republic-os/legislation/us/states/mi/2017-2018/hb-4170.md

---
type: "Bill"
title: "Health; other; physician orders for scope of treatment forms; allow. Amends sec. 20919 of 1978 PA 368 (MCL 333.20919) & adds pt. 56B & sec. 20192a. TIE BAR WITH: HB 4171'17, HB 4173'17, HB 4174'17"
description: "Health; other; physician orders for scope of treatment forms; allow. Amends sec. 20919 of 1978 PA 368 (MCL 333.20919) & adds pt. 56B & sec. 20192a. TIE BAR WITH: HB 4171'17, HB 4173'17, HB 4174'17"
jurisdiction: "us/states/mi"
legislature: "Michigan Legislature"
session: "2017-2018"
identifier: "HB 4170"
citation: "Michigan HB 4170 (2017-2018)"
classification: ["bill"]
subjects: ["Health: other", "Health occupations: physicians", "Health occupations: health professionals", "Health facilities: other", "Health: planning", "State agencies (existing): health and human services"]
status: "enacted"
primary_sponsors: []
version_count: 5
action_count: 33
vote_count: 3
first_action: "2017-02-07T05:00:00+00:00"
last_action: "2017-11-09T05:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/a5b4549f-44b5-4a3f-ac03-8e5f49e93476"
source_url: "http://legislature.mi.gov/doc.aspx?2017-HB-4170"
source_hash: "7a3cd06eca8c57e3a4d05c7f91c5f7b9862f0c03c97dfdebb4216c9de5748b0d"
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 4170 (2017-2018) — Health; other; physician orders for scope of treatment forms; allow. Amends sec. 20919 of 1978 PA 368 (MCL 333.20919) & adds pt. 56B & sec. 20192a. TIE BAR WITH: HB 4171'17, HB 4173'17, HB 4174'17

## 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://www.legislature.mi.gov/documents/2017-2018/billengrossed/House/htm/2017-HEBH-4170.htm)
2. **As Passed by the Senate** (committee substitute) — [source](http://www.legislature.mi.gov/documents/2017-2018/billengrossed/House/htm/2017-HEBS-4170.htm)
3. **House Concurred Bill** (committee substitute) — [source](http://www.legislature.mi.gov/documents/2017-2018/billconcurred/House/htm/2017-HCB-4170.htm)
4. **House Introduced Bill** (committee substitute) — [source](http://www.legislature.mi.gov/documents/2017-2018/billintroduced/House/htm/2017-HIB-4170.htm)
5. **Public Act** (committee substitute) — [source](http://www.legislature.mi.gov/documents/2017-2018/publicact/htm/2017-PA-0154.htm)

## Votes

- Roll Call # 337 Yeas 107 Nays 1 — **107–1** (pass) · lower
- passed; given immediate effect Roll Call # 244 Yeas 106 Nays 1 — **106–1** (pass) · lower
- PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 430 YEAS 35 NAYS 0 EXCUSED 3 NOT VOTING 0 — **35–0** (pass) · upper

## Sponsors

- 43 — cosponsor (person)
- Bronna Kahle — cosponsor (person)
- Edward Canfield — cosponsor (person)
- Gary Glenn — cosponsor (person)
- Hank Vaupel — cosponsor (person)
- Jim Tedder — cosponsor (person)
- Laura Cox — cosponsor (person)
- Michael Webber — cosponsor (person)
- Sylvia Santana — cosponsor (person)

## Timeline

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

- **2017-02-07T05:00:00+00:00** introduced by Representative Jim Tedder `introduction`
- **2017-02-07T05:00:00+00:00** read a first time `reading-1`
- **2017-02-07T05:00:00+00:00** referred to Committee on Health Policy `referral-committee`
- **2017-02-08T05:00:00+00:00** bill electronically reproduced 02/07/2017
- **2017-06-14T04:00:00+00:00** reported with recommendation with substitute H-1 `committee-passage`
- **2017-06-14T04:00:00+00:00** referred to second reading
- **2017-06-20T04:00:00+00:00** read a second time `reading-2`
- **2017-06-20T04:00:00+00:00** substitute H-1 adopted
- **2017-06-20T04:00:00+00:00** placed on third reading
- **2017-06-20T04:00:00+00:00** placed on immediate passage
- **2017-06-20T04:00:00+00:00** read a third time `reading-3`
- **2017-06-20T04:00:00+00:00** passed; given immediate effect Roll Call # 244 Yeas 106 Nays 1 `passage`
- **2017-06-20T04:00:00+00:00** transmitted
- **2017-06-21T04:00:00+00:00** REFERRED TO COMMITTEE ON HEALTH POLICY `referral-committee`
- **2017-10-11T04:00:00+00:00** REPORTED FAVORABLY WITH SUBSTITUTE S-1 `committee-passage`
- **2017-10-11T04:00:00+00:00** COMMITTEE RECOMMENDED IMMEDIATE EFFECT
- **2017-10-11T04:00:00+00:00** REFERRED TO COMMITTEE OF THE WHOLE WITH SUBSTITUTE S-1 `referral-committee`
- **2017-10-19T04:00:00+00:00** REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITH SUBSTITUTE S-1 AND AMENDMENT(S) `committee-passage`
- **2017-10-19T04:00:00+00:00** SUBSTITUTE S-1 AS AMENDED CONCURRED IN
- **2017-10-19T04:00:00+00:00** PLACED ON ORDER OF THIRD READING WITH SUBSTITUTE S-1 AS AMENDED
- **2017-10-31T04:00:00+00:00** AMENDMENT(S) DEFEATED `amendment-failure`
- **2017-10-31T04:00:00+00:00** PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 430 YEAS 35 NAYS 0 EXCUSED 3 NOT VOTING 0 `passage`
- **2017-10-31T04:00:00+00:00** INSERTED FULL TITLE
- **2017-10-31T04:00:00+00:00** returned from Senate with substitute S-1 with immediate effect and full title
- **2017-10-31T04:00:00+00:00** laid over one day under the rules
- **2017-11-01T04:00:00+00:00** Senate substitute S-1 concurred in
- **2017-11-01T04:00:00+00:00** Roll Call # 337 Yeas 107 Nays 1
- **2017-11-01T04:00:00+00:00** full title agreed to
- **2017-11-01T04:00:00+00:00** bill ordered enrolled
- **2017-11-07T05:00:00+00:00** presented to the Governor 11/6/2017 @ 3:13 PM `executive-receipt`
- **2017-11-09T05:00:00+00:00** approved by the Governor 11/8/2017 @ 11:54 AM `executive-signature`
- **2017-11-09T05:00:00+00:00** filed with Secretary of State 11/8/2017 @ 4:26 PM
- **2017-11-09T05:00:00+00:00** assigned PA 154'17 with immediate effect

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a5b4549f-44b5-4a3f-ac03-8e5f49e93476`. Confidence: reported (aggregated from official Michigan legislature records).