DEPARTMENT OF LICENSING AND REGULTORY AFFAIRS  
DIRECTOR'S OFFICE  
ATHLETIC TRAINERS – GENERAL RULES  
Filed with the Secretary of State on November 19, 2019  
These rules become effective immediately upon filing with the Secretary of State unless  
adopted under section 33, 44, 45a(6), or 48 of 1969 PA 306. 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, 16178, 16186, 16204, 16205, 16215, 17904, and 17905  
of 1978 PA 368, MCL 333.16145, 333.16148, 333.16178, 333.16186, 333.16204,  
333.16205, 333.16215, 333.17904, and 333.17905 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 338.1301, R 338.1303, R 338.1309, R 338.1317, R 338.1321, R 338.1345, R 338.1349,  
R 338.1357 and R 338.1378 of the Michigan Administrative Code are amended, R  
338.1321a, R 338.1354, and R 338.1355 of the Michigan Administrative Code are added,  
and R 338.1337 and R 338.1341 are rescinded as follows:  
PART 1. GENERAL PROVISIONS  
R 338.1301 Definitions.  
Rule 1. As used in these rules:  
(a) "Board" means the Michigan athletic trainer board.  
(b) “BOC” means the Board of Certification, Inc.  
(c) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.  
(d)"Department" means the department of licensing and regulatory affairs.  
PART 2. LICENSURE  
R 338.1303 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 3. (1) Pursuant to section 16148 of the code, MCL 333.16148, an individual  
licensed or seeking licensure shall complete training in identifying victims of human  
trafficking that meets the following standards:  
(a) Training content shall cover all of the following:  
(i) Understanding the types and venues of human trafficking in Michigan or the  
United States.  
(ii) Identifying victims of human trafficking in health care settings.  
(iii) Identifying the warning signs of human trafficking in health care settings for  
adults and minors.  
May 16, 2019  
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(iv) 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 by the board  
for initial licensure, or by a college or university.  
(iv) Reading an article related to the identification of victims of human trafficking  
that meets the requirements of subdivision (a) of this subrule and is published in a peer  
review journal, health care 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 a sample of individuals 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 an individual. The certification statement shall  
include the individual’s name and either of the following:  
(i) For training completed pursuant to subrule (1)(b)(i) to (iii) of this rule, the date,  
training provider name, and name of training.  
(ii) For training completed pursuant to subrule (1)(b)(iv) of this rule, the title of  
article, author, publication name of peer review journal, health care journal, or  
professional or scientific journal, and date, volume, and issue of publication, as  
applicable.  
(3) Pursuant to section 16148 of the code, MCL 333.16148, the requirements specified  
in subrule (1) of this rule apply to license renewals beginning 2019 and for initial licenses  
issued after April 22, 2021.  
R 338.1309 Licensure by examination.  
Rule 9. An applicant for an athletic trainer license by examination shall submit a  
completed application on a form provided by the department with the requisite fee. In  
addition to satisfying the requirements of the code, the applicant shall satisfy all of the  
following requirements:  
(a) Have graduated from an athletic training program that satisfies the requirements of  
R 338.1354.  
(b) Have passed the examination adopted in R 338.1325.  
(c) Have successfully completed training in all of the following from a program that  
satisfies the requirements of R 338.1355 within 3 years before licensure:  
(i) First aid.  
(ii) Cardiopulmonary resuscitation (CPR).  
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(iii) Automated external defibrillator (AED) use for health care professional or  
emergency services personnel.  
(d) Possess current certification in first aid and CPR from a program that satisfies the  
requirements of R 338.1355.  
R 338.1317 Licensure by endorsement.  
Rule 17. (1) An applicant for an athletic trainer license by endorsement shall submit a  
completed application on a form provided by the department with the requisite fee. In  
addition to satisfying the requirements of the code, the applicant shall satisfy all of the  
following requirements:  
(a) Be licensed, registered, or certified as an athletic trainer in another state of the  
United States immediately preceding the application for licensure.  
(b) Establish that he or she holds a current, valid BOC certification.  
(c) Have successfully completed training in all of the following from a program that  
satisfies the requirements of R 338.1355 within 3 years before licensure by endorsement:  
(i) First aid.  
(ii) CPR.  
(iii) AED use for health care professional or emergency services personnel.  
(2) Possess current certification in first aid and CPR from a program that satisfies the  
requirements of R 338.1355.  
