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Colorado House Bill HB1075

Colorado 2025 Regular Session

Colorado House Bill HB1075 Compare Versions

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11 First Regular Session
22 Seventy-fifth General Assembly
33 STATE OF COLORADO
4-REREVISED
5-This Version Includes All Amendments
6-Adopted in the Second House
4+REVISED
5+This Version Includes All Amendments Adopted
6+on Second Reading in the Second House
77 LLS NO. 25-0631.01 Brita Darling x2241
88 HOUSE BILL 25-1075
99 House Committees Senate Committees
1010 Business Affairs & Labor Business, Labor, & Technology
1111 A BILL FOR AN ACT
1212 C
1313 ONCERNING REGULATION OF SPEECH -LANGUAGE PATHOLOGY101
1414 ASSISTANTS.102
1515 Bill Summary
1616 (Note: This summary applies to this bill as introduced and does
1717 not reflect any amendments that may be subsequently adopted. If this bill
1818 passes third reading in the house of introduction, a bill summary that
1919 applies to the reengrossed version of this bill will be available at
2020 http://leg.colorado.gov
2121 .)
2222 Beginning January 1, 2026, the bill authorizes the certification of
2323 an individual as a speech-language pathology assistant (SLPA). The
2424 director of the division of professions and occupations (director) in the
2525 department of regulatory agencies (DORA) may certify an applicant if the
2626 applicant demonstrates that the applicant has a bachelor's degree in
2727 speech communication, speech-language pathology, or a related field and
2828 SENATE
29-3rd Reading Unamended
30-April 1, 2025
31-SENATE
3229 Amended 2nd Reading
3330 March 31, 2025
3431 HOUSE
3532 3rd Reading Unamended
3633 February 4, 2025
3734 HOUSE
3835 Amended 2nd Reading
3936 February 3, 2025
4037 HOUSE SPONSORSHIP
4138 Garcia Sander and Phillips, Hartsook, Velasco, Bacon, Boesenecker, Duran, Froelich,
4239 Hamrick, Lindsay, Lindstedt, Marshall, Stewart K., Stewart R.
4340 SENATE SPONSORSHIP
44-Kirkmeyer and Mullica, Michaelson Jenet, Amabile, Coleman, Cutter, Jodeh
41+Kirkmeyer and Mullica, Michaelson Jenet
4542 Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
4643 Capital letters or bold & italic numbers indicate new material to be added to existing law.
4744 Dashes through the words or numbers indicate deletions from existing law. has completed an SLPA program and a clinical practicum.
4845 An SLPA shall practice speech-language pathology only in
4946 collaboration with and under the direction and supervision of a certified
5047 speech-language pathologist (SLP). The bill establishes requirements and
5148 guidelines for an SLP supervising an SLPA.
5249 The bill prohibits an SLPA from engaging in certain
5350 speech-language pathology tasks, such as the diagnosis of patients and
5451 preparation of a treatment plan.
5552 An SLPA is required to complete 10 hours of continuing education
5653 each year and is subject to discipline by the director for violations of
5754 statutes governing the practice of speech-language pathology by an
5855 SLPA.
5956 The bill repeals SLPA certification on September 1, 2033, subject
6057 to sunset review by DORA.
