| Chapter 041 |
| 2026 -- S 2857 Enacted 06/10/2026 |
| A N A C T |
| RELATING TO BUSINESSES AND PROFESSIONS -- SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
Introduced By: Senators Gallo, Burke, LaMountain, DiPalma, and Felag |
| Date Introduced: March 04, 2026 |
| It is enacted by the General Assembly as follows: |
| SECTION 1. Chapter 5-48 of the General Laws entitled "Speech-Language Pathology and |
| Audiology" is hereby repealed in its entirety. |
| CHAPTER 5-48 |
| Speech-Language Pathology and Audiology |
| 5-48-1. Purpose and legislative intent — Definitions. |
| (a) It is declared to be a policy of this state that the practice of speech-language pathology |
| and audiology is a privilege granted to qualified persons and that, in order to safeguard the public |
| health, safety, and welfare; protect the public from being misled by incompetent, unscrupulous, and |
| unauthorized persons; and protect the public from unprofessional conduct by qualified speech- |
| language pathologists and audiologists, it is necessary to provide regulatory authority over persons |
| offering speech-language pathology and audiology services to the public. |
| (b) The following words and terms when used in this chapter have the following meaning |
| unless otherwise indicated within the context: |
| (1) “Audiologist” means an individual licensed by the board to practice audiology. |
| (2) “Audiology” means the application of principles, methods, and procedures related to |
| hearing and the disorders of the hearing and balance systems, to related language and speech |
| disorders, and to aberrant behavior related to hearing loss. A hearing disorder in an individual is |
| defined as altered sensitivity, acuity, function, processing, or damage to the integrity of the |
| physiological auditory/vestibular systems. |
| (3) “Board” means the state board of examiners of speech-language pathology and |
| audiology. |
| (4) “Clinical fellow” means the person who is practicing speech-language pathology under |
| the supervision of a licensed speech-language pathologist while completing the postgraduate |
| professional experience as required by this chapter. |
| (5) “Department” means the Rhode Island department of health. |
| (6) “Director” means the director of the Rhode Island department of health. |
| (7) “Person” means an individual, partnership, organization, or corporation, except that |
| only individuals can be licensed under this chapter. |
| (8)(i) “Practice of audiology” means rendering or offering to render any service in |
| audiology, including prevention, screening, and identification, evaluation, habilitation, |
| rehabilitation; participating in environmental and occupational hearing-conservation programs, and |
| habilitation and rehabilitation programs including hearing aid and assistive-listening-device |
| evaluation, prescription, preparation, dispensing, and/or selling and orientation; auditory training |
| and speech reading; conducting and interpreting tests of vestibular function and nystagmus; |
| conducting and interpreting electrophysiological measures of the auditory pathway; cerumen |
| management; evaluating sound environment and equipment; calibrating instruments used in testing |
| and supplementing auditory function; and planning, directing, conducting, or supervising programs |
| that render or offer to render any service in audiology. |
| (ii) The practice of audiology may include speech and/or language screening to a pass or |
| fail determination, for the purpose of initial identification of individuals with other disorders of |
| communication. |
| (iii) A practice is deemed to be the “practice of audiology” if services are offered under |
| any title incorporating such word as “audiology,” “audiologist,” “audiometry,” “audiometrist,” |
| “audiological,” “audiometrics,” “hearing therapy,” “hearing therapist,” “hearing clinic,” “hearing |
| clinician,” “hearing conservation,” “hearing conservationist,” “hearing center,” “hearing aid |
| audiologist,” or any similar title or description of services. |
| (9)(i) “Practice of speech-language pathology” means rendering or offering to render any |
| service in speech-language pathology including prevention, identification, evaluation, consultation, |
| habilitation, rehabilitation; determining the need for augmentative communication systems, |
| dispensing and selling these systems, and providing training in the use of these systems; and |
| planning, directing, conducting, or supervising programs that render or offer to render any service |
| in speech-language pathology. |
| (ii) The practice of speech-language pathology may include nondiagnostic pure-tone air |
| conduction screening, screening tympanometry, and acoustic reflex screening, limited to a pass or |
| fail determination, for the purpose of performing a speech and language evaluation or for the initial |
| identification of individuals with other disorders of communication. |
| (iii) The practice of speech-language pathology also may include aural rehabilitation, |
| which is defined as services and procedures for facilitating adequate receptive and expressive |
| communication in individuals with hearing impairment. |
| (iv) A practice is deemed to be the “practice of speech-language pathology” if services are |
| offered under any title incorporating such words as “speech pathology,” “speech pathologist,” |
| “speech therapy,” “speech therapist,” “speech correction,” “speech correctionist,” “speech clinic,” |
| “speech clinician,” “language pathology,” “language pathologist,” “voice therapy,” “voice |
| therapist,” “voice pathology,” “voice pathologist,” “logopedics,” “logopedist,” “communicology,” |
| “communicologist,” “aphasiology,” “aphasiologist,” “phoniatrist,” or any similar title or |
| description of services. |
| (10) “Regionally accredited” means the official guarantee that a college or university or |
| other educational institution is in conformity with the standards of education prescribed by a |
| regional accrediting commission recognized by the United States Secretary of Education. |
| (11) “Speech-language pathologist” means an individual who is licensed by the board to |
| practice speech-language pathology. |
| (12) “Speech-language pathology” means the application of principles, methods, and |
| procedures for prevention, identification, evaluation, consultation, habilitation, rehabilitation, |
| instruction, and research related to the development and disorders of human communication. |
| Disorders are defined to include any and all conditions, whether of organic or non-organic origin, |
| that impede the normal process of human communication in individuals or groups of individuals |
| who have or are suspected of having these conditions, including, but not limited to, disorders and |
| related disorders of: |
| (i) Speech: articulation, fluency, voice (including respiration, phonation and resonance); |
| (ii) Language (involving the parameters of phonology, morphology, syntax, semantics, and |
| pragmatics; and including disorders of receptive and expressive communication in oral, written, |
| graphic, and manual modalities); |
| (iii) Oral, pharyngeal, laryngeal, cervical esophageal, and related functions (e.g., |
| dysphasia, including disorders of swallowing and oral function for feeding; oro-facial |
| myofunctional disorders); |
| (iv) Cognitive aspects of communication (including communication disability and other |
| functional disabilities associated with cognitive impairment); and |
| (v) Social aspects of communication (including challenging behavior, ineffective social |
| skills, lack of communication opportunities). |
| 5-48-2. Board of examiners — Composition — Appointments, terms, and |
| qualifications of members. |
| (a) There exists within the department of health a board of examiners of speech-language |
| pathology and audiology. The board shall consist of five (5) persons who are residents of the state |
| and who have worked within the state for at least one year prior to their appointments. |
| (1) Two (2) members shall be speech-language pathologists who have practiced speech- |
| language pathology for at least five (5) years preceding appointment, are currently practicing |
| speech-language pathology, and hold active and valid licensure for the practice of speech-language |
| pathology in this state. |
| (2) One member shall be an audiologist who has practiced audiology for at least five (5) |
| years immediately preceding appointment, is currently practicing audiology, and holds active and |
| valid licensure for the practice of audiology in this state. |
| (3) One member shall be an otolaryngologist who holds certification by the American |
| Academy of Otolaryngology — head and neck surgery, who is currently practicing otolaryngology, |
| and holds active and valid licensure as a physician within this state. |
| (4) One member shall be a representative of the consumer public who is not associated |
| with or financially interested in the practice or business of speech-language pathology or audiology. |
