DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
 
DIRECTOR'S OFFICE
 
SPEECH-LANGUAGE PATHOLOGY – GENERAL RULES
 
Filed with the secretary of state on
 
These rules become effective immediately after filing with the secretary of state unless adopted under section 33, 44, or 45a(9) 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, 17601, 17607, 17609, 17610, and 17611 of the public health code, 1978 PA 368, MCL 333.16145, 333.16148, 333.17601, 333.17607, 333.17609, 333.17610, and 333.17611, 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 338.601, R 338.603, R 338.604, R 338.605, R 338.611, R 338.613, R 338.615, R 338.617, R 338.619, R 338.621, R 338.623, R 338.627, R 338.629, R 338.641, and R 338.649 of the Michigan Administrative Code are amended, R 338.643 is added, and R 338.645 is rescinded, as follows:
 
 

PART 1.  GENERAL PROVISIONS

R 338.601  Definitions.

  Rule 1.  (1) As used in these rules:

   (a) "Board" means the Michigan board of speech-language pathology created under section 17605 of the code, MCL 333.17605. “ASHA” means the American Speech-Language-Hearing Association.

   (b) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211. "Board" means the Michigan board of speech-language pathology created in section 17605 of the code, MCL 333.17605.

   (c) "Department" means the department of licensing and regulatory affairs. “CCC-SLP” means Certificate of Clinical Competence in Speech-Language Pathology.

   (d) “CFCC” means the Council for Clinical Certification in Audiology and Speech-Language Pathology.

   (e) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.

   (f) “CPD” means continuous professional development.

   (g) "Department" means the department of licensing and regulatory affairs.

   (h) “NACES” means the National Association of Credential Evaluation Services.

  (2) A term defined in the code has the same meaning when used in these rules.

 
R 338.603  Application for speech-language pathology license; requirements.
  Rule 3.  (1) An applicant for a license as a speech-language pathologist licensure shall submit the required fee and a completed application on a form provided by the department.  In addition to satisfying satisfy the requirements of the code, code, and the administrative rules promulgated under the code, and an applicant shall satisfy all of the following requirements:
   (a) Have documentation provided directly to the department from an educational program verifying the applicant's possession of a master's or doctoral degree from an accredited educational program that satisfies the standards adopted by the board under R 338.619. Provide the required fee and a completed application on a form provided by the department.
   (b)  Have successfully completed a supervised postgraduate clinical experience in speech-language pathology that satisfies the requirements of R 338.615. Provide proof, as directed by the department, verifying completion of a master's or doctoral degree from an accredited educational program under R 338.619(1) and (2) or (3).
   (c) Have passed an examination approved by the board under R 338.605. Provide proof, as directed by the department, verifying completion of a supervised postgraduate clinical experience in speech-language pathology that satisfies the requirements of R 338.615.
 (d) Provide proof, as directed by the department, verifying a passing score on the examination under R 338.605.
  (2) If an An applicant who possesses provides proof, as directed by the department, verifying a current Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) CCC-SLP from the American Speech-Language-Hearing Association (ASHA), CFCC then the applicant presumably satisfies is presumed to satisfy the requirements of subrule (1)(a), (b), and (c) (1)(b), (c), and (d) of this rule. 
 

R 338.604  Training standards for identifying victims of human trafficking; requirements.

  Rule 4.  (1) Under section 16148 of the code, MCL 333.16148, an individual seeking licensure or who is licensed under article 15 of the code, MCL 333.16101 to 333.18838, shall complete have completed training in identifying victims of human trafficking that satisfies the following standards:

   (a) Training content must cover all of the following:

    (i) Understanding the types and venues of human trafficking in the United States.

    (ii) Identifying victims of human trafficking in health care healthcare settings.

    (iii) Identifying the warning signs of human trafficking in health care healthcare settings for adults and minors.

    (iv) Identifying Resources 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 satisfies the requirements of subdivision (a) of this subrule and is published in a peer review peer-reviewed journal, health care healthcare journal, or professional or scientific journal.

   (c) Acceptable modalities of training 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 an individuals and request documentation of proof of completion of training.   If audited by the department, the 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 including the date, provider name, name of training, and individual’s name.  

   (b) A self-certification statement by an the individual.  The self-certification statement must include the individual’s name and either 1 of the following:

    (i) For training completed under subrule (1)(b)(i) to (iii) of this rule, the date, training provider name, and name of training.

    (ii) For training completed under subrule (1)(b)(iv) of this rule, the title of the article, author, publication name of peer review the peer-reviewed journal, health care healthcare journal, or professional or scientific journal, and the date, volume, and issue of publication, as applicable.

(3) Under section 16148 of the code, MCL 333.16148, the requirements specified in subrule (1) of this rule apply for license renewals beginning with the 2016 renewal cycle and for initial licenses issued March 16, 2021.

 
R 338.605  Examination; adoption; passing score.
  Rule 5.  The board approves and adopts the Praxis Examination in Speech-Language Pathology that is administered by the Educational Testing Service (ETS) or its successor organization. organization is approved and adopted.  The board adopts the passing score recommended by ASHA for the Praxis Examination in Speech-Language Pathology. Pathology is approved and adopted.
 

R 338.611  Licensure by endorsement; speech-language pathologist.

  Rule 11.  (1) An applicant for a licensure by endorsement as a speech-language pathologist shall submit the required fee and a completed application on a form provided by the department.  In addition to satisfying satisfy the requirements of the code, code, and the administrative rules promulgated under the code, and an applicant who satisfies the requirements of this rule, as applicable, satisfies the requirements of section 16186 of the code, MCL 333.16186. all the following requirements:

   (a) Provide the required fee and a completed application on a form provided by the department.

   (b) Provide proof, as directed by the department, verifying a current and full speech-language pathologist license in another state or in a province of Canada.

   (c) Provide proof, as directed by the department, verifying completion of a master's or doctoral degree from an accredited educational program under R 338.619(1) and (2) or (3) or provide proof, as directed by the department, verifying completion of a master's or doctoral degree from an educational program that is substantially equivalent to an accredited educational program that satisfies the standards adopted under R 338.619(1) and (2) or (3) and provide an evaluation of the applicant's non-accredited education by a credential evaluation agency that is a member of NACES.

   (d) Provide proof, as directed by the department, verifying a passing score on either of the following examinations for a speech-language pathologist license in another state or in a province of Canada to obtain licensure as a speech-language pathologist in another state or in a province of Canada:

    (i) The examination under R 338.605.

    (ii) The Speech-Language and Audiology Canada’s Canadian Entry-to-Practice Exam for Speech-Language Pathology.

  (2) If an applicant was first registered or licensed in another state for 5 years or more immediately preceding the date of filing an application for a Michigan license, then the applicant shall satisfy both of the following requirements: An applicant who provides proof, as directed by the department, verifying a current CCC-SLP from the CFCC is presumed to satisfy the requirements of subrule (1)(c) and (d) of this rule.

(a)  Have documentation provided directly to the department from an educational program verifying the applicant's possession of a master's or doctoral degree from an accredited educational program that satisfies the standards adopted by the board under R 338.619 or from an educational program that satisfies the requirements of R 338.617(1)(a).

(b)  Have passed the Praxis Examination in Speech-Language Pathology with a score adopted by the board under R 338.605.

  (3) If an applicant was first registered or licensed in another state for less than 5 years immediately preceding the date of filing an application for a Michigan license, then the applicant shall satisfy both of the following requirements: An applicant who is or was licensed, registered, or certified in a health profession or specialty by another state, the United States military, the federal government, or another country shall disclose that fact on the application form.  The applicant shall satisfy the requirements of section 16174(2) of the code, MCL 333.16174, including verification from the issuing entity showing that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application.  If licensure is granted and it is determined that sanctions have been imposed, the disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of the code, MCL 333.16174.

(a)  Satisfy the requirements of subrule (2)(a) and (b) of this rule.

(b)  Have successfully completed a supervised postgraduate clinical experience in speech-language pathology that satisfies the requirements of R 338.615.

(4)  If an applicant possesses a current Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) from ASHA, then the applicant is presumed to satisfy the requirements of subrule (2) or (3) of this rule, as applicable.

(5)  In addition to satisfying the requirements of either subrule (2) or (3) of this rule, as applicable, an applicant's registration or license shall be verified, on a form provided by the department, by the licensing agency of any state in which the applicant holds a current registration or license or ever held a registration or license as a speech-language pathologist.  Verification must include providing all documentation of any disciplinary action taken or pending against the applicant.

R 338.613  Supervised postgraduate clinical experience; temporary license; license

requirements.

  Rule 13.  (1) The department may issue a temporary license under section 17609(4) of the code, MCL 333.17609, to an individual for the purpose of completing a supervised postgraduate clinical experience. 

  (2) An applicant for a temporary license as a speech-language pathologist who satisfies the educational requirements in R 338.603(1)(a) or R 338.617(1)(a) provides proof, as directed by the department, verifying completion of a master’s or doctoral degree in speech-language pathology but who still must shall complete the required supervised postgraduate clinical experience in speech-language pathology shall submit the required fee and a completed application for a temporary license on a form provided by the department.  In addition to satisfying satisfy the requirements of the code, code, and the administrative rules promulgated under the code, and an applicant for a temporary license shall satisfy both of the following requirements:

   (a) Have documentation provided directly to the department from an educational program verifying the applicant's possession of a master's or doctoral degree from an accredited educational program that satisfies the standards adopted by the board under R 338.619 or from an educational program that satisfies the requirements of R 338.617(1)(a). Provides the required fee and a completed application on a form provided by the department.

