Michigan Health and Health Care Key Votes

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Vote Smart provides easy access to congressional and state voting records and maintains a collection of key votes grouped by issue. Vote Smart uses the following criteria to select key votes:

  1. The vote should be helpful in portraying how a member stands on a particular issue
  2. The vote should be clear for any person to understand
  3. The vote has received media attention
  4. The vote was passed or defeated by a very close margin
  5. Occasionally, if a specific bill is consistently inquired about on the Voter's Research Hotline, the vote will be added

Vote Smart provides a summary of the version of the bill text associated with each selected key vote. Our summaries are written by Vote Smart's staff and interns, who adhere to our strict policies and procedures in order to guarantee absolute impartiality and accuracy. They do not necessarily reflect the content of the final version of the bill, but rather the version voted on in that stage. While many procedural votes take place before a full chamber vote, our voting stages reflect the final reading of each chamber vote. Each key vote selection is reviewed by the project's community of advisors, who are political scientists and journalists from all fifty states.

For more information about the legislative process, see here.


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Date State Bill No. Title Outcome
April 15, 2026 MI SB 297 Prohibits Administrative Action Against Nurses who Refuse Overtime Bill Passed - Senate (21 - 16)
Oct. 30, 2025 MI SB 182 Appropriates $50 Million to the Michigan Department of Health for Emergency Food Assistance Bill Passed - Senate (27 - 4)
Oct. 3, 2025 MI SB 579 Authorizes the State to Continue Collecting Certain Environmental Fees Concurrence Vote Passed - Senate (21 - 15)
Sept. 4, 2025 MI SB 396 Amends the Natural Resources and Environmental Protection Act Bill Passed - Senate (29 - 7)
April 17, 2025 MI SB 30 Establishes Reporting Procedures for Mistreatment During Perinatal Period Bill Passed - Senate (22 - 14)
April 17, 2025 MI SB 29 Requires the Department of Health and Human Services to Compile Annual Data on Racial and Ethnic Disparities in Health Care Bill Passed - Senate (22 - 14)
April 17, 2025 MI SB 38 Amends Provisions Related to the Coverage for Certain Perinatal and Gynecological Services Bill Passed - Senate (36 - 0)
April 17, 2025 MI SB 31 Prohibits Hospitals From Discriminating Against a Patient on the Basis of Their Pregnancy Bill Passed - Senate (22 - 14)
April 17, 2025 MI SB 36 Amends Public Health Code to Include Midwives in State Repayment Program Bill Passed - Senate (36 - 0)
April 17, 2025 MI SB 34 Amends the Elliott-Larsen Civil Rights Act to Prohibit Discrimination Based On Sex to Include Pregnancy Status Bill Passed - Senate (22 - 14)
April 17, 2025 MI SB 37 Amends Provisions Related to Insurance Companies that Cover Gynecological and Pregnancy Services Bill Passed - Senate (27 - 9)
April 17, 2025 MI SB 37 Amends Provisions Related to Insurance Companies that Cover Gynecological and Pregnancy Services Bill Passed - Senate (27 - 9)
April 17, 2025 MI SB 39 Amends the Social Welfare Act to Require the Healthy Michigan Plan to Cover Ultrasound Procedures and Fetal Nonstress Tests Bill Passed - Senate (36 - 0)
April 17, 2025 MI SB 33 Prohibits a Patient's Pregnancy Status From Changing Their Advocate's Right to Make Decisions on Life-Sustaining Treatments Bill Passed - Senate (19 - 17)
