HB 4857 Michigan House · 2025-2026 Regular Session

Health: confidentiality; critical incident stress management services; modify. Amends secs. 20981 & 20982 of 1978 PA 368 (MCL 333.20981 & 333.20982).

HB 4857 amends Michigan’s Public Health Code to strengthen confidentiality protections for emergency service providers receiving critical incident stress management (CISM) services. The bill ensures conversations between first responders (such as police, firefighters, EMTs, and dispatchers) and CISM teams remain private, preventing disclosure in court, investigations, or other proceedings. Exceptions include situations where a provider poses an imminent threat to themselves or others, reports abuse, or explicitly waives confidentiality. This change directly affects emergency workers accessing mental health support after traumatic incidents, ensuring they can seek help without fear of their disclosures being used against them. The law applies to all CISM services provided under the existing framework, including peer support, debriefings, and referrals.
Bill status passed both 4 of 5 stages cleared
Introduction
Sep 2025
Committee Review
Dec 2025
House Passage
Nov 2025
Senate Passage
Dec 2025
Governor
Introduced Sep 9, 2025 Last action Dec 2, 2025
Maddy AI version diff · 1 comparison

What changed between versions

House Introduced Bill As Passed by the House · 4 edits · Nov 12, 2025
MODERATE
This bill updates the definitions for critical incident stress management services to include new support types like peer support and consultation, clarifies who qualifies as an emergency service provider, and expands confidentiality protections to cover both communications and records kept by stress management teams.
Scope change
The scope of the bill remains focused on public health and emergency services, but the applicability of confidentiality protections is broadened to include records in addition to verbal communications.
DEFINITION

Added new definitions for 'Critical incident stress management services' to explicitly include peer support services, consultation, and referral services alongside existing options like debriefings and on-scene support.

Modified the definition of 'Critical incident stress' to specify that it refers to stress experienced by an 'emergency service provider individual' while providing services, clarifying the target audience for these protections.

Modified the definition of 'Emergency service provider' to include health professionals licensed under Article 15, broadening the group of individuals eligible for these services.

REQUIREMENT

Added a new requirement that records kept by CISM team members regarding the provision of services are confidential and protected from subpoena, discovery, or introduction into evidence, matching the protection level previously given only to communications.

Floor votes · House Nov 12, 2025

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
14
Key actions
3
Committee
4
Dec 2, 2025
Committee
REFERRED TO COMMITTEE ON HEALTH POLICY
upper
Dec 2, 2025
Upper · Passed
PASSED BY HOUSE WITH IMMEDIATE EFFECT
upper
Nov 12, 2025
Lower · Passed
passed; given immediate effect Roll Call #298 Yeas 102 Nays 0 Excused 0 Not Voting 8
lower
Oct 22, 2025
Committee
referred to second reading
lower
Oct 22, 2025
Lower · Passed
reported with recommendation without amendment
lower
Sep 9, 2025
Committee
referred to Committee on Health Policy
lower
Sep 9, 2025
Introduced
introduced by Representative Rep. William Bruck
lower
1 primary · 14 co-sponsors

Sponsors