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The citizens of Michigan will be affected by the rules because the proposed rules ensure that an applicant has a
working knowledge of the English language before being licensed or registered to facilitate better communication.
They will also be protected from encountering barriers or disparities in access to or in the delivery of health care
services because their health care professionals will have been trained to be aware of the impact of implicit bias.
All licensees and registrants are affected by the proposed rules as the rules provide for updated renewal cycles,
amended standards for demonstrating that the individual possesses a working knowledge of the English language,
and makes amendments to the requirements for implicit bias training.
B. What qualitative and quantitative impact do the proposed changes in rules have on these individuals?
The qualitative impact of the proposed rules on the citizens of Michigan will be that they can be ensured that the
licensed or registered health care provider will be able to effectively communicate with them in English, and that the
health care provider has been trained to protect them from encountering barriers or disparities in access to or in the
delivery of health care services. It is not anticipated that there would be any quantitative impact on the citizens of
Michigan as a result of the proposed rules because licensees and registrants must already maintain an active license
or registration, licensees and registrants must already demonstrate that they have a working knowledge of the English
language, and licensees and registrants must already take implicit bias training for license renewal, so there is no new
cost involved that may be passed along to patients or clients.
The qualitative impact on marriage and family therapy, physical therapy, physician’s assistants, respiratory care, and
sanitarian licensees will be the convenience of only having to complete the renewal process every 3 years instead of
every 2 years which reduces the regulatory impact on these licensees. It is anticipated that there will be no
quantitative impact on any licensees and registrants because they must already renew at the end of their renewal
cycle. They must already demonstrate a working knowledge of the English language to be licensed or registered, and
they must complete implicit bias training to renew their license or registration.
30. Quantify any cost reductions to businesses, individuals, groups of individuals, or governmental units as a result
of the proposed rules.
There are no cost reductions to businesses, individuals, groups of individuals, or governmental units as a result of the
proposed rules.
31. Estimate the primary and direct benefits and any secondary or indirect benefits of the proposed rules. Please
provide both quantitative and qualitative information, as well as your assumptions.
The qualitative primary and direct and secondary or indirect benefit of the proposed rules on the citizens of Michigan
will be that they can be ensured that the licensed or registered health care provider will be able to effectively
communicate with them in English, and that the health care provider has been trained to protect them from
encountering barriers or disparities in access to or in the delivery of health care services. It is not anticipated that
there would be any quantitative primary and direct or secondary or indirect benefit to Michigan citizens as a result of
the proposed rules because licensees and registrants must already maintain an active license or registration, licensees
and registrants must already demonstrate that they have a working knowledge of the English language, and licensees
and registrants must already take implicit bias training for license renewal, so there are no new costs involved that
may be passed along to patients or clients.
The qualitative primary and direct and secondary or indirect benefit of the proposed rules to licensed midwifery,
marriage and family therapy, physical therapy, physician’s assistants, respiratory care, and sanitarian licensees will be
the convenience of only having to complete the renewal process every 3 years instead of every 2 years which reduces
the regulatory impact on these licensees. It anticipated that there will be no quantitative primary and direct and or
secondary or indirect benefit of the proposed rules to any licensees and registrants because they must already renew
at the end of their renewal cycle. They must already demonstrate a working knowledge of the English language to be
licensed or registered and complete implicit bias training to renew their license or registration.
32. Explain how the proposed rules will impact business growth and job creation (or elimination) in Michigan.
The rules are not expected to have an impact on business growth, job creation, or job elimination in Michigan.
33. Identify any individuals or businesses who will be disproportionately affected by the rules as a result of their
industrial sector, segment of the public, business size, or geographic location.
MCL 24.245(3)