DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

DIRECTOR'S OFFICE

SPEECH-LANGUAGE PATHOLOGY – GENERAL RULES

(By authority conferred on the director of the department of licensing and regulatory

affairs by sections 16145, 16148, 17601, 17607, 17609, 17610, and 17611 of the public

health code, 1978 PA 368, MCL 333.16145, 333.16148, 333.17601, 333.17607,

333.17609, 333.17610, and 333.17611, 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 338.601 Definitions.

Rule 1. (1) As used in these rules:

(a) “ASHA” means the American Speech-Language-Hearing Association.

(b) "Board" means the Michigan board of speech-language pathology created in section

17605 of the code, MCL 333.17605.

(c) “CCC-SLP” means certificate of clinical competence in speech-language pathology.

(d) “CFCC” means the council for clinical certification in audiology and speech-

language pathology.

(e) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.

(f) “CPD” means continuous professional development.

(g) "Department" means the department of licensing and regulatory affairs.

(h) “NACES” means the National Association of Credential Evaluation Services.

(2) A term defined in the code has the same meaning when used in these rules.

History: 2011 AACS; 2016 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

R 338.602 Rescinded.

History: 2016 AACS; 2021 AACS.

R 338.603 Application for speech-language pathology license; requirements.

Rule 3. (1) An applicant for licensure shall satisfy the requirements of the code, the

rules promulgated under the code, and all the following requirements:

(a) Provide the required fee and a completed application on a form provided by the

department.

(b) Provide proof, as directed by the department, verifying completion of a masters or

doctoral degree from an accredited educational program under R 338.619(1) and (2) or

(3).

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(c) Provide proof, as directed by the department, verifying completion of a supervised

postgraduate clinical experience in speech-language pathology that satisfies the

requirements of R 338.615.

(d) Provide proof, as directed by the department, verifying a passing score on the

examination under R 338.605.

(2) An applicant who provides proof, as directed by the department, verifying a current

CCC-SLP from the CFCC is presumed to satisfy the requirements of subrule (1)(b), (c),

and (d) of this rule.

History: 2011 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

R 338.604 Training standards for identifying victims of human trafficking;

requirements.

Rule 4. (1) Under section 16148 of the code, MCL 333.16148, an individual seeking

licensure or who is licensed shall have completed training in identifying victims of

human trafficking that satisfies the following standards:

(a) Training content must cover all the following:

(i) Understanding the types and venues of human trafficking in the United States.

(ii) Identifying victims of human trafficking in healthcare settings.

(iii) Identifying the warning signs of human trafficking in healthcare settings for adults

and minors.

(iv) Identifying 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 for initial

licensure, 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-

reviewed journal, healthcare 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 an individual and request documentation of

proof of completion of training. If audited by the department, the 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 including the date,

provider name, name of training, and individual’s name.

(b) A self-certification statement by the individual. The self-certification statement

must include the individual’s name and 1 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.

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(ii) For training completed under subrule (1)(b)(iv) of this rule, the title of the article,

author, publication name of the peer-reviewed journal, healthcare journal, or professional

or scientific journal, and the date, volume, and issue of publication, as applicable.

History: 2016 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

R 338.605 Examination; adoption; passing score.

Rule 5. The praxis examination in speech-language pathology that is administered by

the educational testing service or its successor organization is approved and adopted. The

passing score recommended by ASHA for the praxis examination in speech-language

pathology is approved and adopted.

History: 2011 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

R 338.607 Rescinded.

History: 2011 AACS; 2016 AACS; 2021 AACS.

R 338.609 Rescinded.

History: 2011 AACS; 2016 AACS.

R 338.611 Licensure by endorsement; speech-language pathologist.

Rule 11. (1) An applicant for licensure by endorsement shall satisfy the requirements of

the code, the rules promulgated under the code, and all the following requirements:

(a) Provide the required fee and a completed application on a form provided by the

department.

(b) Provide proof, as directed by the department, verifying a current and full speech-

language pathologist license in another state or in a province of Canada.

