August 11, 2023  
Michigan Department of Labor and Equal Opportunity  
MIOSHA, Technical Services Division, Standards and  
Freedom of Information Act Section  
530 West Allegan Street  
P.O. Box 30643  
Lansing, MI 48909-8143  
On behalf of The American Registry of Radiologic Technologists (ARRT), I appreciate  
the opportunity to comment on the Ionizing Radiation Rules Governing the Use of  
Radiation Machines.  
As a national certification organization, ARRT develops and administers standards to  
assess the qualifications of technologists who work in medical imaging and radiation  
therapy. We provide credentials to more than 350,000 Registered Technologists  
nationwide; approximately 11,000 of them live and work in Michigan. We were founded  
in 1922 and operate as a nonprofit credentialing organization.  
We respectfully recommend several changes to your document.  
References to Medical X-Radiation  
Consider changing references from “medical x-radiation technology” to “medical  
radiologic technology” and references from “medical x-radiation technologist” to  
“medical radiologic technologist.” Doing so will align Michigan’s terminology with  
that of professional societies and national credentialing organizations.  
Rule 333.5742 Credentialing Requirements (iv)—CCI – Registered  
Cardiovascular Invasive Specialist (RCIS)  
We recommend that anyone who maintains a RCIS certification also maintain a medical  
radiography certification. The American Society of Radiologic Technologists (ASRT)  
practice standards consider cardiac and interventional radiography to be postprimary  
modalities. In other words, candidates must first earn a primary radiography certification  
before they may pursue the postprimary RCIS credential. Therefore, all individuals  
wishing to use the RCIS credential must meet the same minimum requirements that  
people who hold ARRT Cardiovascular Interventional Radiography, Cardiac  
Interventional Radiography, and Vascular Interventional Radiography credentials must  
meet.  
Rule 333.5743 Limited Diagnostic Radiography Requirements  
We recommend inserting the following language:  
(6) All limited diagnostic radiographers are required to pass the ARRT Limited X-  
Ray Machine Operator exam with a minimum score of 75.  
Because no standardized education programs for limited diagnostic radiography exist,  
education programs vary greatly. ARRT’s standardized test, which is available for state  
use, ensures that limited radiographers meet minimum training and competency  
standards.  
Rule 333.5209 Exemptions  
We recommend inserting the following language:  
A nuclear medicine technologist who, under the supervision of an authorized user,  
utilizes sealed and unsealed radioactive materials for diagnostic, treatment, and research  
purposes.  
We believe that explicitly excluding nuclear medicine technologists from this rule will  
clarify both:  
Nuclear medicine’s role in the health care team  
The use of radioactive materials by nuclear medicine technologists for  
diagnostic, treatment and research purposes  
In Michigan, no department or agency regulates the profession of nuclear medicine  
technology--nor does the practice of nuclear medicine technology fall under the purview  
of any federal agency. This explicit exemption will allow nuclear medicine technologists  
operating within their scope of practice to continue to perform procedures.  
Please contact me at (651) 687-0048, ext. 3121, if I can provide further information. We  
look forward to hearing your updates on this matter.  
Sincerely,  
Liana Watson, CEO  
DM, R.T.(R)(M)(S)(BS)(ARRT), RDMS, RVT, FASRT, PMP, CAE  
August 14, 2023  
Bart Pickelman  
Director  
Department of Labor and Economic Opportunity  
Michigan Occupational Safety and Health Administration (MiOSHA)  
530 West Allegan Street  
P.O. Box 30643  
Lansing, Michigan 48909  
Re: Administrative Rules for Ionizing Radiation Rules Governing the Use of Radiation machines  
(Rule Set 2023-8 LE)  
Dear Director Pickelman,  
The American Society of Radiologic Technologists represents more than 156,000 medical  
imaging technologists and radiation therapists across the nation, including 4,748 medical imaging  
professionals in Michigan. Our main mission as an organization is to advocate for patient safety  
by ensuring that only technologists who have achieved nationally recognized standards in  
education and clinical competencies are performing diagnostic and therapeutic procedures  
involving ionizing and nonionizing radiation.  
With that mission in mind ASRT respectfully submits these comments regarding the “IONIZING  
RADIATION RULES GOVERNING THE USE OF RADIATION MACHINES”  
Recommendation 1: All references to “medical x-radiation technology” be changed to “medical  
radiologic technology” and all references to “medical x-radiation technologist” to be changed to  
“medical radiologic technologist”.  
Reason 1: This change will align Michigan regulations with terminology across professional  
societies and national credentialing organizations.  
