MHA Releases Executive Summary of Final LARA Rules for Osteopathic Medicine and Surgery

The MHA recently released an executive summary regarding administrative rules finalized by the Michigan Department of Licensing and Regulatory Affairs (LARA), updating licensing and practice standards for osteopathic medicine and surgery in Michigan. The rules, issued through the Bureau of Professional Licensing, took effect May 8, 2025.

These updates align licensing requirements with evolving accreditation standards and aim to modernize healthcare regulation, reduce barriers to practice and uphold patient safety.

Key changes addressed in the summary include:

  • Delegation of Certain Procedures: Removes the prohibition on delegating medications or devices intended to cause miscarriage or fetal death in a pregnant patient.
  • COMLEX-USA Exam Attempt Limits: Reduces the maximum number of exam attempts per level from six to four.
  • Removal of Seven-Year Completion Rule: Eliminates the requirement to complete all levels of the licensing exam within seven years of passing the first.
  • Continuing Education Waiver Clarification: Provides new guidance on when and how licensees may request continuing education waivers.
  • Implicit Bias Training Eligibility: Allows implicit bias training under Rule 338.7004 to count toward continuing education requirements.
  • Expanded CE Provider Options: Permits non-Accreditation Council for Continuing Medical Education (ACCME)-accredited programs to qualify if offered in partnership with an ACCME-accredited organization.

Members are encouraged to review the summary and share it with relevant clinical and credentialing staff. For questions, please contact Lenise Freeman at the MHA.