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Archived Rule Revisions for Community Health

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10732

Clinical Laboratory
(Community Health Public Health Administration)

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10734

Continuing Education
(Community Health Bureau of Health Professions)

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10742

Rescinded - Hearings
(Community Health Public Health Administration)

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10746

Rescinded - Dentistry
(Community Health Bureau of Health Professions)

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10747

Ionizing Radiation
(Community Health Bureau of Health Systems)

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17806

Rescinded - Pharmacy Practice
(Community Health Bureau of Health Professions)

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1995-014 AN

Commission on Services to the Aging
(Community Health Office of Services to the Aging)

The proposed rule would revise Rule 205.1(a) to remove population restrictions on units of general purpose local government for initiating requests for designation of planning and service areas (PSA's).

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1995-017 CH

General
(Community Health Health Policy, Regulation and Professions Administration)

WITHDRAWN 4/28/2000 The proposed rules would eliminate existing provisions governing claim filing times and burial payment limitations to comport with statutory changes.

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1995-049 CH

General Rules
(Community Health Bureau of Health Professions)

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1995-050 CH

Communicable and Related Diseases
(Community Health Public Health Administration)

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1995-054 CH

Continuing Education
(Community Health Bureau of Health Professions)

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1995-063 CH

General Rules
(Community Health Bureau of Health Professions)

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1995-066 CH

General Rules
(Community Health Mental Health and Substance Abuse Administration)

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1995-090 CH

Certificate of Need
(Community Health Bureau of Health Systems)

(Community Health)

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1995-121 CH

General Rules
(Community Health Bureau of Health Professions)

WITHDRAWN - refer to Rule 97-056 CI

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1995-122 CH

General Rules
(Community Health Bureau of Health Professions)

The proposed rule would rescind three obsolete rules governing replacements of certificates of licensure, change of address, and the continuing education advisory committee.

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1995-123 CH

General Rules
(Community Health Bureau of Health Professions)

WITHDRAWN

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1995-129 CH

General Rules
(Community Health Bureau of Health Professions)

WITHDRAWN

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1995-130 CH

General Rules
(Community Health Bureau of Health Professions)

WITHDRAWN

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1995-131 CH

General Rules
(Community Health Bureau of Health Professions)

WITHDRAWN

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1995-136 CH

General Rules
(Community Health Bureau of Health Professions)

The proposed rule would rescind three obsoletes rule governing interpretations of recognized agencies, registration, and unprofessional advertising.

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1995-140 CH

Disciplinary Proceedings
(Community Health Bureau of Health Professions)

The proposed rule specifies that existing hearing procedures are applicable only for cases undertaken prior to April 1, 1994.

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1996-004 CH

General Rules
(Community Health Bureau of Health Professions)

The proposed rules would revise and clarify the continuing education requirements for nursing licensees.

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1996-014 CH

General Rules
(Community Health Bureau of Health Professions)

The proposed rule would delete references to grandparenting which expired January 1, 1995; establish the requirements for granting registrations by endorsement for Occupational Therapists and Occupational Therapy Assistants; and revise the score on the test of spoken English.

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1996-016 CH

Clinical Laboratories
(Community Health Community Public Health)

WITHDRAWN 4/20/00 The proposed rule deletes 40 obsolete rules governing the operation of clinical labs in Michigan.

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1996-017 CH

(Community Health Bureau of Health Professions)

WITHDRAWN - see 96-117 CI

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1996-018 CH

Controlled Substances
(Community Health Bureau of Health Professions)

The proposed rules rescind 9 obsolete rules of the Board of Pharmacy, Controlled Substances relative to disciplinary procedures.

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1996-019 CH

(Community Health Bureau of Health Professions)

The proposed rules rescind 5 obsolete rules of the Board of Pharmacy relative to disciplinary procedures.

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1996-024 CH

Community Mental Health Programs
(Community Health Mental Health and Substance Abuse Administration)

The proposed rule is in response to Public Act 290 of 1995 which requires the Department of Mental Health to promulgate rules to establish standards for certification. The standards shall include but not be limited to the following: (a) matters of governance; resource management, quality improvement; service delivery; and safety management and (b) promotion and protection of recipient rights.

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1996-027 CH

Financial Liability for Services
(Community Health Mental Health and Substance Abuse Administration)

The proposed rule would establish requirements for an individual's ability to pay for adult inpatient psychiatric services of less than 61 days, all nonresidential services, and all services to minors, on the basis of the adult responsible party's income.

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1996-039 CH

Rights of Recipients
(Community Health Mental Health and Substance Abuse Administration)

WITHDRAWN 4/20/00 The proposed rule would establish Administrative Rules regarding Licensing and Regulation of Psychiatric Hospitals, Psychiatric Units, and Partial Psychiatric Hospitalization Programs and Rights of Recipients of Mental Health Services.

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1996-042 CH

Blood Leve Analysis Reporting Rules
(Community Health Community Public Health)

WITHDRAWN - Refer to 97-031 CH

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1996-044 CH

General Rules
(Community Health Bureau of Health Professions)

The proposed rules would amend several rules relating to examinations for prospective dentists and dental hygienists to conform with the regional examination which Michigan applicants take.

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1996-049 CH

(Community Health Community Living, Children and Families)

This rule rescinds approximately 48 obsolete rules governing the Crippled Children's Commission with regard to hospital and medical treatment for crippled children.

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1996-053 CH

(Community Health )

The following rule would rescind approximately 7 obsolete rules governing the hearing procedures for the Crippled Children Commission.