| (b) All appointments to the board shall be for the term of three (3) years. Members shall |
| serve until the expiration of the term for which they have been appointed or until their appointed |
| successors are qualified. |
| (c) When a vacancy upon the board occurs, the director of the department of health shall, |
| with the approval of the governor, appoint persons who are working within the state to fill the |
| remainder of the vacant term. |
| (d) The board shall reorganize annually during the month of January and shall select a |
| chairperson. |
| (e) A majority of currently filled positions shall constitute a quorum to do business. |
| (f) No person shall be appointed to serve more than two (2) consecutive terms. |
| (g) The first board and all future members shall be appointed by the director of the |
| department of health, with the approval of the governor. |
| (h) The director of the department of health, with the approval of the governor, may remove |
| any member of the board for dishonorable conduct, incompetency, or neglect of duty. |
| 5-48-3. Board of examiners — Duties and powers — Meetings — Compensation of |
| members. |
| (a) The board shall administer, coordinate, and enforce the provisions of this chapter; |
| evaluate the qualifications of applicants; and may issue subpoenas, examine witnesses, and |
| administer oaths, conduct hearings, and at its discretion investigate allegations of violations of this |
| chapter and impose penalties if any violations of the chapter have occurred. |
| (b) The board shall conduct hearings and keep records and minutes as necessary to an |
| orderly dispatch of business. |
| (c) The board shall, with the approval of the director of the department of health, adopt, |
| amend, or repeal rules and regulations, including, but not limited to, regulations that delineate |
| qualifications for licensure and establish standards of professional conduct. Following their |
| adoption, the rules and regulations shall govern and control the professional conduct of every |
| person who holds a license to practice speech-language pathology or audiology in this state. |
| (d) The board shall make available complete lists of the names and addresses of all licensed |
| speech-language pathologists and audiologists. |
| (e) The board may request legal advice and assistance from the appropriate state legal |
| officer. |
| (f) Regular meetings of the board shall be held at the times and places that it prescribes, |
| and special meetings may be held upon the call of the chairperson; provided, that at least one regular |
| meeting shall be held each year. |
| (g) The conferral or enumeration of specific powers in this chapter shall not be construed |
| as a limitation of the general powers conferred by this section. No member of the board shall be |
| liable to civil action for any act performed in good faith in the performance of his or her duties as |
| prescribed by this chapter. |
| (h) Board members shall serve without compensation. |
| (i) The board may suspend the authority of any registered speech-language pathologist or |
| audiologist to practice speech-language pathology or audiology for failure to comply with any of |
| the requirements of this chapter. |
| 5-48-4. Board examiners — Seal — Authentication of records. |
| The board shall adopt the state seal by which it authenticates its proceedings. Copies of the |
| proceedings, records, and acts of the board, and certificates purporting to relate the facts concerning |
| those proceedings, records, and acts, signed by the secretary and authenticated by that seal, shall |
| be evidence in all courts of this state. |
| 5-48-5. Receipts. |
| The proceeds of any fees collected pursuant to the provisions of this chapter shall be |
| deposited as general revenues. |
| 5-48-6. Licensure and regulation of speech-language pathologists and audiologists. |
| (a) Licensure shall be granted in either speech-language pathology or audiology |
| independently. A person may be licensed in both areas if he or she meets the respective |
| qualifications. |
| (b) No person shall practice as, advertise as, or use the title of speech pathologist or |
| audiologist as defined in § 5-48-1 in this state unless he or she is licensed in accordance with the |
| provisions of the laws of the state. |
| (c) Registered speech-language pathologists or audiologists may render services under the |
| terms and provisions of the workers’ compensation and rehabilitation laws. |
| (d) A provisional license for the clinical fellow (defined in § 5-48-1(b)(4)) shall be required |
| in speech-language pathology for that period of postgraduate professional experience as required |
| in § 5-48-7.1. A provisional license shall authorize an individual to practice speech-language |
| pathology solely in connection with the completion of the supervised postgraduate professional |
| experience. |
| 5-48-7. Qualifications of applicants for a license as a speech-language pathologist. |
| To be eligible for licensure by the board as a speech-language pathologist the applicant |
| must: |
| (1) Be of good moral character; |
| (2) Apply to the department, upon a form prescribed by the department; |
| (3) Submit the appropriate application fee; |
| (4) Submit an official transcript indicating possession of a master’s degree or a doctorate |
| degree or equivalent in speech-language pathology from an educational institution accredited by |
| the Council on Academic Accreditation (CAA) of the American Speech-Language-Hearing |
| Association (ASHA) or other national accrediting association as may be approved by the board. |
| The degree shall consist of course work in accordance with the current, minimum requirements for |
| the certificate of clinical competence issued by the American Speech-Language-Hearing |
| Association (ASHA) or other national accrediting association as may be approved by the board and |
| delineated in the rules and regulations; |
| (5) Complete supervised clinical-practicum experiences from an educational institution or |
| its cooperating programs. The content of the practicum shall be in accordance with the current, |
| minimum requirements for the certificate of clinical competence issued by the American Speech- |
| Language-Hearing Association (ASHA) or other national accrediting association as may be |
| approved by the board and delineated in the rules and regulations; |
| (6) Pass a national examination in speech-language pathology as required by the American |
| Speech-Language-Hearing Association (ASHA) or other national accrediting association as may |
| be approved by the board and delineated in the rules and regulations; |
| (7) Present verification of a certificate of clinical competence from the American Speech- |
| Language-Hearing Association (ASHA) or other national accrediting association as may be |
| approved by the board; and |
| (8) If applicable, present evidence from the board of speech-language pathology in each |
| state in which the applicant has held or holds licensure to be submitted to the board of this state, |
| attesting to the licensure status of the applicant during the time period the applicant held licensure |
| in the state. |
| 5-48-7.1. Qualifications for a provisional license for a speech-language pathologist. |
| (a) To be eligible for provisional licensure by the board, the speech-language pathologist |
| applicant must submit an application with the required application fee and be in compliance with |
| the requirements of § 5-48-7(1), (4), (5), and (6). |
| (b) In addition to the requirements of subsection (a) of this section, content of the |
| supervised postgraduate professional experience shall meet the standards of a trainee or fellow of |
| speech pathology as required by the American Speech-Language-Hearing Association (ASHA) or |
| other national accrediting association as may be approved by the board. |
| (c) If the postgraduate professional experience extends beyond one year, provisional |
| licensure must be renewed annually and not exceed thirty-six (36) months past the initiation of the |
| professional experience. |
| (d) The provisional licensure shall expire ninety (90) days after the end of the postgraduate |
| professional experience. |
| 5-48-7.2. Qualifications for license as an audiologist. |
| Persons seeking initial licensure as an audiologist on or after January 1, 2008, shall meet |
| the following requirements: |
| (1) Be of good moral character; |
| (2) Apply to the board, upon a form prescribed by the board; |
| (3) Submit the appropriate application fee; |
| (4) Submit an official transcript indicating possession of an earned doctorate degree in |
| audiology from a regionally accredited educational institution as delineated in the rules and |
| regulations; |
| (5) Pass a national examination in audiology approved by the board and delineated in the |
| rules and regulations; |
| (6) Present evidence of practicum experience that is equivalent to a minimum of twelve |
