ADMINISTRATIVE RULES FOR NURSE AIDE,  
TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
Prepared by  
depos@networkreporting.com  
Phone: 800.632.2720  
Fax: 800.968.8653  
www.networkreporting.com  
Let us assist you GLOBALLY for all of your deposition needs.  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
STATE OF MICHIGAN  
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
BUREAU OF COMMUNITY AND HEALTH SYSTEMS  
PUBLIC HEARING  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM  
RULES  
525 West Ottawa Street, Lansing, Michigan  
Tuesday, March 22, 2022, 9:00 a.m.  
APPEARANCES:  
For the Department:  
MS. TAMMY BAGBY  
Bureau of Community Health and Health  
Systems  
PO Box 30664  
Lansing, Michigan 48909  
(517) 243-9351  
Also Present:  
RECORDED BY:  
Heather Hosey, Jim Wiggins  
Marcy A. Klingshirn, CER 6924  
Certified Electronic Recorder  
Network Reporting Corporation  
Firm Registration Number 8151  
1-800-632-2720  
Page 1  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
1
TABLE OF CONTENTS  
2
3
PAGE  
Statement by Ms. Bagby . . . . . . . . . . . . . . . . 3  
4
Statement by Ms. Hosey . . . . . . . . . . . . . . . . 5  
5
6
Public Comment  
7
1. Deborah Brown . . . . . . . . . . . . . . . . . . 7  
2. Mary Smyth. . . . . . . . . . . . . . . . . . . . 9  
3. Susan Lytwyn. . . . . . . . . . . . . . . . . . . 9  
4. Diane Cottle. . . . . . . . . . . . . . . . . . . 10  
5. Brenda Dalski . . . . . . . . . . . . . . . . . . 12  
6. Phyllis Helm. . . . . . . . . . . . . . . . . . . 13  
8
9
10  
11  
12  
13  
14  
15  
16  
17  
18  
19  
20  
21  
22  
23  
24  
25  
Page 2  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
1
Lansing, Michigan  
2
Tuesday, March 22, 2022 - 9:04 a.m.  
3
4
MS. BAGBY: Good morning. My name is Tammy Bagby  
and I am an analyst for the Bureau of Community and Health  
Systems in the Department of Licensing and Regulatory  
Affairs.  
5
6
7
This hearing, regarding the Administrative Rules  
for Nurse Aide, Nurse Aide Trainer and Nurse Aide Training  
Program Certificate of Registration and Permit Program, is  
being called to order at 9:04 on March 22nd, 2022, at the G.  
Mennen Williams Building Auditorium located at 525 West  
Ottawa Street in Lansing, Michigan. The hearing is being  
conducted under the authority of the Administrative  
Procedures Act, Public Act 306 of 1969.  
8
9
10  
11  
12  
13  
14  
15  
16  
17  
18  
19  
20  
21  
22  
23  
24  
25  
The notice of public hearing was published in  
three newspapers: on March 8 in the Marquette Mining  
Journal and on March 9th it was published in the Jackson  
Citizen Patriot and Grand Rapids Press. The same notice was  
published in the Michigan Register on March 15th, 2022.  
As stated in the notice, the proposed new rules  
establish eligibility requirements to receive and renew a  
registration or permit, competency requirements and  
examination requirements for registration. In addition, the  
proposed rules clarify conducting inspections of training  
programs, conducting investigations of nurse aides, training  
Page 3  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
1
programs, and trainers, and enforcement action for  
2
noncompliance with those proposed rules and Part 219 of the  
3
Public Health Code.  
4
Regulatory impact statements are available for  
5
further explanation of these rule sets. Copies are  
6
available at the back or they can be found on the web site  
7
for the Michigan Office of Administrative Hearings and  
8
Rules.  
9
Pursuant to section 45 of the Administrative  
10  
Procedure Act, the public hearing is an opportunity for the  
11  
public to present data, views, questions and arguments  
12  
regarding these proposed rules.  
13  
The Department will use the testimony and  
14  
documents presented at this hearing to determine if any  
15  
changes should be made to the proposed rules before they are  
16  
adopted.  
17  
If you have comments, please make sure they relate  
18  
directly to the proposed rules. If you have questions  
19  
regarding the rules, please submit your questions as part of  
20  
your testimony for the Department's review. If you have  
21  
suggested changes to the proposed rules, please include the  
22  
specific reason why the changes would be in the public  
23  
interest.  
24  
If you wish to comment, please complete a white  
25  
card, available when you came in, and then submit to me.  
Page 4  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
1
This will help the Department prepare the hearing record.  
