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---
type: "Bill"
title: "Health: patient directives; circumstances in which an individual with a nonopioid directive form may be administered an opioid; modify. Amends sec. 9145 of 1978 PA 368 (MCL 333.9145)."
description: "Health: patient directives; circumstances in which an individual with a nonopioid directive form may be administered an opioid; modify. Amends sec. 9145 of 1978 PA 368 (MCL 333.9145)."
jurisdiction: "us/states/mi"
legislature: "Michigan Legislature"
session: "2021-2022"
identifier: "HB 5261"
citation: "Michigan HB 5261 (2021-2022)"
classification: ["bill"]
subjects: ["Controlled substances: other", "Health facilities: patient directives", "Health occupations: emergency medical services personnel", "Health occupations: health professionals", "Health: patient choice", "Health: patient directives", "State agencies (existing): health and human services"]
status: "enacted"
primary_sponsors: ["Abdullah Hammoud"]
version_count: 5
action_count: 27
vote_count: 2
first_action: "2021-08-17T04:00:00+00:00"
last_action: "2022-03-23T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/6e03e3c1-98ae-4dad-98cb-a567a2b66b6b"
source_url: "http://legislature.mi.gov/doc.aspx?2021-HB-5261"
source_hash: "776dae5344678489b666b3445e887274eb24b3cec7ea9c8ebfd2814e4aab2235"
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 5261 (2021-2022) — Health: patient directives; circumstances in which an individual with a nonopioid directive form may be administered an opioid; modify. Amends sec. 9145 of 1978 PA 368 (MCL 333.9145).
## 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-5261.htm)
2. **As Passed by the Senate** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billengrossed/House/htm/2021-HEBS-5261.htm)
3. **House Concurred Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billconcurred/House/htm/2021-HCB-5261.htm)
4. **House Introduced Bill** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/billintroduced/House/htm/2021-HIB-5261.htm)
5. **Public Act** (committee substitute) — [source](http://legislature.mi.gov/documents/2021-2022/publicact/htm/2022-PA-0041.htm)
## Votes
- passed; given immediate effect Roll Call # 561 Yeas 97 Nays 3 Excused 0 Not Voting 7 — **97–3** (pass) · lower
- PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 72 YEAS 38 NAYS 0 EXCUSED 0 NOT VOTING 0 — **38–0** (pass) · upper
## Sponsors
- Abdullah Hammoud — primary (person)
- Abraham Aiyash — cosponsor (person)
- Jeff Yaroch — cosponsor (person)
- Mary Cavanagh — cosponsor (person)
- Mary Whiteford — cosponsor (person)
- Pamela Hornberger — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2021-08-17T04:00:00+00:00** introduced by Representative Abdullah Hammoud `introduction`
- **2021-08-17T04:00:00+00:00** read a first time `reading-1`
- **2021-08-17T04:00:00+00:00** referred to Committee on Health Policy `referral-committee`
- **2021-08-18T04:00:00+00:00** bill electronically reproduced 08/17/2021
- **2021-11-04T04:00:00+00:00** reported with recommendation with substitute (H-1) `committee-passage`
- **2021-11-04T04:00:00+00:00** referred to second reading
- **2021-11-10T05:00:00+00:00** read a second time `reading-2`
- **2021-11-10T05:00:00+00:00** substitute (H-1) adopted
- **2021-11-10T05:00:00+00:00** placed on third reading
- **2021-12-01T05:00:00+00:00** read a third time `reading-3`
- **2021-12-01T05:00:00+00:00** passed; given immediate effect Roll Call # 561 Yeas 97 Nays 3 Excused 0 Not Voting 7 `passage`
- **2021-12-01T05:00:00+00:00** transmitted
- **2021-12-02T05:00:00+00:00** REFERRED TO COMMITTEE ON HEALTH POLICY AND HUMAN SERVICES `referral-committee`
- **2022-03-08T05:00:00+00:00** REPORTED FAVORABLY WITHOUT AMENDMENT `committee-passage`
- **2022-03-08T05:00:00+00:00** COMMITTEE RECOMMENDED IMMEDIATE EFFECT
- **2022-03-08T05:00:00+00:00** REFERRED TO COMMITTEE OF THE WHOLE `referral-committee`
- **2022-03-09T05:00:00+00:00** REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITHOUT AMENDMENT(S) `committee-passage`
- **2022-03-09T05:00:00+00:00** PLACED ON ORDER OF THIRD READING
- **2022-03-10T05:00:00+00:00** PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 72 YEAS 38 NAYS 0 EXCUSED 0 NOT VOTING 0 `passage`
- **2022-03-10T05:00:00+00:00** INSERTED FULL TITLE
- **2022-03-10T05:00:00+00:00** returned from Senate without amendment with immediate effect and full title
- **2022-03-10T05:00:00+00:00** full title agreed to
- **2022-03-10T05:00:00+00:00** bill ordered enrolled
- **2022-03-15T04:00:00+00:00** presented to the Governor 03/15/2022 09:17 AM `executive-receipt`
- **2022-03-23T04:00:00+00:00** approved by the Governor 03/23/2022 09:47 AM `executive-signature`
- **2022-03-23T04:00:00+00:00** filed with Secretary of State 03/23/2022 10:50 AM
- **2022-03-23T04:00:00+00:00** assigned PA 41'22 with immediate effect
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/6e03e3c1-98ae-4dad-98cb-a567a2b66b6b`. Confidence: reported (aggregated from official Michigan legislature records).