   (b) Submit a plan for the supervised postgraduate clinical experience on a form provided by the department that is signed by a speech-language pathologist who is licensed and has agreed to supervise the applicant's postgraduate experience. Provides proof, as directed by the department, verifying the completion of an accredited educational program in speech-language pathology under R 338.619(1) and (2) or (3) or from an educational program that satisfies the requirements under R 338.617(1)(b).

   (c) Provides a plan for the supervised postgraduate clinical experience on a form provided by the department and signed by a speech-language pathologist who is licensed and has agreed to supervise the applicant's postgraduate experience.

  (3) The supervised postgraduate clinical experience must satisfy both of the following requirements and may count toward the experience requirement:

   (a) The experience must satisfy the requirements of R 338.615.

   (b) Only The experience must be obtained by an individual who holds has a temporary license in a supervised postgraduate clinical situation approved under R 338.615. may count toward the experience requirement.

  (4) If an individual transfers to a different supervised postgraduate clinical situation, then he or she the applicant shall submit provide a an updated plan for the new supervised postgraduate clinical situation on a form provided by the department that is signed by a speech-language pathologist who is licensed and has agreed to supervise the individual's postgraduate experience. that complies with the requirements under subrule (2)(c) of this rule.

  (5) The department may issue a nonrenewable temporary license under this rule for a period not to exceed 12 months. On or after the effective date of 2024 PA 57, the following applies to the issuance of temporary licenses:

   (a) The department shall issue a temporary license under this rule for a period not to exceed 24 months.  A temporary license issued under this rule may be renewed for 1 additional 12-month term if the applicant continues to meet the requirements of this rule.

   (b) An individual who held a nonrenewable temporary license on the effective date of 2024 PA 57 may renew that license for 1 additional 12-month term if the applicant continues to meet the requirements of this rule.

   (c) An individual who was issued a nonrenewable temporary license on or after April 15, 2021, but whose license has lapsed may apply for relicensure for 1 additional 12-month term if the applicant continues to meet the requirements of this rule.

  (6) A 2-year educational limited license issued before the effective date of this revised rule April 15, 2021, may be renewed no more than 2 times, with the length of each renewal period equal to 2 years.

 
R 338.615  Supervised postgraduate clinical experience; requirements.
  Rule 15.  (1) The supervised postgraduate clinical experience required for licensure in R 338.603(1)(b)(c) and R 338.617(1)(b)(c) must consist of 1,260 hours and must satisfy the requirements of this rule.
  (2) At least Not less than 1,008 hours of the 1,260 hours must consist of direct clinical contact engaged in activities consistent with section 17601(1)(a) of the code, MCL 333.17601.
  (3) A supervised postgraduate clinical experience must be completed under the supervision of a licensed speech language pathologist who holds has a full and unlimited license and has no past or pending disciplinary actions. 
  (4) The supervisor and supervisee in a postgraduate clinical experience shall develop agreed upon outcomes and performance levels for the supervisee and maintain keep documentation indicating showing whether the outcomes and performance levels were met by the supervisee.
  (5) The supervisor of a supervised postgraduate clinical experience shall engage in a sufficient number of supervisory activities to prepare the supervisee to begin independent practice as a speech language pathologist.  Supervisory activities must include both of the following requirements:
   (a) On-site observations of the supervisee engaged in screening, evaluation, assessment, and habilitation or rehabilitation activities.  Real time, interactive video and audio conferencing audio-conferencing technology may be used to perform on-site observations.
   (b) Evaluation of reports written by the supervisee, conferences between the supervisor and supervisee, and discussions with the supervisee's professional colleagues.  Correspondence, telephone calls, or review of audio or videotapes may be used to perform this type of supervisory activity.
  (6) A supervised postgraduate clinical experience may be fulfilled on a full or part-time basis.
  (7) A postgraduate clinical experience approved by that satisfies the requirements of ASHA qualifies as a an approved postgraduate clinical experience. approved by the board.
 

R 338.617  Graduate of non-accredited postsecondary institution; speech-language

  pathologist; licensure.

  Rule 17.  (1) An applicant for a speech-language pathology licensure who graduated from a non-accredited postsecondary institution shall submit the required fee and a completed application on a form provided by the department.  In addition to satisfying satisfy the requirements of the code, code, and the administrative rules promulgated under the code, and an applicant shall satisfy all of the following requirements:

   (a) Have documentation provided directly to the department from an educational program verifying the applicant's possession of a master's or doctoral degree from an educational program that is substantially equivalent to an accredited educational program that satisfies the standards adopted by the board under R 338.619.  Proof of having completed a substantially equivalent educational program includes an evaluation of the applicant's non-accredited education by a credential evaluation agency that is a member of the National Association of Credential Evaluation Services (NACES). Provide the required fee and a completed application on a form provided by the department.

   (b) Have successfully completed a supervised postgraduate clinical experience in speech-language pathology that satisfies the requirements of R 338.615. Provide proof, as directed by the department, verifying completion of a master's or doctoral degree from an educational program that is substantially equivalent to an accredited educational program that satisfies the standards adopted under R 338.619(1) and (2) or (3) and provide an evaluation of the applicant's non-accredited education by a credential evaluation agency that is a member of NACES.