(3) An applicant’s license, registration, certification, or other athletic training  
professional endorsement recognized by the BOC shall be verified by the licensing and  
regulatory agency of any state of the United States, province of Canada, or other country,  
in which the applicant holds or has ever held a license, registration, certification, or  
athletic training professional endorsement to practice as an athletic trainer or other  
athletic training professional recognized by the BOC for certification. Verification  
includes, but is not limited to, any disciplinary action taken against the license,  
registration, certification, or other athletic training professional endorsement.  
R 338.1321 Licensure of foreign-trained applicants.  
Rule 21. (1) If an applicant was foreign-trained and does not meet the requirements of  
R 338.1309 or R 338.1317, then the applicant shall satisfy all of the following  
requirements:  
(a) Hold a national licensure, registration, certification, or other athletic training  
professional endorsement recognized by the BOC.  
(b) Pass the examination adopted in R 338.1325.  
(c) Be verified, on a form provided by the department, by the licensing or registration  
agency of any state of the United States, province of Canada, or other country in which  
the applicant holds a current license or registration or has ever held a license, registration,  
certification, or other athletic training professional endorsement to practice as an athletic  
trainer. This includes, but is not limited to, showing proof of any disciplinary action taken  
or pending disciplinary action imposed upon the applicant.  
(d) Have successfully completed training in all of the following from a program that  
satisfies the requirements of R 338.1355 within 3 years before licensure:  
(i) First aid.  
(ii) CPR.  
4
(iii) AED use for health care professional or emergency services personnel.  
(e) Possess current certification in first aid and CPR from a program that satisfies the  
requirements of R 338.1355.  
(2) If an applicant holds current certification by the BOC, the applicant is presumed to  
have satisfied the requirements of subrules (1)(a) and (1)(b) of this rule.  
R 338.1321a Minimum English language standard.  
Rule 21a. (1) Pursuant to section 16174(1)(d) of the code, MCL 333.16174(1)(d), an  
applicant seeking initial licensure shall demonstrate a working knowledge of the English  
language if the applicant's educational or training program was taught outside the United  
States, unless exempted pursuant to subrule (3) of this rule.  
(2) To demonstrate a working knowledge of the English language, an applicant shall  
submit proof that he or she has obtained a total score of not less than 80 on the test of  
English as a Foreign Language Internet-Based Test (TOEFL-IBT) administered by the  
Educational Testing Service.  
(3) If an applicant’s education or training program was taught in English in 1 or more  
of the following countries, he or she is exempted from the requirements of subrule (1)  
of this rule:  
(a) Canada, except Quebec.  
(b) England.  
(c) Ireland.  
(d) New Zealand.  
(e) Australia.  
R 338.1337 Rescinded.  
R 338.1341 Rescinded.  
R 338.1345 Relicensure.  
Rule 45. An applicant for relicensure whose Michigan license has lapsed, under the  
provisions of section 16201(3) or 16201(4) of the code, MCL 333.16201(3) or  
333.16201(4), as applicable, may be relicensed by complying with the following  
requirements as noted by (√):  
(1) For an applicant who has let his or her  
Michigan license lapse and who does not hold  
a current and valid license, registration,  
certification, or other athletic training  
professional endorsement recognized by the  
BOC to practice as an athletic trainer or other  
athletic training professional recognized by  
the BOC for certification in another state of  
the United States, province of Canada, or  
other country:  
Lapsed  
less than 3  
years  
Lapsed 3  
years or  
more  
a
Application and fee: Submit a completed  
application on a form provided by the  
department, together with the requisite fee.  
√
√
5
b
c
Good moral character: Establish that he or  
she is of good moral character.  
Fingerprints: Submit fingerprints as  
required in section 16174(3) of the code,  
MCL 333.16174(3).  
BOC certification: Establish that he or she  
holds a current, valid BOC certification.  
Training: Have successfully completed  
training in all of the following from a  
program that satisfies the requirements of R  
338.1355 within 3 years before relicensure:  
(i) First aid.  
√
√
√
√
d
e
√
√
√
(ii) CPR.  
(iii) AED use for health care professional or  
emergency services personnel.  
f
First aid and CPR certification: Establish  
that he or she possess current certification in  
first aid and CPR.  
√
√
√
√
√
g
h
Continuing education: Have completed 75  
hours of approved CE credits during the 3 years  
immediately preceding relicensure.  
Proof of license verification from another  
jurisdiction: An applicant’s license, registration, √  
certification, or other athletic training  
professional recognized by the BOC for  
certification shall be verified by the licensing  
agency of any state or territory of the United  
States, province of Canada, or other country in  
which the applicant has ever held a license,  
registration, certification, or other athletic  
training professional endorsement recognized by  
the BOC to practice as an athletic trainer or  
other athletic training professional recognized  
by the BOC for certification.  
