DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR’S OFFICE  
PHYSICIAN’S ASSISTANTS – GENERAL RULES  
Filed with the secretary of state on March 23, 2023  
These rules become effective immediately after filing with the secretary of state unless  
adopted under section 33, 44, or 45a(9) of the administrative procedures act of 1969,  
1969 PA 306, MCL 24.233, 24.244, or 24.245a. Rules adopted under these sections  
become effective 7 days after filing with the secretary of state.  
(By authority conferred on the director of the department of licensing and regulatory  
affairs by sections 16145, 16148, 17060, and 17068 of the public health code, 1978 PA  
368, MCL 333.16145, 333.16148, 333.17060, and 333.17068, and Executive  
Reorganization Order Nos. 1991-9, 1996-2, 2003-1, and 2011-4, MCL 338.3501,  
445.2001, 445.2011, and 445.2030)  
R 338.6101, R 338.6103, R 338.6201, R 338.6301, R 338.6305, R 338.6308, and R  
338.6311 of the Michigan Administrative Code are amended, as follows:  
PART 1. GENERAL PROVISIONS  
R 338.6101 Definitions.  
Rule 101. (1) As used in these rules:  
(a) “Code” the means public health code, 1978 PA 368, MCL 333.1101 to 333.25211.  
(b) “Department” means the department of licensing and regulatory affairs.  
(c) “NCCPA” means the National Commission on Certification of Physician Assistants.  
(d) “PA Cert Exam” means the Physician Assistant Entry to Practice Certification  
Examination.  
(e) “PACCC” means the Physician Assistant Certification Council of Canada.  
(f) “PANCE” means the Physician Assistant National Certifying Examination.  
(g) “Task force” means the joint task force created under section 17025 of the code,  
MCL 333.17025.  
(2) A term defined in the code has the same meaning when used in these rules.  
R 338.6103 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 103. (1) Under section 17060 of the code, MCL 333.17060, an individual seeking  
licensure or that 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:  
August 23, 2022  
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(i) Understanding the types and venues of human trafficking in this state and 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 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 subrule (1)(a) of this rule and is published in a peer-review  
journal, healthcare journal, or professional or scientific journal.  
(c) Acceptable modalities of training may 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  
an 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.  
(3) Under section 16148 of the code, MCL 333.16148, the requirements specified in  
subrule (1) of this rule apply for license renewals beginning with the 2016 renewal cycle  
and for initial licenses issued after April 22, 2021.  
PART 2. EDUCATION  
R 338.6201 Educational program standards; adoption by reference.  
Rule 201. (1) The standards for accrediting educational programs for physician’s  
assistants approved by the Accreditation Review Commission on Education for the  
Physician Assistant (ARC-PA) in the document entitled “Accreditation Standards for  
Physician Assistant Education, Fifth Edition,” effective September 1, 2020, with  
clarifications as of March 2022, are adopted by reference. The standards are available at  
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no cost on the commission’s website at http://www.arc-pa.org. Copies of the standards  
are also available for inspection and distribution at a cost of 10 cents per page from the  
Michigan Task Force on Physician’s Assistants, Bureau of Professional Licensing,  
Department of Licensing and Regulatory Affairs, P.O. Box 30670, Lansing, Michigan  
48909.  
(2) Only educational programs for physician’s assistants accredited by the ARC-PA are  
approved physician’s assistant educational programs.  
PART 3. LICENSURE  
R 338.6301 Application for physician’s assistant license; requirements.  
Rule 301. An applicant for a physician’s assistant license shall satisfy the requirements  
of the code and the rules promulgated under the code, as well as 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 an accredited  
educational program for physician’s assistants that satisfies the standards under R  
338.6201(1).  
(c) Provide proof, as directed by the department, verifying a passing score on the  
PANCE conducted and scored by the NCCPA.  
R 338.6305 Licensure by endorsement; requirements.  
Rule 305. (1) An applicant for a physician’s assistant license by endorsement shall  
satisfy the requirements of the code and the rules promulgated under the code, as well as  
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  
physician’s assistant license in another state or a province of Canada.  
(c) If the applicant is licensed as a physician’s assistant in a province of Canada,  
provide proof, as directed by the department, verifying that the applicant completed the  
educational requirements in Canada or the United States for licensure as a physician’s  
assistant in Canada or in the United States.  
(d) Provide proof, as directed by the department, verifying a passing score for a  
physician’s assistant license in another state or in a province of Canada, on either of the  
following examinations:  
(i) The PANCE conducted and scored by the NCCPA.  
(ii) The PA Cert Exam conducted and scored by the PACCC.  
(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,  
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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.  
R 338.6308 Relicensure; requirements.  
Rule 308. (1) An applicant whose physician’s assistant license has lapsed 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) 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 whose physician’s assistant license has lapsed 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) 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 either of the following:  
(i) The applicant is currently licensed and in good standing as a physician’s assistant in  
another state or a province of Canada.  
(ii) A passing score on 1 of the following certifying or recertifying examinations  
during the 10-year period immediately preceding the date of the application for  
relicensure:  
(A) The PANCE conducted and scored by the NCCPA.  
(B) The Physician Assistant National Recertifying Examination (PANRE) conducted  
and scored by the NCCPA.  
(C) The Physician Assistant National Certifying Examination – Longitudinal  
Assessment (PANRE-LA) conducted and scored by the NCCPA.  
(D) The PA Cert Exam conducted and scored by the PACCC.  
(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 at the time of application.  
If licensure is granted and it is determined that sanctions have been imposed, the  
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disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of  
the code, MCL 333.16174.  
R 338.6311 License renewal; requirements.  
Rule 311. An applicant for license renewal shall satisfy the requirements of the code  
and the rules promulgated under the code, as well as provide the required fee and a  
completed application on a form provided by the department.  
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