the child with medical complexity, a representative of the prescribed pediatric extended care center, and hospital medical, nursing, social services, and developmental staff, to ensure that the hospital's discharge plans are implemented upon the admission of the child with medical complexity to the prescribed pediatric extended care center.

IfHB the4552'25 childReferred with06/05/2025 medicalHB complexity4558 is not hospitalized at the time of the2025 referralRules toCurtis theVanderWall prescribedHealth: pediatric extended care center, the development of the preadmission plan must include the parent or guardian of the child with medical complexity, the child with medical complexity's primary care provider, a representative of the prescribed pediatric extended care center, and representatives of EMR H00430'25_HB5252_INTR_1 z7gun5 other agencies that the child with medical complexity's primary care provider and nursing director consider relevant.

(4)occupations; During the development of a preadmission plan for a child with medical complexity, a protocol of care for the child with medical complexity must be developed under the direction of the nursing director.

Theexamination protocol of care must be in writing and mustevaluation includefor allpurchase of thecontact following:lenses;

(a)allow Theto treatmentbe planin thatperson addressesor theby medical,telemedicine. nursing, psychosocial, and educational needs of the child with medical complexity and the family of the child with medical complexity.

(b)Amends Thesecs. specific goals for the care of the child with medical complexity, including the plans for achieving the goals.

(c)5553, A5555, schedule5557 for& evaluating5561 theof progress1978 ofPA the368 child(MCL with333.5553 medicalet complexity.seq.) & adds secs.

(d)5560 The& procedures5562. to follow during an emergency.

(e)Referred The06/25/2025 criteriaHB for4591 dischargingof the2025 childRules withKarl medicalBohnak complexityHealth fromoccupations: the prescribed pediatric extended care center.

(f)counselors; The signature of the provider, a representative of the prescribed pediatric care center, and the parent or guardian of the child with medical complexity.

(5)professional Acounselors prescribedlicensure pediatriccompact; extended care center must require a parent or guardian of a child with medical complexity to sign a consent form before the admission of the child with medical complexity to the center.

The prescribed pediatric extended care center must provide thefor. parent or guardian of the child with medical complexity with a copy of the signed consent form.

TheAmends consentsec. form is confidential and must include at least all of the following:

(a)18101 The purpose of the1978 prescribedPA pediatric368 extended(MCL care333.18101) EMR& H00430'25_HB5252_INTR_1adds z7gun5secs. center.

(b)16190a The& responsibilities18105a. of the family of a child with medical complexity.

(c)2025-09-18, The2025-09-25 treatmentReferred authorized09/03/2025reported forwith therecommendation childwithout withamendment medicalHB complexity.4593 of 2025 Rules Matt Bierlein Health occupations:

(d)dentists; Emergency disposition plans.

(e)representing Aoneself spaceas for the signature of the parent or guardian signing the form and a space"dental forspecialist" the signature of 1 or moreas witnessesspecializing toin theother signaturedental ofareas; the parent or guardian.

Sec.prohibit under certain circumstances.

21967.Amends sec.

A16608 prescribed pediatric extended care center shall provide or arrange for the transportation of a1978 patientPA to368 and(MCL from333.16608). the prescribed pediatric extended care center unless the parent or guardian of the patient chooses to provide for the patient's own transportation.

IfTIE theBAR prescribedWITH: pediatric extended care center transports a patient to or from the prescribed pediatric extended care center, the prescribed pediatric extended care center is responsible for the safety of the patient during transport.

Sec.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:

21968.violations;

Aauthority prescribedof pediatricthe extendedattorney caregeneral's centeroffice shall adopt and enforce a written policy that contains procedures to ensureresolve thatviolations involving the centersecretary submitsof accuratestate; transportation billing and insurance claims.

Sec.provide for.

21969.Amends sec.

In15 additionof to1976 thePA requirements388 under(MCL section169.215). 20175 and 20175a, a prescribed pediatric extended care center shall keep and maintain a record for each patient.

The2025-09-18, record2025-09-25 mustReferred include08/19/2025reported thewith name,recommendation title,without andamendment signatureHB 4679 of each2025 individualRules makingTullio anLiberati entryAgriculture: into the record for a patient and include all of the following:

(a)weights Providerand orders.measures;

(b)certain Flowdefinitions; charts of medications and treatments administered.

EMRprovide H00430'25_HB5252_INTR_1for. z7gun5 (c) Concise and accurate information and initiated case notes reflecting progress toward achieving protocol of care goals or reasons for a lack of progress.

(d)Amends Documentationsecs. of nutritional management and special diets, as appropriate.

(e)10 Documentation& of28c nursing, goals, treatment plans, and documentation of each1964 treatment,PA including283 the(MCL date290.610 and& time290.628c). that each treatment is provided to the patient and the patient's progress.

(f)TIE DocumentationBAR ofWITH: social and developmental services, including the date and time that each service is provided to the patient and the patient's progress.

(g)HB Any4678'25 allergies2026-01-15 Referred 11/13/2025reported with recommendation without amendment HB 4692 of the2025 patientRules orAngela specialRigas precautions.Occupations:

(h)cosmetologists; The patient's immunization record.

(i)branch Anyfacilities revisionsfor ora recommendedschool changes to the patient's therapeutic plan in the individualized protocol of carecosmetology; developed for the child with medical complexity under section 21965.

(j)provide Anyfor. discharge order for the child with medical complexity.

TheAmends discharge1980 orderPA must299 be(MCL signed339.101 by- a339.2677) physicianby andadding mustsec. include a discharge summary that includes the reason for discharge.

(k)1205b. A signed copy of the consent form described in section 21965.

Sec.TIE BAR WITH:

21971.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:

Acosmetologists; prescribed pediatric extended care center shall implement a quality assurance program to evaluate the provision of care within the prescribed pediatric extended care center.

Thecosmetology qualitylicensing assurancefees; program must include the participation of the medical director and include all of the following evaluations:

(a)modify. At least every 6 months, an evaluation of each organized service that relates to patient care, including, but not limited EMR H00430'25_HB5252_INTR_1 z7gun5 to, a service furnished by a contractor.

(b)Amends Atsecs. least every 6 months, an evaluation of the evidence of the involvement of a parent or guardian of a patient.

(c)9 The& evaluation25 of nosocomial1979 infectionsPA and152 medication(MCL therapy.338.2209 & 338.2225).

(d)TIE QuarterlyBAR evaluationsWITH: of staffing plans developed under section 21961 to ensure staffing standards are met and to improve regulatory efficiency.

FinalHB Page4692'25 EMRReferred H00430'25_HB5252_INTR_110/30/2025 z7gun5HB 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;