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1996-054 CH

(Community Health Community Living,Children and Families)

The following rules would rescind obsolete rules governing the Crippled Children Program, specifically hospital and medical treatment for crippled children.

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1996-057 CH

General Rules
(Community Health Bureau of Health Professions)

The following rule rescinds R 338.12012 of the General Rules of the Board of Chiropractic.

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1996-060 CH

General Rules
(Community Health Mental Health and Substance Abuse Administration)

The following rules define the rights of recipients on mental health services.

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1996-081 CH

General Rules
(Community Health Mental Health and Substance Abuse Services)

The following rules rescind obsolete regulations governing the Lafayette Clinic, which is now closed.

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1996-086 CH

General Rules
(Community Health Bureau of Health Professions)

WITHDRAWN - Refer to 99-008 CI

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1996-125 CH

General Rules
(Community Health Bureau of Health Professions)

The following rules rescind R 338.2512 of the Bureau of Occupational and Professional Regulation's rules entitled "Psychology."

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1996-129 CH

General Rules
(Community Health Bureau of Health Professions)

The following rule rescinds R 338.6401 of the Bureau of Occupational and Professional Regulation's rules entitled "Physician's Assistants Task Force

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1996-130 CH

General Rules
(Community Health Bureau of Health Professions)

The following rule rescinds R 338.8125 of the Bureau of Occupational and Professional Regulation's rules entitled "Podiatric Medicine and Surgery."

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1996-132 CH

Osteopathic Medicine and Surgery
(Community Health Bureau of Health Professions)

The following rule rescinds R 338.121 of the Bureau of Occupational and Professional Regulation's rules entitled "Osteopathic Medicine and Surgery."

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1996-133 CH

Veterinary Medicine
(Community Health Bureau of Health Professions)

The following rule rescinds R 338.3821 of the Bureau of Occupational and Professional Regulation's rules entitled "Administrative Hearings - Veterinary Medicine."

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1996-134 CH

General Rules
(Community Health Bureau of Health Professions)

The following rules rescind R 338.2331 of the Bureau of Occupational and Professional Regulation's rules entitled "Medicine."

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1996-146 CH

Continuing Education
(Community Health Bureau of Health Professions)

The following rules provide changes with routine updates to reflect current technology available. The amendments rescind 4 rules that are outdated. The amendments propose 3 new initiatives to address pharmacist concerns. These include: Part 1 - General Provisions and Part 2 - Manufacturing and Distribution of Prescription Drugs.

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1996-148 CH

Controlled Substances
(Community Health Bureau of Health Professions)

The following rule proposes to clarify and update current pharmacy rules to reflect changes and updated technology in the industry.

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1996-168 CH

Childhood Immunization Registry
(Community Health Public Health Administration)

The proposed rules provide guidance to hospitals, managed care providers and individuals on the use and availability of the childhood immunization registry in accordance with Section 9227 of the Public Health Code. These rules also provide guidance including but not limited to who may access information contained in the registry, how the information may be accessed, and the confidentiality of information contained in the registry.

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1996-177 CH

General Rules
(Community Health Bureau of Health Professions)

The Board of Denistry has been requested to review and update its rules on delegation; specifically, placement, and removal of rubber dam, coronal polishing, and administration of anesthesia.

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1997-011 CH

Licensing of Facilities
(Community Health Bureau of Health Systems)

WITHDRAWN - The proposed rules provide a separate set of licensure requirements for inpatient psychiatric programs for minors and psychiatric partial hospitalization programs.

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1997-031 CH

Blood Lead Analysis Reporting
(Community Health Public Health Administration)

The proposed rules require clinical laboratories to report blood lead analysis to the Department of Community Health/Public Health Agency. The laboratory will continue to send results to the physician/provider who ordered the analysis.

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1997-049 CH

License Renewal
(Community Health Bureau of Health Professions)

The Board's existing rules which were promulgated under the Occupational Code will be rescinded and new rules under PA 368 of 1978, as amended, will be proposed. These rules will set forth definitions; requirements for an eduational limited license; licensure requirements; eligibility for examination; requirements for licensure by endorsement and relicensure requirements

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1997-052 CH

General Rules
(Community Health Bureau of Health Professions)

Specialty Certification: These rules would update the standards adopted for specialty certification and adopt additional standards for nurse practitioners.

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1997-056 CH

General Rules
(Community Health Bureau of Health Professions)

The continuing education rules will be revised to adopt the standards of the Council of Optometric Practitioner Education (COPE) and will require optometrists who hold DPA and/or TPA certification to accumulate not less than 12 additional hours of CE. The proposed rules will also rescind parts of the Board's rule on unethical and ethical conduct that were suspended by the Joint Committee on Administrative Rules in 1957.

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1998-001 CH

Requests for Declaratory Rulings
(Community Health Health Policy, Regulation and Professions Administration)

Withdrawn 5/8/2002 The proposed rule would revise the Department of Community Health's current rules concerning declaratory rulings.

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1998-002 CH

Board of Medicine/Delegation
(Community Health Bureau of Health Professions)

WITHDRAWN

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1998-003 CH

Enforcement System for Long-Term Care Facilities
(Community Health Medical Services Administration)

These proposed rules describe the enforcement system for nursing facilities in the State of Michigan. They specify criteria for when and how remedies for noncompliance will be applied, fine amounts, and the severity of the remedies as required by federal law.

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1998-007 CH

Communicable and Related Diseases
(Community Health Community Public Health)

WITHDRAWN

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1998-031 CH

General Rules
(Community Health Mental Health and Substance Abuse Administration)

The proposed rules describe the enforcement system for nursing facilities in the State of Michigan. They specify criteria for when and how remedies for noncompliance will be applied, fine amounts, and the severity of the remedies as required by federal law.

