Implicit Bias in Healthcare: New Michigan Licensure Rules Summary

The 1-hour MNA Bias in Healthcare CE offering partially fulfills the 2-hour requirement by the state of Michigan for implicit bias training for healthcare workers. Beginning June, 2022, an applicant for licensure shall have completed a minimum of 2 hours of implicit bias training within the 5 years immediately preceding issuance of the license or registration.

The guidelines from the Licensing and Regulatory Affairs (LARA) board state that the implicit bias training for registered nurses includes:

Training content must include, but is not limited to, 1 or more of the following topics:

(i) Information on implicit bias, equitable access to health care, serving a diverse population, diversity and inclusion initiatives, and cultural sensitivity.
(ii) Strategies to remedy the negative impact of implicit bias by recognizing and understanding how it impacts perception, judgment, and actions that may result in inequitable decision making, failure to effectively communicate, and result in barriers and disparities in the access to and delivery of health care services.
(iii) The historical basis and present consequences of implicit biases based on an individual’s characteristics.
(iv) Discussion of current research on implicit bias in the access to and delivery of health care services.

Training must include strategies to reduce disparities in access to and delivery of health care services and the administration of pre- and post-test implicit bias assessments.

There is an in-person requirement for this training: acceptable modalities of training include any of the following:

(i) A teleconference or webinar that permits live synchronous interaction.
(ii) A live presentation.
(iii) Interactive online instruction.

For more information on implicit bias training requirements, please email For more information about LARA, please visit

Reference: Licensing and Regulatory Affairs [LARA]. (2021). Public Health Code – General Rules: R 338.7004.