The Michigan Legislature convened on June 24, 2025, to discuss critical health policy issues, particularly focusing on the proposed Counseling Compact aimed at enhancing mental health care access across state lines. The meeting featured testimonies from various stakeholders, including licensed professional counselors and representatives from the Michigan Mental Health Counselor Association (MMHCA).

The first significant topic addressed was the Counseling Compact, which, if enacted, would permit licensed counselors in member states to practice both in-person and via telehealth across state lines. Proponents argued that this would expand access to mental health care, particularly benefiting underserved communities in Michigan. Currently, 34 states have enacted the compact, with recent additions including Arizona, New Jersey, and South Dakota.

Carol Berger, a licensed professional counselor and MMHCA secretary, provided insights into the current landscape of counseling in Michigan. She noted that while the compact could improve mobility and access to care, there are concerns regarding its effectiveness in addressing the state's mental health needs. Berger highlighted that many counselors practicing in Michigan are already licensed from other states, and the compact's potential benefits may not materialize if Michigan does not offer competitive reimbursement rates for mental health services.

Dr. Stephanie Burns, a counselor educator, echoed these sentiments, emphasizing the complexities involved in practicing across state lines. She pointed out that counselors would need to navigate varying state laws and regulations, which could complicate their ability to provide care. Additionally, she raised concerns about the influence of large, venture capital-backed counseling companies on the profession, which could undermine local practices and ethical standards.

Both Berger and Burns stressed the importance of thoroughly evaluating the compact's implications before moving forward. They called for a comprehensive examination of Michigan's mental health challenges and the potential impact of the compact on service delivery, particularly in rural areas where access to care is already limited.

The meeting concluded with a recognition of the need for further discussion and analysis regarding the Counseling Compact. Stakeholders expressed a commitment to ensuring that any legislative actions taken would genuinely benefit the residents of Michigan and address the pressing mental health issues facing the state.