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HB 6155

Health occupations: nurses; intravenous therapy procedures; allow licensed practical nurses to perform under certain circumstances. Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding sec. 17227.

2025-2026 Regular Session Introduced by Ken Borton and 5 co-sponsors

LPNs could perform selected peripheral IV therapy under a 20+ hour board-approved course and supervision, expanding IV care while banning central lines, blood products, and TPN.

bill electronically reproduced 07/03/2026
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Bill Summary · HB 6155

Bill Summary: HB 6155 (Michigan, 2025-2026)

Main purpose and intent

  • This bill aims to expand the scope of practice for licensed practical nurses (LPNs) by authorizing them to perform certain intravenous therapy procedures under defined conditions, under supervision, and with specific training requirements.
  • The change is framed as modernization of health occupations practice within the Public Health Code (1978 Public Act 368, MCL 333.1101 to 333.25211) by adding new Section 17227.

Key provisions and changes

  1. Authorization to perform IV therapy (with conditions)

    • An LPN may perform an intravenous therapy procedure described in the new section if:
      • (a) The LPN is qualified by education, training, or experience, demonstrated by successful completion of a course approved by the Board. Course requirements:
      • Not less than 20 hours in duration
      • Includes both didactic instruction and clinical experience
      • (b) The LPN is under supervision while performing the IV therapy procedure, by a registered professional nurse (RPN), physician, or dentist at the time of the procedure.

  2. Scope of IV therapy procedures allowed for LPNs

    • Insertion of a peripheral IV catheter into a vein of the hand, forearm, or antecubital fossa.
    • Initiation and maintenance of peripheral IV infusions, including:
      • Normal saline
      • Lactated Ringer's solution
      • Dextrose solution
      • Other isotonic maintenance fluids as determined by the Board by rule
    • Administration of intravenous antibiotic medications through a peripheral line, as ordered by a prescriber
    • Flushing peripheral IV devices with saline or heparin solution
    • Discontinuation or removal of a peripheral IV catheter
    • Assessment of IV infusion sites and monitoring for complications (e.g., infiltration or phlebitis)

  3. Prohibited actions for LPNs under this section

    • Insertion or discontinuation of central venous catheters
    • Insertion or discontinuation of peripherally inserted central catheters (PICC lines)
    • Initiation or administration of blood or blood products
    • Initiation of chemotherapy or antineoplastic medications
    • Initiation of total parenteral nutrition (TPN)

  4. Definitions

    • “Prescriber” is defined as in section 17708 of the Public Health Code, i.e., the professional authorized to issue medical orders (e.g., physicians, nurse practitioners, physician assistants, etc., as defined by law).

Who is affected

  • Licensed practical nurses (LPNs) may be authorized to perform specified IV therapy procedures in clinical settings, but only under:
    • Completion of an approved, at least 20-hour training course with both classroom and clinical components
    • Supervision by an RPN, physician, or dentist
  • Supervising professionals (RPNs, physicians, dentists) would maintain responsibility and oversight during the performance of these procedures.
  • Patients receiving IV therapy in settings where LPNs participate in IV care may experience expanded access to IV services, depending on implementation and supervision requirements.
  • Hospitals, clinics, and other healthcare facilities would need to ensure policy, supervision, and credentialing processes align with the new practice authority.

Procedural and timeline aspects

  • The bill was introduced July 3, 2026, in the Michigan House of Representatives and referred to the Committee on Health Policy.
  • It adds Section 17227 to the Public Health Code; the specific effective date is not stated in the text provided, so enactment would depend on passage by the Legislature and signature by the Governor, plus any effective-date provisions adopted during the legislative process.
  • The model requires a board-approved course (minimum 20 hours) and formal supervision arrangements, implying that implementing regulation and credentialing processes would accompany any enactment.

Observations

  • The bill carefully delineates what IV procedures LPNs may perform and explicitly omits more invasive or high-risk activities (central lines, blood products, chemotherapy, TPN), maintaining strong boundaries on scope.
  • By requiring Board approval for training and ongoing supervision, the legislation seeks to balance expanded access to IV care with patient safety and professional accountability.

If you’d like, I can tailor this into a one-page briefing for policymakers or a patient-friendly summary highlighting what changes patients might notice in care settings.

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

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