   (c) Have passed the Praxis Examination in Speech-Language Pathology with a score approved by the board under R 338.605. Provide proof, as directed by the department, verifying completion of a supervised postgraduate clinical experience in speech-language pathology that satisfies the requirements of R 338.615.

   (d) Provide proof, as directed by the department, verifying a passing score on the examination under R 338.605.

  (2) If an An applicant who possesses provides proof, as directed by the department, verifying a current Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) CCC-SLP from ASHA, the CFCC then the applicant presumably satisfies is presumed to satisfy the requirements of subrule (1)(a), (b), and (c) (1)(b), (c), and (d) of this rule.

R 338.619  Educational standards; adoption by reference.

  Rule 19.  (1) The board approves and adopts by reference in these rules the standards for accrediting speech-language pathology educational programs developed and adopted by of the Council on Academic Accreditation in Audiology and Speech-Language Pathology (CAA), American Speech-Language-Hearing Association, 2200 Research Boulevard, #310, Rockville, Maryland 20850, for the accreditation of speech-language pathology education programs in the publication entitled titled "Standards for Accreditation of Graduate Education Programs in Audiology and Speech-Language Pathology," which were effective August 1, 2017. January 2023, Copies of the standards which are available from the American Speech-Language-Hearing Association, 2200 Research Boulevard, #310, Rockville, Maryland 20850 at no cost from on the association's council’s website at https://caa.asha.org/wp-content/uploads/Accreditation-Standards-for-Graduate-Programs.pdf. https://caa.asha.org are approved and adopted by reference.  A speech-language pathology educational program accredited by the CAA is approved.  A copy of the standards also is available for inspection and distribution at a cost of 10 cents per page from the Board of Speech-Language Pathology, Bureau of Professional Licensing, Michigan Department of Licensing and Regulatory Affairs, 611 West Ottawa, Lansing, Michigan 48909.

  (2) Any educational program for speech-language pathologists that is accredited by the CAA qualifies as a speech-language pathology educational program approved by the board. The standards for recognition of accrediting organizations developed and adopted by the Council for Higher Education Accreditation (CHEA), One Dupont Circle NW, Suite 510, Washington DC 20036, in the publication titled “CHEA Standards and Procedures for Recognition,” effective October 4, 2021, which are available at no cost on the council’s website at https://www.chea.org are approved and adopted by reference.  If a higher education institution is accredited by the accrediting body of the region where the institution is located and the accrediting body satisfies the recognition standards of CHEA, the institution is approved.

  (3) A higher education institution is considered approved by the board if it is accredited by the accrediting body of the region in which the institution is located and the accrediting body satisfies either the recognition standards and criteria of the Council for Higher Education Accreditation (CHEA) or the recognition procedures and criteria of the United States Department of Education.  The board adopts by reference 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, and the policies and procedures for recognition of accrediting organizations of CHEA, effective June 28, 2010.  Copies of the standards and criteria of CHEA and the United States Department of Education are available for inspection and distribution at a cost of 10 cents per page from the Michigan Board of Speech-Language Pathology, Bureau of Professional Licensing, Department of Licensing and Regulatory Affairs, 611 West Ottawa, P.O. Box 30670, Lansing, Michigan 48909.  The CHEA recognition standards may also be obtained at no cost from the council's website at http://www.chea.org.  The federal recognition criteria may also be obtained at no cost from the website for the United States Department of Education, Office of Postsecondary Education at: http://www.ed.gov/about/offices/list/OPE/index.html. The criteria for recognition and the recognition process for the secretary’s recognition of accrediting agencies of the United States Department of Education, Office of Postsecondary Education, 400 Maryland Avenue, S.W., Washington, DC 20202, in 34 CFR 602.10 to 602.39, effective July 1, 2020, which are available at no cost on the department’s website at https://www2.ed.gov/about/offices/list/ope/index.html, are approved and adopted by reference.  If a higher education institution is accredited by the accrediting body of the region where the institution is located and the accrediting body satisfies the recognition criteria and process of the United States Department of Education, the institution is approved.

(4) Copies of the standards in this rule are available for inspection and distribution at a cost of 25 cents per page from the Board of Speech-Language Pathology, Bureau of Professional Licensing, Department of Licensing and Regulatory Affairs, 611 West Ottawa Street, Lansing, Michigan 48909.

R 338.621  Relicensure.

  Rule 21.  (1)  An applicant whose license has lapsed for less than 3 years preceding the date of application for relicensure may be relicensed within 3 years after the expiration date of the license under section 16201(3) of the code, MCL 333.16201, if the applicant satisfies the requirements of the code and the rules promulgated under the code, and all of the following requirements:

   (a) Submits Provides the required fee and a completed application on a form provided by the department.

   (b) Establishes that he or she is of good moral character as defined in, and determined under, 1974 PA 381, MCL 338.41 to 338.47.

