(1) An osteopathic physician and surgeon who has not actively practiced medicine for a period of at least three years in any jurisdiction in the United States must fulfill one of the following:

(a) Successfully pass a board approved competency evaluation;

(b) Successfully pass a board approved exam;

(c) Successfully complete a board approved retraining program arranged by the osteopathic physician; or

(d) Successfully complete a board approved reentry to practice or monitoring program.

(2) For the purposes of this section, a person is considered to have actively practiced medicine if they can demonstrate that they hold an active, unrestricted license as an osteopathic physician and surgeon in the United States.