2
When you testify please identify yourself by your name and  
3
organization, if any, that you may be speaking for today.  
4
Written statements can be submitted directly to  
5
me. The Department will also accept written statements  
6
e-mailed or postmarked until 5:00 p.m. on today, Tuesday,  
7
March 22nd, 2022. Address information can be found in the  
8
notice of the public hearing that we have made available in  
9
the back.  
10  
The Department staff from the Bureau of Community  
11  
and Health Systems include myself, Heather Hosey, director  
12  
of the Health Facility Licensing, Permit and Support  
13  
Division, and Jim Wiggins, manager of the Health Facility  
14  
Professional & Nurse Aide Section.  
15  
Before we start the public comments, I invite  
16  
Heather Hosey.  
17  
MS. HOSEY: Good morning, everyone. Thank you for  
18  
coming out today. My name is Heather Hosey. I am the  
19  
division director for Health Facilities Licensing, Permits  
20  
and Supports Division and that's in the Bureau of Community  
21  
and Health Systems, within Licensing and Regulatory Affairs.  
22  
So today's hearing is on the proposed new rule set  
23  
that Tammy mentioned for Nurse Aides, Trainers and Training  
24  
Programs and it's a result of a project that was initiated  
25  
by the Department as in accordance with Part 291, Article  
Page 5  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
1
17, of the Public Health Code.  
2
The new proposed rule set establishes eligibility  
3
4
requirements to receive and renew a registration or permit,  
competency requirements and examination requirements for  
registration. In addition, the proposed new rules outline  
conducting inspections of training programs, nurse aides,  
and trainers, and enforcement action for noncompliance with  
these rules which are part of 219 of the Public Health Code  
like we mentioned.  
5
6
7
8
9
10  
11  
12  
13  
14  
15  
16  
17  
18  
19  
20  
21  
22  
23  
24  
25  
So the project was designed to gather input from  
stakeholders internal and external from the very beginning  
of this process. So what we did in the beginning is we put  
together a stakeholder group and formed that and included  
the long term care associations, representatives from there;  
nurse aides; trainers; and training program representatives.  
We also included our Bureau personnel who had expertise in  
training programs, trainers, investigations, enforcement and  
registration functions and all of those individuals  
participated in that group from the very beginning.  
The rules apply to approximately 42,000 nurse  
aides in the state of Michigan, 450 trainers and 250  
training programs. The Department held four in-person  
meetings and two virtual meetings with stakeholders to  
gather input and then two versions of the draft rules were  
circulated to stakeholders for review and comment and those  
Page 6  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
1
draft rules proposed and reflected the input that they  
2
provided during that process.  
3
So today we look forward to hearing from you and  
4
your comments that you provide and that we just wanted to  
5
thank you for your participation for coming out today.  
6
MS. BAGBY: Great. Thank you, Heather. We will  
7
now begin the public comment time frame. If you are handing  
8
in written comments, feel free to summarize and add to your  
9
comments. You do not have to read them as they will become  
10  
part of the official record. And reminder that comments  
11  
must pertain to the proposed rules. The first card I have  
12  
is from Deborah Brown. Welcome.  
13  
DEBORAH BROWN  
14  
MS. DEBORAH BROWN: Wow. Hello. My name is  
15  
Deborah Brown. I'm from Macomb Community College, the CNA  
16  
program. I am commenting on the rule concerning train the  
17  
trainer qualifications.  
18  
Now, I do understand that the rule is asking for a  
19  
long-term care experience, at least a year, but the nurses  
20  
that's in hospitals who never worked at a long-term care are  
21  
taking care of those same patients and I don't think anybody  
22  
is looking at that because the reason why I have this  
23  
situation is because we have problems hiring people who are  
24  
train the trainers who don't have that long-term care  
25  
experience. It disqualify the people. Because we want to  
Page 7  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
1
have the trainers in our program to teach the nurse  
2
assistants and with that rule, having that long-term care,  
3
their applications are all being rejected. And we talking  
4
about people who worked psych, step down, emergency nursing,  
5
medical -- I mean, have all this experience but you  
6
disqualify them because they didn't work at a long-term care  
7
nursing facility. And I just think that need to be  
8
addressed because I don't think -- maybe the person who  
9
making this decision may not be a nurse? I'm just -- just  
10  
stating because they would understand that person in the  
11  
hospital experience is definitely qualified to teach and  
12  
they taking care of the same patient that's in the long-term  
13  
care facilities. So I do think that that need to be  
14  
addressed before disqualifying a nurse because she didn't  
15  
decide to work in a long-term care facility.  
