2018. The department also takes notice that the regulations promulgated under the Stark
Law, 42 CFR 411.350 to 411.389, were revised effective January 19, 2021, and January
1, 2022. The department finds that the revisions to both the Stark Law, 42 USC 1395nn,
and regulations under the Stark Law, 42 CFR 411.350 to 411.389, pertain to referrals by
physicians for designated health services and continues to protect the public from
inappropriate referrals by physicians. Therefore, the department adopts by reference the
Stark Law, 42 USC 1395nn, as revised February 9, 2018, and regulations promulgated
under the Stark Law, 42 CFR 411.350 to 411.389, as revised January 19, 2021, and
January 1, 2022.
(2) All federal regulations noted in subrule (1) of this rule are available at no cost at
inspection and distribution at a cost of 10 cents per page from the Bureau of Professional
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) 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) An individual applying for licensure 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. Unless prohibited by the code or rules, this training may be used to
satisfy other training or continuing education requirements for license renewal.
(3) A licensee or registrant shall not carry forward implicit bias training hours earned
during 1 renewal cycle to the next renewal cycle.
(4) A licensee or registrant shall not earn implicit bias training hours for completing
implicit bias training that is identical or substantially identical to implicit bias training
that the licensee or registrant has already completed during the same renewal cycle.
(5) The implicit bias training must be related to reducing barriers and disparities in
access to and delivery of healthcare services and meet all of the following requirements:
(a) Training content must include, but is not limited to, 1 or more of the following
topics:
(i) Information on implicit bias, equitable access to healthcare, 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 healthcare services.
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