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HB 4032

Health occupations: physicians; interstate medical licensure compact; remove sunset. Amends sec. 16189 of 1978 PA 368 (MCL 333.16189).

2025-2026 Regular Session Introduced by Greg Alexander and 35 co-sponsors

HB 4032 removes Michigan's IMLC sunset, permanently joining the Interstate Medical Licensure Compact to streamline multi-state physician licensure and expand care access.

REFERRED TO COMMITTEE ON HEALTH POLICY
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Bill Summary · HB 4032

HB 4032 — Summary

Bill number: HB 4032
Title: Health occupations: physicians; interstate medical licensure compact; remove sunset (amends sec. 16189 of 1978 PA 368, MCL 333.16189)
Introduced: Early 2025 (listed March 7, 2025)
Status: Referred to House Committee on Health Policy (committee report available)

Purpose

HB 4032 would permanently continue Michigan’s participation in the Interstate Medical Licensure Compact (IMLC) by removing the current statutory “sunset” (automatic repeal) provision that would repeal section 16189 of the Public Health Code on March 28, 2025.

Key provisions / changes

  • Deletes the provision in MCL 333.16189 that causes Michigan’s enactment of the IMLC to expire on March 28, 2025.
  • Leaves intact the substantive compact language already codified in section 16189 (the compact’s eligibility criteria, expedited licensure process, interstate information-sharing and disciplinary mechanisms, and member-state authority to discipline licenses).

Background & context

  • Michigan enacted the IMLC-authorizing statute in 2018 (effective March 28, 2019); Michigan began participation on September 24, 2019.
  • The original 2018 enactment included a 3‑year sunset (to March 28, 2022); that date was extended by 2022 PA 38 to March 28, 2025.
  • The IMLC is an interstate agreement designed to streamline licensing for physicians seeking to practice in multiple member states (including for telemedicine) while preserving state medical board authority.

Who is affected

  • Physicians: eligible physicians may continue to use the compact’s expedited licensing pathway to obtain licenses in Michigan or in other member states.
  • Patients and health systems: easier cross‑state licensure supports access to care (telemedicine, rural/underserved areas) and physician recruitment.
  • State licensing authorities and the Interstate Medical Licensure Compact Commission: continued participation and information-sharing.
  • Department of Licensing and Regulatory Affairs (LARA): would continue existing practices under the compact.

Fiscal impact

  • House Fiscal Agency: Neutral fiscal impact on LARA and no anticipated impact on other state/local units.

Positions and testimony

  • Support expressed by Michigan Health & Hospital Association, Trinity Health, AARP Michigan, Blue Cross Blue Shield, Henry Ford Health, Detroit Regional Chamber, Michigan Association of Health Plans, Munson Healthcare, and others.
  • Committee testimony noted LARA has experienced no problems sharing or receiving information with the compact commission. LARA reported just under 3,600 physicians can practice in Michigan under the compact.

Procedural notes

  • The bill reported from the House Health Policy Committee (revised 3-10-25). It is identical to prior House Bill 5964 (2023–24) and Senate Bill 60 (current session) as passed by the Senate.

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

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