---
type: "Bill"
title: "Insurance: health insurers; providing insured a nonopioid directive form; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406y."
description: "Insurance: health insurers; providing insured a nonopioid directive form; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406y."
jurisdiction: "us/states/mi"
legislature: "Michigan Legislature"
session: "2021-2022"
identifier: "HB 5262"
citation: "Michigan HB 5262 (2021-2022)"
classification: ["bill"]
subjects: ["Health facilities: patient directives", "Insurance: health insurers"]
status: "enacted"
primary_sponsors: ["Abdullah Hammoud"]
version_count: 5
action_count: 33
vote_count: 2
first_action: "2021-08-17T04:00:00+00:00"
last_action: "2022-03-23T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/be1e120c-912c-4e13-a929-98dbb10e78c2"
source_url: "http://legislature.mi.gov/doc.aspx?2021-HB-5262"
source_hash: "50eccc90d7c0fe4a131e91f0ab6673dc484cc3c3b3e2ba98f0fbef2f4cf90a47"
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 5262 (2021-2022) — Insurance: health insurers; providing insured a nonopioid directive form; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406y.

## 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-5262.htm)
2. **As Passed by the Senate** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billengrossed/House/htm/2021-HEBS-5262.htm)
3. **House Concurred Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billconcurred/House/htm/2021-HCB-5262.htm)
4. **House Introduced Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billintroduced/House/htm/2021-HIB-5262.htm)
5. **Public Act** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/publicact/htm/2022-PA-0042.htm)

## Votes

- passed; given immediate effect Roll Call # 562 Yeas 91 Nays 9 Excused 0 Not Voting 7 — **91–9** (pass) · lower
- PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 73 YEAS 38 NAYS 0 EXCUSED 0 NOT VOTING 0 — **38–0** (pass) · upper

## Sponsors

- Abdullah Hammoud — primary (person)
- Abraham Aiyash — cosponsor (person)
- Jeff Yaroch — cosponsor (person)
- Mary Cavanagh — cosponsor (person)
- Mary Whiteford — cosponsor (person)
- Pamela Hornberger — cosponsor (person)

## Timeline

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

- **2021-08-17T04:00:00+00:00** introduced by Representative Abdullah Hammoud `introduction`
- **2021-08-17T04:00:00+00:00** read a first time `reading-1`
- **2021-08-17T04:00:00+00:00** referred to Committee on Health Policy `referral-committee`
- **2021-08-18T04:00:00+00:00** bill electronically reproduced 08/17/2021
- **2021-11-04T04:00:00+00:00** reported with recommendation with substitute (H-2) `committee-passage`
- **2021-11-04T04:00:00+00:00** referred to second reading
- **2021-11-10T05:00:00+00:00** read a second time `reading-2`
- **2021-11-10T05:00:00+00:00** substitute (H-2) adopted
- **2021-11-10T05:00:00+00:00** substitute (H-3) adopted
- **2021-11-10T05:00:00+00:00** placed on third reading
- **2021-12-01T05:00:00+00:00** read a third time `reading-3`
- **2021-12-01T05:00:00+00:00** passed; given immediate effect Roll Call # 562 Yeas 91 Nays 9 Excused 0 Not Voting 7 `passage`
- **2021-12-01T05:00:00+00:00** title amended
- **2021-12-01T05:00:00+00:00** transmitted
- **2021-12-02T05:00:00+00:00** REFERRED TO COMMITTEE ON HEALTH POLICY AND HUMAN SERVICES `referral-committee`
- **2022-03-08T05:00:00+00:00** REPORTED FAVORABLY WITH SUBSTITUTE (S-1) `committee-passage`
- **2022-03-08T05:00:00+00:00** COMMITTEE RECOMMENDED IMMEDIATE EFFECT
- **2022-03-08T05:00:00+00:00** REFERRED TO COMMITTEE OF THE WHOLE WITH SUBSTITUTE (S-1) `referral-committee`
- **2022-03-09T05:00:00+00:00** REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITH SUBSTITUTE (S-1) `committee-passage`
- **2022-03-09T05:00:00+00:00** SUBSTITUTE (S-1) CONCURRED IN
- **2022-03-09T05:00:00+00:00** PLACED ON ORDER OF THIRD READING WITH SUBSTITUTE (S-1)
- **2022-03-10T05:00:00+00:00** PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 73 YEAS 38 NAYS 0 EXCUSED 0 NOT VOTING 0 `passage`
- **2022-03-10T05:00:00+00:00** INSERTED FULL TITLE
- **2022-03-10T05:00:00+00:00** returned from Senate with substitute (S-1) with immediate effect and full title
- **2022-03-10T05:00:00+00:00** laid over one day under the rules
- **2022-03-15T04:00:00+00:00** Senate substitute (S-1) concurred in
- **2022-03-15T04:00:00+00:00** roll call Roll Call # 117 Yeas 93 Nays 10 Excused 0 Not Voting 3
- **2022-03-15T04:00:00+00:00** full title agreed to
- **2022-03-15T04:00:00+00:00** bill ordered enrolled
- **2022-03-16T04:00:00+00:00** presented to the Governor 03/16/2022 03:42 PM `executive-receipt`
- **2022-03-23T04:00:00+00:00** approved by the Governor 03/23/2022 09:49 AM `executive-signature`
- **2022-03-23T04:00:00+00:00** filed with Secretary of State 03/23/2022 10:52 AM
- **2022-03-23T04:00:00+00:00** assigned PA 42'22 with immediate effect

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/be1e120c-912c-4e13-a929-98dbb10e78c2`. Confidence: reported (aggregated from official Michigan legislature records).