| (12) months of full-time, supervised experience, that may be completed as part of the graduate |
| degree, as delineated in the rules and regulations; |
| (7) If applicable, present evidence from the board of audiology in each state in which the |
| applicant has held or holds licensure to be submitted to the board of this state, attesting to the |
| licensure status of the applicant during the time period the applicant held licensure in the state; |
| (8) Any other requirements as set forth in the rules and regulations. |
| 5-48-7.3. Qualifications for audiologists licensed in alternate jurisdictions. |
| Persons licensed as an audiologist in alternate jurisdictions on or before January 1, 2008, |
| shall meet the requirements of this state that were in effect at the time of initial licensure in the |
| alternate jurisdiction. |
| 5-48-8. [Repealed.] |
| 5-48-9. Fees — Late filing — Inactive status. |
| (a) The board may charge an application fee; a biennial license renewal fee payable before |
| July 1 of even years (biennially); or a provisional license renewal fee as set forth in § 23-1-54 |
| payable annually from the date of issue. |
| (b) Any person who allows his or her license to lapse by failing to renew it on or before |
| the thirtieth (30th) day of June of even years (biennially), may be reinstated by the board on |
| payment of the current renewal fee plus an additional late filing fee as set forth in § 23-1-54. |
| (c) An individual licensed as a speech-language pathologist or audiologist in this state, not |
| in the active practice of speech-language pathology or audiology within this state during any year, |
| may upon request to the board, have his or her name transferred to an inactive status and shall not |
| be required to register biennially or pay any fee as long as he or she remains inactive. Inactive status |
| may be maintained for no longer than two (2) consecutive licensing periods, after which period |
| licensure shall be terminated and reapplication to the board shall be required to resume practice. |
| (d) Any individual whose name has been transferred to an inactive status may be restored |
| to active status within two (2) licensing periods without a penalty fee upon the filing of: |
| (1) An application for licensure renewal, with a licensure renewal fee as set forth in § 23- |
| 1-54 made payable by check to the general treasurer of the state of Rhode Island; and |
| (2) Any other information that the board may request. |
| (e) [Deleted by P.L. 2015, ch. 141, art. 20, § 9]. |
| 5-48-9.1. Continuing education. |
| (a)(1) On or before the thirtieth (30th) day of June of even years, every person licensed to |
| practice speech-language pathology or audiology within this state shall complete not less than |
| twenty (20) clock hours of continuing education within the preceding two (2) years and be able to |
| present satisfactory evidence of completion to the board. |
| (2) Those persons holding licensure in both speech-language pathology and audiology must |
| have completed and have evidence of completion of not less than thirty (30) clock hours of |
| continuing education within the preceding two (2) years. |
| (b) Continuing education hours may not be carried over from one renewal period to the |
| next. |
| (c) The board at its discretion may extend, reduce, or waive the requirement for continuing |
| education for hardship or other extenuating circumstances as the board deems appropriate. |
| 5-48-10. Persons and practices exempted. |
| The provisions of this chapter do not apply to: |
| (1) A qualified person licensed, registered, certified, or credentialed in this state under any |
| other law who is practicing the profession or business for which he or she is licensed, registered, |
| certified, or credentialed, in the setting for which the licensure, registration, certification, or |
| credential pertains and performs services within their authorized scope of practice. |
| (2) This chapter specifically excludes those persons who commercially fit and sell hearing |
| aids; provided, that those persons do not receive a separate or additional fee for testing or |
| interpreting tests of hearing; and provided, that those persons do not represent themselves as |
| audiologists as defined in this chapter. This subsection does not preclude remuneration for any |
| other service offered solely in conjunction with the fitting or maintaining of a hearing aid. |
| (3) No one shall be exempt under subsection (1) for that portion of his or her time spent as |
| a private practitioner. If he or she performs any work as a speech-language pathologist or |
| audiologist for which a fee may be paid by the recipient of the service as part of a private practice |
| apart from his or her position with the government, a license must be held. |
| 5-48-11. Grounds for suspension or revocation of licenses. |
| The license of any speech-language pathologist or audiologist may be suspended or |
| revoked by the board upon proof that he or she: |
| (1) Fraudulently or deceptively obtained or attempted to obtain a license for the applicant, |
| licensee, holder, or for another; |
| (2) Fraudulently or deceptively used a license; |
| (3) Altered a license; |
| (4) Aided or abetted unlicensed practice; |
| (5) Committed fraud and deceit in the practice of speech-language pathology or of |
| audiology, including, but not limited to: |
| (i) Using or promoting, or causing the use of, any misleading, deceiving, or untruthful |
| advertising matter, promotional literature, testimonial, guarantee, warranty, label, brand, insignia, |
| or any other representation; |
| (ii) Falsely representing the use or availability of services or advice of a physician; |
| (iii) Misrepresenting the applicant, licensee, or holder by using the word “doctor” or any |
| similar word, abbreviation, or symbol, if the use is not accurate or if the degree was not obtained |
| from an accredited institution; |
| (iv) Making or filing a false report or record in the practice of speech-language pathology |
| or audiology; |
| (v) Submitting a false statement to collect a fee; and |
| (vi) Obtaining a fee through fraud or misrepresentation; |
| (6) Providing services while mentally incompetent; |
| (7) Engaging in illegal, incompetent, or habitually negligent practice; |
| (8) Providing professional services while: |
| (i) Under the influence of alcohol; or |
| (ii) Using any narcotic or controlled dangerous substance or other drug that is in excess of |
| therapeutic amounts or without valid medical indication; |
| (9) Promoting the sale of devices, appliances, or products to a patient who cannot benefit |
| from these devices, appliances, or products; |
| (10) Violating any provision of this chapter, any lawful order given, or rule or regulation |
| adopted by the board or departure from or failure to conform to the current standards of acceptable |
| prevailing practice and code of ethics of speech-language pathology or audiology; |
| (11) Being convicted of, or pleading guilty or nolo contendere to, a felony, whether or not |
| any appeal or another proceeding is pending to have the conviction or plea set aside; |
| (12) Incompetent or negligent misconduct in the practice of speech-language pathology or |
| audiology; |
| (13) Is habitually intemperate or is addicted to the use of habit-forming drugs; |
| (14) Being disciplined by a licensing or disciplinary authority of any other state or country, |
| or convicted or disciplined by a court of any state or country, for an act that would be grounds for |
| disciplinary action under this section; or |
| (15) Failing to maintain continuing education requirements. |
| 5-48-12. Penalty for violations. |
| (a) The board is granted the authority to impose the following disciplinary actions in those |
| instances in which an applicant for a license or a licensee has been guilty of conduct that has |
| endangered, or is likely to endanger, the health, welfare, or safety of the public: |
| (1) Refuse to issue or renew a license. |
| (2) Issue a letter of reprimand or concern. |
| (3) Require restitution of fees. |
| (4) Impose probationary conditions. |
| (5) Suspend or revoke a license. |
| (b) Any person found to be in violation of any provision of this chapter, upon conviction, |
| shall be guilty of a misdemeanor and punished by a fine of not more than one thousand dollars |
| ($1,000). |
| 5-48-13. Revocation and suspension procedure — Reinstatement. |
| (a)(1) Notice, in writing, of a contemplated revocation or suspension of a license, of this |
| particular cause, and of the date of a hearing, shall be sent by registered or certified mail to the |
| licensee at his or her last known address at least fifteen (15) days before the date of the hearing. |
| (2) The individual against whom a charge is filed has the right to appear before the board |
| in person or by counsel, or both; may produce witnesses and evidence on his or her behalf; and |
| may question witnesses. |
| (3) No license shall be revoked or suspended without a hearing, but the nonappearance of |
