Human services: county services; designation of a patient surrogate for health care decisions; allow. Amends sec. 66h of 1939 PA 280 (MCL 400.66h).
HB 4734 expands who can legally consent to medical treatment for patients unable to make decisions themselves. It adds "designated surrogates" (people formally appointed under Michigan's Estates Code) to the list of authorized decision-makers, alongside relatives, patient advocates, and guardians. This directly affects patients without decision-making capacity, healthcare providers needing consent, and the individuals authorized to act for them. The bill clarifies that emergency care can still be provided without consent during urgent situations requiring immediate action.
Bill status
passed both
4 of 5 stages cleared
Introduction
Jul 2025
Committee Review
Jan 2026
House Passage
Sep 2025
Senate Passage
Sep 2025
Governor
Introduced Jul 15, 2025
Last action Jan 29, 2026
Maddy AI version diff · 1 comparison
What changed between versions
House Introduced Bill
→
As Passed by the House
·
3 edits
·
Sep 18, 2025
MINOR
The bill text was reformatted and reorganized during its passage through the House, with the header information and introductory language being restructured. The substantive legal content regarding medical consent and social welfare provisions remains unchanged in meaning, though the formatting and line structure were significantly altered.
TECHNICAL
The bill's header and introductory text were reorganized and reformatted, with the original introduction lines removed and new formatting applied to the title and enactment language.
Line breaks and paragraph structure within the main text were altered, though the legal substance of the medical consent provisions remains the same.
Page header and footer information was replaced with different formatting identifiers.
Floor votes · House Sep 18, 2025
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
16
Key actions
4
Committee
6
Jan 29, 2026
Committee
REFERRED TO COMMITTEE OF THE WHOLE
upper
Jan 29, 2026
Upper · Passed
REPORTED FAVORABLY WITHOUT AMENDMENT 1/29/2026
upper
Sep 22, 2025
Committee
REFERRED TO COMMITTEE ON CIVIL RIGHTS, JUDICIARY, AND PUBLIC SAFETY
upper
Sep 22, 2025
Upper · Passed
PASSED BY HOUSE WITH IMMEDIATE EFFECT
upper
Sep 18, 2025
Lower · Passed
passed; given immediate effect Roll Call #219 Yeas 98 Nays 0 Excused 0 Not Voting 12
lower
Aug 20, 2025
Committee
referred to second reading
lower
Aug 20, 2025
Lower · Passed
reported with recommendation without amendment
lower
Jul 15, 2025
Committee
referred to Committee on Judiciary
lower
Jul 15, 2025
Introduced
introduced by Representative Rep. Brian BeGole
lower
1 primary · 5 co-sponsors
Sponsors
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