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 Professional Licensing  
Name of person completing this form:  
Jennifer Shaltry  
Phone number of person completing this form:  
517-241-3085  
E-mail of person completing this form:  
ShaltryJ1@michigan.gov  
Name of Department Regulatory Affairs Officer reviewing this form:  
Elizabeth Arasim  
2. Rule Set Information  
MOAHR assigned rule set number:  
2023-31 LR  
Title of proposed rule set:  
Board of Midwifery  
3. Purpose for the proposed rules and background:  
The purpose of the Board of Midwifery rules is to regulate the prelicensure education, licensure,  
practice, conduct, disclosure and consent, classification of conditions for consultation, referral, and  
emergent transfer, administration of prescriptions drugs and medications, licensure renewal,  
relicensure, and continuing education for licensed midwives.  
The proposed rules are intended to add prescription drugs to the drug formulary in the rules and  
provide any other updates that arise during the promulgation process.  
4. Summary of proposed rules:  
The proposed rules include: revisions to conform with stylistic drafting updates and define acronyms,  
removing language pertaining to mandated human trafficking training that has sunset, changes to  
allow the administration of tranexamic acid by intravenous piggy back or intravenous push and the  
administration of epinephrine by the intraosseous route, updates to the dosages for vitamin K and  
epinephrine, permits the administration of oral ibuprofen for postpartum discomfort, deletion of  
duplicate formulary information to improve clarity, addition of requirements for telehealth services,  
changes to license renewal and continuing education requirements to accommodate the transition  
from a 2-year license cycle to a 3-year license cycle.  
MCL 24.242 and 24.245  
Agency Report to JCAR-Page 2  
5. List names of newspapers in which the notice of public hearing was published and  
publication dates:  
Flint Journal, November 14, 2024  
Grand Rapids Press, November 14, 2024  
Daily Press, December 4, 2024  
6. Date of publication of rules and notice of public hearing in Michigan Register:  
12/15/2024  
7. Date, time, and location of public hearing:  
12/19/2024 09:00 AM at UL-3 , 611 W. Ottawa St, Lansing, Michigan  
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=1458  
9. List of the name and title of agency representative(s) who attended the public hearing:  
Jennifer Shaltry, Departmental Specialist, Bureau of Professional Licensing  
10. Persons submitting comments of support:  
None.  
11. Persons submitting comments of opposition:  
None.  
12. Persons submitting other comments:  
None.  
13. Identify any changes made to the proposed rules based on comments received during the  
public comment period:  
Name &  
Organization public hearing  
Comments made at Written  
Comments  
Agency Rationale Rule number  
for Rule Change & citation  
and Description changed  
of Change(s)  
Made  
1
14.Date report completed:  
6/17/2025  
MCL 24.242 and 24.245  
;