| the licensee, after notice, shall not prevent a hearing. |
| (4) All matters upon which the decision is based shall be introduced in evidence at the |
| proceeding. |
| (5) The licensee shall be notified, in writing, of the board’s decision. |
| (6) The board may make any rules and regulations that it deems proper for the filing of |
| charges and the conduct of hearings. |
| (b) After issuing an order of revocation or suspension, the board may also file a petition in |
| equity in the superior court in a county in which the respondent resides or transacts business, to |
| ensure appropriate injunctive relief to expedite and secure the enforcement of its order, pending the |
| final determination. |
| (c) An application for reinstatement may be made to the board, which may, upon the |
| affirmative vote of at least the majority of its members, grant a reinstatement. |
| 5-48-14. [Obsolete.] |
| 5-48-15. Severability. |
| If any provision of this chapter or of any rule or regulation made under this chapter, or their |
| application to any person or circumstances, is held invalid by a court of competent jurisdiction, the |
| remainder of the chapter, rule, or regulation, and the application of that provision to other persons |
| or circumstances, shall not be affected. |
| SECTION 2. Sections 5-48.2-3, 5-48.2-4, 5-48.2-5, 5-48.2-6, 5-48.2-7, 5-48.2-8 and 5- |
| 48.2-13 of the General Laws in Chapter 5-48.2 entitled "Professional Licensing and Regulation of |
| Speech-Language Pathologists and Audiologists" are hereby amended to read as follows: |
| 5-48.2-3. Definitions. |
| As used in this chapter, the following words and terms shall have the following meanings, |
| except where the context clearly indicates otherwise: |
| (1) “Accredited/approved” means that an institution/program holds regional accreditation |
| from one of six (6) regional accrediting bodies: Middle States Association of Colleges and Schools, |
| New England Association of Schools and Colleges, North Central Association of Colleges and |
| Schools, Northwest Association of Schools and Colleges, Southern Association of Colleges and |
| Schools, and Western Association of Schools and Colleges. |
| (2) “Act” means chapter 48 of this title entitled, “speech-language pathology and |
| audiology,” as well as the provisions of this chapter, where the context so indicates. |
| (3)(2) “Audiologist” means an individual who is licensed by the board to practice |
| audiology either in person or via telepractice. |
| (4)(3) “Audiology” means the audiologist applies the principles, methods, and procedures |
| related to hearing and the disorders of the hearing and balance systems, to related language and |
| speech disorders, and to aberrant behavior related to hearing loss. A hearing disorder is defined as |
| altered sensitivity, acuity, function, processing, and/or damage to the integrity of the physiological |
| auditory/vestibular systems, in individuals or groups of individuals who have or are suspected of |
| having such disorders. |
| (5)(4) “Audiology support personnel” shall operate under the title “audiometric aide” or |
| “audiology assistant” and means an individual who meets minimum qualifications established by |
| the board, which are less than those established by the act this chapter as necessary for licensing as |
| an audiologist; does not act independently; is limited to hearing screening with pass/fail criteria; |
| and works under the direction and supervision of an audiologist licensed under the act this chapter |
| who has been actively working in the field for twenty-four (24) months after completion of the |
| postgraduate professional experience and who accepts the responsibility for the acts and |
| performances of the audiometric aide or audiology assistant while working under the act. |
| (6)(5) “Board” means the state board of examiners of speech-language pathology and |
| audiology established pursuant to § 5-48-2. |
| (7) “Clinical fellow” means the person who is practicing speech-language pathology under |
| the supervision of a licensed speech-language pathologist while completing the postgraduate |
| professional experience as required by the act and who holds a current provisional license in |
| accordance with the requirements described in this chapter. |
| (8) “Clinical fellowship or traineeship” means the direct clinical work, consultation, or |
| other duties relevant to clinical speech-language pathology work with individuals presenting |
| disorders in communication, for a cumulative or equivalent total of nine (9) months of full-time |
| employment following completion of professional speech-language pathology education under |
| supervision pursuant to § 5-48-7 and the provisions of this chapter. |
| (9)(6) “Department” means the Rhode Island department of health. |
| (10)(7) “Director” means the director of the Rhode Island department of health. |
| (11)(8) “Graduate program” means a post-baccalaureate accredited program leading to a |
| master’s or doctoral degree, including a professional doctoral degree, whether offered through an |
| accredited graduate or professional school. |
| (12)(9) “Newborn hearing screener” means an audiometric aide or audiology assistant |
| working in a hospital-based newborn hearing screening program under the direction of the |
| department of health newborn hearing screening program, or its appointee. |
| (13)(10) “Person” means an individual, partnership organization, or corporation, except |
| that only individuals can be licensed under this chapter. |
| (14)(11) “The practice of audiology” means an audiologist rendering or offering to render |
| any service in audiology either in person or via telepractice as defined in § 5-48-1 and in this section |
| rendering or offering to render any service in audiology, including prevention, screening, and |
| identification, evaluation, habilitation, rehabilitation; participating in environmental and |
| occupational hearing-conservation programs, and habilitation and rehabilitation programs |
| including hearing aid and assistive-listening-device evaluation, prescription, preparation, |
| dispensing, and/or selling and orientation; auditory training and speech reading; conducting and |
| interpreting tests of vestibular function and nystagmus; conducting and interpreting |
| electrophysiological measures of the auditory pathway; cerumen management; evaluating sound |
| environment and equipment; calibrating instruments used in testing and supplementing auditory |
| function; and planning, directing, conducting, or supervising programs that render or offer to render |
| any service in audiology. |
| (i) The practice of audiology may include speech and/or language screening to a pass or |
| fail determination, for the purpose of initial identification of individuals with other disorders of |
| communication. |
| (ii) A practice is deemed to be the “practice of audiology” if services are offered under any |
| title incorporating such word as “audiology,” “audiologist,” “audiometry,” “audiometrist,” |
| “audiological,” “audiometrics,” “hearing therapy,” “hearing therapist,” “hearing clinic,” “hearing |
| clinician,” “hearing conservation,” “hearing conservationist,” “hearing center,” “hearing aid |
| audiologist,” or any similar title or description of services. |
| (15)(12) “The practice of speech-language pathology” means rendering or offering to |
| render any service in speech-language pathology either in person or via telepractice as defined in |
| this section rendering or offering to render any service in speech-language pathology including |
| prevention, identification, evaluation, consultation, habilitation, rehabilitation; determining the |
| need for augmentative communication systems, dispensing and selling these systems, and |
| providing training in the use of these systems; and planning, directing, conducting, or supervising |
| programs that render or offer to render any service in speech-language pathology. |
| (i) The practice of speech-language pathology may include nondiagnostic pure-tone air |
| conduction screening, screening tympanometry, and acoustic reflex screening, limited to a pass or |
| fail determination, for the purpose of performing a speech and language evaluation or for the initial |
| identification of individuals with other disorders of communication. |
| (ii) The practice of speech-language pathology also may include aural rehabilitation, which |
| is defined as services and procedures for facilitating adequate receptive and expressive |
| communication in individuals with hearing impairment. |
| (iii) A practice is deemed to be the “practice of speech-language pathology” if services are |
| offered under any title incorporating such words as “speech pathology,” “speech pathologist,” |
| “speech therapy,” “speech therapist,” “speech correction,” “speech correctionist,” “speech clinic,” |
| “speech clinician,” “language pathology,” “language pathologist,” “voice therapy,” “voice |
| therapist,” “voice pathology,” “voice pathologist,” “logopedics,” “logopedist,” “communicology,” |
