HB 5044 Michigan House · 2025-2026 Regular Session

Health occupations: health professionals; policy for the receipt of medically necessary treatment by pupils; require. Amends 1976 PA 451 (MCL 380.1 - 380.1852) by adding sec. 1178b.

HB 5044 requires Michigan school districts and public charter schools to create policies by July 2026 allowing students with medically necessary treatment prescribed by healthcare providers to receive that care during school hours. The policy must include parent notices about federal disability rights (under Section 504 and the ADA), establish a 30-day meeting process for treatment requests, and specify when schools can deny requests (only if it causes a "fundamental alteration" or "undue burden"). Schools must also report annual data on treatment requests and denials to the state education department. This directly affects students with medical or mental health conditions requiring in-school care and school staff responsible for implementing the policy.
Bill status in committee 1 of 4 stages cleared
Introduction
Sep 2025
Committee Review
Floor Vote
Governor
Introduced Sep 24, 2025 Last action Jun 10, 2026
Maddy AI version diff · 1 comparison

What changed between versions

House Introduced Bill Substitute (H-3) · 5 edits
MODERATE
The bill was amended to specifically target 'applied behavior analysis services' for students with autism rather than general medical treatment. This change clarifies that schools must cover these specific behavioral interventions if prescribed by a specialist, provided they do not fundamentally alter the school's operations. The amendment also updates the deadlines for implementing policies and reporting data to align with the new, more specific scope of the law.
Scope change
The bill's scope narrowed from general 'medically necessary treatment' to specifically 'medically necessary applied behavior analysis services' required to treat autism or reduce maladaptive behaviors.
ELIGIBILITY

Replaced the broad term 'medically necessary treatment' with the specific phrase 'medically necessary applied behavior analysis services' throughout the text.

REQUIREMENT

Updated the list of actions private specialists can take to include observing students and collaborating with school staff to deliver these specific behavioral services.

TIMELINE

Extended the deadline for school boards to develop and adopt the required policy from July 1, 2026, to July 1, 2027.

Delayed the first annual reporting deadline for schools and the department from January 1, 2027, to January 1, 2029.

DEFINITION

Added a specific definition for 'medically necessary applied behavior analysis services,' defining them as evidence-based interventions for autism and behavioral issues.

Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions
6
Key actions
1
Committee
3
Jun 10, 2026
Committee
referred to second reading
lower
Jun 10, 2026
Lower · Passed
reported with recommendation with substitute (H-3)
lower
Sep 24, 2025
Committee
referred to Committee on Education and Workforce
lower
Sep 24, 2025
Introduced
introduced by Representative Rep. Pauline Wendzel
lower
1 primary · 6 co-sponsors

Sponsors