Maddy summaryHB 5249 creates a new "adaptive care license" for ambulance operations currently licensed only for basic life support (BLS). It allows these operations to gradually upgrade to provide limited advanced life support (ALS) or advanced life support (ALS) services, provided they demonstrate staffing and equipment readiness for higher care levels by January 1, 2025. The license requires annual documentation of progress toward this upgrade, including training and equipment plans, and must be renewed annually alongside the operation's regular license. This applies specifically to ambulance services owned or contracted by local governments that previously provided only BLS for emergency response.
Rep. Cam Cavitt
Sponsored bills
Maddy summaryHB 4515 requires Michigan's Bridge Card (used for food assistance benefits) to include a recipient's digital photo and signature printed directly on the card. This change affects all recipients of the Michigan Bridge Card, which distributes food assistance benefits like SNAP. The bill amends state law to add this requirement, ensuring cards display both a photo and signature for identification purposes. The legislation passed the House on September 17, 2025, with immediate effect.
Maddy summaryThis bill proposes changes to Michigan's natural resources laws to allow for the construction of traditional timber crib docks and boathouses in the Les Cheneaux Islands, provided they are built from natural wood and stone and approved by local zoning authorities. Under the new rules, permits would be granted only if these structures do not extend beyond the owner's shoreline or create navigational hazards, while also requiring the state to reject denials based on generalized environmental assumptions without specific evidence. The legislation includes a mandatory referendum in Clark Township, meaning the changes will only take effect if a majority of voters in that area approve them at an upcoming election.
Maddy summaryHB 6007 updates Michigan's Food Law to clarify how enforcement responsibilities are shared between the state Department of Health and local health departments. The bill allows the state to delegate most inspection and licensing duties to local health departments for food service establishments, provided those departments meet specific program criteria. However, the state retains direct authority over complex wholesale food processing, establishments within large grocery stores, and certain high-risk mobile food units. Additionally, the legislation prevents local governments from creating conflicting licensing rules and outlines the process for revoking a local health department's certification if it fails to meet state standards.
Maddy summaryThis bill amends Michigan's Natural Resources and Environmental Protection Act to exempt the construction and maintenance of certain residential ponds from state permitting requirements. It directly affects homeowners and property owners who wish to build small, noncommercial ponds on residential or agricultural land. The key provision allows for the excavation or construction of ponds under one acre in surface area, provided they are used for residential purposes and meet specific conditions outlined in the legislation. This change removes the need for a permit for these specific residential pond projects, simplifying the process for property owners while maintaining oversight for larger or commercial water structures.
Maddy summaryHB 5502 amends Michigan's wetland regulation law (MCL 324.30305) to clarify which activities in wetlands do not require state permits. It specifically allows farming, ranching, and agricultural drainage activities without permits, but only if they are part of an "established ongoing operation" (not new conversion of wetlands to farmland). The bill also adds detailed rules for minor drainage, farm roads, and utility line installation (e.g., directional drilling must keep lines at least 4 feet below soil). These changes directly affect farmers, landowners, and developers working in wetlands across Michigan.
Maddy summaryHB 4703 requires health insurers in Michigan to cover group prenatal care services for policyholders. This directly affects health insurers offering coverage in the state and pregnant individuals seeking prenatal care. The bill defines "group prenatal care services" as evidence-based, group-based visits that include health assessments, social support, education, and peer interaction in a family-centered setting. Insurers must now provide this coverage for group prenatal care under their health insurance policies.
Maddy summaryHB 6072 requires hospital boards in Michigan to follow the existing Hospital Financial Assistance Act when deciding how to provide financial help to patients. This change ensures that the rules for determining who qualifies for charity care and setting fees are consistent with state standards rather than being set solely by individual hospital boards. The bill only becomes active if a companion bill, HB 6071, is also passed into law. It directly affects public hospital trustees and the patients they serve by standardizing assistance policies.
Maddy summaryThis bill extends the state of energy emergency in Michigan by an additional 77 days, effective July 1, 2026. The measure allows the sale of E15 fuel in several counties where current regulations previously restricted it to lower vapor pressure gasoline. By suspending these fuel requirements, the extension aims to increase fuel supply options and help manage rising gas prices for consumers and businesses. The resolution requires approval from both the House and Senate before being sent to the Governor.
Maddy summaryThis bill establishes the Hospital Financial Assistance Act, which requires hospitals in Michigan to create and enforce financial aid programs for patients by January 1, 2027. The law mandates that these programs use federal poverty guidelines to determine eligibility, offering up to a full discount on medical bills for uninsured individuals earning at or below 350% of the poverty line. Hospitals must also publish clear information about these programs on their websites and in billing statements, and they are required to submit annual reports detailing the number of applications and the amount of debt forgiven or collected. To ensure compliance, the state Department of Health and Human Services will oversee the process, investigate complaints, and impose civil fines of up to $10,000 on hospitals that fail to follow the new rules.