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 http://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 email at the following email  
address: [email protected].  
Comments on these proposed rules may be made at the hearing, by mail, or by email at the following addresses  
until 12/19/2024 at 05:00 PM:  
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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