Health occupations: physician's assistants; physician's assistants licensure compact; provide for. Amends secs. 16337 & 18001 of 1978 PA 368 (MCL 333.16337 & 333.18001) & adds secs. 16187d, 17011b, 17061a, 17511b & 18011b.
HB 4309 establishes a licensure compact for physician's assistants, allowing them licensed in one participating state to practice in other participating states without needing separate licenses. This directly affects physician's assistants seeking to work across state lines and patients in states participating in the compact. The bill creates legal mechanisms by amending existing law to enable reciprocal licensing agreements between states, removing barriers for PAs to provide care in multiple jurisdictions. It provides the framework for states to join the compact through mutual recognition of licenses, streamlining practice for qualified professionals.
Bill status
signed
all 5 stages cleared
Introduction
Mar 2025
Committee Review
Jul 2026
House Passage
Jul 2026
Senate Passage
Jul 2026
Signed into Law
Jul 2026
Introduced Mar 27, 2025
Signed Jul 29, 2026
Maddy AI version diff · 6 comparisons
What changed between versions
Substitute (S-2) - 3
→
House Concurred Bill
·
1 edit
MINOR
The bill text was reformatted from a Senate substitute version to a House concurred version, primarily changing the title and header to reflect that the House has approved the Senate's amendments. The actual legislative content, including definitions, eligibility requirements, and enforcement rules for the PA Licensure Compact, remains substantively unchanged.
TECHNICAL
The document title and header were updated to indicate the bill is now a 'House Bill' rather than a 'Senate Substitute,' reflecting the legislative process where the House has concurred with the Senate's version.
Floor votes · House Jul 3, 2026
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
37
Key actions
12
Committee
8
Amendments
2
Jul 29, 2026
Introduced
filed with Secretary of State 07/22/2026 10:54 AM
lower
Jul 29, 2026
Signed into law
approved by the Governor 07/21/2026 02:34 PM
lower
Jul 3, 2026
Introduced
title amendment agreed to
lower
Jul 3, 2026
Lower · Passed
Senate substitute (S-2) concurred in
lower
Jul 3, 2026
Introduced
returned from Senate with substitute (S-2) with immediate effect and title amendment
lower
Jul 3, 2026
Upper · Passed
PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 180 YEAS 35 NAYS 1 EXCUSED 2 NOT VOTING 0
upper
Jul 2, 2026
Upper · Passed
SUBSTITUTE (S-2) CONCURRED IN
upper
Jul 2, 2026
Upper · Passed
REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITH SUBSTITUTE (S-2)
upper
Nov 13, 2025
Upper · Passed
REPORTED FAVORABLY WITHOUT AMENDMENT 11/12/2025
upper
Nov 12, 2025
Committee
REFERRED TO COMMITTEE OF THE WHOLE
upper
May 15, 2025
Committee
REFERRED TO COMMITTEE ON HEALTH POLICY
upper
May 15, 2025
Upper · Passed
PASSED BY HOUSE WITH IMMEDIATE EFFECT
upper
May 13, 2025
Lower · Passed
passed; given immediate effect Roll Call #104 Yeas 103 Nays 3 Excused 0 Not Voting 4
lower
May 13, 2025
Lower · Passed
substitute (H-1) adopted
lower
May 8, 2025
Committee
referred to second reading
lower
May 8, 2025
Lower · Passed
reported with recommendation with substitute (H-1)
lower
Apr 23, 2025
Lower · Passed
recommendation concurred in
lower
Apr 23, 2025
Lower · Passed
reported with recommendation for referral to Committee on Rules with substitute (H-1)
lower
Mar 27, 2025
Committee
referred to Committee on Health Policy
lower
Mar 27, 2025
Introduced
introduced by Representative Rep. Dave Prestin
lower
1 primary · 18 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Dave Prestin
RRepublican
Co
Brad Slagh
RRepublican
Co
Brian BeGole
RRepublican
Co
Carol Glanville
DDemocratic
Co
Curt VanderWall
RRepublican
Co
David Martin
RRepublican
Co
Gina Johnsen
RRepublican
Co
Greg Alexander
RRepublican
Co
Greg Markkanen
RRepublican
Co
J.R. Roth
RRepublican
Co
Joseph Fox
RRepublican
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