April 17, 2025 MI SB 32 Requires Certain Reviews of Insurance Policies Related to Perinatal Care to Be Provided to the Department of Insurance and Financial Services Bill Passed - Senate (36 - 0)
April 17, 2025 MI SB 32 Requires Certain Reviews of Insurance Policies Related to Perinatal Care to Be Provided to the Department of Insurance and Financial Services Bill Passed - Senate (36 - 0)
April 17, 2025 MI SB 39 Amends the Social Welfare Act to Require the Healthy Michigan Plan to Cover Ultrasound Procedures and Fetal Nonstress Tests Bill Passed - Senate (36 - 0)
Dec. 20, 2024 MI HB 5695 Increases Financial Support Available to Ground Ambulance Services Bill Passed - Senate (35 - 3)
Dec. 3, 2024 MI HB 5826 Creates a Doula Scholarship Fund Bill Passed - Senate (22 - 15)
Dec. 3, 2024 MI SB 820 Requires Hospitals Adopt Certain Policies for Patients Who are Giving Birth Bill Passed - Senate (23 - 14)
Dec. 3, 2024 MI SB 818 Establishes a Commission to Investigate Racial Disparities Related to Maternal Health Bill Passed - Senate (23 - 14)
Dec. 3, 2024 MI SB 822 Establishes the Right for Life-Sustaining Treatment Regardless of Pregnancy Status Bill Passed - Senate (20 - 17)
Dec. 3, 2024 MI SB 823 Prohibits Sex Discrimination in Places of Public Accommodation and Public Services Bill Passed - Senate (24 - 13)
Dec. 3, 2024 MI SB 823 Prohibits Sex Discrimination in Places of Public Accommodation and Public Services Bill Passed - Senate (24 - 13)
Dec. 3, 2024 MI SB 819 Requires Reporting Procedures for Mistreatment During Perinatal Periods Bill Passed - Senate (23 - 14)
Dec. 3, 2024 MI SB 819 Requires Reporting Procedures for Mistreatment During Perinatal Periods Bill Passed - Senate (23 - 14)
Dec. 3, 2024 MI SB 818 Establishes a Commission to Investigate Racial Disparities Related to Maternal Health Bill Passed - Senate (23 - 14)
Dec. 3, 2024 MI SB 822 Establishes the Right for Life-Sustaining Treatment Regardless of Pregnancy Status Bill Passed - Senate (20 - 17)
Dec. 3, 2024 MI SB 820 Requires Hospitals Adopt Certain Policies for Patients Who are Giving Birth Bill Passed - Senate (23 - 14)
Oct. 30, 2024 MI HB 4361 Establishes a 1-Time Individual Tax Credit for Organ Donation Bill Passed - Senate (35 - 1)
Oct. 23, 2024 MI HB 5683 Prohibits Unsupervised Medical Exfoliation Procedures by Licensees or Registrants Bill Passed - Senate (36 - 2)
Sept. 26, 2024 MI SB 929 Authorizes Low-Income Access to a Broader Range of Care Centers by Repurposing Medicaid Funding Concurrence Vote Passed - Senate (20 - 17)
Sept. 25, 2024 MI SB 790 Requires Individual Home Caregivers be Categorized as Public Employees and Authorizes Collective Bargaining Concurrence Vote Passed - Senate (20 - 18)
Sept. 25, 2024 MI SB 791 Defines "Public Employee" for Collective Bargaining Purposes Concurrence Vote Passed - Senate (20 - 18)
June 26, 2024 MI SB 571 Expands The Prevailing Wage Law to Cover the Construction of Clean Energy Facilities Bill Passed - Senate (20 - 18)
June 20, 2024 MI HB 5028 Prohibits Homeowners Associations From Banning Energy-Saving Improvements or Solar Energy Systems Bill Passed - Senate (20 - 18)
June 20, 2024 MI SB 928 Expands Medicaid Coverage of Birth Expenses Bill Passed - Senate (20 - 18)
June 20, 2024 MI SB 928 Expands Medicaid Coverage of Birth Expenses Bill Passed - Senate (20 - 18)
May 14, 2024 MI SB 767 Appropriates Resource for the Department of Health and Human Services Bill Passed - Senate (20 - 16)
