2025 House Bill 4104 / 2026 Public Act 44

Health occupations: occupational therapists; licensure process for occupational therapists; modify to incorporate occupational therapy licensure compact.

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,” by amending sections 16345, 18301, and 18305 (MCL 333.16345, 333.18301, and 333.18305), as amended by 2008 PA 523, and by adding sections 18303a and 18303b.

AI Analysis – Experimental

House Bills 4103 and 4104 amends the Public Health Code to update fees, expand definitions, and authorize compact privileges for occupational therapy, with changes effective one year post-enactment, pending related legislation.

Introduced in the House

Feb. 20, 2025

Introduced by Rep. Doug Wozniak (R-59) and 42 co-sponsors

Co-sponsored by Reps. Julie Rogers (D-41), John Roth (R-104), Matt Bierlein (R-97), Tom Kunse (R-100), Pat Outman (R-91), Ann Bollin (R-49), Joseph Aragona (R-60), Jamie Thompson (R-28), Carrie Rheingans (D-47), Steve Frisbie (R-44), Kathy Schmaltz (R-46), Alicia St. Germaine (R-62), Carol Glanville (D-84), Brenda Carter (D-53), Helena Scott (D-8), John Fitzgerald (D-83), Matt Longjohn (D-40), Cynthia Neeley (D-70), Kimberly Edwards (D-12), Veronica Paiz (D-10), Sharon MacDonell (D-56), Karen Whitsett (D-4), Donavan McKinney (D-11), Reggie Miller (D-31), Natalie Price (D-6), Betsy Coffia (D-103), Phil Skaggs (D-80), Jasper Martus (D-69), Jimmie Wilson (D-32), Jennifer Conlin (D-48), Amos O’Neal (D-94), Erin Byrnes (D-15), Stephen Wooden (D-81), Morgan Foreman (D-33), Penelope Tsernoglou (D-75), Stephanie Young (D-16), Julie Brixie (D-73), Mike McFall (D-14), Regina Weiss (D-5), Jason Morgan (D-23), Jason Hoskins (D-18) and Alabas Farhat (D-3)

Referred to the Committee on Health Policy

April 16, 2025

Reported without amendment

May 13, 2025

Passed in the House 104 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 15, 2025

Referred to the Committee on Health Policy

Sept. 10, 2025

Reported with substitute S-1

Sept. 11, 2025

Referred to the Committee of the Whole

Reported with substitute S-1

Substitute S-1 concurred in by voice vote

July 3, 2026

Passed in the Senate 35 to 1 (details)

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

The motion prevailed by voice vote

Received in the House

July 3, 2026

Substitute S-1 concurred in 104 to 2 (details)

Signed by Gov. Gretchen Whitmer

July 22, 2026