Michigan Office of Administrative Hearings and Rules

Administrative Rules Division (ARD)

MOAHR-Rules@michigan.gov

AGENCY REPORT TO THE

JOINT COMMITTEE ON ADMINISTRATIVE RULES (JCAR)

AGENCY INFORMATION:

Agency name:

Licensing and Regulatory Affairs

Division/Bureau/Office:

Bureau of Community and Health Systems

Name of person completing this form:

Kyle Neff

Phone number of person completing this form:

517-241-0274

Email of person completing this form:

NeffK2@michigan.gov

Name of Department Regulatory Affairs Officer reviewing this form:

Elizabeth Arasim

RULE SET INFORMATION:

MOAHR assigned rule set number:

2025-31 LR

Title of the proposed rule set:

Substance Use Disorder Service Program

1. Purpose of the proposed rules and background:

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

programs. Proposed changes primarily relate to deregulation of outpatient counseling services, adding requirements

to ensure recipients that need to self-administer medicines are allowed to do so and not denied admission to

treatment programs, such as recipients with Hemophilia, and other minor technical changes to comport with current

licensing oversight and practices.

2. Summary of the proposed rules:

The proposed rules add requirements that allow self-administration of non-SUD medications for individuals with acute

and chronic conditions, remove the requirement that an individual in a methadone program has a diagnosis of an

opioid disorder for at least one year prior to admission, and to deregulate outpatient counseling programs which also

eliminates need for branch offices.

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

dates:

January 29, 2026, Marquette Mining Journal.

January 27, 2026, Grand Rapids Press.

January 29, 2026, Flint Journal.

4. Date of publication of the proposed rules and notice of public hearing in the Michigan Register:

2/15/2026

5. Date, time, and location of the public hearing:

2/19/2026 02:00 PM at G. Mennen Williams Building , 1st Floor Auditorium, 525 W. Ottawa Street, Lansing, MI

48933

MCL 24.242 and 24.245

Agency Report to JCAR -Page 2

6. 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=1604

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

Heather Hosey, Division Director, Health Facility Licensing, Permits and Support Division, Bureau of Community and

Health Systems.

Tammy Bagby, Manager, Legislative Reporting, Rules, Training, and FOIA Section.

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

Kyle Neff, Departmental Analyst, Legislative Reporting, Rules, Training, and FOIA Section.

8. Persons submitting comments of support:

Andrew Whitacre, The Pew Charitable Trust.

Kate Boulton, Vital Strategies.

Phillip Berquest, MI Primary Care Association.

Zach Ryan, Hemophilia Foundation of Michigan and the Bleeding Disorders Substance Use Disorder and Mental

Health Access Coalition.

Camilla Wisbauer, Comprehensive Treatment Centers.

9. Persons submitting comments of opposition:

Marci Scalera.

10. Persons submitting other comments:

Lisa Young, Paula’s House.

Sam Price, Ten16 Recovery Network.

Paula Nelson, Sacred Heart.

Joelen Kersten, Community Mental Health Partnership of Southeast Michigan.

Kate Flavin, Region 5 PIHP, Mid State Health Network.

Jo Horn, Dawn Farm.

Chris Baker, Dawn Farm.

Anna Byberg, Dawn Farm.

Mary Jo Desprez, Dawn Farm.

Joel Smith, Southwest Michigan Behavioral Health.

Jason Schwartz, Dawn Farm.

Diane Heinlein, Livingston Community Mental Health.

Dan Dedloff, Mid-State Health Network.

Donald Loppnow, Dawn Farm.

Greg Toutant, Great Lakes Recovery Center.

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