Michigan Office of Administrative Hearings and Rules  
Administrative Rules Division (ARD)  
611 W. Ottawa Street  
Lansing, MI 48909  
Phone: 517-335-8658 Fax: 517-335-9512  
REQUEST FOR RULEMAKING (RFR)  
1. Department:  
Licensing and Regulatory Affairs  
2. Bureau:  
Bureau of Professional Licensing  
3. Promulgation type:  
Full Process  
4. Title of proposed rule set:  
Osteopathic Medicine and Surgery – General Rules  
5. Rule numbers or rule set range of numbers:  
R 338.111 – R 338.143  
6. Estimated time frame:  
12 months  
Name of person filling out RFR:  
Weston MacIntosh  
E-mail of person filling out RFR:  
Phone number of person filling out RFR:  
517-241-9269  
Address of person filling out RFR:  
611 W. Ottawa St.  
P.O. Box 30670  
Lansing, MI 48909  
7. Describe the general purpose of these rules, including any problems the changes are intended  
to address.  
The Osteopathic Medicine and Surgery – General Rules pertain to definitions, telehealth,  
prescribing of drugs, training, accreditation standards, licensure, educational limited licenses,  
examination, relicensure, renewal, and continuing education, for osteopathic medical doctors.  
Amendment of the rules will take place to supply necessary revisions on definitions, telehealth,  
prescribing of drugs, training, accreditation standards, licensure, educational limited licenses,  
examination, relicensure, renewal, and continuing education, for osteopathic medical doctors.  
8. Please cite the specific promulgation authority for the rules (i.e. department director,  
commission, board, etc.).  
The department director in consultation with the board.  
A. Please list all applicable statutory references (MCLs, Executive Orders, etc.).  
MCL 333.16145, 333.16148, 333.16174, 333.16204, 333.16215, 333.16287, 333.17531,  
333.17533, and 333.17548, and Executive Reorganization Order Nos. 1991-9, 1996-2, 2003-1,  
and 2011-4, MCL 338.3501, 445.2001, 445.2011, and 445.2030.  
MCL 24.239  
RFR-Page 2  
B. Are the rules mandated by any applicable constitutional or statutory provision? If so, please  
explain.  
Under MCL 333.17531, an applicant, in addition to completing the requirements for the degree in  
osteopathic medicine and surgery, shall complete a period of postgraduate education to attain  
proficiency in the practice of the profession as prescribed by the board in rules as a condition for  
more than limited licensure.  
Under MCL 333.17533, the board shall promulgate rules requiring each applicant for license  
renewal to complete as part of the continuing education requirement of subsection (1) an  
appropriate number of hours or courses in pain and symptom management.  
9. Please describe the extent to which the rules conflict with or duplicate similar rules,  
compliance requirements, or other standards adopted at the state, regional, or federal level.  
The proposed rules do not duplicate or conflict with other federal or state regulations.  
10. Is the subject matter of the rules currently contained in any guideline, handbook, manual,  
instructional bulletin, form with instructions, or operational memoranda?  
No guideline, manual, handbook, instructional bulletin, form with instructions, or operational  
memo covers the subject matter of the rules.  
11. Are the rules listed on the department’s annual regulatory plan as rules to be processed  
for the current year?  
Yes.  
12. Will the proposed rules be promulgated under Section 44 of the Administrative Procedures  
Act, 1969 PA 306, MCL 24.244, or under the full rulemaking process?  
Full Process  
13. Please describe the extent to which the rules exceed similar regulations, compliance  
requirements, or other standards adopted at the state, regional, or federal level.  
The proposed rules do not exceed other federal or state regulations.  
14. Do the rules incorporate the recommendations received from the public regarding any  
complaints or comments regarding the rules? If yes, please explain.  
No.  
15. If amending an existing rule set, please provide the date of the last evaluation of the rules  
and the degree, if any, to which technology, economic conditions, or other factors have changed  
the regulatory activity covered by the rules since the last evaluation.  
Amendment of the rules last took place in 2021 and those rules took effect on 4-26-21. No  
technological factors, economic conditions, or other factors make amendment of the rules  
necessary.  
16. Are there any changes or developments since implementation that demonstrate there is no  
continued need for the rules, or any portion of the rules?  
No.  
17. Is there an applicable decision record (as defined in MCL 24.203(6) and required by MCL  
24.239(2))? If so, please attach the decision record.  
Yes  
MCL 24.239