---
type: "Bill"
title: "Health: other; certain fees and assessments; modify, and make general revisions to the public health code. Amends secs. 5801, 6237, 13522 & 20161 of 1978 PA 368 (MCL 333.5801 et seq.)."
description: "Health: other; certain fees and assessments; modify, and make general revisions to the public health code. Amends secs. 5801, 6237, 13522 & 20161 of 1978 PA 368 (MCL 333.5801 et seq.)."
jurisdiction: "us/states/mi"
legislature: "Michigan Legislature"
session: "2023-2024"
identifier: "HB 5004"
citation: "Michigan HB 5004 (2023-2024)"
classification: ["bill"]
subjects: ["Health: other", "State agencies (existing): health and human services", "State agencies (existing): labor and economic opportunity", "State agencies (existing): licensing and regulatory affairs"]
status: "enacted"
primary_sponsors: ["Christine Morse"]
version_count: 8
action_count: 31
vote_count: 3
first_action: "2023-09-14"
last_action: "2023-10-03"
source: "openstates"
source_identifier: "ocd-bill/d7330423-1496-4d8e-9892-b14eda9f2b1f"
source_url: "https://legislature.mi.gov/Bills/Bill?ObjectName=2023-HB-5004"
source_hash: "b140ff2bb0fb606b6336c6c56e72ae77dbb6560124be736a0b0f28df64700c42"
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 5004 (2023-2024) — Health: other; certain fees and assessments; modify, and make general revisions to the public health code. Amends secs. 5801, 6237, 13522 & 20161 of 1978 PA 368 (MCL 333.5801 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](https://legislature.mi.gov/documents/2023-2024/billengrossed/House/pdf/2023-HEBH-5004.pdf)
2. **As Passed by the Senate** (committee substitute) — [source](https://legislature.mi.gov/documents/2023-2024/billengrossed/House/pdf/2023-HEBS-5004.pdf)
3. **House Concurred Bill** (committee substitute) — [source](https://legislature.mi.gov/documents/2023-2024/billconcurred/House/pdf/2023-HCB-5004.pdf)
4. **House Introduced Bill** (committee substitute) — [source](https://legislature.mi.gov/documents/2023-2024/billintroduced/House/pdf/2023-HIB-5004.pdf)
5. **Public Act** (committee substitute) — [source](https://legislature.mi.gov/documents/2023-2024/publicact/pdf/2023-PA-0138.pdf)
6. **Substitute (H-3)** (committee substitute) — [source](https://legislature.mi.gov/Home/GetObject?objectName=2023-HCVBS-5004-0N295.pdf)
7. **Substitute (H-3) - 2** (committee substitute) — [source](https://legislature.mi.gov/Home/GetObject?objectName=2023-HCVBS-5004-0O338.pdf)
8. **Substitute (S-4)** (committee substitute) — [source](https://legislature.mi.gov/Home/GetObject?objectName=2023-HCVBS-5004-0Q2327.pdf)

## Votes

- PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 483 YEAS 20 NAYS 18 EXCUSED 0 NOT VOTING 0 — **20–18** (pass) · upper
- roll call Roll Call # 311 Yeas 56 Nays 54 Excused 0 Not Voting 0 — **56–54** (pass) · lower
- passed; given immediate effect Roll Call # 304 Yeas 56 Nays 54 Excused 0 Not Voting 0 — **56–54** (pass) · lower

## Sponsors

- Christine Morse — primary (person)
- Angela Witwer — cosponsor (person)

## Timeline

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

- **2023-09-14** introduced by Representative Christine Morse `introduction`
- **2023-09-14** read a first time `reading-1`
- **2023-09-14** referred to Committee on Appropriations `referral-committee`
- **2023-09-19** bill electronically reproduced 09/14/2023
- **2023-09-20** reported with recommendation with substitute (H-3) `committee-passage`
- **2023-09-20** referred to second reading
- **2023-09-20** read a second time `reading-2`
- **2023-09-20** substitute (H-3) adopted
- **2023-09-20** placed on third reading
- **2023-09-20** placed on immediate passage
- **2023-09-20** read a third time `reading-3`
- **2023-09-20** passed; given immediate effect Roll Call # 304 Yeas 56 Nays 54 Excused 0 Not Voting 0 `passage`
- **2023-09-20** transmitted
- **2023-09-26** RULES SUSPENDED
- **2023-09-26** REFERRED TO COMMITTEE OF THE WHOLE `referral-committee`
- **2023-09-26** REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITHOUT AMENDMENT(S) `committee-passage`
- **2023-09-26** PLACED ON ORDER OF THIRD READING
- **2023-09-27** SUBSTITUTE (S-4) ADOPTED
- **2023-09-27** PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 483 YEAS 20 NAYS 18 EXCUSED 0 NOT VOTING 0 `passage`
- **2023-09-27** INSERTED FULL TITLE
- **2023-09-27** returned from Senate with substitute (S-4) with immediate effect and full title
- **2023-09-27** laid over one day under the rules
- **2023-09-27** rule suspended
- **2023-09-27** Senate substitute (S-4) concurred in
- **2023-09-27** roll call Roll Call # 311 Yeas 56 Nays 54 Excused 0 Not Voting 0
- **2023-09-27** full title agreed to
- **2023-09-27** bill ordered enrolled
- **2023-09-28** presented to the Governor 09/28/2023 05:16 PM `executive-receipt`
- **2023-10-03** approved by the Governor 09/29/2023 11:36 AM `executive-signature`
- **2023-10-03** filed with Secretary of State 09/29/2023 01:34 PM
- **2023-10-03** assigned PA 138'23 with immediate effect

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d7330423-1496-4d8e-9892-b14eda9f2b1f`. Confidence: reported (aggregated from official Michigan legislature records).