# Michigan HB 4103: 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 Michigan HB 4103, 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, is a 2025-2026 Regular Session House bill sponsored by Julie Rogers (Democratic); status signed, last action 2026-07-29 (assigned PA 43'26 with immediate effect) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/MI-HB4103-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Michigan HB 4103 - State: Michigan - Session: 2025-2026 Regular Session - Title: 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 - Status: signed - Chamber: House - Introduced: 2025-02-20 - Last action: 2026-07-29, assigned PA 43'26 with immediate effect - Sponsor: Julie Rogers (Democratic) - Cosponsors: 42 - Subjects: Health occupations: occupational therapists, Occupations: individual licensing and registration, State: interstate compacts and agreements, State agencies (existing): licensing and regulatory affairs - Touches household money: no - Roll calls: 3 (243 yes, 5 no in all) - Economic provisions PRIA read: 8 ## Summary No summary available. ## Bill overview: provisions PRIA read - Military therapists can keep home licenses: benefit, low. 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 sta… - Therapy commission can charge operating fees: cost, low. 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 divid… - Therapist discipline follows across state lines: mixed, medium. 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… - Therapists gain interstate practice with requirements: mixed, medium. 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, conti… - Moving therapists must update home licenses: mixed, low. 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 backgroun… - States can lose therapy compact membership: mixed, low. 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 d… - States share oversight of therapy licensing: mixed, low. 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… - Therapy compact rules include public input: mixed, low. 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 re… ## Sponsors and cosponsors - Sponsor: Julie Rogers (Democratic), House - Cosponsor: Alabas Farhat (Democratic), House - Cosponsor: Alicia St. Germaine (Republican), House - Cosponsor: Amos O'Neal (Democratic), House - Cosponsor: Ann Bollin (Republican), House - Cosponsor: Betsy Coffia (Democratic), House - Cosponsor: Brenda Carter (Democratic), House - Cosponsor: Carol Glanville (Democratic), House - Cosponsor: Carrie Rheingans (Democratic), House - Cosponsor: Cynthia Neeley (Democratic), House - Cosponsor: Donavan McKinney (Democratic), House - Cosponsor: Douglas Wozniak (Republican), House - Cosponsor: Erin Byrnes (Democratic), House - Cosponsor: Helena Scott (Democratic), House - Cosponsor: Jamie Thompson (Republican), House - Cosponsor: Jason Hoskins (Democratic), House - Cosponsor: Jason Morgan (Democratic), House - Cosponsor: Jasper Martus (Democratic), House - Cosponsor: Jennifer Conlin (Democratic), House - Cosponsor: Jimmie Wilson (Democratic), House - Cosponsor: John Fitzgerald (Democratic), House - Cosponsor: John Roth (Republican), House - Cosponsor: Joseph Aragona (Republican), House - Cosponsor: Julie Brixie (Democratic), House - Cosponsor: Karen Whitsett (Democratic), House - Cosponsor: Kathy Schmaltz (Republican), House - Cosponsor: Kimberly Edwards (Democratic), House - Cosponsor: Matt Bierlein (Republican), House - Cosponsor: Matt Longjohn (Democratic), House - Cosponsor: Mike McFall (Democratic), House - Cosponsor: Morgan Foreman (Democratic), House - Cosponsor: Natalie Price (Democratic), House - Cosponsor: Pat Outman (Republican), House - Cosponsor: Penelope Tsernoglou (Democratic), House - Cosponsor: Phil Skaggs (Democratic), House - Cosponsor: Reggie Miller (Democratic), House - Cosponsor: Regina Weiss (Democratic), House - Cosponsor: Sharon MacDonell (Democratic), House - Cosponsor: Stephanie Young (Democratic), House - Cosponsor: Stephen Wooden (Democratic), House - Cosponsor: Steve Frisbie (Republican), House - Cosponsor: Tom Kunse (Republican), House - Cosponsor: Veronica Paiz (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-07-03 | Senate | PASSED; GIVEN IMMEDIATE EFFECT | pass | 35 | 1 | 2 | | 2026-07-03 | House | roll call | pass | 104 | 2 | 4 | | 2025-05-13 | House | passed; given immediate effect | pass | 104 | 2 | 4 | ## Bill text - Public Act, 2026-07-21: [PDF](https://www.legislature.mi.gov/documents/2025-2026/publicact/pdf/2026-PA-0043.pdf) - As Passed by the House, 2026-07-03: [PDF](https://www.legislature.mi.gov/documents/2025-2026/billengrossed/House/pdf/2025-HEBH-4103.pdf) - As Passed by the Senate, 2026-07-03: [PDF](https://www.legislature.mi.gov/documents/2025-2026/billengrossed/House/pdf/2025-HEBS-4103.pdf) - House Concurred, 2026-07-03: [PDF](https://www.legislature.mi.gov/documents/2025-2026/billconcurred/House/pdf/2025-HCB-4103.pdf) - Introduced, 2025-02-20: [PDF](https://www.legislature.mi.gov/documents/2025-2026/billintroduced/House/pdf/2025-HIB-4103.pdf) ## Related bills - SB 0102: Counties: employees and officers; request for transcript and abstract of paper or record; modify. Amends sec. 1 of 1895 PA 161 (MCL 48.101). Last Action: ASSIG… (signed) - HB 4599: Crimes: organized; certain definitions related to gift card fraud; provide for. Amends 2012 PA 455 (MCL 752.1081 - 752.1087) by adding sec. 3a. TIE BAR WITH: H… (signed) - HB 5485: Natural resources: inland lakes; dam safety regulations; provide for. Amends secs. 31502, 31503, 31504, 31505, 31506, 31507, 31508, 31509, 31510, 31511, 31513,… (passed senate) - HB 6007: Food: service establishments; delegation of certain duties and exemption of certain persons from licensure; modify. Amends secs. 3105, 3113, 3129, 3139, 4101,… (passed house) - HB 5120: Civil procedure: service of process; cost for service of process for personal protection orders; eliminate. Amends secs. 2559 & 2950 of 1961 PA 236 (MCL 600.25… (passed house) - SB 0569: Health: funding; various fees under the public health code; transfer and deposit into the general fund. Amends secs. 5431, 5841, 13104 & 16315 of 1978 PA 368 (… (signed) ## Sources - [Public Act (PDF)](https://www.legislature.mi.gov/documents/2025-2026/publicact/pdf/2026-PA-0043.pdf) - [As Passed by the House (PDF)](https://www.legislature.mi.gov/documents/2025-2026/billengrossed/House/pdf/2025-HEBH-4103.pdf) - [As Passed by the Senate (PDF)](https://www.legislature.mi.gov/documents/2025-2026/billengrossed/House/pdf/2025-HEBS-4103.pdf) - [House Concurred (PDF)](https://www.legislature.mi.gov/documents/2025-2026/billconcurred/House/pdf/2025-HCB-4103.pdf) - [Introduced (PDF)](https://www.legislature.mi.gov/documents/2025-2026/billintroduced/House/pdf/2025-HIB-4103.pdf) ## Related - [SB 0102: Counties: employees and officers; request for transcript and abstract of paper…](https://policyrisk.com/state-bill/MI-SB0102-2025-2026) - [HB 4599: Crimes: organized; certain definitions related to gift card fraud; provide for.…](https://policyrisk.com/state-bill/MI-HB4599-2025-2026) - [HB 5485: Natural resources: inland lakes; dam safety regulations; provide for. Amends se…](https://policyrisk.com/state-bill/MI-HB5485-2025-2026) - [HB 6007: Food: service establishments; delegation of certain duties and exemption of cer…](https://policyrisk.com/state-bill/MI-HB6007-2025-2026) - [HB 5120: Civil procedure: service of process; cost for service of process for personal p…](https://policyrisk.com/state-bill/MI-HB5120-2025-2026) - [SB 0569: Health: funding; various fees under the public health code; transfer and deposi…](https://policyrisk.com/state-bill/MI-SB0569-2025-2026) - [Michigan bills](https://policyrisk.com/states/michigan/bills) - [Michigan state hub](https://policyrisk.com/states/michigan) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/MI-HB4103-2025-2026 (as of 2026-11-01).