Licensing, Michigan Department Licensing and Regulatory Affairs, 611 West Ottawa,
P.O. Box 30670, Lansing, Michigan 48909.
History: 2009 AACS; 2017 AACS; 2022 AACS.
R 338.7004 Implicit bias training standards.
Rule 4. (1) Beginning June 1, 2022, an individual applying for licensure or registration
under article 15 of the code, MCL 333.16101 to 333.18838, except those seeking to be
licensed under part 188 of the code, MCL 333.18801 to 333.18838, shall have completed
a minimum of 2 hours of implicit bias training within the 5 years immediately preceding
issuance of the license or registration.
(2) Beginning June 1, 2022, and for every renewal cycle thereafter, an individual
applying for license or registration renewal, reregistration, or relicensure under article 15
of the code, MCL 333.16101 to 333.18838, except those licensed under part 188 of the
code, MCL 333.18801 to 333.18838, shall have completed a minimum of 1 hour of
implicit bias training for each year of the applicant’s license or registration cycle. If
otherwise permitted by the code and rules, this training may be used to satisfy other
training or continuing education requirements.
(3) The implicit bias training must be related to reducing barriers and disparities in
access to and delivery of health care services and meet all of the following requirements:
(a) Training content must include, but is not limited to, 1 or more of the following
(i) Information on implicit bias, equitable access to health care, serving a diverse
population, diversity and inclusion initiatives, and cultural sensitivity.
(ii) Strategies to remedy the negative impact of implicit bias by recognizing and
understanding how it impacts perception, judgment, and actions that may result in
inequitable decision making, failure to effectively communicate, and result in barriers
and disparities in the access to and delivery of health care services.
(iii) The historical basis and present consequences of implicit biases based on an
(iv) Discussion of current research on implicit bias in the access to and delivery of
health care services.
(b) Training must include strategies to reduce disparities in access to and delivery of
health care services and the administration of pre- and post-test implicit bias assessments.
(c) Acceptable sponsors of this training include any of the following:
(i) Training offered by a nationally-recognized or state-recognized health-related
(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 any board
created under article 15 of the code, MCL 333.16101 to 333.18838, except under part 188
of the code, MCL 333.18801 to 333.18838, for initial licensure or registration or for the
accumulation of continuing education credits.
(iv) Training offered by an accredited college or university.
(v) Training offered by an organization specializing in diversity, equity, and inclusion
(d) Acceptable modalities of training include any of the following: