Michigan Daycare TB Testing Requirements 2026

Michigan Dropped the TB Test — Here's What That Means

If you are searching for where to get your tuberculosis test for a Michigan daycare license, you can stop. The administrative rules overhauled on April 27, 2026, officially eliminated mandatory TB testing for licensees, staff, assistants, and household members in licensed child care homes.

This is a real, finalized change — not a temporary waiver or pandemic-era suspension. The updated rules removed the TB testing requirement entirely to reduce entry barriers and administrative delays for new providers.

Why the Requirement Was Removed

Michigan's TB testing mandate had been in place for decades, dating back to an era when tuberculosis was a more active public health concern in institutional and group care settings. Over time, public health data showed that universal TB screening for child care workers was no longer a cost-effective disease-prevention measure, and the testing requirement was creating unnecessary delays and expenses for prospective providers.

The 2026 rule overhaul aligned Michigan's practices with the federal Child Care and Development Fund (CCDF) standards, which do not mandate TB testing for home-based providers. Several other states had already dropped the requirement years earlier.

What You Still Need: Form CCL-3704

The elimination of TB testing does not mean you skip medical clearance entirely. You still must complete the Medical Clearance Request (Form CCL-3704), which requires a licensed physician to attest that you are physically and mentally fit to care for children and free from communicable diseases.

The difference is that your physician conducts a clinical assessment — they do not need to order a TB skin test (PPD/Mantoux), chest X-ray, or QuantiFERON blood test as part of the process. If your doctor is working from an older version of the Michigan daycare checklist, let them know the TB requirement has been removed from the administrative rules.

Watch Out for Outdated Information

This is one of the most common areas where new providers encounter conflicting advice. Blog posts, Facebook groups, and even some regional resource center materials still list TB testing as a requirement because they were written before the April 2026 rule change took effect.

If someone — including a local health department clerk or a mentor provider — tells you that you need a TB test for your daycare license, they are referencing the old rules. The current administrative rules, with the July 26, 2026 compliance deadline, do not include TB testing.

One Less Hurdle, Same Licensing Standard

The removal of TB testing avoids that test-related cost and delay for providers. Every other medical, training, and background check requirement remains in place.

The Michigan Home Daycare Licensing Guide reflects the 2026 rule changes, including the TB testing elimination, so you do not waste time or money on requirements that no longer apply.

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