DEPARTMENT OF COMMUNITY HEALTH  
HEALTH PROGRAMS ADMINISTRATION  
BUREAU OF CHILDREN AND FAMILY PROGRAMS  
HEARING SCREENING OF PRESCHOOL AND SCHOOL-AGE CHILDREN  
(By authority conferred on the department of public health by sections 2226(d),  
2233, and 9321 of 1978 PA 368 and section 9 of 1965 PA 380, MCL ยง333.2226(d),  
333.2233, 333.9321, and 16.109 and Executive Reorganization Order No. 1996-1,  
MCL 330.3101)  
R 325.3271 Definitions.  
Rule 1. (1) As used in these rules:  
(a) "Clinic" means a place where hearing screening is done, such as a school, a  
nursery, or a local health department facility.  
(b) "Code" means 1978 PA 368, MCL 333.1101 et seq.  
(c) "Screening" means the overall procedure which employs a number of tests  
designed to determine if an individual is at risk of hearing loss.  
(d) "Test" means an individual specific procedure used to determine if an individual is  
at risk of hearing loss.  
(2) Words or phrases used in the code have the same meanings when used in these  
rules.  
History: 1981 AACS; 2004 AACS.  
R 325.3272 Hearing screening.  
Rule 2. (1) Hearing screening for children who are 3 years old or older shall  
include audiometric tests.  
(2) The procedures used in hearing screening shall be approved by the department.  
History: 1981 AACS; 2004 AACS.  
R 325.3273 Hearing screening and tests; administration by properly trained and  
qualified individuals.  
Rule 3. Public health hearing screening tests shall be given by individuals trained and  
qualified to properly administer the screening tests. Their training and qualifications  
shall be approved by the department.  
History: 1981 AACS; 2004 AACS.  
R 325.3274 Frequency of screening.  
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Rule 4. (1) Hearing screening of preschool children shall be done at least once during  
the ages of 3 to 5 years.  
(2) Hearing screening of school-age children shall be done at least in grades K, 2, and  
4, or screening shall be done at least biennially starting at age 5 and continuing at least  
to age 10 years.  
History: 1981 AACS; 2004 AACS.  
R 325.3275 Follow-up notices.  
Rule 5. The statement required by section 9305 of the code shall be a written  
statement that an ear examination by a physician is required. The statement shall be  
given or sent to the parent or guardian of the child.  
History: 1981 AACS; 2004 AACS.  
R 325.3276 Reporting results of hearing screening.  
Rule 6. A local health department shall report to the department the status of  
hearing screening within its jurisdiction. The report shall be made on a form provided by  
the department.  
History: 1981 AACS; 2004 AACS.  
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