16  
History, a long-term care facility used to be  
17  
primarily LPNs. They were not RNs. And that's what  
18  
eliminated a lot of the RNs from working in that area.  
19  
Because now they hiring more and more which are DON and  
20  
management positions, but as far as working with the nurse  
21  
assistants, a lot of registered nurses went to hospitals and  
22  
home care. They didn't necessarily work in long-term care.  
23  
And I just think that rule to disqualify them should  
24  
definitely be addressed and looked at again to say this  
25  
person is not qualified. It's just one of my concerns.  
Page 8  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
1
MS. BAGBY: Thank you. Thank you for bringing  
2
3
that to our attention and our staff will certainly take that  
back with us. Next I have Mary Smyth from Washtenaw  
Community College.  
4
5
MARY SMYTH  
6
MS. MARY SMYTH: Hello. I just wanted to ask if  
it would be possible to have the auditing scheduled and not  
a surprise visit because our building is closed when there's  
not sessions happening.  
7
8
9
10  
11  
12  
13  
14  
15  
16  
17  
18  
19  
20  
21  
22  
23  
24  
25  
MS. BAGBY: Okay. Thank you. Appreciate that  
comment. And I see Heather is taking a couple more. Do we  
have any other? Okay. Heather can -- if you just want to  
come up at the same time, that's fine.  
SUSAN LYTWYN  
MS. SUSAN LYTWYN: My name is Susan Lytwyn. I'm  
with Health Career Pathways. And I just wanted to support  
Deborah's concern about hiring and I did want to let you  
know that the LARA, Jim in particular, has directed me to  
work with trying to change the language with Upton's office.  
I started that a year ago, February 14th, and have made zero  
impact. So I'm -- I found a few more avenues to go around  
that trying to get the language changed for the one year of  
long-term care, but it has been a difficult process. I've  
made multiple attempts. If there's any way to get around  
that, I will continue to see if I can find a way.  
Page 9  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
1
MS. BAGBY: Okay. Thank you.  
2
3
MS. SUSAN LYTWYN: But I would like to say that  
the expansion of the language that allowed us to use  
assisted living and hospice nurses was a big improvement  
because it took one of my supplemental instructors on one  
day doing the same thing she's done as a supplemental to now  
she had hospice background and she was able to be, ta da, a  
primary instructor when actually she was doing the same  
roles like what all nurses are trained to be. So I'm  
willing to hear from anybody else if they would like to  
support getting that bill change officially if that's what  
it's going to take. So I would just like to throw that out,  
anybody who wants to be added maybe to a petition of some  
sorts once I get that far. So, thank you.  
4
5
6
7
8
9
10  
11  
12  
13  
14  
15  
16  
17  
18  
19  
20  
21  
22  
23  
24  
25  
MS. BAGBY: Perfect. Thank you. Thank you for  
speaking. Okay. We're just going to have people come up to  
this microphone and speak since those other ones aren't  
working. And the next person I have is Diane.  
DIANE COTTLE  
MS. DIANE COTTLE: Good morning. My name is Diane  
Cottle and I represent Genanscot Services as well as the  
nursing, the registered nursing profession.  
My concern -- and I'll get right to it -- it's in  
regards to the challenge of the OBRA Law in which I have saw  
that there was some concerns about, you know, sure we had  
Page 10  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
1
the pandemic and there's lack of staff but, however, we're  
2
bringing in these resident -- the resident aides over the  
3
certified nursing assistants who has to be trained up under  
4
the OBRA Law. I have been in that area -- that era of the  
5
abuse. I think that it should be well looked at because I  
6
see that they have an emergent rule for the resident  
7
assistants and then within four months they have to become  
8
certified. But what stops them from going from one facility  
9
to another facility, another facility and they're being  
10  
substituted as certified nursing assistants? We're going to  
11  
have some big problems because, sure, they said that they  
12  
would be trained competencies in their skills. It's much  
13  
more than just skills with this abuse, you know, you got  
14  
attitudes and so forth. And that's as instructors and  
15  
trainers we kind of, like, see some of these things before  
16  
they get to our patients. They need to be trained on more  
17  
than just skills. I came out in the era where they were  
18  
giving baths and by the time we got in the room as nurses  
19  
our patient had gone into anaphylactic shock because they  
20  
did not even know the signs and symptoms.  
21  
The resident assistants have limited training.  
