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H.B. 266

             1     

HEARING INSTRUMENT SPECIALIST

             2     
AMENDMENTS

             3     
2002 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Sponsor: Afton B. Bradshaw

             6      This act amends the Hearing Instrument Specialist Licensing Act. This act modifies the
             7      qualifications for licensure, the term and renewal of a license, and provides additional
             8      definitions of "unprofessional conduct." This act makes technical amendments. This act has
             9      an effective date of July 1, 2002.
             10      This act affects sections of Utah Code Annotated 1953 as follows:
             11      AMENDS:
             12          58-46a-302, as last amended by Chapter 28, Laws of Utah 1995
             13          58-46a-306, as enacted by Chapter 28, Laws of Utah 1994
             14          58-46a-501, as last amended by Chapter 249, Laws of Utah 1998
             15      ENACTS:
             16          58-46a-302.5, Utah Code Annotated 1953
             17      Be it enacted by the Legislature of the state of Utah:
             18          Section 1. Section 58-46a-302 is amended to read:
             19           58-46a-302. Qualifications for licensure.
             20          (1) Each applicant for licensure as a hearing instrument specialist shall:
             21          (a) submit to the division an application in a form prescribed by the division;
             22          (b) pay a fee as determined by the [department] division pursuant to Section 63-38-3.2 ;
             23          (c) be of good moral character;
             24          (d) (i) have successfully completed [2,000] 4,000 hours of practice as a hearing instrument
             25      intern within the state [of which the first 1,000 hours shall be under direct] under supervision by
             26      a supervising hearing instrument specialist [and the remaining 1,000 hours under direct or indirect
             27      supervision by a supervising hearing instrument specialist] in accordance with Section


             28      58-46a-302.5 or an equivalent as approved by the division; or
             29          (ii) demonstrate successful practice for the equivalent of two years of full-time practice
             30      as a licensed hearing instrument specialist in another state requiring licensure and practice in
             31      conformity with defined lawful and professional standards of practice;
             32          (e) have qualified for and currently hold board certification by the National Board for
             33      Certification - Hearing Instrument Sciences, or an equivalent certification approved by the division
             34      in collaboration with the board;
             35          (f) have passed the Utah Law and Rules Examination for Hearing Instrument Specialists;
             36      and
             37          (g) if the applicant holds a hearing instrument intern license, surrender the hearing
             38      instrument intern license at the time of licensure as a hearing instrument specialist.
             39          (2) Each applicant for licensure as a hearing instrument intern shall:
             40          (a) submit to the division an application in a form prescribed by the division;
             41          (b) pay a fee as determined by the [department] division pursuant to Section 63-38-3.2 ;
             42          (c) be of good moral character;
             43          [(d) have successfully completed the National Institute for Hearing Studies education and
             44      examination program designated for individuals entering the field of hearing instrument sciences
             45      as approved by the division in collaboration with the board, or an equivalent education and
             46      examination program approved by the division in collaboration with the board;]
             47          [(e)] (d) have passed the Utah Law and Rules Examination for Hearing Instrument
             48      Specialists; and
             49          [(f)] (e) present evidence acceptable to the division and the board that the applicant, when
             50      licensed, will practice as a hearing instrument intern only under supervision of a supervising
             51      hearing instrument specialist as required under Subsection (1)(d).
             52          Section 2. Section 58-46a-302.5 is enacted to read:
             53          58-46a-302.5. Supervision requirements -- Hearing instrument interns.
             54          (1) (a) A hearing instrument intern shall complete 4,000 supervised hours of practice as
             55      a hearing instrument specialist intern.
             56          (b) The 4,000 hours required in Subsection (1)(a) shall be under the direct supervision of
             57      a licensed hearing instrument specialist, until the intern:
             58          (i) receives a passing score on a practical examination demonstrating acceptable skills in


