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HB 4219

Mental health: recipient rights; informed consent requirements for mental health treatment; provide for. Amends sec. 416 of 1974 PA 258 (MCL 330.1416).

2025-2026 Regular Session Introduced by Jamie Thompson

Adults admitted voluntarily must receive written and oral rights, including how to end treatment, plus the termination form if consent is given by guardian or advocate.

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Bill Summary · HB 4219

Summary — HB 4219 (Mental Health Code amendments: written notice of rights for adult voluntary patients)

Sponsor: Rep. Jamie Thompson | Amends: MCL 330.1416 (section 416 of the Mental Health Code)
Status / Key dates: Introduced March 2025; passed both chambers May 2025; signed by the Governor June 20, 2025; effective September 1, 2025. (Companion: SB 919)

Purpose
- Require that adults (age 18+) who become voluntary mental health patients — including those whose written consent is executed by a guardian or authorized patient advocate — receive written as well as oral notice of their treatment rights, and that they be given the form and instructions needed to terminate voluntary treatment.

Key provisions
- At the commencement of mental health treatment, a patient’s rights (as described in section 415) must be communicated both orally and in writing to the patient and to the person who executed the written consent.
- The written notice must explicitly state that a patient’s rights include the right to end voluntary mental health treatment and must describe the process by which the patient can do so.
- In addition to providing a copy of the written consent, the hospital or mental health provider must give the patient, the person who executed consent, and one other individual designated by the patient a copy of the form described in section 419 — the form providers must promptly provide when a patient (or authorized guardian/patient advocate) gives written notice of intent to terminate treatment. This copy must be provided even if no intent to terminate has been communicated.
- The amendment clarifies these requirements apply to adults only (age 18+), including cases where consent was provided by an authorized third party.

Who is affected
- Adult voluntary mental health patients and their authorized decision-makers (guardians, patient advocates).
- Hospitals and providers of mental health treatment (administrative responsibility to provide written notices and specified forms).
- Individuals the patient designates to receive copies of consent/forms.

Fiscal and policy notes
- House Fiscal Agency estimated a negligible fiscal impact on state and local government.
- Testimony in committee emphasized that written information is easier to retain during a crisis than oral-only explanations; advocacy and provider groups supported the bill.

Practical effect
- Strengthens informed-consent and recipient-rights procedures by ensuring adults admitted voluntarily receive clear, written information about how to end treatment and the procedural form needed to initiate termination.

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

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