Michigan Office of Administrative Hearings and Rules  
AGENCY REPORT TO THE  
JOINT COMMITEE ON ADMNINISTRATIVE RULES (JCAR)  
1. Agency Information  
Agency name:  
Licensing and Regulatory Affairs  
Division/Bureau/Office:  
Bureau of Community and Health Systems  
Name of person completing this form:  
Tammy Bagby  
Phone number of person completing this form:  
517-243-9351  
E-mail of person completing this form:  
Name of Department Regulatory Affairs Officer reviewing this form:  
Elizabeth Arasim  
2. Rule Set Information  
MOAHR assigned rule set number:  
2021-81 LR  
Title of proposed rule set:  
Nurse Aide, Trainer and Training Program Rules  
3. Purpose for the proposed rules and background:  
Note: The full title of this rule set is Nurse Aide, Nurse Aide Trainer, and Nurse Aide Training  
Program, Certificate of Registration and Permit Program. It has been abbreviated to Nurse Aide,  
Trainer and Training Program Rules to fit above title field.  
This is a new rule set. Its purpose is to implement Part 219 of the Public Health Code, the Nurse Aide  
Training and Registration Program, MCL 333.21901 to 333.21925.  
4. Summary of proposed rules:  
The new proposed rule set establishes eligibility requirements to receive and renew a registration or  
permit, competency requirements, and examination requirements for registration. In addition, the  
proposed rules clarify conducting inspections of training programs, conducting investigations of  
nurse aides, training programs, and trainers, and enforcement action for noncompliance with these  
proposed rules and Part 219 of the Public Health Code (MCL 333.21907).  
5. List names of newspapers in which the notice of public hearing was published and  
publication dates:  
March 8, 2022, Marquette Mining Journal  
March 9, 2022, Jackson Citizen Patriot  
March 9, 2022, Grand Rapids Press  
MCL 24.242 and 24.245  
Agency Report to JCAR-Page 2  
6. Date of publication of rules and notice of public hearing in Michigan Register:  
3/15/2022  
7. Date, time, and location of public hearing:  
3/22/2022 09:00 AM at Williams Building, 1st Floor Auditorium , 525 West Ottawa Street, Lansing,  
MI 48933  
8. Provide the link the agency used to post the regulatory impact statement and cost-benefit  
analysis on its website:  
9. List of the name and title of agency representative(s) attending public hearing:  
Tammy Bagby, Analyst, Bureau of Community and Health Systems (BCHS)  
Heather Hosey, Director of Health Facility, Licensing, Permits and Support Division, BCHS  
Jim Wiggins, Manager of Health Facility Profession &Nurse Aide Section (BCSH)  
10. Persons submitting comments of support:  
None  
11. Persons submitting comments of opposition:  
None  
12. Persons submitting other comments:  
Rich Farran, Health Care Association of Michigan  
Dr. Amelia Kenyon, PES CNA Training  
Deborah Brown, Macomb Community College  
Mary Smyth, Washtenaw Community College  
Susan Lytwyn, Health Care Pathways, LLC  
Diane Cottle, Genanscot Services  
Brenda Dalski, Kellogg Community College  
Phyllis Helm, Bay Mills Community College  
13. Identify any changes made to the proposed rules based on comments received during the  
public comment period:  
MCL 24.242 and 24.245  
Agency Report to JCAR-Page 3  
Name &  
Organization public hearing  
Comments made at Written  
Agency Rationale Rule number  
for Rule Change & citation  
and Description changed  
of Change(s)  
Comments  
Made  
1
Rich Farran,  
Health Care  
Association of  
Michigan  
Reference the  
Hours of training 400.335 (d)  
written comments revised to reduce 400.335 (d)(i)  
from Health Care specificity of 400.335 (d)  
categorical hours (ii)  
Association of  
Michigan.  
and allow more  
flexibility for  
classroom hours to  
be in person or  
virtual.  
Expand the  
restriction of 8  
hours of self-  
study time under  
400.335(d)(ii) to  
allow for the  
trainee to take  
full advantage of  
the remote/online  
offering.  
Michigan rules  
require 34  
classroom hours  
– all 34 hours  
should be eligible  
through self-  
study time.  
14.Date report completed:  
5/18/2022  
MCL 24.242 and 24.245  
;