22  
It's also a safety problem. There's a safety because we  
23  
should know as to whether signs and symptoms of a patient  
24  
just choking. Although it might not seem to be so  
25  
detrimental to some, but it's extremely important. Just a  
Page 11  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
1
little bit of skills and without the knowledge behind it is  
2
detrimental to the safety of the health and the welfare of  
3
all of our residents. Sure you put a emergency room in  
4
there, but it has to stop somewhere. Give us a deadline.  
5
Sure we need the help, but give us a deadline. We need more  
6
trained people. Our patients are not the happy grandmama  
7
and grandpapa. We're taking patients strictly from the  
8
hospital and they are in acute need and our programs had to  
9
be adjusted so to be able to take care of these patients in  
10  
these chronic as well as these acute disease process. So my  
11  
concern is the resident aide versus a certified nursing  
12  
assistant is not acceptable.  
13  
MS. BAGBY: Okay. Next I have Brenda Dalski.  
14  
BRENDA DALSKI  
15  
MS. BRENDA DALSKI: Hello there. Hi, Jim. Our  
16  
question is about virtual learning and what if we -- we live  
17  
in Michigan. Do we have to make online requests every time  
18  
we do a virtual learning if there's snow day to make up for  
19  
that? Or if we have to make up for a COVID-related issue?  
20  
So I also am in support of the first lady who said we need  
21  
to not discount our nurses that work in the hospital and  
22  
that work in home care and hospice. I think that experience  
23  
also needs to be able to qualify them for train the trainer,  
24  
so --  
25  
MS. BAGBY: Okay. Do we have anybody else who  
Page 12  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
1
would like to speak on public record? Okay. Come on up.  
2
Did you fill out a white card?  
3
MS. PHYLLIS HELM: I didn't have one.  
4
MS. BAGBY: Okay. Heather, can you grab her a  
5
white card?  
6
MS. HOSEY: Yes.  
7
MS. BAGBY: And then we can fill it out after  
8
you're done. Just make sure that you say your name and  
9
organization. Yeah, we can't get the batteries to work on  
10  
the other one, so if you just want to come up here and  
11  
speak?  
12  
PHYLLIS HELM  
13  
MS. PHYLLIS HELM: Good morning. I am Phyllis  
14  
Helm. I do nurse aide instruction for the Eastern Upper  
15  
Peninsula, for Mackinac Straits at St. Ignace and Medilodge  
16  
up in Sault Ste. Marie, and I am now setting up a program  
17  
over in Bay Mills Community College. And I quite often run  
18  
into -- well, I've been doing this for over 30-some years.  
19  
And the 75 hours, I just cannot get through material and get  
20  
competent nurse aides. They don't have time to practice as  
21  
much as I'd like them to for that. And I know a lot of  
22  
other states do require more hours for training. Myself,  
23  
being limited to even 90 at Bay Mills College, but I say 96  
24  
is the minimum I can get through. And a lot of times when  
25  
I'm filling out those SARS things or their logs when they  
Page 13  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
1
log in their hours, 102 hours sometimes is what it's taking  
2
and more if it's someone who's not been in the health care  
3
field, these people are at entry level, nursing 101. And I  
4
just really think for us to have competent nurse aides, we  
5
need to think about the hours that -- minimum hours that  
6
we're requiring for nurse aide training. Thank you.  
7
MS. HOSEY: So just a reminder, if you came in,  
8
there's a sign-in sheet at the back and there's also extra  
9
rule sets. I had that question asked. So there are a  
10  
couple extra sets there.  
11  
MS. BAGBY: Okay. Thank you. Do we have any  
12  
other public comments? Anybody else would like to be on  
13  
record? Okay. Seeing none, I want to thank everybody for  
14  
coming and thank you for commenting. Each comment will be  
15  
reviewed and evaluated by the Bureau as well as the comments  
16  
that we received electronically during the open comment time  
17  
that ends today at 5:00. I am officially going to end this  
18  
public hearing at 9:25. Thank you all for coming.  
19  
(Proceedings concluded at 9:25 a.m.)  