(c) Provide proof, as directed by the department, verifying completion of a masters or

doctoral degree from an accredited educational program under R 338.619(1) and (2) or

(3) or provide proof, as directed by the department, verifying completion of a masters or

doctoral degree from an educational program that is substantially equivalent to an

accredited educational program that satisfies the standards adopted under R 338.619(1)

and (2) or (3) and provide an evaluation of the applicant's non-accredited education by a

credential evaluation agency that is a member of NACES.

(d) Provide proof, as directed by the department, verifying a passing score on either of

the following examinations for a speech-language pathologist license in another state or

in a province of Canada to obtain licensure as a speech-language pathologist in another

state or in a province of Canada:

(i) The examination under R 338.605.

(ii) Canada’s Canadian entry-to-practice exam for speech-language pathology.

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(2) An applicant who provides proof, as directed by the department, verifying a current

CCC-SLP from the CFCC is presumed to satisfy the requirements of subrule (1)(c) and

(d) of this rule.

(3) An applicant who is or was licensed, registered, or certified in a health profession or

specialty by another state, the United States military, the federal government, or another

country shall disclose that fact on the application form. The applicant shall satisfy the

requirements of section 16174(2) of the code, MCL 333.16174, including verification

from the issuing entity showing that disciplinary proceedings are not pending against the

applicant and sanctions are not in force at the time of application. If licensure is granted

and it is determined that sanctions have been imposed, the disciplinary subcommittee

may impose appropriate sanctions under section 16174(5) of the code, MCL 333.16174.

History: 2011 AACS; 2016 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

R 338.613

Supervised postgraduate clinical experience; temporary license

requirements.

Rule 13. (1) The department may issue a temporary license under section 17609(4) of

the code, MCL 333.17609, to an individual for the purpose of completing a supervised

postgraduate clinical experience.

(2) An applicant for a temporary license who provides proof, as directed by the

department, verifying completion of a masters or doctoral degree in speech-language

pathology but who still shall complete the required supervised postgraduate clinical

experience in speech-language pathology shall satisfy the requirements of the code, the

rules promulgated under the code, and the following requirements:

(a) Provides the required fee and a completed application on a form provided by the

department.

(b) Provides proof, as directed by the department, verifying the completion of an

accredited educational program in speech-language pathology under R 338.619(1) and

(2) or (3) or from an educational program that satisfies the requirements under R

338.617(1)(b).

(c) Provides a plan for the supervised postgraduate clinical experience on a form

provided by the department and signed by a speech-language pathologist who is licensed

and has agreed to supervise the applicant's postgraduate experience.

(3) The supervised postgraduate clinical experience must satisfy both of the following

requirements and may count toward the experience requirement:

(a) The experience must satisfy the requirements of R 338.615.

(b) The experience must be obtained by an individual who has a temporary license in a

supervised postgraduate clinical situation approved under R 338.615.

(4) If an individual transfers to a different supervised postgraduate clinical situation, the

applicant shall provide an updated plan for the supervised postgraduate clinical situation

on a form provided by the department that complies with the requirements under subrule

(2)(c) of this rule.

(5) The department may issue a nonrenewable temporary license under this rule for a

period not to exceed 12 months. On or after the effective date of 2024 PA 57, the

following applies to the issuance of temporary licenses:

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(a) The department shall issue a temporary license under this rule for a period not to

exceed 24 months. A temporary license issued under this rule may be renewed for 1

additional 12-month term if the applicant continues to meet the requirements of this rule.

(b) An individual who held a nonrenewable temporary license on the effective date of

2024 PA 57 may renew that license for 1 additional 12-month term if the applicant

continues to meet the requirements of this rule.

(c) An individual who was issued a nonrenewable temporary license on or after April

15, 2021, but whose license has lapsed may apply for relicensure for 1 additional 12-

month term if the applicant continues to meet the requirements of this rule.

(6) A 2-year educational limited license issued before April 15, 2021, may be renewed

no more than 2 times, with the length of each renewal period equal to 2 years.

