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Enacted

Michigan enacts the Occupational Therapy Licensure Compact to allow multi-state practice

Original title: Health occupations: occupational therapists; occupational therapy licensure compact; enact.

Last action · July 29, 2026: assigned PA 43'26 with immediate effectSponsors: Julie Rogers and 42 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Does

Michigan enacts the Occupational Therapy Licensure Compact, allowing occupational therapists and occupational therapy assistants to practice across member state borders through a multi-state , effective 18 months after enactment and contingent upon the passage of House Bill No. 4104.

Why it matters

Establishes a legal framework for out-of-state occupational therapists to treat local patients and for resident practitioners to work in other member states without obtaining separate full licenses, subject to background checks and fees.

Background
  • Interstate occupational therapy compacts are multi-state agreements designed to streamline licensing and improve telehealth and in-person mobility for healthcare professionals. context
  • House Bill 4104 is a companion measure referenced as a contingency for the implementation of this legislation. context

Who It Affects

Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.

Directly affected

occupational therapists

Practitioners gain the ability to obtain a compact privilege to practice in remote member states under a unified framework.

Directly affected

occupational therapy assistants

Assistants gain multi-state practice privileges while remaining subject to local remote-state supervision rules.

Directly affected

spouses of relocating military members

Military spouses holding occupational therapy licenses receive support for maintaining practice eligibility when relocating.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What is the Occupational Therapy Licensure Compact?
It is an interstate agreement that allows occupational therapists and occupational therapy assistants to practice in other member states without needing a separate full license in each state.
What are the requirements to obtain a compact privilege in another state?
A licensee must hold a license with no encumbrances, have a valid U.S. Social Security Number or NPI, complete a criminal background check, pay applicable fees, meet any jurisprudence requirements of the , and report any s.
When does this legislation take effect?
The act takes effect 18 months after the date it is enacted into law, provided that House Bill No. 4104 is also enacted.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Current status: Signed into law.

Procedural history

35 actions
  1. Jul 29, 2026House
    assigned PA 43'26 with immediate effect
  2. Jul 29, 2026House
    filed with Secretary of State 07/22/2026 10:50 AM
  3. Jul 29, 2026HouseEnrolled
    approved by the Governor 07/21/2026 02:02 PM
  4. Jul 14, 2026HouseEnrolled
    presented to the Governor 07/14/2026 11:42 AM
  5. Jul 3, 2026House
    bill ordered enrolled
  6. Jul 3, 2026House
    full title agreed to
Show 29 earlier actions
  1. Jul 3, 2026House
    roll call Roll Call #339 Yeas 104 Nays 2 Excused 0 Not Voting 4
  2. Jul 3, 2026House
    Senate substitute (S-1) concurred in
  3. Jul 3, 2026House
    rule suspended
  4. Jul 3, 2026House
    laid over one day under the rules
  5. Jul 3, 2026House
    returned from Senate with substitute (S-1) with immediate effect and full title
  6. Jul 3, 2026Senate
    INSERTED FULL TITLE
  7. Jul 3, 2026SenateFloor
    PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 211 YEAS 35 NAYS 1 EXCUSED 2 NOT VOTING 0
  8. Sep 11, 2025Senate
    PLACED ON ORDER OF THIRD READING WITH SUBSTITUTE (S-1)
  9. Sep 11, 2025Senate
    SUBSTITUTE (S-1) CONCURRED IN
  10. Sep 11, 2025Senate
    REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITH SUBSTITUTE (S-1)
  11. Sep 11, 2025Senate
    RULES SUSPENDED FOR IMMEDIATE CONSIDERATION
  12. Sep 11, 2025SenateCommittee
    REFERRED TO COMMITTEE OF THE WHOLE WITH SUBSTITUTE (S-1)
  13. Sep 11, 2025SenateCommittee
    REPORTED FAVORABLY WITH SUBSTITUTE (S-1) 9/10/2025
  14. May 15, 2025SenateCommittee
    REFERRED TO COMMITTEE ON HEALTH POLICY
  15. May 15, 2025SenateFloor
    PASSED BY HOUSE WITH IMMEDIATE EFFECT
  16. May 13, 2025House
    transmitted
  17. May 13, 2025HouseFloor
    passed; given immediate effect Roll Call #100 Yeas 104 Nays 2 Excused 0 Not Voting 4
  18. May 13, 2025HouseFloor
    read a third time
  19. May 13, 2025House
    placed on immediate passage
  20. May 13, 2025House
    placed on third reading
  21. May 13, 2025HouseFloor
    read a second time
  22. May 8, 2025House
    referred to second reading
  23. May 8, 2025HouseCommittee
    reported with recommendation without amendment
  24. Apr 16, 2025House
    recommendation concurred in
  25. Apr 16, 2025HouseCommittee
    reported with recommendation for referral to Committee on Rules
  26. Feb 25, 2025House
    bill electronically reproduced 02/20/2025
  27. Feb 20, 2025HouseCommittee
    referred to Committee on Health Policy
  28. Feb 20, 2025HouseIntroduced
    read a first time
  29. Feb 20, 2025HouseIntroduced
    introduced by Representative Rep. Julie Rogers

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Show 38 more sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift98% confidence

Transition to Multi-State Licensure

The bill shifts occupational therapy regulation from a strict single-state licensing model to an interstate compact recognizing multi-state privileges.

Connected Entities

Julie Rogers, Joseph Aragona, Pat Outman and 10 more
PersonJulie Rogers“Primary sponsor of House Bill No. 4103”Map →
PersonJoseph Aragona“Cosponsor of the bill”Map →
PersonPat Outman“Cosponsor of the bill”Map →
PersonTom Kunse“Cosponsor of the bill”Map →
PersonJamie Thompson“Cosponsor of the bill”Map →
PersonMatthew Bierlein“Cosponsor of the bill”Map →
PersonAnn Bollin“Cosponsor of the bill”Map →
PersonSteve Frisbie“Cosponsor of the bill”Map →
OrganizationFederal Bureau of Investigation“Conducts criminal record checks for applicants seeking a compact privilege”Map →
PersonDouglas Wozniak“Cosponsor of the bill”Map →
PersonCarrie Rheingans“Cosponsor of the bill”Map →
PersonJohn Roth“Cosponsor of the bill”Map →
OrganizationOccupational Therapy Compact Commission“National administrative body established by the compact consisting of all member”Map →

Sources

Open source document

legislature.mi.gov

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy10
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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