DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR’S OFFICE  
GENETIC COUNSELING – GENERAL RULES  
(By authority conferred on the director of the department of licensing and regulatory  
affairs by sections 16145, 16148, 16174, 16204, 16287, 17091, 17092, and 17096 of the  
public health code, 1978 PA 368, MCL 333.16145, 333.16148, 333.16174, 333.16204,  
333.16287, 333.17091, 333.17092, and 333.17096, and Executive Reorganization Order  
Nos. 1991-9, 1996-2, 2003-1, and 2011-4, MCL 338.3501, 445.2001, 445.2011, and  
445.2030)  
PART 1. GENERAL PROVISIONS  
R 338.2451 Definitions.  
Rule 151. (1) As used in these rules:  
(a) “ABGC” means the American Board of Genetic Counseling, Inc., or its  
successor.  
(b) “ABMGG” means the American Board of Medical Genetics and Genomics or  
its successor.  
(c) “Board” means the Michigan board of medicine created under section 17021 of  
the code, MCL 333.17021.  
(d) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to  
333.25211.  
(e) “Department” means the department of licensing and regulatory affairs.  
(2) A term defined in the code has the same meaning when used in these rules.  
History: 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.2455 Telehealth.  
Rule 155. (1) Consent for treatment must be obtained before providing a telehealth  
service under section 16284 of the code, MCL 333.16284.  
(2) Proof of consent must be maintained in the patient’s up-to-date medical record  
and retained in compliance with section 16213 of the code, MCL 333.16213.  
(3) A licensee providing a telehealth service may prescribe a drug if the licensee is a  
prescriber acting within the scope of his or her practice and in compliance with section  
16285 of the code, MCL 333.16285, and if he or she does both of the following:  
(a) If medically necessary, refers the patient to a provider that is geographically  
accessible to the patient.  
(b) Makes himself or herself available to provide follow-up care services to the  
patient, or to refer the patient to another provider, for follow-up care.  
(4) A licensee providing any telehealth service shall do both of the following:  
(a) Act within the scope of his or her practice.  
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(b) Exercise the same standard of care applicable to a traditional, in-person health  
care service.  
History: 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.2457 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 157. (1) Under section 16148 of the code, MCL 333.16148, an individual  
seeking licensure or registration or who is licensed or registered shall complete  
training in identifying victims of human trafficking that satisfies all of the following  
standards:  
(a) Training content must cover all of the following:  
(i) Understanding the types and venues of human trafficking in the United States.  
(ii) Identifying victims of human trafficking in health care settings.  
(iii) Identifying the warning signs of human trafficking in health care settings for  
adults and minors.  
(iv) Resources for reporting the suspected victims of human trafficking.  
(b) Acceptable providers or methods of training include any of the following:  
(i) Training offered by a nationally recognized or state-recognized health-related  
organization.  
(ii) Training offered by, or in conjunction with, a state or federal agency.  
(iii) Training obtained in an educational program that has been approved by the  
board for initial licensure or registration, or by a college or university.  
(iv) Reading an article related to the identification of victims of human  
trafficking that satisfies the requirements of subdivision (a) of this subrule and is  
published in a peer review journal, health care journal, or professional or scientific  
journal.  
(c) Acceptable modalities of training include any of the following:  
(i) Teleconference or webinar.  
(ii) Online presentation.  
(iii) Live presentation.  
(iv) Printed or electronic media.  
(2) The department may select and audit a sample of individuals and request  
documentation of proof of completion of training. If audited by the department, an  
individual shall provide an acceptable proof of completion of training, including  
either of the following:  
(a) Proof of completion certificate issued by the training provider that includes the  
date, provider name, name of training, and individual’s name.  
(b) A self-certification statement by an individual. The certification statement must  
include the individual’s name and either of the following:  
(i) For training completed under subrule (1)(b)(i) to (iii) of this rule, the date,  
training provider name, and name of training.  
(ii) For training completed under subrule (1)(b)(iv) of this rule, the title of article,  
author, publication name of peer review journal, health care journal, or professional or  
scientific journal, and date, volume, and issue of publication, as applicable.  
