State Legislation - Compact Bill
Current Updates on State OT Compact in MI
As of 3/27/26, the licensing compact is still awaiting final State Senate approval before it can be sent to Governers Desk.

WHY IS AN OT COMPACT NEEDED IN MICHIGAN?
- Decrease gaps to serve individuals in areas with OT practitioner shortages
- Allow for OT practitioners to start work immediately after moving to a new state while they have applied for their new state license
- It will increase opportunities for practice in multiple states with telehealth options
HB 4169 and HB 4170 - Interstate Compact Introduced in 2023
PASSED the House Health Policy Committee 10/5/23
PASSED through the House on 4/30/24
PASSED Senate Health Policy Committee on 12/11/24
House Health Policy Committee Testimony 10/5/23
Representative Julie Rogers and Doug Wosniak
Denise Hoffman, MiOTA Advocacy Director
TESTIMONY WITH THE HOUSE HEALTH POLICY COMMITTEE (start at 1 hr, 15 minutes)
Senate Health Policy Committee Testimony 12/11/24
Audio (testimony last 5 minutes of recording): MIOTA Testimony
Bipartisan support for the Compact Bill from 2023
HB 4169: Julie Rogers (district 4
Robert Bezotte, Joseph Fox, V
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Compact Fact Sheet for Practitioners (free download)
STATES ARE IN THE PROCESS OF ENACTING COMPACT LEGISLATION
Images as of 3/17/26 (content retrieved from : https://otcompact.gov/compact-map/)
Head to https://otcompact.gov/compact-map/ for most up to date information.
MiOTA's Advocacy Committee:
Denise Hoffman, Chair
Interested in learning more or volunteering?
Contact advocacy@miota.org
OT COMPACT WEBSITE: https://otcompact.org/about/
Additional Resources:
NBCOT State Regulatory Leadership Forum Informational Webinar
AOTA–NBCOT® Joint Initiative: Developing the Occupational Therapy Licensure Compact