H.B. 266 Enrolled

HEARING INSTRUMENT SPECIALIST
AMENDMENTS
2002 GENERAL SESSION
STATE OF UTAH
Sponsor: Afton B. Bradshaw
This act amends the Hearing Instrument Specialist Licensing Act. This act modifies the
qualifications for licensure, the term and renewal of a license, and provides additional
definitions of "unprofessional conduct." This act makes technical amendments. This act has
an effective date of July 1, 2002.
This act affects sections of Utah Code Annotated 1953 as follows:
AMENDS:
58-46a-302, as last amended by Chapter 28, Laws of Utah 1995
58-46a-306, as enacted by Chapter 28, Laws of Utah 1994
58-46a-501, as last amended by Chapter 249, Laws of Utah 1998
ENACTS:
58-46a-302.5, Utah Code Annotated 1953
Be it enacted by the Legislature of the state of Utah:
Section 1. Section 58-46a-302 is amended to read:
58-46a-302. Qualifications for licensure.
(1) Each applicant for licensure as a hearing instrument specialist shall:
(a) submit to the division an application in a form prescribed by the division;
(b) pay a fee as determined by the [department] division pursuant to Section 63-38-3.2 ;
(c) be of good moral character;
(d) (i) have successfully completed [2,000] 4,000 hours of practice as a hearing instrument
intern within the state [of which the first 1,000 hours shall be under direct] under supervision by
a supervising hearing instrument specialist [and the remaining 1,000 hours under direct or indirect
supervision by a supervising hearing instrument specialist] in accordance with Section
58-46a-302.5 or an equivalent as approved by the division; or
(ii) demonstrate successful practice for the equivalent of two years of full-time practice

as a licensed hearing instrument specialist in another state requiring licensure and practice in
conformity with defined lawful and professional standards of practice;
(e) have qualified for and currently hold board certification by the National Board for
Certification - Hearing Instrument Sciences, or an equivalent certification approved by the division
in collaboration with the board;
(f) have passed the Utah Law and Rules Examination for Hearing Instrument Specialists;
and
(g) if the applicant holds a hearing instrument intern license, surrender the hearing
instrument intern license at the time of licensure as a hearing instrument specialist.
(2) Each applicant for licensure as a hearing instrument intern shall:
(a) submit to the division an application in a form prescribed by the division;
(b) pay a fee as determined by the [department] division pursuant to Section 63-38-3.2 ;
(c) be of good moral character;
[(d) have successfully completed the National Institute for Hearing Studies education and
examination program designated for individuals entering the field of hearing instrument sciences as
approved by the division in collaboration with the board, or an equivalent education and examination
program approved by the division in collaboration with the board;]
[(e)] (d) have passed the Utah Law and Rules Examination for Hearing Instrument
Specialists; and
[(f)] (e) present evidence acceptable to the division and the board that the applicant, when
licensed, will practice as a hearing instrument intern only under supervision of a supervising hearing
instrument specialist as required under Subsection (1)(d).
Section 2. Section 58-46a-302.5 is enacted to read:
58-46a-302.5. Supervision requirements -- Hearing instrument interns.
(1) (a) A hearing instrument intern shall complete 4,000 supervised hours of practice as a
hearing instrument specialist intern.
(b) The 4,000 hours required in Subsection (1)(a) shall be under the direct supervision of a
licensed hearing instrument specialist, until the intern:

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(i) receives a passing score on a practical examination demonstrating acceptable skills in the
area of hearing testing as approved by the division in collaboration with the board; and
(ii) completes the National Institute for Hearing instrument studies education and
examination program, or an equivalent college level program as approved by the division in
collaboration with the board.
(c) Upon satisfaction of the direct supervision requirement of Subsection (1)(b) the intern
shall:
(i) complete the balance of the 4,000 supervised hours under indirect supervision; and
(ii) receive a passing score on the International Licensing Examination of the hearing
instrument dispenser or other tests approved by the division.
Section 3. Section 58-46a-306 is amended to read:
58-46a-306. Holders of license under predecessor law.
(1) An individual who has been issued a Utah license as a hearing aid specialist prior to July
1, 1994, under any predecessor licensing act may renew or reinstate that license in accordance with
the provisions of Section 58-1-308 , under the classification of hearing instrument specialist without
meeting the qualifications for licensure under Subsection 58-46a-302 (1) until September 30, 1996.
After September 30, 1996, an individual may renew or reinstate a license as a hearing instrument
specialist only if the individual meets the qualification for licensure provided in Subsection
58-46a-302 (1).
(2) An individual who has been issued a Utah temporary license as a hearing aid specialist
under any predecessor licensing act prior to and current as of July 1, 1994, shall be issued a hearing
instrument intern license for a term of two years and shall be regulated in accordance with all
provisions of this chapter relating to a hearing instrument intern license. After expiration of the
license, that individual may not practice as a hearing instrument specialist unless that person
qualifies and is licensed as a hearing instrument specialist or exempted from licensure in accordance
with the provisions of this chapter.
(3) An individual holding a hearing instrument intern license, prior to and current as of July
1, 2002:

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(a) is subject to the provisions of Sections 58-46a-302 and 58-46a-302.5 ; and
(b) will receive full credit for the number of direct and indirect hours of supervision prior
to July 1, 2001.
Section 4. 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
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;

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(10) failing, when acting as a supervising hearing instrument specialist, to provide [direct]
supervision [to a] and training in hearing instrument [intern during the first 1,000 hours the intern
is engaged] sciences in accordance with Section 58-46a-302.5 ;
(11) engaging 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] when not under the 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 hours] in accordance with Section 58-46a-302.5 ;
(12) failing to describe the circuitry in any advertisement, presentation, purchase, or trial
agreement as being either "digital" or "analog"; or other acceptable terms as determined by the
division in collaboration with the board;
(13) failing to follow the guidelines or policies of the United States Federal Trade
Commission in any advertisement;
(14) failing to adhere to the rules and regulations prescribed by the United States Food and
Drug Administration as they pertain to the hearing instrument specialist;
[(12)] (15) failing to maintain all equipment used in the practice of a hearing instrument
specialist properly calibrated and in good working condition; and
[(13)] (16) failing to comply with any of the requirements set forth in Section 58-46a-502
or 58-46a-503 .
Section 5. Effective date.
This act takes effect on July 1, 2002.

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