The estimated cost to take the Test of English as a Foreign Language Internet-Based Test is $195.00. The estimated
cost to take the Michigan English Test administered by the University of Michigan is $127.00 - $168.00. The
estimated cost to take the International English Language Testing System Academic test is $215.00 - $240.00.
However, the cost is outweighed by the benefit of ensuring that an applicant can communicate effectively with
patients, clients, and staff.
13. Estimate any increase or decrease in revenues to other state or local governmental units (i.e. cities, counties,
school districts) as a result of the rule. Estimate the cost increases or reductions for other state or local
governmental units (i.e. cities, counties, school districts) as a result of the rule. Include the cost of equipment,
supplies, labor, and increased administrative costs in both the initial imposition of the rule and any ongoing
There are no anticipated increases or decreases in revenues to state or local governmental units as a result of the
14. Discuss any program, service, duty, or responsibility imposed upon any city, county, town, village, or school
district by the rules.
There are no anticipated or intended programs, services, duties, or responsibilities imposed on any city, county,
township, village, or school district as a result of these proposed rules.
A. Describe any actions that governmental units must take to be in compliance with the rules. This section should
include items such as record keeping and reporting requirements or changing operational practices.
There are no anticipated actions that a governmental unit must take to comply with these proposed rules.
15. Describe whether or not an appropriation to state or local governmental units has been made or a funding
source provided for any additional expenditures associated with the proposed rules.
No appropriations have been made to any governmental units as a result of these rules. No additional expenditures
are anticipated or intended with the proposed rules.
16. In general, what impact will the rules have on rural areas?
The proposed rules are not expected to impact rural areas. The proposed rules apply to an individual licensed or
registered under the Public Health Code, regardless of his or her location.
A. Describe the types of public or private interests in rural areas that will be affected by the rules.
The proposed rules are not expected to affect public or private interests in rural areas.
17. Do the proposed rules have any impact on the environment? If yes, please explain.
The proposed rules do not have an environmental impact.
18. Describe whether and how the agency considered exempting small businesses from the proposed rules.
The proposed rules impose requirements on individual licensees and registrants rather than small businesses. Even if
a licensee’s or registrant’s workplace qualifies as a small business, the department could not exempt his or her
business because it would create a disparity in the regulation of the profession.
19. If small businesses are not exempt, describe (a) the manner in which the agency reduced the economic impact
of the proposed rules on small businesses, including a detailed recitation of the efforts of the agency to comply
with the mandate to reduce the disproportionate impact of the rules upon small businesses as described below (in
accordance with MCL 24.240(1)(a-d)), or (b) the reasons such a reduction was not lawful or feasible.
The rules cannot exempt small businesses because the rules do not directly regulate small businesses. The rules
regulate individual licensees and registrants. Further, the Public Health Code requires the included professions to be
licensed or registered, and the licensee or registrant may work in a small business.
While a licensee or registrant may work independently or as part of a small business, the law does not allow the rules
to exempt these individuals from the requirements of these rules. However, the impact on a licensee or registrant who
works as part of a small business is minimized in the proposed rules, as the rules are written broadly. The proposed
rule changes will have minimal or no impact on a licensee or registrant. As a result, a licensee or registrant, whether
in small business or not, should not be significantly impacted by the changes.
A. Identify and estimate the number of small businesses affected by the proposed rules and the probable effect on
It is estimated that small businesses will not be affected by the proposed rules. The proposed rules affect individuals
B. Describe how the agency established differing compliance or reporting requirements or timetables for small
businesses under the rules after projecting the required reporting, record-keeping, and other administrative costs.