HB 4399 Michigan House · 2025-2026 Regular Session

Health occupations: advanced practice registered nurses; scope of practice of registered professional nurses who hold specialty certifications as nurse practitioners; modify. Amends secs. 17201, 17210, 17211a & 17212 of 1978 PA 368 (MCL 333.17201 et seq.) & adds sec. 17210a.

HB 4399 modifies Michigan law to expand the scope of practice for registered nurses certified as nurse practitioners. Specifically, it changes rules allowing these nurses to perform certain medical tasks - like diagnosing conditions and prescribing medications - without requiring direct physician oversight. The bill directly affects certified nurse practitioners in Michigan who currently face restrictions under existing law. It amends sections of the 1978 Public Health Code related to health occupations to clarify and broaden their authorized duties. The changes aim to adjust legal boundaries for these nurses' clinical responsibilities.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Apr 2025

Committee Review

Nov 2025

House Passage

Nov 2025

Senate Passage

Governor

Introduced Apr 29, 2025 Last action Nov 5, 2025

Maddy AI version diff · 1 comparison

What changed between versions

House Introduced Bill → Substitute (H-1) · 4 edits

MODERATE

The document changes are primarily formatting and structural updates to the legislative website interface rather than substantive policy changes to the bill itself. The original bill text containing actual legislative provisions was replaced with website navigation elements, search options, and a list of other bills in committee. No changes were made to the actual healthcare provisions, nurse scope of practice definitions, or certification requirements that were present in the original bill.

TECHNICAL

Removed original bill header information including introduction date (April 29, 2025), sponsoring representatives, and committee referral details

Added Michigan Legislature website navigation elements including search functionality, bill lists, and committee information

Removed the actual legislative text containing definitions for nursing roles and nurse practitioner scope of practice provisions

Added website interface elements such as 'Skip to content', 'Home', 'Legislators', and 'Rules and Schedules' navigation links

Floor votes

How they voted

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

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Nov 5, 2025

Lower · Passed

recommendation concurred in

lower

Nov 5, 2025

Lower · Passed

reported with recommendation for referral to Committee on Rules with substitute (H-1)

lower

Apr 29, 2025

Committee

referred to Committee on Health Policy

lower

Apr 29, 2025

Introduced

introduced by Representative Rep. Dave Prestin

lower

1 primary · 12 co-sponsors