DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

DIRECTOR’S OFFICE

DIETETICS AND NUTRITION – GENERAL RULES

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

regulatory affairs by sections 16145, 16148, 16174, 16201, 16204, 16287, 18358,

and 18359 of the public health code, 1978 PA 368, MCL 333.16145, 333.16148,

333.16174, 333.16201, 333.16204, 333.16287, 333.18358, and 333.18359, 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 338.1401 Definitions.

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

(a) “ACEND” means the Accreditation Council for Education in Nutrition and

Dietetics or its successor.

(b) “Board” means the Michigan board of dietetics and nutrition created under

section 18355 of the code, MCL 333.18355.

(c) “CDR” means the Commission on Dietetic Registration or its successor.

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

333.25211.

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

or its successor.

(f) “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: 2026 MR 8, Eff. April 17, 2026.

R 338.1403 Training standards for identifying victims of human trafficking;

requirements.

Rule 3. (1) Under section 16148 of the code, MCL 333.16148, an individual

seeking licensure shall have completed training in identifying victims of human

trafficking that satisfies all 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.

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(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 under

these rules 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-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, an

individual shall provide 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 the 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 the

article, author, publication name of the peer-review journal, healthcare journal, or

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

applicable.

History: 2026 MR 8, Eff. April 17, 2026.

PART 2. EDUCATION

R 338.1421 Accreditation standards; higher education institutions; adoption

by reference.

Rule 21. (1) 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, D.C. 20036, in the publication entitled,

“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.

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

accrediting agencies of the United States Department of Education, 400 Maryland

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Avenue, SW, Washington, D.C. 20202, in 34 CFR 602.10 to 602.39, effective July

1, 2020, which are available at no cost on the United States Department of

Education’s website at https://www.ed.gov/, are approved and adopted by

reference.

(3) 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 Dietetics and Nutrition, Bureau of

Professional Licensing, Michigan Department of Licensing and Regulatory Affairs,

611 West Ottawa Street, Lansing, Michigan 48909.

History: 2026 MR 8, Eff. April 17, 2026.

R 338.1423 Accreditation standards; didactic program in dietetics; dietetic

internship programs; adoption by reference.

Rule 23. (1) The standards for accrediting didactic programs in dietetics

developed and adopted by ACEND, Academy of Nutrition and Dietetics, 120 South

Riverside Plaza, Suite 2190, Chicago, Illinois 60606, in the publication entitled,

“ACEND Accreditation Standards for Nutrition and Dietetics Didactic Programs

(DPD),” effective June 1, 2022, which are available at no cost on the council’s

website at https://www.eatrightpro.org/, are approved and adopted by reference.

(2) The standards for accrediting dietetics internship programs developed and

adopted by ACEND, Academy of Nutrition and Dietetics, 120 South Riverside

Plaza, Suite 2190, Chicago, Illinois 60606, in the publication entitled, “ACEND

Accreditation Standards for Nutrition and Dietetics Internship Programs (DI),”

effective June 1, 2022, which are available at no cost on the council’s website at

https://www.eatrightpro.org/, are approved and adopted by reference.

(3) 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 Dietetics and Nutrition, Bureau of

Professional Licensing, Michigan Department of Licensing and Regulatory Affairs,

611 West Ottawa Street, Lansing, Michigan 48909.

History: 2026 MR 8, Eff. April 17, 2026.

PART 3. EXAMINATION

R 338.1431 Examination adoption.

Rule 31. The registration examination for dietitian nutritionists administered by

the CDR is approved and adopted. The passing score for the registration

examination is the passing score established by the CDR.

History: 2026 MR 8, Eff. April 17, 2026.

PART 4. LICENSURE

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R 338.1441 Application for temporary license; qualifications.

Rule 41. An applicant for a temporary dietitian nutritionist license 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 either

of the following:

(i) A bachelor’s, master’s, or doctoral degree at an accredited higher education

institution that satisfied 1 of the standards under either R 338.1421(1) or (2).

(ii) An academic degree at a foreign educational institution that is validated as

equivalent to the standards adopted under R 338.1421(1) or (2) by a credential

evaluation agency that is a current member organization of NACES, found at the

website https://www.naces.org.

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

didactic program in dietetics that satisfies the standards adopted under R

338.1423(1).

(d) Provide proof, as directed by the department, verifying that the applicant is

supervised by a licensed dietitian nutritionist in good standing in this state.

History: 2026 MR 8, Eff. April 17, 2026.

R 338.1443 Application for license; qualifications.