History: 2011 AACS; 2016 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

R 338.615 Supervised postgraduate clinical experience; requirements.

Rule 15. (1) The supervised postgraduate clinical experience required for licensure in R

338.603(1)(c) and R 338.617(1)(c) must consist of 1,260 hours and satisfy the

requirements of this rule.

(2) Not less than 1,008 hours of the 1,260 hours must consist of direct clinical contact

engaged in activities consistent with section 17601(1)(a) of the code, MCL 333.17601.

(3) A supervised postgraduate clinical experience must be completed under the

supervision of a licensed speech language pathologist who has a full and unlimited

license and has no past or pending disciplinary actions.

(4) The supervisor and supervisee in a postgraduate clinical experience shall develop

agreed upon outcomes and performance levels for the supervisee and keep documentation

showing whether the outcomes and performance levels were met by the supervisee.

(5) The supervisor of a supervised postgraduate clinical experience shall engage in a

sufficient number of supervisory activities to prepare the supervisee to begin independent

practice as a speech language pathologist. Supervisory activities must include both of the

following requirements:

(a) On-site observations of the supervisee engaged in screening, evaluation, assessment,

and habilitation or rehabilitation activities. Real time, interactive video and audio-

conferencing technology may be used to perform on-site observations.

(b) Evaluation of reports written by the supervisee, conferences between the supervisor

and supervisee, and discussions with the supervisee's professional colleagues.

Correspondence, telephone calls, or review of audio or videotapes may be used to

perform this type of supervisory activity.

(6) A supervised postgraduate clinical experience may be fulfilled on a full or part-time

basis.

(7) A postgraduate clinical experience that satisfies the requirements of ASHA qualifies

as an approved postgraduate clinical experience.

History: 2011 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

R 338.617 Graduate of non-accredited postsecondary institution; speech-language

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pathologist; licensure.

Rule 17. (1) An applicant for licensure who graduated from a non-accredited

postsecondary institution shall satisfy the requirements of the code, the rules promulgated

under the code, and all the following requirements:

(a) Provide the required fee and a completed application on a form provided by the

department.

(b) Provide proof, as directed by the department, verifying completion of a masters or

doctoral degree from an educational program that is substantially equivalent to an

accredited educational program that satisfies the standards adopted under R 338.619(1)

and (2) or (3) and provide an evaluation of the applicant's non-accredited education by a

credential evaluation agency that is a member of NACES.

(c) Provide proof, as directed by the department, verifying completion of a supervised

postgraduate clinical experience in speech-language pathology that satisfies the

requirements of R 338.615.

(d) Provide proof, as directed by the department, verifying a passing score on the

examination under R 338.605.

(2) An applicant who provides proof, as directed by the department, verifying a current

CCC-SLP from the CFCC is presumed to satisfy the requirements of subrule (1)(b), (c),

and (d) of this rule.

History: 2011 AACS; 2016 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

R 338.619 Educational standards; adoption by reference.

Rule 19. (1) The standards for accrediting speech-language pathology educational

programs developed and adopted by the Council on Academic Accreditation in

Audiology and Speech-Language Pathology (CAA), American Speech-Language-

Hearing Association, 2200 Research Boulevard, #310, Rockville, Maryland 20850, in the

publication titled "Standards for Accreditation of Graduate Education Programs in

Audiology and Speech-Language Pathology," effective January 2023, which are available

at no cost on the council’s website at https://caa.asha.org are approved and adopted by

reference. A speech-language pathology educational program accredited by the CAA is

approved.

(2) The standards for recognition of accrediting organizations developed and adopted by

the Council for Higher Education Accreditation (CHEA), One Dupont Circle NW, Suite

510, Washington DC 20036, in the publication titled “CHEA Standards and Procedures

for Recognition,” effective October 4, 2021, which are available at no cost on the

council’s website at https://www.chea.org are approved and adopted by reference. If a

higher education institution is accredited by the accrediting body of the region where the

institution is located and the accrediting body satisfies the recognition standards of

CHEA, the institution is approved.

