HB 4103 Michigan House · 2025-2026 Regular Session

Health occupations: occupational therapists; occupational therapy licensure compact; enact. Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding sec. 16188. TIE BAR WITH: HB 4104'25

HB 4103 adds a new section to Michigan's health occupations law to implement an occupational therapy licensure compact. This bill allows occupational therapists licensed in Michigan to practice in other participating states without obtaining separate licenses, and vice versa for therapists from other compact states. It directly affects occupational therapists seeking to work across state lines, reducing barriers to practice. The compact mechanism establishes standardized licensing requirements among participating states, streamlining the process for therapists to provide services in multiple jurisdictions.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Feb 2025

Committee Review

Sep 2025

House Passage

Jul 2026

Senate Passage

Jul 2026

Signed into Law

Jul 2026

Introduced Feb 20, 2025 Signed Jul 29, 2026

Maddy AI version diff · 4 comparisons

What changed between versions

Substitute (S-1) - 5 → House Concurred Bill · 2 edits

MINOR

No substantive policy changes were made. The bill moved from the Senate Substitute stage to the House Concurred version, which involved only reformatting: removing page headers/footers and line numbers, changing the title header from 'SENATE SUBSTITUTE FOR' to 'House BILL NO. 4103,' and reflowing text from a narrow column to a wider layout. The content of the Occupational Therapy Licensure Compact is identical in both versions.

TECHNICAL

Header changed from 'SENATE SUBSTITUTE FOR HOUSE BILL NO. 4103' to 'House BILL NO. 4103' with 'Senate substitute for' noted, reflecting the bill's progression through the legislative process.

Page headers/footers (EMR H00845'25 (S-1) zk1tcq and page numbers) and line numbers were removed as part of standard formatting for the final enrolled version.

Floor votes · House Jul 3, 2026

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Jul 29, 2026

Introduced

filed with Secretary of State 07/22/2026 10:50 AM

lower

Jul 29, 2026

Signed into law

approved by the Governor 07/21/2026 02:02 PM

lower

Jul 3, 2026

Lower · Passed

Senate substitute (S-1) concurred in

lower

Jul 3, 2026

Upper · Passed

PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 211 YEAS 35 NAYS 1 EXCUSED 2 NOT VOTING 0

upper

Sep 11, 2025

Upper · Passed

SUBSTITUTE (S-1) CONCURRED IN

upper

Sep 11, 2025

Upper · Passed

REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITH SUBSTITUTE (S-1)

upper

Sep 11, 2025

Committee

REFERRED TO COMMITTEE OF THE WHOLE WITH SUBSTITUTE (S-1)

upper

Sep 11, 2025

Upper · Passed

REPORTED FAVORABLY WITH SUBSTITUTE (S-1) 9/10/2025

upper

May 15, 2025

Committee

REFERRED TO COMMITTEE ON HEALTH POLICY

upper

May 15, 2025

Upper · Passed

PASSED BY HOUSE WITH IMMEDIATE EFFECT

upper

May 13, 2025

Lower · Passed

passed; given immediate effect Roll Call #100 Yeas 104 Nays 2 Excused 0 Not Voting 4

lower

May 8, 2025

Committee

referred to second reading

lower

May 8, 2025

Lower · Passed

reported with recommendation without amendment

lower

Apr 16, 2025

Lower · Passed

recommendation concurred in

lower

Apr 16, 2025

Lower · Passed

reported with recommendation for referral to Committee on Rules

lower

Feb 20, 2025

Committee

referred to Committee on Health Policy

lower

Feb 20, 2025

Introduced

introduced by Representative Rep. Julie Rogers

lower

1 primary · 42 co-sponsors