All Roll Calls
Yes: 133 • No: 2
MichiganHB 54552025-2026 Regular SessionHouse
Health occupations: physicians; interstate medical licensure compact; update. Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding sec. 16189. Last Action: assigned PA 006'26 with immediate effect
Sponsored By: Rylee Linting (Republican)
Signed by Governor
Health occupations: physiciansState: interstate compacts and agreements
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Bill Overview
Analyzed Economic Effects
8 provisions identified: 3 benefits, 1 costs, 4 mixed.
Faster multistate licensing for eligible doctors
Michigan joins the interstate medical licensing compact, effective immediately upon enactment, giving eligible doctors a faster route to separate state licenses. Doctors apply through a principal state, which checks qualifications and conducts fingerprint-based or other compliant biometric criminal checks. That state must grant an unrestricted license and be their primary home, employer's location, or where they practice at least 25%. If none applies, doctors use their federal income tax residence; they can change principal states when the new state qualifies. Doctors can appeal eligibility decisions or use regular state licensing instead. Each license follows the issuing state's term and practice rules; losing the principal license for nondisciplinary reasons can end other licenses unless doctors timely redesignate. For visits, including telemedicine, the patient's location determines which state's medical board oversees the care.
Shared doctor licensing gets enforceable rules
An Interstate Commission runs the compact, with two voting commissioners from each member state. It manages rules, staff, budgets, compliance, public education, and annual reports and audits. Member-state governments must enforce the compact, while state boards keep their authority over medical practice. The compact overrides state laws only where they conflict, and cannot override state constitutional limits. Commission rules, lawful actions, and agreements bind the parties within those limits. Anyone can seek court review within 30 days after a rule is issued; rules beyond the Commission's powers are invalid. A challenge does not pause a rule unless the court finds a substantial likelihood of success. Courts must recognize the compact in relevant cases, and the Commission can join cases affecting its work.
States share doctor investigations and discipline
The Commission maintains a shared database of doctors who apply for or hold compact licenses. Boards must report public actions, complaints, and required investigative information, and share complaint or discipline records when another board asks. Shared information is confidential, filed under seal, and limited to investigations or discipline unless Commission rules permit otherwise. States can investigate together, share case materials, and enforce each other's compact investigation subpoenas. Discipline in one member state counts as unprofessional conduct elsewhere; other boards can rely on its findings and impose the same or lesser sanctions. Revocation, suspension, or surrender in place of discipline in the principal state automatically gives other compact licenses the same status. Such actions by another member board trigger a 90-day suspension of other member-state licenses for investigation, unless a board ends it earlier.
Member states can pay annual licensing assessments
The Commission can assess member states each year for approved operating costs not covered by other revenue. A Commission rule sets the allocation formula, and payments depend on state appropriations. The law sets no assessment amount. The Commission cannot take on obligations before securing enough funds or pledge a state's credit without that state's permission.
Licensing officials gain civil lawsuit protections
Commission officers and employees gain protection from civil suits and liability for covered acts within their duties. The protection also covers acts reasonably believed to fall within those duties. It does not cover intentional or willful and wanton misconduct, and applicable state liability limits remain. The Commission must defend covered personnel and, when required, cover qualifying liability, limiting claims against those individuals.
Doctor license renewals carry fees and checks
Doctors can renew compact licenses through the Interstate Commission, but must keep a full, unrestricted principal license. Renewal requires no criminal convictions, adjudications, deferred dispositions, or community supervision for any offense. No medical license can be under discipline, except for unpaid license fees, and no controlled-substance license or DEA permit can be suspended or revoked. Doctors must also meet each state's continuing education requirements. States set their own license and renewal fees, and the Commission can charge registration or processing fees; no amounts are specified. The Commission collects renewal fees and sends them to state boards, which must renew upon receipt.
States face penalties for breaking licensing rules
States that fail compact duties must receive written notice, instructions for fixing the problem, training, and technical help. The Commission can sue for damages or court orders; the winning party receives litigation costs and reasonable attorney fees. Only after other compliance efforts fail can a majority of commissioners end a state's membership. Termination ends compact rights and benefits but leaves earlier obligations and liabilities in place. A defaulting state can appeal in federal district court in Washington, D.C., or where the Commission's main offices are located. At a member state's request, the Commission must try to resolve compact disputes between states or licensing boards. Its rules must provide mediation and, when appropriate, binding dispute resolution.
States join and leave under licensing safeguards
The compact's activation threshold is seven states; later states become bound when they enact it. Amendments bind members only after every member state enacts them. A state leaves by repealing its compact law, with withdrawal effective one year after the repeal law takes effect. It must notify other member-state governors and notify the Commission chair when repeal legislation is introduced. The Commission then has 60 days after receiving notice to alert other states. The departing state keeps obligations through its withdrawal date; reinstatement requires reenactment or a later date set by the Commission. The Commission must set procedures for materially affected doctors and licenses, but the law guarantees no specific licensing outcome. The compact dissolves if only one state remains.
Sponsors & Cosponsors
Sponsor
Rylee Linting
Republican • House
Cosponsors
Bill Schuette
Republican • House
Curtis VanderWall
Republican • House
Jamie Thompson
Republican • House
John Roth
Republican • House
Kathy Schmaltz
Republican • House
Kelly Breen
Democratic • House
Phil Green
Republican • House
Steve Frisbie
Republican • House
Tom Kunse
Republican • House
Roll Call Votes
Senate vote • 3/24/2026
PASSED; GIVEN IMMEDIATE EFFECT
Yes: 31 • No: 0 • Other: 6
House vote • 2/4/2026
passed; given immediate effect
Yes: 102 • No: 2 • Other: 6
Actions Timeline
assigned PA 006'26 with immediate effect
4/14/2026Housefiled with Secretary of State 03/26/2026 11:39 AM
4/14/2026Houseapproved by the Governor 03/26/2026 09:32 AM
4/14/2026Housepresented to the Governor 03/24/2026 03:35 PM
4/14/2026Housebill ordered enrolled 03/24/2026
4/14/2026Housefull title agreed to
4/14/2026Housereturned from Senate without amendment with immediate effect and full title
4/14/2026HouseRETURNED TO HOUSE
3/24/2026SenatePASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 48 YEAS 31 NAYS 0 EXCUSED 6 NOT VOTING 0
3/24/2026SenatePLACED ON IMMEDIATE PASSAGE
3/24/2026SenateRULES SUSPENDED
3/24/2026SenatePLACED ON ORDER OF THIRD READING
3/24/2026SenateREPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITHOUT AMENDMENT(S)
3/24/2026SenateRULES SUSPENDED FOR IMMEDIATE CONSIDERATION
3/24/2026SenatePLACED ON ORDER OF GENERAL ORDERS
3/24/2026SenateDISCHARGE COMMITTEE APPROVED
3/24/2026SenateREFERRED TO COMMITTEE ON GOVERNMENT OPERATIONS
2/11/2026SenatePASSED BY HOUSE WITH IMMEDIATE EFFECT
2/11/2026Housetransmitted
2/4/2026Housepassed; given immediate effect Roll Call #27 Yeas 102 Nays 2 Excused 0 Not Voting 6
2/4/2026Houseread a third time
2/4/2026Houseplaced on immediate passage
2/4/2026Houseplaced on third reading
2/4/2026Houseread a second time
2/4/2026Housereferred to second reading
1/22/2026House
Bill Text
Public Act
3/26/2026
As Passed by the Senate
3/24/2026
House Concurred
3/24/2026
As Passed by the House
2/4/2026
Introduced
1/15/2026
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