Michigan 2025-2026 Regular Session

Michigan House Bill HB4857

Introduced
9/9/25  
Refer
9/9/25  
Report Pass
10/22/25  
Engrossed
11/12/25  

Caption

Health: confidentiality; critical incident stress management services; modify. Amends secs. 20981 & 20982 of 1978 PA 368 (MCL 333.20981 & 333.20982).

Impact

The enactment of HB 4857 is expected to enhance mental health support for emergency personnel, providing them with critical resources to manage stress and trauma incurred during their service. By solidifying confidentiality protections, it encourages more emergency service providers to seek help without fear of legal implications, thereby improving overall psychological resilience in the workforce. This change acknowledges the urgent need for mental health resources tailored specifically for those on the front lines during crises.

Summary

House Bill 4857 aims to amend the existing Public Health Code in Michigan by modifying sections related to Critical Incident Stress Management (CISM) services for emergency service providers. The bill introduces definitions around 'critical incident,' 'critical incident stress,' and the services provided under CISM, which include precrisis education, peer support, and various forms of consultation aimed at helping emergency responders cope with the psychological aftermath of crises they encounter. The legislation emphasizes that communications between emergency service providers and CISM team members remain confidential and are not subject to disclosure in legal proceedings, except under specific circumstances.

Sentiment

Overall, the sentiment surrounding HB 4857 appears supportive, particularly among legislators and advocates for mental health resources in emergency services. Proponents argue that the bill addresses a critical gap in support for individuals who experience significant stress and trauma as part of their jobs. However, there may be some concerns about the practical implementation of these services and the challenges of ensuring that all emergency service providers are aware of and can access these new resources.

Contention

While the bill is largely viewed positively, any contention might arise regarding how the confidentiality features of CISM services are balanced with the need for accountability in emergency services. Issues might also emerge concerning how effectively these services will be integrated into existing support systems and how they will be funded. Ensuring that all emergency personnel are adequately trained and informed about their options under this new legislation will be essential to its success.

Companion Bills

No companion bills found.

Previously Filed As

MI HB1118

Critical incident stress management debriefings.

MI HB180

Relative to critical incident stress management teams.

MI H2654

To strengthen critical incident stress management for emergency service providers

MI S1730

To strengthen critical incident stress management for emergency service providers

MI HB3358

Relating to the definition of an emergency service provider for purposes of critical incident stress management and crisis response services.

MI LD882

An Act to Protect Communication with Providers of Critical Incident Stress Management and Peer Support

MI SB1731

Modifies provisions relating to critical incident management

MI SB1745

Modifies provisions relating to critical incident management

MI LD993

An Act to Require First Responder Training for Mental Health Crisis and Critical Incident Stress Recognition

MI HB5249

Health: emergency services; ambulance operation adaptive care license; create. Amends sec. 20920 of 1978 PA 368 (MCL 333.20920).

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