Department of Licensing and Regulatory Affairs  
Bureau of Professional Licensing  
Administrative Rules for Board of Midwifery  
Rule Set 2023-31 LR  
NOTICE OF PUBLIC HEARING  
Thursday, December 19, 2024  
09:00 AM  
UL-3  
611 W. Ottawa St, Lansing, Michigan  
The Department of Licensing and Regulatory Affairs will hold a public hearing to receive public  
comments on proposed changes to the Board of Midwifery rule set.  
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.  
By authority conferred on the director of the department of licensing and regulatory affairs and board of  
licensed midwifery sections 16145, 16148, 16186, 16201, 16204, 16287, 17105, 17107, 17111, 17112,  
and 17117 of the public health code, 1978 PA 368, MCL 333.16145, 333.16148, 16186, 16201, 16204,  
16287, 17105, 17107, 17111, 17112, and 17117, and Executive Reorganization Orders Nos. 1991-9,  
1996-2, 2003-1, and 2011-4, MCL 338.3501, 445.2001, 445.2011, and 445.2030.  
The proposed rules will take effect immediately after filing with the Secretary of State. The proposed  
rules are published on the State of Michigan's website at www.michigan.gov/ARD and in the 12/15/2024  
issue of the Michigan Register. Copies of these proposed rules may also be obtained by mail or  
electronic mail at the following email address: [email protected].  
Comments on these proposed rules may be made at the hearing, by mail, or by electronic mail at the  
following addresses until 12/19/2024 at 05:00PM.  
Department of Licensing and Regulatory Affairs, Bureau of Professional Licensing, Boards and  
Committees Section, Attention: Departmental Specialist  
P.O. Box 30670, Lansing, MI 48909-8170  
BPL-BoardSupport@michigan.gov  
The public hearing will be conducted in compliance with the 1990 Americans with Disabilities Act. If the  
hearing is held at a physical location, the building will be accessible with handicap parking available.  
Anyone needing assistance to take part in the hearing due to disability may call 711 to make  
arrangements.  
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