20  
21  
-0-0-0-  
22  
23  
24  
25  
Page 14  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
5:8  
closed 9:8  
CNA 7:15  
Deborah's 9:17  
decide 8:15  
decision 8:9  
explanation 4:5  
A
avenues 9:21  
external 6:11  
extra 14:8,10  
extremely 11:25  
a.m 1:9 3:2 14:19  
able 10:7 12:9,23  
abuse 11:5,13  
accept 5:5  
acceptable 12:12  
Act 3:14,14 4:10  
action 4:1 6:7  
acute 12:8,10  
add 7:8  
added 10:13  
addition 3:23 6:5  
Address 5:7  
addressed 8:8,14,24  
adjusted 12:9  
Administrative 1:6  
3:7,13 4:7,9  
adopted 4:16  
Affairs 1:2 3:6 5:21  
ago 9:20  
aide 1:6 3:8,8,8 5:14  
12:11 13:14 14:6  
aides 3:25 5:23 6:6  
6:15,21 11:2  
13:20 14:4  
allowed 10:3  
analyst 3:4  
Code 4:3 6:1,8  
College 7:15 9:4  
13:17,23  
come 9:13 10:16  
13:1,10  
coming 5:18 7:5  
14:14,18  
comment 2:6 4:24  
6:25 7:7 9:11  
14:14,16  
commenting 7:16  
14:14  
comments 4:17 5:15 difficult 9:23  
7:4,8,9,10 14:12  
14:15  
Community 1:3,12  
3:4 5:10,20 7:15  
9:4 13:17  
competencies 11:12 disqualify 7:25 8:6  
competency 3:22  
6:4  
competent 13:20  
14:4  
complete 4:24  
concern 9:17 10:23  
12:11  
concerning 7:16  
concerns 8:25 10:25  
concluded 14:19  
conducted 3:13  
conducting 3:24,25  
6:6  
CONTENTS 2:1  
continue 9:25  
Copies 4:5  
Corporation 1:18  
Cottle 2:10 10:19,20  
10:21  
couple 9:11 14:10  
COVID-related  
12:19  
B
definitely 8:11,24  
Department 1:2,11  
3:5 4:13 5:1,5,10  
5:25 6:22  
Department's 4:20  
designed 6:10  
determine 4:14  
detrimental 11:25  
12:2  
back 4:6 5:9 9:3  
14:8  
F
background 10:7  
Bagby 1:11 2:3 3:3  
3:3 7:6 9:1,10  
10:1,15 12:13,25  
13:4,7 14:11  
baths 11:18  
batteries 13:9  
Bay 13:17,23  
beginning 6:11,12  
6:19  
big 10:4 11:11  
bill 10:11  
bit 12:1  
Box 1:13  
Brenda 2:11 12:13  
12:14,15  
bringing 9:1 11:2  
Brown 2:7 7:12,13  
7:14,15  
building 3:11 9:8  
Bureau 1:3,12 3:4  
5:10,20 6:16  
14:15  
facilities 5:19 8:13  
facility 5:12,13 8:7  
8:15,16 11:8,9,9  
far 8:20 10:14  
February 9:20  
feel 7:8  
field 14:3  
fill 13:2,7  
filling 13:25  
find 9:25  
fine 9:13  
Diane 2:10 10:18,19  
10:20,20  
directed 9:18  
directly 4:18 5:4  
director 5:11,19  
discount 12:21  
disease 12:10  
Firm 1:19  
first 7:11 12:20  
formed 6:13  
forth 11:14  
forward 7:3  
found 4:6 5:7 9:21  
four 6:22 11:7  
frame 7:7  
free 7:8  
functions 6:18  
further 4:5  
8:23  
disqualifying 8:14  
division 5:13,19,20  
documents 4:14  
doing 10:6,8 13:18  
DON 8:19  
draft 6:24 7:1  
anaphylactic 11:19  
anybody 7:21 10:10  
10:13 12:25 14:12  
APPEARANCES  
1:10  
G
E
C
G 3:10  
e-mailed 5:6  
called 3:10  
card 4:25 7:11 13:2  
13:5  
care 6:14 7:19,20,21  
7:24 8:2,6,12,13  
8:15,16,22,22  
9:23 12:9,22 14:2  
Career 9:16  
CER 1:17  
certainly 9:2  
Certificate 3:9  
certified 1:18 11:3,8  
11:10 12:11  
challenge 10:24  
change 9:19 10:11  
changed 9:22  
changes 4:15,21,22  
choking 11:24  
chronic 12:10  
circulated 6:25  
Citizen 3:18  
gather 6:10,24  
Genanscot 10:21  
getting 10:11  
give 12:4,5  