April 16, 2024 MI HB 4596 Requires Disposable Wipes to Have "Do Not Flush" Labels Bill Passed - Senate (23 - 13)
March 19, 2024 MI HB 5207 Establishes and Authorizes Assisted Reproduction Including Surrogacy Bill Passed - Senate (22 - 15)
March 19, 2024 MI HB 5210 Establishes that Children Born Through Surrogacy or Assisted Reproduction are Legal Children for the Purposes of Inheritance Bill Passed - Senate (22 - 15)
Feb. 22, 2024 MI HB 4523 Authorizes Individuals More Resources to Receive the Care and Support Needed Through Mental Health Courts Bill Passed - Senate (34 - 3)
Feb. 22, 2024 MI HB 4525 Authorizes Support for Offenders to Access Mental Health and Drug Treatment Courts with Judicial and Prosecutorial Consent Bill Passed - Senate (32 - 5)
Feb. 22, 2024 MI HB 4523 Authorizes Individuals More Resources to Receive the Care and Support Needed Through Mental Health Courts Bill Passed - Senate (34 - 3)
Nov. 8, 2023 MI SB 271 Requires Consumers Energy and DTE Energy to Reach 80% Carbon-Free Electricity by 2035 and 100% by 2040 Bill Passed - Senate (20 - 17)
Nov. 8, 2023 MI HB 5120 Authorizes the Michigan Public Service Commission Power Over Clean-Energy Projects Bill Passed - Senate (20 - 18)
Nov. 8, 2023 MI SB 273 Increases Energy-Efficiency Improvement Requirements of State Utilities from 1% to 1.5% Per Year Bill Passed - Senate (20 - 15)
Nov. 7, 2023 MI SB 474 Repeals Several Medically Unnecessary Abortion and Reproductive Health Care Restrictions Concurrence Vote Passed - Senate (20 - 17)
Nov. 7, 2023 MI SB 476 Amends and Repeals Certain Late Term Abortion Restrictions Concurrence Vote Passed - Senate (20 - 17)
Nov. 7, 2023 MI SB 474 Repeals Several Medically Unnecessary Abortion and Reproductive Health Care Restrictions Concurrence Vote Passed - Senate (20 - 17)
Nov. 7, 2023 MI HB 4949 Establishes Rights to Reproductive Freedoms Bill Passed - Senate (20 - 17)
Nov. 7, 2023 MI HB 4953 Amends and Revises Previous State Jurisdiction Policies to Reflect Repealed Abortion Laws Bill Passed - Senate (20 - 17)
Nov. 1, 2023 MI HB 4852 Establishes Manoomin (Wild Rice) as the Official Native Grain of Michigan Bill Passed - Senate (28 - 10)
Oct. 26, 2023 MI SB 502 Requires the Utilities Efficiency Program To Be Equitable, Reliable, and Affordable Bill Passed - Senate (20 - 18)
Oct. 26, 2023 MI SB 530 Amends the State No-Fault Insurance Policy Bill Passed - Senate (23 - 14)
Oct. 26, 2023 MI SB 530 Amends the State No-Fault Insurance Policy Bill Passed - Senate (23 - 14)
Oct. 19, 2023 MI SB 531 Establishes Fee Schedules for Reimbursements to Health Care Providers Bill Passed - Senate (23 - 14)
Oct. 19, 2023 MI SB 531 Establishes Fee Schedules for Reimbursements to Health Care Providers Bill Passed - Senate (23 - 14)
Oct. 5, 2023 MI SB 441 Amends Reporting Requirements for the Commercial Fishing Industry Bill Passed - Senate (21 - 16)
Oct. 4, 2023 MI SB 483 Establishes the Prescription Drug Affordability Board to Set State Drug Prices Bill Passed - Senate (20 - 17)
Oct. 4, 2023 MI SB 483 Establishes the Prescription Drug Affordability Board to Set State Drug Prices Bill Passed - Senate (20 - 17)
Oct. 4, 2023 MI SB 485 Requires The Social Welfare Act to Comply with the Prescription Drug Cost and Affordability Review Act Bill Passed - Senate (20 - 17)
Feb. 28, 2023 MI HB 4016 Appropriates $1.4 Billion from the General Budget to Address the State Healthcare Worker Shortage Bill Passed - Senate (22 - 16)
Sept. 28, 2022 MI HB 6354 Amends Law in Regard to Hunting Bill Passed - Senate (26 - 10)