Verification shall include the record of any  
disciplinary action taken or pending  
against the applicant.  
(2) For an applicant who has let his or her  
Michigan license lapse and who holds a  
current and valid license, registration,  
Lapsed  
less than 3  
years  
Lapsed 3  
years or  
more  
certification, or other athletic training  
professional endorsement recognized by the  
BOC to practice as an athletic trainer or other  
athletic training professional recognized by  
the BOC for certification in another state of  
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the United States, province of Canada, or  
other country:  
a
b
c
Application and fee: Submit a completed  
application on a form provided by the  
department, together with the requisite fee.  
Good moral character: Establish that he or  
she is of good moral character.  
√
√
√
√
√
√
Fingerprints: Submit fingerprints as  
required in section 16174(3) of the code,  
MCL 333.16174(3).  
d
e
BOC certification: Establish that he or she  
holds a current, valid BOC certification.  
Training: Have successfully completed  
training in all of the following from a  
program that satisfies the requirements of R  
338.1355 within 3 years before relicensure: (i)  
First aid.  
√
√
√
(ii) CPR.  
(iii) AED use for health care professional or  
emergency services personnel.  
f
First aid and CPR certification: Establish  
that he or she possess current certification in  
first aid and CPR.  
√
√
√
√
√
g
h
Continuing education: Have completed 75  
hours of approved CE credits during the 3 years  
immediately preceding relicensure.  
Proof of license verification from another  
jurisdiction: An applicant’s license, registration, √  
certification, or other athletic training  
professional recognized by the BOC for  
certification shall be verified by the licensing  
agency of any state or territory of the United  
States, province of Canada, or other country in  
which the applicant has ever held a license,  
registration, certification, or other athletic  
training professional endorsement recognized by  
the BOC to practice as an athletic trainer or  
other athletic training professional recognized  
by the BOC for certification.  
Verification shall include the record of any  
disciplinary action taken or pending  
against the applicant.  
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R 338.1349 License renewal requirements.  
Rule 49. (1) An applicant for license renewal shall satisfy all of the following  
requirements:  
(a) Within the 3-year renewal cycle, complete training in all of the following from a  
program that satisfies the requirements of R 338.1355:  
(i) First aid.  
(ii) CPR.  
(iii) AED use for health care professional or emergency services personnel.  
(b) Establish that he or she currently holds, and at all times during the 3-year renewal  
cycle held, certification in both of the following:  
(i) First aid.  
(ii) CPR.  
(c) Before the expiration date of the license, complete a total of 75 hours of continuing  
education that comply with R 338.1357, including a minimum of 3 hours of continuing  
education hours in pain and symptom management, as required under section 16204 of the  
code, MCL 333.16204.  
(2) Submission of an application for renewal of a license shall constitute the applicant's  
certification of compliance with this rule.  
(3) The board may require the licensee to submit evidence to demonstrate compliance  
with this rule.  
(4) The licensee shall retain documentation of satisfying the requirements of this rule and  
section 17906(2)(b) of the code, MCL 333.17906(2)(b), for a period of 4 years from the  
date of applying for license renewal.  
(5) This rule does not apply to licensees in their initial licensure cycle.  
(6) A request for a waiver under section 16205 of the code, MCL 333.16205, must be  
received by the department before the expiration date of the license.  
PART 3. EDUCATIONAL AND TRAINING AND CERTIFICATION PROGRAMS  
R 338.1354 Educational program standards; adoption by reference.  
Rule 54. (1) The board adopts by reference the standards for accrediting athletic training  
programs adopted by the Commission on Accreditation for Athletic Training Education  
(CAATE) in the document entitled “Standards for the Accreditation of Professional  
Athletic Training Programs,” July 1, 2012, as revised February 16, 2018, which is available  
at no cost from the CAATE website, at http://www.caate.net. An athletic training program  
that is accredited by CAATE is approved by the board.  
(2) The board adopts by reference the procedures and criteria for recognizing  
accrediting organizations of the Council of Higher Education Accreditation (CHEA),  
effective June 28, 2010, and the procedures and criteria for recognizing accrediting  
agencies of the United States Department of Education, effective July 1, 2010, as  
contained in 34 CFR 602 (2010). The CHEA recognition standards may be obtained from  
CHEA, One Dupont Circle NW, Suite 510, Washington, DC 20036-1110, or from the  
council’s website at http://www.chea.org at no cost. The federal recognition criteria may  
be obtained at no cost from the United States Department of Education’s website at:  
http://www.ed.gov/about/offices/list/OPE/index.html.  
