Bill > HB4857

This bill modifies Michigan's Public Health Code to expand critical incident stress management (CISM) services by broadening their scope from exclusively serving emergency service providers to serving any individual experiencing critical incident stress. The bill redefines key terms, removing specific references to emergency service providers and replacing them with more inclusive language about individuals experiencing stress or trauma. The legislation maintains the confidentiality of communications made during CISM services, with specific exceptions: when a referral or consultation is needed, when an individual appears to be an imminent threat to themselves or others, when child or elder abuse is disclosed, or when the individual explicitly waives confidentiality. CISM services are defined to include precrisis education, stress defusings and debriefings, on-scene and one-on-one support, consultation, referral services, and peer support. The bill also updates the registration requirement for CISM teams, specifying they must maintain registration with the Michigan Crisis Response Association. Overall, the bill aims to provide more flexible and accessible mental health support for individuals dealing with traumatic or stressful incidents.

Health and Social Services

https://legislature.mi.gov/Bills/Bill?ObjectName=2025-HB-4857