The Department of Licensing and Regulatory Affairs (LARA) recently finalized administrative rules that update licensing and practice standards for osteopathic medicine and surgery in Michigan, effective May 8, 2025.

The revised rules, issued through the Bureau of Professional Licensing, reflect changes to licensing exams, continuing education and scope of practice, aligning with evolving accreditation standards. Physicians and license applicants are encouraged to review the updates to ensure compliance.

Key changes include:

• Delegation of Certain Procedures: The updated rules remove the ban on delegating medications or devices intended to cause miscarriage or fetal death in a pregnant patient.
• COMLEX-USA Exam Attempt Limits: The maximum number of attempts per level on the licensing exam is now four, reduced from six.
• Removal of Seven-Year Completion Rule: Applicants are no longer required to complete all exam levels within seven years of passing the first.
• Continuing Education Waiver Clarification: New guidance is provided on when and how licensees may request waivers.
• Implicit Bias Training Eligibility: Implicit bias training under Rule 338.7004 may now count toward continuing education requirements.
• Expanded CE Provider Options: Non-ACCME-accredited education programs may qualify if partnered with an ACCME-accredited organization.

These revisions are part of Michigan’s efforts to modernize healthcare regulation, reduce barriers to practice and uphold public safety.

The MHA is preparing an executive summary of the rule changes to share with members in the coming weeks.

Members with questions may contact Lenise Freeman at the MHA.

Phone: (517) 323-3443
Fax: (517) 323-0946

Phone: (517) 703-8601
Fax: (517) 703-0628