Sept. 20, 2022 MI HB 6075 Authorizes Assistance Payments to Guardians of Minors Bill Passed - Senate (36 - 0)
Sept. 20, 2022 MI SB 185 Expands Regulation of Drinking Water (35 - 1)
Sept. 20, 2022 MI SB 185 Expands Regulation of Drinking Water (35 - 1)
July 1, 2022 MI HB 5558 Prohibits Research on Stem Cells Obtained from an Abortion Bill Passed - Senate (21 - 16)
July 1, 2022 MI HB 5559 Classifies Performing Research on the Tissue of an Aborted Fetus as a Felony Bill Passed - Senate (21 - 16)
June 23, 2022 MI HB 6109 Prohibits Anyone Under 21 From Entering a Specialty Tobacco Shop Bill Passed - Senate (28 - 10)
June 23, 2022 MI HB 6108 Prohibits Sale of Tobacco, Vapor Products to Persons Under 21 Bill Passed - Senate (29 - 9)
June 23, 2022 MI SB 577 Amends the Age of Majority Act of 1971 to Reflect an Increase in the Legal Tobacco Consumption Age Bill Passed - Senate (29 - 9)
June 23, 2022 MI SB 576 Prohibits Distributing Tobacco by Mail to Anyone Under 21 Bill Passed - Senate (28 - 10)
June 8, 2022 MI HB 5044 Establishes Guidelines for New Child Care Provider Contracts Bill Passed - Senate (33 - 5)
Date No. Title Outcome
4/15 SB 297 Prohibits Administrative Action Against Nurses who Refuse Overtime Bill Passed - Senate (21 - 16)
10/30 SB 182 Appropriates $50 Million to the Michigan Department of Health for Emergency Food Assistance Bill Passed - Senate (27 - 4)
10/03 SB 579 Authorizes the State to Continue Collecting Certain Environmental Fees Concurrence Vote Passed - Senate (21 - 15)
9/04 SB 396 Amends the Natural Resources and Environmental Protection Act Bill Passed - Senate (29 - 7)
4/17 SB 30 Establishes Reporting Procedures for Mistreatment During Perinatal Period Bill Passed - Senate (22 - 14)
4/17 SB 29 Requires the Department of Health and Human Services to Compile Annual Data on Racial and Ethnic Disparities in Health Care Bill Passed - Senate (22 - 14)
4/17 SB 38 Amends Provisions Related to the Coverage for Certain Perinatal and Gynecological Services Bill Passed - Senate (36 - 0)
4/17 SB 31 Prohibits Hospitals From Discriminating Against a Patient on the Basis of Their Pregnancy Bill Passed - Senate (22 - 14)
4/17 SB 36 Amends Public Health Code to Include Midwives in State Repayment Program Bill Passed - Senate (36 - 0)
4/17 SB 34 Amends the Elliott-Larsen Civil Rights Act to Prohibit Discrimination Based On Sex to Include Pregnancy Status Bill Passed - Senate (22 - 14)
4/17 SB 37 Amends Provisions Related to Insurance Companies that Cover Gynecological and Pregnancy Services Bill Passed - Senate (27 - 9)
4/17 SB 37 Amends Provisions Related to Insurance Companies that Cover Gynecological and Pregnancy Services Bill Passed - Senate (27 - 9)
4/17 SB 39 Amends the Social Welfare Act to Require the Healthy Michigan Plan to Cover Ultrasound Procedures and Fetal Nonstress Tests Bill Passed - Senate (36 - 0)
4/17 SB 33 Prohibits a Patient's Pregnancy Status From Changing Their Advocate's Right to Make Decisions on Life-Sustaining Treatments Bill Passed - Senate (19 - 17)
4/17 SB 32 Requires Certain Reviews of Insurance Policies Related to Perinatal Care to Be Provided to the Department of Insurance and Financial Services Bill Passed - Senate (36 - 0)
4/17 SB 32 Requires Certain Reviews of Insurance Policies Related to Perinatal Care to Be Provided to the Department of Insurance and Financial Services Bill Passed - Senate (36 - 0)
4/17 SB 39 Amends the Social Welfare Act to Require the Healthy Michigan Plan to Cover Ultrasound Procedures and Fetal Nonstress Tests Bill Passed - Senate (36 - 0)