(3) Copies of the standards and criteria adopted by reference in this rule are available for  
inspection and distribution at cost from the Michigan Board of Athletic Trainers,  
8
Department of Licensing and Regulatory Affairs, Bureau of Professional Licensing, 611  
W. Ottawa St., P.O. Box 30670, Lansing, MI 48909.  
R 338.1355 Approved First Aid, CPR, and AED use for health care professional or  
emergency services personnel training and certification programs.  
Rule 55. (1) The board approves first aid, CPR, and AED use for health care  
professional or emergency services personnel training and certification programs that are  
offered or approved by the following organizations:  
(a) American Red Cross.  
(b) American Heart Association.  
(c) National Safety Council.  
(d) American Safety and Health Institute.  
(e) Emergency Care and Safety Institute.  
(2) The board adopts by reference the standards for certification in basic and advanced  
cardiac life support set forth by the American Heart Association in the standards and  
guidelines for cardiopulmonary resuscitation and emergency cardiac care for professional  
providers and published in "2015 American Heart Association Guidelines for  
Cardiopulmonary Resuscitation and Emergency Cardiovascular Care ("Circulation,"  
Volume 132, Issue 18 Supplement 2, November 3, 2015). A copy of the guidelines for  
cardiopulmonary resuscitation and emergency cardiac care may be obtained from the  
American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 or from the  
association's website at http://circ.ahajournals.org at no cost. A copy of this document is  
available for inspection and distribution at cost from the Michigan Department Licensing  
and Regulatory Affairs, Bureau of Professional Licensing, 611 West Ottawa Street, P.O.  
Box 30670, Lansing, MI 48909.  
(3) An organization that provides training that uses the standards specified in subrule (2)  
of this rule is considered an approved provider.  
PART 4. CONTINUING EDUCATION  
R 338.1357 Limitations for accumulating continuing education; approved continuing  
education.  
Rule 57. (1) A licensee who accumulates the 75 hours of continuing education required  
pursuant to R 338.1349 for the renewal of an athletic trainer license is subject to all of the  
following limitations:  
(a) A licensee shall not accumulate more than 12 credit hours of continuing education  
during 1 24-hour period.  
(b) A licensee shall not carry forward the continuing education hours earned during 1  
renewal cycle to the next renewal cycle.  
(c) A licensee shall not earn continuing education credit for completing a program or  
activity that is identical or substantially identical to a program or activity for which the  
licensee has already earned credit during the same renewal cycle.  
(d) A licensee shall not earn more than 50 hours of continuing education per renewal  
cycle for activities listed in subrule (5)(d) to (g) of this rule.  
(2) Approved courses for accumulating continuing education hours in pain and symptom  
management, as required in R 338.1349(1)(c), include, but are not limited to, courses in  
9
behavior management, psychology of pain, pharmacology, behavior modification, stress  
management, clinical applications, and drug interventions as they relate to professional  
practice.  
(3) The board approves and adopts by reference the standards of the BOC set forth in  
the publication entitled “Practice Analysis, 7th Edition, Outline: Domains and Tasks,”  
effective for April 2017 exam and January 1, 2018 continuing education, available at  
https://bocatc.org/system/document_versions/versions/24/original/boc-pa7-content-  
outline-20170612.pdf?1497279231.  
(4) Any continuing education program approved by the BOC is considered approved by  
the board.  
(5) The board approves all of the following for continuing education credit:  
Activity and Proof of Completion  
a Maintenance of BOC certification.  
Number of continuing education hours  
granted/permitted for each activity  
Twenty-five hours of continuing  
education shall be granted for each year  
that the licensee maintained BOC  
If audited, the licensee shall provide evidence  
from the BOC that shows the time period that the certification. A maximum of 75 hours of  
licensee held a valid certification.  
continuing education may be earned for  
this activity in each renewal cycle.  
b Attendance at or participation in a continuing  
education program or activity related to the  
The number of continuing education  
hours for a specific program or activity  
practice of athletic training, which includes but is shall be the number of hours approved by  
not limited to, live and in person programs;  
interactive or monitored teleconference, audio-  
conference, or web-based programs; online  
the sponsor or the approving organization  
for the specific program or activity. A  
maximum of 75 hours of continuing  
programs; and journal articles or other self-study education credit may be earned for this  
programs approved or offered by any of the  
following:  
activity in each renewal cycle.  