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1998-032 CH

General Rules
(Community Health Bureau of Health Professions)

New rules will be developed to establish eligibility criteria for participation in the nursing scholarship program, application procedures, and maximum amounts for individual scholarships.

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1998-048 CH

Communicable and Related Diseases
(Community Health Public Health Administration)

The proposed rules make changes to Communicable and Related Diseases rules R 325.171, R 325.172, Designation and Classification of diseases and infections, R 325.176 to add chickenpox immunization, and R 325.180, procedures for control of rabies; disposition of rabid animals ferrets, and R 325.178 (revising department name).

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1998-059 CH

Guardianship for Recipients of Mental Health Services
(Community Health Mental Health and Substance Abuse Administration)

Withdrawn 5/8/2002 These rules had governed the guardianship of clients of mental health services but are now obsolete or duplicative to what is in statute.

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1998-060 CH

General Rules
(Community Health Bureau of Health Professions)

The Board of Medicine is considering establishing rules to authorize physicians to delegate the prescribing of controlled substances to advanced practicing nurses.

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1998-061 CH

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1998-062 CH

General Rules
(Community Health Bureau of Health Professions)

The Board of Osteopathic Medicine is considering establishing rules to authorize Physician Assistants prescribing powers of controlled substances.

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1998-063 CH

General Rules
(Community Health Bureau of Health Professions)

The Board of Osteopathic Medicine is considering establishing rules to authorize physicians to delegate the prescribing of controlled substances to advanced practice nurses.

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1998-070 CH

General Rules
(Community Health Bureau of Health Professions)

The proposed rules establish the requirements for chiropractic licensure by examination. The Board rules currently require passing Part I and II of the National Board Examination. The rules further provide an alternative state constructed examination if applicants do not take or pass the National Board Examination. The National Board Examination, over recent years, has been amended to add Parts III and IV. The Board is considering eliminating the state constructed examination and revising the rule to require passage of all parts of the National Board Examination.

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1998-091 CH

Financial Liability for Mental Health Services
(Community Health Mental Health and Substance Abuse Administration)

WITHDRAWN 11/27/2000. The proposed rule addresses definitions, determination of ability to pay from Ability-to-Pay Schedule, Ability-to-Pay determination based on total financial circumstances, and the Ability to-Pay determination based on total financial circumstances.

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1998-100 CH

General Rules
(Community Health Bureau of Health Professions)

The rule governing adoption of program accrediation standards will be updated to reflect a more current adoption date.

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1998-103 CH

Lead Hazard Remediation
(Community Health Public Health Administration)

The proposed rules provide for the regulation of persons engeged in lead-based paint inspection, risk assessment, and lead abatement.

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1998-104 CH

Vital Records Documents; Public Inspection and Copying
(Community Health Public Health Administration)

Withdrawn 5/8/2002 These new rules would document in rule form the current parameters that govern the release of social security numbers collected on vital records.

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1999-004 CH

General Rules
(Community Health Bureau of Health Professions)

Pharmacy - R 338.479b Prescriptions -- This rule amends a rule that was promulgated by the Board of Pharmacy in 1998. The rule sets forth the requirements for information to be contained on a prescription.

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1999-008 CH

General Rules
(Community Health Bureau of Health Professions)

A request for rule making to remove restrictions in the examination rule for nursing home administrator applicants was previously filed with the Office of Regulatory Reform. Rule Set 98 086 has been withdrawn. Upon further review of the rules for nursing home administrators, the department has identified additional rules which need revision or rescission. The current proposed rules clarify procedures for approval of educational courses, extend the time period for which an exam score will be held, delete obsolete rules for approval of educational programs, and eliminate rules for the conduct of board meetings which duplicate the Open Meetings Act.

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1999-012 CH

Registration
(Community Health Bureau of Health Professions)

Withdrawn 5/22/2002 These rules govern the registration of Sanitarians.

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1999-022 CH

Emergency Medical Services
(Community Health Health, Legislation and Policy Development)

WITHDRAWN 01/26/2001. The proposed rules address the educational and license requirements of emergency medical services personnel and life support agencies (vehicles). In addition, it focuses upon educational programs, medical control authorities, and hearing provisions.

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1999-056 CH

Podiatry -- General Rules
(Community Health Bureau of Health Professions)

WITHDRAWN 2/9/2000 A review of the General Rules for the Board of Podiatry is proposed. The national examination required for podiatry is being revised and will become a computerized process. The rules must be updated to reflect this process. The standards for educational and residency programs adopted in these rules were current in 1986 and need to be updated. The board intends to revise its licensure by endorsement rule to reflect a greater mobility for podiatrists who hold licensure in other states.

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1999-066 CH

General Rules -- Board of Social Work Examiners
(Community Health Bureau of Health Professions)

WITHDRAWN -- rules not needed as result of passage of PA 11 of 2000. The proposed rules will amend current administrative regulations regarding unprofessional conduct to include a definition of sexual exploitation or harassment of a client, and a prohibition against sexual relationships with present or former clients.

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2000-002 CH

Freestanding Surgical Outpatient Facilities
(Community Health Bureau of Health Systems)

The proposed rules would revise the department's rules relating to freestanding surgical outpatient clinics.

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2000-043 CH

Board of Social Work
(Community Health Bureau of Health Professions)

WITHDRAWN 1/11/02 The Board of Social Work was transferred from the Occupational Code to the Public Health Code on March 7, 2000, by PA 11 of 2000. The rules will be amended to reflect the change and establish a new requirement for an examination prior to registration.

