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H.B. 78 Enrolled

                 

TESTING PERIOD FOR HEARING AIDS

                 
1998 GENERAL SESSION

                 
STATE OF UTAH

                 
Sponsor: Loraine T. Pace

                  AN ACT RELATING TO OCCUPATIONS AND PROFESSIONS; REQUIRING
                  AUDIOLOGISTS AND HEARING INSTRUMENT SPECIALISTS TO PROVIDE A 30-DAY
                  TESTING PERIOD FOR HEARING AIDS; REQUIRING NOTICE TO HEARING AID
                  PURCHASERS; ALLOWING FOR THE RETENTION OF A CANCELLATION FEE; AND
                  MAKING TECHNICAL CHANGES.
                  This act affects sections of Utah Code Annotated 1953 as follows:
                  AMENDS:
                      58-41-2, as last amended by Chapter 297, Laws of Utah 1993
                      58-46a-501, as enacted by Chapter 28, Laws of Utah 1994
                  ENACTS:
                      58-41-17, Utah Code Annotated 1953
                      58-46a-503, Utah Code Annotated 1953
                  Be it enacted by the Legislature of the state of Utah:
                      Section 1. Section 58-41-2 is amended to read:
                       58-41-2. Definitions.
                      In addition to the definitions in Section 58-1-102 , as used in this chapter:
                      (1) "ASHA" means the American Speech and Hearing Association.
                      (2) "Association" means the Utah Speech and Hearing Association.
                      (3) "Audiologist" means a person who practices audiology or who holds himself out to the
                  public directly or indirectly by any means, act, title, identification, performance, method, or
                  procedure as one who nonmedically examines, measures, tests, interprets, evaluates, assesses,
                  diagnoses, directs, instructs, treats, counsels, prescribes, and recommends for persons affected by
                  or suspected of having disorders of or conditions of impaired hearing, or assists persons in
                  achieving the reception, communication, and perception of sound and determines the range, nature,
                  and degree of hearing function related to communication needs, or provides audiology services and


                  uses audio electronic equipment and provides audiology services and consultation regarding noise
                  control and hearing conservation, conducts tests and interpretation of vestibular function and
                  nystagmus, prepares ear impressions and provides ear molds, aids, accessories, prescriptions, and
                  prostheses for hearing, evaluates sound environment and equipment, and calibrates instruments used
                  in testing and supplementing auditory function. A person is deemed to be an audiologist if he
                  directly or indirectly provides or offers to provide these services or functions set forth in Subsection
                  (4) or any related function.
                      (4) "Audiology" means the application of principles, methods, and procedures, and
                  measuring, testing, examining, interpreting, diagnosing, predicting, evaluating, prescribing,
                  consulting, treating, instructing, and researching, which is related to hearing, vestibular function, and
                  the disorders of hearing, to related language and speech disorders and to aberrant behavior related
                  to loss of hearing or vestibular function, for the purpose of preventing and modifying disorders
                  related to loss of hearing or vestibular function, and planning, directing, managing, conducting, and
                  participating in hearing conservation, evoked potentials evaluation, nonmedical tinnitus evaluation
                  or treatment, noise control, habilitation, and rehabilitation programs, including hearing aid
                  evaluation, assistive listening device evaluation, prescription, preparation, and dispensing, and
                  auditory training and lip reading.
                      (5) "Audiology aide" means an individual who:
                      (a) meets the minimum qualifications established by the board for audiology aides. Those
                  qualifications shall be substantial but less than those established by this chapter for licensing an
                  audiologist;
                      (b) does not act independently; and
                      (c) works under the personal direction and direct supervision of a licensed audiologist who
                  accepts responsibility for the acts and performance of that audiology aide under this chapter.
                      (6) "Board" means the Speech-language Pathology and Audiology Licensing Board created
                  under Section 58-41-6 .
                      (7) "CCC" means the certificate of clinical competence awarded by the American Speech
                  and Hearing Association.

