# Michigan HB 5249: Health: emergency services; ambulance operation adaptive care license; create. Amends sec. 20920 of 1978 PA 368 (MCL 333.20920). Last Action: assigned PA 90'26 with immediate effect Michigan HB 5249, Health: emergency services; ambulance operation adaptive care license; create. Amends sec. 20920 of 1978 PA 368 (MCL 333.20920). Last Action: assigned PA 90'26 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 90'26 with immediate effect) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/MI-HB5249-2025-2026 - 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 5249 - State: Michigan - Session: 2025-2026 Regular Session - Title: Health: emergency services; ambulance operation adaptive care license; create. Amends sec. 20920 of 1978 PA 368 (MCL 333.20920). Last Action: assigned PA 90'26 with immediate effect - Status: signed - Chamber: House - Introduced: 2025-11-12 - Last action: 2026-07-29, assigned PA 90'26 with immediate effect - Sponsor: David Prestin (Republican) - Cosponsors: 32 - Subjects: Health: emergency services, State agencies (existing): health and human services - Touches household money: no - Roll calls: 2 (139 yes, 1 no in all) - Economic provisions PRIA read: 0 ## Summary No summary available. ## Bill overview No economic impacts identified for this bill. ## Sponsors and cosponsors - Sponsor: David Prestin (Republican), House - Cosponsor: Alicia St. Germaine (Republican), House - Cosponsor: Angela Rigas (Republican), House - Cosponsor: Brenda Carter (Democratic), House - Cosponsor: Brian BeGole (Republican), House - Cosponsor: Cameron Cavitt (Republican), House - Cosponsor: Curtis VanderWall (Republican), House - Cosponsor: Denise Mentzer (Democratic), House - Cosponsor: Douglas Wozniak (Republican), House - Cosponsor: Gregory Alexander (Republican), House - Cosponsor: Gregory Markkanen (Republican), House - Cosponsor: Helena Scott (Democratic), House - Cosponsor: Jamie Thompson (Republican), House - Cosponsor: Jason Woolford (Republican), House - Cosponsor: Jasper Martus (Democratic), House - Cosponsor: Jay DeBoyer (Republican), House - Cosponsor: Jennifer Wortz (Republican), House - Cosponsor: John Roth (Republican), House - Cosponsor: Julie Brixie (Democratic), House - Cosponsor: Karl Bohnak (Republican), House - Cosponsor: Kathy Schmaltz (Republican), House - Cosponsor: Kelly Breen (Democratic), House - Cosponsor: Ken Borton (Republican), House - Cosponsor: Mark Tisdel (Republican), House - Cosponsor: Matt Bierlein (Republican), House - Cosponsor: Mike Harris (Republican), House - Cosponsor: Parker Fairbairn (Republican), House - Cosponsor: Regina Weiss (Democratic), House - Cosponsor: Rylee Linting (Republican), House - Cosponsor: Steve Frisbie (Republican), House - Cosponsor: Thomas Kuhn (Republican), House - Cosponsor: Timothy Beson (Republican), House - Cosponsor: Tom Kunse (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-07-03 | Senate | PASSED; GIVEN IMMEDIATE EFFECT | pass | 36 | 0 | 2 | | 2026-03-12 | House | passed; given immediate effect | pass | 103 | 1 | 6 | ## Actions (32) - 2026-07-29: assigned PA 90'26 with immediate effect (House) - 2026-07-29: filed with Secretary of State 07/27/2026 12:20 PM (House) - 2026-07-29: approved by the Governor 07/21/2026 02:50 PM (House) - 2026-07-14: presented to the Governor 07/14/2026 12:30 PM (House) - 2026-07-03: bill ordered enrolled (House) - 2026-07-03: full title agreed to (House) - 2026-07-03: returned from Senate without amendment with immediate effect and full title (House) - 2026-07-03: INSERTED FULL TITLE (Senate) - 2026-07-03: PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 191 YEAS 36 NAYS 0 EXCUSED 2 NOT VOTING 0 (Senate) - 2026-07-03: PLACED ON IMMEDIATE PASSAGE (Senate) - 2026-07-03: RULES SUSPENDED (Senate) - 2026-07-03: PLACED ON ORDER OF THIRD READING (Senate) - 2026-07-03: REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITHOUT AMENDMENT(S) (Senate) - 2026-07-02: RULES SUSPENDED FOR IMMEDIATE CONSIDERATION (Senate) - 2026-07-02: PLACED ON ORDER OF GENERAL ORDERS (Senate) - 2026-07-02: DISCHARGE COMMITTEE APPROVED (Senate) - 2026-03-17: REFERRED TO COMMITTEE ON HEALTH POLICY (Senate) - 2026-03-17: PASSED BY HOUSE WITH IMMEDIATE EFFECT (House) - 2026-03-12: transmitted (House) - 2026-03-12: passed; given immediate effect Roll Call #90 Yeas 103 Nays 1 Excused 0 Not Voting 6 (House) - 2026-03-12: read a third time (House) - 2026-03-11: placed on third reading (House) - 2026-03-11: substitute (H-1) adopted (House) - 2026-03-11: read a second time (House) - 2026-02-26: referred to second reading (House) - 2026-02-26: reported with recommendation with substitute (H-1) (House) - 2026-02-04: recommendation concurred in (House) - 2026-02-04: reported with recommendation for referral to Committee on Rules with substitute (H-1) (House) - 2025-11-13: bill electronically reproduced 11/12/2025 (House) - 2025-11-12: referred to Committee on Health Policy (House) - 2025-11-12: read a first time (House) - 2025-11-12: 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-0090.pdf) - As Passed by the Senate, 2026-07-03: [PDF](https://www.legislature.mi.gov/documents/2025-2026/billengrossed/House/pdf/2025-HEBS-5249.pdf) - House Concurred, 2026-07-03: [PDF](https://www.legislature.mi.gov/documents/2025-2026/billconcurred/House/pdf/2025-HCB-5249.pdf) - As Passed by the House, 2026-03-12: [PDF](https://www.legislature.mi.gov/documents/2025-2026/billengrossed/House/pdf/2025-HEBH-5249.pdf) - Introduced, 2025-11-12: [PDF](https://www.legislature.mi.gov/documents/2025-2026/billintroduced/House/pdf/2025-HIB-5249.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. 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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-0090.pdf) - [As Passed by the Senate (PDF)](https://www.legislature.mi.gov/documents/2025-2026/billengrossed/House/pdf/2025-HEBS-5249.pdf) - [House Concurred (PDF)](https://www.legislature.mi.gov/documents/2025-2026/billconcurred/House/pdf/2025-HCB-5249.pdf) - [As Passed by the House (PDF)](https://www.legislature.mi.gov/documents/2025-2026/billengrossed/House/pdf/2025-HEBH-5249.pdf) - [Introduced (PDF)](https://www.legislature.mi.gov/documents/2025-2026/billintroduced/House/pdf/2025-HIB-5249.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 6007: Food: service establishments; delegation of certain duties and exemption of cer…](https://policyrisk.com/state-bill/MI-HB6007-2025-2026) - [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-HB5249-2025-2026 (as of 2026-11-01).