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:  
Occupational Therapists - General Rules  
5. Rule numbers or rule set range of numbers:  
R 338.1191 – R 338.1252  
6. Estimated time frame:  
12 months  
Name of person filling out RFR:  
Andria Ditschman  
E-mail of person filling out RFR:  
DitschmanA@michigan.gov  
Phone number of person filling out RFR:  
517-290-3361  
Address of person filling out RFR:  
611 W. Ottawa Street, 3rd. Floor, 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 purpose of the Board of Occupational Therapist Rules is to regulate the prelicensure  
education, licensure, licensure renewal, relicensure, and continuing education for occupational  
therapists and occupational therapy assistants. The proposed rules are intended to: update  
statutory references; update references to educational program standards; update the licensure  
verification requirements; place relicensure regulations in a table; update the rules for consistency  
with modifications to the Public Health Code; and add regulations on the use of telemedicine.  
8. Please cite the specific promulgation authority for the rules (i.e. department director,  
commission, board, etc.).  
MCL 333.16141 authorizes the Department to promulgate rules to promote the effective and  
consistent administration of Article 15 of the Public Health Code. MCL 333.16148, MCL  
333.16287, MCL 333.18307, and MCL 333.18309 authorize the Department, in consultation with  
the Board, to promulgate rules. MCL 333.16145 authorizes the Board to promulgate rules  
necessary or appropriate to fulfill its functions as prescribed in the Article 15 of the Public Health  
Code.  
A. Please list all applicable statutory references (MCLs, Executive Orders, etc.).  
MCL 24.239  
RFR-Page 2  
Rule promulgation includes: MCL 333.16141; MCL 333.16145; MCL 333.16148; MCL  
333.16174; MCL 333.16175; MCL 333.16178; MCL 333.16186; MCL 333.16186a; MCL  
333.16204; MCL 333.16205; MCL 333.16215; MCL 333.16287; MCL 333.18307; MCL  
333.18309; MCL 333.18313; Executive Reorganization Order No. 1991-9, MCL 338.3501;  
Executive Reorganization Order No. 1996-2, MCL 445.2001; Executive Reorganization Order No.  
2003-1, MCL 445.2011; and Executive Reorganization Order No. 2011-4, MCL 445.2030.  
B. Are the rules mandated by any applicable constitutional or statutory provision? If so, please  
explain.  
Yes, the Department in consultation with the Board is required to promulgate rules as follows: to  
set forth the minimum standards for licensure pursuant to MCL 333.18307 and MCL 333.18309;  
to include training standards for identifying victims of human trafficking, pursuant to MCL  
333.16148; to complete continuing education (CE) hours in pain and symptom management for an  
applicant for licensure renewal, if continuing education is a condition for renewal, pursuant to  
MCL 333.16204; and to regulate telehealth, pursuant to MCL 333.16287.  
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.  
Each state establishes its own requirements with respect to occupational therapists and  
occupational therapy assistants. The rules do not conflict with or duplicate similar rules,  
compliance requirements, or other standards adopted at the state, regional, or federal level.  
10. Is the subject matter of the rules currently contained in any guideline, handbook, manual,  
instructional bulletin, form with instructions, or operational memoranda?  
No. The subject matter of these rules is not currently contained in any guideline, handbook,  
manual, instructional bulletin, form with instructions, or operational memoranda.  
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 rules do not exceed similar regulations, compliance requirements, or other standards adopted  
at the state, regional, or federal level.  
14. Do the rules incorporate the recommendations received from the public regarding any  
complaints or comments regarding the rules? If yes, please explain.  
The Board of Occupational Therapy will receive comments from the public, associations, and  
licensees. Rules Committee Work Sessions will be held with the public.  
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.  
MCL 24.239  
RFR-Page 3  
The rules were last amended May 3, 2021. There have been no technological factors, economic  
conditions, or other factors that would necessitate amendment of the rules.  
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, there are no changes or developments since implementation of the last rule set that  
demonstrates there is no continued need for the rules.  
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  
;