HB 4466 Michigan House · 2025-2026 Regular Session

Health: licensing; sanctions for performing gender reassignment procedures or treatment to minors; provide for. Amends secs. 16221 & 16226 of 1978 PA 368 (MCL 333.16221 & 333.16226). TIE BAR WITH: HB 4467'25

House Bill 4466 proposes to amend Michigan's Public Health Code. The bill seeks to establish sanctions for licensed healthcare professionals who perform gender reassignment procedures or provide related treatment to minors. It would modify sections 16221 and 16226 of the code, which pertain to professional licensing and disciplinary actions. This legislation directly affects healthcare providers and minors in Michigan by regulating the types of medical services that can be offered.

Issues: ✗ Healthcare

Bill status passed both 4 of 5 stages cleared

Introduction

May 2025

Committee Review

Jun 2026

House Passage

Jun 2026

Senate Passage

Jun 2026

Governor

Introduced May 7, 2025 Last action Jun 10, 2026

Maddy AI version diff · 1 comparison

What changed between versions

House Introduced Bill → As Passed by the House · 5 edits · Jun 3, 2026

MODERATE

The bill amends the Michigan Public Health Code to update the grounds for disciplinary action against health professionals, adding new categories for unethical business practices and unprofessional conduct. It also establishes specific sanctions and fines for various violations, including a mandatory fine for certain patient safety issues and permanent revocation for specific serious crimes.

Scope change

The scope of disciplinary grounds was expanded to include new categories such as unethical business practices (e.g., kickbacks) and unprofessional conduct (e.g., sexual misconduct), while retaining existing grounds for incompetence and negligence.

REQUIREMENT

Added new grounds for discipline under 'unethical business practices' including false advertising, fee-splitting, and fraud in obtaining reimbursement.

Added new grounds for discipline under 'unprofessional conduct' including misrepresentation, betrayal of confidence, promotion of unnecessary services, and sexual misconduct with patients.

ENFORCEMENT

Established a detailed matrix of specific sanctions (probation, suspension, revocation, fines) tied to specific subsections of the law.

Added a mandatory minimum fine of $25,000 if a violation under general duty or personal disqualification results in patient death.

Added a specific provision requiring a fine of not more than $250 for violations of section 16221(x).

Floor votes · House Jun 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

Jun 10, 2026

Committee

REFERRED TO COMMITTEE ON GOVERNMENT OPERATIONS

upper

Jun 10, 2026

Upper · Passed

PASSED BY HOUSE WITH IMMEDIATE EFFECT

upper

Jun 3, 2026

Lower · Passed

passed; given immediate effect Roll Call #176 Yeas 57 Nays 48 Excused 0 Not Voting 5

lower

Jun 3, 2026

Lower · Passed

motion to discharge committee approved

lower

May 13, 2026

Lower · Passed

recommendation concurred in

lower

May 13, 2026

Lower · Passed

reported with recommendation for referral to Committee on Government Operations

lower

May 7, 2025

Committee

referred to Committee on Health Policy

lower

May 7, 2025

Introduced

introduced by Representative Rep. Jaime Greene

lower

1 primary · 15 co-sponsors