---
type: "Bill"
title: "Health occupations: health professionals; licensing sanctions for health professionals who are nonparticipating providers and fail to provide certain disclosures or accept certain payment; establish. Amends sec. 16221 of 1978 PA 368 (MCL 333.16221). TIE BAR WITH: HB 4460'19, HB 4459'19, HB 4991'19"
description: "Health occupations: health professionals; licensing sanctions for health professionals who are nonparticipating providers and fail to provide certain disclosures or accept certain payment; establish. Amends sec. 16221 of 1978 PA 368 (MCL 333.16221). TIE BAR WITH: HB 4460'19, HB 4459'19, HB 4991'19"
jurisdiction: "us/states/mi"
legislature: "Michigan Legislature"
session: "2019-2020"
identifier: "HB 4990"
citation: "Michigan HB 4990 (2019-2020)"
classification: ["bill"]
subjects: ["Health occupations: health professionals", "State agencies (existing): licensing and regulatory affairs"]
status: "enacted"
primary_sponsors: []
version_count: 5
action_count: 38
vote_count: 3
first_action: "2019-09-18T04:00:00+00:00"
last_action: "2020-10-28T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/318d3c49-e163-4827-8203-05d5bcc7711c"
source_url: "http://legislature.mi.gov/doc.aspx?2019-HB-4990"
source_hash: "276af7ff00a5c75603ac6e01f1d466104217ed37fec8dc7e7eb254dc02f7efbb"
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 4990 (2019-2020) — Health occupations: health professionals; licensing sanctions for health professionals who are nonparticipating providers and fail to provide certain disclosures or accept certain payment; establish. Amends sec. 16221 of 1978 PA 368 (MCL 333.16221). TIE BAR WITH: HB 4460'19, HB 4459'19, HB 4991'19

## 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-4990.htm)
2. **As Passed by the Senate** (committee substitute) — [source](http://legislature.mi.gov/documents/2019-2020/billengrossed/House/htm/2019-HEBS-4990.htm)
3. **House Concurred Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2019-2020/billconcurred/House/htm/2019-HCB-4990.htm)
4. **House Introduced Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2019-2020/billintroduced/House/htm/2019-HIB-4990.htm)
5. **Public Act** (committee substitute) — [source](http://legislature.mi.gov/documents/2019-2020/publicact/htm/2020-PA-0232.htm)

## Votes

- PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 363 YEAS 37 NAYS 1 EXCUSED 0 NOT VOTING 0 — **37–1** (pass) · upper
- roll call Roll Call # 467 Yeas 101 Nays 2 Excused 0 Not Voting 6 — **101–2** (pass) · lower
- passed; given immediate effect Roll Call # 303 Yeas 104 Nays 2 Excused 0 Not Voting 3 — **104–2** (pass) · lower

## Sponsors

- Frank Liberati — cosponsor (person)
- Roger Hauck — cosponsor (person)

## Timeline

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

- **2019-09-18T04:00:00+00:00** introduced by Representative Roger Hauck `introduction`
- **2019-09-18T04:00:00+00:00** read a first time `reading-1`
- **2019-09-18T04:00:00+00:00** referred to Committee on Health Policy `referral-committee`
- **2019-09-19T04:00:00+00:00** bill electronically reproduced 09/19/2019
- **2019-11-07T05:00:00+00:00** referred to Committee on Ways and Means `referral-committee`
- **2020-06-24T04:00:00+00:00** reported with recommendation with substitute (H-1) `committee-passage`
- **2020-06-24T04:00:00+00:00** referred to second reading
- **2020-06-24T04:00:00+00:00** read a second time `reading-2`
- **2020-06-24T04:00:00+00:00** substitute (H-1) adopted
- **2020-06-24T04:00:00+00:00** placed on third reading
- **2020-06-24T04:00:00+00:00** placed on immediate passage
- **2020-06-24T04:00:00+00:00** read a third time `reading-3`
- **2020-06-24T04:00:00+00:00** passed; given immediate effect Roll Call # 303 Yeas 104 Nays 2 Excused 0 Not Voting 3 `passage`
- **2020-06-24T04:00:00+00:00** transmitted
- **2020-06-25T04:00:00+00:00** REFERRED TO COMMITTEE ON HEALTH POLICY AND HUMAN SERVICES `referral-committee`
- **2020-07-23T04:00:00+00:00** DISCHARGE COMMITTEE APPROVED
- **2020-07-23T04:00:00+00:00** PLACED ON ORDER OF GENERAL ORDERS
- **2020-07-23T04:00:00+00:00** REASSIGNED TO COMMITTEE ON INSURANCE AND BANKING
- **2020-09-09T04:00:00+00:00** REPORTED FAVORABLY WITH SUBSTITUTE (S-1) `committee-passage`
- **2020-09-09T04:00:00+00:00** COMMITTEE RECOMMENDED IMMEDIATE EFFECT
- **2020-09-09T04:00:00+00:00** REFERRED TO COMMITTEE OF THE WHOLE WITH SUBSTITUTE (S-1) `referral-committee`
- **2020-09-30T04:00:00+00:00** REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITH SUBSTITUTE (S-1) `committee-passage`
- **2020-09-30T04:00:00+00:00** SUBSTITUTE (S-1) CONCURRED IN
- **2020-09-30T04:00:00+00:00** PLACED ON ORDER OF THIRD READING WITH SUBSTITUTE (S-1)
- **2020-09-30T04:00:00+00:00** RULES SUSPENDED
- **2020-09-30T04:00:00+00:00** PLACED ON IMMEDIATE PASSAGE
- **2020-09-30T04:00:00+00:00** PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 363 YEAS 37 NAYS 1 EXCUSED 0 NOT VOTING 0 `passage`
- **2020-09-30T04:00:00+00:00** TITLE AMENDED
- **2020-09-30T04:00:00+00:00** returned from Senate with substitute (S-1) with immediate effect and title amendment
- **2020-09-30T04:00:00+00:00** laid over one day under the rules
- **2020-10-13T04:00:00+00:00** Senate substitute (S-1) concurred in
- **2020-10-13T04:00:00+00:00** roll call Roll Call # 467 Yeas 101 Nays 2 Excused 0 Not Voting 6
- **2020-10-13T04:00:00+00:00** title amendment agreed to
- **2020-10-13T04:00:00+00:00** bill ordered enrolled
- **2020-10-14T04:00:00+00:00** presented to the Governor 10/16/2020 01:44 PM `executive-receipt`
- **2020-10-28T04:00:00+00:00** approved by the Governor 10/22/2020 11:26 AM `executive-signature`
- **2020-10-28T04:00:00+00:00** filed with Secretary of State 10/22/2020 12:12 PM
- **2020-10-28T04:00:00+00:00** assigned PA 232'20 with immediate effect

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/318d3c49-e163-4827-8203-05d5bcc7711c`. Confidence: reported (aggregated from official Michigan legislature records).