(3) Under section 16148 of the code, MCL 333.16148, the requirements specified  
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in subrule (1) of this rule apply for license or registration renewals beginning with  
the first renewal cycle after the promulgation of this rule and for initial licenses or  
registrations issued 5 or more years after the promulgation of this rule.  
History: 2021 MR 8, Eff. Ap. 15, 2021.  
PART 2. LICENSURE  
R 338.2461 Application for license; qualifications.  
Rule 161. (1) In addition to satisfying the requirements of the code, an applicant for  
a genetic counselor license shall satisfy all of the following requirements:  
(a) Submit a completed application on a form provided by the department.  
(b) Pay the required fee to the department.  
(c) Provide proof directly to the department of current certification in good  
standing with the ABGC or the ABMGG.  
(2) In addition to satisfying the requirements of the code, an applicant for a  
temporary-licensed genetic counselor license shall satisfy all of the following  
requirements:  
(a) Submit a completed application on a form provided by the department.  
(b) Pay the required fee to the department.  
(c) Provide proof directly to the department of active candidate status with the  
ABGC or the ABMGG.  
(d) Provide proof acceptable to the department that he or she will be supervised by  
a qualified supervisor in this state.  
(3) An applicant shall have his or her license, certification, or registration verified  
by the licensing agency of any state of the United States in which the applicant holds a  
current license, certification, or registration or has ever held a license, certification, or  
registration as a genetic counselor or temporary-licensed genetic counselor. If  
applicable, verification must include the record of any disciplinary action taken or  
pending against the applicant.  
History: 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.2463 Relicensure.  
Rule 163. (1) An applicant whose license has lapsed for less than 3 years preceding  
the  
date of application for relicensure may be relicensed under section 16201(3) of the  
code,  
MCL 333.16201, if the applicant satisfies all of the following requirements:  
(a) Submits a completed application on a form provided by the department.  
(b) Pays the required fee to the department.  
(c) Provides proof of 1 of the following directly to the department, as applicable:  
(i) If applying for relicensure as a genetic counselor, current certification in good  
standing with the ABGC or the ABMGG.  
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(ii) If applying for relicensure as a temporary-licensed genetic counselor, active  
candidate status with the ABGC or the ABMGG.  
(d) Establishes that he or she is of good moral character as defined under 1974 PA  
381, MCL 338.41 to 338.47.  
(e) If applying for relicensure as a temporary-licensed genetic counselor, provides  
proof acceptable to the department that he or she will be supervised by a qualified  
supervisor in this state.  
(2) An applicant whose license has lapsed for 3 years or more preceding the date of  
application for relicensure may be relicensed under section 16201(4) of the code,  
MCL  
333.16201(4), if the applicant satisfies all of the following requirements:  
(a) Submits a completed application on a form provided by the department.  
(b) Pays the required fee to the department.  
(c) Provides proof of 1 of the following directly to the department, as applicable:  
(i) If applying for relicensure as a genetic counselor, current certification in good  
standing with the ABGC or the ABMGG.  
(ii) If applying for relicensure as a temporary-licensed genetic counselor, active  
candidate status with the ABGC or the ABMGG.  
(d) Establishes that he or she is of good moral character as defined under 1974 PA  
381, MCL 338.41 to 338.47.  
(e) Submits fingerprints as required under section 16174(3) of the code, MCL  
333.16174.  
(f) If applying for relicensure as a temporary-licensed genetic counselor, provides  
proof acceptable to the department that he or she will be supervised by a qualified  
supervisor in this state.  
(3) An applicant shall have his or her license, certification, or registration verified  
by the licensing agency of any state of the United States in which the applicant holds a  
current license, certification, or registration or has ever held a license, certification, or  
registration as a genetic counselor or temporary-licensed genetic counselor. If  
applicable, verification must include the record of any disciplinary action taken or  
pending against the applicant.  
History: 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.2465 Application for renewal of license; qualifications.  
Rule 165. (1) An applicant for renewal of a genetic counselor license shall satisfy  
all of the following requirements:  
(a) Submit a completed application on a form provided by the department.  
(b) Pay the required fee to the department.  
