Michigan Office of Administrative Hearings and Rules

MOAHR-Rules@michigan.gov

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:

BagbyT@michigan.gov

Name of Department Regulatory Affairs Officer reviewing this form:

Elizabeth Arasim

2. Rule Set Information

MOAHR assigned rule set number:

2021-90 LR

Title of proposed rule set:

Substance Use Disorder Service Programs

3. Purpose for the proposed rules and background:

The Substance Use Disorder Programs Administrative Rules provide for the regulation of substance

use disorder programs. Additional requirements have been identified that need further clarifications

or corrections that were not addressed previously.

4. Summary of proposed rules:

The proposed SUD administrative rules add regulations for branch offices, allows for mobile units to

be licensed under a parent location with specific criteria, require facility protocol for offering

naloxone kits, expand in-service education categories, deregulate screening and assessment, referral,

follow up services (SARF), expand the types of counselors that can provide outpatient counseling and

residential program counseling, remove the Medication Assisted Treatment (MAT) subcategories of

MAT-Buprenorphine and MAT-Naltrexone but maintain the MAT subcategory of Methadone and the

requisite program requirements, and adds clinically managed and medically monitored subcategories

for withdrawal management services (detoxification).

5. List names of newspapers in which the notice of public hearing was published and

publication dates:

8/04/2022 Marquette Mining Journal

8/09/2022 Flint Journal

8/10/2022 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:

8/15/2022

7. Date, time, and location of public hearing:

8/31/2022 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:

https://ARS.apps.lara.state.mi.us/Transaction/RFRTransaction?TransactionID=1348

9. List of the name and title of agency representative(s) who attended the public hearing:

Larry Horvath, Director of the Bureau of Community and Health Systems

Matt Jordan, Manager of the Non- Long-Term Care State Licensing Section

Jim Hoyt, Regulation Officer, Non-Long-Term Care State Licensing Section

Kelly Moore, Analyst, Non-Long-Term Care State Licensing Section

10. Persons submitting comments of support:

Julie Rwan, Vital Strategies Overdose Prevention Program

Renee Smiddy, Michigan Health & Hospital Association

Dr. Cara Poland, Michigan Society of Addiction Medicine

11. Persons submitting comments of opposition:

No comments of opposition.

12. Persons submitting other comments:

Jessica Moreno

Sam Price, SUD Sub-committee of Provider Alliance

Sam Price, Ten16 Recovery Network

Greg Toutant, Great Lakes Recovery Centers

Douglas Apple, Ascension Michigan

Paula Nelson, Sacred Heart

Kanzoni Asabigi, Detroit Recovery Project, Inc.

Emmy Ellis, Arbor Circle

Colleen Lane, BHSH System, Spectrum Health West Michigan

David Blankenship, MATOD/Victory Clinic

Peter Bucci, Harbor Hill

Lucila Ryder, Star Center/MATOD

Deidre Goldsmith, Therapeutics

Matthew Ryder, Star Center

Dayna Shock, Mid-Michigan Community Health Services

Senator McBroom, Senator Bumstead, Representative Luke Meerman

13. Identify any changes made to the proposed rules based on comments received during the

public comment period:

MCL 24.242 and 24.245