DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR'S OFFICE  
BOARD OF ATHLETIC TRAINERS  
Filed with the secretary of state on  
These rules take effect immediately upon filing with the secretary of state unless adopted  
under section 33, 44, or 45a(6) of the administrative procedures act of 1969, 1969 PA  
306, MCL 24.233, 24.244, or 24.245a. Rules adopted under these sections become  
effective 7 days after filing with the secretary of state.  
(By authority conferred on the director of the department of licensing and regulatory  
affairs by sections 16145, 16148, 16178, 16186, 16204, 16205, 16215, 16287, 17904, and  
17905 of the public health code, 1978 PA 368, MCL 333.16145, 333.16148, 333.16178,  
333.16186, 333.16204, 333.16205, 333.16215, 333.16287, 333.17904, and 333.17905  
and Executive Reorganization Order Nos. 1991-9, 1996-2, 2003-1, and 2011-4, MCL  
338.3501, 445.2001, 445.2011, and 445.2030)  
R 338.1301, R 338.1303, R 338.1309, R 338.1317, R 338.1321, R 338.1325, R 338.1345,  
R 338.1349, R 338.1354, R 338.1355, R 338.1357, R 338.1369, and R 338.1378 of the  
Michigan Administrative Code are amended, R 338.1302 is added, and R 338.1321a is  
rescinded, as follows:  
PART 1. GENERAL PROVISIONS  
R 338.1301 Definitions.  
Rule 1. As used in these rules:  
(a) "Board" means the Michigan athletic trainer board.  
(b) “BOC” means the Board of Certification, Inc.  
(c) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.  
(d)"Department" means the department of licensing and regulatory affairs.  
(e) “Emergency cardiac care” means training in the performance or use of adult  
cardiopulmonary resuscitation (CPR), pediatric CPR, second rescuer CPR,  
automated external defibrillator, airway management, and barrier devices.  
R 338.1302 Telehealth services.  
Rule 2. (1) Consent for treatment must be obtained before providing a telehealth  
service pursuant to section 16284 of the code, MCL 333.16284.  
(2) Evidence of consent for treatment must be maintained in a client’s medical  
record.  
(3) An athletic trainer providing any telehealth service shall do both of the  
following:  
(a) Act within the scope of his or her practice.  
October 1, 2020  
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(b) Exercise the same standard of care applicable to a traditional health care  
service.  
PART 2. LICENSURE  
R 338.1303 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 3. (1) Pursuant to section 16148 of the code, MCL 333.16148, an individual  
licensed or seeking licensure shall complete training in identifying victims of human  
trafficking that meets the following standards:  
(a) Training content shall must cover all of the following:  
(i) Understanding the types and venues of human trafficking in Michigan or the  
United States.  
(ii) Identifying victims of human trafficking in health care settings.  
(iii) Identifying the warning signs of human trafficking in health care settings for  
adults and minors.  
(iv) Resources for reporting the suspected victims of human trafficking.  
(b) Acceptable providers or methods of training include any of the following:  
(i) Training offered by a nationally recognized or state-recognized, health-related  
organization.  
(ii) Training offered by, or in conjunction with, a state or federal agency.  
(iii) Training obtained in an educational program that has been approved by the board  
for initial licensure, or by a college or university.  
(iv) Reading an article related to the identification of victims of human trafficking  
that meets the requirements of subdivision (a) of this subrule and is published in a peer  
review journal, health care journal, or professional or scientific journal.  
(c) Acceptable modalities of training may include any of the following:  
(i) Teleconference or webinar.  
(ii) Online presentation.  
(iii) Live presentation.  
(iv) Printed or electronic media.  
(2) The department may select and audit a sample of individuals and request  
documentation of proof of completion of training. If audited by the department, an  
individual shall provide an acceptable proof of completion of training, including either of  
the following:  
(a) Proof of completion certificate issued by the training provider that includes the  
date, provider name, name of training, and individual’s name.  
(b) A self-certification statement by an individual. The certification statement shall  
must include the individual’s name and either of the following:  
(i) For training completed pursuant to subrule (1)(b)(i) to (iii) of this rule, the date,  
training provider name, and name of training.  
(ii) For training completed pursuant to subrule (1)(b)(iv) of this rule, the title of  
article, author, publication name of peer review journal, health care journal, or  
professional or scientific journal, and date, volume, and issue of publication, as  
applicable.  