giving 11:18  
go 9:21  
going 10:12,16 11:8  
11:10 14:17  
Good 3:3 5:17 10:20  
13:13  
Eastern 13:14  
Electronic 1:18  
electronically 14:16  
eligibility 3:21 6:2  
eliminated 8:18  
emergency 8:4 12:3  
emergent 11:6  
ends 14:17  
applications 8:3  
apply 6:20  
Appreciate 9:10  
approximately 6:20  
area 8:18 11:4  
arguments 4:11  
Article 5:25  
asked 14:9  
asking 7:18  
assistant 12:12  
assistants 8:2,21  
11:3,7,10,21  
enforcement 4:1 6:7  
6:17  
entry 14:3  
grab 13:4  
Grand 3:18  
grandmama 12:6  
grandpapa 12:7  
Great 7:6  
era 11:4,17  
establish 3:21  
establishes 6:2  
evaluated 14:15  
everybody 14:13  
examination 3:23  
6:4  
expansion 10:3  
experience 7:19,25  
8:5,11 12:22  
D
assisted 10:4  
da 10:7  
Dalski 2:11 12:13  
12:14,15  
associations 6:14  
attempts 9:24  
attention 9:2  
attitudes 11:14  
auditing 9:7  
Auditorium 3:11  
authority 3:13  
available 4:4,6,25  
group 6:13,19  
H
data 4:11  
handing 7:7  
happening 9:9  
happy 12:6  
day 10:6 12:18  
deadline 12:4,5  
Deborah 2:7 7:12  
7:13,14,15  
health 1:3,12,12 3:4  
clarify 3:24  
expertise 6:16  
Page 1  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
4:3 5:11,12,13,19 invite 5:15  
manager 5:13  
12:11 14:3  
PO 1:13  
5:21 6:1,8 9:16  
12:2 14:2  
hear 10:10  
hearing 1:5 3:7,12  
3:15 4:10,14 5:1,8  
5:22 7:3 14:18  
Hearings 4:7  
Heather 1:15 5:11  
5:16,18 7:6 9:11  
9:12 13:4  
issue 12:19  
March 1:9 3:2,10,16  
3:17,19 5:7  
Marcy 1:17  
positions 8:20  
possible 9:7  
postmarked 5:6  
practice 13:20  
prepare 5:1  
present 1:15 4:11  
presented 4:14  
Press 3:18  
primarily 8:17  
primary 10:8  
problem 11:22  
problems 7:23  
11:11  
Procedure 4:10  
Procedures 3:14  
Proceedings 14:19  
process 6:12 7:2  
9:23 12:10  
profession 10:22  
Professional 5:14  
program 1:6 3:9,9  
6:15 7:16 8:1  
13:16  
programs 3:25 4:1  
5:24 6:6,17,22  
12:8  
project 5:24 6:10  
proposed 3:20,24  
4:2,12,15,18,21  
5:22 6:2,5 7:1,11  
provide 7:4  
O
J
OBRA 10:24 11:4  
office 4:7 9:19  
official 7:10  
officially 10:11  
14:17  
Okay 9:10,12 10:1  
10:16 12:13,25  
13:1,4 14:11,13  
once 10:14  
ones 10:17  
online 12:17  
open 14:16  
opportunity 4:10  
order 3:10  
organization 5:3  
13:9  
Jackson 3:17  
Jim 1:15 5:13 9:18  
12:15  
Marie 13:16  
Marquette 3:16  
Mary 2:8 9:3,5,6  
material 13:19  
mean 8:5  
Journal 3:17  
K
medical 8:5  
kind 11:15  
Medilodge 13:15  
meetings 6:23,23  
Mennen 3:11  
mentioned 5:23 6:9  
Michigan 1:1,8,13  
3:1,12,19 4:7 6:21  
12:17  
microphone 10:17  
Mills 13:17,23  
minimum 13:24  
14:5  
Mining 3:16  
months 11:7  
morning 3:3 5:17  
10:20 13:13  
multiple 9:24  
Klingshirn 1:17  
know 9:18 10:25  
11:13,20,23 13:21  
knowledge 12:1  
held 6:22  
Hello 7:14 9:6 12:15  
Helm 2:12 13:3,12  
13:13,14  
help 5:1 12:5  
Hi 12:15  
L
lack 11:1  
lady 12:20  
language 9:19,22  
10:3  
Lansing 1:8,13 3:1  
3:12  
LARA 9:18  
Law 10:24 11:4  
learning 12:16,18  
level 14:3  
Licensing 1:2 3:5  
5:12,19,21  
limited 11:21 13:23  
little 12:1  
