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---
type: "Bill"
title: "Mental health: community mental health; adult inpatient psychiatric services; modify ability to pay provision. Amends sec. 818 of 1974 PA 258 (MCL 330.1818)."
description: "Mental health: community mental health; adult inpatient psychiatric services; modify ability to pay provision. Amends sec. 818 of 1974 PA 258 (MCL 330.1818)."
jurisdiction: "us/states/mi"
legislature: "Michigan Legislature"
session: "2021-2022"
identifier: "HB 5165"
citation: "Michigan HB 5165 (2021-2022)"
classification: ["bill"]
subjects: ["Mental health: community mental health", "Mental health: other", "Mental health: patients", "State agencies (existing): health and human services"]
status: "enacted"
primary_sponsors: ["Mary Whiteford"]
version_count: 5
action_count: 26
vote_count: 2
first_action: "2021-06-29T04:00:00+00:00"
last_action: "2022-06-02T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/23143ba6-bf81-4e91-b852-5b908c3d494e"
source_url: "http://legislature.mi.gov/doc.aspx?2021-HB-5165"
source_hash: "d566eab427d49d8325ebc723644cc7b119a5fc6d182563f9bc0fd394f326e2e4"
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 5165 (2021-2022) — Mental health: community mental health; adult inpatient psychiatric services; modify ability to pay provision. Amends sec. 818 of 1974 PA 258 (MCL 330.1818).
## 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-5165.htm)
2. **As Passed by the Senate** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billengrossed/House/htm/2021-HEBS-5165.htm)
3. **House Concurred Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billconcurred/House/htm/2021-HCB-5165.htm)
4. **House Introduced Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billintroduced/House/htm/2021-HIB-5165.htm)
5. **Public Act** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/publicact/htm/2022-PA-0091.htm)
## Votes
- PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 247 YEAS 36 NAYS 0 EXCUSED 2 NOT VOTING 0 — **36–0** (pass) · upper
- passed; given immediate effect Roll Call # 25 Yeas 102 Nays 0 Excused 0 Not Voting 4 — **102–0** (pass) · lower
## Sponsors
- Mary Whiteford — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2021-06-29T04:00:00+00:00** introduced by Representative Mary Whiteford `introduction`
- **2021-06-29T04:00:00+00:00** read a first time `reading-1`
- **2021-06-29T04:00:00+00:00** referred to Committee on Health Policy `referral-committee`
- **2021-06-30T04:00:00+00:00** bill electronically reproduced 06/29/2021
- **2021-12-09T05:00:00+00:00** reported with recommendation without amendment `committee-passage`
- **2021-12-09T05:00:00+00:00** referred to second reading
- **2022-01-26T05:00:00+00:00** read a second time `reading-2`
- **2022-01-26T05:00:00+00:00** placed on third reading
- **2022-01-27T05:00:00+00:00** read a third time `reading-3`
- **2022-01-27T05:00:00+00:00** passed; given immediate effect Roll Call # 25 Yeas 102 Nays 0 Excused 0 Not Voting 4 `passage`
- **2022-01-27T05:00:00+00:00** transmitted
- **2022-02-01T05:00:00+00:00** REFERRED TO COMMITTEE ON HEALTH POLICY AND HUMAN SERVICES `referral-committee`
- **2022-04-12T04:00:00+00:00** REPORTED FAVORABLY WITHOUT AMENDMENT `committee-passage`
- **2022-04-12T04:00:00+00:00** COMMITTEE RECOMMENDED IMMEDIATE EFFECT
- **2022-04-12T04:00:00+00:00** REFERRED TO COMMITTEE OF THE WHOLE `referral-committee`
- **2022-05-12T04:00:00+00:00** REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITHOUT AMENDMENT(S) `committee-passage`
- **2022-05-12T04:00:00+00:00** PLACED ON ORDER OF THIRD READING
- **2022-05-19T04:00:00+00:00** PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 247 YEAS 36 NAYS 0 EXCUSED 2 NOT VOTING 0 `passage`
- **2022-05-19T04:00:00+00:00** INSERTED FULL TITLE
- **2022-05-19T04:00:00+00:00** returned from Senate without amendment with immediate effect and full title
- **2022-05-19T04:00:00+00:00** full title agreed to
- **2022-05-19T04:00:00+00:00** bill ordered enrolled
- **2022-05-24T04:00:00+00:00** presented to the Governor 05/24/2022 10:56 AM `executive-receipt`
- **2022-06-02T04:00:00+00:00** approved by the Governor 06/06/2022 08:15 AM `executive-signature`
- **2022-06-02T04:00:00+00:00** filed with Secretary of State 06/06/2022 08:52 AM
- **2022-06-02T04:00:00+00:00** assigned PA 91'22 with immediate effect
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/23143ba6-bf81-4e91-b852-5b908c3d494e`. Confidence: reported (aggregated from official Michigan legislature records).