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(3) Pursuant to section 16148 of the code, MCL 333.16148, the requirements specified  
in subrule (1) of this rule apply to license renewals beginning 2019 and for initial licenses  
issued after April 22, 2021.  
R 338.1309 Licensure by examination.  
Rule 9. An applicant for an athletic trainer license by examination shall submit a  
completed application on a form provided by the department with the requisite fee. In  
addition to satisfying the requirements of the code, the applicant shall satisfy all of the  
following requirements:  
(a) Have graduated from an athletic training program that satisfies the requirements of  
R 338.1354.  
(b) Have passed the examination adopted in R 338.1325.  
(c) Have successfully completed emergency cardiac care training in all of the  
following from a program that satisfies the requirements of R 338.1355 whin 3 years  
before licensure:.  
(i) First aid.  
(ii) Cardiopulmonary resuscitation (CPR).  
(iii) Automated external defibrillator (AED) use for health care professional or  
emergency services personnel.  
(d) Possess current certification in first aid and CPR from a program that satisfies the  
requirements of R 338.1355.  
R 338.1317 Licensure by endorsement.  
Rule 17. (1) An applicant for an athletic trainer license by endorsement shall submit a  
completed application on a form provided by the department with the requisite fee. In  
addition to satisfying the requirements of the code, the applicant shall satisfy all of the  
following requirements:  
(a) Be licensed, registered, or certified as an athletic trainer in another state of the  
United States immediately preceding the application for licensure.  
(b) Establish that he or she holds a current, valid BOC certification.  
(c) Have successfully completed emergency cardiac care training in all of the  
following from a program that satisfies the requirements of R 338.1355 whin 3 years  
before licensure by endorsement:.  
(i) First aid.  
(ii) CPR.  
(iii) AED use for health care professional or emergency services personnel.  
(2) Possess current certification in first aid and CPR from a program that satisfies the  
requirements of R 338.1355.  
(3)(2) An applicant’s license, registration, certification, or other athletic training  
professional endorsement recognized by the BOC shall must be verified by the licensing  
and regulatory agency of any state of the United States, province of Canada, or other  
country, in which the applicant holds or has ever held a license, registration, certification,  
or athletic training professional endorsement to practice as an athletic trainer or other  
athletic training professional recognized by the BOC for certification. Verification  
includes, but is not limited to, any disciplinary action taken against the license,  
registration, certification, or other athletic training professional endorsement.  
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R 338.1321 Licensure of foreign-trained applicants.  
Rule 21. (1) If an applicant was foreign-trained and does not meet the requirements of  
R 338.1309 or R 338.1317, then the applicant shall satisfy all of the following  
requirements:  
(a) Hold a national licensure, registration, certification, or other athletic training  
professional endorsement recognized by the BOC.  
(b) Pass the examination adopted in R 338.1325.  
(c) Be verified, on a form provided by the department, by the licensing or registration  
agency of any state of the United States, province of Canada, or other country in which  
the applicant holds a current license or registration or has ever held a license, registration,  
certification, or other athletic training professional endorsement to practice as an athletic  
trainer. This includes, but is not limited to, showing proof of any disciplinary action taken  
or pending disciplinary action imposed upon the applicant.  
(d) Have successfully completed emergency cardiac care training in all of the  
following from a program that satisfies the requirements of R 338.1355 whin 3 years  
before licensure:.  
(i) First aid.  
(ii) CPR.  
(iii) AED use for health care professional or emergency services personnel.  
(e) Possess current certification in first aid and CPR from a program that satisfies the  
requirements of R 338.1355.  
(2) If an applicant holds current certification by the BOC, the applicant is presumed to  
have satisfied the requirements of subrules (1)(a) and (1)(b) of this rule.  
R 338.1321a Minimum English language standard. Rescinded.  
Rule 21a. (1) Pursuant to section 16174(1)(d) of the code, MCL 333.16174(1)(d), an  
applicant seeking initial licensure shall demonstrate a working knowledge of the English  
language if the applicant's educational or training program was taught outside the United  
States, unless exempted pursuant to subrule (3) of this rule.  
(2) To demonstrate a working knowledge of the English language, an applicant shall  
submit proof that he or she has obtained a total score of not less than 80 on the test of  
English as a Foreign Language Internet-Based Test (TOEFL-IBT) administered by the  
Educational Testing Service.  
