DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR’S OFFICE  
SANITARIANS REGISTRATION – GENERAL RULES  
(By authority conferred on the director of the department of licensing and regulatory  
affairs by sections 16145, 16148, and 18413 of the public health code, 1978 PA 368,  
MCL 333.16145, 333.16148, and 333.18413, and Executive Reorganization Order Nos.  
1991-9, 1996-2, 2003-1, 2009-10, and 2011-4, MCL 338.3501, 445.2001, 445.2011,  
333.26364, and 445.2030)  
PART 1. GENERAL PROVISIONS  
R 338.3901 Definitions.  
Rule 1. (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.  
(2) A term defined in the code has the same meaning when used in these rules.  
History: 1982 AACS; 1991 AACS; 2008 AACS; 2020 MR 24, Eff. Dec 22, 2020.  
R 338.3901a Rescinded.  
History: 2016 AACS; 2020 MR 24, Eff. Dec 22, 2020.  
R 338.3902 Rescinded.  
History: 1982 AACS; 1991 AACS; 2008 AACS; 2020 MR 24, Eff. Dec 22, 2020.  
R 338.3903 Rescinded.  
History: 1982 AACS; 1991 AACS; 2008 AACS; 2020 MR 24, Eff. Dec 22, 2020.  
R 338.3904 Rescinded.  
History: 1982 AACS; 1991 AACS.  
R 338.3905 Rescinded.  
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History: 1982 AACS; 1991 AACS; 2020 MR 24, Eff. Dec 22, 2020.  
R 338.3906 Rescinded.  
History: 1982 AACS; 1991 AACS; 2008 AACS; 2020 MR 24, Eff. Dec 22, 2020.  
R 338.3906a Rescinded.  
History: 2008 AACS; 2020 MR 24, Eff. Dec 22, 2020.  
R 338.3907 Rescinded.  
History: 1982 AACS; 1991 AACS.  
R 338.3908 Rescinded.  
History: 1982 AACS; 2008 AACS; 2014 AACS.  
R 338.3909 Rescission.  
Rule 9. The rules of the board of sanitarians, being R 325.1401 to R 325.1412 of  
the Michigan Administrative Code, appearing on pages 1800 to 1802 of the 1979  
Michigan Administrative Code, are rescinded.  
History: 1982 AACS.  
R 338.3910 Rescinded.  
History: 2008 AACS; 2020 MR 24, Eff. Dec 22, 2020.  
PART 2. EDUCATION  
R 338.3911 Accreditation standards; adoption by reference.  
Rule 11. (1) The department approves and adopts by reference the standards for  
accrediting environmental health baccalaureate programs developed and adopted by the  
National Environmental Health Science and Protection Accreditation Council (EHAC),  
effective January 1, 2017, and entitled "Requirements for the Accreditation of  
Environmental Health Science and Protection Baccalaureate Programs." The guidelines  
are available free of charge from The National Environmental Health Science and  
Protection Accreditation Council, P.O. Box 66057, Burien, Washington 98166, or from  
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available for inspection and distribution at a cost of 10 cents per page from the Bureau of  
Professional Licensing, Department of Licensing and Regulatory Affairs, 611 West  
Ottawa Street, P.O. Box 30670, Lansing, Michigan 48909.  
(2) The department approves and adopts by reference the standards for accrediting  
environmental health graduate programs developed and adopted by EHAC, revised 2012,  
updated August 22, 2018, and entitled "Guidelines for the Accreditation of  
Environmental Health Science and Protection: Graduate Programs." The guidelines are  
available free of charge from The National Environmental Health Science and Protection  
Accreditation Council, P.O. Box 66057, Burien, Washington 98166, or from the council's  
inspection and distribution at a cost of 10 cents per page from the Bureau of Professional  
Licensing, Department of Licensing and Regulatory Affairs, 611 West Ottawa Street,  
P.O. Box 30670, Lansing, Michigan 48909.  
(3) A baccalaureate program in environmental health or graduate program in  
environmental health accredited by the EHAC as an approved environmental health  
educational program under subrules (1) and (2) of this rule meets the qualifications for an  
environmental health educational program that is approved by the department.  