live 12:16  
living 10:4  
located 3:11  
log 14:1  
logs 13:25  
long 6:14  
long-term 7:19,20  
7:24 8:2,6,12,15  
8:16,22 9:23  
look 7:3  
looked 8:24 11:5  
looking 7:22  
lot 8:18,21 13:21,24  
LPNs 8:17  
hiring 7:23 8:19  
9:17  
Ottawa 1:8 3:12  
outline 6:5  
History 8:16  
home 8:22 12:22  
Hosey 1:15 2:4 5:11  
5:16,17,18 13:6  
14:7  
hospice 10:4,7 12:22  
hospital 8:11 12:8  
12:21  
P
p.m 5:6  
PAGE 2:2  
pandemic 11:1  
part 4:2,19 5:25 6:8  
7:10  
participated 6:19  
participation 7:5  
particular 9:18  
Pathways 9:16  
patient 8:12 11:19  
11:23  
N
hospitals 7:20 8:21  
hours 13:19,22 14:1  
14:1,5,5  
name 3:3 5:2,18  
7:14 9:15 10:20  
13:8  
necessarily 8:22  
need 8:7,13 11:16  
12:5,5,8,20 14:5  
needs 12:23  
Network 1:18  
never 7:20  
new 3:20 5:22 6:2,5  
newspapers 3:16  
noncompliance 4:2  
6:7  
I
identify 5:2  
Ignace 13:15  
provided 7:2  
psych 8:4  
patients 7:21 11:16  
12:6,7,9  
impact 4:4 9:21  
important 11:25  
improvement 10:4  
in-person 6:22  
include 4:21 5:11  
included 6:13,16  
individuals 6:18  
information 5:7  
initiated 5:24  
input 6:10,24 7:1  
inspections 3:24 6:6  
instruction 13:14  
instructor 10:8  
instructors 10:5  
11:14  
public 1:5 2:6 3:14  
3:15 4:3,10,11,22  
5:8,15 6:1,8 7:7  
13:1 14:12,18  
published 3:15,17  
3:19  
Patriot 3:18  
Peninsula 13:15  
people 7:23,25 8:4  
10:16 12:6 14:3  
Perfect 10:15  
permit 3:9,22 5:12  
6:3  
Permits 5:19  
person 8:8,10,25  
10:18  
personnel 6:16  
pertain 7:11  
petition 10:13  
Phyllis 2:12 13:3,12  
13:13,13  
Pursuant 4:9  
put 6:12 12:3  
notice 3:15,18,20  
5:8  
Q
Number 1:19  
nurse 1:6 3:8,8,8,25  
5:14,23 6:6,15,20  
8:1,9,14,20 13:14  
13:20 14:4,6  
nurses 7:19 8:21  
10:4,9 11:18  
12:21  
qualifications 7:17  
qualified 8:11,25  
qualify 12:23  
question 12:16 14:9  
questions 4:11,18  
4:19  
Lytwyn 2:9 9:14,15  
9:15 10:2  
M
Mackinac 13:15  
Macomb 7:15  
making 8:9  
interest 4:23  
internal 6:11  
investigations 3:25  
6:17  
quite 13:17  
please 4:17,19,21,24  
5:2  
nursing 8:4,7 10:22  
10:22 11:3,10  
R
management 8:20  
Page 2  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
Rapids 3:18  
read 7:9  
really 14:4  
supplemental 10:5,6 trying 9:19,22  
S
Z
0
support 5:12 9:16  
10:11 12:20  
Tuesday 1:9 3:2 5:6  
two 6:23,24  
safety 11:22,22 12:2  
SARS 13:25  
Sault 13:16  
zero 9:20  
reason 4:22 7:22  
receive 3:21 6:3  
received 14:16  
record 5:1 7:10 13:1  
14:13  
RECORDED 1:17  
Recorder 1:18  
reflected 7:1  
regarding 3:7 4:12  
4:19  
regards 10:24  
Register 3:19  
registered 8:21  
10:22  
registration 1:19  
3:9,22,23 6:3,5,18  
Regulatory 1:2 3:5  
4:4 5:21  
Supports 5:20  
sure 4:17 10:25  
11:11 12:3,5 13:8  
surprise 9:8  
U
understand 7:18  
8:10  
0-0-0- 14:21  
saw 10:24  
scheduled 9:7  
section 4:9 5:14  
see 9:11,25 11:6,15  
Seeing 14:13  
Services 10:21  
sessions 9:9  
1
Upper 13:14  
Upton's 9:19  
use 4:13 10:3  
Susan 2:9 9:14,15  
9:15 10:2  
symptoms 11:20,23  
Systems 1:3,12 3:5  
5:11,21  
1 2:7  
