SENATE BILL NO. 569

September 18, 2025, Introduced by Senator ANTHONY and referred to Committee on Appropriations.

A bill to amend 1978 PA 368, entitled

"Public health code,"

by amending sections 21919 and 21920 (MCL 333.21919 and 333.21920), section 21919 as amended and section 21920 as added by 2023 PA 273.

the people of the state of michigan enact:


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Sec. 21919. (1) An applicant for registration to practice as a nurse aide or a permit to conduct training or instruction of a nurse aide candidate, or renewal of that registration or permit, shall pay the following biennial fees:


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(a) Nurse aide

$40.00

(b) Nurse aide trainer

$60.00

(c) Except as otherwise provided in subdivision (d), nurse aide training program

$300.00, per site

(d) Nurse aide training program offered by a secondary education institution or a skilled nursing facility

$100.00, per site

(2) In addition to the fees prescribed in subsection (1), an applicant for registration to practice as a nurse aide shall pay a nurse aide competency examination fee of $175.00, per examination.

(3) If an application for renewal of a registration to practice as a nurse aide or for renewal of a permit to conduct training or instruction of a nurse aide candidate is received by the department after the expiration date of the registration or permit, the applicant shall pay a late fee in the amount of $75.00 in addition to the renewal fee.

(4) At the beginning of each state fiscal year, the department may increase the fees collected under this section by a percentage amount equal to not more than the average percentage wage and salary increase granted for that fiscal year to classified civil service employees employed by the department.

(5) If the department increases fees under subsection (4), the increase is effective for that fiscal year. The department shall use the increased fees as the basis for calculating fee increases in subsequent fiscal years.

(6) By August 1 of each year, the department shall provide to the director of the department of technology, management, and budget and the chairpersons of the appropriations committees of the senate and house of representatives a complete schedule of fees to


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be collected under this section for the following fiscal year.

Sec. 21920. (1) An individual shall not engage in practice as a medication aide unless the individual holds a registration to engage in practice as a medication aide.

(2) A person shall not offer a medication aide training program or provide training or instruction to a medication aide candidate unless the person holds a permit to offer that training program or provide that training or instruction.

(3) The department may grant a registration to engage in practice as a medication aide to an applicant who meets all of the following requirements:

(a) Submits an application on a form and in a manner prescribed by the department.

(b) Pays the fee prescribed in this section.

(c) Demonstrates to the department that the applicant holds a current registration to engage in practice as a nurse aide and that the applicant has worked as a nurse aide in a nursing home or skilled nursing facility for at least 2,000 hours during the 2-year period immediately preceding the date of the applicant's application.

(d) Demonstrates to the department that the applicant has successfully completed a medication aide training program and a competency examination approved by the department.

(e) Meets the requirements for registration in rules promulgated under section 21923.

(4) The department may grant a permit as a medication aide trainer to an applicant who meets all of the following requirements:

(a) Submits an application on a form and in a manner


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prescribed by the department.

(b) Pays the fee prescribed in this section.

(c) Is a registered professional nurse licensed under article 15 who meets the requirements for a permit in rules promulgated under section 21923.

(5) The department may grant a permit as a medication aide training program to an applicant that meets all of the following requirements:

(a) Submits an application on a form and in a manner prescribed by the department.

(b) Pays the fee prescribed in this section.

(c) Meets the requirements for a permit in rules promulgated under section 21923.

(d) Demonstrates to the department that the applicant's curriculum is consistent with other medication aide training programs, as provided by rules promulgated by the department under this part. However, a medication aide training program must incorporate the National Council of State Boards of Nursing medication assistant-certified model curriculum.

(6) The department may grant registration to an applicant who is from another state and seeking a registration to practice as a medication aide if the applicant demonstrates to the department that the applicant has successfully completed a medication aide training program from Indiana, Ohio, or Wisconsin, and the applicant passes a competency examination approved by the department.

(7) If a medication aide does not renew the medication aide's registration, the medication aide shall not engage in practice as a medication aide until the medication aide's registration is renewed


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by the department. If a medication aide trainer does not renew the medication aide trainer's permit, the medication aide trainer shall not provide training to a medication aide candidate until the medication aide trainer's permit is renewed by the department. If a person does not renew its permit as a medication aide training program, the medication aide training program shall not provide instruction to a medication aide candidate until the permit is renewed by the department.

(8) An applicant for registration to practice as a medication aide or a permit to conduct training or instruction of a medication aide candidate, or renewal of that registration or permit, shall pay the following biennial fees:

(a) Medication aide

$160.00

(b) Medication aide trainer

$200.00

(c) Medication aide training program

$500.00, per site

(9) In addition to the fees prescribed in subsection (8), an applicant for registration to practice as a medication aide shall pay a medication aide competency examination fee of $175.00, per examination.

(10) If an application for renewal of a registration to practice as a medication aide or for renewal of a permit to conduct training or instruction of a medication aide candidate is received by the department after the expiration date of the registration or permit, the applicant shall pay a late fee in the amount of $75.00 in addition to the renewal fee.

(11) At the beginning of each state fiscal year, the department may increase the fees collected under this section by a percentage amount equal to not more than the average percentage wage and salary increase granted for that fiscal year to classified


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civil service employees employed by the department.

(12) If the department increases fees under subsection (11), the increase is effective for that fiscal year. The department shall use the increased fees as the basis for calculating fee increases in subsequent fiscal years.

(13) By August 1 of each year, the department shall provide to the director of the department of technology, management, and budget and the chairpersons of the appropriations committees of the senate and house of representatives a complete schedule of fees to be collected under this section for the following fiscal year.