republic-os/legislation/us/states/mi/2021-2022/hb-4359.md

---
type: "Bill"
title: "Health occupations: nurses; scope of practice of registered professional nurse holding a specialty certification as a nurse anesthetist; modify. Amends secs. 17210 & 17708 of 1978 PA 368 (MCL 333.17210 & 333.17708)"
description: "Health occupations: nurses; scope of practice of registered professional nurse holding a specialty certification as a nurse anesthetist; modify. Amends secs. 17210 & 17708 of 1978 PA 368 (MCL 333.17210 & 333.17708)"
jurisdiction: "us/states/mi"
legislature: "Michigan Legislature"
session: "2021-2022"
identifier: "HB 4359"
citation: "Michigan HB 4359 (2021-2022)"
classification: ["bill"]
subjects: ["Health occupations: health professionals", "Health occupations: nurses", "Health: occupations"]
status: "enacted"
primary_sponsors: ["Mary Whiteford"]
version_count: 5
action_count: 48
vote_count: 5
first_action: "2021-02-24T05:00:00+00:00"
last_action: "2021-07-14T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/cb3f895b-5793-4d64-9f26-10df9a0ae48c"
source_url: "http://legislature.mi.gov/doc.aspx?2021-HB-4359"
source_hash: "3d04796d25b0f07f376f7a41a8cb59f0d10b3fdb50fe4adcd81fd138791f64cb"
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 4359 (2021-2022) — Health occupations: nurses; scope of practice of registered professional nurse holding a specialty certification as a nurse anesthetist; modify. Amends secs. 17210 & 17708 of 1978 PA 368 (MCL 333.17210 & 333.17708)

## 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-4359.htm)
2. **As Passed by the Senate** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billengrossed/House/htm/2021-HEBS-4359.htm)
3. **House Concurred Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billconcurred/House/htm/2021-HCB-4359.htm)
4. **House Introduced Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billintroduced/House/htm/2021-HIB-4359.htm)
5. **Public Act** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/publicact/htm/2021-PA-0053.htm)

## Votes

- passed; given immediate effect Roll Call # 81 Yeas 82 Nays 25 Excused 0 Not Voting 3 — **82–25** (pass) · lower
- roll call Roll Call # 393 Yeas 96 Nays 12 Excused 0 Not Voting 2 — **96–12** (pass) · lower
- PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 321 YEAS 31 NAYS 4 EXCUSED 1 NOT VOTING 0 — **31–4** (pass) · upper
- PASSED ROLL CALL # 289 YEAS 31 NAYS 4 EXCUSED 1 NOT VOTING 0 — **31–4** (pass) · upper
- roll call Roll Call # 389 Yeas 95 Nays 13 Excused 0 Not Voting 2 — **95–13** (pass) · lower

## Sponsors

- Mary Whiteford — primary (person)
- Brad Paquette — cosponsor (person)
- David Martin — cosponsor (person)
- Diana Farrington — cosponsor (person)
- Douglas Wozniak — cosponsor (person)
- Felicia Brabec — cosponsor (person)
- Gregory Markkanen — cosponsor (person)
- Jack O'Malley — cosponsor (person)
- John Cherry — cosponsor (person)
- John Roth — cosponsor (person)
- Joseph Bellino — cosponsor (person)
- Julie Calley — cosponsor (person)
- Ken Borton — cosponsor (person)
- Luke Meerman — cosponsor (person)
- Sara Cambensy — cosponsor (person)
- Shri Thanedar — cosponsor (person)
- Steven Johnson — cosponsor (person)
- Sue Allor — cosponsor (person)
- Tim Sneller — cosponsor (person)
- Tommy Brann — cosponsor (person)
- Yousef Rabhi — cosponsor (person)

