Healthcare

HB 4246 enacts Michigan's participation in the Nurse Licensure Compact, allowing nurses licensed in Michigan to practice in other participating states without obtaining separate licenses. The compact establishes mutual recognition of nursing licenses across states, facilitating easier interstate practice for registered and licensed practical nurses. It includes mechanisms for sharing information about nurse licensure and disciplinary actions to maintain public safety and consistent practice standards. This bill directly affects nurses seeking to work across state lines and the Michigan Board of Nursing, which will implement the compact's requirements.

HB 4464 requires Michigan health insurers to provide dependent coverage until age 26 without discrimination based on a child's birth status, tax filing, or residence. It mandates coverage for newborns from birth (including congenital defects) and prohibits lifetime or annual dollar limits on essential health benefits like emergency care, hospitalization, and maternity services. The bill also requires insurers to cover specific preventive services - such as evidence-based screenings and immunizations recommended by federal guidelines - without cost-sharing for eligible patients. These requirements apply to most individual and small group health insurance plans in Michigan, excluding grandfathered plans, retiree coverage, and short-term policies.

HB 4225 requires public schools serving grades 6-12 to include a 24/7 suicide prevention hotline number and contact information for Michigan's OK2SAY program (a confidential student safety reporting system) on student identification cards starting July 1, 2026. Nonpublic schools serving the same grades are encouraged to do the same. The bill amends Michigan's "Save our Students Act" to mandate this inclusion, ensuring students have immediate access to mental health resources and safety reporting tools. It applies to all public school districts, public school academies, and intermediate school districts, with liability protections for schools that comply.

House Bill 4242 amends the public health code to update requirements for how medical licensees manage patient records. It mandates that healthcare providers explicitly document medical services involving vaginal or anal penetration in patient records, with certain exceptions. The bill establishes a general minimum record retention period of 7 years, which extends to 15 years for records of these specific penetration-related services, also with specified exceptions. Additionally, it outlines procedures for protecting record integrity and confidentiality, ensuring patient access, and for the proper destruction or transfer of records.

House Bill 4340 amends Michigan's social welfare act to establish new eligibility requirements for state programs. The bill prohibits individuals from receiving services, grants, or participating in programs under this act unless they are a United States citizen or a "qualified alien." The term "qualified alien" refers to specific immigration statuses as defined by federal law. This restriction applies to state social welfare programs, with exceptions if federal law dictates otherwise.