1-800-632-2720  
1:19  
10 2:10  
V
versions 6:24  
versus 12:11  
views 4:11  
virtual 6:23 12:16  
12:18  
101 14:3  
102 14:1  
12 2:11  
set 5:22 6:2  
sets 4:5 14:9,10  
setting 13:16  
sheet 14:8  
shock 11:19  
sign-in 14:8  
signs 11:20,23  
site 4:6  
situation 7:23  
skills 11:12,13,17  
12:1  
Smyth 2:8 9:3,5,6  
snow 12:18  
sorts 10:14  
speak 10:17 13:1,11  
speaking 5:3 10:16  
specific 4:22  
St 13:15  
staff 5:10 9:2 11:1  
stakeholder 6:13  
stakeholders 6:11  
6:23,25  
T
ta 10:7  
TABLE 2:1  
take 9:2 10:12 12:9  
talking 8:3  
13 2:12  
14th 9:20  
15th 3:19  
17 6:1  
visit 9:8  
Tammy 1:11 3:3  
5:23  
teach 8:1,11  
1969 3:14  
W
want 7:25 9:12,17  
13:10 14:13  
2
2 2:8  
2022 1:9 3:2,10,19  
5:7  
219 4:2 6:8  
22 1:9 3:2  
22nd 3:10 5:7  
243-9351 1:14  
250 6:21  
term 6:14  
rejected 8:3  
relate 4:17  
wanted 7:4 9:6,16  
wants 10:13  
Washtenaw 9:3  
way 9:24,25  
we're 10:16 11:1,10  
12:7 14:6  
testify 5:2  
testimony 4:13,20  
thank 5:17 7:5,6 9:1  
9:1,10 10:1,14,15  
10:15 14:6,11,13  
14:14,18  
reminder 7:10 14:7  
renew 3:21 6:3  
Reporting 1:18  
represent 10:21  
representatives  
6:14,15  
requests 12:17  
require 13:22  
requirements 3:21  
3:22,23 6:3,4,4  
requiring 14:6  
resident 11:2,2,6,21  
12:11  
web 4:6  
thing 10:6  
Welcome 7:12  
welfare 12:2  
went 8:21  
West 1:8 3:11  
white 4:24 13:2,5  
Wiggins 1:15 5:13  
Williams 3:11  
willing 10:10  
wish 4:24  
things 11:15 13:25  
think 7:21 8:7,8,13  
8:23 11:5 12:22  
14:4,5  
three 3:16  
throw 10:12  
time 7:7 9:13 11:18  
12:17 13:20 14:16  
times 13:24  
291 5:25  
3
3 2:3,9  
30-some 13:18  
306 3:14  
start 5:15  
started 9:20  
state 1:1 6:21  
stated 3:20  
Statement 2:3,4  
statements 4:4 5:4,5  
states 13:22  
30664 1:13  
residents 12:3  
result 5:24  
review 4:20 6:25  
reviewed 14:15  
right 10:23  
4
4 2:10  
42,000 6:20  
45 4:9  
450 6:21  
48909 1:13  
work 8:6,15,22 9:19  
12:21,22 13:9  
worked 7:20 8:4  
working 8:18,20  
10:18  
today 5:3,6,18 7:3,5  
14:17  
today's 5:22  
train 7:16,24 12:23  
trained 10:9 11:3,12  
11:16 12:6  
stating 8:10  
RNs 8:17,18  
roles 10:9  
Ste 13:16  
step 8:4  
stop 12:4  
Wow 7:14  
room 11:18 12:3  
rule 4:5 5:22 6:2  
7:16,18 8:2,23  
11:6 14:9  
rules 1:6,7 3:7,20,24  
4:2,8,12,15,18,19  
4:21 6:5,8,20,24  
7:1,11  
written 5:4,5 7:8  
trainer 1:6 3:8 7:17  
12:23  
trainers 4:1 5:23 6:7  
6:15,17,21 7:24  
8:1 11:15  
training 1:6 3:8,24  
3:25 5:23 6:6,15  
6:17,22 11:21  
13:22 14:6  
5
5 2:4,11  
5:00 5:6 14:17  
517 1:14  
stops 11:8  
Straits 13:15  
Street 1:8 3:12  
strictly 12:7  
submit 4:19,25  
submitted 5:4  
substituted 11:10  
suggested 4:21  
summarize 7:8  
X
Y
525 1:8 3:11  
Yeah 13:9  
year 7:19 9:20,22  
years 13:18  
6
6 2:12  
6924 1:17  
run 13:17  
Page 3  
ADMINISTRATIVE RULES FOR NURSE AIDE, TRAINER AND TRAINING PROGRAM RULES  
March 22, 2022  
7
7 2:7  
75 13:19  
8
8 3:16  
8151 1:19  
9
9 2:8,9  
9:00 1:9  
9:04 3:2,10  
9:25 14:18,19  
90 13:23  
96 13:23  
9th 3:17  
Page 4  
;