HB 4418 updates Michigan's probate law to clarify how patients can designate a healthcare surrogate when they cannot make decisions themselves. It adds a new process for formally naming a surrogate (replacing the previous method) and removes an outdated section from older law. This directly affects patients without existing advance directives and their families by providing a clearer, more modern way to appoint someone to make medical decisions for them.
HB 4419 adds legal protections to Michigan's health care decision-making framework. It shields health care providers and facilities from liability when following decisions made by a legally designated patient surrogate or advocate, as long as they act in good faith. The bill also protects surrogates and advocates from liability for good-faith health care decisions they make. Providers who intentionally violate these rules face minimum damages of $1,000, while those who falsify or tamper with a patient's health care directive designation face minimum damages of $2,500. This directly affects patients with advance directives, their designated surrogates, and medical providers.
HB 4726 extends the deadline for a reimbursement formula that helps counties offset costs when operating Medicaid-funded nursing homes. It requires counties to be reimbursed for 45% of the difference between their actual per-patient-day costs and a state-set cost limit (with rates capped at zero if costs are below the limit), while preventing annual reimbursement increases exceeding $1.00 per patient day. This policy directly affects county-owned nursing homes providing Medicaid long-term care, ensuring continued state support for their operations until December 31, 2030. The bill does not change eligibility for services or create new benefits - only extends the existing funding mechanism.
HB 4926 amends Michigan's health licensing law to create a new process for certain licensed health professionals to have disciplinary records vacated. It adds Section 16211a to the licensing code, establishing specific criteria and procedures for licensees who had past disciplinary actions to petition to clear those records after meeting defined conditions. This directly affects licensed nurses, pharmacists, and other health registrants who faced disciplinary actions but have since demonstrated rehabilitation and compliance. The bill provides a structured, statutory pathway for these individuals to seek record clearance, moving beyond previous administrative discretion.
HB 4857 amends Michigan’s Public Health Code to strengthen confidentiality protections for emergency service providers receiving critical incident stress management (CISM) services. The bill ensures conversations between first responders (such as police, firefighters, EMTs, and dispatchers) and CISM teams remain private, preventing disclosure in court, investigations, or other proceedings. Exceptions include situations where a provider poses an imminent threat to themselves or others, reports abuse, or explicitly waives confidentiality. This change directly affects emergency workers accessing mental health support after traumatic incidents, ensuring they can seek help without fear of their disclosures being used against them. The law applies to all CISM services provided under the existing framework, including peer support, debriefings, and referrals.
HB 4860 requires health plans and nonprofit dental corporations in Michigan to offer payment methods that give dentists 100% of the amount payable for dental services, without charging dentists fees to access those payments. This applies specifically to dental benefits under existing insurance laws and does not cover fees from a dentist's bank. Dentists who choose not to use a payment method must stay opted out until they rejoin or sign a new contract. The law affects dentists, dental insurers, and patients by changing how dental payments are processed, ensuring providers receive full reimbursement without extra costs. It applies to all dental insurance policies delivered, issued, or renewed after the law takes effect.
HB 4591 allows Michigan to join a multi-state agreement (the "counseling compact") for licensed professional counselors. This compact enables Michigan-licensed counselors to practice in other participating states without obtaining separate licenses, while other states recognize Michigan licenses under uniform requirements. The agreement requires participating states to share disciplinary and licensure information to protect public safety, supports military spouses relocating with active duty service members, and facilitates telehealth services to improve access to counseling. It directly affects licensed professional counselors seeking to practice across state lines and expands access for residents in participating states.
HB 4509 creates a licensure compact for audiologists and speech-language pathologists in Michigan, allowing professionals licensed in participating states to practice across state lines without obtaining separate Michigan licenses. This directly affects audiologists and speech-language pathologists seeking to work in multiple states, particularly those in states that have joined the compact. The bill amends Michigan law to establish reciprocal licensing agreements, adding new provisions (sections 16187, 16804, and 17603a) to facilitate this process. It does not change patient care standards but streamlines professional mobility for these healthcare providers. The bill passed unanimously in the Michigan House with immediate effect on October 30, 2025.
HB 4484 amends Michigan's Social Welfare Act to allow licensed speech-language pathologists (SLPs) to seek reimbursement for audiological rehabilitation and speech-language therapy services, regardless of whether they hold a certificate of clinical competence. This change directly affects SLPs practicing in Michigan who previously faced potential barriers to reimbursement under existing department rules. The bill removes a prior requirement for the clinical certificate, ensuring reimbursement eligibility solely based on state licensure. It applies to all coverage policies under the Social Welfare Act (MCL 400.1-400.119b), streamlining access to payment for these healthcare services.
HB 4107 requires Michigan schools to include specific health education content for students in grades 7-12. It mandates instruction in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED) use, and first aid response kits (including tourniquets and bleeding control supplies) as part of the health curriculum. Schools may use trained personnel like Red Cross instructors, EMTs, or properly trained teachers to deliver this instruction, with hands-on practice encouraged but not required for all students. The bill exempts 100% online schools from requiring hands-on CPR practice.