(c) Provide proof directly to the department of current certification in good  
standing with the ABGC or the ABMGG.  
(d) Satisfy the requirements under R 338.2471, as applicable.  
(2) An applicant for renewal of a temporary-licensed genetic counselor license shall  
satisfy all of the following requirements:  
(a) Submit a completed application on a form provided by the department.  
(b) Pay the required fee to the department.  
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(c) Provide proof directly to the department of active candidate status with the  
ABGC or the ABMGG.  
(d) Provide proof acceptable to the department that he or she will be supervised by  
a qualified supervisor in this state.  
(3) An applicant shall have his or her license, certification, or registration verified  
by the licensing agency of any state of the United States in which the applicant holds a  
current license, certification, or registration or has ever held a license, certification, or  
registration as a genetic counselor or temporary-licensed genetic counselor. If  
applicable, verification must include the record of any disciplinary action taken or  
pending against the applicant.  
(4) A temporary-licensed genetic counselor license may be renewed not more than  
5 years.  
History: 2021 MR 8, Eff. Ap. 15, 2021.  
PART 3. CONTINUING EDUCATION  
R 338.2471 License renewals.  
Rule 171. (1) This part applies to an application for renewal of a genetic counselor  
license under R 338.2465 and sections 16201 and 17091 of the code, MCL 333.16201  
and MCL 333.17091.  
(2) An applicant for license renewal who has been licensed in the 3-year period  
immediately preceding the application for renewal shall accumulate a minimum of 75  
contact hours of continuing education in activities approved by the board under R  
338.2473 during the 3 years immediately preceding the application for renewal.  
(3) Submission of an application for renewal constitutes the applicant’s certification  
of compliance with the requirements of this rule. The licensee shall retain documentation  
of satisfying the requirements of this rule for 4 years from the date of applying for license  
renewal. Failure to satisfy this rule is a violation of section 16221(h) of the code, MCL  
333.16221.  
(4) The department may select and audit a sample of licensees who have renewed  
their license and request proof of compliance with subrule (2) of this rule. If audited, a  
licensee shall submit documentation as specified in R 338.2473.  
History: 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.2473 Acceptable continuing education; requirements; limitations.  
Rule 173. (1) The 75 contact hours of continuing education required under R  
338.2471 must satisfy the following requirements, as applicable:  
(a) Credit for a continuing education program or activity that is identical or  
substantially identical to a program or activity for which the licensee has already earned  
credit during the renewal period cannot be granted.  
(b) A minimum of 1 contact hour of continuing education must be earned in the  
area of medical ethics.  
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(c) A minimum of 1 contact hour of continuing education must be earned in the  
area of pain and symptom management under section 16204 of the code, MCL  
333.16204. Continuing education contact hours in pain and symptom management may  
include, but are not limited to, any of the following areas:  
(i) Public health burden of pain.  
(ii) Ethics and health policy related to pain.  
(iii) Michigan pain and controlled substance laws.  
(iv) Pain definitions.  
(v) Basic sciences related to pain including pharmacology.  
(vi) Clinical sciences related to pain.  
(vii) Specific pain conditions.  
(viii) Clinical physician communication related to pain.  
(ix) Management of pain, including evaluation and treatment and non-  
pharmacological and pharmacological management.  
(x) Ensuring quality pain care.  
(xi) Michigan programs and resources relevant to pain.  
(2) The board considers any of the following activities as acceptable continuing  
education:  
Activity and Proof of Completion  
Number of Continuing  
Education Contact Hours  
Granted/Permitted for the  
Activity  
(
Attendance at or participation in a continuing  
The  
number  
education  
of genetic counseling that includes, but is not limited contact hours credit for a  
to, live in-person programs, interactive or monitored specific program or  
of  
a) education program or activity related to the practice continuing  
teleconference, audio-conference, or web-based activity is the number of  
programs, online programs, and journal articles with contact hours approved by  
a self-study component or other self-study programs the  
sponsor  
or  
the  
approved or offered by any of the following approving organization for  
organizations:  
the specific program.  