(3) If an applicant’s education or training program was taught in English in 1 or more  
of the following countries, he or she is exempted from the requirements of subrule (1)  
of this rule:  
(a) Canada, except Quebec.  
(b) England.  
(c) Ireland.  
(d) New Zealand.  
(e) Australia.  
R 338.1325 Licensed athletic trainer examination; adoption; passing scores.  
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Rule 25. The board adopts the BOC athletic trainer credentialing examination tt is  
scored by the Scantron Corporation the Castle Worldwide Inc., or its successor  
organization. A passing score on the examination shall be is the passing score  
determined by the BOC.  
R 338.1345 Relicensure.  
Rule 45. An applicant for relicensure whose Michigan license has lapsed, under the  
provisions of section 16201(3) or 16201(4) of the code, MCL 333.16201(3) or  
333.16201(4), as applicable, may be relicensed by complying with the following  
requirements as noted by (√):  
(1) For an applicant who has let his or her  
Michigan license lapse and who does not hold  
a current and valid license, registration,  
certification, or other athletic training  
professional endorsement recognized by the  
BOC to practice as an athletic trainer or other  
athletic training professional recognized by  
the BOC for certification in another state of  
the United States, province of Canada, or  
other country:  
Lapsed  
less than 3  
years  
Lapsed 3  
years or  
more  
a
Application and fee: Submit a completed  
(a) application on a form provided by the  
√
√
√
√
department, together with the requisite fee.  
b
Good moral character: Establish that he or  
(b) she is of good moral character.  
Fingerprints: Submit  
c
fingerprints  
as  
(c) required in section 16174(3) of the code,  
√
√
MCL 333.16174(3).  
d
BOC certification: Establish that he or she  
(d) holds a current, valid BOC certification.  
Training: Have successfully completed  
√
√
e
(e) emergency cardiac care training in all of  
the following from a program that satisfies the  
requirements of R 338.1355 hin 3 years  
before relicensure:.  
√
(i) First aid.  
(ii) CPR.  
(iii) AED use for health care professional or  
emergency services personnel.  
f
First aid and CPR certification: Establish  
that he or she possess current certification in √  
first aid and CPR.  
Continuing education: Have completed 75  
√
√
g
(f) hours of approved CE credits, as provided √  
under R 338.1357, during the 3 years  
immediately preceding relicensure.  
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h
Proof of license verification from another  
(g) jurisdiction: An applicant’s license, registration, √  
certification, or other athletic training  
professional endorsement recognized by the  
BOC for certification shall must be verified by  
the licensing agency of any state or territory of  
the United States, province of Canada, or other  
country in which the applicant has ever held a  
license, registration, certification, or other  
athletic training professional endorsement  
recognized by the BOC to practice as an athletic  
trainer or other athletic training professional  
recognized by the BOC for certification.  
√
Verification shall must include the record of any  
disciplinary  
action  
taken  
or  
pending  
against the applicant.  
(2) For an applicant who has let his or her  
Michigan license lapse and who holds a  
current and valid license, registration,  
certification, or other athletic training  
Lapsed  
less than 3  
years  
Lapsed 3  
years or  
more  
professional endorsement recognized by the  
BOC to practice as an athletic trainer or other  
athletic training professional recognized by  
the BOC for certification in another state of  
the United States, province of Canada, or  
other country:  
a
Application and fee: Submit a completed  
(a) application on a form provided by the  
√
√
√
√
√
√
department, together with the requisite fee.  
b
Good moral character: Establish that he or  
(b) she is of good moral character.  
c
Fingerprints:  
Submit  
fingerprints  
as  
(c) required in section 16174(3) of the code,  
MCL 333.16174(3).  
d
BOC certification: Establish that he or she  
√
(d) holds a current, valid BOC certification.  
e
Training:  
Have successfully completed  
(e) emergency cardiac training in all of the  
following from a program that satisfies the √  
requirements of R 338.1355 within 3 years  
before relicensure:.  
√
(i) First aid.  
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(ii) CPR.  
(iii) AED use for health care professional or  
emergency services personnel.  
f
First aid and CPR certification: Establish  
that he or she possess current certification in √  
first aid and CPR.  
