---
type: "Bill"
title: "Health facilities: county medical care facilities; maintenance of effort reimbursement; extend sunset. Amends sec. 109 of 1939 PA 280 (MCL 400.109)."
description: "Health facilities: county medical care facilities; maintenance of effort reimbursement; extend sunset. Amends sec. 109 of 1939 PA 280 (MCL 400.109)."
jurisdiction: "us/states/mi"
legislature: "Michigan Legislature"
session: "2025-2026"
identifier: "HB 4726"
citation: "Michigan HB 4726 (2025-2026)"
classification: ["bill"]
subjects: ["Health facilities: county medical care facilities", "Human services: medical services", "Law: sunset", "State agencies (existing): health and human services"]
status: "enacted"
primary_sponsors: ["Matt Bierlein"]
version_count: 4
action_count: 30
vote_count: 2
first_action: "2025-07-15"
last_action: "2025-12-31"
source: "openstates"
source_identifier: "ocd-bill/ac931a72-4590-4613-8a40-cf16e1f1df15"
source_url: "https://legislature.mi.gov/Bills/Bill?ObjectName=2025-HB-4726"
source_hash: "913cfb28fe43f73cd6a1033740ab041ebdad6e8939e0a85e810c9debc7831b9b"
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 4726 (2025-2026) — Health facilities: county medical care facilities; maintenance of effort reimbursement; extend sunset. Amends sec. 109 of 1939 PA 280 (MCL 400.109).

## 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/2025-2026/billengrossed/House/pdf/2025-HEBH-4726.pdf)
2. **House Concurred Bill** (committee substitute) — [source](https://legislature.mi.gov/documents/2025-2026/billconcurred/House/pdf/2025-HCB-4726.pdf)
3. **House Introduced Bill** (committee substitute) — [source](https://legislature.mi.gov/documents/2025-2026/billintroduced/House/pdf/2025-HIB-4726.pdf)
4. **Public Act** (committee substitute) — [source](https://legislature.mi.gov/documents/2025-2026/publicact/pdf/2025-PA-0045.pdf)

## Votes

- PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 361 YEAS 35 NAYS 0 EXCUSED 2 NOT VOTING 0 — **35–0** (pass) · upper
- passed; given immediate effect Roll Call #294 Yeas 97 Nays 3 Excused 0 Not Voting 10 — **97–3** (pass) · lower

## Sponsors

- Matt Bierlein — primary (person)
- David Martin — cosponsor (person)
- Ken Borton — cosponsor (person)
- Steve Frisbie — cosponsor (person)

## Timeline

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

- **2025-07-15** introduced by Representative Rep. Matthew Bierlein `introduction`
- **2025-07-15** read a first time `reading-1`
- **2025-07-15** referred to Committee on Insurance `referral-committee`
- **2025-07-22** bill electronically reproduced 07/15/2025
- **2025-10-29** reported with recommendation without amendment `committee-passage`
- **2025-10-29** referred to second reading
- **2025-11-05** read a second time `reading-2`
- **2025-11-05** placed on third reading
- **2025-11-06** read a third time `reading-3`
- **2025-11-06** passed; given immediate effect Roll Call #294 Yeas 97 Nays 3 Excused 0 Not Voting 10 `passage`
- **2025-11-06** transmitted
- **2025-11-12** PASSED BY HOUSE WITH IMMEDIATE EFFECT `passage`
- **2025-11-12** REFERRED TO COMMITTEE ON HEALTH POLICY `referral-committee`
- **2025-12-18** DISCHARGE COMMITTEE APPROVED
- **2025-12-18** PLACED ON ORDER OF GENERAL ORDERS
- **2025-12-18** RULES SUSPENDED FOR IMMEDIATE CONSIDERATION
- **2025-12-18** REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITHOUT AMENDMENT(S) `committee-passage`
- **2025-12-18** PLACED ON ORDER OF THIRD READING
- **2025-12-18** RULES SUSPENDED
- **2025-12-18** PLACED ON IMMEDIATE PASSAGE
- **2025-12-18** PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 361 YEAS 35 NAYS 0 EXCUSED 2 NOT VOTING 0 `passage`
- **2025-12-18** INSERTED FULL TITLE
- **2025-12-18** RETURNED TO HOUSE
- **2025-12-18** returned from Senate without amendment with immediate effect and full title
- **2025-12-18** full title agreed to
- **2025-12-18** bill ordered enrolled
- **2025-12-23** presented to the Governor 12/22/2025 01:54 PM `executive-receipt`
- **2025-12-31** approved by the Governor 12/23/2025 10:12 AM `executive-signature`
- **2025-12-31** filed with Secretary of State 12/23/2025 11:42 AM
- **2025-12-31** assigned PA 45'25 with immediate effect

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/ac931a72-4590-4613-8a40-cf16e1f1df15`. Confidence: reported (aggregated from official Michigan legislature records).