Michigan House Bill HB5486

Michigan 2025-2026 Regular Session

• Introduced: 1/29/26
• Refer: 1/29/26

Caption

Health: immunizations; access to the Michigan care improvement registry; restrict and expand the registry to include the reporting of adverse events resulting from immunizing agents. Amends secs. 9206 & 9227 of 1978 PA 368 (MCL 333.9206 & 333.9227).

Summary

HB 5486 amends Michigan’s Public Health Code provisions governing childhood immunization reporting and the state immunization registry. The bill requires health care providers who administer immunizing agents to children to continue giving parents or guardians an immunization certificate and to notify them of their right to object to reporting the immunization to the state. Unless a written objection is received before reporting, providers must report each immunization to the Department of Health and Human Services under rules the department adopts. The bill also expands what the state may collect in connection with the registry. Beginning January 1, 2024, the immunization certificate must include a space to indicate whether a minor has been tested for lead poisoning. Beginning January 1, 2027, providers must report adverse events resulting from immunizing agents, including patient demographics, the vaccine or other immunizing agent, timing and location of administration, symptoms, test results if any, and the outcome. The bill defines “adverse event resulting from an immunizing agent” broadly to include injuries reported by the patient or diagnosed by the provider.

Impact

HB 5486 would amend MCL 333.9206 and 333.9227 to expand the Michigan Care Improvement Registry’s scope while preserving a parent/guardian opt-out from immunization reporting. It would also direct the department to promulgate rules for collecting and recording lead screening information and adverse-event reports, while expressly prohibiting rules that give schools or school officials access to the registry. The bill would increase reporting obligations for health care providers and add new state data collection responsibilities related to childhood immunizations and vaccine-related injuries.

Sentiment

Based on the bill caption and the absence of recorded committee testimony or votes in the provided materials, the bill appears to be framed as a public-health and registry-administration measure rather than a highly debated proposal in the available record. The structure of the bill suggests support for stronger state tracking of immunization-related information, paired with a privacy safeguard that preserves parental control over reporting to the registry. No formal vote history or transcript evidence is provided to show organized support or opposition.

Contention

The main points of potential contention are privacy, parental consent, and access to registry data. Supporters would likely favor the expanded reporting of lead screening and adverse events as a way to improve public-health monitoring and vaccine safety oversight. Opponents may focus on the expanded collection of sensitive health information, the burden on providers, and the possibility that registry expansion could be used for broader surveillance, even though the bill bars school access to the registry. The opt-out provision for immunization reporting and the explicit school-access restriction appear designed to address these concerns.