(3) The criteria for recognition and the recognition process for the secretary’s

recognition of accrediting agencies of the United States Department of Education, Office

of Postsecondary Education, 400 Maryland Avenue, S.W., Washington, DC 20202, in 34

CFR 602.10 to 602.39, effective July 1, 2020, which are available at no cost on the

department’s website at https://www2.ed.gov/about/offices/list/ope/index.html, are

approved and adopted by reference. If a higher education institution is accredited by the

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accrediting body of the region where the institution is located and the accrediting body

satisfies the recognition criteria and process of the United States Department of

Education, the institution is approved.

(4) Copies of the standards in this rule are available for inspection and distribution at a

cost of 25 cents per page from the Board of Speech-Language Pathology, Bureau of

Professional Licensing, Department of Licensing and Regulatory Affairs, 611 West

Ottawa Street, Lansing, Michigan 48909.

History: 2011 AACS; 2016 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

R 338.621 Relicensure.

Rule 21. (1) An applicant may be relicensed within 3 years after the expiration date of

the license under section 16201(3) of the code, MCL 333.16201, if the applicant satisfies

the requirements of the code and the rules promulgated under the code, and all the

following requirements:

(a) Provides the required fee and a completed application on a form provided by the

department.

(b) Establishes good moral character as defined in, and determined under, 1974 PA

381, MCL 338.41 to 338.47.

(c) Provides proof, as directed by the department, verifying completion of not less than

20 CPD hours that satisfy the requirements of R 338.629 during the 2 years immediately

preceding the date of relicensure.

(2) An applicant may be relicensed more than 3 years after the expiration date of the

license under section 16201(4) of the code, MCL 333.16201, if the applicant satisfies the

requirements of the code and the rules promulgated under the code, and all the following

requirements:

(a) Provides the required fee and a completed application on a form provided by the

department.

(b) Establishes good moral character as that term is defined in, and determined under,

1974 PA 381, MCL 338.41 to 338.47.

(c) Provides fingerprints as required under section 16174(3) of the code, MCL

333.16174.

(d) Provides proof, as directed by the department, verifying completion of not less than

20 CPD hours that satisfy the requirements of R 338.629 during the 2 years immediately

preceding the date of relicensure.

(e) Provides proof, as directed by the department, verifying 1 of the following

requirements:

(i) Re-takes and passes the examination under R 338.605 in the 2 years immediately

preceding the application for relicensure.

(ii) Has a current CCC-SLP from the CFCC.

(iii) Has a license as a speech language pathologist in another state or province of

Canada during the 3-year period immediately preceding the application for relicensure.

(3) An applicant who is or was licensed, registered, or certified in a health profession or

specialty by another state, the United States military, the federal government, or another

country shall disclose that fact on the application form. The applicant shall satisfy the

requirements of section 16174(2) of the code, MCL 333.16174, including verification

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from the issuing entity showing that disciplinary proceedings are not pending against the

applicant and sanctions are not in force at the time of application. If licensure is granted

and it is determined that sanctions have been imposed, the disciplinary subcommittee

may impose appropriate sanctions under section 16174(5) of the code, MCL 333.16174.

History: 2011 AACS; 2016 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

R 338.623 Relicensure; certified teachers; limited license.

Rule 23. (1) A limited license applicant may be relicensed within 3 years after the

expiration date of the license under section 16201(3) of the code, MCL 333.16201, if the

applicant satisfies the requirements of the code and the rules promulgated under the code,

and all the following requirements:

(a) Provides the required fee and a completed application on a form provided by the

department.

(b) Establishes good moral character as that term is defined in, and determined under,

1974 PA 381, MCL 338.41 to 338.47.

(c) Establishes that the licensee is a certified teacher whose teaching certificate was

endorsed on January 12, 2009, as provided under section 17609(2) of the code, MCL

333.17609, in speech and language impairment for the sole purpose of providing services

as a part of employment or contract with a school district, intermediate school district,

nonpublic school, or state department that provides educational services.