| “communicologist,” “aphasiology,” “aphasiologist,” “phoniatrist,” or any similar title or |
| description of services.. |
| (16)(13) “Regionally accredited” means the official guarantee that a college or university |
| or other educational institution is in conformity with the standards of education prescribed by a |
| regional accrediting commission recognized by the United States Secretary of Education. |
| (17)(14) “School hearing screener” means an audiometric aide or audiology assistant |
| working in a school-based hearing screening program under the direction of the Rhode Island |
| department of elementary and secondary education or its appointee. |
| (18)(15) “Speech-language pathologist” means an individual who is licensed by the board |
| to practice speech-language pathology either in person or via telepractice. |
| (19)(16) “Speech-language pathology” means the activities defined in § 5-48-1 and in this |
| section the application of principles, methods, and procedures for prevention, identification, |
| evaluation, consultation, habilitation, rehabilitation, instruction, and research related to the |
| development and disorders of human communication. Disorders are defined to include any and all |
| conditions, whether of organic or non-organic origin, that impede the normal process of human |
| communication in individuals or groups of individuals who have or are suspected of having these |
| conditions including, but not limited to, disorders and related disorders of: |
| (i) Speech: articulation, fluency, voice (including respiration, phonation and resonance); |
| (ii) Language (involving the parameters of phonology, morphology, syntax, semantics, and |
| pragmatics; and including disorders of receptive and expressive communication in oral, written, |
| graphic, and manual modalities); |
| (iii) Oral, pharyngeal, laryngeal, cervical esophageal, and related functions (e.g., |
| dysphasia, including disorders of swallowing and oral function for feeding; oro-facial |
| myofunctional disorders); |
| (iv) Cognitive aspects of communication (including communication disability and other |
| functional disabilities associated with cognitive impairment); and |
| (v) Social aspects of communication (including challenging behavior, ineffective social |
| skills, lack of communication opportunities). |
| (20)(17) “Speech-language pathology assistant (SLPA) support personnel” means an |
| individual who meets minimum qualifications established by the board, which are less than those |
| established by the act this chapter as necessary for licensing as a speech-language pathologist; does |
| not act independently; and works under the direction and supervision of a speech-language |
| pathologist licensed under the act this chapter who has been actively working in the field for twenty- |
| four (24) months after completion of the postgraduate professional experience and who accepts the |
| responsibility for the acts and performances of the speech-language pathology assistant while |
| working under this chapter. |
| (21)(18) “Telepractice” means the use of telecommunication technology to deliver speech- |
| language pathology and audiology services remotely. Other terms such as teleaudiology, |
| telespeech, and speech teletherapy are also used in addition to telepractice. Use of telepractice |
| should be of equal quality to services provided in person and consistent with adherence to the |
| American Speech-Language-Hearing Association (ASHA)’s Code of Ethics (ASHA, 2016a), |
| Scope of Practice in Audiology (ASHA, 2018), Scope of Practice in Speech-Language Pathology |
| (ASHA, 2016b), and Assistants Code of Conduct (ASHA, 2020) and as further provided in |
| regulation. |
| 5-48.2-4. License requirements. |
| (a) No person shall practice as, advertise as, or use the title of speech-language pathologist |
| or audiologist in this state unless licensed in accordance with the provisions of the act and this |
| section chapter. The provisions of the act and this section chapter shall not apply to individuals |
| specifically exempt from the provisions thereof by § 5-48-10 a qualified person licensed, registered, |
| certified, or credentialed in this state under any other law who is practicing the profession or |
| business for which they are licensed, registered, certified, or credentialed, in the setting for which |
| the licensure, registration, certification, or credential pertains and performs services within their |
| authorized scope of practice. |
| (b) This chapter specifically excludes those persons who commercially fit and sell hearing |
| aids; provided that, those persons do not receive a separate or additional fee for testing or |
| interpreting tests of hearing; and provided that, those persons do not represent themselves as |
| audiologists as defined in this chapter . This subsection does not preclude remuneration for any |
| other service offered solely in conjunction with the fitting or maintaining of hearing aids. |
| (c) No one shall be exempt under subsection (a) of this section for that portion of their time |
| spent as a private practitioner. If they perform any work as a speech-language pathologist or |
| audiologist for which a fee may be paid by the recipient of the service as part of a private practice |
| apart from their position with the government, a license must be held. |
| (b) A provisional license for the clinical fellow as defined in this chapter shall be required |
| in speech-language pathology for that period of postgraduate professional experience as required |
| in §§ 5-48-7 and 5-48.2-5. A provisional license shall authorize an individual to practice speech- |
| language pathology solely in connection with the completion of the supervised postgraduate |
| professional experience. |
| (c)(d) Any person residing in and/or licensed in another state who provides telepractice |
| services in the area of speech-language pathology and audiology within the State of Rhode Island |
| regardless of their legal residence must be licensed in the state in accordance with the provisions |
| of the act and this chapter. The provisions of the act and this chapter shall not apply to individuals |
| specifically exempt from the provisions thereof by § 5-48-10 5-48.2-4(b). |
| 5-48.2-5. Qualifications for licensure Qualifications for licensure as a speeech |
| language pathologist. |
| (a) Audiologists. In addition to the requirements set forth in § 5-48-7.2, persons seeking |
| initial licensure as an audiologist providing in-person or telepractice services shall meet the |
| following requirements: |
| (1) Submit an official transcript indicating possession of an earned doctorate degree in |
| audiology from a regionally accredited educational institution or other national accrediting |
| organization as may be approved by the board; |
| (2) Pass a national examination in audiology approved by the board; |
| (3) Present evidence of practicum experience that is equivalent to a minimum of twelve |
| (12) months of full-time, supervised experience, that may be completed as part of the graduate |
| degree, as delineated in this chapter; |
| (4) Applicants with a master’s degree holding licensure from another state must present |
| verification of a Certificate of Clinical Competence from the American Speech-Language-Hearing |
| Association (ASHA) or other national accrediting association as may be approved by the board. |
| (b) Qualifications for audiologists licensed in alternate jurisdictions. Persons licensed |
| as an audiologist in alternate jurisdictions on or before January 1, 2008, shall meet the requirements |
| of Rhode Island that were in effect at the time of initial licensure in the alternate jurisdiction. |
| (c) Speech-language pathologists. In addition to the requirements set forth in § 5-48-7, an |
| applicant seeking licensure to practice as a speech-language pathologist who provides in-person or |
| telepractice services in Rhode Island must have attained |
| Speech language pathologists. |
| To be eligible for licensure by the board as a speech-language pathologist the applicant |
| must: |
| (1) Be of good moral character; |
| (2) Apply to the department, upon a form prescribed by the department; |
| (3) Submit the appropriate application fee; |
| (4) Complete supervised clinical-practicum experiences from an educational institution or |
| its cooperating programs. The content of the practicum shall be in accordance with the current, |
| minimum requirement for the certificate of clinical competence issued by the American Speech- |
| Language-Hearing Association (ASHA) or other national accrediting association as may be |
| approved by the board delineated in the rules and regulations; |
| (5) Pass a national examination in speech-language pathology as required by ASHA or |
| other national accrediting association as may be approved by the board and delineated in the rules |
| and regulations; |
| (6) Present verification of a certificate of clinical competence from ASHA or other national |