Recommendation 2: Under Rule 333.5742 Credentialing Requirements (iv) CCI – Registered  
Cardiovascular Invasive Specialist (RCIS) ASRT recommends that any individual maintaining an  
RCIS certification must also maintain a primary medical radiography certification.  
Reasoning 2: According to the ASRT Practice Standards, cardiac and interventional radiography  
is a post-primary modality—meaning an individual must first receive their medical radiography  
certification prior to the RCIS credential being recognized as a post-primary certification.  
Therefore, all individuals wishing to use the RCIS credential must meet the same minimum  
requirements that ARRT (CV), (CI) and (VI) must meet.  
Recommendation 3: Rule 333.5743 Limited Diagnostic Radiography Requirements insert the  
following language (6) All limited diagnostic radiographers are required to pass the ARRT  
Limited X-Ray Machine Operator exam with a minimum score of 75.  
Reasoning 3: Currently, there is no standardized education programs for limited diagnostic  
radiography, so education programs vary greatly. The standardized test that is available for states  
to use through ARRT ensures that limited radiographers meet the minimum training standards  
without relying on inconsistent training throughout the state.  
Recommendation 4: R 333.5209 Exemptions.  
(f)A nuclear medicine technologist who, under the supervision of an authorized user, utilizes  
sealed and unsealed radioactive materials for diagnostic, treatment, and research purposes.  
Reasoning: ASRT believes explicitly excluding nuclear medicine from this rule will offer clarity  
around nuclear medicine’s role in the health care team, and they use of radioactive materials for  
diagnostic, treatment and research purposes. In the state of Michigan, there is no department or  
agency that already regulates the profession of nuclear medicine technology, nor does the practice  
of nuclear medicine technology fall under the purview of any federal agency. This explicit  
exemption will allow nuclear medicine technologists operating within their scope of practice to  
continue to practice.  
ASRT appreciates the work that the Department of Labor and Economic Opportunity and  
Michigan Occupational Safety and Health Administration has done to ensure that Michigan  
patients receive the highest quality care from radiologic technologists who meet nationally  
recognized minimum education and training standards. If you wish to discuss the issue or have  
any follow-up questions, I can be reached at 505-298-4500 ext. 1350.  
Sincerely,  
Jason J. Bradley, B.A., R.T.(R), CAE  
Vice President, Governance and Public Policy  
ASRT  
August 14, 2023  
Bart Pickelman  
Director  
Department of Labor and Economic Opportunity  
Michigan Occupational Safety and Health Administration (MiOSHA)  
Technical Services Division  
Standards and Freedom of Information Act (FOIA) Section  
530 West Allegan Street  
P.O. Box 30643  
Lansing, Michigan 48909  
Re: Administrative Rules for Ionizing Radiation Rules Governing the Use of Radiation Machines  
(Rule Set 2023-8 LE)  
Dear Director Pickelman:  
The Society of Nuclear Medicine and Molecular Imaging (SNMMI) and the SNMMI Technologist  
Section (SNMMI-TS) appreciates the opportunity to comment on the Department of Labor and  
Economic Opportunity (DLEO), Michigan Occupational Safety and Health Administration’s  
(MiOSHA) proposed rule entitled “Administrative Rules for Ionizing Radiation Rules Governing  
the Use of Radiation Machines.”  
SNMMI is a non-profit, scientific, and professional organization representing the interests of more  
than 15,000 nuclear medicine and molecular imaging professionals globally, including physicians,  
scientists, pharmacists, and technologists. The SNMMI-Technologists Section (SNMMI-TS)  
advocates for best practices in evidence-based science that promotes the highest quality in  
patient care and safety. In addition, SNMMI is committed to the advancement of policy,  
regulation, and legislation that promotes the science, technology, and practical application of  
nuclear medicine and molecular imaging and strives to be a leader in the unifying, advancing,  
and optimizing molecular imaging. Our mission is to empower nuclear medicine and molecular  
imaging professionals to transform the science and practice of precision nuclear medicine for  
diagnosis and therapy to advance patient care.  
Background:  
SNMMI wrote to you earlier this year recommending language be included in the DLEO Rule  
that narrowly defines the requirements and standards of technologists administering nuclear  
materials for diagnostic and therapeutic procedures, as well as, strict language regarding  
1
compliance standards. More specifically, we recommended registration and certification  
standards to be included as set forth under the American Registry of Radiologic Technologists  
(ARRT), Nuclear Medicine Technology Certification Board (NMTCB) and/or equivalent standards.  