√
√
g
Continuing education: Have completed 75  
(f) hours of approved CE credits, as provided √  
under R 338.1357, during the 3 years  
immediately preceding relicensure.  
h
Proof of license verification from another  
(g) jurisdiction: An applicant’s license, registration, √  
certification, or other athletic training  
professional endorsement recognized by the  
BOC for certification shall must be verified by  
the licensing agency of any state or territory of  
the United States, province of Canada, or other  
country in which the applicant has ever held a  
license, registration, certification, or other  
athletic training professional endorsement  
recognized by the BOC to practice as an athletic  
trainer or other athletic training professional  
recognized by the BOC for certification.  
√
Verification shall must include the record of any  
disciplinary  
action  
taken  
or  
pending  
against the applicant.  
R 338.1349 License renewal requirements.  
Rule 49. (1) An applicant for license renewal shall satisfy all both of the following  
requirements within the 3-year renewal cycle:  
(a) Within the 3-year renewal cycle, complete Complete emergency cardiac care  
training in all of the following from a program that satisfies the requirements of R  
338.1355:.  
(i) First aid.  
(ii) CPR.  
(iii) AED use for health care professional or emergency services personnel.  
(b) Establish that he or she currently holds, and at all times during the 3-year renewal  
cycle held, certification in both of the following:  
(i) First aid.  
(ii) CPR.  
(c) (b) Before the expiration date of the license, complete a total of 75 hours of  
continuing education that comply with R 338.1357, including a minimum of 3 hours of  
continuing education hours in pain and symptom management, as required under section  
16204 of the code, MCL 333.16204.  
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(2) Submission of an application for renewal of a license shall constitute constitutes the  
applicant's certification of compliance with this rule.  
(3) The board may require the licensee to submit evidence to demonstrate compliance  
with this rule.  
(4) The licensee shall retain documentation of satisfying the requirements of this rule  
and section 17906(2)(b) of the code, MCL 333.17906(2)(b), for a period of 4 years from  
the date of applying for license renewal.  
(5) This rule does not apply to licensees in their initial licensure cycle.  
(6) A request for a waiver under section 16205 of the code, MCL 333.16205, must be  
received by the department before the expiration date of the license.  
PART 3. EDUCATIONAL AND TRAINING AND CERTIFICATION PROGRAMS  
R 338.1354 Educational program standards; adoption by reference.  
Rule 54. (1) The board adopts by reference the standards for accrediting athletic training  
programs adopted by the Commission on Accreditation for Athletic Training Education  
(CAATE) in the document entitled “Standards for the Accreditation of Professional  
Athletic Training Programs,” July 1, 2012, as revised February 16, 2018, which is  
available at no cost from the CAATE website, at http://www.caate.net. An athletic  
training program that is accredited by CAATE is approved by the board.  
(2) The board adopts by reference the procedures and criteria for recognizing  
accrediting organizations of the Council of Higher Education Accreditation (CHEA),  
effective June 28, 2010 September 24, 2018, and the procedures and criteria for  
recognizing accrediting agencies of the United States Department of Education, effective  
July 1, 2010, as contained in 34 CFR part 602 (2010). The CHEA recognition standards  
may be obtained from CHEA, One Dupont Circle NW, Suite 510, Washington, DC  
20036-1110, or from the council’s website at http://www.chea.org at no cost. The federal  
recognition criteria may be obtained at no cost from the United States Department of  
Education’s website at: http://www.ed.gov/about/offices/list/OPE/index.html.  
(3) Copies of the standards and criteria adopted by reference in this rule are available for  
inspection and distribution at a cost of 10 cents per page from the Michigan Board of  
Athletic Trainers, Department of Licensing and Regulatory Affairs, Bureau of  
Professional Licensing, 611 W. Ottawa St., P.O. Box 30670, Lansing, MI Michigan  
48909.  
R 338.1355 Approved emergency cardiac care training First Aid, CPR, and AED use  
for health care professional or emergency services personnel training and certification  
programs.  
Rule 55. (1) The board approves emergency cardiac care training first aid, CPR, and  
AED use for health care professional or emergency services personnel training and  
certification programs that are offered or approved by the following organizations:  
(a) American Red Cross.  
(b) American Heart Association.  
(c) National Safety Council.  
(d) American Safety and Health Institute.  
(e) Emergency Care and Safety Institute.  