• Another state or provincial board of  
athletic trainers.  
• A state or provincial board related to the  
practice of medicine, osteopathic  
medicine and surgery, or physical therapy.  
If audited, the licensee shall submit a copy of a  
letter or certificate of completion showing the  
licensee’s name, number of continuing education  
hours earned, sponsor name or the name of the  
organization that approved the program or other  
activity for which the continuing education credit  
was given, and the date on which the program or  
activity was completed.  
10  
c Initial presentation of continuing education  
program related to the practice of athletic trainer  
to a state, regional, national, or international  
athletic training organization.  
Ten hours of continuing education credit  
shall be granted for each 50 to 60 minutes  
of presentation. No additional credit shall  
be granted for preparation of a  
presentation. A maximum of 50 hours of  
continuing education may be earned for  
this activity in each renewal cycle.  
To receive credit, the presentation shall not be a  
part of the licensee’s regular job description and  
shall be approved or offered for continuing  
education credit by any of the following:  
• Another state or provincial board of  
athletic trainers.  
• A state or provincial board related to the  
practice of medicine, osteopathic  
medicine and surgery, or physical therapy.  
If audited, the licensee shall submit a copy of the  
presentation notice or advertisement showing the  
date of the presentation, the licensee’s name  
listed as a presenter, and the name of the  
organization that approved or offered the  
presentation for continuing education credit.  
d Initial presentation of a scientific exhibit, poster,  
scientific paper, or clinical demonstration to an  
athletic training organization.  
Ten hours of continuing education shall  
be granted for serving as a primary  
presenter. Five hours of continuing  
education shall be granted for serving as  
a secondary presenter. No additional  
credit shall be granted for preparation of  
the presentation. The maximum number  
of credit hours permitted per renewal  
cycle for this activity is subject to subrule  
To receive credit, the presentation shall not be  
part of the licensee’s regular job description or  
performed in the normal course of the licensee’s  
employment.  
If audited, the licensee shall submit a copy of the (1)(e) of this rule.  
document presented with evidence of presentation  
or a letter from the program sponsor verifying the  
length and date of the presentation.  
e Initial publication of an article related to the  
practice of athletic training in a peer-reviewed  
journal.  
Fifteen hours of continuing education  
shall be granted for serving as a primary  
author. Ten hours of continuing  
education shall be granted for serving as  
If audited, the licensee shall submit a copy of the a secondary author. The maximum  
publication that identifies the licensee as the  
author of the publication or an acceptance letter.  
number of credit hours permitted per  
renewal cycle for this activity is subject  
to subrule (1)(e) of this rule.  
f Initial publication of a chapter related to the  
practice of athletic training in any of the  
following:  
Ten hours of continuing education shall  
be granted for serving as a primary or  
contributing author. The maximum  
11  
number of credit hours permitted per  
renewal cycle for this activity is subject  
to subrule (1)(e) of this rule.  
• A professional or health care text book.  
• A peer-reviewed text book.  
• A book related to the practice of athletic  
training.  
If audited, the licensee shall submit a copy of the  
publication that identifies the licensee as the  
author or a publication acceptance letter.  
g Passing an academic course or residency program Ten hours of continuing education shall  
related to the practice of athletic training that is  
offered by either of the following:  
be granted for each course. A maximum  
of 60 hours per renewal cycle may be  
earned for this activity.  
• An athletic training program that satisfies  
the standards adopted in R 338.1354(1).  
• A higher education institution accredited  
by an organization that satisfies the  
standards of R 338.1354(2).  
If audited, a licensee shall submit a copy of the  
transcript showing credit hours of the academic  
course related to athletic training.  
PART 5. DELEGATION AND ADOPTION BY REFERENCE OF  
PROFESSIONAL STANDARDS  
R 338.1378 Professional standards.  
Rule 78. (1) The board adopts by reference the BOC’s “Standards of Professional  
Practice” Implemented January 2018. The standards are available, free of charge on the  
agency’s website at:  
http://www.bocatc.org/system/document_versions/versions/154/original/boc-standards-  
of-professional-practice-2018-20180619.pdf?1529433022, or a copy may be obtained at  
cost, from the Board of Athletic Trainers, Department of Licensing and Regulatory  
Affairs, Bureau of Professional Licensing, 611 W. Ottawa St., P.O. Box 30670, Lansing,  
MI 48909.  
(2) A licensee shall comply with the standards adopted in subrule (1) of this rule.  
;