Michigan House Bill HB4419

Michigan 2025-2026 Regular Session

• Introduced: 5/1/25
• Refer: 5/1/25
• Report Pass: 6/11/25
• Engrossed: 9/18/25

Caption

Probate: other; designation of a patient surrogate for health care decisions; allow. Amends 1998 PA 386 (MCL 700.1101 - 700.8206) by adding secs. 5605 & 5606. TIE BAR WITH: HB 4418'25

Impact

The implications of HB4419 on state laws include an emphasis on the protection of patient advocates and health care providers. By clearly defining the roles and protections for these individuals, the bill creates a more structured framework for enduring patient care in circumstances where direct patient input is unfeasible. Additionally, it sets specific liabilities for violations, thereby encouraging compliance among health care providers and safeguarding patient rights.

Summary

House Bill 4419 seeks to amend the Estates and Protected Individuals Code in Michigan, specifically by adding sections 5605 and 5606, which address surrogate decision-making for health care. The bill aims to provide legal protection for health care providers and individuals acting as patient advocates or surrogates, ensuring they are not subject to civil or criminal liability when acting in good faith and based on accepted health care standards. This legislative move is intended to facilitate health care decision-making for individuals who are unable to make their own decisions due to incapacitation or other reasons.

Sentiment

The sentiment around HB4419 appears to be largely supportive among health care professionals and legal experts who argue that providing liability protections is essential for encouraging individuals to serve as patient advocates without the fear of legal repercussions. However, there may be concerns regarding the potential for abuse of the provisions, especially with the defined liability thresholds for deliberate misconduct. Stakeholders emphasize a balance between protecting advocates and ensuring they operate effectively within the ethical confines of medical care.

Contention

Notable points of contention surrounding HB4419 include discussions on the adequacy of protection it offers against potential misuse of surrogate decision-making authority. The potential for misinterpretation of who is authorized to make health care decisions raises concerns about patient autonomy and consent. Critics may argue that while protections are beneficial, there should be robust checks and validation processes to prevent conflicts arising from surrogate interventions in sensitive health care scenarios.