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(2) Te board adopts by reference the standards for certification in basic and advanced  
cardiac life support set forth by the American Heart Association in the standards and  
guidelines for cardiopulmonary resuscitation and emergency cardiac care for professional  
providers and published in "2015 American Heart Association Guidelines for  
Cardiopulmonary Resuscitation and Emergency Cardiovascular Care ("Circulation,"  
Volume 132, Issue 18 Supplement 2, November 3, 2015). A copy of the guidelines for  
cardiopulmonary resuscitation and emergency cardiac care may be obtained from the  
American Heart Association, 7272 Greenville Avenue, Dallas, TX Texas 75231 or from  
the association's website at http://circ.ahajournals.org at no cost. A copy of this document  
is available for inspection and distribution at a cost of 10 cents per page from the  
Michigan Department Licensing and Regulatory Affairs, Bureau of Professional  
Licensing, 611 West Ottawa Street, P.O. Box 30670, Lansing, MI Michigan 48909.  
(3) An organization that provides training that uses the standards specified in subrule (2)  
of this rule is considered an approved provider.  
PART 4. CONTINUING EDUCATION  
R 338.1357 Limitations for accumulating continuing education; approved continuing  
education.  
Rule 57. (1) A licensee who accumulates the 75 hours of continuing education required  
pursuant to R 338.1349 for the renewal of an athletic trainer license is subject to all of the  
following limitations:  
(a) A licensee shall may not accumulate more than 12 credit hours of continuing  
education during 1 24-hour period.  
(b) A licensee shall may not carry forward the continuing education hours earned  
during 1 renewal cycle to the next renewal cycle.  
(c) A licensee shall may not earn continuing education credit for completing a  
program or activity that is identical or substantially identical to a program or activity for  
which the licensee has already earned credit during the same renewal cycle.  
(d) A licensee shall may not earn more than 50 hours of continuing education per  
renewal cycle for activities listed in subrule (5)(d) to (g) of this rule.  
(2) Approved courses for accumulating continuing education hours in pain and  
symptom management, as required in R 338.1349(1)(c)(b), include, but are not limited  
to, courses in behavior management, psychology of pain, pharmacology, behavior  
modification, stress management, clinical applications, and drug interventions as they  
relate to professional practice.  
(3) The board approves and adopts by reference the standards of the BOC set forth in  
the publication entitled “actice Analysis, 7th Edition, Outline: Domains and Tasks,”  
effective for April 2017 exam and January 1, 2018 continuing education, available at  
https://bocatc.org/system/document_versions/versions/24/original/boc-pa7-content-  
outline-20170612.pdf?1497279231.  
(4) Any continuing education program approved by the BOC is considered approved by  
the board.  
(5) The board approves all of the following for continuing education credit:  
Activity and Proof of Completion  
Number of continuing education hours  
granted/permitted for each activity  
10  
(a) Maintenance of BOC certification.  
Twenty-five  
hours  
of  
continuing  
education shall be are granted for each  
If audited, the licensee shall provide evidence year that the licensee maintained BOC  
from the BOC that shows the time period that certification. A maximum of 75 hours of  
the licensee held a valid certification.  
continuing education may be earned for  
this activity in each renewal cycle.  
(b) Attendance at or participation in a continuing The number of continuing education  
education program or activity related to the hours for a specific program or activity  
practice of athletic training, which includes but shall be is the number of hours approved  
is not limited to, live and in person programs; by the sponsor or the approving  
interactive or monitored teleconference, audio- organization for the specific program or  
conference, or web-based programs; online activity. A maximum of 75 hours of  
programs; and journal articles or other self- continuing education credit may be  
study programs approved or offered by any of earned for this activity in each renewal  
the following:  
cycle.  
• Another state or provincial board of  
athletic trainers.  
• A state or provincial board related to  
the practice of medicine, osteopathic  
medicine and surgery, or physical  
therapy.  
If audited, the licensee shall submit a copy of a  
letter or certificate of completion showing the  
licensee’s name, number of continuing  
education hours earned, sponsor name or the  
name of the organization that approved the  
program or other activity for which the  
continuing education credit was given, and the  
date on which the program or activity was  
completed.  
