Archived: Wednesday, March 20, 2024 10:37:56 AM  
Sent: Tue, 27 Feb 2024 16:48:03  
Subject: FW: Chiropractic Rule Comments  
Importance: Normal  
Sensitivity: None  
From: Martha O'Connor <[email protected]>  
Sent: Tuesday, February 27, 2024 11:30 AM  
To: BPL-BoardSupport <BPL-BoardSupport@michigan.gov>  
Subject: Chiropractic Rule Comments  
CAUTION: This is an External email. Please send suspicious emails to [email protected]ov  
Dear Bureau of Professional Licensing:  
I have reviewed the proposed changes to the Chiropractic – General Rules and have the following comments related to  
satisfying continuing education requirements for both relicensure and renewal of a license.  
Under R 338.12036(1)(c)(ii), it says “Not more than 15 continuing education hours in distance learning programs.” This  
limitation on the use of distance learning programs for satisfying continuing education requirements is overly burdensome  
and unnecessary for relicensure applicants, requiring the expenditure of extra money, time, and travel, and is unlike the  
continuing education requirements for most other professions. The Department should strike this requirement and remove  
it from the rules. The removal of this requirement would accordingly move the content of R 338.12036(1)(c)(i), with proper  
editing, to R 338.12036(1)(c).  
Under R 338.12036(2)(d)(i)(C), it says “Not more than 15 continuing education hours in distance learning programs.” This  
limitation on the use of distance learning programs for satisfying continuing education requirements is overly burdensome  
and unnecessary for relicensure applicants, requiring the expenditure of extra money, time, and travel, and is unlike the  
continuing education requirements for most other professions. The Department should strike this requirement and remove  
it from the rules.  
Under R 338.12041(1)(b), it says “Not less than 15 hours of continuing education must be completed by attending a live, in-  
person program.” This live, in-person requirement for satisfying continuing education requirements is overly burdensome  
and unnecessary for license renewals, requiring the expenditure of extra money, time, and travel, and is unlike the  
continuing education requirements for most other professions. The Department should strike this requirement and remove  
it from the rules.  
Under R 338.12041(2)(a), it says, “Attendance at or participation in a continuing education program or activity related to the  
practice of chiropractic, or any non-clinical subject relevant to the practice of chiropractic education, administration,  
management, or science, which includes, but is not limited to, live in-person programs, interactive or monitored  
teleconferences, audio-conferences, web-based programs, online programs, and review of journal articles or other self-study  
programs approved or offered by the Michigan Association of Chiropractors (MAC) according to the following:”. This  
provision places the MAC at an unfair, competitive advantage over other providers of continuing education both inside and  
outside this state and is overly burdensome to licensees, especially licensees found outside this state. Approximately 75% of  
states throughout the country currently recognize Providers of Approved Continuing Education (PACE) of the Federation of  
Chiropractic Licensing Boards (FCLB) as ensuring quality chiropractic continuing education programs. For this reason, PACE  
should be included under R 338.12041(2)(a), and the Department should revise the provision to say the following:  
“Attendance at or participation in a continuing education program or activity related to the practice of chiropractic, or any  
non-clinical subject relevant to the practice of chiropractic education, administration, management, or science, which  
includes, but is not limited to, live in-person programs, interactive or monitored teleconferences, audio-conferences, web-  
based programs, online programs, and review of journal articles or other self-study programs approved or offered by the  
Michigan Association of Chiropractors (MAC) or Providers of Approved Continuing Education (PACE) according to the  
following:”  
I strongly encourage these changes to align the continuing education requirements with other health professions, update  
them to allow licensees to take advantage of available technology by allowing more distance education hours, and to give  
licensees a broader selection of quality continuing education programs.  
Sincerely,  
Martha O'Connor  
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