| accrediting association as may be approved by the board; |
| (7) If applicable, present evidence from the board of speech-language pathology in each |
| state in which the applicant has held or holds licensure to be submitted to the board of this state, |
| attesting to the licensure status of the applicant during the time period the applicant held licensure |
| in the state; and |
| (8) Attained a master’s degree or a doctoral degree or equivalent in speech-language |
| pathology from an accredited educational institution accredited by the Council on Academic |
| Accreditation (CAA) of the American Speech-Language-Hearing Association (ASHA) or other |
| national accrediting association as may be approved by the board. The degree shall consist of course |
| work in accordance with the current minimum requirements for the Certificate of Clinical |
| Competence issued by the American Speech-Language-Hearing Association (ASHA) or other |
| national accrediting association as may be approved by the board. |
| (d) Qualifications for a provisional license for speech-language pathologists. To be |
| eligible for provisional licensure by the department, the speech-language pathologist must submit |
| an application with the required application fee and be in compliance with the requirements of this |
| chapter and § 5-48-7.1. |
| 5-48.2-6. Issuance and renewal of license and fee. |
| (a) The department shall issue a license as an audiologist or speech-language pathologist, |
| or renewal thereof, for a period of two (2) years. The license, unless sooner suspended or revoked, |
| shall expire on the first day of July, two (2) years following its issuance, and may be renewed |
| biennially (in even years); provided the applicant meets the requirements of this chapter. |
| (b) A license may be renewed by submission of the renewal application and renewal fee as |
| set forth in the fee structure for licensing, laboratory, and administrative services provided by the |
| department of health in their regulations payable before July 1 of even years (biennially). |
| (c) A provisional license may be renewed annually from the date of issue, if the |
| postgraduate professional experience has exceeded one year, by submission of the renewal |
| application and renewal fee as set forth in the fee structure for licensing, laboratory, and |
| administrative services provided by the department of health. A provisional license shall not exceed |
| thirty-six (36) months past the initiation of the professional experience and will expire ninety (90) |
| days after the end of the postgraduate professional experience. |
| (d)(1) Any licensee who allows their license to lapse by failing to renew it on or before the |
| thirtieth day of June of even years (biennially), may have the license renewed reinstated by |
| submitting to the department an application, and renewal fee plus an additional late fee as set forth |
| in the fee structure for licensing, laboratory, and administrative services provided by the department |
| of health. |
| (2) Any person who allows their license to lapse longer than two (2) consecutive licensing |
| periods may be reinstated by the department, upon the filing of: |
| (i) A reinstatement application for licensure; |
| (ii) Payment of the current licensure renewal fee plus an additional late fee as set forth in |
| the fee structure for licensing, laboratory, and administrative services provided by the department |
| of health; and |
| (iii) Documentation of completion of continuing education units (CEUs) as required in this |
| chapter taken during the previous two (2) years § 23-1-54, and documentation of completion of |
| continuing education units (CEUs) as required in this chapter taken during the previous two (2) |
| years. |
| (e) Inactive status. |
| (1) An individual licensed as a speech-language pathologist and/or audiologist in Rhode |
| Island, not in the active practice of speech-language pathology or audiology within Rhode Island |
| during any year, may upon request to the department have their name transferred to an inactive |
| status and shall not be required to register biennially or pay any fee as long as the individual remains |
| inactive. |
| (2) Inactive status may be maintained for no longer than two (2) consecutive licensing |
| periods, after which period licensure will be terminated and a reinstatement application submitted |
| to the department will be required to resume practice. |
| (3) Any individual whose name has been transferred to an inactive status may be restored |
| to active status within two (2) licensing periods to practice speech-language pathology or audiology |
| without a penalty fee, upon the filing of: |
| (i) An application for licensure renewal with a licensure renewal fee as set forth in the fee |
| structure for licensing, laboratory, and administrative services provided by the department of health |
| § 23-1-54; and |
| (ii) Such other information as may be requested by the board. |
| (f) Any non-provisional, active license may be renewed by submission of the renewal |
| application and renewal fee as set forth in regulations payable before July 1 of even years |
| (biennially). |
| 5-48.2-7. Denial, suspension, and revocation of license. |
| (a) The board is authorized to deny, suspend, or revoke any license to practice speech- |
| language pathology and/or audiology or discipline any licensee upon a finding by the board that |
| the person is guilty of conduct as set forth in § 5-48-11, and in addition: |
| (1) Fraudulently or deceptively obtained or attempted to obtain a license for the applicant, |
| licensee, holder, or for another; |
| (2) Fraudulently or deceptively used a license; |
| (3) Altered a license; |
| (4) Aided or abetted unlicensed practice; |
| (5) Committed fraud and deceit in the practice of speech-language pathology or of |
| audiology including, but not limited to: |
| (i) Using or promoting, or causing the use of, any misleading, deceiving, or untruthful |
| advertising matter, promotional literature, testimonial, guarantee, warranty, label, brand, insignia, |
| or any other representation; |
| (ii) Falsely representing the use or availability of services or advice of a physician; |
| (iii) Misrepresenting the applicant, licensee, or holder by using the word “doctor” or any |
| similar word, abbreviation, or symbol, if the use is not accurate or if the degree was not obtained |
| from an accredited institution; |
| (iv) Making or filing a false report or record in the practice of speech-language pathology |
| or audiology; |
| (v) Submitting a false statement to collect a fee; and |
| (vi) Obtaining a fee through fraud or misrepresentation; |
| (6) Providing services while mentally incompetent; |
| (7) Engaging in illegal, incompetent, or habitually negligent practice; |
| (8) Providing professional services while: |
| (i) Under the influence of alcohol; or |
| (ii) Using any narcotic or controlled dangerous substance or other drug that is in excess of |
| therapeutic amounts or without valid medical indication; |
| (9) Promoting the sale of devices, appliances, or products to a patient who cannot benefit |
| from these devices, appliances, or products; |
| (10) Violating any provision of this chapter, any lawful order given, or rule or regulation |
| adopted by the board or departure from or failure to conform to the current standards of acceptable |
| prevailing practice and code of ethics of speech-language pathology or audiology; |
| (11) Being convicted of, or pleading guilty or nolo contendere to, a felony, whether or not |
| any appeal or another proceeding is pending to have the conviction or plea set aside; |
| (12) Incompetent or negligent misconduct in the practice of speech-language pathology or |
| audiology; |
| (13) Is habitually intemperate or is addicted to the use of habit-forming drugs; |
| (14) Being disciplined by a licensing or disciplinary authority of any other state or country, |
| or convicted or disciplined by a court of any state or country, for an act that would be grounds for |
| disciplinary action under this section; or |
| (15) Failing to maintain continuing education requirements. |
| (1)(16) Violating any provision of the act this chapter, any lawful order given, or rule or |
| regulation adopted by the board or departure from or failure to conform to the current standards of |
| acceptable prevailing practice and code of ethics of speech-language pathology or audiology as |
| adopted by the board and as contained in the “American Speech-Language-Hearing Association |
| Code of Ethics” as incorporated in this chapter. The board need not establish actual injury to clients |
| in order to adjudge a speech-language pathologist or audiologist of the above-named conduct. |
| (2)(b) The procedure for denial, revocation, or suspension of a license or discipline of a |
| licensee shall be as that set forth in § 5-48-13. §§ 5-48.2-7(b)(1) through 5-48.2-7(b)(8): |
| (1) Notice, in writing, of a contemplated revocation or suspension of a license, of this |
