HB 43092025 to 2026
bill
103rd Legislature (2025 to 2026) · House of Representatives bill
HB 4309
Health occupations: physician's assistants; physician's assistants licensure compact; provide for. Amends secs. 16337 & 18001 of 1978 PA 368 (MCL 333.16337 & 333.18001) & adds secs. 16187d, 17011b, 17061a, 17511b & 18011b.
Enacted Last action July 29, 2026: assigned PA 45'26 with immediate effect
Official bill page and text: legislature.mi.gov
Sponsors 19
- Prime sponsor
- David Prestin
- Cosponsors (18)
- Bradley Slagh, Brian BeGole, Carol Glanville, Curtis VanderWall, David Martin, Gina Johnsen, Gregory Alexander, Gregory Markkanen, John Roth, Joseph Fox, Julie Brixie, Karl Bohnak, Kathy Schmaltz, Kristian Grant, Matt Longjohn, Nancy DeBoer, Parker Fairbairn, Timothy Beson
Status
Enacted as of July 29, 2026. The 103rd Legislature serves until the 104th convenes on January 13, 2027.
Referred to: House Health Policy, Senate Health Policy (from the official referral record)
Roll-call votes 3
July 3, 2026House of Representativesroll call Roll Call #331 Yeas 104 Nays 2 Excused 0 Not Voting 4Passed104-2
yes (104) Alexander, Andrews, Aragona, Arbit, BeGole, Beson, Bierlein, Bohnak, Bollin, Borton, Breen, Brixie, Bruck, Byrnes, Carter, B., Carter, T., Cavitt, Coffia, Conlin, DeBoer, DeBoyer, DeSana, Dievendorf, Edwards, Fairbairn, Farhat, Fitzgerald, Foreman, Fox, Frisbie, Glanville, Grant, Green, P., Greene, J., Hall, Harris, Herzberg, Hoadley, Hope, Hoskins, Jenkins-Arno, Johnsen, Kelly, Koleszar, Kuhn, Kunse, Liberati, Lightner, Linting, Longjohn, MacDonell, Maddock, Markkanen, Martin, Martus, McFall, McKinney, Meerman, Mentzer, Miller, Morgan, Mueller, Myers-Phillips, Neeley, Neyer, Outman, O’Neal, Paiz, Paquette, Pavlov, Pohutsky, Posthumus, Prestin, Price, Puri, Rheingans, Rigas, Robinson, Rogers, Roth, Schmaltz, Schriver, Schuette, Scott, Skaggs, Slagh, Snyder, St. Germaine, Steckloff, Steele, Tate, Thompson, Tisdel, Tsernoglou, VanWoerkom, VanderWall, Weiss, Wendzel, Witwer, Wooden, Woolford, Wozniak, Xiong, Young
July 3, 2026State SenatePASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 180 YEAS 35 NAYS 1 EXCUSED 2 NOT VOTING 0Passed35-1
yes (35) Albert, Anthony, Bayer, Bellino, Brinks, Bumstead, Camilleri, Cavanagh, Chang, Cherry, Daley, Damoose, Geiss, Greene, Hauck, Hertel, Hoitenga, Huizenga, Irwin, Johnson, Klinefelt, McBroom, McCann, McMorrow, Moss, Nesbitt, Outman, Polehanki, Runestad, Shink, Singh, Theis, Victory, Webber, Wojno
no (1) Lindsey
May 13, 2025House of Representativespassed; given immediate effect Roll Call #104 Yeas 103 Nays 3 Excused 0 Not Voting 4Passed103-3
yes (103) Alexander, Andrews, Aragona, Arbit, BeGole, Bierlein, Bohnak, Bollin, Borton, Breen, Brixie, Bruck, Byrnes, Carter, B., Carter, T., Cavitt, Coffia, Conlin, DeBoer, DeBoyer, DeSana, Dievendorf, Edwards, Fairbairn, Farhat, Fitzgerald, Foreman, Fox, Frisbie, Glanville, Grant, Green, P., Greene, J., Hall, Harris, Hoadley, Hope, Hoskins, Jenkins-Arno, Johnsen, Kelly, Koleszar, Kuhn, Kunse, Liberati, Lightner, Linting, Longjohn, MacDonell, Maddock, Markkanen, Martin, Martus, McFall, McKinney, Meerman, Mentzer, Miller, Morgan, Mueller, Myers-Phillips, Neeley, Neyer, Outman, O’Neal, Paiz, Paquette, Pavlov, Pohutsky, Posthumus, Prestin, Price, Puri, Rheingans, Rigas, Rogers, Roth, Schmaltz, Schriver, Schuette, Scott, Skaggs, Slagh, Smit, Snyder, St. Germaine, Steckloff, Steele, Tate, Thompson, Tisdel, Tsernoglou, VanWoerkom, VanderWall, Weiss, Wendzel, Witwer, Wooden, Woolford, Wortz, Wozniak, Xiong, Young
