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MI HB5249
MI HB5249Health: emergency services; ambulance operation adaptive care license; create. Amends sec. 20920 of 1978 PA 368 (MCL 333.20920).
summary
Introduced
11/12/2025
11/12/2025
In Committee
02/26/2026
02/26/2026
Crossed Over
Passed
Dead
Introduced Session
103rd Legislature
Bill Summary
A bill to amend 1978 PA 368, entitled"Public health code,"by amending section 20920 (MCL 333.20920), as amended by 2014 PA 413.
AI Summary
This bill amends Michigan's Public Health Code to create a new type of ambulance operation license called an "ambulance operation adaptive care license" for basic life support services seeking to provide limited advanced life support services. The bill allows basic life support ambulance services owned or operated by a local governmental unit to apply for this new license type, which would permit them to upgrade their service level to limited advanced life support. To qualify, an ambulance operation must be designated by their local governmental unit, be able to staff and equip ambulances for higher-level life support by January 1, 2025, and only provide these services within their local governmental unit in response to 9-1-1 or emergency transport calls. Applicants must submit detailed documentation including staffing and equipment plans, medical control authority protocols, and receive a recommendation from the statewide emergency medical services coordination committee. If approved, the adaptive care license would be valid for four years, during which the ambulance operation can provide limited advanced life support services, subject to ongoing compliance with protocols and annual renewal of their regular ambulance operation license. The bill maintains existing safeguards by allowing the department to revoke the license for violations and ensuring that the adaptive care license does not impact the ambulance operation's underlying basic life support license.
Committee Categories
Health and Social Services
Sponsors (33)
David Prestin (R)*,
Greg Alexander (R),
Brian BeGole (R),
Timmy Beson (R),
Matthew Bierlein (R),
Karl Bohnak (R),
Ken Borton (R),
Kelly Breen (D),
Julie Brixie (D),
Brenda Carter (D),
Cam Cavitt (R),
Jay DeBoyer (R),
Parker Fairbairn (R),
Steve Frisbie (R),
Mike Harris (R),
Tom Kuhn (R),
Tom Kunse (R),
Rylee Linting (R),
Greg Markkanen (R),
Jaz Martus (D),
Denise Mentzer (D),
Angela Rigas (R),
J.R. Roth (R),
Kathy Schmaltz (R),
Helena Scott (D),
Alicia St. Germaine (R),
Jamie Thompson (R),
Mark Tisdel (R),
Curt VanderWall (R),
Regina Weiss (D),
Jason Woolford (R),
Jennifer Wortz (R),
Doug Wozniak (R),
Last Action
Placed On Third Reading (on 03/11/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://legislature.mi.gov/Bills/Bill?ObjectName=2025-HB-5249 |
| Fiscal Note/Analysis - House: Summary as Referred to Second Committee | https://legislature.mi.gov/documents/2025-2026/billanalysis/House/pdf/2025-HLA-5249-QZKS3M0T.pdf |
| Fiscal Note/Analysis - House: Summary as Introduced | https://legislature.mi.gov/documents/2025-2026/billanalysis/House/pdf/2025-HLA-5249-VBGFM2H1.pdf |
| BillText | https://legislature.mi.gov/documents/2025-2026/billintroduced/House/htm/2025-HIB-5249.htm |
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