HB 5903 Michigan House · 2025-2026 Regular Session

Health facilities: certificate of need; allowable use of hospital swing beds; expand to include behavioral health patients. Amends sec. 134 of 1974 PA 258 (MCL 330.1134).

This bill amends Michigan's mental health code to clarify how hospital swing beds can be used for behavioral health patients. It allows psychiatric facilities to temporarily place adult or minor patients in licensed inpatient psychiatric beds when needed for care, provided safety and staffing rules are met. The legislation ensures that using these beds for behavioral health does not count as adding new capacity for the purpose of state approval reviews. Additionally, it requires the state director to coordinate regulations across agencies to avoid duplicate inspections and ensure consistent oversight of psychiatric facilities.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Apr 2026

Committee Review

Jun 2026

House Passage

Jul 2026

Senate Passage

Governor

Introduced Apr 28, 2026 Last action Jul 1, 2026

Maddy AI version diff · 1 comparison

What changed between versions

House Introduced Bill → Substitute (H-1) · 4 edits

MODERATE

This bill substitutes a new version of HB 5903 that significantly expands how psychiatric hospitals can use their beds. It allows facilities to temporarily use a licensed bed for either an adult or a minor if it is in the patient's best interest and safe, whereas the original text only mentioned general temporary use. The new version also clarifies that temporary use does not count toward official bed capacity limits or trigger new regulatory reviews.

Scope change

The bill's scope expanded to explicitly permit the temporary sharing of inpatient beds between adult and minor patients under specific safety and clinical conditions.

ELIGIBILITY

Added specific criteria allowing a single licensed bed to be used temporarily for either an adult or a minor patient if it serves the patient's best interest and meets safety requirements.

DEFINITION

Defined 'temporary' as a period of no more than 90 consecutive days, with a possible 90-day extension if clinically necessary or due to capacity limits.

REQUIREMENT

Corrected a grammatical error in the original text where the words 'shall must' appeared together, changing it to 'shall must be' to clarify that separate criteria are required for licensing beds for minors.

Added a provision stating that temporary bed use does not change the official bed capacity, classification, or trigger a new certificate of need review.

Floor votes

How they voted

This bill passed the House by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Jul 1, 2026

Lower · Passed

substitute (H-1) adopted

lower

Jun 24, 2026

Committee

referred to second reading

lower

Jun 24, 2026

Lower · Passed

reported with recommendation with substitute (H-1)

lower

Apr 28, 2026

Committee

referred to Committee on Health Policy

lower

Apr 28, 2026

Introduced

introduced by Representative Rep. Matthew Bierlein

lower

1 primary · 6 co-sponsors