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HB 4246

Health occupations: nurses; nurse licensure compact; enact. Amends secs. 16170a, 16222, 16231, 16238 & 17201 of 1978 PA 368 (MCL 333.16170a et seq.) & adds secs. 16187, 17225 & 17225a.

2025-2026 Regular Session Introduced by Greg Alexander and 15 co-sponsors

Michigan adopts the Nurse Licensure Compact, allowing RNs and LPN/VNs to practice in party states under a multistate license from their home state.

REFERRED TO COMMITTEE ON REGULATORY AFFAIRS
#healthoccupations:nurses #occupations:individuallicensingandregistration #stateagencies(existing):licensingandregulatoryaffairs #state:interstatecompactsandagreements
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Bill Summary · HB 4246

Summary — HB 4246 (2025): Enact Nurse Licensure Compact into Michigan Law

Sponsor: Rep. Phil Green
Subject: Health occupations — nurses; interstate licensure compact
Statutes amended/added: Amends sections 16170a, 16222, 16231, 16238, 17201 of 1978 PA 368 (MCL 333.16170a et seq.); adds secs. 16187, 17225, 17225a.
Status (as of 2025-06-12): Passed House (6/11/2025; 57–52), transmitted to Senate, referred to Committee on Regulatory Affairs.

Purpose / Intent

HB 4246 would enter Michigan into the Nurse Licensure Compact (NLC), a multistate agreement that enables registered nurses (RNs) and licensed practical/vocational nurses (LPN/VNs) who hold a multistate license in their “home state” to practice in other party states without obtaining separate licenses. The stated goals are to increase license portability (including for telehealth), reduce duplicative licensure burdens, and improve interstate coordination of licensure and disciplinary information to protect public safety.

Key provisions

  • Enacts the full text of the NLC into Michigan law (adds sec. 16187), including Articles I–IX that define the compact’s structure, definitions, and powers.
  • Recognizes multistate licenses issued by a nurse’s home state as authorizing practice in Michigan (a party state) under a multistate licensure privilege.
  • Sets eligibility, application, and home-state rules: a multistate license is issued only by the nurse’s home state; when a nurse changes primary residence to another party state, the prior multistate license is deactivated and the nurse must obtain licensure in the new home state.
  • Establishes the coordinated licensure information system for collecting and sharing licensure, investigative, and disciplinary data among party states (administered by a nonprofit controlled by licensing boards).
  • Creates and recognizes the Interstate Commission of Nurse Licensure Compact Administrators with rulemaking authority, budget assessments, and enforcement/oversight functions.
  • Clarifies adverse-action jurisdiction: remote states may take action against a nurse’s multistate licensure privilege; home states retain authority over the underlying license. Home states must prioritize and consider reports from remote states.
  • Allows limited sharing/disclosure of confidential health professional recovery program information when required for purposes of the NLC (amends sec. 16170a).
  • Permits states to assess annual fees to support the commission’s operations.

Who would be affected

  • Nurses (RNs and LPN/VNs): Those meeting NLC eligibility could practice in Michigan under a multistate privilege; nurses who move states must follow home-state rules.
  • Employers and health systems (including telehealth providers): Easier cross‑state hiring and use of remote clinicians from other party states.
  • Michigan Board of Nursing / LARA: New reporting, enforcement, and coordination duties; involvement in the interstate commission and data systems.
  • Patients: Potentially increased access to nursing services and telehealth; disciplinary information shared across states.

Administrative/fiscal notes

  • The interstate commission can levy assessments on party states to fund operations; Michigan may incur costs tied to participation and data-sharing obligations.
  • The bill vests rulemaking authority in the commission; it can adopt emergency and regular rules affecting member states.

Procedural / timeline aspects

  • Introduced March 2025; passed the Michigan House on June 11, 2025 (given immediate effect by House vote).
  • Transmitted to the Senate and referred to the Committee on Regulatory Affairs for consideration.
  • Next steps: committee hearings, possible amendments, Senate floor vote, and, if enacted by both chambers, gubernatorial signature. The bill text includes an effective date provision (the House analytical summary notes a 90‑day post-enactment effective date); however, the House granted immediate effect when passing the bill. Final effective timing will depend on the enacted version and any implementing actions.

Prepared objectively from the bill text and House Fiscal Agency analyses (HB 4246, 2025).

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

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