| particular cause, and of the date of a hearing, shall be sent by registered or certified mail to the |
| licensee at his or her last known address at least fifteen (15) days before the date of the hearing. |
| (2) The individual against whom a charge is filed has the right to appear before the board |
| in person or by counsel, or both; may produce witnesses and evidence on his or her behalf; and |
| may question witnesses. |
| (3) No license shall be revoked or suspended without a hearing, but the nonappearance of |
| the licensee, after notice, shall not prevent a hearing. |
| (4) All matters upon which the decision is based shall be introduced in evidence at the |
| proceeding. |
| (5) The licensee shall be notified, in writing, of the board’s decision. |
| (6) The board may make any rules and regulations that it deems proper for the filing of |
| charges and the conduct of hearings. |
| (7) After issuing an order of revocation or suspension, the board may also file a petition in |
| equity in the superior court in the county in which the respondent resides or transacts business, to |
| ensure appropriate injunctive relief to expedite and secure the enforcement of its order, pending the |
| final determination. |
| (8) An application for reinstatement may be made to the board, which may, upon the |
| affirmative vote of at least the majority of its members, grant a reinstatement. |
| 5-48.2-8. Support personnel. |
| (a) A speech-language pathology assistant (SLPA) for speech-language pathologists shall |
| meet the following requirements: |
| (1) Possess at minimum a: |
| (i) Two-year (2) speech-language pathology assistant program degree from an accredited |
| institution; or |
| (ii) Bachelor’s degree in communication sciences and disorders from an accredited |
| institution; or |
| (iii) Bachelor’s degree and a certificate from a board approved speech-language pathology |
| assistant program; or |
| (iv) Associate’s, bachelor’s, or advanced degree from an accredited institution in a related |
| field to include, but not limited to, human development and family sciences, education, or |
| psychology and complete at least eighteen (18) credit hours in coursework in speech-language |
| pathology in the following areas: introductory or overview course in communication disorders, |
| phonetics, anatomy and physiology of speech and hearing mechanisms, language development, |
| speech and language disorders, and clinical methods in speech-language pathology. |
| (2) Complete: |
| (i) Twenty-five (25) hours of documented observation of a licensed speech-language |
| pathologist, which may be accomplished within an undergraduate program of study; and |
| (ii) One hundred (100) clinical hours under the supervision of a licensed speech-language |
| pathologist. |
| (b) Scope of practice of speech-language pathology assistants. A licensed speech-language |
| pathology assistant shall only engage in those duties that adhere to the code of ethics of the board |
| and are planned, designed, and supervised by a licensed speech-language pathologist, including: |
| (1) Developing low-tech augmentative and alternative communication materials for |
| students, patients, and clients; |
| (2) Assisting with speech, language, and hearing screenings without clinical interpretation |
| of results; |
| (3) Administering and scoring screenings for clinical interpretation by the supervising |
| speech-language pathologist; |
| (4) Assisting with, but not administering or interpreting the results of, client assessments, |
| including setting up the testing environment, gathering and preparing materials, and taking notes; |
| (5) Administering and scoring assessments and progress monitoring tools without clinical |
| interpretation of results, if the licensed speech-language pathology assistant meets the examiner |
| requirements for such tools and the supervising speech-language pathologist has verified that such |
| examiner requirements have been met; |
| (6) Performing routine activities for therapy sessions in accordance with a plan developed |
| and directed by the speech-language pathologist who retains the professional responsibility for such |
| client, including: |
| (i) Implementing documented care plans or protocols; |
| (ii) Providing direct therapy services to address treatment goals; |
| (iii) Adjusting and documenting the amount and type of support or scaffolding provided to |
| the client in treatment to facilitate progress; and |
| (iv) Developing and implementing activities and materials for teaching and practice of |
| skills to address the goals of the client; |
| (7) Providing treatment through a variety of service delivery models as directed by the |
| supervising speech-language pathologist; |
| (8) Utilizing telecommunications technology to provide services remotely to clients as |
| directed by the supervising speech-language pathologist; |
| (9) Documenting client performance and reporting such performance information to the |
| supervising speech-language pathologist; |
| (10) Providing caregiver coaching, including modeling and teaching communication |
| strategies and providing feedback regarding caregiver-client interactions for facilitation and |
| carryover of skills; |
| (11) Sharing objective information regarding client performance without interpretation or |
| recommendations as directed by the supervising speech-language pathologist; |
| (12) Assisting with programming augmentative and alternative communication devices |
| and assisting and training clients with using such devices; |
| (13) Demonstrating strategies and assisting clients with skills included in the feeding and |
| swallowing plan developed by the supervising speech-language pathologist; |
| (14) Signing or initialing informal treatment notes and, upon request, co-signing formal |
| documents with the supervising speech-language pathologist; |
| (15) Assisting with clerical duties and site operations, including preparing materials, |
| scheduling appointments and activities, preparing charts, records, or graphs, and performing checks |
| and maintenance of equipment; |
| (16) Assisting clients with transitioning to and from therapy sessions; and |
| (17) Performing duties not otherwise restricted to the practice of speech-language |
| pathology. |
| (c) A speech-language pathologist assistant shall not hold themself out to be, or use the |
| title speech-language pathology assistant unless licensed pursuant to this chapter and shall not |
| engage in the practice of speech-language pathology, including the following: |
| (1) Representing themselves as a speech-language pathologist; |
| (2) Performing diagnostic tests or evaluations; |
| (3) Performing procedures that require a professional level of clinical judgment and |
| technical skill; |
| (4) Interpreting results and observations of feeding and swallowing evaluations or |
| screenings performed by a speech-language pathologist; |
| (5) Participating in formal conferences or meetings without the presence of the supervising |
| speech-language pathologist; |
| (6) Providing interpretative information to a client, the family of a client, or any other |
| individual; |
| (7) Writing, developing, or modifying a client’s treatment plan; |
| (8) Assisting in or providing services described in subsection (a) of this section unless |
| directed by the supervising speech-language pathologist; |
| (9) Signing any formal documents in place of the supervising speech-language pathologist; |
| (10) Selecting a client for service or discharging a client from service; |
| (11) Making a decision regarding the need for additional services or making a referral for |
| service; |
| (12) Disclosing clinical or confidential information either orally or in writing to anyone |
| other than the supervising speech-language pathologist, unless mandated by law or authorized by |
| the supervising speech-language pathologist; |
| (13) Developing or determining the swallowing or feeding strategies or precautions for a |
| client or providing feeding or swallowing treatment; |
| (14) Selecting augmentative and alternative communication systems or devices; or |
| (15) Treating medically fragile students, patients, and clients without one hundred percent |
| (100%) direct supervision by a licensed speech-language pathologist. |
| (d) A speech-language pathology assistant (SLPA) shall be licensed at the department and |
| be required to renew their license every two (2) years. |
| (e) Support personnel for audiologists (audiometric aide) or audiology assistants must meet |
| the following requirements: |
| (1) Hold a high school diploma; |
| (2) Receive intensive on-the-job training in accordance with the American Speech- |
| Language-Hearing Association (ASHA) or American Academy of Audiology (AAA) guidelines |
| for support personnel by the supervising licensed audiologist prior to providing services. Any |
| subsequent supervising licensed audiologist may require retraining of an audiometric aide or |
| audiology assistant under the supervising licensed audiologist’s supervision. |