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                      (8) "CFY" means the clinical fellowship year prescribed by ASHA.
                      (9) "Disorder" means the condition of decreased, absent, or impaired auditory, speech, voice,
                  or language function.
                      (10) "Hearing aid dealer" means one who sells, repairs, and adjusts hearing aids.
                      (11) "Licensed audiologist" means any individual to whom a license has been issued under
                  this chapter if that license is in force and has not been suspended or revoked.
                      (12) "Licensed speech-language pathologist" means any individual licensed under this
                  chapter whose license is in force and has not been suspended or revoked.
                      (13) "Person" means any individual, group, organization, partnership, or corporate body,
                  except that only an individual may be licensed under this chapter.
                      (14) "Practice of audiology" means rendering or offering to render to individuals, groups,
                  agencies, organizations, industries, or the public any performance or service in audiology.
                      (15) "Practice of speech-language pathology" means rendering, prescribing, or offering to
                  render to individuals, groups, agencies, organizations, industries or the public any service in
                  speech-language pathology.
                      (16) "Prescribe" means to:
                      (a) determine, specify, and give the directions, procedures, or rules for a person to follow
                  in determining and ordering the preparation, delivery, and use of specific mechanical, acoustic, or
                  electronic aids to hearing or speech; and
                      (b) determine or designate a remedy for a person.
                      (17) "Prescription" means a written or oral order for the delivery or execution of that which
                  has been prescribed.
                      (18) "Speech-language pathologist" means:
                      (a) a person who practices speech-language pathology or who holds himself out to the public
                  by any means, or by any service or function he performs, directly or indirectly, or by using the terms
                  "speech-language pathologist," "speech-language therapist," "language disability specialist," or any
                  variation, derivation, synonym, coinage, or whatever expresses, employs, or implies these terms,
                  names, or functions; or

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                      (b) a person who performs any of the functions described in Subsection (19) or any related
                  functions.
                      (19) "Speech-language pathology" means the application of principles, methods, and
                  procedures for the examination, measurement, prevention, testing, identification, evaluation,
                  diagnosis, treatment, instruction, modification, prescription, restoration, counseling, habilitation,
                  prediction, management, and research related to the development and the disorders or disabilities
                  of human communication, speech, voice, language, cognitive communication, or oral, pharyngeal,
                  or laryngeal sensorimotor competencies, for the purpose of identifying, evaluating, diagnosing,
                  prescribing, preventing, managing, correcting, ameliorating, or modifying those disorders and their
                  effects in individuals or groups of individuals.
                      (20) "Speech-language pathology aide" means an individual who:
                      (a) meets the minimum qualifications established by the board for speech-language
                  pathology aides. Those qualifications shall be substantial but less than those established by this
                  chapter for licensing a speech-language pathologist;
                      (b) does not act independently; and
                      (c) works under the personal direction and direct supervision of a licensed speech-language
                  pathologist who accepts the responsibility for the acts and performances of that speech-language
                  pathology aide while working under this chapter.
                      (21) "Treatment" means the services of a speech-language pathologist or audiologist to
                  examine, diagnose, correct, or ameliorate speech or hearing disorders, abnormalities, behavior, or
                  their effects.
                      (22) "Unprofessional conduct" as defined in Section 58-1-501 and as may be further defined
                  by rule includes:
                      (a) failing to maintain a level of professional practice consistent with all initial and
                  subsequent requirements by which a license is achieved or maintained under this chapter;
                      (b) utilizing substandard or inappropriate facilities or equipment; [or]
                      (c) treating any disorder for which the licensee has not had the necessary training and
                  experience[.]; or

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                      (d) failing to comply with the requirements of Section 58-41-17 .
                      Section 2. Section 58-41-17 is enacted to read:
                      58-41-17. Testing period for hearing aids.
                      (1) As used in this section:
                      (a) "Hearing aid" means any wearable instrument or device designed or offered for the
                  purpose of aiding or compensating for impaired human hearing and any parts, attachments, or
                  accessories thereto.
                      (b) "Hearing aid" does not include any type of device which is surgically implanted in the
                  cochlea or under the skin near the ear.
                      (2) Any person licensed under this chapter who sells a hearing aid to a consumer shall
                  provide a written receipt or written contract to the consumer. The written receipt or contract shall
                  provide the consumer with a 30-day right to cancel the purchase if the consumer finds that the
                  hearing aid does not function adequately for the consumer and to obtain a refund if the consumer
                  returns the hearing aid to the seller in the same condition, ordinary wear and tear excluded, as when
                  purchased. The written receipt or contract shall notify the consumer of the 30-day right to cancel
                  in at least ten point type. The 30-day right to cancel shall commence from either the date the hearing
                  aid is originally delivered to the consumer or the date the written receipt or contract is delivered to
                  the consumer, whichever is later. The 30-day period shall be tolled for any period during which the
                  hearing aid seller, dealer, or fitter has possession or control of the hearing aid after its original
                  delivery.
                      (3) Upon exercise of the 30-day right to cancel a hearing aid purchase, the seller of the
                  hearing aid is entitled to a cancellation fee equal to the actual cost that will be incurred by the seller
                  in order to return the hearing aid to the manufacturer, provided that the written receipt or contract
                  states the exact amount that will be retained by the seller as a cancellation fee.
                      Section 3. Section 58-46a-501 is amended to read:
                       58-46a-501. Unprofessional conduct.
                      "Unprofessional conduct" includes:
                      (1) testing the hearing of a patient for any purpose other than to determine whether a hearing