(c) Initial presentation of continuing education Ten hours of continuing education credit  
program related to the practice of athletic shall be are granted for each 50 to 60  
trainer to a state, regional, national, or minutes of presentation. No additional  
international athletic training organization.  
credit shall be is granted for preparation  
of a presentation. A maximum of 50  
To receive credit, the presentation shall must hours of continuing education may be  
not be a part of the licensee’s regular job earned for this activity in each renewal  
description and shall must be approved or cycle.  
offered for continuing education credit by any  
of the following:  
11  
• Another state or provincial board of  
athletic trainers.  
• A state or provincial board related to  
the practice of medicine, osteopathic  
medicine and surgery, or physical  
therapy.  
If audited, the licensee shall submit a copy of  
the presentation notice or advertisement  
showing the date of the presentation, the  
licensee’s name listed as a presenter, and the  
name of the organization that approved or  
offered the presentation for continuing  
education credit.  
(d) Initial presentation of a scientific exhibit, Ten hours of continuing education shall  
poster,  
scientific  
paper,  
or  
clinical be are granted for serving as a primary  
demonstration to an athletic training presenter. Five hours of continuing  
organization.  
education shall be are granted for serving  
as a secondary presenter. No additional  
To receive credit, the presentation shall must credit shall be is granted for preparation  
not be part of the licensee’s regular job of the presentation. The maximum  
description or performed in the normal course number of credit hours permitted per  
of the licensee’s employment.  
renewal cycle for this activity is subject  
to subrule (1)(e) (d) of this rule.  
If audited, the licensee shall submit a copy of  
the document presented with evidence of  
presentation or a letter from the program  
sponsor verifying the length and date of the  
presentation.  
(e) Initial publication of an article related to the Fifteen hours of continuing education  
practice of athletic training in a peer-reviewed shall be are granted for serving as a  
journal.  
primary author. Ten hours of continuing  
education shall be are granted for serving  
If audited, the licensee shall submit a copy of as a secondary author. The maximum  
the publication that identifies the licensee as number of credit hours permitted per  
the author of the publication or an acceptance renewal cycle for this activity is subject  
letter.  
to subrule (1)(e) (d) of this rule.  
(f) Initial publication of a chapter related to the Ten hours of continuing education shall  
practice of athletic training in any of the be are granted for serving as a primary or  
following:  
contributing author. The maximum  
number of credit hours permitted per  
renewal cycle for this activity is subject  
to subrule (1)(e) (d) of this rule.  
• A professional or health care text book  
textbook.  
• A peer-reviewed text book textbook.  
• A book related to the practice of  
athletic training.  
12  
If audited, the licensee shall submit a copy of  
the publication that identifies the licensee as  
the author or a publication acceptance letter.  
(g) Passing an academic course or residency Ten hours of continuing education shall  
program related to the practice of athletic be are granted for each course. A  
training that is offered by either of the maximum of 60 50 hours per renewal  
following:  
cycle may be earned for this activity.  
• An athletic training program that  
satisfies the standards adopted in R  
338.1354(1).  
• A  
accredited by an organization that  
satisfies the standards of  
338.1354(2).  
higher  
education  
institution  
R
If audited, a licensee shall submit a copy of the  
transcript showing credit hours of the  
academic course related to athletic training.  
PART 5. DELEGATION AND ADOPTION BY REFERENCE OF  
PROFESSIONAL STANDARDS  
R 338.1369 Delegation and supervision; requirements.  
Rule 69. (1) Pursuant to section 16215(1) of the code, MCL 333.16215(1), a licensee  
may delegate the performance of an athletic training act, task, or function provided if the  
licensee maintains a record of the name of the individual to whom the act, task, or  
function was delegated. The record shall must be maintained pursuant to section 16213  
of the code, MCL 333.16213.  
(2) A licensee who delegates an act, task, or function related to the practice of athletic  
training shall provide supervision as follows:  
(a) If the delegatee is licensed under the code and the act, task, or function is within  
the delegatee’s scope of practice, the supervision shall be general supervision as defined  
in section 16109(2) of the code, MCL 333.16109(2).  
(b) If the delegatee is unlicensed or the act, task, or function does not fall within the  
delegatee’s licensed scope of practice, the supervision shall be direct supervision. For  
purposes of As used in this subdivision, “direct supervision” means the licensee is  
physically present and immediately available for face-to-face direction and supervision at  
the time the act, task, or function is performed and the licensee has direct contact with the  
individual upon whom the act, task, or function was performed.  