12/20 HB 5695 Increases Financial Support Available to Ground Ambulance Services Bill Passed - Senate (35 - 3)
12/03 HB 5826 Creates a Doula Scholarship Fund Bill Passed - Senate (22 - 15)
12/03 SB 820 Requires Hospitals Adopt Certain Policies for Patients Who are Giving Birth Bill Passed - Senate (23 - 14)
12/03 SB 818 Establishes a Commission to Investigate Racial Disparities Related to Maternal Health Bill Passed - Senate (23 - 14)
12/03 SB 822 Establishes the Right for Life-Sustaining Treatment Regardless of Pregnancy Status Bill Passed - Senate (20 - 17)
12/03 SB 823 Prohibits Sex Discrimination in Places of Public Accommodation and Public Services Bill Passed - Senate (24 - 13)
12/03 SB 823 Prohibits Sex Discrimination in Places of Public Accommodation and Public Services Bill Passed - Senate (24 - 13)
12/03 SB 819 Requires Reporting Procedures for Mistreatment During Perinatal Periods Bill Passed - Senate (23 - 14)
12/03 SB 819 Requires Reporting Procedures for Mistreatment During Perinatal Periods Bill Passed - Senate (23 - 14)
12/03 SB 818 Establishes a Commission to Investigate Racial Disparities Related to Maternal Health Bill Passed - Senate (23 - 14)
12/03 SB 822 Establishes the Right for Life-Sustaining Treatment Regardless of Pregnancy Status Bill Passed - Senate (20 - 17)
12/03 SB 820 Requires Hospitals Adopt Certain Policies for Patients Who are Giving Birth Bill Passed - Senate (23 - 14)
10/30 HB 4361 Establishes a 1-Time Individual Tax Credit for Organ Donation Bill Passed - Senate (35 - 1)
10/23 HB 5683 Prohibits Unsupervised Medical Exfoliation Procedures by Licensees or Registrants Bill Passed - Senate (36 - 2)
9/26 SB 929 Authorizes Low-Income Access to a Broader Range of Care Centers by Repurposing Medicaid Funding Concurrence Vote Passed - Senate (20 - 17)
9/25 SB 790 Requires Individual Home Caregivers be Categorized as Public Employees and Authorizes Collective Bargaining Concurrence Vote Passed - Senate (20 - 18)
9/25 SB 791 Defines "Public Employee" for Collective Bargaining Purposes Concurrence Vote Passed - Senate (20 - 18)
6/26 SB 571 Expands The Prevailing Wage Law to Cover the Construction of Clean Energy Facilities Bill Passed - Senate (20 - 18)
6/20 HB 5028 Prohibits Homeowners Associations From Banning Energy-Saving Improvements or Solar Energy Systems Bill Passed - Senate (20 - 18)
6/20 SB 928 Expands Medicaid Coverage of Birth Expenses Bill Passed - Senate (20 - 18)
6/20 SB 928 Expands Medicaid Coverage of Birth Expenses Bill Passed - Senate (20 - 18)
5/14 SB 767 Appropriates Resource for the Department of Health and Human Services Bill Passed - Senate (20 - 16)
4/16 HB 4596 Requires Disposable Wipes to Have "Do Not Flush" Labels Bill Passed - Senate (23 - 13)
3/19 HB 5207 Establishes and Authorizes Assisted Reproduction Including Surrogacy Bill Passed - Senate (22 - 15)
3/19 HB 5210 Establishes that Children Born Through Surrogacy or Assisted Reproduction are Legal Children for the Purposes of Inheritance Bill Passed - Senate (22 - 15)
2/22 HB 4523 Authorizes Individuals More Resources to Receive the Care and Support Needed Through Mental Health Courts Bill Passed - Senate (34 - 3)
2/22 HB 4525 Authorizes Support for Offenders to Access Mental Health and Drug Treatment Courts with Judicial and Prosecutorial Consent Bill Passed - Senate (32 - 5)
2/22 HB 4523 Authorizes Individuals More Resources to Receive the Care and Support Needed Through Mental Health Courts Bill Passed - Senate (34 - 3)