## Timeline

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

- **2021-02-24T05:00:00+00:00** introduced by Representative Mary Whiteford `introduction`
- **2021-02-24T05:00:00+00:00** read a first time `reading-1`
- **2021-02-24T05:00:00+00:00** referred to Committee on Health Policy `referral-committee`
- **2021-02-25T05:00:00+00:00** bill electronically reproduced 02/24/2021
- **2021-03-10T05:00:00+00:00** reported with recommendation without amendment `committee-passage`
- **2021-03-10T05:00:00+00:00** referred to second reading
- **2021-03-23T04:00:00+00:00** read a second time `reading-2`
- **2021-03-23T04:00:00+00:00** placed on third reading
- **2021-03-24T04:00:00+00:00** read a third time `reading-3`
- **2021-03-24T04:00:00+00:00** passed; given immediate effect Roll Call # 81 Yeas 82 Nays 25 Excused 0 Not Voting 3 `passage`
- **2021-03-24T04:00:00+00:00** transmitted
- **2021-03-25T04:00:00+00:00** REFERRED TO COMMITTEE ON HEALTH POLICY AND HUMAN SERVICES `referral-committee`
- **2021-06-15T04:00:00+00:00** REPORTED FAVORABLY WITH SUBSTITUTE (S-3) `committee-passage`
- **2021-06-15T04:00:00+00:00** REFERRED TO COMMITTEE OF THE WHOLE WITH SUBSTITUTE (S-3) `referral-committee`
- **2021-06-17T04:00:00+00:00** REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITH SUBSTITUTE (S-4) `committee-passage`
- **2021-06-17T04:00:00+00:00** SUBSTITUTE (S-4) CONCURRED IN
- **2021-06-17T04:00:00+00:00** PLACED ON ORDER OF THIRD READING WITH SUBSTITUTE (S-4)
- **2021-06-17T04:00:00+00:00** RULES SUSPENDED
- **2021-06-17T04:00:00+00:00** PLACED ON IMMEDIATE PASSAGE
- **2021-06-17T04:00:00+00:00** POSTPONED TEMPORARILY
- **2021-06-17T04:00:00+00:00** AMENDMENT(S) ADOPTED `amendment-passage`
- **2021-06-17T04:00:00+00:00** PASSED ROLL CALL # 289 YEAS 31 NAYS 4 EXCUSED 1 NOT VOTING 0 `passage`
- **2021-06-17T04:00:00+00:00** INSERTED FULL TITLE
- **2021-06-17T04:00:00+00:00** returned from Senate with substitute (S-4) with full title
- **2021-06-17T04:00:00+00:00** laid over one day under the rules
- **2021-06-24T04:00:00+00:00** SENATE REQUESTS RETURN
- **2021-06-24T04:00:00+00:00** Senate requests return
- **2021-06-24T04:00:00+00:00** request granted
- **2021-06-24T04:00:00+00:00** retransmitted
- **2021-06-24T04:00:00+00:00** VOTE RECONSIDERED
- **2021-06-24T04:00:00+00:00** AMENDMENT(S) ADOPTED `amendment-passage`
- **2021-06-24T04:00:00+00:00** PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 321 YEAS 31 NAYS 4 EXCUSED 1 NOT VOTING 0 `passage`
- **2021-06-24T04:00:00+00:00** returned from Senate with substitute (S-4) with immediate effect and full title
- **2021-06-24T04:00:00+00:00** laid over one day under the rules
- **2021-06-24T04:00:00+00:00** rule suspended
- **2021-06-24T04:00:00+00:00** Senate substitute (S-4) concurred in
- **2021-06-24T04:00:00+00:00** roll call Roll Call # 389 Yeas 95 Nays 13 Excused 0 Not Voting 2
- **2021-06-24T04:00:00+00:00** full title agreed to
- **2021-06-24T04:00:00+00:00** bill ordered enrolled
- **2021-06-24T04:00:00+00:00** enrollment vacated
- **2021-06-24T04:00:00+00:00** vote on concurring reconsidered
- **2021-06-24T04:00:00+00:00** Senate substitute (S-4) concurred in
- **2021-06-24T04:00:00+00:00** roll call Roll Call # 393 Yeas 96 Nays 12 Excused 0 Not Voting 2
- **2021-06-24T04:00:00+00:00** bill ordered enrolled
- **2021-06-30T04:00:00+00:00** presented to the Governor 06/30/2021 02:04 PM `executive-receipt`
- **2021-07-14T04:00:00+00:00** approved by the Governor 07/13/2021 10:08 AM `executive-signature`
- **2021-07-14T04:00:00+00:00** filed with Secretary of State 07/13/2021 04:30 PM
- **2021-07-14T04:00:00+00:00** assigned PA 53'21 with immediate effect

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/cb3f895b-5793-4d64-9f26-10df9a0ae48c`. Confidence: reported (aggregated from official Michigan legislature records).