6158 The bill makes conforming amendments, including clarifying that
6259 a school SLPA authorized by the department of education to practice in
6360 schools is not automatically a DORA-certified SLPA and must apply for
6461 DORA certification.
6562 Be it enacted by the General Assembly of the State of Colorado:1
6663 SECTION 1. In Colorado Revised Statutes, 12-305-102, amend2
6764 (1) introductory portion and (2); and add (1)(c.5) as follows:3
6865 12-305-102. Legislative declaration. (1) The general assembly4
6966 hereby finds, determines, and declares that:5
7067 (c.5) SPEECH-LANGUAGE PATHOLOGY ASSISTANTS ENHANCE THE6
7168 EFFICIENCY AND EXTENT OF SPEECH-LANGUAGE PATHOLOGY SERVICES BY7
7269 PROVIDING SPEECH-LANGUAGE PATHOLOGY SERVICES UNDER THE8
7370 DIRECTION AND SUPERVISION OF SPEECH-LANGUAGE PATHOLOGISTS AND9
7471 WILL HELP ADDRESS THE CRITICAL SHORTAGE OF SPEECH-LANGUAGE10
7572 PATHOLOGY SERVICES IN THE STATE; AND11
7673 (2) The general assembly further determines that it is the purpose12
7774 of this article 305 to:13
7875 (a) Regulate persons INDIVIDUALS who are representing or holding14
7976 themselves out as speech-language pathologists or who are performing15
8077 1075-2- services that constitute speech-language pathology; and1
8178 (b) Exclude from regulation under this article 305 those school2
8279 speech-language pathologists, INCLUDING SCHOOL SPEECH-LANGUAGE3
8380 PATHOLOGY ASSISTANTS, who are paid solely by an administrative unit or4
8481 state-operated program.5
8582 SECTION 2. In Colorado Revised Statutes, 12-305-104, amend6
8683 (2) and (3); and add (1.3), (1.4), (1.5), (2.5), (4.5), and (6) as follows:7
8784 12-305-104. Definitions. As used in this article 305, unless the8
8885 context otherwise requires:9
8986 (1.3) "CERTIFICATE HOLDER" MEANS A SPEECH-LANGUAGE10
9087 PATHOLOGIST CERTIFIED PURSUANT TO SECTION 12-305-107.11
9188 (1.4) "CERTIFIED" MEANS CERTIFIED BY THE DIRECTOR PURSUANT12
9289 TO THIS ARTICLE 305.13
9390 (1.5) "DIRECTION AND SUPERVISION" MEANS, WITH RESPECT TO A14
9491 SPEECH-LANGUAGE PATHOLOGY ASSISTANT , DIRECTION AND SUPERVISION15
9592 BY A SUPERVISING SPEECH LANGUAGE PATHOLOGIST IN ACCOR DANCE WITH16
9693 THE REQUIREMENTS SET FORTH IN SECTION 12-305-111.5.17
9794 (2) "School speech-language pathologist" means a person AN18
9895 INDIVIDUAL licensed by the department of education to provide19
9996 speech-language pathology services that are paid for by an administrative20
10097 unit or a state-operated program. "School speech-language pathologist"21
10198 includes a school speech-language pathology assistant authorized by the22
10299 department of education pursuant to section 22-60.5-111 (10) to provide23
103100 speech-language pathology services that are paid for by an administrative24
104101 unit or a state-operated program.25
105102 (2.5) "SCHOOL SPEECH-LANGUAGE PATHOLOGY ASSISTANT"26
106103 MEANS AN INDIVIDUAL AUTHORIZED BY THE DEPARTMENT OF EDUCATION27
107104 1075
