MichiganHB 41032025-2026 Regular SessionHouse

Health occupations: occupational therapists; occupational therapy licensure compact; enact. Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding sec. 16188. TIE BAR WITH: HB 4104'25Last Action: assigned PA 43'26 with immediate effect

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Bill Overview

Analyzed Economic Effects

8 provisions identified: 1 benefits, 1 costs, 6 mixed.

Therapist discipline follows across state lines

Only the home state can discipline its license; other member states can restrict local compact practice using their due-process rules. Home-state license discipline deactivates interstate practice rights until all license restrictions are removed. States can share investigations and charge affected practitioners investigation and case costs only when state law allows. A central system collects license status, discipline, significant investigations, license denials, and nonconfidential treatment or monitoring program data. Investigative records are limited to member states; contributing states can restrict public release, and legally required expungements remove records.

Therapists gain interstate practice with requirements

Michigan joins a licensing compact that lets eligible occupational therapists and assistants practice across member states, including through telehealth. Practitioners need an unrestricted home-state license, a Social Security or National Practitioner Identification number, background checks, continuing education, and applicable fees. They must meet the other state's law-knowledge requirements and follow its practice laws; assistants need an eligible supervising therapist. Practice permission generally lasts until the home-state license expires, and certain nonmember-state discipline must be reported within 30 days. The act specifies a start 18 months after enactment and ties its effect to enactment of House Bill 4104.

Military therapists can keep home licenses

Active-duty service members and their spouses can designate a state where their occupational therapy license is in good standing. They can keep that state as their compact home state throughout the service member's active duty. Changing the designation requires applying for a license in the new state or using the compact's home-state change process.

Therapy commission can charge operating fees

The therapy compact commission can accept revenue, donations, and grants to cover reasonable startup and operating costs. When other income falls short of its approved annual budget, it can assess member states or charge other parties fees. Commission rules determine how state assessments are divided. The law sets no fee amount.

Moving therapists must update home licenses

Therapists and assistants can have only one home state for compact purposes, but may hold several single-state licenses. Moving between member states requires a new home-state license application, applicable fees, and notice to both states. The new state checks eligibility and may require background checks and a test on its laws. Practitioners who do not qualify for the compact follow single-state licensing requirements, as do those moving to or from nonmember states. Single-state licenses do not grant practice rights elsewhere.

States can lose therapy compact membership

States that break compact requirements receive notice and help, but a majority of member states can end membership after remedies fail. Termination ends compact rights and benefits without erasing existing obligations or liabilities. At a member state's request, the commission must try to resolve disputes, with rules for mediation and binding resolution. A majority commission vote can authorize a lawsuit against a state in default; default determinations can be appealed in federal court. States can also leave by repeal, effective six months later, and must keep reporting investigations and discipline until then.

States share oversight of therapy licensing

The compact creates a joint public commission, with one eligible board member or administrator chosen by each state's licensing board. State government branches must enforce the compact, and courts must recognize it in relevant cases. The commission must receive legal notice in cases affecting its powers or duties and can join those cases. Without that notice, resulting orders are void as to the commission, compact, or rules. The commission must defend and cover qualifying work-related civil claims against its personnel, but not intentional, willful, or wanton misconduct.

Therapy compact rules include public input

Commission rules bind member states, but rules beyond the compact's powers are invalid. Proposed rules generally require at least 30 days' notice and public comment; 25 people or qualifying organizations can request hearings. Emergency rules require normal rulemaking afterward within 90 days, as required by the compact. A majority of member-state legislatures can reject a rule by law or resolution within four years, ending it everywhere. Technical corrections require public notice and allow a 30-day challenge period.

Sponsors & Cosponsors

Sponsor

Julie Rogers
Democratic • House

Cosponsors

Alabas Farhat
Democratic • House
Alicia St. Germaine
Republican • House
Amos O'Neal
Democratic • House
Ann Bollin
Republican • House
Betsy Coffia
Democratic • House
Brenda Carter
Democratic • House
Carol Glanville
Democratic • House
Carrie Rheingans
Democratic • House
Cynthia Neeley
Democratic • House
Donavan McKinney
Democratic • House
Douglas Wozniak
Republican • House
Erin Byrnes
Democratic • House
Helena Scott
Democratic • House
Jamie Thompson
Republican • House
Jason Hoskins
Democratic • House
Jason Morgan
Democratic • House
Jasper Martus
Democratic • House
Jennifer Conlin
Democratic • House
Jimmie Wilson
Democratic • House
John Fitzgerald
Democratic • House
John Roth
Republican • House
Joseph Aragona
Republican • House
Julie Brixie
Democratic • House
Karen Whitsett
Democratic • House
Kathy Schmaltz
Republican • House
Kimberly Edwards
Democratic • House
Matt Bierlein
Republican • House
Matt Longjohn
Democratic • House
Mike McFall
Democratic • House
Morgan Foreman
Democratic • House
Natalie Price
Democratic • House
Pat Outman
Republican • House
Penelope Tsernoglou
Democratic • House
Phil Skaggs
Democratic • House
Reggie Miller
Democratic • House
Regina Weiss
Democratic • House
Sharon MacDonell
Democratic • House
Stephanie Young
Democratic • House
Stephen Wooden
Democratic • House
Steve Frisbie
Republican • House
Tom Kunse
Republican • House
Veronica Paiz
Democratic • House

Roll Call Votes

All Roll Calls

Yes: 243 • No: 5

Senate vote • 7/3/2026

PASSED; GIVEN IMMEDIATE EFFECT

Yes: 35 • No: 1 • Other: 2

House vote • 7/3/2026

roll call

Yes: 104 • No: 2 • Other: 4

House vote • 5/13/2025

passed; given immediate effect