Accreditation Council for Continuing  
A minimum of 45  
Medical Education.  
hours  
of  
continuing  
American College of Medical Genetics and  
Genomics.  
American College of Obstetricians and  
Gynecologists.  
education must be earned  
in this activity in each  
renewal period.  
American Medical Association.  
American Nurses Credentialing Center’s  
Commission on Accreditation.  
American Osteopathic Association.  
American Society for Reproductive Medicine.  
Michigan Association of Genetic Counselors.  
Michigan Osteopathic Association.  
Michigan State Medical Society.  
National Society of Genetic Counselors.  
A maximum of 75  
contact hours of continuing  
education credit may be  
earned for this activity in  
each renewal period.  
Page 6  
Society for Maternal Fetal Medicine.  
If audited, the licensee shall submit a copy of the  
letter or certificate of completion showing the  
licensee’s name, number of continuing education  
contact hours earned, sponsor name or the name of  
the organization that approved the program or  
activity for continuing education credit, and the date  
on which the program was held or the activity  
completed.  
(
Serving as a clinical supervisor for a student at a  
Five contact hours of  
continuing education credit  
is granted for a minimum  
b) site used by an ACGC accredited program.  
To receive credit, the clinical supervision must of 25 hours of direct  
not be the licensee’s primary employment function.  
clinical supervision.  
If audited, the licensee shall submit the student’s  
A maximum of 30  
initials, training program, dates supervision began contact hours of continuing  
and ended, and number of supervision hours education credit may be  
provided per week.  
earned for this activity in  
each renewal period.  
(
Publication of an article or chapter in a peer-  
Ten contact hours of  
c) reviewed journal or book related to practice-based continuing education credit  
competency.  
is granted for serving as  
the first, second, or senior  
If audited, the licensee shall submit a copy of the author.  
publication that identifies the licensee as the author.  
Five contact hours of  
continuing education credit  
is granted for serving as  
any other author that is not  
first, second, or senior  
author.  
A maximum of 10  
contact hours of continuing  
education credit may be  
earned per article or  
chapter.  
A maximum of 30  
contact hours of continuing  
education credit may be  
earned for this activity in  
each renewal period.  
(
Service in a leadership position role as a board  
Five contact hours of  
Page 7  
d) member, chair, or leader of a genetics-related continuing education credit  
organization. is granted for 25 hours of  
service for each  
If audited, the licensee shall submit the organization.  
organization name, contact information, dates of  
service, dated agenda, and meeting minutes  
documenting at least 25 hours of service.  
A maximum of 30  
contact hours of continuing  
education credit may be  
earned for this activity in  
each renewal period.  
(
Serving as an instructor for a graduate-level  
Five contact hours of  
e) course in an area related to genetics competency.  
continuing education credit  
is granted for a minimum  
To receive credit, the instructorship must not be of 5 hours of teaching.  
the licensee’s primary employment function.  
A maximum of 10  
If audited, the licensee shall provide document contact hours of continuing  
titles, course description, faculty list of each course, education credit may be  
dates of all courses, scheduled instructional hours, earned for each course.  
and a letter from the program director verifying the  
licensee’s role.  
A maximum of 30  
contact hours of continuing  
education credit may be  
earned for this activity in  
each renewal period.  
(
Serving as a peer reviewer of a manuscript by  
Two contact hours of  
f) invitation for a scientific journal.  
continuing education credit  
is granted for each  
If audited, a licensee shall submit copies of manuscript reviewed.  
documentation inviting the license to complete the  
review and thanking them for completing the review.  
A maximum of 30  
contact hours of continuing  
education credit may be  
earned for this activity in  
each renewal period.  
History: 2021 MR 8, Eff. Ap. 15, 2021.  
PART 4. STANDARDS OF PRACTICE  
R 338.2481 Certification; active candidate status; requirement.  
Rule 171. (1) A genetic counselor licensee shall maintain certification with the  
ABGC or the ABMGG.  
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(2) A temporary-licensed genetic counselor license automatically expires upon  
issuance of a genetic counselor license or upon loss of active candidate status with the  
ABGC or the ABMGG.  
History: 2021 MR 8, Eff. Ap. 15, 2021.  
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