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                  loss will be improved by the use of a hearing instrument;
                      (2) failing to make an appropriate referral to a qualified health care provider with respect to
                  a condition detected in a patient examined by a licensee under this chapter if the condition is
                  generally recognized in the profession as one that should be referred;
                      (3) designating a hearing instrument for a patient whose hearing will not be sufficiently
                  improved to justify prescribing and selling of the hearing instrument;
                      (4) making false, misleading, deceptive, fraudulent, or exaggerated claims with respect to
                  practice under this chapter and specifically with respect to the benefits of a hearing instrument or the
                  degree to which a hearing instrument will benefit a patient;
                      (5) failing to exercise caution in providing a patient a prognosis to assure the patient is not
                  led to expect results that cannot be accurately predicted;
                      (6) failing to provide appropriate follow-up care and consultation with respect to a patient
                  to whom a hearing instrument has been prescribed and sold upon being informed by the patient that
                  the hearing instrument does not produce the results represented by the licensee;
                      (7) failing to disclose in writing to the patient the charge for all services and hearing
                  instruments prescribed and sold to a patient prior to providing the services or hearing instrument;
                      (8) failing to refund fees paid by a patient for a hearing instrument and all accessories, upon
                  a determination by the division in collaboration with the board that the patient has not obtained the
                  recovery of hearing represented by the licensee in writing prior to designation and sale of the hearing
                  instrument;
                      (9) paying any professional person any consideration of any kind for referral of a patient;
                      (10) failing, when acting as a supervising hearing instrument specialist, to provide direct
                  supervision to a hearing instrument intern during the first 1,000 hours the intern is engaged in the
                  practice as a hearing instrument intern and indirect or direct supervision during the remaining hours;
                      (11) engaging in the practice as a hearing instrument intern when not under the direct
                  supervision of a supervising hearing instrument specialist during the first 1,000 hours as a hearing
                  instrument intern and engaging in the practice as a hearing instrument intern when not under the
                  indirect or direct supervision of a supervising hearing instrument specialist during the remaining

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                  hours;
                      (12) failing to maintain all equipment used in the practice of a hearing instrument specialist
                  properly calibrated and in good working condition; and
                      (13) failing to comply with any of the requirements set forth in Section 58-46a-502 or
                  58-46a-503 .
                      Section 4. Section 58-46a-503 is enacted to read:
                      58-46a-503. Testing period for hearing aids.
                      (1) Any person licensed under this chapter who sells a hearing aid to a consumer shall
                  provide a written receipt or written contract to the consumer. The written receipt or contract shall
                  provide the consumer with a 30-day right to cancel the purchase if the consumer finds that the
                  hearing aid does not function adequately for the consumer and to obtain a refund if the consumer
                  returns the hearing aid to the seller in the same condition, ordinary wear and tear excluded, as when
                  purchased. The written receipt or contract shall notify the consumer of the 30-day right to cancel
                  in at least ten point type. The 30-day right to cancel shall commence from either the date the hearing
                  aid is originally delivered to the consumer or the date the written receipt or contract is delivered to
                  the consumer, whichever is later. The 30-day period shall be tolled for any period during which the
                  hearing aid seller, dealer, or fitter has possession or control of the hearing aid after its original
                  delivery.
                      (2) Upon exercise of the right to cancel a hearing aid purchase, the seller of the hearing aid
                  is entitled to a cancellation fee not to exceed 15% of all fees charged to the consumer, including
                  testing, fitting, counseling, and the purchase price of the hearing aid. The exact amount of the
                  cancellation fee shall be stated in the written receipt or contract provided to the consumer.
                 

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