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HB 6076

Health facilities: other; licensure of freestanding abortion clinics; require. Amends secs. 20104, 20106 & 20161 of 1978 PA 368 (MCL 333.20104 et seq.) & adds pt. 207A & sec. 22224d.

2025-2026 Regular Session Introduced by Greg Alexander and 9 co-sponsors

Establishes a new licensure framework (Part 207A) requiring freestanding abortion clinics to be licensed, meet safety/patient-care standards, and follow transfer, consent, and staf

bill electronically reproduced 06/11/2026
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Bill Summary · HB 6076

Summary of HB 6076 (Session 2025-2026) – Michigan

This bill proposes broad changes to the Michigan Public Health Code regarding licensure and regulation of health facilities, adds a new framework for freestanding abortion clinics, and clarifies related fee and certificate of need provisions. It also gives a limited note on affordability of reimbursement and certificates of need rules, with a temporary transitional period.

1) Main purpose and intent

  • Establish a dedicated framework to license and regulate freestanding abortion clinics as a distinct category within Part 207A, and align these facilities with broader health facility definitions in Part 201.
  • Create explicit licensing requirements, operational standards, and patient-care requirements for freestanding abortion clinics.
  • Clarify financial and regulatory mechanisms (fees, certificates of need, quality assurance programs) applicable to health facilities, including freestanding abortion clinics.
  • Provide a transitional delay: the department would not be required to enforce licensure or the Part 207A licensing requirements for freestanding abortion clinics for one year after the act’s effective date.

2) Key provisions and changes

  • Definitions and scope (Part 201):

    • Adds clear definitions for freestanding abortion clinics and reinforces their placement within the Health Facility or Agency framework.
    • Defines related terms such as “elective abortion,” “health care provider,” and the classes of facilities affected.

  • Licensure and regulation of freestanding abortion clinics (Part 207A):

    • A freestanding abortion clinic must be licensed under Part 207A.
    • The label “freestanding abortion clinic” or similar terms cannot be used to describe a facility unless licensed under Part 207A.
    • Ownership, operation, governance: clinic owners/operators must be responsible for operations, staffing, and ensuring compliance with licensing requirements.
    • Staffing and qualifications: must ensure sufficient qualified health care providers and contractors to meet safety and care needs in line with patient volume and services.
    • Policies and procedures: clinics must have written policies covering operations, informed consent, referrals, documentation, inter-provider communications, and patient transfers. They must provide access to patient records upon request or when transferring care.
    • Patient safety and transfer planning: clinics must identify a nearby hospital for transfers and ensure safe, prompt transfer procedures.
    • Space and comfort: facilities must provide adequate space for patients and their families.
    • Provider disclosure: patients must be notified about which providers maintain malpractice insurance and which do not.
    • Referral and transfer processes: clinics must have explicit processes for referrals to external services, consultations with other providers, and transferring patient care with informed consent.
    • Hospital transfer readiness: clinics must have a nearby hospital identified for potential transfers and document these arrangements.

  • Patient care standards and discharge (Sec. 20769, 20771):

    • Patients must receive respectful, supportive care with minimized stress, freedom of movement, appropriate nutrition, and pain relief options.
    • Intake information: patients must receive descriptions of provider qualifications, clinic policies, and the complaint process.
    • Continuity of care: a health care provider must be present and available during patient visits and recovery, with ongoing monitoring and defined discharge criteria.
    • On-call access: 24/7 telephonic access to a provider and on-call staff for emergencies.

  • Medical safety limits (Sec. 20767, 20777):

    • Restrictions on anesthesia use (generally no general/regional anesthesia; local anesthesia may be used under strict conditions).
    • Limiting factors for elective abortions (e.g., gestational age limits, patient comorbidities) may be defined by rules, with clinics able to establish additional factors through policy.
    • Standards of practice: the department will adopt rules referencing professional standards (ACOG, National Abortion Federation) and may incorporate revisions by reference.

  • Patient information and informed consent (Sec. 20769, 20771):

    • Intake must include provider qualifications, clinic policies, and credentialing/complaint processes.
    • Ensures patient awareness of care plans and access to follow-up care 24/7.

  • Immunizations and tuberculosis testing (Sec. 20775):

    • Clinics are required to encourage annual influenza vaccination for staff and recommend full COVID-19 vaccination.
    • Clinics must maintain and provide immunization documentation (including TB testing as applicable).

  • Rules and enforcement (Sec. 20777):

    • The department will promulgate rules implementing Part 207A, drawing on recognized standards and defining limiting factors for eligibility of elective abortions.

  • Transitional provision (Sec. 20779):

    • The department shall not enforce Part 207A licensure requirements for freestanding abortion clinics for one year after the act’s effective date.

  • Certificate of Need (CoN) provisions (Sec. 22224d; cross-reference to Part 201):

    • A freestanding abortion clinic is not required to obtain a CoN, under the CoN-related provisions in the bill (subject to the broader CoN framework for other facility types).

  • Fees and funding (Sec. 20161 and related sections):

    • Maintains and updates annual fee and assessment structures for health facilities, including a $500 facility license fee for freestanding abortion clinics, and per-bed fees for certain facility types.
    • CoN-related fees, surcharges, and annual survey data costs apply to licensed facilities.
    • Provisions for how fees are allocated (e.g., funding for CO N programs, with constraints on refunds if licenses are denied or revoked).
    • Quality assurance taxes and funds are allocated to support Medicaid rates and related programs, with rules to ensure federal matching funds where applicable.

3) Who or what would be affected

  • Freestanding abortion clinics:
    • Must obtain licensure under Part 207A.
    • Subject to facility-wide standards, staffing requirements, policies, and patient-care procedures.
    • New requirements for safety staffing, transfer planning, informed consent, and patient documentation.
  • Other health facilities and agencies:
    • Existing license, certificate of need, and fee structures may be adjusted by the new framework; some cross-referenced provisions (e.g., CO N, quality assurance) continue to apply.
  • Department of Licensing and Regulatory Affairs (LARA):
    • Responsible for implementing Part 207A, licensing, enforcement, and rulemaking.
  • Patients:
    • Potentially affected by the uniform standards of care, transfer processes, and guarantees of safety and follow-up care at freestanding abortion clinics.
  • Payers (including Medicaid):
    • Changes to reimbursement dynamics are linked to the quality assurance funds and rates, with federal matching considerations.

4) Procedural and timeline aspects

  • Transitional delay:
    • Not enforcing Part 207A licensure for freestanding abortion clinics for 1 year after the act’s effective date (20779).
  • Fees and CoN provisions:
    • Various fees (e.g., $500 per freestanding abortion clinic license) and CoN-related costs are described, with annual updates and funding use rules (some funds dedicated to CO N programs and Medicaid rate adjustments).
  • Rulemaking timeline:
    • The department must promulgate rules to implement Part 207A, incorporating ACOG and National Abortion Federation standards, with the ability to update references as standards change (20777).
  • Certificate of Need:
    • A CoN is not required for freestanding abortion clinics under Sec. 22224d, per the final clause, though other CoN provisions may still apply in related contexts.

Note: This summary focuses on the substantive provisions and potential impact based on the bill text. For a complete understanding, review the original bill language, accompanying fiscal notes, and committee analyses once available.

Compiled from official sources — confirm details with the bill’s official record.

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