Rule 43. (1) An applicant for a dietitian nutritionist license 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 either

of the following:

(i) A bachelor’s, master’s, or doctoral degree at an accredited higher education

institution that satisfied 1 of the standards adopted under R 338.1421(1) or (2).

(ii) An academic degree at a foreign educational institution that is validated as

equivalent to the standards adopted under R 338.1421(1) or (2) by a credential

evaluation agency that is a current member organization of NACES, found at the

website https://www.naces.org.

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

didactic program in dietetics that satisfies the standards adopted under R

338.1423(1).

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

than 1,000 hours of supervised practice experience under the supervision of a

dietitian nutritionist or a registered dietitian nutritionist that satisfies the standards

adopted under R 338.1423(2).

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

the examination approved and adopted under R 338.1431.

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(f) Provide proof, as directed by the department, verifying current certification as

a registered dietitian nutritionist in good standing from the CDR.

(2) An applicant who held certification as a registered dietitian nutritionist in good

standing from the CDR on April 1, 2025, and who first applies for a license and

holds certification as a registered dietitian nutritionist in good standing from the

CDR on or before the expiration of 2 years after the effective date of this rule

satisfies the requirements of this rule.

(3) Supervised practice experience undertaken after the effective date of this rule

must be under the supervision of a qualified supervisor and satisfy the

requirements of section 18360 of the code, MCL 333.18360.

History: 2026 MR 8, Eff. April 17, 2026.

R 338.1445 Application for license by endorsement; qualifications.

Rule 45. (1) An applicant for a dietitian nutritionist license 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

dietitian nutritionist license in another state or in a province of Canada.

(c) Provide proof, as directed by the department, verifying current certification as

a registered dietitian nutritionist in good standing from the CDR.

(2) An applicant who is or has been 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

when applying. 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: 2026 MR 8, Eff. April 17, 2026.

R 338.1447 Application for relicensure; qualifications.

Rule 47. (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, as well as all 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 current certification

as a registered dietitian nutritionist in good standing from the CDR.

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

under, 1974 PA 381, MCL 338.41 to 338.47.

(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,

as well as all 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 current certification

as a registered dietitian nutritionist in good standing from the CDR.

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

under, 1974 PA 381, MCL 338.41 to 338.47.

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

333.16174.

(3) An applicant who is or has been 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

when applying. 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: 2026 MR 8, Eff. April 17, 2026.

R 338.1449 Application for renewal of license; qualifications.

Rule 49. An applicant for renewal of a dietitian nutritionist license 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 current certification as

a registered dietitian nutritionist in good standing from the CDR.

(c) Satisfy the requirements under R 338.1451, as applicable.

History: 2026 MR 8, Eff. April 17, 2026.

PART 5. CONTINUING EDUCATION

R 338.1451 License renewals.

Rule 51. (1) This part applies to an application for renewal of a dietitian nutritionist

license under R 338.1449 and sections 16201, 18357, and 18359 of the code,

MCL 333.16201, 333.18357, and 333.18359.

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(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

45 hours of continuing education in activities approved under R 338.1453 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 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 sample of licensees who have

renewed the licensees’ licenses and request proof of compliance with subrule (2)

of this rule. If audited, a licensee shall provide documentation as specified in R

338.1453.

(5) An applicant shall submit a request for a waiver of continuing education

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.

History: 2026 MR 8, Eff. April 17, 2026.

R 338.1453 Acceptable continuing education; requirements; limitations.

Rule 53. (1) The 45 hours of continuing education required under R 338.1451

must satisfy the following requirements, as applicable:

(a) Credit for a continuing education program or activity that is identical or

substantially equivalent 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 hour of continuing education must be earned in pain and

symptom management under section 16204 of the code, MCL 333.16204.

Continuing education 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) Pain and controlled substance laws in this state.

(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) Programs and resources relevant to pain in this state.

(c) Completion of implicit bias training under R 338.7004 during the 3 years

immediately preceding the application for renewal may be used toward satisfaction

of the requirements of R 338.1451(2) and this subrule.

(2) The following activities are acceptable continuing education:

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Activity and Proof of Completion

Number of Continuing

Education Hours

Granted and Allowed for

the Activity

(a) Attendance at or participation in a continuing The number of hours of

education program or activity related to the continuing education

practice of a dietitian nutritionist that includes, but credit for a specific

is not limited to, live in-person programs, program or activity is the

interactive or monitored teleconference, audio- number

of

hours

conference, or web-based programs, online approved by the sponsor

programs, and journal articles with a self-study or

component or other self-study programs organization

the

approving

for the

approved or offered by any of the following specific program.

organizations:

- CDR.

