2025 House Bill 5249

Health: emergency services; ambulance operation adaptive care license; create.

A bill to amend 1978 PA 368, entitled “Public health code,” by amending section 20920 (MCL 333.20920), as amended by 2014 PA 413.

Official record

AI Analysis – Experimental

House Bill No. 5249 updates Michigan's ambulance licensing laws to allow certain basic life support ambulance services to obtain a new adaptive care license for providing limited advanced life support, with oversight and quality controls, while maintaining existing licensing and compliance requirements.

Introduced in the House

Nov. 12, 2025

Introduced by Rep. David Prestin (R-108) and 32 co-sponsors

Co-sponsored by Reps. Steve Frisbie (R-44), Karl Bohnak (R-109), Greg Markkanen (R-110), Cameron Cavitt (R-106), Ken Borton (R-105), Angela Rigas (R-79), Alicia St. Germaine (R-62), Timothy Beson (R-96), John Roth (R-104), Mark Tisdel (R-55), Kathy Schmaltz (R-46), Matt Bierlein (R-97), Jamie Thompson (R-28), Kelly Breen (D-21), Jason Woolford (R-50), Regina Weiss (D-5), Jay DeBoyer (R-63), Doug Wozniak (R-59), Mike Harris (R-52), Denise Mentzer (D-61), Parker Fairbairn (R-107), Gregory Alexander (R-98), Thomas Kuhn (R-57), Rylee Linting (R-27), Tom Kunse (R-100), Brenda Carter (D-53), Jasper Martus (D-69), Brian BeGole (R-71), Jennifer Wortz (R-35), Curtis VanderWall (R-102), Helena Scott (D-8) and Julie Brixie (D-73)

Referred to the Committee on Health Policy

Feb. 4, 2026

Reported with substitute H-1

Referred to the Committee on Rules

Feb. 26, 2026

Reported with substitute H-1

March 11, 2026

Substitute H-1 concurred in by voice vote

March 12, 2026

Passed in the House 103 to 1 (details)

Motion to give immediate effect by Rep. Brian BeGole (R-71)

The motion prevailed by voice vote

Received in the Senate

March 17, 2026

Referred to the Committee on Health Policy