DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
BUREAU OF PROFESSIONAL LICENSING  
PUBLIC HEALTH CODE—GENERAL RULES  
Filed with the secretary of state on December 22, 2020  
These rules take effect immediately upon filing with the secretary of state unless adopted under  
section 33, 44, or 45a(6) of the administrative procedures act of 1969, 1969 PA 306, MCL  
24.233, 24.244, or 24.245a. Rules adopted under these sections become effective 7 days after  
filing with the secretary of state.  
(By authority conferred on the director of the department of licensing and regulatory affairs by  
sections 16145, 16194, 16201, and 16221(e)(iv)(B) of the public health code, 1978 PA 368,  
MCL 333.16145, 333.16194, 333.16201, and 333.16221, and Executive Reorganization Order  
Nos. 1991-9, 1996-2, 2003-1, and 2011-4, MCL 338.3501, 445.2001, 445.2011, and 445.2030)  
R 338.7001, R 338.7001a, and R 338.7002 of the Michigan Administrative Code are amended  
and R 338.7002a and R 338.7002b are added, as follows:  
R 338.7001 Definitions.  
Rule 1. As used in these rules:  
(a) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.  
(b) "Department" means the department of licensing and regulatory affairs.  
(c) “Issue date” means the date that the initial license was granted to the licensee by the  
department.  
(d) “Limitation” means that term as defined in section 16106(4) of the code, MCL 333.16106.  
(e) "Stark Law" means section 1877 of part e of title XVIII of the social security act, 42 USC  
1395nn.  
R 338.7001a Biennial license and registration renewal; expiration.  
Rule 1a. (1) The following licenses and registrations expire biennially and must be renewed  
every 2 years on or before the date indicated:  
Acupuncture  
10/1  
Audiology  
1/1  
Chiropractic  
12/1  
Marriage and family therapy  
Midwifery  
Nursing  
Nursing home administrators  
Occupational therapy  
Optometry  
Pharmacy  
Physical therapy  
Physician's assistants  
2/1  
Issue date  
Issue date  
11/1  
6/1  
Issue date  
Issue date  
8/1  
Issue date  
April 28, 2020  
2
Psychology  
9/1  
Respiratory care  
Sanitarians  
Speech-language pathology  
1/1  
12/1  
10/1  
(2) A license or registration having a limitation may be renewed for a term less than 2 years.  
R 338.7002 Triennial license or registration renewal; expiration.  
Rule 2. (1) The following licenses and registrations expire triennially and must be renewed every  
3 years on or before the date indicated:  
Athletic trainer  
10/1  
Counseling  
6/1  
Dentistry  
Massage therapy  
Medicine  
Osteopathic medicine and surgery  
Podiatric medicine and surgery  
Social work  
Issue date  
11/1  
Issue date  
Issue date  
Issue date  
5/1  
Veterinary medicine  
Issue date  
(2) A license having a limitation may be renewed for a term less than 3 years.  
R 338.7002a Quadrennial license renewal; expiration.  
Rule 2a. (1) The following license expires quadrennially and must be renewed every 4 years on  
or before the date indicated:  
Behavior Analysts  
Issue date  
(2) A license having a limitation may be renewed for a term less than 4 years.  
R 338.7002b Minimum English language standard.  
Rule 2b. (1) Pursuant to section 16174(1)(d) of the code, MCL 333.16174, an applicant  
seeking licensure or registration must demonstrate a working knowledge of the English language  
under the minimum standards established by the department.  
(2) To demonstrate a working knowledge of the English language, the applicant must establish  
that he or she meets 1 of the following:  
(a) The applicant’s health professional educational program was taught in English.  
(b) The applicant supplies transcripts establishing that he or she earned not less than 60  
college level credits from an English-speaking undergraduate or graduate school.  
(c) The applicant obtained a passing score of 650 or higher on the Examination for the  
Certificate of Competency in English (ECCE) test developed by Michigan Language  
Assessment, as demonstrated by a certificate of competency or certificate of competency with  
honors.  
(d) The applicant obtained a passing score of 650 or higher on the Examination for the  
Certificate of Proficiency in English (ECPE) test developed by Michigan Language Assessment,  
as demonstrated by a certificate of proficiency or certificate of proficiency with honors.  
(e) The applicant obtained a total score of not less than 6.5 on the International English  
Language Testing System (IELTS) Academic test.  
(f) The applicant obtained a total score of not less than 55 on the Michigan English Test  
(MET) developed by Michigan Language Assessment.  
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(g) The applicant obtained a total score of not less than 80 on the Test of English as a Foreign  
Language Internet-Based Test (TOEFL-IBT) administered by the Educational Testing Service.  
;