(4) The department adopts by reference the recognition standards and criteria of the  
Council for Higher Education (CHEA), effective September 2018, and the procedures  
and criteria for recognizing postsecondary accrediting agencies of the United States  
Department of Education, effective July 1, 2010, as contained in 34 CFR part 602,  
subparts B and C (2018). Copies of the standards and criteria of CHEA and the United  
States Department of Education are available for inspection and distribution at a cost of  
10 cents per page from the Bureau of Professional Licensing, Department of Licensing  
and Regulatory Affairs, 611 West Ottawa Street, P.O. Box 30670, Lansing, Michigan  
48909. The CHEA recognition standards also may be obtained from the Council for  
Higher Education Accreditation, One Dupont Circle NW, Suite 510, Washington, D.C.  
recognition criteria may be obtained from the United States Department of Education  
Office of Postsecondary Education, 1990 K Street, NW, Washington, D.C. 20006 or from  
cost.  
(5) A bachelor’s degree, master’s degree, or doctoral degree in any subject from a  
postsecondary institution that is accredited by a postsecondary accrediting agency that  
meets the recognition standards and criteria of CHEA under subrule (4) of this rule is an  
educational program that is approved by the department.  
History: 2020 MR 24, Eff. Dec 22, 2020.  
R 338.3913 Sanitarian educational training requirements.  
Rule 13. (1) An applicant shall complete an educational program that satisfies 1 of  
the following requirements:  
(a) A bachelor’s degree, master’s degree, or doctoral degree in environmental  
health from an educational program approved by the department under R 338.3911(3).  
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(b) A bachelor’s degree, master’s degree, or doctoral degree in any subject from an  
educational program at an institution approved by the department under R 338.3911(5)  
that includes both of the following requirements:  
(i) At least 30 semester hours or 45 quarter hours of college level credit in basic  
science coursework, including engineering sciences, environmental sciences, health  
sciences, life sciences, natural sciences, or physical sciences.  
(ii) College level credit for coursework in mathematics or statistics.  
(c) A bachelor’s degree, master’s degree, or doctoral degree from an educational  
program at an institution located outside the United States that is substantially equivalent  
to the educational requirements under subdivision (a) or (b) of this subrule.  
(2) If an applicant is a graduate of an educational program under subrule (1)(b) of  
this rule, the applicant shall have his or her educational credentials evaluated by a  
curriculum evaluation conducted by the National Environmental Health Association  
(NEHA).  
(3) If an applicant is a graduate of an educational program under subrule (1)(c) of  
this rule, the applicant shall have his or her educational credentials evaluated by a  
credential evaluation organization that is a current member organization of the National  
Association of Credential Evaluation Services (NACES).  
(4) The educational program shall verify that the applicant has successfully  
completed the program by sending the applicant’s official transcripts to the department.  
History: 2020 MR 24, Eff. Dec 22, 2020.  
PART 3. REGISTRATION  
R 338.3921 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 21. (1) Under section 16148 of the code, MCL 333.16148, an individual who  
is seeking registration or is registered shall complete training in identifying victims of  
human trafficking that satisfies all of the following:  
(a) Training content must cover all the following:  
(i) Understanding the types and venues of human trafficking in Michigan or 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  
department for initial 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 subrule (1)(a) of this rule 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:  
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(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 in  
subrule (1) of this rule apply for registration renewals beginning with the 2017 renewal  
cycle and for initial registrations issued after March 17, 2021.  
History: 2020 MR 24, Eff. Dec 22, 2020.  
R 338.3923 Examination; adoption.  
Rule 23. The department approves and adopts the registered environmental health  
specialist/registered sanitarian examination developed by NEHA. The passing score for  
the registered environmental health specialist/registered sanitarian examination is the  
passing score established by NEHA.  
History: 2020 MR 24, Eff. Dec 22, 2020.  
R 338.3925 Registration; requirements.  
Rule 25. (1) An applicant for a sanitarian registration shall submit a completed  
application on a form provided by the department, together with the requisite fee. In  
addition to satisfying the requirements of the code and the administrative rules  
promulgated under the code, an applicant shall satisfy 1 of the following:  
(a) The requirements of R 338.3913(1)(a). No proof of prior work experience is  
required.  
(b) The requirements of R 338.3913(1)(b) and verification by the employer sent to  
the department that the applicant has completed 4,000 hours in planning, developing, or  
implementing systems to improve the quality of air, water, food, or other environmental  
factors that affect the health of the public.  
(c) The requirements of R 338.3913(1)(c), subject to the following requirements:  
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(i) If the credential evaluation required under R 338.3913(3) determines that the  
applicant’s educational credentials are substantially equivalent to R 338.3913(1)(a), no  
proof of prior work experience is required.  
(ii) If the credential evaluation required under R 338.3913(3) determines that the  
applicant’s educational credentials are substantially equivalent to R 338.3913(1)(b),  
verification by the employer shall be sent to the department that the applicant has  
completed 4,000 hours in planning, developing, or implementing systems to improve the  
quality of air, water, food, or other environmental factors that affect the health of the  
public.  
