---
type: "Bill"
title: "Health: screening; dental screening of children; require. Amends heading of pt. 93 & secs. 9307 & 9321 of 1978 PA 368 (MCL 333.9307 & 333.9321) & adds secs. 9312 & 9316."
description: "Health: screening; dental screening of children; require. Amends heading of pt. 93 & secs. 9307 & 9321 of 1978 PA 368 (MCL 333.9307 & 333.9321) & adds secs. 9312 & 9316."
jurisdiction: "us/states/mi"
legislature: "Michigan Legislature"
session: "2019-2020"
identifier: "HB 4223"
citation: "Michigan HB 4223 (2019-2020)"
classification: ["bill"]
subjects: ["Health: screening", "Health: children", "Education: attendance", "Health occupations: dentists", "Health occupations: dental hygienists", "State agencies (existing): health and human services"]
status: "enacted"
primary_sponsors: []
version_count: 5
action_count: 36
vote_count: 3
first_action: "2019-02-21T05:00:00+00:00"
last_action: "2020-12-31T05:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/404afb8f-1684-4db7-b10f-144bbd000fc6"
source_url: "http://legislature.mi.gov/doc.aspx?2019-HB-4223"
source_hash: "a5139dcc6048552772db20f6f996c78ff8b8aad81f9c4c2ff52d5915258822db"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-mi"]
---

# Michigan HB 4223 (2019-2020) — Health: screening; dental screening of children; require. Amends heading of pt. 93 & secs. 9307 & 9321 of 1978 PA 368 (MCL 333.9307 & 333.9321) & adds secs. 9312 & 9316.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **As Passed by the House** (committee substitute) — [source](http://legislature.mi.gov/documents/2019-2020/billengrossed/House/htm/2019-HEBH-4223.htm)
2. **As Passed by the Senate** (committee substitute) — [source](http://legislature.mi.gov/documents/2019-2020/billengrossed/House/htm/2019-HEBS-4223.htm)
3. **House Concurred Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2019-2020/billconcurred/House/htm/2019-HCB-4223.htm)
4. **House Enrolled Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2019-2020/billenrolled/House/htm/2019-HNB-4223.htm)
5. **House Introduced Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2019-2020/billintroduced/House/htm/2019-HIB-4223.htm)

## Votes

- passed; given immediate effect Roll Call # 166 Yeas 93 Nays 16 Excused 0 Not Voting 1 — **93–16** (pass) · lower
- roll call Roll Call # 645 Yeas 92 Nays 10 Excused 0 Not Voting 8 — **92–10** (pass) · lower
- PASSED ROLL CALL # 592 YEAS 35 NAYS 2 EXCUSED 1 NOT VOTING 0 — **35–2** (pass) · upper

## Sponsors

- Ben Frederick — cosponsor (person)
- Brian Elder — cosponsor (person)
- Bronna Kahle — cosponsor (person)
- Cynthia Johnson — cosponsor (person)
- Douglas Wozniak — cosponsor (person)
- Jim Ellison — cosponsor (person)
- John Cherry — cosponsor (person)
- John Chirkun — cosponsor (person)
- Leslie Love — cosponsor (person)
- Sara Cambensy — cosponsor (person)
- Scott VanSingel — cosponsor (person)
- Steve Marino — cosponsor (person)
- Terry Sabo — cosponsor (person)
- Tommy Brann — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-02-21T05:00:00+00:00** introduced by Representative Scott VanSingel `introduction`
- **2019-02-21T05:00:00+00:00** read a first time `reading-1`
- **2019-02-21T05:00:00+00:00** referred to Committee on Families, Children, and Seniors `referral-committee`
- **2019-02-21T05:00:00+00:00** bill electronically reproduced 02/21/2019
- **2019-05-22T04:00:00+00:00** referred to Committee on Ways and Means, with substitute (H-1) `referral-committee`
- **2019-06-12T04:00:00+00:00** reported with recommendation with substitute (H-1) `committee-passage`
- **2019-06-12T04:00:00+00:00** referred to second reading
- **2019-06-19T04:00:00+00:00** read a second time `reading-2`
- **2019-06-19T04:00:00+00:00** substitute (H-1) adopted
- **2019-06-19T04:00:00+00:00** placed on third reading
- **2019-06-20T04:00:00+00:00** read a third time `reading-3`
- **2019-06-20T04:00:00+00:00** passed; given immediate effect Roll Call # 166 Yeas 93 Nays 16 Excused 0 Not Voting 1 `passage`
- **2019-06-20T04:00:00+00:00** transmitted
- **2019-08-20T04:00:00+00:00** REFERRED TO COMMITTEE ON HEALTH POLICY AND HUMAN SERVICES `referral-committee`
- **2019-10-22T04:00:00+00:00** REPORTED FAVORABLY WITHOUT AMENDMENT `committee-passage`
- **2019-10-22T04:00:00+00:00** COMMITTEE RECOMMENDED IMMEDIATE EFFECT
- **2019-10-22T04:00:00+00:00** REFERRED TO COMMITTEE OF THE WHOLE `referral-committee`
- **2020-12-18T05:00:00+00:00** REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITH SUBSTITUTE (S-3) AND AMENDMENT(S) `committee-passage`
- **2020-12-18T05:00:00+00:00** SUBSTITUTE (S-3) AS AMENDED CONCURRED IN
- **2020-12-18T05:00:00+00:00** PLACED ON ORDER OF THIRD READING WITH SUBSTITUTE (S-3) AS AMENDED
- **2020-12-18T05:00:00+00:00** RULES SUSPENDED
- **2020-12-18T05:00:00+00:00** PLACED ON IMMEDIATE PASSAGE
- **2020-12-18T05:00:00+00:00** PASSED ROLL CALL # 592 YEAS 35 NAYS 2 EXCUSED 1 NOT VOTING 0 `passage`
- **2020-12-18T05:00:00+00:00** IMMEDIATE EFFECT DEFEATED
- **2020-12-18T05:00:00+00:00** INSERTED FULL TITLE
- **2020-12-21T05:00:00+00:00** returned from Senate with substitute (S-3) with full title
- **2020-12-21T05:00:00+00:00** laid over one day under the rules
- **2020-12-21T05:00:00+00:00** rule suspended
- **2020-12-21T05:00:00+00:00** Senate substitute (S-3) concurred in
- **2020-12-21T05:00:00+00:00** roll call Roll Call # 645 Yeas 92 Nays 10 Excused 0 Not Voting 8
- **2020-12-21T05:00:00+00:00** full title agreed to
- **2020-12-21T05:00:00+00:00** bill ordered enrolled
- **2020-12-23T05:00:00+00:00** presented to the Governor 12/22/2020 05:39 PM `executive-receipt`
- **2020-12-31T05:00:00+00:00** approved by the Governor 12/29/2020 09:04 AM `executive-signature`
- **2020-12-31T05:00:00+00:00** filed with Secretary of State 12/29/2020 12:54 PM
- **2020-12-31T05:00:00+00:00** assigned PA 261'20

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/404afb8f-1684-4db7-b10f-144bbd000fc6`. Confidence: reported (aggregated from official Michigan legislature records).