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2000-044 CH

Child Safety Seat Grant Program
(Community Health Health, Legislation and Policy Development)

WITHDRAWN 1/17/2001. The Department of Community Health shall establish a child car seat safety program for the purpose of providing grants for training, promotion, and education concerning the child restraint system use requirements under sections 710d and 710e in the Motor Vehicle Code. The child car seat safety grant program shall provide grants to persons that the department considers eligible.

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2000-045 CH

General Rules
(Community Health Bureau of Health Professions)

Withdrawn 2/4/2002. R 338.11247 would be amended to revise the requirement for "general supervision" for clinical academic licensees. The revised rule would provide a definition for " supervision" in R 338.11101 that consistent wit the Code, deleting the one site requirement.

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2000-046 CH

Board of Dentistry - Part 7 Continuing Education
(Community Health Bureau of Health Professions)

Withdrawn 2/4/2002. The rule is being amended to provide a separate category for online continuing education programs and setting forth a maximum number of hours a licensee may accrue towards the total requirement.

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2000-059 CH

Hospice Residence Licensure Rules
(Community Health Bureau of Health Systems)

The rules implement new provisions of part 214 of the Public Health Code by establishing licensure standards for home care level of care hospice residence.

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2000-087 CH

Board of Chiropractic - General Rules
(Community Health Bureau of Health Professions)

The Board of Chiropractic examination rule was amended effective May 4, 2000, requiring licensure applicants to pass Parts I, II, and III of the national exam after January 1, 2001. This rule adds language to provide for an appeal in the event an applicant fails to successfully pass Part III.

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2001-015 CH

EMS Organization Licensure Rules
(Community Health Health Policy, Regulation and Professions Administration)

The proposed rules will establish standards for the licensing of EMS organizations under Part 209 of the Public Health Code, as amended by 2000 PA 375.

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2001-016 CH

EMS - Personnel Licensure and Regulation Rules
(Community Health Health Policy, Regulation and Professions Administration)

The proposed rules will establish the requirements and regulations for EMS personnel.

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2001-030 CH

Nursing
(Community Health Bureau of Health Professions)

R 338.81 "Declaratory Rulings" is a new rule which became effective on March 1, 2001. With the promulgation of this department wide single rule, nine separate current rules relating to declaratory rulings have been identified as obsolete/duplicative. R 338.10101 is on of the nine rules we are proposing to rescind because it is duplicative.

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2001-031 CH

Psychology
(Community Health Bureau of Health Professions)

R 338.81 "Declaratory Rulings" is a new rule which became effective on March 1, 2001. With the promulgation of this department wide single rule, nine separate current rules relating to declaratory rulings have been identified as obsolete/duplicative. R 338.2503 is on of the nine rules we are proposing to rescind because it is duplicative.

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2001-037 CH

Psychology
(Community Health Bureau of Health Professions)

The rule would establish the requirements for granting licensure by endorsement to doctoral level individuals who hold a license in another state or hold a certificate of professional qualification in psychology.

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2001-056 CH

Phenylketuria Test on Newborn Infants
(Community Health Public Health Administration)

Withdrawn 5/8/2002 Statute that provided for administrative rules was amended, and rules are no longer necessary.

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2001-082 CH

General Rules
(Community Health Bureau of Health Professions)

Rules 338.252, 338.253, and 338.255 and being amended to delete references to Part 1, Part IIA, and Part IIB of the examination of the National Board of Examiners in Optometry. The proposed rules would clarify that among the requirements that applicants for a Michigan optometry license by examination or, in certain cases, by endorsement, must meet would be to achieve the specified score on Part I (Basic Science), Part II (Clinical), and Part III (Patient Care) of the National Board's examination. The proposed rules also would clarify that to ensure eligibility for the Michigan Board of Optometry clinical examination, an applicant would have to achieve the specified score on Parts I, II, and III of the National Board's examination.

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2002-005 CH

Board of Social Work - General Rules
(Community Health Bureau of Health Professions)

Public Act 11 of 2000 transferred on March 7, 2000 the Board of Social work from the Occupational Code to the Public Health Code. The rules will be amended to reflect this change, establish a new requirement for examination prior to registration, and consolidate and reclassify the current rules. In addition, consideration will be given to revising the rules on unprofessional conduct to establish guidelines on sexual relationships with present or former clients, based on national code of ethics.

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2002-013 CH

Dentistry General Rules
(Community Health Bureau of Health Professions)

The rules are being amended to provide alternative continuing education programs, including a separate category for online continuing education programs, and to set a maximum number of hours a licensee may accrue toward the total requirements.

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2002-027 CH

Controlled Substances
(Community Health Bureau of Health Professions)

The rules are being amended to comply with Public Act 231 of 2001, which requires the Department of Consumer and Industry Services to establish, by rule, and electronic system for monitoring Schedule 2, 3, 4, and 5 controlled substances dispensed in the State by veterinarians, pharmacists, and dispensing prescribes licensed under Part 177 (Pharmacy Practice and Drug Control) of the Public Health Code, or dispensed to an address in the State by pharmacy licensed in the State.

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2002-029 CH

Family Support Subsidy Program
(Community Health Mental Health and Substance Abuse Administration)

Special education standards and criteria; Determination of Severely Mentally Impaired.

