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R 338.6103. This rule sets forth the requirements for training on identifying victims of human trafficking. The rule
revision removes subrule (3), as it is no longer necessary.
R 338.6201. This rule sets forth the adoption of educational program standards. The rule revision adopts the
updated educational standards.
R 338.6301, R 338.6305, R 338.6308, and R 338.6311 include grammatical or typographical edits to follow current
drafting standards and to supply clarification for easier reading.
A. Estimate the change in the frequency of the targeted behavior expected from the proposed rules.
Promulgation of rules related to licensure is necessary under statute. This supplies a regulatory framework for
the practice of physician’s assistants. The proposed changes supply greater clarity to licensees and aid in
understanding the requirements of the rules.
B. Describe the difference between current behavior/practice and desired behavior/practice.
Statute regulates the practice of physician’s assistants. This mandates licensure for provision of those services.
Adding clarifications on points that may have been ambiguous under prior rules will make compliance easier for
applicants and licensees.
C. What is the desired outcome?
Regulation is necessary for individuals who wish to practice as physician’s assistants. By improving and
clarifying the rules, applicants and licensees should find compliance easier. This should result in fewer
questions, fewer regulatory problems, and greater safety and protection of the public.
5. Identify the harm resulting from the behavior that the proposed rules are designed to alter and the likelihood
that the harm will occur in the absence of the rule.
Outdated rules create conflict and confusion for physician’s assistants. The proposed rules update previously adopted
rules. Changes made specifically address the following:
R 338.6103 pertains to the requirements for training on identifying victims of human trafficking. Subrule (3) is no
longer necessary because all current licensees have completed the training, and all new applicants must show proof
of completion of the training at the time of application.
R 338.6201 pertains to adoption of educational program standards. The rule revision ensures applicants follow the
most up-to-date educational standards in educational training.
A. What is the rationale for changing the rules instead of leaving them as currently written?
The proposed rule set provides clarity to all rules on licensure.
6. Describe how the proposed rules protect the health, safety, and welfare of Michigan citizens while promoting
a regulatory environment in Michigan that is the least burdensome alternative for those required to comply.
The proposed rules supply a regulatory mechanism for the practice of physician’s assistants. To protect the health,
safety, and welfare of Michigan’s citizens, it is important that members of the profession adhere to educational and
professional standards. The rules ensure that applicants receive proper education and training prior to licensure and
that licensees are competent to practice. There is no less burdensome way to ensure that applicants and licensees
satisfy minimum requirements for practice.
7. Describe any rules in the affected rule set that are obsolete or unnecessary and can be rescinded.
No rescission of any rules is necessary.
FISCAL IMPACT ON THE AGENCY
Fiscal impact is an increase or decrease in expenditures from the current level of expenditures, i.e., hiring
additional staff, higher contract costs, programming costs, changes in reimbursements rates, etc. over and
above what is currently expended for that function. It does not include more intangible costs for benefits, such
as opportunity costs, the value of time saved or lost, etc., unless those issues result in a measurable impact on
expenditures.
8. Please provide the fiscal impact on the agency (an estimate of the cost of rule imposition or potential savings
for the agency promulgating the rule).
MCL 24.245(3)