SB 702, the "Medical Debt Protection Act," limits how medical debt can be collected in Michigan. It prohibits interest or late fees for 90 days after a bill is due and caps annual interest at 3%. The bill bans wage garnishment, foreclosure, and other aggressive collection tactics for patients eligible for financial assistance under a healthcare facility’s policy. It also restricts selling medical debt to third parties without strict safeguards, requiring debt buyers to follow specific rules and return debt if a patient qualifies for financial help. The law directly affects patients with medical debt, large healthcare facilities, and medical debt collectors.
SB 450 amends Michigan law to require public hospital boards to follow the Hospital Financial Assistance Act when setting patient payment policies for non-charity care. It directly affects county public hospitals by making their financial assistance policies subject to existing state standards under the Hospital Financial Assistance Act. The bill updates Section 17 of the 1913 Public Act 350 to clarify that hospital trustees' authority over patient fees is governed by this act, ensuring consistent financial assistance rules across public hospitals.
SB 449 requires Michigan hospitals to create and implement financial assistance programs for uninsured patients and those with high medical debt relative to income. Specifically, hospitals must offer up to 100% discounts for patients earning at or below 350% of federal poverty guidelines, base eligibility on objective income metrics, and publish program details clearly on bills, statements, and websites in plain language. Hospitals must also report annual data on program usage and debt relief to the state health department by 2027, with violations subject to $10,000 civil fines. The law directly affects uninsured patients and hospital financial operations, aiming to reduce barriers to care for low-income individuals.
HB 5251 requires Michigan's medical assistance program (Medicaid for low-income residents) to cover prescribed pediatric extended care for children. This specifically affects low-income children in Michigan who need specialized, long-term medical care beyond standard hospital stays. The bill amends state law to mandate this coverage under existing rules for pediatric extended care (Part 219A of the Public Health Code). The coverage would apply to children receiving medically necessary care as prescribed by a doctor. The bill is contingent on the passage of companion legislation (HB 5252).
SB 475 prohibits health professionals (such as doctors and nurses) from performing invasive bodily examinations on anesthetized or unconscious patients. Exceptions allow such exams only with the patient's written consent for necessary care, consent tied to a related surgical procedure, or in emergencies where consent isn't possible. The bill also requires consent forms to specify whether trainee students in health programs may perform these exams. This applies to all licensed health workers and their training programs in Michigan.
HB 4915 prohibits Michigan health licensing boards from requiring implicit bias training as a condition for obtaining or renewing a health professional license (such as for nurses, doctors, or therapists). It directly affects licensed health professionals who would otherwise need to complete such training to maintain their credentials. The bill achieves this by adding a new section to the Public Health Code that blocks the department or boards from enforcing rules mandating this training, while also rescinding an existing administrative code section (MCL 338.7004) related to the requirement. This is a concrete policy change removing a potential licensure condition, not a new mandate.
SB 443 requires Michigan health facilities performing specific surgical procedures to implement policies mandating the use of surgical smoke plume evacuation systems. It directly affects hospitals and clinics conducting procedures involving heat-producing equipment (like electrosurgery, lasers, or other heated instruments), which generate harmful smoke containing vapor, gas, or particles. The bill mandates that facilities develop and enforce policies ensuring evacuation systems capture and neutralize the smoke at the surgical site before it can contact staff or patients' eyes or airways. This creates a concrete safety requirement to protect healthcare workers and patients from exposure to potentially hazardous surgical smoke.
HB 4309 establishes a licensure compact for physician's assistants, allowing them licensed in one participating state to practice in other participating states without needing separate licenses. This directly affects physician's assistants seeking to work across state lines and patients in states participating in the compact. The bill creates legal mechanisms by amending existing law to enable reciprocal licensing agreements between states, removing barriers for PAs to provide care in multiple jurisdictions. It provides the framework for states to join the compact through mutual recognition of licenses, streamlining practice for qualified professionals.
SB 483 creates a palliative care advisory task force within Michigan's health department. The task force will study current palliative care services and make recommendations to improve access and quality for patients facing serious illness. This affects Michigan's healthcare system by establishing a new body to address gaps in end-of-life care services.
HB 5252 amends Michigan's Public Health Code to create a new licensing category for "prescribed pediatric extended care facilities," which provide specialized long-term medical care for children with complex health needs. The bill establishes specific licensing requirements for these facilities, including standards for staffing, medical oversight, and facility operations, directly affecting providers seeking to operate such services. Key provisions include adding Part 219A to the code and revising existing sections (20106, 20109, 20115, 20161) to incorporate these new requirements. This change aims to ensure consistent safety and quality standards for pediatric extended care facilities across the state. The bill is currently pending in the House Health Policy Committee.
