The proposed rules affect individuals applying for licensure and renewal, regardless if they practice in a small
business. There is no separate cost to a small business.
22. Analyze the costs of compliance for all small businesses affected by the proposed rules, including costs of
equipment, supplies, labor, and increased administrative costs.
There are no expected costs for equipment, supplies, labor, or administrative costs that a small business would incur
in complying with the proposed rules.
The rules impact licensees and registrants and not small businesses.
23. Identify the nature and estimated cost of any legal, consulting, or accounting services that small businesses
would incur in complying with the proposed rules.
There are no expected costs for legal, consulting, or accounting services that a small business would incur in
complying with the proposed rules.
24. Estimate the ability of small businesses to absorb the costs without suffering economic harm and without
adversely affecting competition in the marketplace.
There are no expected costs to a small business that will cause economic harm to a small business or the marketplace
as a result of the proposed rules.
25. Estimate the cost, if any, to the agency of administering or enforcing a rule that exempts or sets lesser
standards for compliance by small businesses.
The proposed rules impose requirements on individual licensees and registrants rather than a small business. Even if
a licensee’s or registrant’s practice qualifies as a small business, the department could not exempt the business
because it would create disparity in the regulation of the profession.
Therefore, there is no cost to the agency for administering or enforcing the rules because exempting or setting lesser
standards of compliance for a small business is not in the best interest of the public.
26. Identify the impact on the public interest of exempting or setting lesser standards of compliance for small
The proposed rules have no impact on a small business, so no exemption was considered.
27. Describe whether and how the agency has involved small businesses in the development of the proposed rules.
The department conducted 17 stakeholder engagement meetings prior to the development of the proposed rules. The
activities commenced with 2 initial discussions to gather feedback, best practices, and resources. Both sessions had
more than 100 people in attendance representing many different organization, disciplines, and perspectives. The
attendees of the engagement meetings represented 86 organizations including individuals from the business
A. If small businesses were involved in the development of the rules, please identify the business(es).
Many representatives from the business community participated in the stakeholder engagement meetings. None of
the businesses represented were specifically identified as small businesses by the representative in attendance.
Cost-Benefit Analysis of Rules (independent of statutory impact)
28. Estimate the actual statewide compliance costs of the rule amendments on businesses or groups.
There are no estimated compliance costs with these rule amendments on businesses or groups.
A. Identify the businesses or groups who will be directly affected by, bear the cost of, or directly benefit from the
No businesses or groups will be directly affected or benefitted by the proposed rules. No additional costs will be
imposed on any businesses or groups.
B. What additional costs will be imposed on businesses and other groups as a result of these proposed rules (i.e.
new equipment, supplies, labor, accounting, or recordkeeping)? Please identify the types and number of businesses
and groups. Be sure to quantify how each entity will be affected.
The estimated cost to complete implicit bias training will vary, depending on the program chosen by the health care
professional. Several Michigan hospitals offer implicit bias training free of charge.