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2002-031 CH

Board of Pharmacy
(Community Health Bureau of Health Professions)

Withdrawn 3/15/2005 R 338.489 is being revised to make it consistent with the provisions of R 338.3154 (4) of the Controlled substances Rules on the use of mechanical devices in medical institutions and the dispensing of a controlled substance, medication, or from an automated device.

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2002-032 CH

Board of Pharmacy
(Community Health Bureau of Health Professions)

Withdrawn 3/15/2005 R 338.4044 is being amended to include pain and symptom management and palliative care as subjects for study in a continuing education course or program. R 338.4044 is being amended to provide for alternative continuing education programs, including a separate category for online continuing education.

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2002-043 CH

Phenylketuria Test on Newborn Infants
(Community Health Public Health Administration)

Not applicable as these are rules to be rescinded.

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2002-056 CH

Psychology
(Community Health Bureau of Health Professions)

Currently, R 338.2507 requires applicants for a limited license in psychology to have earned a master's degree from a regionally accredited institution and with the coursework meeting requirements in the rules. The rule would be revised to specify that the master's degree would have to be in psychology. To accommodate individuals who currently are pursuing a master's degree that is not in psychology but that otherwise complies with the rule's coursework requirements, the revised rule would specify a date when the new requirement would take effect. The proposed rule also would correct outdated references to the Department of Licensing and Regulation; rescinded rules concerning certification of psychologist under provisions of the Public Health Code that have expired; and, update information and accreditation standards.

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2002-062 CH

General Rules
(Community Health Bureau of Health Professions)

The proposed rule would delete from the rule on license application requirements the reference to applications that are submitted on or after October 1, 1994; update references to standards for accrediting postsecondary institutions; and, delete the reference from October 1, 1994 in the rule on applications who are licensed in another state. In addition, the proposed rule would provide a definition of "supervisor" and would clarify the duration of the period of supervision for an individual who is applying for a professional counselor license.

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2003-013 CH

Board of Osteopathic Medicine and Surgery - General Rules
(Community Health Bureau of Health Professions)

R 338.108 on standards of practice regarding schedule 2 sympathominmetic amine drugs, including amphetamines, is being revised to permit osteopathic physicians to prescribe dextroamphetamine for the treatment of adults with Attention Deficit/Hyperactivity Disorder (ADHD), and to establish requirements that osteopathic physicians must meet before prescribing this drug.

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2003-014 CH

Board of Medicine - General Rules
(Community Health Bureau of Health Professions)

R 338.2303 on standards of practice regarding schedule 2 sympathominmetic amine drugs, including amphetamines, is being revised to permit physicians to prescribe dextroamphetamine for the treatment of adults with Attention Deficit/Hyperactivity Disorder (ADHD), and to establish requirements that physicians must meet before prescribing this drug.

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2003-024 CH

Vision Screening and of Preschool and School-age Children
(Community Health Public Health Administration)

The proposed rule change would eliminate the requirement for color vision testing and for screening of children in 11th grade.

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2003-025 CH

Hearing Screening of Preschool and School-age Children
(Community Health Public Health Administration)

The proposed rule change would eliminate the requirement for hearing screening of children in the 6th grade (or 12 years of age).

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2003-026 CH

Cancer Reporting
(Community Health Public Health Administration)

Existing rule needs to be revised by expanding to include requirement for reporting of benign tumors of the brain, central nervous system and pituitary.

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2003-028 CH

Nursing
(Community Health Bureau of Health Professions)

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2004-003 CH

Board of Optometry - General Rules
(Community Health Bureau of Health Professions)

The proposed rules would increase the number of hours of continuing education that an applicant for license renewal would have to accumulate; increase the number of hours of continuing education that an applicant for relicensure, who held a certificate to administer topical ocular diagnostic pharmaceutical agents, would have to obtain; and, require at least once hour of continuing education credits to be in pain and symptom management.

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2004-004 CH

Board of Psychology - General Rules
(Community Health Bureau of Health Professions)

The proposed rules would add a definition of "supervision" and specify that the term means the same as it is defined in the Public Health Code. In addition, the proposed rules would clarify that the number of required hours for an internship, practicum, or post-degree experience for licensed and limited licensed psychologists would have to be in "clock hours".

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2004-018 CH

Controlled Substances
(Community Health Bureau of Health Professions)

The rules would be revised to include optometrists within the definition of "prescriber" or "practitioner". The Public Health Code requires a person who manufactures, distributes, prescribes, or dispenses a controlled substance to obtain a controlled substances license in accordance with the rules. Under the current rules, a separate license is required for each principal place of business or professional practice. A principal place of business or a professional practice is the physical location where controlled substances are manufactured, grown, cultivated, processed, or by other means produced or prepared, distributed, prescribed, stored, or dispensed by a licensee. The rules would be revised to specify that a separate license would not be required at a location where a controlled substance is prescribed but not manufactured, grown, cultivated, processed, or distributed, as long as a prescriber held a controlled substances license for a principal place or business or professional practice.

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2004-027 CH

Board of Respiratory Care
(Community Health Bureau of Health Professions)

The rules would establish requirements for licensure as a respiratory therapist pursuant to Public Act 3 of 2004, which takes effect July 1, 2004. An applicant for licensure will have to have graduated from a respiratory therapist educational program that is acceptable to the Board of Respiratory Care and will have to demonstrate a working knowledge of the English language. The rules also will establish requirements that an individual must meet to apply for a temporary respiratory therapy license. In addition, the rules will provide for the Board's adoption by reference of the standards for accrediting respiratory therapy educational programs.

