Legislative Analysis
Phone: (517) 373-8080
LICENSURE OF SUBSTANCE USE DISORDER SERVICES
http://www.house.mi.gov/hfa
House Bill 4833 (proposed substitute H-2) Analysis available at
Sponsor: Rep. Ranjeev Puri http://www.legislature.mi.gov
Committee: Health Policy
Complete to 12-4-24
SUMMARY:
House Bill 4833 would amend Part 62 (Substance Abuse Services) of the Public Health Code
to remove a requirement that a person providing substance use disorder prevention services
must be licensed under the part. A person offering substance use disorder treatment and
rehabilitation services would still need to be licensed, with exceptions as described below.
Currently, a person cannot establish, conduct, or maintain a substance use disorder services
program unless it is licensed under Part 62 or is either of the following:
• A person that is otherwise licensed to provide psychological, medical, or social
services.
• A private, nonprofit organization that meets all of the following:
o It is exempt under section 501(c)(3) of the Internal Revenue Code.
o It has been in existence since before September 30, 1965.
o Its major purpose is to provide residential services for the redirection and
improvement of drug abusers and other character disordered individuals.
Substance use disorder services means either or both of the following:
• Substance use disorder prevention services, which means services that are
intended to reduce the consequences of substance use disorders in
communities by preventing or delaying the onset of substance abuse and that
are intended to reduce the progression of substance use disorders in individuals.
Substance use disorder prevention is an ordered set of steps that promotes
individual, family, and community health, prevents mental and behavioral
disorders, supports resilience and recovery, and reinforces treatment principles
to prevent relapse.
• Substance use disorder treatment and rehabilitation services, which means
providing identifiable recovery-oriented services, including the following:
o Early intervention and crisis intervention counseling services for
individuals who are current or former individuals with substance use
disorder.
o Referral services for individuals with substance use disorder, their
families, and the general public.
o Planned treatment services, including chemotherapy, counseling, or
rehabilitation for individuals physiologically or psychologically
dependent on or abusing alcohol or drugs.
Substance use disorder means chronic disorder in which repeated use of alcohol,
drugs, or both, results in significant and adverse consequences. Substance use disorder
includes substance abuse, which means the taking of alcohol or other drugs at dosages
House Fiscal Agency Page 1 of 2
 that place an individual's social, economic, psychological, and physical welfare in
potential hazard or to the extent that an individual loses the power of self-control as a
result of the use of alcohol or drugs, or while habitually under the influence of alcohol
or drugs, endangers public health, morals, safety, or welfare, or a combination of those
things.
Under the bill, except as described below, a person could not establish, conduct, or maintain
a substance use disorder services program that offers any service that is a substance use
disorder treatment and rehabilitation service unless it is licensed under Part 62.
A license under Part 62 would not be required to provide substance use disorder prevention
services.
A license under Part 62 would not be required by any of the following:
• A person that is otherwise licensed to provide psychological, medical, or social
services.
• A hospital licensed under Article 17 of the Public Health Code.
• A psychiatric hospital or psychiatric unit licensed under section 134 of the Mental
Health Code.
The bill would change references in Part 62 to licensure of a substance use disorder services
program so that they would apply only to the licensure of substance use disorder treatment
and rehabilitation services.
Finally, the bill would remove a provision that now requires the Department of Licensing and
Regulatory Affairs (LARA), before issuing a license to an applicant under Part 62, to provide
an opportunity for individuals in the applicant’s service delivery area to comment.
MCL 333.6233
FISCAL IMPACT:
House Bill 4833 would likely result in reduced revenue for the Department of Licensing and
Regulatory Affairs. LARA estimates that the elimination of duplicative licensure requirements
and other changes made by the bill would result in a revenue reduction of approximately
$70,000 annually, which would impact the Health Systems Fees state restricted fund.
Legislative Analyst: Rick Yuille
Fiscal Analyst: Una Jakupovic
■ This analysis was prepared by nonpartisan House Fiscal Agency staff for use by House members in their
deliberations and does not constitute an official statement of legislative intent.
House Fiscal Agency HB 4833 (proposed H-2 substitute) Page 2 of 2


Statutes affected:
Substitute (H-2): 333.6233
House Introduced Bill: 333.6233
As Passed by the House: 333.6233