   (c) Submits Provides proof, as directed by the department, verifying to the department of acquiring completion of not less than 20 continuous professional development (CPD) CPD credits hours that satisfy the requirements of R 338.629 during the 2 years immediately preceding the date of relicensure.

  (2) An applicant whose license has lapsed for 3 years or more preceding the date of application for relicensure may be relicensed more than 3 years after the expiration date of the license under section 16201(4) of the code, MCL 333.16201, if the applicant satisfies the requirements of the code and the rules promulgated under the code, and all of the following requirements:

   (a) Submits Provides the required fee and a completed application on a form provided by the department.

   (b) Establishes that he or she is of good moral character as that term is defined in, and determined under, 1974 PA 381, MCL 338.41 to 338.47.

   (c) Submits Provides fingerprints as required under section 16174(3) of the code, MCL 333.16174.

   (d) Submits Provides proof, as directed by the department, verifying to the department of acquiring completion of not less than 20 CPD credits hours that satisfy the requirements of R 338.629 during the 2 years immediately preceding the date of relicensure.

   (e) Provides proof, as directed by the department, verifying Satisfies 1 of the following requirements:

     (i) Re-takes and passes the Praxis Examination in Speech-Language Pathology with a score approved by the board examination under R 338.605 in the 2 years immediately preceding the application for relicensure.

     (ii) Possesses Has a current Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) CCC-SLP from ASHA. the CFCC.

     (iii) Presents proof to the department that he or she was registered or licensed Has a license as a speech language pathologist in another state or province of Canada during the 3-year period immediately preceding the application for relicensure.

  (3) In addition to satisfying the requirements of subrule (1) or (2) of this rule, an applicant's registration or license must be verified, on a form provided by the department, by the licensing agency of any state in which the applicant holds a current registration or license or ever held a registration or license as a speech language pathologist.  Verification must include providing all documentation of any disciplinary action taken or pending against the applicant. An applicant who is or was licensed, registered, or certified in a health profession or specialty by another state, the United States military, the federal government, or another country shall disclose that fact on the application form.  The applicant shall satisfy the requirements of section 16174(2) of the code, MCL 333.16174, including verification from the issuing entity showing that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application.  If licensure is granted and it is determined that sanctions have been imposed, the disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of the code, MCL 333.16174.

R 338.623  Relicensure; certified teachers; limited license.

  Rule 23.  (1) An A limited license applicant whose limited license has lapsed for less than 3 years preceding the date of application for relicensure may be relicensed within 3 years after the expiration date of the license under section 16201(3) of the code, MCL 333.16201, if the applicant satisfies the requirements of the code and the rules promulgated under the code, and all of the following requirements:

   (a) Submits Provides the required fee and a completed application on a form provided by the department.

   (b) Establishes that he or she is of good moral character as that term is defined in, and determined under, 1974 PA 381, MCL 338.41 to 338.47.

   (c) Establishes that the licensee is a certified teacher whose teaching certificate was endorsed on January 12, 2009, as provided under section 17609(2) of the code, MCL 333.17609, in the area of speech and language impairment for the sole purpose of providing services as a part of employment or contract with a school district, intermediate school district, nonpublic school, or state department that provides educational services.

   (d) Submits Provides proof, as directed by the department, verifying to the department of acquiring completion of not less than 20 CPD credits hours that satisfy the requirements of R 338.629 during the 2 years immediately preceding the date of relicensure.

  (2) In addition to satisfying the requirements of subrule (1) of this rule, an applicant's registration or license must be verified, on a form provided by the department, by the licensing agency of any state in which the applicant holds a current registration or license or ever held a registration or license as a speech language pathologist.  Verification must include providing all documentation of any disciplinary action taken or pending against the applicant. An applicant who is or was licensed, registered, or certified in a health profession or specialty by another state, the United States military, the federal government, or another country shall disclose that fact on the application form.  The applicant shall satisfy the requirements of section 16174(2) of the code, MCL 333.16174, including verification from the issuing entity showing that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application.  If licensure is granted and it is determined that sanctions have been imposed, the disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of the code, MCL 333.16174.

  (3) An applicant whose limited license has lapsed for 3 years or more is not eligible for relicensure but may apply for a full and unlimited license under R 338.603.

R 338.627  License renewal; requirements; applicability.

  Rule 27.  (1) This rule applies to applications for renewal of a speech-language pathologist license or a limited speech-language pathologist license under section 17609(1), (2) and (3) of the code, MCL 333.17609, that are filed for renewal cycles after March 16, 2017. An applicant for renewal shall satisfy the requirements of the code and the rules promulgated under the code.

  (2) An applicant for license renewal who has been was licensed for the 2-year period immediately preceding the expiration date of the license shall accumulate not less than 20 CPD credits hours in activities approved by the board in under R 338.629 during the 2 years preceding the end of the license cycle.

