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Michigan Government Watch

Dossier Legislative passed chamber 03-jul-2026
Passed the Michigan House or Senate, but not yet both — still not law.

Health: emergency services; ambulance operation adaptive care license; create. Amends sec. 20920 of 1978 PA 368 (MCL 333.20920).

Key claim: Michigan House Bill 5249 creates a new ambulance operation adaptive care license by amending the state’s Public Health Code (MCL 333.20920).

Abstract

(HB5249 · 103rd Legislature) Health: emergency services; ambulance operation adaptive care license; create. Amends sec. 20920 of 1978 PA 368 (MCL 333.20920). Latest action (2026-07-03): Bill Ordered Enrolled

Why this matters

Ambulance operation license categories determine what kinds of pre-hospital and inter-facility transport services can lawfully operate in Michigan, directly shaping access to emergency and non-emergency medical transportation. Adding an ‘adaptive care’ license category could open a regulated pathway for services tailored to patients whose needs fall between traditional ambulance transport and other modes, with downstream implications for Medicaid transport coverage and rural EMS availability.

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Briefing card

Health: emergency services; ambulance operation adaptive care license; create. Amends sec. 20920 of 1978 PA 368 (MCL 333.20920).
Stage: passed chamber · legiscan · 03-jul-2026

Michigan House Bill 5249 creates a new ambulance operation adaptive care license by amending the state's Public Health Code (MCL 333.20920).

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External: legiscan:2052259:passed-chamber

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build build 392 · ea9c128-dirty · 2026-08-09