Michigan Administrative Code

R 408.22161 Appendix B. Rule 1161. Appendix B, Designated Industries for R 408.22141 'Basic Requirement,' Mandatory, reads as follows: APPENDIX B DESIGNATED INDUSTRIES FOR R 408.22141 'BASIC REQUIREMENT' MANDATORY Annual Electronic Submission of MIOSHA/OSHA Form 300A “Summary of …

R 408.22162 Appendix C. Rule 1162. Appendix C, Designated Industries for R 408.22141a “Implementation,” Mandatory, reads as follows: APPENDIX C DESIGNATED INDUSTRIES FOR R 408.22141a “IMPLEMENTATION” MANDATORY Annual Electronic Submission of Information from MIOSHA Form 300 Log o…

R 325.22162 Medical first response services; operating requirements. Rule 162. In addition to requirements prescribed in the code and these rules, a medical first response service shall do all of the following: (a) Establish and maintain a written procedure that explains the step…

R 325.22163 Medical first response service; licensure requirements. Rule 163. A medical first response service shall comply with section 20941 of the code and do all of the following: (a) Provide, at a minimum, 1 staffed vehicle available for response to requests for emergency as…

R 339.22163 Waiver of continuing education. Rule 163. A request for a waiver of continuing education under section 204(2) of the code, MCL 339.204, must be received by the department 30 days before the last board meeting before the expiration date of the license. History: 2025 MR…

R 325.22164 Medical first response service; issuance of license. Rule 164. Receipt of the completed application by the department serves as attestation by the service that the service and vehicles being licensed are in compliance with the minimum standards required by the departm…

R 325.22165 Medical first response service; law enforcement; fire suppression agency. Rule 165. (1) A medical first response service means a person licensed by the department to respond under medical control to an emergency scene with a medical first responder and equipment requi…

R 339.22165 Eligible continuing education program. Rule 165. (1) As used in this rule, “eligible continuing education course” means a course that is reviewed and certified by a statewide real estate association that has a membership representing more than 18,000 licensees. (2) An…

R 325.22166 Medical first response service and vehicles; relicensure. Rule 166. (1) A medical first response service shall complete an application for relicensure and shall return the completed application to the department before the date of license expiration. Failure to receiv…

R 325.22171 Ambulance operation upgrade license; application process. Rule 171. An ambulance operation described in sections 20920 (7) to (12) of the code that applies for an ambulance operation upgrade license shall do all of the following: (a) Have been a licensed ambulance ope…

R 325.22172 Ambulance operation upgrade license; limited advanced life support; advanced life support; security, control, and exchange of pharmaceuticals. Rule 172. An ambulance operation upgrade licensed at the limited advanced or advanced life support level shall do all of the …

R 325.22173 Ambulance operation upgrade license; review process and licensure. Rule 173. An application submitted under R 325.22171 shall be reviewed by the emergency medical services coordination committee. The emergency medical services coordination committee shall make a recom…

R 325.22174 Ambulance operation upgrade license; renewal process. Rule 174. An ambulance operation upgrade license is renewable for 1 additional 2-year period provided the following requirements are met: (a) The medical control authority has complied with R 325.22173(4). (b) The …

R 325.22175 Ambulance operation upgrade license; revocation or denial of renewal. Rule 175. The department may revoke or fail to renew an ambulance operation upgrade license for a violation of the code or rules or for failure to comply with the plan of action filed with the depar…

R 325.22176 Ambulance operation upgrade license; nonrenewal. Rule 176. An ambulance operation upgrade license that is not renewed or failure of the operation to achieve the higher level after the second 2-year period shall not provide life support at the higher level effective th…

R 325.22181 Ground ambulance; requirements. Rule 181. (1) An ambulance operation shall maintain the manufacturer's certificate of compliance on file at the time of application to the department for licensure of each ground ambulance. The certificate of compliance must be executed…

R 325.22182 Non-qualifying vehicles for licensure. Rule 182. (1) A ground ambulance that was originally manufactured before January 1, 1982, may not qualify for licensure by the department and must not be sold or donated in this state for use as a ground ambulance. This subrule d…

R 325.22183 Life support vehicle sanitation. Rule 183. A life support agency shall require that equipment, linen, and supplies be cleaned or exchanged following each patient care use. History: 2004 AACS; 2023 MR 10, Eff. May 26, 2023.

R 325.22184 Life support vehicles; displaying of name. Rule 184. (1) A life support agency name shall be prominently displayed on the left and right side of all licensed life support vehicles. (2) If the life support agency is operated by or advertised with a name different than …

R 325.22185 Life support vehicles; equipment requirements. Rule 185. (1) A ground ambulance, rotary ambulance, and aircraft transport vehicle shall be equipped with equipment and patient care supplies as prescribed by the department including temperature control in the patient co…

R 325.22186 Life support vehicles; patient care and safety equipment; review. Rule 186. The department shall, with the advice of the emergency medical services coordination committee, annually review and modify, as necessary, the minimum equipment standards for life support vehic…

R 325.22187 Rotary ambulance; requirements. Rule 187. A rotary ambulance must meet all the following standards: (a) Be capable of on-scene response and transportation of emergency patients. (b) Be staffed in accordance with section 20921(3), (4), and (5) of the code, MCL 333.2092…

R 325.22188 Rotary ambulance sanitation. Rule 188. A rotary ambulance operation shall require that any equipment, linen, and supplies be cleaned or exchanged following each patient care use. History: 2004 AACS.