Unfortunately, despite this request, the proposed rule makes no mention of nuclear medicine  
and fails to include certification and/or licensing standards for nuclear medicine technologists.  
Comment:  
(1) Nuclear Medicine Exemption Language  
As the proposed rule fails to mention nuclear medicine specifically, SNMMI would recommend  
strict exemption language be included to fully clarify that the rule does in fact exclude nuclear  
medicine, in order to eliminate any confusion and/or any misconstrued intent that the rule is  
meant to encompass nuclear medicine.  
SNMMI thus recommends the following exemption language to be included in the proposed rule  
under: R 333.5209 Exemptions.  
(f) A nuclear medicine technologist who, under the supervision of an authorized  
user, utilizes sealed and unsealed radioactive materials for diagnostic, treatment,  
and research purposes.  
Nuclear medicine includes the use of radioactive materials for diagnostic, treatment, and  
research purposes. Under current law, nuclear medicine isn’t specifically regulated by any  
Department, state or federal entity. By inserting this specific exemption language, you will avoid  
any misinterpretation of the rule and ensure that nuclear medicine technologists are able to  
continue to practice within their scope.  
Conclusion:  
SNMMI again appreciates the opportunity to comment, and your careful consideration of our  
recommendations included hereinto.  
Should you have any questions, please contact Anna Marie Harrison, Senior Manager of  
Healthcare Policy and Regulatory Affairs at SNMMI Aharrison@snmmi.org.  
Sincerely,  
Dmitry Beyder, CNMT, MPA  
President of the SNMMI Technologist Section  
2
Melissa Snody  
SNMMI Michigan Technologist Advocacy Group  
Nichole Ozinga  
SNMMI Michigan Technologist Advocacy Group  
Tina R. Brennan  
SNMMI Michigan Technologist Advocacy Group  
3
From:  
To:  
Subject:  
Date:  
X-ray regulation meeting  
Wednesday, August 16, 2023 12:27:54 PM  
CAUTION: This is an External email. Please send suspicious emails to  
To whom it may concern,  
I’m totally in support of being ARRT certified in order to expose a patient to radiation. It  
worries me the public in Michigan is unaware of the fact that when a Doctor orders an X-ray,  
it can be taken by a non credentialed person. I would not want my family members to get an x-  
ray by someone who was not certified.  
I fully support changing this in Michigan.  
I think we should have to apply for a license in order to work in this field.  
It endangers, the patient to over exposure and a cancer risk for person being ionized.  
Feel free to contact me if need be.  
Misty Flowers RT(R), ARDMS  
1(269)932-5002  
From:  
To:  
Cc:  
Re: Public Hearing  
Wednesday, August 16, 2023 12:42:31 PM  
image001.png  
Subject:  
Date:  
Attachments:  
CAUTION: This is an External email. Please send suspicious emails to  
Thank you for allowing me to send in questions.  
1. Understanding there would be a 3 year grace, what will be required of the medical facilities  
during this grace? What specifically is going to be needed in the statement of assurance for  
conditional status and does that get submitted to the state?  
2. Due to the JRCERT and ARRT not currently accrediting Limited Radiography programs,  
who will be approving the program’s specifically in Michigan?  
3. Those that carry current ARRT registration in Michigan, what will be required for them to  
obtain a state of Michigan license? Will we need to retest? Will we be granted a license  
automatically?  
I appreciate your time,  
Nina Sutherland R.T. (R ) ARRT  
On Wednesday, August 16, 2023, 12:32 PM, Pelachyk, Daniela (LEO)  
<PelachykD@michigan.gov> wrote:  
Hello Nina,  
Please email me your comments and questions. I want to ensure I get everything in  
writing.  
Thank you  
Daniela Pelachyk  
Standards Analyst, Standards and FOIA Section/TSD  
Direct: 517-284-7738  
MIOSHA Main Line/Division 517 284-7740  
To help protect the safety and  
health of Michigan workers.  
From: Nina Sutherland <nsutherland27@yahoo.com>  
Sent: Wednesday, August 16, 2023 10:50 AM  
To: Pelachyk, Daniela (LEO) <PelachykD@michigan.gov>  
Subject: Public Hearing  
CAUTION: This is an External email. Please send suspicious emails to  
Hi Daniela,  
My name is Nina Sutherland and I was just at the public hearing today. I am wondering  
if you’d be able to give me a call. I just had questions regarding the new ruling and  
wanted clarification.  
I don’t mind emailing if that works better.  
I am a current X-Ray technologist and appreciate and support all of your efforts. :)  
Thank you,  
Nina Sutherland R.T. (ARRT)  
810-956-3046  
;