108105 -3- PURSUANT TO SECTION 22-60.5-111 (10) TO ASSIST A SCHOOL1
109106 SPEECH-LANGUAGE PATHOLOGIST IN PROVIDING SPEECH-LANGUAGE2
110107 PATHOLOGY SERVICES THAT ARE PAID FOR BY AN ADMINISTRATIVE UNIT3
111108 OR A STATE-OPERATED PROGRAM.4
112109 (3) "Speech-language pathologist" or "certificate holder" means5
113110 a person AN INDIVIDUAL WHO IS certified to practice speech-language6
114111 pathology under this article 305 PURSUANT TO SECTION 12-305-107 (1).7
115112 (4.5) "SPEECH-LANGUAGE PATHOLOGY ASSISTANT" MEANS AN8
116113 INDIVIDUAL WHO:9
117114 (a) HAS SUCCESSFULLY COMPLETED :10
118115 (I) A BACHELOR'S OR HIGHER DEGREE IN SPEECH-LANGUAGE11
119116 PATHOLOGY, COMMUNICATION DISORDERS AND SPEECH SCIENCES, OR ANY12
120117 OTHER FIELD THAT INCLUDES AT LEAST TWENTY-FOUR SEMESTER HOURS13
121118 IN SPEECH-LANGUAGE HEARING SCIENCES, GRANTED BY AN ACCREDITED14
122119 INSTITUTION OF HIGHER EDUCATION OR ITS EQUIVALENT ;15
123120 (II) A SPEECH-LANGUAGE PATHOLOGY ASSISTANT PROGRAM; AND16
124121 (III) A SUPERVISED CLINICAL PRACTICUM TOTALING AT LEAST ONE17
125122 HUNDRED DIRECT HOURS UNDER THE SUPERVISION OF A18
126123 SPEECH-LANGUAGE PATHOLOGIST ; AND19
127124 (b) ASSISTS IN THE PRACTICE OF SPEECH-LANGUAGE PATHOLOGY20
128125 UNDER THE DIRECTION AND SUPERVISION OF A SPEECH-LANGUAGE21
129126 PATHOLOGIST PURSUANT TO SECTION 12-305-111.5.22
130127 (6) "SUPERVISING SPEECH-LANGUAGE PATHOLOGIST" OR23
131128 "SUPERVISOR" MEANS A SPEECH-LANGUAGE PATHOLOGIST WHO IS24
132129 RESPONSIBLE FOR THE DIRECTION AND SUPERVISION OF A25
133130 SPEECH-LANGUAGE PATHOLOGY ASSISTANT PURSUANT TO SECTION26
134131 12-305-111.5.27
135132 1075
136133 -4- SECTION 3. In Colorado Revised Statutes, 12-305-105, amend1
137134 (1); and add (3) as follows:2
138135 12-305-105. Use of titles restricted. (1) Only a person AN3
139136 INDIVIDUAL WHO IS required to be and who is certified PURSUANT TO THIS4
140137 ARTICLE 305 as a speech-language pathologist under this article 305 or IS5
141138 licensed by the Colorado department of education to provide6
142139 speech-language pathology services may advertise as or use the title7
143140 "speech-language pathologist", "speech pathologist", "speech therapist",8
144141 "speech correctionist", "speech clinician", "language pathologist", "voice9
145142 therapist", "voice pathologist", "aphasiologist", or any other generally10
146143 accepted terms, letters, or figures that indicate that the person INDIVIDUAL11
147144 is a certified speech-language pathologist OR A LICENSED12
148145 SPEECH-LANGUAGE PATHOLOGIST .13
149146 (3) ONLY AN INDIVIDUAL WHO PRACTICES IN ACCORDANCE WITH14
150147 THIS ARTICLE 305 AS A SPEECH-LANGUAGE PATHOLOGY ASSISTANT OR IS15
151148 AUTHORIZED BY THE DEPARTMENT OF EDUCATION AS A SCHOOL16
152149 SPEECH-LANGUAGE PATHOLOGY ASSISTANT MAY ADVERTISE AS OR USE17
153150 THE TITLE "SPEECH-LANGUAGE PATHOLOGY ASSISTANT" OR ANY OTHER18
154151 GENERALLY ACCEPTED TERMS, LETTERS, OR FIGURES THAT INDICATE THAT19
155152 THE INDIVIDUAL IS A SPEECH-LANGUAGE PATHOLOGY ASSISTANT OR AN20
