2025 House Bill 4101 / 2026 Public Act 42

Health occupations: physical therapists; physical therapy licensure compact; enact.

An act to amend 1978 PA 368, entitled “An act to protect and promote the public health; to codify, revise, consolidate, classify, and add to the laws relating to public health; to provide for the prevention and control of diseases and disabilities; to provide for the classification, administration, regulation, financing, and maintenance of personal, environmental, and other health services and activities; to create or continue, and prescribe the powers and duties of, departments, boards, commissions, councils, committees, task forces, and other agencies; to prescribe the powers and duties of governmental entities and officials; to regulate occupations, facilities, and agencies affecting the public health; to regulate health maintenance organizations and certain third party administrators and insurers; to provide for the imposition of a regulatory fee; to provide for the levy of taxes against certain health facilities or agencies; to promote the efficient and economical delivery of health care services, to provide for the appropriate utilization of health care facilities and services, and to provide for the closure of hospitals or consolidation of hospitals or services; to provide for the collection and use of data and information; to provide for the transfer of property; to provide certain immunity from liability; to regulate and prohibit the sale and offering for sale of drug paraphernalia under certain circumstances; to provide for the implementation of federal law; to provide for penalties and remedies; to provide for sanctions for violations of this act and local ordinances; to provide for an appropriation and supplements; to repeal certain acts and parts of acts; to repeal certain parts of this act; and to repeal certain parts of this act on specific dates,” (MCL 333.1101 to 333.25211) by adding section 16187a.

AI Analysis – Experimental

House Bills 4101 and 4102 enact the Physical Therapy Licensure Compact to facilitate interstate practice, improve access to services, and establish a commission for oversight, with provisions for mutual license recognition, data sharing, and support for military families.

Introduced in the House

Feb. 20, 2025

Introduced by Rep. Matt Bierlein (R-97) and 16 co-sponsors

Co-sponsored by Reps. Angela Rigas (R-79), Jerry Neyer (R-92), John Fitzgerald (D-83), Doug Wozniak (R-59), Gregory Alexander (R-98), Phil Green (R-67), Samantha Steckloff (D-19), Jason Morgan (D-23), Julie Rogers (D-41), Carol Glanville (D-84), Carrie Rheingans (D-47), Matt Longjohn (D-40), Veronica Paiz (D-10), Sharon MacDonell (D-56), Natalie Price (D-6) and Jamie Thompson (R-28)

Referred to the Committee on Health Policy

April 30, 2025

Reported with substitute H-1

Referred to the Committee on Rules

May 15, 2025

Reported with substitute H-1

May 21, 2025

Substitute H-1 concurred in by voice vote

May 22, 2025

Passed in the House 103 to 2 (details)

Motion to give immediate effect by Rep. Bryan Posthumus (R-90)

The motion prevailed by voice vote

Received in the Senate

May 29, 2025

Referred to the Committee on Health Policy

Sept. 3, 2025

Reported with substitute S-1

Sept. 4, 2025

Referred to the Committee of the Whole

Reported with substitute S-1

Substitute S-1 concurred in by voice vote

Sept. 9, 2025

Substitute S-2 offered by Sen. Sylvia Santana (D-2)

The substitute passed by voice vote

Passed in the Senate 32 to 0 (details)

Motion to give immediate effect by Sen. Sam Singh (D-28)

The motion prevailed by voice vote

Received in the House

Sept. 9, 2025

July 3, 2026

Substitute S-2 concurred in 106 to 2 (details)

Signed by Gov. Gretchen Whitmer

July 22, 2026