A minimum of 27 hours

-

Joint Accreditation for Interprofessional of continuing education

Continuing Education.

credit must be earned in

this activity in each

If audited, the licensee shall provide a copy of the renewal period.

letter or certificate of completion showing the

licensee’s name, number of continuing education A maximum of 45 hours

hours earned, sponsor name or the name of the of continuing education

organization that approved the program or credit may be earned for

activity for continuing education credit, and the this activity in each

date on which the program was held or the renewal period.

activity completed.

(b) Serving as a clinical supervisor for a student at a Three

site used by an ACEND accredited program. continuing

hours

of

education

credit is granted for a

To receive credit, the clinical supervision must minimum of 15 hours of

not be the licensee’s primary employment direct clinical

function. supervision.

If audited, the licensee shall provide the student’s A maximum of 18 hours

initials, training program, dates supervision of continuing education

began and ended, and number of supervision credit may be earned for

hours provided per week.

this activity in each

renewal period.

(c) Publication of an article or chapter in a peer- Six hours of continuing

reviewed journal or book related to practice- education credit is

based competency.

granted for serving as an

author.

If audited, the licensee shall provide a copy of the

publication that identifies the licensee as the A maximum of 6 hours of

author. continuing education

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credit may be earned per

article or chapter.

A maximum of 18 hours

of continuing education

credit may be earned for

this activity in each

renewal period.

(d) Service in a leadership position as a board Three

member, chair, or leader of a dietitian nutritionist- continuing

hours

of

education

related organization.

credit is granted for 15

hours of service for each

If audited, the licensee shall provide the organization.

organization name, contact information, dates of

service, dated agenda, and meeting minutes A maximum of 18 hours

documenting not less than 15 hours of service.

of continuing education

credit may be earned for

this activity in each

renewal period.

(e) Serving as an instructor for a graduate-level Three

course in an area related to dietitian nutritionist continuing

hours

of

education

competency.

credit is granted for a

minimum of 3 hours of

To receive credit, the instructorship must not be teaching.

the licensee’s primary employment function.

A maximum of 6 hours of

If audited, the licensee shall provide course title, continuing education

course description, faculty list of each course, credit may be earned for

dates of all courses, scheduled instructional each course.

hours, and a letter from the program director

verifying the licensee’s role.

A maximum of 18 hours

of continuing education

credit may be earned for

this activity in each

renewal period.

(f) Serving as a peer reviewer of a manuscript by Two hours of continuing

invitation for a scientific journal.

education

granted

credit

for

is

each

If audited, a licensee shall provide copies of manuscript reviewed.

documentation inviting the license to complete

the review and thanking them for completing the A maximum of 18 hours

review.

of continuing education

credit may be earned for

this activity in each

renewal period.

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History: 2026 MR 8, Eff. April 17, 2026.

PART 6. STANDARDS OF PRACTICE

R 338.1461 Certification; requirement.

Rule 61. A licensee shall keep current certification as a registered dietitian

nutritionist in good standing with the CDR throughout the duration of the license

cycle.

History: 2026 MR 8, Eff. April 17, 2026.

R 338.1463 Telehealth.

Rule 63. (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 maintain 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: 2026 MR 8, Eff. April 17, 2026.

R 338.1465 Orders related to the practice of medical nutrition therapy.

Rule 65. (1) An order related to the practice of medical nutrition therapy must

include all the following information:

(a) The name of the patient.

(b) The patient's medical diagnosis.

(c) The signature of an individual who is licensed and authorized to order medical

nutrition therapy in this state.

(d) The date that the authorized licensee wrote the order related to the practice

of medical nutrition therapy.

(2) An order related to the practice of medical nutrition therapy is valid for 90 days

after the date that the authorized licensee writes the order related to the practice

of medical nutrition therapy unless the authorized licensee specifies a different

termination date in the order related to the practice of medical nutrition therapy.

History: 2026 MR 8, Eff. April 17, 2026.

R 338.1467 Code of ethics; adoption by reference.

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Rule 67. The code of ethics of the Academy of Nutrition and Dietetics is adopted

by reference, as specified in the publication entitled, “Code of Ethics for the

Nutrition and Dietetics Profession,” effective June 1, 2018. The code of ethics is

available from the Academy of Nutrition and Dietetics’ website

https://www.eatrightpro.org/ at no cost. Copies of the code of ethics are available

for inspection and distribution at the cost of 25 cents per page from the Board of

Dietetics and Nutrition, Bureau of Professional Licensing, Department of Licensing

and Regulatory Affairs, 611 W. Ottawa Street, P.O. Box 30670, Lansing, Michigan

48909.

History: 2026 MR 8, Eff. April 17, 2026.

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