Michigan House Bill HB4104

Michigan 2025-2026 Regular Session

• Introduced: 2/20/25
• Refer: 2/20/25
• Report Pass: 4/16/25
• Engrossed: 5/13/25
• Refer: 5/15/25
• Report Pass: 9/11/25
• Refer: 9/11/25

Caption

Health occupations: occupational therapists; licensure process for occupational therapists; modify to incorporate occupational therapy licensure compact. Amends secs. 16345, 18301 & 18305 of 1978 PA 368 (MCL 333.16345 et seq.) & adds secs. 18303a & 18303b. TIE BAR WITH: HB 4103'25

Impact

The proposed amendments are expected to significantly impact state laws governing health occupations, specifically regarding occupational therapy. By aligning Michigan's licensing framework with the Occupational Therapy Licensure Compact, the bill facilitates easier interstate practice for therapists, potentially alleviating workforce shortages and increasing service availability. The modifications also include provisions that allow occupational therapy assistants to engage more comprehensively in practice, thus broadening their role in patient care.

Summary

House Bill 4104 seeks to amend the Public Health Code of Michigan to modify the licensure process for occupational therapists and incorporates provisions from the Occupational Therapy Licensure Compact. This bill outlines the fees associated with licensure, defines the roles of occupational therapists and assistants, and establishes procedures for individuals holding a compact privilege to practice in Michigan. It aims to streamline the licensing process, thereby enhancing access to occupational therapy services within the state.

Sentiment

The sentiment surrounding HB 4104 appears to be largely supportive among healthcare professionals, particularly those within the occupational therapy sector. Proponents laud the bill for promoting efficiency and collaboration across state lines, which they believe will enhance patient care and service delivery. However, some concerns have been raised regarding the adequacy of regulation and oversight of practices involving compact privileges, suggesting that these needs be carefully monitored to maintain standards of care.

Contention

Notable points of contention include discussions on the implications of granting compact privileges, which some stakeholders fear could lead to variability in the quality of care provided across differing states. Detractors argue that while the intent is to improve access, the bill may inadvertently allow unqualified practitioners to operate without sufficient checks, thereby compromising public safety. This has called for a careful consideration of how regulatory standards will be enforced in line with broader public health goals.