156153 AUTHORIZED SCHOOL SPEECH -LANGUAGE PATHOLOGY ASSISTANT .21
157154 SECTION 4. In Colorado Revised Statutes, 12-305-110, amend22
158155 (1)(a) and (2)(a); and add (1)(c.3) and (1)(c.5) as follows:23
159156 12-305-110. Scope of article - exclusions - rules. (1) This article24
160157 305 does not prevent or restrict the practice, services, or activities of:25
161158 (a) A school speech-language pathologist OR AN AUTHORIZED26
162159 SCHOOL SPEECH-LANGUAGE PATHOLOGY ASSISTANT whose compensation27
163160 1075
164161 -5- for speech-language pathology services is paid solely by an administrative1
165162 unit or state-operated program;2
166163 (c.3) A SPEECH-LANGUAGE PATHOLOGY ASSISTANT ASSISTING IN3
167164 THE PRACTICE OF SPEECH-LANGUAGE PATHOLOGY PURSUANT TO THIS4
168165 ARTICLE 305 UNDER THE DIRECTION AND SUPERVISION OF A5
169166 SPEECH-LANGUAGE PATHOLOGIST ;6
170167 (c.5) AN INDIVIDUAL PARTICIPATING IN A SPEECH -LANGUAGE7
171168 PATHOLOGY ASSISTANT PROGRAM OR ITS EQUIVALENT , AS DETERMINED BY8
172169 THE DIRECTOR BY RULE, IF THE INDIVIDUAL IS DESIGNATED BY A TITLE9
173170 THAT CLEARLY INDICATES THE INDIVIDUAL 'S STATUS AS A STUDENT AND10
174171 IF THE INDIVIDUAL ACTS UNDER APPROPRIATE INSTRUCTION AND11
175172 SUPERVISION;12
176173 (2) Nothing in this article 305 requires or allows the department13
177174 of education, the department of health care policy and financing, or any14
178175 other state department to adopt or apply the standards contained in this15
179176 article 305:16
180177 (a) As the standards for endorsing or otherwise authorizing school17
181178 speech-language pathologists OR SCHOOL SPEECH-LANGUAGE PATHOLOGY18
182179 ASSISTANTS to provide speech-language pathology services that are paid19
183180 for by an administrative unit or state-operated program; or20
184181 SECTION 5. In Colorado Revised Statutes, amend 12-305-11121
185182 as follows:22
186183 12-305-111. Limitations on authority - limitations specific to23
187184 speech-language pathology assistants. (1) Nothing in this article 30524
188185 authorizes a speech-language pathologist OR A SPEECH-LANGUAGE25
189186 PATHOLOGY ASSISTANT to engage in the practice of medicine, as defined26
190187 in section 12-240-107; dentistry, as defined in sections 12-220-104 (6)27
191188 1075
192189 -6- and 12-220-305; or any other profession for which licensure, certification,1
193190 or registration is required, EXCEPT AS AUTHORIZED by this article 305.2
194191 (2) NOTHING IN THIS ARTICLE 305 AUTHORIZES A3
195192 SPEECH-LANGUAGE PATHOL OGY ASSISTANT TO PRACTICE4
196193 SPEECH-LANGUAGE PATHOLOGY UNLESS THE SPEECH -LANGUAGE5
197194 PATHOLOGY ASSISTANT PRACTICES UNDER THE DIRECTION AND6
198195 SUPERVISION OF A SUPERVISING SPEECH-LANGUAGE PATHOLOGIST .7
199196 (3) A SPEECH-LANGUAGE PATHOLOGY ASSISTANT SHALL NOT :8
200197 (a) REPRESENT THEMSELF AS A SPEECH-LANGUAGE PATHOLOGIST;9
201198 (b) INTERPRET ASSESSMENT TOOLS FOR THE PURPOSE OF10
202199 DIAGNOSING DISABILITY OR DETERMINING ELIGIBILITY OR QUALIFICATION11