  (3) Submission of an application for renewal constitutes the applicant’s certification of compliance with the requirements of this rule.  A licensee shall retain maintain documentation of satisfying the requirements of this rule for a period of 4 years after from the date of applying for license renewal.  Failure to satisfy this rule is a violation of section 16221(h) of the code, MCL 333.16221.

  (4) The department may select and audit a sample of a licensees who have renewed their license and request proof of compliance with subrule (2) of this rule.  If audited, a licensee shall submit provide documentation as specified in R 338.629.

  (5) If the renewing licensee is a certified teacher whose teaching certificate was endorsed on January 12, 2009, as provided under section 17609(2) of the code, MCL 333.17609, in the area of speech and language impairment for the sole purpose of providing services as a part of employment or contract with a school district, intermediate school district, nonpublic school, or state department that provides educational services, a Verification of Employment in an Educational Setting form shall be submitted to the department. An applicant shall submit a request for a waiver of CPD requirements to the department for the board’s consideration not less than 30 days before the last regularly scheduled board meeting before the expiration date of the license.

  (6) If the renewing licensee is a certified teacher whose teaching certificate was endorsed on January 12, 2009, as provided under section 17609(2) of the code, MCL 333.17609, in speech and language impairment for the sole purpose of providing services as a part of employment or contract with a school district, intermediate school district, nonpublic school, or state department that provides educational services, a Verification of Employment in an Educational Setting form must be provided to the department.

R 338.629  Acceptable continuous professional development activities; requirements,

  limitations.

  Rule 29.  (1) The 20 CPD credits hours required under R 338.627(2) for the renewal of a license must satisfy the following requirements as applicable:

   (a) No more than 12 CPD credits hours may be earned for approved CPD programs or activities during one 24-hour period.

   (b) A licensee cannot earn CPD credit hours for a CPD program or activity that is substantially identical equivalent to a program or activity the licensee has already earned credit CPD hours for during that renewal period.

   (c) Under section 16204(2) of the code, MCL 333.16204, a licensee shall earn at least 1 CPD credit hour in the area of pain and symptom management by completing a CPD program or activity.  Credits CPD hours in pain and symptom management may include, but are not limited to, courses or activities relevant to the practice of speech-language pathology and relating to the public health burden of pain; ethics and health policy relating to pain; pain definitions; basic sciences including pharmacology, psychology, and sociology; clinical sciences relating to pain; clinician-patient communications as relating to pain; management of pain including evaluation and treatment; ensuring quality pain care; and programs and resources relevant to pain.

(d) Completion of implicit bias training under R 338.7004 during the 2 years immediately preceding the expiration date of the license may be used toward satisfaction of the requirements of R 338.627(2) and subrule (1) of this rule.

  (2) Credit may be earned for any of the following The following are acceptable CPD activities:

