Bill > HB4399

This bill modifies Michigan's Public Health Code to expand the scope of practice for Advanced Practice Registered Nurses (APRNs), particularly those with nurse practitioner certification. Specifically, the bill establishes clear requirements for obtaining a nurse practitioner specialty certification, including completing a graduate-level nursing education program, holding a national certification, and meeting additional board requirements. The bill grants nurse practitioners a broader range of professional responsibilities, including performing comprehensive health assessments, diagnosing and treating acute and chronic illnesses, ordering and interpreting medical tests, prescribing treatments, and providing health education. Importantly, the legislation also allows nurse practitioners to prescribe controlled substances (schedules 2-5) without physician delegation and to order, receive, and dispense complimentary starter dose medications independently. The bill aims to provide more autonomy for advanced practice nurses while maintaining professional standards, requiring them to comply with board and national professional association standards, and mandating consultation and referral to other healthcare professionals when appropriate. These changes are intended to increase access to healthcare services and utilize the full capabilities of advanced practice registered nurses in Michigan.

Health and Social Services

https://legislature.mi.gov/Bills/Bill?ObjectName=2025-HB-4399