Ambulance & Emergency Medical Services Licensing

Current understanding

Michigan regulates ambulance operations and emergency medical services under Part 209 of the Public Health Code (1978 PA 368), including MCL 333.20920 which governs ambulance operation license categories. HB 5249 (103rd Legislature) would create a new ‘adaptive care’ ambulance operation license category, expanding the roster of authorized ambulance service types; the bill has passed a chamber.

Evidence log

• 2026-02-19 — Torts: liability; immunity for individuals rendering emergency services who apply bleeding control; provide for. Amends 1963 PA 17 (MCL 691.1501 - 691.1507) by adding sec. 8. TIE BAR WITH: SB 0591’25: SB 0590 (103rd Legislature), tie-barred with SB 0591, would extend Good Samaritan civil immunity under 1963 PA 17 to lay individuals applying bleeding control during emergency response — operating alongside but outside the Public Health Code EMS licensure framework; passed a chamber. (novelty: 2)
• 2026-05-12 — Human services: medical services; coverage for behavioral health transportation; provide for. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109y. TIE BAR WITH: HB 5943’26: cross-connection with behavioral-health-transportation-medicaid-coverage: Behavioral health transportation coverage under Medicaid parallels existing non-emergency medical transport arrangements historically associated with ambulance/EMS providers, but establishes a separate coverage category tied to a new Mental Health Code license type. (novelty: 2)
• 2026-05-12 — Health: licensing; behavioral health transportation licensing requirements; provide for. Amends 1974 PA 258 (MCL 330.1001 - 330.2106) by adding ch. 9B. TIE BAR WITH: HB 5944’26: HB 5943 (103rd Legislature) would create a parallel but separate licensing regime for behavioral health transportation under the Mental Health Code (adding Ch. 9B to 1974 PA 258), distinct from Public Health Code ambulance/EMS licensure. (novelty: 3)

Open questions

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