SB 36 Michigan Senate · 2025-2026 Regular Session

Health: occupations; Michigan essential health provider recruitment strategy; expand to include midwives. Amends secs. 2701, 2705, 2709 & 2723 of 1978 PA 368 (MCL 333.2701 et seq.).

Senate Bill 36 expands Michigan's essential health provider recruitment strategy to include midwives. The bill amends the public health code, adding midwives to the list of "designated professionals" eligible for a state-administered debt repayment program. Under this program, midwives who have incurred educational debt may receive repayment for their loans or expenses. In exchange, they must commit to practicing full-time in a state-designated health resource shortage area for a specified period.
Bill status passed 3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
Senate Passage
Apr 2025
House Passage
Governor
Introduced Feb 4, 2025 Last action Apr 17, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Senate Introduced Bill As Passed by the Senate · 7 edits · Apr 17, 2025
MODERATE
This bill amends Michigan's Public Health Code to expand definitions of healthcare professionals, establish a new essential health provider repayment program, and enhance support for midwifery services in underserved areas. The changes aim to improve healthcare access in health resource shortage areas by creating financial incentives for professionals to serve in these locations.
Scope change
The bill expands the scope of the essential health provider repayment program to include additional healthcare professions (clinical nurse specialists, midwives, and physician's assistants) and increases the maximum repayment amount from $200,000 to $300,000 over 10 years.
DEFINITION

Added new definitions for 'Certified nurse midwife', 'Certified nurse practitioner', 'Clinical nurse specialist-certified', and 'Designated mental health professional' to clarify which healthcare professionals qualify for program benefits.

FISCAL

Created a new essential health provider repayment program that allows the department to repay up to $40,000 per year (maximum $300,000 over 10 years) for designated professionals who incur educational debt to serve in health resource shortage areas.

ELIGIBILITY

Expanded eligibility for the repayment program to include clinical nurse specialists, midwives, and physician's assistants in addition to physicians, certified nurse midwives, certified nurse practitioners, and mental health professionals.

REQUIREMENT

Added requirement that professionals must enter into a written contract committing to full-time practice in a designated health resource shortage area for a period equal to the number of years of debt repayment or 2 years, whichever is greater.

Added provision requiring biennial reports to legislative committees and the governor on the status of the essential health provider recruitment strategy, including analysis of program effectiveness and debt repayment sufficiency.

ENFORCEMENT

Established that professionals who fail to fulfill their service obligation forfeit their right to repayment for that year, and the department may treat future agreements as void.

SCOPE

Expanded the department's authority to cooperate with certified nurse midwifery services and midwifery associations to support placement of midwives in health resource shortage areas.

Floor votes · Senate Apr 17, 2025

How they voted

370
Passed · 1 other
Total votes 38
Apr 17, 2025
D Democratic19
19 Yea
100% Yea
R Republican19
18 Yea 1
94% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
10
Key actions
3
Committee
5
Apr 17, 2025
Committee
referred to Committee on Health Policy
lower
Apr 17, 2025
Introduced
received on 04/17/2025
lower
Apr 17, 2025
Upper · Passed
PASSED ROLL CALL # 57 YEAS 36 NAYS 0 EXCUSED 1 NOT VOTING 0
upper
Apr 16, 2025
Upper · Passed
REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITHOUT AMENDMENT(S)
upper
Mar 20, 2025
Committee
REFERRED TO COMMITTEE OF THE WHOLE
upper
Mar 20, 2025
Upper · Passed
REPORTED FAVORABLY WITHOUT AMENDMENT 3/18/2025
upper
Feb 4, 2025
Committee
REFERRED TO COMMITTEE ON HOUSING AND HUMAN SERVICES
upper
Feb 4, 2025
Introduced
INTRODUCED BY SENATOR SARAH ANTHONY
upper
1 primary · 1 co-sponsor

Sponsors