203200 FOR SERVICES;12
204201 (c) ADMINISTER OR INTERPRET FEEDING OR SWALLOWING13
205202 SCREENINGS, CHECKLISTS, OR ASSESSMENTS;14
206203 (d) DIAGNOSE COMMUNICATION AND FEEDING OR SWALLOWING15
207204 DISORDERS;16
208205 (e) DEVELOP OR DETERMINE THE FEEDING OR SWALLOWING17
209206 STRATEGIES OR PRECAUTIONS FOR PATIENTS ;18
210207 (f) DISCLOSE CLINICAL OR CONFIDENTIAL INFORMATION ,19
211208 INCLUDING DIAGNOSES , SERVICES PROVIDED , OR RESPONSE TO20
212209 TREATMENT, EITHER ORALLY OR IN WRITING, TO INDIVIDUALS WHO HAVE21
213210 NOT BEEN APPROVED BY THE SUPERVISING SPEECH -LANGUAGE22
214211 PATHOLOGIST TO RECEIVE INFORMATION , UNLESS MANDATED BY LAW ;23
215212 (g) WRITE, DEVELOP, OR MODIFY A PATIENT'S PLAN OF CARE IN24
216213 ANY WAY;25
217214 (h) MAKE REFERRALS FOR ADDITIONAL SERVICES ;26
218215 (i) SELECT AUGMENTATIVE AND ALTERNATIVE COMMUNICATION27
219216 1075
220217 -7- SYSTEMS OR DEVICES;1
221218 (j) TREAT MEDICALLY FRAGILE PATIENTS WHO ARE ACUTELY ILL2
222219 AND IN AN UNSTABLE HEALTH CONDITION WITHOUT CONTINUOUS, DIRECT3
223220 SUPERVISION BY A SUPERVISING SPEECH-LANGUAGE PATHOLOGIST, WHICH4
224221 MAY INCLUDE SYNCHRONOUS OR LIVE TELESUPERVISION ;5
225222 (k) PERFORM PROCEDURES THAT REQUIRE SPECIALIZED6
226223 KNOWLEDGE AND TRAINING, INCLUDING VOCAL TRACT PROSTHESIS7
227224 SHAPING OR FITTING OR VOCAL TRACT IMAGING ;8
228225 (l) PROVIDE INPUT IN CARE CONFERENCES, CASE CONFERENCES, OR9
229226 INTERDISCIPLINARY TEAM MEETINGS WITHOUT THE PRESENCE OR PRIOR10
230227 APPROVAL OF A SUPERVISING SPEECH-LANGUAGE PATHOLOGIST OR OTHER11
231228 DESIGNATED SPEECH-LANGUAGE PATHOLOGIST ;12
232229 (m) PROVIDE INTERPRETATIVE INFORMATION TO A PATIENT OR13
233230 OTHERS REGARDING THE PATIENT 'S STATUS OR SERVICE; OR14
234231 (n) SIGN OR INITIAL ANY FORMAL DOCUMENTS, INCLUDING PLANS15
235232 OF CARE, REIMBURSEMENT FORMS , OR REPORTS, THAT ARE NOT ALSO16
236233 SIGNED BY A SUPERVISING SPEECH-LANGUAGE PATHOLOGIST .17
237234 SECTION 6. In Colorado Revised Statutes, add 12-305-111.5 as18
238235 follows:19
239236 12-305-111.5. Direction and supervision of speech-language20
240237 pathology assistants by speech-language pathologists - definitions.21
241238 (1) AS USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE22
242239 REQUIRES:23
243240 (a) "DIRECT SUPERVISION" MEANS IN-VIEW OBSERVATION AND24
244241 GUIDANCE BY A SUPERVISING SPEECH-LANGUAGE PATHOLOGIST WHILE THE25
245242 SPEECH-LANGUAGE PATHOLOGY ASSISTANT IS PERFORMING A CLINICAL26
246243 ACTIVITY. "DIRECT SUPERVISION" MAY INCLUDE THE SUPERVISING27
247244 1075
248245 -8- SPEECH-LANGUAGE PATHOLOGIST COMMUNICATING WITH THE1
249246 SPEECH-LANGUAGE PATHOLOGY ASSISTANT VIA TELECOMMUNICATION2
250247 TECHNOLOGY DURING THE SPEECH-LANGUAGE PATHOLOGY ASSISTANT'S3
251248 PROVISION OF CLINICAL SERVICES.4
252249 (b) "INDIRECT SUPERVISION" MEANS SUPERVISION DURING WHICH5
253250 A SPEECH-LANGUAGE PATHOLOGIST IS NOT REQUIRED TO BE PHYSICALLY6
254251 PRESENT OR AVAILABLE VIA TELECOMMUNICATION TECHNOLOGY WHILE7
