Human services: medical services; coverage policies for speech-language pathologists; modify. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109z.
HB 4484 amends Michigan's Social Welfare Act to allow licensed speech-language pathologists (SLPs) to seek reimbursement for audiological rehabilitation and speech-language therapy services, regardless of whether they hold a certificate of clinical competence. This change directly affects SLPs practicing in Michigan who previously faced potential barriers to reimbursement under existing department rules. The bill removes a prior requirement for the clinical certificate, ensuring reimbursement eligibility solely based on state licensure. It applies to all coverage policies under the Social Welfare Act (MCL 400.1-400.119b), streamlining access to payment for these healthcare services.
Bill status
passed both
4 of 5 stages cleared
Introduction
May 2025
Committee Review
Oct 2025
House Passage
Oct 2025
Senate Passage
Oct 2025
Governor
Introduced May 8, 2025
Last action Oct 28, 2025
Maddy AI version diff · 1 comparison
What changed between versions
House Introduced Bill
→
As Passed by the House
·
1 edit
·
Oct 22, 2025
MINOR
The bill was reformatted from a House Introduced version to an As Passed by the House version, with minor text adjustments and formatting changes. The substantive policy content remains identical, establishing that speech-language pathologists licensed in Michigan can seek reimbursement for audiological rehabilitation and speech-language therapy services regardless of whether they hold a certificate of clinical competence.
Scope change
No substantive change to the bill's scope; only formatting and presentation changes occurred during the House passage process.
TECHNICAL
Text formatting and layout were adjusted to reflect the bill as passed by the House, including changes to header information and page numbering.
Floor votes · House Oct 22, 2025
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
15
Key actions
5
Committee
5
Oct 28, 2025
Committee
REFERRED TO COMMITTEE ON HEALTH POLICY
upper
Oct 28, 2025
Upper · Passed
PASSED BY HOUSE WITH IMMEDIATE EFFECT
upper
Oct 22, 2025
Lower · Passed
passed; given immediate effect Roll Call #256 Yeas 102 Nays 1 Excused 0 Not Voting 7
lower
Sep 25, 2025
Committee
referred to second reading
lower
Sep 25, 2025
Lower · Passed
reported with recommendation without amendment
lower
Sep 3, 2025
Lower · Passed
recommendation concurred in
lower
Sep 3, 2025
Lower · Passed
reported with recommendation for referral to Committee on Rules
lower
May 8, 2025
Committee
referred to Committee on Health Policy
lower
May 8, 2025
Introduced
introduced by Representative Rep. Joseph Fox
lower
1 primary · 10 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Joseph Fox
RRepublican
Co
Curt VanderWall
RRepublican
Co
Jason Woolford
RRepublican
Co
Jay DeBoyer
RRepublican
Co
Jennifer Wortz
RRepublican
Co
Jim DeSana
RRepublican
Co
Joe Pavlov
RRepublican
Co
Luke Meerman
RRepublican
Co
Nancy DeBoer
RRepublican
Co
Parker Fairbairn
RRepublican
Co
Steve Frisbie
RRepublican
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