HB 5053 Michigan House · 2025-2026 Regular Session

Health: pharmaceuticals; administration of epinephrine; modify. Amends sec. 20919 of 1978 PA 368 (MCL 333.20919). TIE BAR WITH: HB 5054'25, HB 5049'25, HB 5050'25, HB 5051'25, HB 5052'25

HB 5053 requires medical control authorities to ensure all emergency medical services (EMS) agencies and personnel provide epinephrine or auto-injectors and are trained to recognize anaphylaxis, administer epinephrine, and properly dispose of devices. This directly affects EMS providers who deliver prehospital care across Michigan, mandating specific equipment availability and training protocols. The bill amends existing public health code requirements to strengthen emergency response capabilities for severe allergic reactions, with no changes to opioid antagonist or defibrillator requirements.

Issues: ✓ Healthcare

Bill status passed both 4 of 5 stages cleared

Introduction

Sep 2025

Committee Review

Jan 2026

House Passage

Dec 2025

Senate Passage

Jan 2026

Governor

Introduced Sep 24, 2025 Last action Jan 14, 2026

Maddy AI version diff · 1 comparison

What changed between versions

House Introduced Bill → As Passed by the House · 6 edits · Dec 17, 2025

MODERATE

This bill updates the Michigan Public Health Code to require medical control authorities to establish stricter protocols for emergency medical services. Key changes include mandatory protocols for opioid antagonist training, expanded requirements for epinephrine delivery systems in vehicles, and new rules for handling appeals and emergency situations. The bill also introduces a 60-day public comment period for new protocols and clarifies the timeline for hearings when medical control is removed.

Scope change

The bill expands the scope of required protocols to include specific equipment standards (opioid antagonists and expanded epinephrine options) and modifies the appeals process to include a state-level review committee.

REQUIREMENT

Requires all life support vehicles to carry opioid antagonists and ensures personnel are trained to administer them.

Expands epinephrine requirements to include inhalers and nasal sprays in addition to auto-injectors for vehicles and personnel.

Allows medical control authorities to set higher equipment and personnel standards for agencies beyond basic life support, subject to a medical and economic impact analysis.

ENFORCEMENT

Mandates that hearings regarding the removal of medical control must be held within 3 business days.

Creates a formal appeals process where the State Emergency Medical Services Coordination Committee reviews decisions if local appeals are exhausted.

TIMELINE

Establishes a 60-day public comment period for proposed protocols before they are adopted.

Floor votes · House Dec 17, 2025

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

Jan 14, 2026

Committee

REFERRED TO COMMITTEE ON HEALTH POLICY

upper

Jan 14, 2026

Upper · Passed

PASSED BY HOUSE WITH IMMEDIATE EFFECT

upper

Dec 17, 2025

Lower · Passed

passed; given immediate effect Roll Call #356 Yeas 103 Nays 0 Excused 0 Not Voting 7

lower

Nov 5, 2025

Committee

referred to second reading

lower

Nov 5, 2025

Lower · Passed

reported with recommendation without amendment

lower

Sep 24, 2025

Committee

referred to Committee on Education and Workforce

lower

Sep 24, 2025

Introduced

introduced by Representative Rep. Nancy DeBoer

lower

1 primary · 19 co-sponsors