The House Health Policy Committee convened to continue discussions on HB 4399, a bill that would authorize nurse practitioners (NPs) to practice independently without physician oversight. The proposal aims to expand healthcare access, particularly in underserved and rural areas.

The Michigan State Medical Society (MSMS) remains opposed to the bill. Representing MSMS, Legal Counsel Kathleen Westfall, Esq., and CEO Tom George, MD, appeared before the committee to respond to unresolved questions from the prior hearing. They clarified that, contrary to some proponents’ claims, HB 4399 would indeed allow nurse practitioners to open independent practices, or "hang their own shingle." They emphasized the benefits of the physician-led, team-based care model, safer care, higher quality, and better patient outcomes.

Also, testifying in opposition on behalf of the Michigan Osteopathic Association (MOA) was physician and former Representative Edward “Ned” Canfield, DO. He expressed particular concern about independent prescribing authority, especially regarding scheduled medications, citing potential risks to patient safety.

Supporters of the bill also presented testimony, stressing the urgent need to improve healthcare access in rural communities. However, some committee members appeared divided—sympathetic to the access issue but wary that the bill may go too far in removing oversight.

The committee will continue to take testimony next week. Scheduled to appear are physicians from the Michigan College of Emergency Physicians (MCEP) and the Michigan Radiological Society (MRS), as well as Shay Raleigh, Executive Director of the Great Lakes Physician Organization.

Call to Action:
MSMS members are strongly encouraged to continue contacting their legislators and urging opposition to HB 4399. Your voice is critical to preserving physician-led, team-based care in Michigan. Take action now by visiting:
👉 https://www.votervoice.net/MSMS/campaigns/104439/respond