(d) Provides proof, as directed by the department, verifying completion of not less than

20 CPD hours that satisfy the requirements of R 338.629 during the 2 years immediately

preceding the date of relicensure.

(2) An applicant who is or was licensed, registered, or certified in a health profession or

specialty by another state, the United States military, the federal government, or another

country shall disclose that fact on the application form. The applicant shall satisfy the

requirements of section 16174(2) of the code, MCL 333.16174, including verification

from the issuing entity showing that disciplinary proceedings are not pending against the

applicant and sanctions are not in force at the time of application. If licensure is granted

and it is determined that sanctions have been imposed, the disciplinary subcommittee

may impose appropriate sanctions under section 16174(5) of the code, MCL 333.16174.

(3) An applicant whose limited license has lapsed for 3 years or more is not eligible for

relicensure but may apply for a full and unlimited license under R 338.603.

History: 2011 AACS; 2016 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

R 338.625 Rescinded.

History: 2011 AACS; 2016 AACS.

R 338.627 License renewal; requirements; applicability.

Rule 27. (1) An applicant for renewal shall satisfy the requirements of the code and the

rules promulgated under the code.

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(2) An applicant for license renewal who was licensed for the 2-year period immediately

preceding the expiration date of the license shall accumulate not less than 20 CPD hours

in activities approved under R 338.629 during the 2 years preceding the end of the license

cycle.

(3) Submission of an application for renewal constitutes the applicant’s certification of

compliance with the requirements of this rule. A licensee shall maintain documentation

of satisfying the requirements of this rule for a period of 4 years after 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 licensee who renewed their license and

request proof of compliance with subrule (2) of this rule. If audited, a licensee shall

provide documentation as specified in R 338.629.

(5) An applicant shall submit a request for a waiver of CPD requirements to the

department for the board’s consideration not less than 30 days before the last regularly

scheduled board meeting before the expiration date of the license.

(6) If the renewing licensee is a certified teacher whose teaching certificate was

endorsed on January 12, 2009, as provided under section 17609(2) of the code, MCL

333.17609, in speech and language impairment for the sole purpose of providing services

as a part of employment or contract with a school district, intermediate school district,

nonpublic school, or state department that provides educational services, a Verification of

Employment in an Educational Setting form must be provided to the department.

History: 2016 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

R

338.629

Acceptable continuous professional development activities;

requirements, limitations.

Rule 29. (1) The 20 CPD hours required under R 338.627(2) for the renewal of a

license must satisfy the following requirements as applicable:

(a) No more than 12 CPD hours may be earned for approved CPD programs or

activities during one 24-hour period.

(b) A licensee cannot earn CPD hours for a CPD program or activity that is

substantially equivalent to a program or activity the licensee has already earned CPD

hours for during that renewal period.

(c) Under section 16204(2) of the code, MCL 333.16204, a licensee shall earn at least 1

CPD hour in pain and symptom management by completing a CPD program or activity.

CPD hours in pain and symptom management may include, but are not limited to, courses

or activities relevant to the practice of speech-language pathology and relating to the

public health burden of pain; ethics and health policy relating to pain; pain definitions;

basic sciences including pharmacology, psychology, and sociology; clinical sciences

relating to pain; clinician-patient communications as relating to pain; management of

pain including evaluation and treatment; ensuring quality pain care; and programs and

resources relevant to pain.

(d) Completion of implicit bias training under R 338.7004 during the 2 years

immediately preceding the expiration date of the license may be used toward satisfaction

of the requirements of R 338.627(2) and subrule (1) of this rule.

(2) The following are acceptable CPD activities:

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Activity Activity and Proof Required

Code

Number of CPD hours

granted and allowed for

the activity.