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2004-030 CH

Rescinded - Lead Hazard Remediation
(Community Health Public Health Administration)

Rules to require specified actions and procedures for four areas: - Lead Training programs - Certification of lead professionals and firms - Lead hazard control work practices - Enforcement actions Request numbering as shown in proposed rules format.

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2004-043 CH

Audiologist - General Rules
(Community Health Bureau of Health Professions)

The rules would establish requirements for licensure as an audiologist pursuant to Public Act 97 of 2004. An applicant for licensure will have to possess either a master's degree or a doctoral degree in audiology from a regionally accredited college or university approved by the Board of Audiology and will have to have completed at least nine months of supervised clinical experience in audiology. The act also requires the Department, in consultation with the Board, to provide that licensure applicants pass an examination dealing with all aspects of the practice of audiology before a license is issued. The Act permits the Department, in consultation with the Board, to develop its own examination and to promulgate rules to establish standards for that examination or to adopt by reference all or parts of an examination developed by an outside entity that it determines offers an appropriate examination. The Department also may promulgate rules to adopt by reference any supplement or update to the examination. In addition, the Act requires the Department to promulgate rules to require licensees seeking renewal to furnish evidence acceptable to the Department and Board of the successful completion of at least 10 clock hours of continuing education courses or programs related to the practice of audiology and designed to further educate licensees.

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2004-049 CH

Heavy Metal and Pesticide Analysis Reporting
(Community Health Public Health Administration)

The rule would establish requirements for reporting of known or suspected injury or illness associated with exposure to mercury, arsenic, cadmium, and pesticides. It would require health care providers to report known or suspected injury or illness associated with these toxicants, and all clinical laboratories doing business in Michigan to report all blood and urine test results for mercury, arsenic, cadmium, and blood test results for cholinesterase (a test for exposure to organophosphate pesticides).

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2004-058 CH

Board of Social Work - General Rules
(Community Health Bureau of Health Professions)

The proposed rules will establish requirements for licensure as a licensed master's social worker and a licensed bachelor's social worker, and will establish requirements for licensure as a limited master's social worker and a limited bachelor's social worker in order for individuals to obtain the two-year post-degree experience required for licensure. In addition, the rules will establish requirements for registration as a social service technician and for registration as a limited social service technician in order for individuals to obtain the experience required for registration. The proposed rules also will establish requirements for registration or licensure by endorsement and will provide for re-registration as a social work technician and re-licensure as a bachelor's or a master's social worker. The proposed rules will establish continuing education requirements for license renewals and re-licensure and will specify what activities and programs will be considered as acceptable continuing education.

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2004-061 CH

Board of Chiropractic - General Rules
(Community Health Bureau of Health Professions)

The current rules require an applicant for licensure to have passed Parts I, II, and III of the national board examination that is conducted and scored by the National Board of Chiropractic Examiners (NCBE). The proposed rules require an applicant who filed an application on or after January 1, 2007 to have passed Parts I, II, III and IV of the national board examination.

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2005-002 CH

Communicable and Related Diseases
(Community Health Public Health Administration)

Pursuant to the Public Health Code (PHC), the department is authorized to promulgate rules to establish requirements for reporting and other surveillance methods for measuring the occurrence of disease, infections, and disabilities and the potential for epidemics (MCL 333.5111). The problem is the rules promulgation process is slow and cumbersome. This process doesn't meet the need to rapidly designate reportable diseases. As a result, the rules do not include smallpox, SARS, monkeypox, and other pathogens that should be reportable. Conclusion: The department needs an immediate process in order to track emerging infectious diseases and bioweapons. There was a finding of emergency found regarding this rule, and the rule was promulgated under the Emergency Rule Promulgation Process. The Emergency Rule will expire June 1, 2005.

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2005-028 CH

Dentistry General Rules
(Community Health Bureau of Health Professions)

This rule set will allow for other testing options (other national/regional model tests, as approved by the Board of Dentistry), which provides more flexibility for licensees.

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2005-039 CH

Child Death Scene Investigation
(Community Health Public Health Administration)

The proposed rule requires county medical examiners and deputy county medical examiners to determine the cause of child death of children under two years of age in accordance with the State of Michigan Protocols to Determine Cause and Manner of Sudden and Unexplained Child Deaths.

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2005-042 CH

Prevention
(Community Health Mental Health and Substance Abuse Administration)

The department will rescind outdated rules as follows:R 325.14501 through 325.14501(3) Part 4. Prevention Subpart 1. CAITR 325.14521 through 325.14530(2) Part 5. Prevention Subpart 2. Problem Assistance.These rescissions are necessary as the rules are outdated and the terminology is not consistent with current best practice and are no longer necessary.

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2005-043 CH

Casefinding
(Community Health )

These rescissions are necessary as the rules are outdated and the terminology is not consistent with current best practice and are no longer necessary.

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2005-044 CH

Substance Use Disorders Service Program
(Community Health Mental Health and Substance Abuse Administration)

The department will amend outdated rules as follows:R 325.14101 Definitions (f) "casefinding-organizational development" (delete)R 325.14101 Definitions (g) "casefinding-screening and assessment, referral, follow-up" or "SARF" (delete)R 325.14102 Definitions (a) "follow-up" (delete)

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2005-045 CH

Methadone Treatment and Other Chemotherapy
(Community Health Mental Health and Substance Abuse Administration)

Amendments will be made to the following rule:R 325.14419(2)(g) - Twice monthly progress reports by the counselor, signed and dated and (m) The initial treatment plan.The rules do not reflect current best practices with regard to treatment planning (R 325.14419(2)(m). Treatment plans should be regularly reviewed and updated. The Amendments will be made to the following rule:R 325.14419(2)(g) - Twice monthly progress reports by the counselor, signed and dated and (m) The initial treatment plan.The rules do not reflect current best practices with regard to treatment planning (R 325.14419(2)(m). Treatment plans should be regularly reviewed and updated. The current rule fails to address any but the initial treatment plan. R 325.14419(2)(g), as promulgated, requires two monthly progress notes by a counselor irrespective of the client's need for counseling. As a result, unnecessary counseling services are being provided at an estimated cost of $15 for a 15 minute individual counseling encounter. Current best practice standards would provide for counseling services as needed to be contained in the individualized treatment plan. The proposed amendments "tie" the required progress reports to the treatment plan and require these so long as the treatment plan identifies a need for and includes required counseling services.

