---
type: "Bill"
title: "Health facilities: nursing homes; requirements related to the federal certification of nursing homes; modify and provide for other general amendments. Amends secs. 20102, 20104, 20155, 20161, 20164, 20171, 21734, 21763, 21764, 21771, 21794 & 21799b of 1978 PA 368 (MCL 333.20102 et seq.); adds pt. 221 & repeals secs. 20121, 20122, 20123, 20124, 20126, 20127, 20155a & 20211 of 1978 PA 368 (MCL 333.20121 et. seq.)."
description: "Health facilities: nursing homes; requirements related to the federal certification of nursing homes; modify and provide for other general amendments. Amends secs. 20102, 20104, 20155, 20161, 20164, 20171, 21734, 21763, 21764, 21771, 21794 & 21799b of 1978 PA 368 (MCL 333.20102 et seq.); adds pt. 221 & repeals secs. 20121, 20122, 20123, 20124, 20126, 20127, 20155a & 20211 of 1978 PA 368 (MCL 333.20121 et. seq.)."
jurisdiction: "us/states/mi"
legislature: "Michigan Legislature"
session: "2021-2022"
identifier: "HB 5609"
citation: "Michigan HB 5609 (2021-2022)"
classification: ["bill"]
subjects: ["Health facilities: nursing homes", "Health facilities: patient safety", "State agencies (existing): health and human services", "State agencies (existing): licensing and regulatory affairs"]
status: "enacted"
primary_sponsors: ["Bronna Kahle"]
version_count: 5
action_count: 36
vote_count: 3
first_action: "2021-12-07T05:00:00+00:00"
last_action: "2022-08-17T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/b5afb6b8-3f6b-48d1-b62c-223421177f57"
source_url: "http://legislature.mi.gov/doc.aspx?2021-HB-5609"
source_hash: "a43465a50a47d386ad4a6197bd17abc37d27f913462742713296ae071161cfdd"
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 5609 (2021-2022) — Health facilities: nursing homes; requirements related to the federal certification of nursing homes; modify and provide for other general amendments. Amends secs. 20102, 20104, 20155, 20161, 20164, 20171, 21734, 21763, 21764, 21771, 21794 & 21799b of 1978 PA 368 (MCL 333.20102 et seq.); adds pt. 221 & repeals secs. 20121, 20122, 20123, 20124, 20126, 20127, 20155a & 20211 of 1978 PA 368 (MCL 333.20121 et. seq.).

## 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-5609.htm)
2. **As Passed by the Senate** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billengrossed/House/htm/2021-HEBS-5609.htm)
3. **House Concurred Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billconcurred/House/htm/2021-HCB-5609.htm)
4. **House Introduced Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billintroduced/House/htm/2021-HIB-5609.htm)
5. **Public Act** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/publicact/htm/2022-PA-0187.htm)

## Votes

- roll call Roll Call # 346 Yeas 103 Nays 4 Excused 0 Not Voting 3 — **103–4** (pass) · lower
- PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 381 YEAS 38 NAYS 0 EXCUSED 0 NOT VOTING 0 — **38–0** (pass) · upper
- passed; given immediate effect Roll Call # 250 Yeas 101 Nays 4 Excused 0 Not Voting 5 — **101–4** (pass) · lower

## Sponsors

- Bronna Kahle — primary (person)
- Jack O'Malley — cosponsor (person)
- Jeff Yaroch — cosponsor (person)
- Joseph Bellino — cosponsor (person)
- Karen Whitsett — cosponsor (person)
- Robert Bezotte — cosponsor (person)

## Timeline

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

- **2021-12-07T05:00:00+00:00** introduced by Representative Bronna Kahle `introduction`
- **2021-12-07T05:00:00+00:00** read a first time `reading-1`
- **2021-12-07T05:00:00+00:00** referred to Committee on Health Policy `referral-committee`
- **2022-04-28T04:00:00+00:00** reported with recommendation with substitute (H-1) `committee-passage`
- **2021-12-08T05:00:00+00:00** bill electronically reproduced 12/07/2021
- **2022-04-28T04:00:00+00:00** referred to second reading
- **2022-05-18T04:00:00+00:00** read a second time `reading-2`
- **2022-05-18T04:00:00+00:00** substitute (H-1) adopted
- **2022-05-18T04:00:00+00:00** substitute (H-2) adopted and amended
- **2022-05-18T04:00:00+00:00** placed on third reading
- **2022-05-19T04:00:00+00:00** read a third time `reading-3`
- **2022-05-19T04:00:00+00:00** passed; given immediate effect Roll Call # 250 Yeas 101 Nays 4 Excused 0 Not Voting 5 `passage`
- **2022-05-19T04:00:00+00:00** title amended
- **2022-05-19T04:00:00+00:00** transmitted
- **2022-05-24T04:00:00+00:00** REFERRED TO COMMITTEE ON HEALTH POLICY AND HUMAN SERVICES `referral-committee`
- **2022-06-23T04:00:00+00:00** REPORTED FAVORABLY WITH SUBSTITUTE (S-1) `committee-passage`
- **2022-06-23T04:00:00+00:00** COMMITTEE RECOMMENDED IMMEDIATE EFFECT
- **2022-06-23T04:00:00+00:00** REFERRED TO COMMITTEE OF THE WHOLE WITH SUBSTITUTE (S-1) `referral-committee`
- **2022-06-30T04:00:00+00:00** REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITH SUBSTITUTE (S-2) `committee-passage`
- **2022-06-30T04:00:00+00:00** SUBSTITUTE (S-2) CONCURRED IN
- **2022-06-30T04:00:00+00:00** PLACED ON ORDER OF THIRD READING WITH SUBSTITUTE (S-2)
- **2022-06-30T04:00:00+00:00** RULES SUSPENDED
- **2022-06-30T04:00:00+00:00** PLACED ON IMMEDIATE PASSAGE
- **2022-06-30T04:00:00+00:00** PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 381 YEAS 38 NAYS 0 EXCUSED 0 NOT VOTING 0 `passage`
- **2022-06-30T04:00:00+00:00** TITLE AMENDED
- **2022-06-30T04:00:00+00:00** returned from Senate with substitute (S-2) with immediate effect and title amendment
- **2022-06-30T04:00:00+00:00** laid over one day under the rules
- **2022-06-30T04:00:00+00:00** rule suspended
- **2022-06-30T04:00:00+00:00** Senate substitute (S-2) concurred in
- **2022-06-30T04:00:00+00:00** roll call Roll Call # 346 Yeas 103 Nays 4 Excused 0 Not Voting 3
- **2022-06-30T04:00:00+00:00** full title agreed to
- **2022-06-30T04:00:00+00:00** bill ordered enrolled
- **2022-07-20T04:00:00+00:00** presented to the Governor 07/11/2022 01:08 PM `executive-receipt`
- **2022-08-17T04:00:00+00:00** approved by the Governor 07/25/2022 09:34 AM `executive-signature`
- **2022-08-17T04:00:00+00:00** filed with Secretary of State 07/25/2022 10:48 AM
- **2022-08-17T04:00:00+00:00** assigned PA 187'22 with immediate effect

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b5afb6b8-3f6b-48d1-b62c-223421177f57`. Confidence: reported (aggregated from official Michigan legislature records).