(a)

Completing an approved CPD program or activity The number of CPD

related to the practice of speech-language hours approved by the

pathology or any non-clinical subject relevant to sponsor

or

the

the practice of speech-language pathology. A CPD approving organization

program or activity is approved, regardless of the is the number of CPD

format it is offered, if it is approved, sponsored, or hours approved for each

accepted for CPD hours by any of the following CPD

program

or

organizations:

activity.

- ASHA.

- Michigan board of audiology.

- Michigan board of medicine.

A minimum of 6 CPD

hours must be earned

- Michigan board of osteopathic medicine and for this activity in each

surgery.

renewal period.

- A speech-language pathology board of any state.

A maximum of 15 CPD

If audited, a licensee shall provide a copy of a letter hours may be earned for

or certificate of completion showing the licensee’s this activity in each

name, number of CPD hours earned, sponsor name renewal period.

or the name of the organization that approved the

program or activity for CPD hours, and the date or

dates the program or activity was completed.

(b)

Reading an article related to the practice of speech- 1 CPD hour is granted

language pathology in a professional or scientific for each article read.

journal. This activity does not include articles

offered as a CPD activity by ASHA.

A maximum of 5 CPD

hours may be earned for

If audited, a licensee shall provide a signed this activity in each

document that lists the journals read, including the renewal period.

title of the article, journal name, volume number,

and author.

(c)

Presenting a CPD program related to the practice of 2 CPD hours are

speech-language pathology.

granted for each 50 to

60 minutes of

To receive CPD hours, the presentation must be presentation.

approved, sponsored, or accepted for CPD hours by

any of the following organizations:

- ASHA.

A presentation must not

be less than 50 minutes

- Michigan board of audiology.

- Michigan board of medicine.

in

length.

No

additional CPD hours

- Michigan board of osteopathic medicine and are

granted

for

surgery.

preparation.

Under

- A speech-language pathology board of any state.

subrule (1)(b) of this

rule, CPD hours for a

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If audited, a licensee shall provide a letter from the presentation are granted

program sponsor confirming the licensee as the only once per a renewal

presenter and the presentation date and time, or a period.

copy of the presentation notice or advertisement

showing the date of presentation, the licensee’s A maximum of 10 CPD

name listed as the presenter, and the name of the hours may be earned for

organization that approved or offered the this type of activity in

presentation for CPD hours.

Initial presentation of a scientific exhibit or paper 2 CPD hours are

accepted for presentation through a peer-review granted for each

state, regional, national, or presentation.

speech-language pathology

each renewal period.

(d)

process at

international

a

conference, or its components, or a related No additional CPD

professional organization. hours for preparation

are granted. Under

If audited, a licensee shall provide a copy of the subrule (1)(b) of this

document presented with proof of presentation or a rule, CPD hours for a

letter from the program sponsor verifying the presentation are granted

exhibit or paper was accepted for presentation only once per a renewal

through a peer-review process and the date of period.

presentation.

A maximum of 10 CPD

hours may be earned for

this type of activity in

each renewal period.

(e)

Authoring an article related to the practice, 3 CPD hours are

education, or research of speech-language granted for each article.

pathology that is published in any of the following

journals:

Under subrule (1)(b) of

this rule, CPD hours for

an article are granted

- An association journal.

- A peer-reviewed journal.

- A healthcare journal.

- A professional or scientific journal.

once

per

renewal

period.

If audited, a licensee shall provide a copy of the A maximum of 9 CPD

publication that shows the licensee as the author of hours may be earned for

the article or a publication acceptance letter.

this type of activity in

each renewal period.

(f)

Writing a chapter related to the practice, education, 3 CPD hours for each

or research of speech-language pathology that is chapter are granted.

published in a textbook.

Under subrule (1)(b) of

If audited, a licensee shall provide a copy of the this rule, CPD hours for

publication that shows the licensee as the author of a chapter are granted

the chapter or a publication acceptance letter.

only once in a renewal

period.

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A maximum of 9 CPD

hours may be earned for

this type of activity in

each renewal period.