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2005-046 CH

Licensing of Substance Use Disorder Programs
(Community Health Mental Health and Substance Abuse Administration)

The department will amend rules as follows:R 325.14208 (1)(a) through (d) - rescind service categories and renumber.These rescissions are necessary as the rules are outdated and the terminology is not consistent with current best practice and are no longer necessary.

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2005-058 CH

Blood Lead Analysis Reporting
(Community Health Public Health Administration)

The proposed change in R 325.9084 is amended pursuant to PA 54 of 2004, which changes "permissive" to "required" electronic reporting.The proposed changes in R 325.9086 are amended to allow prosecution of rental property owners renting housing with known lead hazards to families with young children. This proposed rule amendment would change the frequency with which housing with lead hazards are rented to families with young children.

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2005-059 CH

Michigan Trauma Systems
(Community Health Public Health Administration)

The proposed rules will establish a comprehensive statewide trauma care system that is an integrated arrangement of the emergency services personnel, facilities, equipment, services, communications, medical control authorities, and organizations necessary to provide trauma care to all patients within a particular geographic region.

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2005-089 CH

Board of Pharmacy
(Community Health Bureau of Health Professions)

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2005-090 CH

Board of Pharmacy - Controlled Substances
(Community Health Bureau of Health Professions)

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2005-091 CH

Board of Pharmacy - Continuing Education
(Community Health Bureau of Health Professions)

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2005-094 CH

Communicable and Related Disease
(Community Health Public Health Administration)

Pneumococcal conjugate vaccine was licensed in February of 2000 for use in children less than 5 years of age. In October of 2000, the Advisory Committee on Immunization Practices (ACIP) made recommendations that this vaccine become part of the routine vaccination schedule for children. In the short history of using this vaccine, it has already proven to be extremely safe and effective at preventing invasive pneumococcal disease. This proposal requires pneumococcal conjugate vaccine for entry into a program of group residence, care, or camping.

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2006-044 CH

Board of Psychology - General Rules
(Community Health Bureau of Health Professions)

R 338.2505 currently requires an individual who is applying for licensure as a psychologist to take and pass a written examination administered by the Department of Community Health. The rule is being revised to provide for the Board of Psychology's approval of the examination for professional practice in psychology of the Association of State and Provincial Psychology Boards (ASPPB) and to specify a passing score that an applicant for licensure must achieve. Several new rules will be added and other sections will be amended.

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2006-048 CH

Reporting Of Non-Suicidal, Non-Medicinal Chemical Poisonings
(Community Health Public Health Administration)

This rule set would establish requirements for reporting of known or suspected injury or illness associated with unintentional exposure to chemicals, excluding drugs and medicinal substances. It would authorize the state Department of Community Health to obtain identifiable health information from health care providers and hospitals about non-medicinal, chemical poisoning occurrences. It would also authorize the Department to require health care providers to report each case of illness or injury associated with specified chemical exposures when requested.

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2006-059 CH

Cleanup of Illegal Drug Manufacturing Sites
(Community Health Public Health Administration)

Withdrawn 9/30/2008 These rules will implement procedures to address sites of illegal drug manufacturing including notification by law enforcement, determination of a pubic health hazard, preliminary site assessment, remedial procedures, and post-cleanup certification.

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2006-080 CH

Rights of Recipients
(Community Health Mental Health and Substance Abuse Administration)

They proposed rules will expand upon or clarify existing rules.

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2007-001 CH

Lead Hazard Controls
(Community Health Public Health Administration)

The draft rules will require specified actions and procedures for four areas: -Lead Training programs -Certification of lead professionals and firms -Lead hazard control work practices -Enforcement actions

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2007-012 CH

Centralized Prescription Processing Pharmacies
(Community Health Bureau of Health Professions)

The proposed rules will establish the requirements for pharmacies that perform centralized prescription processing services or outsource these services to another pharmacy, including that the pharmacies are licensed in the state, maintain prescription information for five years and share information to minimize an adverse drug event. In addition, the proposed rules will do the following: permit a pharmacy to function in one or more capacities in prescription processing when appropriate records are maintained, specify that a dispensing pharmacist and pharmacy are responsible for patient counseling, and specify information to be included on a prescription label. The rules also will require a dispensing pharmacy to report to the department information required in R 338.3162b for each controlled substance prescription. In addition, the rules will require these pharmacies to maintain records and will specify the information that will have to be recorded.

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2007-022 CH

Dental X-Ray Installations
(Community Health Bureau of Health Systems)

Hand-held portable dental x-ray imaging is a new technology developed since the inception of the current rules. The current rules prohibit the use of hand-held dental x-ray units. This proposed rule will allow the limited use of these x-ray units and defines the conditions of use for these units.

