HB 4246 Michigan House · 2025-2026 Regular Session

Health occupations: nurses; nurse licensure compact; enact. Amends secs. 16170a, 16222, 16231, 16238 & 17201 of 1978 PA 368 (MCL 333.16170a et seq.) & adds secs. 16187, 17225 & 17225a.

HB 4246 enacts Michigan's participation in the Nurse Licensure Compact, allowing nurses licensed in Michigan to practice in other participating states without obtaining separate licenses. The compact establishes mutual recognition of nursing licenses across states, facilitating easier interstate practice for registered and licensed practical nurses. It includes mechanisms for sharing information about nurse licensure and disciplinary actions to maintain public safety and consistent practice standards. This bill directly affects nurses seeking to work across state lines and the Michigan Board of Nursing, which will implement the compact's requirements.

Issues: ✓ Healthcare

Bill status passed both 4 of 5 stages cleared

Introduction

Mar 2025

Committee Review

Jun 2025

House Passage

Jun 2025

Senate Passage

Jun 2025

Governor

Introduced Mar 18, 2025 Last action Jun 12, 2025

Maddy AI version diff · 1 comparison

What changed between versions

House Introduced Bill → As Passed by the House · 7 edits · Jun 11, 2025

MODERATE

This bill amends Michigan's Public Health Code to implement the Nurse Licensure Compact, allowing nurses to hold a single multistate license that permits practice across all participating states. It also strengthens confidentiality protections for health professionals participating in recovery programs and clarifies reporting requirements for license violations.

Scope change

Expands nursing practice scope by enabling interstate licensure through the Nurse Licensure Compact, while maintaining state authority over nursing practice standards within Michigan

SCOPE

Added Nurse Licensure Compact provisions allowing nurses to practice across state lines with a single multistate license issued by their home state

REQUIREMENT

Added new sections requiring criminal background checks and fingerprinting for multistate license applicants

Modified confidentiality provisions for health professional recovery programs, specifying when records must be destroyed and exceptions for disclosure

Added requirements for reporting adverse actions and significant investigations through a coordinated licensure information system

DEFINITION

Added definitions for multistate license, multistate licensure privilege, home state, remote state, and coordinated licensure information system

ENFORCEMENT

Established Interstate Commission of Nurse Licensure Compact Administrators to oversee compact implementation and dispute resolution

TIMELINE

Set effective date for amendatory act as 90 days after enactment into law

Floor votes · House Jun 11, 2025

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

Jun 12, 2025

Committee

REFERRED TO COMMITTEE ON REGULATORY AFFAIRS

upper

Jun 12, 2025

Upper · Passed

PASSED BY HOUSE WITH IMMEDIATE EFFECT

upper

Jun 11, 2025

Lower · Passed

passed; given immediate effect Roll Call #147 Yeas 57 Nays 52 Excused 0 Not Voting 1

lower

Jun 5, 2025

Committee

referred to second reading

lower

Jun 5, 2025

Lower · Passed

reported with recommendation without amendment

lower

May 14, 2025

Lower · Passed

recommendation concurred in

lower

May 14, 2025

Lower · Passed

reported with recommendation for referral to Committee on Rules

lower

Mar 18, 2025

Committee

referred to Committee on Health Policy

lower

Mar 18, 2025

Introduced

introduced by Representative Rep. Phil Green

lower

1 primary · 15 co-sponsors