MI HB4220

Requires veterinarians to establish a veterinarian-client-patient relationship before practicing veterinary medicine, which can be done through in-person examination, telehealth examination, or premises visits

Allows telehealth examinations using real-time audio and visual technology for companion animals only, unless the veterinarian has previously made an in-person premises visit for non-companion animals

Prohibits telehealth examinations for issuing interstate certificates of veterinary inspection or pet health certificates

Limits prescriptions from telehealth-only examinations to a 14-day supply with no refills, with one additional 14-day supply allowed after a second telehealth exam; controlled substances require in-person examination

Requires veterinarians to be available for emergency coverage after telehealth consultations and to provide referrals to geographically accessible veterinarians if unable to perform in-person follow-ups

Takes effect only if House Bill No. 4221 of the 103rd Legislature is also enacted into law