| (3) Audiometric aides or audiology assistants shall be registered licensed at the department |
| and be required to re-register renew the license every two (2) years. |
| 5-48.2-13. Rules governing practices and procedures. |
| All hearings and reviews required under the provisions of the act this chapter shall be held |
| in accordance with the provisions of the rules and regulations regarding practices and procedures |
| before the department of health. |
| SECTION 3. Chapter 5-48.2 of the General Laws entitled "Professional Licensing and |
| Regulation of Speech-Language Pathologists and Audiologists" is hereby amended by adding |
| thereto the following sections: |
| 5-48.2-3.1. Board of examiners -- Composition -- Appointments, terms, and |
| qualifications of members. |
| (a) There exists within the department of health a board of examiners of speech-language |
| pathology and audiology. The board shall consist of five (5) persons who are residents of the state |
| and who have worked within the state for at least one year prior to their appointments. |
| (1) Two (2) members shall be speech-language pathologists who have practiced speech- |
| language pathology for at least five (5) years preceding appointment, are currently practicing |
| speech-language pathology, and hold active and valid licensure for the practice of speech-language |
| pathology in this state. |
| (2) One member shall be an audiologist who has practiced audiology for at least five (5) |
| years immediately preceding appointment, is currently practicing audiology, and holds active and |
| valid licensure for the practice of audiology in this state. |
| (3) One member shall be an otolaryngologist who holds certification by the American |
| Academy of Otolaryngology -- head and neck surgery, who is currently practicing otolaryngology, |
| and holds active and valid licensure as a physician within this state. |
| (4) One member shall be a representative of the consumer public who is not associated |
| with or financially interested in the practice or business of speech-language pathology or audiology. |
| (b) All appointments to the board shall be for the term of three (3) years. Members shall |
| serve until the expiration of the term for which they have been appointed or until their appointed |
| successors are qualified. |
| (c) When a vacancy upon the board occurs, the director of the department of health shall, |
| with the approval of the governor, appoint persons who are working within the state to fill the |
| remainder of the vacant term. |
| (d) The board shall reorganize annually during the month of January and shall select a |
| chairperson. |
| (e) A majority of currently filled positions shall constitute a quorum to do business. |
| (f) No person shall be appointed to serve more than two (2) consecutive terms. |
| (g) The first board and all future members shall be appointed by the director of the |
| department of health, with the approval of the governor. |
| (h) The director of the department of health, with the approval of the governor, may remove |
| any member of the board for dishonorable conduct, incompetency, or neglect of duty. |
| 5-48.2-3.2. Board of examiners -- Duties and powers -- Meetings -- Compensation of |
| members. |
| (a) The board shall administer, coordinate, and enforce the provisions of this chapter; |
| evaluate the qualifications of applicants; and may issue subpoenas, examine witnesses, and |
| administer oaths, conduct hearings, and at its discretion investigate allegations of violations of this |
| chapter and impose penalties if any violations of the chapter have occurred. |
| (b) The board shall conduct hearings and keep records and minutes as necessary to an |
| orderly dispatch of business. |
| (c) The board shall, with the approval of the director of the department of health, adopt, |
| amend, or repeal rules and regulations including, but not limited to, regulations that delineate |
| qualifications for licensure and establish standards of professional conduct. Following their |
| adoption, the rules and regulations shall govern and control the professional conduct of every |
| person who holds a license to practice speech-language pathology or audiology in this state. |
| (d) The board shall make available complete lists of the names and addresses of all licensed |
| speech-language pathologists and audiologists. |
| (e) The board may request legal advice and assistance from the appropriate state legal |
| officer. |
| (f) Regular meetings of the board shall be held at the times and places that it prescribes, |
| and special meetings may be held upon the call of the chairperson; provided that, at least one regular |
| meeting shall be held each year. |
| (g) The conferral or enumeration of specific powers in this chapter shall not be construed |
| as a limitation of the general powers conferred by this section. No member of the board shall be |
| liable to civil action for any act performed in good faith in the performance of his or her duties as |
| prescribed by this chapter. |
| (h) Board members shall serve without compensation. |
| (i) The board may deny, revoke, or suspend licenses or discipline licensees in accordance |
| with the provisions of this chapter subject to the approval of the director. |
| 5-48.2-14. Qualifications for provisional licensure. |
| (a) To be eligible for provisional licensure by the board, the speech-language pathologist |
| applicant must submit an application with the required application fee and be in compliance with |
| the requirements of §§ 5-48.2-5(a)(1), 5-48.2-5(a)(4), 5-48.2-5(a)(5), and 5-48.2-5(a)(8). |
| (b) In addition to the requirements of subsection (a) of this section, content of the |
| supervised postgraduate professional experience shall meet the standards of a trainee or fellow of |
| speech pathology as required by the American Speech-Language-Hearing Association (ASHA) or |
| other national accrediting association as may be approved by the board. |
| (c) If the postgraduate professional experience extends beyond one year, provisional |
| licensure must be renewed annually and not exceed thirty-six (36) months past the initiation of the |
| professional experience. |
| (d) The provisional licensure shall expire ninety (90) days after the end of the postgraduate |
| professional experience. |
| 5-48.2-15. Qualifications for licensure as an audiologist. |
| Persons seeking initial licensure as an audiologist on or after January 1, 2008, shall meet |
| the following requirements: |
| (1) Be of good moral character; |
| (2) Apply to the board, upon a form prescribed by the board; |
| (3) Submit the appropriate application fee; |
| (4) Submit an official transcript indicating possession of an earned doctorate degree in |
| audiology from a regionally accredited educational institution as delineated in the rules and |
| regulations; |
| (5) Pass a national examination in audiology approved by the board and delineated in the |
| rules and regulations; |
| (6) Present evidence of practicum experience that is equivalent to a minimum of twelve |
| (12) months of full-time, supervised experience, that may be completed as part of the graduate |
| degree, as delineated in the rules and regulations; |
| (7) If applicable, present evidence from the board of audiology in each state in which the |
| applicant has held or holds licensure to be submitted to the board of this state, attesting to the |
| licensure status of the applicant during the time period the applicant held licensure in the state; |
| (8) Any other requirements as set forth in the rules and regulations. |
| (9) Applicants with a master’s degree holding licensure from another state must present |
| verification of a Certificate of Clinical Competence from the American Academy of Audiology |
| (AAA) or other national accrediting association as may be approved by the board. |
| (10) Qualifications for audiologists licensed in alternate jurisdictions. Persons licensed as |
| an audiologist in alternate jurisdictions on or before January 1, 2008, shall meet the requirements |
| of Rhode Island that were in effect at the time of initial licensure in the alternate jurisdiction. |
| 5-48.2-16. Receipts. |
| The proceeds of any fees collected pursuant to the provisions of this chapter shall be |
| deposited as general revenues. |
| SECTION 4. Section 5-48.2-2 of the General Laws in Chapter 5-48.2 entitled "Professional |
| Licensing and Regulation of Speech-Language Pathologists and Audiologists" is hereby repealed. |
| 5-48.2-2. Incorporated materials. |
| This chapter hereby adopts and incorporates the American Speech-Language-Hearing |
| Association’s “American Speech-Language-Hearing Association Code of Ethics” (2016) by |
| reference, not including any further editions or amendments thereof and only to the extent that the |
| provisions therein are not inconsistent with these regulations. |
| SECTION 5. This act shall take effect upon passage. |
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| LC005350 |
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