R 325.22189 Aircraft transport vehicle; requirements. Rule 189. An aircraft transport vehicle must comply with all the following: (a) Be authorized as part of a licensed aircraft transport operation. Page 36 Courtesy of Michigan Administrative Rules (b) Be capable of carrying a m…

R 325.22190 Life support vehicles; licensure and relicensure inspections; new and replacement vehicles; licensure at higher level of care. Rule 190. Life support vehicles must be inspected as follows: (a) The department may conduct random renewal inspections of life support vehic…

R 325.22191 Life support vehicles inspected; non-compliance; corrective measures. Rule 191. If the department determines that a life support vehicle does not comply with the requirements of the code and these rules, then the following applies: (a) If an agency has a vehicle deter…

R 325.22192 Communications requirements; life support agencies. Rule 192. A life support agency providing emergency medical services shall use applicable communication systems consistent with its level of licensure in compliance with the code, these rules, and the medcom requirem…

R 325.22194 Illegal interception of radio communications. Rule 194. A person that receives any radio communication not intended for the general public may not use the contents of the communication for initiating an emergency medical service response as described in section 20963(…

R 325.22195 Communications system application process; life support agencies; medical control authorities. Rule 195. (1) A life support agency shall comply with the ambulance-to- hospital radio communications system consistent with the medcom requirements in the medical control a…

R 339.22199 Rescission. Rule 199. R 338.2601 to R 338.2619, R 338.2701, R 338.2703, and R 338.2721 to R 338.2786 of the Michigan Administrative Code, appearing on pages 2569 to 2585 of the 1979 Michigan Administrative Code, are rescinded. History: 1991 AACS. R 339.22201 Rescinded…

R 325.22201 Medical control authorities; designation. Rule 201. (1) The department shall designate a medical control authority to provide medical control for emergency medical services for a particular geographic area. The medical control authority shall operate in accordance wit…

R 408.22201 Purpose and scope. Rule 1201. (1) This part pertains to the practice and procedure for administrative proceedings to grant variances under section 27(1), (2), and (4) of the Michigan occupational safety and health act. (2) These rules shall be construed and applied to…

R 325.22202 Medical control authorities; authority board; advisory body; medical director; responsibilities; approval. Rule 202. (1) A medical control authority shall be approved by the department, and do all the following: (a) Develop bylaws that define the medical control autho…

R 325.22203 Medical control authority; denial, revocation, or suspension of designation. Rule 203. (1) The department may deny, revoke, limit, or suspend designation of a medical control authority upon finding that the medical control authority meets 1 or more of the following: (…

R 408.22203 Definitions; A to E. Rule 1203. (1) "Act" means Act No. 154 of the Public Acts of 1974, as amended, being §408.1001 et seq. of the Michigan Compiled Laws. (2) "Administrative procedures act" means Act No. 306 of the Public Acts of 1969, as amended, being §24.201 et se…

R 408.22204 Definitions; I to T. Rule 1204. (1) "Interim order" means a written order issued by the department authorizing an employer to continue to operate equipment, or to carry on processes, procedures, or practices which do not meet the requirements of a standard pending a d…

R 325.22204 Medical control authority; advisory body. Rule 204. A medical control authority shall appoint an advisory body, as that term is defined in section 20918(2) and (4) of the code, MCL 333.20918. The advisory body shall, at a minimum, do all the following: (a) Advise the …

R 325.22205 Medical control authority; medical director; responsibilities. Rule 205. (1) The medical director is an agent of the medical control authority and is responsible for medical control for the emergency medical services system. (2) The medical director shall ensure the p…

R 325.22206 Medical control authority; region. Rule 206. (1) Not more than 1 medical control authority may be approved in each designated region. (2) A medical control authority shall obtain approval from the department to change or combine medical control authority areas, or to …

R 325.22207 Medical control authority; protocol development; promulgation of protocols; emergency protocol. Rule 207. (1) Each medical control authority shall establish protocols, as that term is defined in section 20919 of the code, MCL 333.20919, which must include, but are not…

R 325.22208 Medical control authority protocols; department review; approval; adoption by medical control authority. Rule 208. (1) A medical control authority shall circulate, not less than 60 days before adoption, a draft of proposed protocols to all affected life support agenci…

R 325.22209 Medical control authority; additional standards. Rule 209. A medical control authority may adopt protocols that require additional or more stringent standards for life support agencies, equipment, and personnel than those already required by the department to enhance …

R 325.22210 Medical control authority; life support agencies and personnel; compliance with protocols. Rule 210. (1) A medical control authority shall establish written protocols for the process, actions, and sanctions a medical control authority may use in holding a life support…

R 325.22211 Medical control authority; quality improvement. Rule 211. (1) A medical control authority shall establish a quality improvement protocol to ensure a quality improvement program is in place and functional. (2) Data submitted by the life support agencies within the medi…

R 325.22212 Medical control authority; appeals. Rule 212. (1) A medical control authority shall incorporate procedures for the appeal of decisions made by the authority against a life support agency and emergency medical services personnel. Once appeals to the medical control aut…

R 408.22212 Effect of variance. Rule 1212. A variance granted pursuant to this part shall have only future effect. In his discretion, a director may decline to entertain an application for a variance on a subject or issue concerning which a citation has been issued to the employe…

R 408.22213 Notice of granted variance; publication. Rule 1213. Notice that a variance has been granted under this part shall be published in the MIOSHA News, a quarterly publication of the department of consumer and industry services. History: 1979 AC; 1998-2000 AACS. Page 3 Cou…