(g)

Serving as an instructor of students, staff, or other 2 CPD hours are

licensees at a clinical program related to the granted for each 50 to

practice of speech-language pathology provided 60 minutes instructional

through or recognized by an accredited speech session on a specific

language pathology educational program that subject.

satisfies the standards set in R 338.619(1).

No additional CPD

If audited, a licensee shall provide a letter from the hours are granted for

program director verifying the licensee’s role, the preparation.

number of instructional sessions on specific

subjects provided by the licensee, and the length of A maximum of 10 CPD

the instructional sessions. Also, the letter must hours may be earned for

verify that the clinical training program was this type of activity in

provided, offered, or accredited by an educational each renewal period.

program or organization that satisfies the

requirements of this rule.

(h)

Serving as a clinical supervisor for students 1 CPD hour is granted

completing an internship, residency, or fellowship for 1 hour of clinical

program that is recognized or approved by R instruction

338.615. supervision.

or

If audited, a licensee shall provide a letter from the A maximum of 5 CPD

educational program or clinical agency director hours may be earned for

verifying the licensee’s role, the number of CPD this type of activity in

hours of instruction or supervision provided by the each renewal period.

licensee, and that the internship, residency, or

fellowship program is recognized or approved by

an educational program or organization that

satisfies the requirements of this rule.

(i)

Providing supervision as part of a disciplinary 1 CPD hour is granted

sanction.

for

1

hour

of

supervision provided.

If audited, a licensee shall provide an affidavit

from the disciplinary limited licensee who received A maximum of 5 CPD

the supervision. The affidavit must attest to the hours may be earned for

licensee’s role as supervisor and the number of this type of activity in

CPD hours the licensee spent providing each renewal period.

supervision to the disciplinary limited speech-

language pathologist.

(j)

Participating on an international, national, regional, 5 CPD hours are

state, state component, or local task force, granted for participation

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committee, board, council, or association related to on each task force,

the field of speech-language pathology. A task committee, board,

force, committee board, council, or association is council, or association.

considered acceptable if it enhances the

participant’s knowledge and understanding of the A maximum of 5 CPD

field of speech-language pathology.

hours may be earned for

this type of activity in

If audited, a licensee shall provide documentation each renewal period.

verifying the licensee’s participation in not less

than 50% of the regularly scheduled meetings of

the task force, committee, board, council, or

association.

(k)

Participation in the development of a national 5 CPD hours are

examination for speech-language pathologists.

granted

for

participation.

If audited, a licensee shall provide documentation

from the sponsor of the examination verifying the A maximum of 5 CPD

licensee’s role and participation in the development hours may be earned for

of the examination.

this type of activity in

each renewal period.

(l)

Participating in an in-service program relating to 1 CPD hour is granted

the practice of speech-language pathology provided for each hour of in-

or sponsored by a school system in this state.

service completed.

If audited, a licensee shall provide documentation A maximum of 5 CPD

from the in-service provider verifying the date and hours may be earned for

number of CPD hours for the in-service program, this type of activity in

the program’s relationship to speech-language each renewal period.

pathology, and the licensee’s participation.

History: 2016 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

R 338.641 Continuous professional development providers; standards for approval.

Rule 41. (1) A CPD provider that is not pre-approved under R 338.629 may be

approved by the board. To be approved by the board, the provider shall complete an

application provided by the department, file the application with the department for

review no later than 120 days before the program date, and satisfy subrules (2) and (3) of

this rule. The application and supporting documentation must include all the following

information:

(a) A program schedule, including date of program, topics, name of speaker, and break

times.

(b) An explanation of how the program is designed to further educate speech-language

pathologists, including a short narrative describing the program content and the criteria

for the selection of this topic.

(c) Copies of instructional goals that have been developed.

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(d) Copies of all promotional and advertising materials for the program.

(e) The name, title, and address of the program director and a description of the

program director’s qualifications to direct the program.

(f) A description of how the amount of CPD hours awarded for this program was

decided.

(g) A description of how participants are notified that CPD hours have been earned.

(h) A copy of the curriculum vitae for each instructional staff member.