Timeline 37
| Date | Chamber | Action |
|---|---|---|
| July 29, 2026 | House | assigned PA 45'26 with immediate effect |
| July 29, 2026 | House | filed with Secretary of State July 22, 2026 10:54 AM |
| July 29, 2026 | House | approved by the Governor July 21, 2026 02:34 PM |
| July 14, 2026 | House | presented to the Governor July 14, 2026 12:14 PM |
| July 3, 2026 | House | title amendment agreed to |
| July 3, 2026 | House | bill ordered enrolled |
| July 3, 2026 | House | roll call Roll Call #331 Yeas 104 Nays 2 Excused 0 Not Voting 4 |
| July 3, 2026 | House | Senate substitute (S-2) concurred in |
| July 3, 2026 | House | rule suspended |
| July 3, 2026 | House | laid over one day under the rules |
| July 3, 2026 | House | returned from Senate with substitute (S-2) with immediate effect and title amendment |
| July 3, 2026 | Senate | INSERTED FULL TITLE |
| July 3, 2026 | Senate | PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 180 YEAS 35 NAYS 1 EXCUSED 2 NOT VOTING 0 |
| July 2, 2026 | Senate | PLACED ON IMMEDIATE PASSAGE |
| July 2, 2026 | Senate | RULES SUSPENDED |
| July 2, 2026 | Senate | PLACED ON ORDER OF THIRD READING WITH SUBSTITUTE (S-2) |
| July 2, 2026 | Senate | SUBSTITUTE (S-2) CONCURRED IN |
| July 2, 2026 | Senate | REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITH SUBSTITUTE (S-2) |
| November 13, 2025 | Senate | REPORTED FAVORABLY WITHOUT AMENDMENT November 12, 2025 |
| November 12, 2025 | Senate | REFERRED TO COMMITTEE OF THE WHOLE |
| May 15, 2025 | Senate | REFERRED TO COMMITTEE ON HEALTH POLICY |
| May 15, 2025 | Senate | PASSED BY HOUSE WITH IMMEDIATE EFFECT |
| May 13, 2025 | House | transmitted |
| May 13, 2025 | House | passed; given immediate effect Roll Call #104 Yeas 103 Nays 3 Excused 0 Not Voting 4 |
| May 13, 2025 | House | read a third time |
| May 13, 2025 | House | placed on immediate passage |
| May 13, 2025 | House | placed on third reading |
| May 13, 2025 | House | substitute (H-1) adopted |
| May 13, 2025 | House | read a second time |
| May 8, 2025 | House | referred to second reading |
| May 8, 2025 | House | reported with recommendation with substitute (H-1) |
| April 23, 2025 | House | recommendation concurred in |
| April 23, 2025 | House | reported with recommendation for referral to Committee on Rules with substitute (H-1) |
| April 15, 2025 | House | bill electronically reproduced March 27, 2025 |
| March 27, 2025 | House | referred to Committee on Health Policy |
| March 27, 2025 | House | read a first time |
| March 27, 2025 | House | introduced by Representative Rep. Dave Prestin |
Data: Open States (API v3; public data, attribution appreciated). Official record: legislature.mi.gov. Bill pages link to the official text, not copied.