---
type: "Bill"
title: "Human services: medical services; autism evaluation review process requirements for Medicaid benefit eligibility; modify. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109n."
description: "Human services: medical services; autism evaluation review process requirements for Medicaid benefit eligibility; modify. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109n."
jurisdiction: "us/states/mi"
legislature: "Michigan Legislature"
session: "2021-2022"
identifier: "HB 4059"
citation: "Michigan HB 4059 (2021-2022)"
classification: ["bill"]
subjects: ["Health: disabilities", "Human services: medical services"]
status: "enacted"
primary_sponsors: ["Pauline Wendzel"]
version_count: 5
action_count: 28
vote_count: 3
first_action: "2021-01-28T05:00:00+00:00"
last_action: "2021-11-30T05:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/c5e1f737-8779-4dce-9340-5e3d99356ca5"
source_url: "http://legislature.mi.gov/doc.aspx?2021-HB-4059"
source_hash: "12f20f0b0a09c8f0856fa0c94148d45025d23e57ab8792dbe99617a0e8704f75"
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 4059 (2021-2022) — Human services: medical services; autism evaluation review process requirements for Medicaid benefit eligibility; modify. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109n.

## 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/2021-2022/billengrossed/House/htm/2021-HEBH-4059.htm)
2. **As Passed by the Senate** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billengrossed/House/htm/2021-HEBS-4059.htm)
3. **House Concurred Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billconcurred/House/htm/2021-HCB-4059.htm)
4. **House Introduced Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billintroduced/House/htm/2021-HIB-4059.htm)
5. **Public Act** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/publicact/htm/2021-PA-0111.htm)

## Votes

- passed; given immediate effect Roll Call # 287 Yeas 108 Nays 2 Excused 0 Not Voting 0 — **108–2** (pass) · lower
- PASSED ROLL CALL # 404 YEAS 34 NAYS 0 EXCUSED 2 NOT VOTING 0 — **34–0** (pass) · upper
- Senate amendment(s) concurred in Roll Call # 516 Yeas 101 Nays 1 Excused 0 Not Voting 7 — **101–1** (pass) · lower

## Sponsors

- Pauline Wendzel — primary (person)
- Ben Frederick — cosponsor (person)
- Douglas Wozniak — cosponsor (person)
- Mike Mueller — cosponsor (person)
- Robert Bezotte — cosponsor (person)

## Timeline

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

- **2021-01-28T05:00:00+00:00** introduced by Representative Pauline Wendzel `introduction`
- **2021-01-28T05:00:00+00:00** read a first time `reading-1`
- **2021-01-28T05:00:00+00:00** referred to Committee on Health Policy `referral-committee`
- **2021-02-02T05:00:00+00:00** bill electronically reproduced 01/28/2021
- **2021-05-06T04:00:00+00:00** reported with recommendation without amendment `committee-passage`
- **2021-05-06T04:00:00+00:00** referred to second reading
- **2021-06-02T04:00:00+00:00** read a second time `reading-2`
- **2021-06-02T04:00:00+00:00** placed on third reading
- **2021-06-03T04:00:00+00:00** read a third time `reading-3`
- **2021-06-03T04:00:00+00:00** passed; given immediate effect Roll Call # 287 Yeas 108 Nays 2 Excused 0 Not Voting 0 `passage`
- **2021-06-03T04:00:00+00:00** transmitted
- **2021-06-08T04:00:00+00:00** REFERRED TO COMMITTEE ON HEALTH POLICY AND HUMAN SERVICES `referral-committee`
- **2021-10-12T04:00:00+00:00** REPORTED FAVORABLY WITHOUT AMENDMENT `committee-passage`
- **2021-10-12T04:00:00+00:00** REFERRED TO COMMITTEE OF THE WHOLE `referral-committee`
- **2021-10-21T04:00:00+00:00** REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITH AMENDMENT(S) `committee-passage`
- **2021-10-21T04:00:00+00:00** AMENDMENT(S) CONCURRED IN
- **2021-10-21T04:00:00+00:00** PLACED ON ORDER OF THIRD READING WITH AMENDMENT(S)
- **2021-10-26T04:00:00+00:00** PASSED ROLL CALL # 404 YEAS 34 NAYS 0 EXCUSED 2 NOT VOTING 0 `passage`
- **2021-10-26T04:00:00+00:00** INSERTED FULL TITLE
- **2021-10-26T04:00:00+00:00** returned from Senate with amendment(s) with full title
- **2021-10-26T04:00:00+00:00** laid over one day under the rules
- **2021-11-02T04:00:00+00:00** Senate amendment(s) concurred in Roll Call # 516 Yeas 101 Nays 1 Excused 0 Not Voting 7
- **2021-11-02T04:00:00+00:00** full title agreed to
- **2021-11-02T04:00:00+00:00** bill ordered enrolled
- **2021-11-09T05:00:00+00:00** presented to the Governor 11/05/2021 01:33 PM `executive-receipt`
- **2021-11-30T05:00:00+00:00** approved by the Governor 11/10/2021 03:44 PM `executive-signature`
- **2021-11-30T05:00:00+00:00** filed with Secretary of State 11/10/2021 04:06 PM
- **2021-11-30T05:00:00+00:00** assigned PA 111'21

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c5e1f737-8779-4dce-9340-5e3d99356ca5`. Confidence: reported (aggregated from official Michigan legislature records).