All Roll Calls
Yes: 242 • No: 6
MichiganHB 43092025-2026 Regular SessionHouseWALLET
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.Last Action: assigned PA 45'26 with immediate effect
Sponsored By: David Prestin (Republican)
Signed by Governor
Health occupations: physician's assistantsState: interstate compacts and agreements
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Bill Overview
Analyzed Economic Effects
7 provisions identified: 2 benefits, 1 costs, 4 mixed.
Physician assistants gain delegated podiatry roles
Participating podiatrists can delegate physician assistant duties through a practice agreement. Allowed work includes diagnosis, care management, and specified lower-leg, ankle, and foot procedures. Delegation excludes amputations above the ankle joint and bone procedures above that joint that do not involve it. Assistants also cannot administer IV sedation or general anesthesia under this authority.
Physician assistants gain interstate practice access
Michigan joins the physician assistant licensing compact; the law takes effect immediately. The compact starts when a seventh state joins, but Michigan practice authority starts 12 months after its shared data system launches. Eligible physician assistants can seek practice privileges using an unrestricted qualifying license from a participating state. They need approved training, current national certification, no felony or misdemeanor convictions, and must meet controlled-substance, disciplinary-history, state-law, notice, and fee requirements. They must follow practice rules where the patient is located. Privileges expire with the qualifying license; switching licenses after ending one early requires notice and any required fee.
Assistants get transition time when states exit
A state can leave by repealing the compact; withdrawal takes effect 180 days after enactment. Practice recognition and required reporting continue during the transition. Assistants licensed in the withdrawing state retain privileges for 180 days, plus another 180 days with another participating-state qualifying license. After termination, existing privileges continue for 180 days; continued access requires obtaining or holding another qualifying license before that deadline. The Commission can deny or end state participation for material constitutional departures, or terminate participation through noncompliance proceedings.
Discipline can halt interstate assistant practice
Only the issuing state can discipline a qualifying license; another state can discipline the compact privilege used there. Action against the qualifying license stops all remote-state privileges during proceedings and until two years after all restrictions end. Remote-state actions must follow due process, and states must promptly report discipline to the shared system. States can share investigations, issue subpoenas, use other states' findings, and recover investigation and case-resolution costs from affected assistants. The compact does not authorize discipline or subpoenas targeting conduct that was lawful in another state.
Physician assistants pay new compact fees
Michigan charges physician assistants seeking a compact privilege $50 each year, in addition to other applicable fees. The state fee schedule also lists $30 for application processing and $50 for an annual license. Temporary licenses cost $35, and limited licenses cost $25. The compact Commission can charge additional privilege fees and annual state assessments when other revenue falls short of its approved budget. The law does not set those Commission charges.
New commission governs assistant licensing compact
A new interstate Commission runs the compact, with one voting delegate per state and a nine-member executive committee. Its rules, including those already adopted when Michigan joins, have legal force; states must enforce the compact. Nonconflicting state laws remain, and courts can block rules conflicting with state laws defining physician assistant services. Commission-state agreements bind their parties, and compact changes bind states only after required state adoption. The Commission must keep financial records, undergo annual financial review, and avoid obligations without sufficient funds. It must defend and cover qualifying civil claims against its personnel, but protections exclude intentional, willful, or wanton misconduct.
States share physician assistant oversight records
Michigan must investigate complaints, require a recognized national exam, and add criminal background checks on the Commission's timeline. Participating states must share identifying details, license records, discipline, application denials and reasons, and notices of significant investigations. Required reporting applies despite contrary state law, though states can mark eligible records nonpublic. Significant investigative information is available only to participating states. Reported expungements must be removed, and denial reports must exclude criminal history when disclosure is prohibited.
Sponsors & Cosponsors
Sponsor
David Prestin
Republican • House
Cosponsors
Bradley Slagh
Republican • House
Brian BeGole
Republican • House
Carol Glanville
Democratic • House
Curtis VanderWall
Republican • House
David Martin
Republican • House
Gina Johnsen
Republican • House
Gregory Alexander
Republican • House
Gregory Markkanen
Republican • House
John Roth
Republican • House
Joseph Fox
House
Julie Brixie
Democratic • House
Karl Bohnak
Republican • House
Kathy Schmaltz
Republican • House
Kristian Grant
Democratic • House
Matt Longjohn
Democratic • House
Nancy DeBoer
Republican • House
Parker Fairbairn
Republican • House
Timothy Beson
Republican • House
Roll Call Votes
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
Yes: 103 • No: 3 • Other: 4
Actions Timeline
assigned PA 45'26 with immediate effect
7/29/2026Housefiled with Secretary of State 07/22/2026 10:54 AM
7/29/2026Houseapproved by the Governor 07/21/2026 02:34 PM
7/29/2026Housepresented to the Governor 07/14/2026 12:14 PM
7/14/2026Housetitle amendment agreed to
7/3/2026Housebill ordered enrolled
7/3/2026Houseroll call Roll Call #331 Yeas 104 Nays 2 Excused 0 Not Voting 4
7/3/2026HouseSenate substitute (S-2) concurred in
7/3/2026Houserule suspended
7/3/2026Houselaid over one day under the rules
7/3/2026Housereturned from Senate with substitute (S-2) with immediate effect and title amendment
7/3/2026HouseINSERTED FULL TITLE
7/3/2026SenatePASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 180 YEAS 35 NAYS 1 EXCUSED 2 NOT VOTING 0
7/3/2026SenatePLACED ON IMMEDIATE PASSAGE
7/2/2026SenateRULES SUSPENDED
7/2/2026SenatePLACED ON ORDER OF THIRD READING WITH SUBSTITUTE (S-2)
7/2/2026SenateSUBSTITUTE (S-2) CONCURRED IN
7/2/2026SenateREPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITH SUBSTITUTE (S-2)
7/2/2026SenateREPORTED FAVORABLY WITHOUT AMENDMENT 11/12/2025
11/13/2025SenateREFERRED TO COMMITTEE OF THE WHOLE
11/12/2025SenateREFERRED TO COMMITTEE ON HEALTH POLICY
5/15/2025SenatePASSED BY HOUSE WITH IMMEDIATE EFFECT
5/15/2025Housetransmitted
5/13/2025Housepassed; given immediate effect Roll Call #104 Yeas 103 Nays 3 Excused 0 Not Voting 4
5/13/2025Houseread a third time
5/13/2025House
Bill Text
Public Act
7/21/2026
As Passed by the House
7/3/2026
As Passed by the Senate
7/3/2026
House Concurred
7/3/2026
Introduced
3/27/2025
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