(3) A licensee shall not delegate a job, task, or function to a secondary-school student  
that requires the secondary-school student to engage in the practice of athletic training.  
(4) At any given time, the number of unlicensed individuals to whom a licensee may  
provide direct supervision shall must not exceed 8 individuals.  
13  
PART 5. DELEGATION AND ADOPTION BY REFERENCE OF  
PROFESSIONAL STANDARDS  
R 338.1378 Professional standards.  
Rule 78. (1) The board adopts by reference the BOC’s “Standards of Professional  
Practice” Implemented Juary 2018. The standards are available, free of charge on the  
agency’s website at:  
http://www.bocatc.org/system/document_versions/versions/154/original/boc-standards-  
of-professional-practice-2018-20180619.pdf?1529433022, or a copy may be obtained at  
a cost of 10 cents per page, from the Board of Athletic Trainers, Department of  
Licensing and Regulatory Affairs, Bureau of Professional Licensing, 611 W. Ottawa St.,  
P.O. Box 30670, Lansing, MI Michigan 48909.  
(2) A licensee shall comply with the standards adopted in subrule (1) of this rule.  
From:  
Shannon Fleming  
To:  
Marks, Dena (LARA)  
Subject:  
Date:  
RE: Open comment period Athletic Trainers General Rules  
Monday, November 16, 2020 10:05:28 AM  
Attachments:  
image001.png  
image002.png  
image003.png  
image004.png  
image005.png  
image006.png  
image007.png  
CAUTION: This is an External email. Please send suspicious emails to abuse@michigan.gov  
Hi Dena – Here is our where our SOPP docs live on our website:  
https://bocatc.org/public-protection/standards-discipline/standards-  
discipline/standards-of-professional-practice. The 2019 version is there as well as  
the 2021 version that will be effective in January. The 2018 version is no longer  
posted. Please let me know if that is an issue. Thank you.  
Shannon Fleming, MA, AT Ret.  
BOC I Director of Compliance and Regulatory Affairs  
1415 Harney Street, Ste 200 I Omaha, NE 68102 I Office: 402-556-3508  
BOCATC.org  
From: Marks, Dena (LARA) <MarksD1@michigan.gov>  
Sent: Monday, November 16, 2020 7:44 AM  
To: Shannon Fleming <shannonf@bocatc.org>  
Subject: RE: Open comment period Athletic Trainers General Rules  
Hi Shannon,  
I just wanted to clarify a comment on page 13 of the draft. The BOC Standards of Professional  
Practice document states that it was implemented January 2018. I don’t see where the 2019 date is  
indicated on the document. Is that date stated somewhere I’m missing?  
I wish we could reference the upcoming standards, but we can’t make prospective rules. ☹  
Thanks, again!  
Dena  
From: Shannon Fleming <shannonf@bocatc.org>  
Sent: Friday, November 13, 2020 5:53 PM  
To: Marks, Dena (LARA) <MarksD1@michigan.gov>  
Cc: Kelli Wilkins <KelliW@bocatc.org>  
Subject: RE: Open comment period Athletic Trainers General Rules  
CAUTION: This is an External email. Please send suspicious emails to abuse@michigan.gov  
Hi Dena – Thank you for the opportunity to provide comments to the proposed  
rules. We have inserted our comments into the document (attached). Please let us  
know if you have questions. Thank you.  
Shannon Fleming, MA, AT Ret.  
BOC I Director of Compliance and Regulatory Affairs  
1415 Harney Street, Ste 200 I Omaha, NE 68102 I Office: 402-556-3508  
BOCATC.org  
From: Marks, Dena (LARA) <MarksD1@michigan.gov>  
Sent: Monday, November 2, 2020 10:54 AM  
To: Marks, Dena (LARA) <MarksD1@michigan.gov>  
Subject: Open comment period Athletic Trainers General Rules  
Hello,  
The open comment period for the Athletic Trainers General Rules begins on November 4, 2020, and  
closes at 5 p.m. on November 23, 2020. The public hearing will be held virtually, and the link to  
attend the public hearing is contained in the public hearing notice. Comments may also be  
submitted directly to me during the open comment period.  
All documents pertaining to the rule set, including the notice of public hearing, may be accessed at  
this link: https://ars.apps.lara.state.mi.us/Transaction/RFRTransaction?TransactionID=144  
Sincerely,  
Dena Marks  
;