(2) In addition to satisfying the requirements of subrule (1)(a), (b), or (c) of this  
rule, an applicant shall complete and pass the examination adopted under R 338.3923.  
(3) If an applicant for a sanitarian registration submits proof that he or she is a  
current holder in good standing of the registered environmental health  
specialist/registered sanitarian (REHS/RS) credential from NEHA, then it is presumed  
that the applicant satisfies the requirements of subrule (1)(a), (b), or (c) of this rule and  
satisfies subrule (2) of this rule.  
History: 2020 MR 24, Eff. Dec 22, 2020.  
R 338.3927 Registration by endorsement.  
Rule 27. (1) An applicant for a Michigan registration by endorsement shall submit  
a completed application on a form provided by the department, together with the requisite  
fee. In addition to satisfying the other requirements of the code and administrative rules  
promulgated under the code, an applicant shall satisfy the educational and experiential  
requirements, as specified in R 338.3925(1)(a), (b), or (c) and satisfy the requirements of  
this rule.  
(2) An applicant who was first licensed or registered in another state is presumed to  
have met the requirements of sections 16186(1)(a) and (b) of the code, MCL 333.16186,  
if he or she satisfies both of the following requirements:  
(a) Verifies that he or she has been licensed or registered for a minimum of 3 years  
immediately before filing an application for registration as a sanitarian in this state. An  
applicant may submit either of the following as verification:  
(i) Documentation of the applicant’s employment verified by the employer of  
employment in another state as a licensed or registered sanitarian for the period specified  
under subdivision (a) of this subrule.  
(ii) Documentation of the status of a license or registration from all other states in  
which the applicant currently holds or has ever held licensure or registration.  
Verification includes, but is not limited to, showing proof of any disciplinary action taken  
or pending against the applicant.  
(b) Completed and passed the examination adopted under R 338.3923.  
(3) If an applicant for a sanitarian registration submits proof that he or she is a  
current holder in good standing of the REHS/RS credential from NEHA, then it is  
presumed that the applicant satisfies the educational and experiential requirements as  
specified in R 338.3925(1)(a), (b), or (c) of subrule (1) of this rule and satisfies subrule  
(2) of this rule.  
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History: 2020 MR 24, Eff. Dec 22, 2020.  
R 338.3929 Application for sanitarian re-registration; requirements.  
Rule 29. (1) An applicant for re-registration as a sanitarian shall submit to the  
department a completed application on a form provided by the department, together with  
the requisite fee. In addition to satisfying the other requirements of the code and  
administrative rules promulgated under the code, an applicant shall satisfy 1 of the  
following requirements, as applicable:  
(a) If the registration was lapsed for less than 3 years, an applicant shall satisfy all  
of the following requirements:  
(i) Establish that he or she is of good moral character as defined under 1974 PA  
381, MCL 338.41 to 338.47.  
(ii) Submit to the department on a form provided by the department verification  
of his or her license or registration by the agency of any state in which the applicant holds  
a current license or registration or ever held a license or registration as a sanitarian.  
Verification includes, but is not limited to, showing proof of any disciplinary action taken  
or pending disciplinary action imposed upon the applicant.  
(b) If the registration was lapsed for 3 or more years, an applicant shall satisfy all  
the following requirements:  
(i) Establish that he or she is of good moral character as defined under 1974 PA  
381, MCL 338.41 to 338.47.  
(ii) Submit to the department fingerprints as set forth in section 16174(3) of the  
code, MCL 333.16174.  
(iii) Provide to the department proof of passing the examination adopted under R  
338.3923.  
(iv) Submit on a form provided by the department verification of his or her  
license or registration by the agency of any state in which the applicant holds a current  
license or registration or ever held a license or registration as a sanitarian. Verification  
includes, but is not limited to, showing proof of any disciplinary action taken or pending  
disciplinary action imposed upon the applicant.  
(2) If an applicant for sanitarian re-registration submits proof that he or she is a  
current holder in good standing of the REHS/RS credential from NEHA, then it is  
presumed that the applicant satisfies the requirement of subrule (1)(b)(iii) of this rule.  
History: 2020 MR 24, Eff. Dec 22, 2020.  
R 338.3931 Registration renewal; requirements.  
Rule 31. An applicant for registration renewal who has been registered for the 2-  
year period immediately preceding the application for renewal shall submit to the  
department the required fee and a completed application on a form provided by the  
department.  
History: 2020 MR 24, Eff. Dec 22, 2020.  
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