Activity Code	Activity and Proof of Completion Required	Number of Approved CPD Hours Granted and Allowed for the Activity Credits
(a)	Completing an approved CPD program or activity related to the practice of speech-language pathology or any non-clinical subject relevant to the practice of speech-language pathology.  A CPD program or activity is approved, regardless of the format in which it is offered, if it is approved, sponsored, or accepted for CPD credit hours by any of the following organizations: - American Speech-Language-Hearing Association (ASHA). ASHA - Michigan board of audiology. - Michigan board of medicine. - Michigan board of osteopathic medicine and surgery. - A speech-language pathology board of any state. If audited, a licensee shall submit provide a copy of a letter or certificate of completion showing the licensee’s name, number of credits CPD hours earned, sponsor name or the name of the organization that approved the program or activity for CPD credit, hours, and the date or dates on which the program or activity was completed.	The number of CPD credits hours approved by the sponsor or the approving organization is the number of credits CPD hours approved for each CPD program or activity. A minimum of 6 CPD credits hours must be earned for this activity in each renewal period. A maximum of 15 CPD credits hours may be earned for this activity in each renewal period.
(b)	Reading an article related to the practice of speech-language pathology in a professional or scientific journal.  This activity does not include articles offered as a CPD activity by ASHA. If audited, the a licensee shall submit provide a signed document that lists the journals read, including the title of the article, journal name, volume number, and author.	1 CPD credit hour is granted for each article read.  A maximum of 5 CPD credits hours may be earned for this activity in each renewal period.
(c)	Presenting a CPD program related to the practice of speech-language pathology. To receive credit, CPD hours, the presentation must be approved, sponsored, or accepted for CPD credit hours by any of the following organizations: - ASHA. - Michigan board of audiology. - Michigan board of medicine. - Michigan board of osteopathic medicine and surgery. - A speech-language pathology board of any state. If audited, a licensee shall submit provide a letter from the program sponsor confirming the licensee as the presenter and the presentation date and time, or a copy of the presentation notice or advertisement showing the date of presentation, the licensee’s name listed as the presenter, and the name of the organization that approved or offered the presentation for CPD credit. hours.	2 CPD credits hours are granted for each 50 to 60 minutes of presentation.  A presentation must not be less than 50 minutes in length.  No additional credit is CPD hours are granted for preparation.  Under subrule (1)(b) of this rule, credit CPD hours for a presentation is are granted only once per a renewal period.  A maximum of 10 credits CPD hours may be earned for this type of activity in each renewal period.
(d)	Initial presentation of a scientific exhibit or paper accepted for presentation through a peer review peer-review process at a state, regional, national, or international speech-language pathology conference, or its components, or a related professional organization. If audited, a licensee shall submit provide a copy of the document presented with proof of presentation or a letter from the program sponsor verifying the exhibit or paper was accepted for presentation through a peer review peer-review process and the date of presentation.	2 CPD credits hours are granted for each presentation.  No additional credit CPD hours for preparation is are granted.  Under subrule (1)(b) of this rule, credit CPD hours for a presentation is are granted only once per a renewal period.  A maximum of 10 credits CPD hours may be earned for this type of activity in each renewal period.
(e)	Writing Authoring an article related to the practice, education, or research of speech-language pathology that is published in any of the following journals: - An association journal. - A peer-reviewed journal. - A health care healthcare journal. - A professional or scientific journal. If audited, a licensee shall submit provide a copy of the publication that identifies shows the licensee as the author of the article or a publication acceptance letter.	3 CPD credits hours are granted for each article.  Under subrule (1)(b) of this rule, credit CPD hours for an article is are granted once per renewal period. A maximum of 9 credits CPD hours may be earned for this type of activity in each renewal period.
(f)	Writing a chapter related to the practice, education, or research of speech-language pathology that is published in a text book. textbook. If audited, the a licensee shall submit provide a copy of the publication that identifies shows the licensee as the author of the chapter or a publication acceptance letter.	3 CPD credits hours for each chapter are granted.  Under subrule (1)(b) of this rule, credit CPD hours for a chapter is are granted only once in a renewal period. A maximum of 9 credits CPD hours may be earned for this type of activity in each renewal period.
(g)	Serving as an instructor of students, staff, or other licensees at a clinical program related to the practice of speech-language pathology provided through or recognized by an accredited speech language pathology educational program that satisfies the standards set in R 338.619. R 338.619(1). If audited, the a licensee shall submit provide a letter from the program director verifying the licensee’s role, the number of instructional sessions on specific subjects provided by the licensee, and the length of the instructional sessions.  Also, the letter must verify that the clinical training program was provided, offered, or accredited by an educational program or organization that satisfies the requirements of this rule.	2 CPD credits hours are granted for each 50 to 60 minutes instructional session on a specific subject. No additional credit CPD hours is are granted for preparation. A maximum of 10 CPD credits hours may be earned for this type of activity in each renewal period.
(h)	Serving as a clinical supervisor for students completing an internship, residency, or fellowship program that is recognized or approved by R 338.615. If audited, a licensee shall submit provide a letter from the educational program or clinical agency director verifying the licensee’s role, the number of CPD hours of instruction or supervision provided by the licensee, and that the internship, residency, or fellowship program is recognized or approved by an educational program or organization that satisfies the requirements of this rule.	1 CPD credit hour is granted for 1 hour of clinical instruction or supervision. A maximum of 5 CPD credits hours may be earned for this type of activity in each renewal period.
(i)	Providing supervision as part of a disciplinary sanction. If audited, the a licensee shall submit provide an affidavit from the disciplinary limited licensee who received the supervision.  The affidavit must attest to the licensee’s role as supervisor and the number of CPD hours the licensee spent providing supervision to the disciplinary limited speech-language pathologist.	1 CPD credit hour is granted for 1 hour of supervision provided. A maximum of 5 CPD credits hours may be earned for this type of activity in each renewal period.
(j)	Participating on an international, national, regional, state, state component, or local task force, committee, board, council, or association related to the field of speech-language pathology.  A task force, committee board, council, or association is considered acceptable if it enhances the participant’s knowledge and understanding of the field of speech-language pathology. If audited, a licensee shall submit provide documentation verifying the licensee’s participation in at least not less than 50% of the regularly scheduled meetings of the task force, committee, board, council, or association.	5 CPD credits hours are granted for participation on each task force, committee, board, council, or association. A maximum of 5 CPD credits hours may be earned for this type of activity in each renewal period.
(k)	Participation in the development of a national examination for speech-language pathologists. If audited, the a licensee shall submit provide documentation from the sponsor of the examination verifying the licensee’s role and participation in the development of the examination.	5 CPD credits hours are granted for participation. A maximum of 5 CPD credits hours may be earned for this type of activity in each renewal period.
(l)	Participating in an in-service program relating to the practice of speech-language pathology provided or sponsored by a Michigan school system in this state. If audited, the a licensee shall submit provide documentation from the in-service provider verifying the date and number of CPD hours for the in-service program, the program’s relationship to speech-language pathology, and the licensee’s participation.	1 CPD credit hour is granted for each hour of in-service completed. A maximum of 5 CPD credits hours may be earned for this type of activity in each renewal period.