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2007-027 CH

Communicable and Related Diseases
(Community Health Public Health Administration)

Several changes have been made to the immunization schedule over the past year and the changes require several new vaccines which primarily target adolescents to better reflect the vaccine currently recommended by the Advisory Committee on Immunization Practices (ACIP). There has been a strong national push to focus more on and establish adolescent immunizations.

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2007-028 CH

Michigan Care Improvement Registry
(Community Health Public Health Administration)

The rule modernizes the Michigan Childhood Immunization Registry (MCIR) information to accurately reflect the Public Health Code amendment effective June 2006, changing it to the Michigan Care Improvement Registry (MCIR acronym remains the same), allows for the acceptation of lifespan immunization data, and enforces immunization reporting mandates.

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2007-031 CH

Rescinded - Disciplinary Proceedings
(Community Health Bureau of Health Professions)

There are currently two rule sets in the Michigan Administrative Code that address "Disciplinary Proceedings" for licensees regulated under the Public Health Code. One of the two rule sets, R 338.951 - R 338.990, applies to matters before April 1, 1994. As there are no longer any outstanding cases/matters from that time period, the rules are obsolete and can be rescinded under Section 44(1) of the Administrative Procedures Act [MCL 24.244(1)]. The range of numbers being rescinded in this Request for Rulemaking (RFR), [R 338.951 - R 338.963 and R 338.980 - R 338.990], will be rescinded by the Department of Community Health. The remaining rules within the rule set, R 338.964 - R 338.979, will be rescinded by the State Office of Administrative Hearings and Rules in a separate RFR.

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2007-037 CH

Advisory Committee on Sanitarians
(Community Health Bureau of Health Professions)

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2008-003 CH

Bureau of Health Professions - General Rules
(Community Health Bureau of Health Professions)

R 338.7001 and R 338.7002 on the biennial and triennial renewal of licenses or registrations will be updated to add health professions that require practitioners to be licensed or registered as the result of recently enacted statutory requirements in the Public Health Code. These rules also will be revised to delete the years specified for renewal, which no longer are applicable because licenses and registrations now are renewed on biennial and triennial renewal cycles.A new rule is being proposed to incorporate by reference the revisions to Section 1877 of the Federal Social Security Act (42 U.S.C. 1395nn), commonly referred to as the "Stark Law".

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2008-006 CH

Declaratory Rulings
(Community Health Health Policy, Regulation and Professions Administration)

The proposed rule will amend the department's current administrative rules for the declaratory ruling process. A Declaratory Ruling means a decision, ruling or determination concerning the applicability to an actual statement or facts of a statute administered by the department or of a rule or order of the department. Requests for declaratory rulings must be submitted in writing to the director.

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2008-010 CH

Board of Physical Therapy - General Rules
(Community Health Bureau of Health Professions)

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2008-024 CH

Part 7. Rights of Recipients
(Community Health Mental Health and Substance Abuse Administration)

The proposed rules will expand upon and clarify current definitions (R 7001), will delete reference to plans of service involving aversive behavior management techniques(R 7199) and will clarify the use of physical management (R 7243).

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2008-051 CH

Medical Marihuana
(Community Health Bureau of Health Professions)

The rules will do all of the following: " Establish requirements for the Department of Community Health to issue registry identification cards to qualifying patients and their primary caregivers for the cultivation, possession, and medical use of marihuana. " Establish a sliding scale fee for the issuance or renewal of a registry identification card. " Establish a process for the approval or denial of a registry identification card. " Identify the responsibilities of a qualifying patient's primary caregiver. " Establish a process for notifying the Department of Community Health of changes in a qualifying patient's condition. " Establish a process for returning a registry identification card to the Department of Community Health if a patient is no longer eligible for medical marihuana use. " Establish a process for the suspension or revocation of a registry identification card. " Establish a process for adding other diseases or medical conditions to the list of qualifying debilitating medical conditions.

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2009-002 CH

Board of Psychology - General Rules
(Community Health Bureau of Health Professions)

The current rule requires doctoral programs in psychology to have National Register (NR) designation or American Psychological Association (APA) accreditation by June 30, 2009. The proposed rule change will extend that deadline to August 1, 2011.

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2009-003 CH

Reporting Of Non-Suicidal, Non-Medicinal Chemical Poisonings
(Community Health Public Health Administration)

This is an amendment to the rule that was effective 9/16/2007. The rule established requirements for reporting of known or suspected injury or illness associated with unintentional exposure to chemicals, excluding drugs and medicinal substances. It authorized the state Department of Community Health to obtain identifiable health information from health care providers and health agencies about non-medicinal, unintentional chemical poisoning occurrences. There are two reasons for this amended rule. (1) There were errors to the final, published rule set. (2) Although "health agency" as defined in the rule covers clinical laboratories, additional clarification regarding reporting requirements for laboratories is needed.

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2009-011 CH

Statewide Trauma System
(Community Health Health Policy, Regulation and Professions Administration)

At the scene of any crash or other event involving traumatic injury, EMS providers must identify those patients who are at greatest risk for severe injury and must determine the most appropriate facility to which to transport persons with different injury types and severities. This decision process is known as, "field triage". The current adopted set of Statewide Trauma System rules reflect two different sets of "field triage" criteria located in two different sections of the rules causing a conflict for implementation. The correct "field triage" criteria to be utilized is published by the American College of Surgeons with support by the CDC and endorsed by other national organizations. The incorrect "field triage" criteria is referenced and specifically listed in an adult and pediatric table. We propose that the Adult and Pediatric field triage criteria tables be removed from the rules, so that the proper "field triage" criteria may be the only and proper reference for "field triage" criteria based on national standards of the injured patient.