# Michigan 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.Last Action: assigned PA 45'26 with immediate effect Michigan 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.Last Action: assigned PA 45'26 with immediate effect, is a 2025-2026 Regular Session House bill sponsored by David Prestin (Republican); status signed, last action 2026-07-29 (assigned PA 45'26 with immediate effect); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/MI-HB4309-2025-2026 - 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 4309 - State: Michigan - Session: 2025-2026 Regular Session - Title: 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 - Status: signed - Chamber: House - Introduced: 2025-03-27 - Last action: 2026-07-29, assigned PA 45'26 with immediate effect - Sponsor: David Prestin (Republican) - Cosponsors: 18 - Subjects: Health occupations: physician's assistants, State: interstate compacts and agreements - Touches household money: yes - Roll calls: 3 (242 yes, 6 no in all) - Economic provisions PRIA read: 7 ## Summary No summary available. ## Bill overview: provisions PRIA read - Physician assistants gain delegated podiatry roles: benefit, medium. 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 n… - Physician assistants gain interstate practice access: benefit, medium. 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 unre… - Physician assistants pay new compact fees: cost, low. 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 c… - Assistants get transition time when states exit: mixed, medium. 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-sta… - Discipline can halt interstate assistant practice: mixed, medium. 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… - New commission governs assistant licensing compact: mixed, low. 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 con… - States share physician assistant oversight records: mixed, low. 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. Re… ## Sponsors and cosponsors - Sponsor: David Prestin (Republican), House - Cosponsor: Bradley Slagh (Republican), House - Cosponsor: Brian BeGole (Republican), House - Cosponsor: Carol Glanville (Democratic), House - Cosponsor: Curtis VanderWall (Republican), House - Cosponsor: David Martin (Republican), House - Cosponsor: Gina Johnsen (Republican), House - Cosponsor: Gregory Alexander (Republican), House - Cosponsor: Gregory Markkanen (Republican), House - Cosponsor: John Roth (Republican), House - Cosponsor: Joseph Fox, House - Cosponsor: Julie Brixie (Democratic), House - Cosponsor: Karl Bohnak (Republican), House - Cosponsor: Kathy Schmaltz (Republican), House - Cosponsor: Kristian Grant (Democratic), House - Cosponsor: Matt Longjohn (Democratic), House - Cosponsor: Nancy DeBoer (Republican), House - Cosponsor: Parker Fairbairn (Republican), House - Cosponsor: Timothy Beson (Republican), 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 | 103 | 3 | 4 | ## Actions (37) - 2026-07-29: assigned PA 45'26 with immediate effect (House) - 2026-07-29: filed with Secretary of State 07/22/2026 10:54 AM (House) - 2026-07-29: approved by the Governor 07/21/2026 02:34 PM (House) - 2026-07-14: presented to the Governor 07/14/2026 12:14 PM (House) - 2026-07-03: title amendment agreed to (House) - 2026-07-03: bill ordered enrolled (House) - 2026-07-03: roll call Roll Call #331 Yeas 104 Nays 2 Excused 0 Not Voting 4 (House) - 2026-07-03: Senate substitute (S-2) concurred in (House) - 2026-07-03: rule suspended (House) - 2026-07-03: laid over one day under the rules (House) - 2026-07-03: returned from Senate with substitute (S-2) with immediate effect and title amendment (House) - 2026-07-03: INSERTED FULL TITLE (Senate) - 2026-07-03: PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 180 YEAS 35 NAYS 1 EXCUSED 2 NOT VOTING 0 (Senate) - 2026-07-02: PLACED ON IMMEDIATE PASSAGE (Senate) - 2026-07-02: RULES SUSPENDED (Senate) - 2026-07-02: PLACED ON ORDER OF THIRD READING WITH SUBSTITUTE (S-2) (Senate) - 2026-07-02: SUBSTITUTE (S-2) CONCURRED IN (Senate) - 2026-07-02: REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITH SUBSTITUTE (S-2) (Senate) - 2025-11-13: REPORTED FAVORABLY WITHOUT AMENDMENT 11/12/2025 (Senate) - 2025-11-12: REFERRED TO COMMITTEE OF THE WHOLE (Senate) - 2025-05-15: REFERRED TO COMMITTEE ON HEALTH POLICY (Senate) - 2025-05-15: PASSED BY HOUSE WITH IMMEDIATE EFFECT (House) - 2025-05-13: transmitted (House) - 2025-05-13: passed; given immediate effect Roll Call #104 Yeas 103 Nays 3 Excused 0 Not Voting 4 (House) - 2025-05-13: read a third time (House) - 2025-05-13: placed on immediate passage (House) - 2025-05-13: placed on third reading (House) - 2025-05-13: substitute (H-1) adopted (House) - 2025-05-13: read a second time (House) - 2025-05-08: referred to second reading (House) - 2025-05-08: reported with recommendation with substitute (H-1) (House) - 2025-04-23: recommendation concurred in (House) - 2025-04-23: reported with recommendation for referral to Committee on Rules with substitute (H-1) (House) - 2025-04-15: bill electronically reproduced 03/27/2025 (House) - 2025-03-27: referred to Committee on Health Policy (House) - 2025-03-27: read a first time (House) - 2025-03-27: introduced by Representative Rep. Dave Prestin (House) ## Bill text - Public Act, 2026-07-21: [PDF](https://www.legislature.mi.gov/documents/2025-2026/publicact/pdf/2026-PA-0045.pdf) - As Passed by the House, 2026-07-03: [PDF](https://www.legislature.mi.gov/documents/2025-2026/billengrossed/House/pdf/2025-HEBH-4309.pdf) - As Passed by the Senate, 2026-07-03: [PDF](https://www.legislature.mi.gov/documents/2025-2026/billengrossed/House/pdf/2025-HEBS-4309.pdf) - House Concurred, 2026-07-03: [PDF](https://www.legislature.mi.gov/documents/2025-2026/billconcurred/House/pdf/2025-HCB-4309.pdf) - Introduced, 2025-03-27: [PDF](https://www.legislature.mi.gov/documents/2025-2026/billintroduced/House/pdf/2025-HIB-4309.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 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 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 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-0045.pdf) - [As Passed by the House (PDF)](https://www.legislature.mi.gov/documents/2025-2026/billengrossed/House/pdf/2025-HEBH-4309.pdf) - [As Passed by the Senate (PDF)](https://www.legislature.mi.gov/documents/2025-2026/billengrossed/House/pdf/2025-HEBS-4309.pdf) - [House Concurred (PDF)](https://www.legislature.mi.gov/documents/2025-2026/billconcurred/House/pdf/2025-HCB-4309.pdf) - [Introduced (PDF)](https://www.legislature.mi.gov/documents/2025-2026/billintroduced/House/pdf/2025-HIB-4309.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 6007: Food: service establishments; delegation of certain duties and exemption of cer…](https://policyrisk.com/state-bill/MI-HB6007-2025-2026) - [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 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-HB4309-2025-2026 (as of 2026-11-01).