             59      the area of hearing testing as approved by the division in collaboration with the board; and
             60          (ii) completes the National Institute for Hearing instrument studies education and
             61      examination program, or an equivalent college level program as approved by the division in
             62      collaboration with the board.
             63          (c) Upon satisfaction of the direct supervision requirement of Subsection (1)(b) the intern
             64      shall:
             65          (i) complete the balance of the 4,000 supervised hours under indirect supervision; and
             66          (ii) receive a passing score on the International Licensing Examination of the hearing
             67      instrument dispenser or other tests approved by the division.
             68          Section 3. Section 58-46a-306 is amended to read:
             69           58-46a-306. Holders of license under predecessor law.
             70          (1) An individual who has been issued a Utah license as a hearing aid specialist prior to
             71      July 1, 1994, under any predecessor licensing act may renew or reinstate that license in accordance
             72      with the provisions of Section 58-1-308 , under the classification of hearing instrument specialist
             73      without meeting the qualifications for licensure under Subsection 58-46a-302 (1) until September
             74      30, 1996. After September 30, 1996, an individual may renew or reinstate a license as a hearing
             75      instrument specialist only if the individual meets the qualification for licensure provided in
             76      Subsection 58-46a-302 (1).
             77          (2) An individual who has been issued a Utah temporary license as a hearing aid specialist
             78      under any predecessor licensing act prior to and current as of July 1, 1994, shall be issued a hearing
             79      instrument intern license for a term of two years and shall be regulated in accordance with all
             80      provisions of this chapter relating to a hearing instrument intern license. After expiration of the
             81      license, that individual may not practice as a hearing instrument specialist unless that person
             82      qualifies and is licensed as a hearing instrument specialist or exempted from licensure in
             83      accordance with the provisions of this chapter.
             84          (3) An individual holding a Hearing Instrument Intern License, prior to and current as of
             85      July 1, 2002:
             86          (a) is subject to the provisions of Sections 58-46a-302 and 58-46a-302.5 ; and
             87          (b) will receive full credit for the number of direct and indirect hours of supervision prior
             88      to July 1, 2001.
             89          Section 4. Section 58-46a-501 is amended to read:


             90           58-46a-501. Unprofessional conduct.
             91          "Unprofessional conduct" includes:
             92          (1) testing the hearing of a patient for any purpose other than to determine whether a
             93      hearing loss will be improved by the use of a hearing instrument;
             94          (2) failing to make an appropriate referral to a qualified health care provider with respect
             95      to a condition detected in a patient examined by a licensee under this chapter if the condition is
             96      generally recognized in the profession as one that should be referred;
             97          (3) designating a hearing instrument for a patient whose hearing will not be sufficiently
             98      improved to justify prescribing and selling of the hearing instrument;
             99          (4) making false, misleading, deceptive, fraudulent, or exaggerated claims with respect to
             100      practice under this chapter and specifically with respect to the benefits of a hearing instrument or
             101      the degree to which a hearing instrument will benefit a patient;
             102          (5) failing to exercise caution in providing a patient a prognosis to assure the patient is not
             103      led to expect results that cannot be accurately predicted;
             104          (6) failing to provide appropriate follow-up care and consultation with respect to a patient
             105      to whom a hearing instrument has been prescribed and sold upon being informed by the patient
             106      that the hearing instrument does not produce the results represented by the licensee;
             107          (7) failing to disclose in writing to the patient the charge for all services and hearing
             108      instruments prescribed and sold to a patient prior to providing the services or hearing instrument;
             109          (8) failing to refund fees paid by a patient for a hearing instrument and all accessories,
             110      upon a determination by the division in collaboration with the board that the patient has not
             111      obtained the recovery of hearing represented by the licensee in writing prior to designation and sale
             112      of the hearing instrument;
             113          (9) paying any professional person any consideration of any kind for referral of a patient;
             114          (10) failing, when acting as a supervising hearing instrument specialist, to provide [direct]
             115      supervision [to a] and training in hearing instrument [intern during the first 1,000 hours the intern
             116      is engaged] sciences in accordance with Section 58-46a-302.5 ;
             117          (11) engaging in the practice as a hearing instrument intern [and indirect or direct
             118      supervision during the remaining hours; (11) engaging in the practice as a hearing instrument
             119      intern when not under the direct] when not under the supervision of a supervising hearing
             120      instrument specialist [during the first 1,000 hours as a hearing instrument intern and engaging in


             121      the practice as a hearing instrument intern when not under the indirect or direct supervision of a
             122      supervising hearing instrument specialist during the remaining hours] in accordance with Section
             123      58-46a-302.5 ;
             124          (12) failing to describe the circuitry in any advertisement, presentation, purchase, or trial
             125      agreement as being either "digital" or "analog"; or other acceptable terms as determined by the
             126      division in collaboration with the board;
             127          (13) failing to follow the guidelines or policies of the United States Federal Trade
             128      Commission in any advertisement;
             129          (14) failing to adhere to the rules and regulations prescribed by the United States Food and
             130      Drug Administration as they pertain to the hearing instrument specialist;
             131          [(12)] (15) failing to maintain all equipment used in the practice of a hearing instrument
             132      specialist properly calibrated and in good working condition; and
             133          [(13)] (16) failing to comply with any of the requirements set forth in Section 58-46a-502
             134      or 58-46a-503 .
             135          Section 5. Effective date.
             136          This act takes effect on July 1, 2002.




Legislative Review Note
    as of 1-17-02 3:08 PM


A limited legal review of this legislation raises no obvious constitutional or statutory concerns.

Office of Legislative Research and General Counsel


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