11/08 SB 271 Requires Consumers Energy and DTE Energy to Reach 80% Carbon-Free Electricity by 2035 and 100% by 2040 Bill Passed - Senate (20 - 17)
11/08 HB 5120 Authorizes the Michigan Public Service Commission Power Over Clean-Energy Projects Bill Passed - Senate (20 - 18)
11/08 SB 273 Increases Energy-Efficiency Improvement Requirements of State Utilities from 1% to 1.5% Per Year Bill Passed - Senate (20 - 15)
11/07 SB 474 Repeals Several Medically Unnecessary Abortion and Reproductive Health Care Restrictions Concurrence Vote Passed - Senate (20 - 17)
11/07 SB 476 Amends and Repeals Certain Late Term Abortion Restrictions Concurrence Vote Passed - Senate (20 - 17)
11/07 SB 474 Repeals Several Medically Unnecessary Abortion and Reproductive Health Care Restrictions Concurrence Vote Passed - Senate (20 - 17)
11/07 HB 4949 Establishes Rights to Reproductive Freedoms Bill Passed - Senate (20 - 17)
11/07 HB 4953 Amends and Revises Previous State Jurisdiction Policies to Reflect Repealed Abortion Laws Bill Passed - Senate (20 - 17)
11/01 HB 4852 Establishes Manoomin (Wild Rice) as the Official Native Grain of Michigan Bill Passed - Senate (28 - 10)
10/26 SB 502 Requires the Utilities Efficiency Program To Be Equitable, Reliable, and Affordable Bill Passed - Senate (20 - 18)
10/26 SB 530 Amends the State No-Fault Insurance Policy Bill Passed - Senate (23 - 14)
10/26 SB 530 Amends the State No-Fault Insurance Policy Bill Passed - Senate (23 - 14)
10/19 SB 531 Establishes Fee Schedules for Reimbursements to Health Care Providers Bill Passed - Senate (23 - 14)
10/19 SB 531 Establishes Fee Schedules for Reimbursements to Health Care Providers Bill Passed - Senate (23 - 14)
10/05 SB 441 Amends Reporting Requirements for the Commercial Fishing Industry Bill Passed - Senate (21 - 16)
10/04 SB 483 Establishes the Prescription Drug Affordability Board to Set State Drug Prices Bill Passed - Senate (20 - 17)
10/04 SB 483 Establishes the Prescription Drug Affordability Board to Set State Drug Prices Bill Passed - Senate (20 - 17)
10/04 SB 485 Requires The Social Welfare Act to Comply with the Prescription Drug Cost and Affordability Review Act Bill Passed - Senate (20 - 17)
2/28 HB 4016 Appropriates $1.4 Billion from the General Budget to Address the State Healthcare Worker Shortage Bill Passed - Senate (22 - 16)
9/28 HB 6354 Amends Law in Regard to Hunting Bill Passed - Senate (26 - 10)
9/20 HB 6075 Authorizes Assistance Payments to Guardians of Minors Bill Passed - Senate (36 - 0)
9/20 SB 185 Expands Regulation of Drinking Water (35 - 1)
9/20 SB 185 Expands Regulation of Drinking Water (35 - 1)
7/01 HB 5558 Prohibits Research on Stem Cells Obtained from an Abortion Bill Passed - Senate (21 - 16)
7/01 HB 5559 Classifies Performing Research on the Tissue of an Aborted Fetus as a Felony Bill Passed - Senate (21 - 16)
6/23 HB 6109 Prohibits Anyone Under 21 From Entering a Specialty Tobacco Shop Bill Passed - Senate (28 - 10)
6/23 HB 6108 Prohibits Sale of Tobacco, Vapor Products to Persons Under 21 Bill Passed - Senate (29 - 9)
6/23 SB 577 Amends the Age of Majority Act of 1971 to Reflect an Increase in the Legal Tobacco Consumption Age Bill Passed - Senate (29 - 9)
6/23 SB 576 Prohibits Distributing Tobacco by Mail to Anyone Under 21 Bill Passed - Senate (28 - 10)
6/08 HB 5044 Establishes Guidelines for New Child Care Provider Contracts Bill Passed - Senate (33 - 5)

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