R 338.641  Continuous Professional Development providers; standards for approval.

  Rule 41.  (1) A CPD provider that is not pre-approved under R 338.629 may be approved by the board.  To be approved by the board, the provider shall complete an application provided by the department, file the application with the department for review no later than 120 days before the program date, and satisfy subrules (2) and (3) of this rule.  The application and supporting documentation must include all of the following information:

   (a) A program schedule, including date of program, topics, name of speaker, and break times.

   (b) An explanation of how the program is being designed to further educate speech-language pathologists, including a short narrative describing the program content and the criteria for the selection of this topic.

   (c) Copies of instructional objectives goals that have been developed.

   (d) Copies of all promotional and advertising materials for the program.

   (e) The name, title, and address of the program director and a description of his or her the program director’s qualifications to direct the program.

   (f) A description of how the amount of CPD credit hours to be awarded for this program was determined. decided.

   (g) A description of how participants will be are notified that CPD credit hours has have been earned.

   (h) A copy of the curriculum vitae for each instructional staff member.

   (i) A description of the delivery method or methods to be used and the techniques that will be employed to assure ensure active participation.

   (j) A copy of the post-test instrument that will be is used for participant evaluation.

   (k) A description of how post tests will be are administered, corrected, and returned to participants.

   (l) A description of how post-test performance will influences the awarding of CPD credit. hours.

   (m) A description of how attendance is monitored, checked, including sample documents, and the name of the person individual monitoring attendance.

  (2) The CPD program approved under subrule (1) of this rule must satisfy all of the following requirements:

   (a) The program must be an organized program of learning that that will contributes to the advancement and enhancement of professional competency and scientific knowledge in the practice of speech-language pathology and be is designed to reflect the educational needs of speech-language pathologists.

   (b) The program must have a scientific and educational integrity and contain generally accepted speech-language pathology practices.

   (c) A course must have an outline that demonstrates shows consistency with the course description and reflects the course content.

   (d) A course must be taught in a manner appropriate to the educational content, objectives, goals, and purpose of the program and must allow suitable time to be effectively presented to the audience.

   (e) Instructors must shall have the necessary qualifications, training, or and experience, or all 3, to teach the course.

   (f) The activity must provide for support active participation and involvement from the participants.

   (g) The activity must offer educational materials for each CPD activity that will enhances the participant’s understanding of the content and fosters applications to speech-language pathology practice.

   (h) The activity must include learning assessments in each activity that allow speech-language pathologists to assess their achievement of the learned content.  Completion of a learning assessment is required for CPD content.

  (3) The program provider or sponsor approved under subrule (1) of this rule shall issue certificates or letters of attendance that include all of the following information:

   (a) The name of the sponsor.

   (b) The name of the program.

   (c) The name of the attendee.

   (d) The date of the program.

   (e) The Michigan approval number.

   (f) The signature of the person individual responsible for checking attendance attendance monitoring and his or her that individual’s title.

   (g) The number and type of CPD hours attended.

R 338.643  Telehealth.

  Rule 43.  (1) A licensee shall obtain consent for treatment before providing a telehealth service under section 16284 of the code, MCL 333.16284.

  (2) A licensee shall keep proof of consent for telehealth treatment in the patient’s up-to-date medical record and satisfy section 16213 of the code, MCL 333.16213.

  (3) A licensee providing any telehealth service shall do both of the following:

   (a) Act within the scope of the licensee’s practice.

   (b) Exercise the same standard of care applicable to a traditional, in-person healthcare service.

R 338.645  Patient records and collaboration. Rescinded.

Rule 45.  A speech-language pathologist shall maintain patient records under section 16213 of the code, MCL 333.16213.  The records must be made available to other health professionals involved in the care of the patient in accordance with the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (HIPAA).

R 338.649  Physically invasive procedures; supervision required.

  Rule 49.  (1) Physically invasive procedures beyond the oropharynx include the following:

   (a) Esophageal manometry.

   (b) Fiberoptic Flexible endoscopic examination of swallowing (fees).

   (c) Fiberoptic laryngovideostroboscopy. Laryngovideostroboscopy.

   (d) Tracheoesophageal prosthesis replacement.

  (2) Under section 17610(3) of the code, MCL 333.17610, a speech-language pathologist shall only perform the procedures set forth in subrule (1) of this rule under the supervision of a physician licensed to practice medicine or osteopathic medicine and surgery in the this state of Michigan.  Supervision is defined in section 16109(2) of the code, MCL 333.16109.

  (3) A speech-language pathologist shall only perform the procedures listed in subrule (1) of this rule in a setting where a physician licensed in the practice of medicine or osteopathic medicine is physically available to ensure for patient safety.

  (4) A speech-language pathologist performing physically invasive procedures under the supervision of a physician shall be familiar with risks associated with physically invasive procedures, including, but not limited to, epistaxis, mucosal injury, gagging, allergic reaction to topical anesthetic, laryngospasm, and vasovagal response, and the need for medical intervention.