(i) A description of the delivery method or methods used and the techniques employed

to ensure active participation.

(j) A copy of the post-test instrument that is used for participant evaluation.

(k) A description of how post tests are administered, corrected, and returned to

participants.

(l) A description of how post-test performance influences the awarding of CPD hours.

(m) A description of how attendance is checked, including sample documents, and the

name of the individual monitoring attendance.

(2) The CPD program approved under subrule (1) of this rule must satisfy all the

following requirements:

(a) The program must be an organized program of learning that contributes to the

advancement and enhancement of professional competency and scientific knowledge in

the practice of speech-language pathology and is designed to reflect the educational needs

of speech-language pathologists.

(b) The program must have a scientific and educational integrity and accepted speech-

language pathology practices.

(c) A course must have an outline that shows consistency with the course description

and reflects the course content.

(d) A course must be taught in a manner appropriate to the educational content, goals,

and purpose of the program and allow suitable time to be effectively presented to the

audience.

(e) Instructors shall have the necessary qualifications, training, and experience to teach

the course.

(f) The activity must support active participation and involvement from the participants.

(g) The activity must offer educational materials for each CPD activity that enhances

the participant’s understanding of the content and fosters applications to speech-language

pathology practice.

(h) The activity must include learning assessments in each activity that allow speech-

language pathologists to assess their achievement of the learned content. Completion of a

learning assessment is required for CPD content.

(3) The program provider or sponsor approved under subrule (1) of this rule shall issue

certificates or letters of attendance that include all the following information:

(a) The name of the sponsor.

(b) The name of the program.

(c) The name of the attendee.

(d) The date of the program.

(e) The Michigan approval number.

(f) The signature of the individual responsible for checking attendance and that

individual’s title.

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(g) The number and type of CPD hours attended.

History: 2016 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

R 338.643 Telehealth.

Rule 43. (1) A licensee shall obtain consent for treatment before providing a telehealth

service under section 16284 of the code, MCL 333.16284.

(2) A licensee shall keep proof of consent for telehealth treatment in the patient’s up-to-

date medical record and satisfy section 16213 of the code, MCL 333.16213.

(3) A licensee providing any telehealth service shall do both of the following:

(a) Act within the scope of the licensee’s practice.

(b) Exercise the same standard of care applicable to a traditional, in-person healthcare

service.

History: 2025 MR 11, Eff. May 7, 2025.

R 338.645 Rescinded.

History: 2016 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

R 338.647 Referral required.

Rule 47. A speech-language pathologist shall not assess or treat a patient for either of

the following, unless the patient has been referred by an individual licensed in the

practice of medicine or osteopathic medicine and surgery or by an advanced practice

registered nurse as that term is defined in section 17201 of the code, MCL 333.17201:

(a) Swallowing disorders.

(b) Medically-related communication disorders.

History: 2016 AACS; 2021 AACS.

R 338.649 Physically invasive procedures; supervision required.

Rule 49. (1) Physically invasive procedures beyond the oropharynx include the

following:

(a) Esophageal manometry.

(b) Flexible endoscopic examination of swallowing.

(c) Laryngovideostroboscopy.

(d) Tracheoesophageal prosthesis replacement.

(2) Under section 17610(3) of the code, MCL 333.17610, a speech-language pathologist

shall only perform the procedures in subrule (1) of this rule under the supervision of a

physician licensed to practice medicine or osteopathic medicine and surgery in this state.

(3) A speech-language pathologist shall only perform the procedures listed in subrule

(1) of this rule in a setting where a physician licensed in the practice of medicine or

osteopathic medicine is physically available to ensure patient safety.

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(4) A speech-language pathologist performing physically invasive procedures under the

supervision of a physician shall be familiar with risks associated with physically invasive

procedures, including, but not limited to, epistaxis, mucosal injury, gagging, allergic

reaction to topical anesthetic, laryngospasm, and vasovagal response, and the need for

medical intervention.

History: 2016 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.

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