255252 THE SPEECH-LANGUAGE PATHOLOGY ASSISTANT IS PROVIDING SERVICES.8
256253 "INDIRECT SUPERVISION" MAY INCLUDE:9
257254 (I) REVIEWING DEMONSTRATION VIDEOS ;10
258255 (II) REVIEWING PATIENT FILES;11
259256 (III) REVIEWING AND EVALUATING AUDIO OR VIDEO RECORDED12
260257 SESSIONS; OR13
261258 (IV) CONDUCTING SUPERVISORY CONFERENCES EITHER IN PERSON14
262259 OR VIA TELEPHONE OR IN LIVE, SECURE VIRTUAL MEETINGS.15
263260 (2) A SPEECH-LANGUAGE PATHOLOGY ASSISTANT SHALL PRACTICE16
264261 SPEECH-LANGUAGE PATHOLOGY ONLY UNDER THE DIRECTION AND17
265262 SUPERVISION OF A SPEECH-LANGUAGE PATHOLOGIST .18
266263 (3) A SUPERVISING SPEECH-LANGUAGE PATHOLOGIST IS19
267264 RESPONSIBLE FOR THE DIRECTION AND SUPERVISION OF A20
268265 SPEECH-LANGUAGE PATHOLOGY ASSISTANT 'S PRACTICE OF21
269266 SPEECH-LANGUAGE PATHOLOGY. THE LEVEL OF SUPERVISION MUST BE22
270267 BASED ON THE NEEDS, COMPETENCIES, SKILLS, EXPECTATIONS,23
271268 PHILOSOPHIES, AND EXPERIENCE OF THE SPEECH-LANGUAGE PATHOLOGY24
272269 ASSISTANT AND THE SUPERVISOR; THE NEEDS OF THE PATIENT SERVED; THE25
273270 SERVICE SETTING; THE TASKS ASSIGNED; AND ANY OTHER RELEVANT26
274271 FACTORS. THE SUPERVISING SPEECH-LANGUAGE PATHOLOGIST IS27
275272 1075
276273 -9- RESPONSIBLE FOR DESIGNING AND IMPLEMENTING A WRITTEN1
277274 SUPERVISORY PLAN TO OUTLINE THE PRACTICES OF THE SUPERVISING2
278275 SPEECH-LANGUAGE PATHOLOGIST AND TO DOCUMENT PROGRESS . A3
279276 SUPERVISOR SHALL NOT ASSIGN TASKS TO A SPEECH -LANGUAGE4
280277 PATHOLOGY ASSISTANT THAT ARE BEYOND THE LEVEL OF COMPETENCE OF5
281278 THE SPEECH-LANGUAGE PATHOLOGY ASSISTANT OR THAT ARE BEYOND6
282279 THE SCOPE OF A SPEECH-LANGUAGE PATHOLOGY ASSISTANT 'S PRACTICE.7
283280 THE CARE OF THE PATIENT REMAINS THE SUPERVISING SPEECH-LANGUAGE8
284281 PATHOLOGIST'S RESPONSIBILITY.9
285282 (4) A SUPERVISING SPEECH-LANGUAGE PATHOLOGIST SHALL10
286283 DETERMINE THE APPROPRIATE NUMBER OF SPEECH -LANGUAGE PATHOLOGY11
287284 ASSISTANTS WHOSE PRACTICE MAY BE SUPERVISED, WITH A NUMBER12
288285 FOR SUPERVISION OF NO MORE THAN THREE SPEECH-LANGUAGE13
289286 PATHOLOGY ASSISTANTS PER SPEECH-LANGUAGE PATHOLOGIST. THE14
290287 FACTORS TO CONSIDER IN DETERMINING SUPERVISION RATIOS INCLUDE15
291288 CASELOAD CHARACTERISTICS, THE SPEECH-LANGUAGE PATHOLOGY16
292289 ASSISTANT'S EXPERIENCE, AND THE SPEECH-LANGUAGE PATHOLOGIST'S17
293290 EXPERIENCE AND WORKLOAD .18
294291 (5) BEFORE A SPEECH-LANGUAGE PATHOLOGY ASSISTANT BEGINS19
295292 TO PROVIDE INDEPENDENT SUPPORT TO A PATIENT , THE SUPERVISING20
296293 SPEECH-LANGUAGE PATHOLOGIST SHALL INITIATE FIRST CONTACT WITH21
297294 THE PATIENT AND PREPARE A PLAN OF CARE FOR THE PATIENT. AFTER THE22
298295 ESTABLISHMENT OF THE SUPERVISORY RELATIONSHIP, MINIMUM ONGOING23
299296 SUPERVISION MUST INCLUDE DOCUMENTATION OF DIRECT SUPERVISION24
300297 PROVIDED BY THE SUPERVISOR FOR EACH PATIENT AT LEAST EVERY THIRTY25
301298 TO SIXTY DAYS, DEPENDING ON THE FREQUENCY OF THE SESSIONS AND26
302299 SETTING, AND THE SUPERVISOR SHALL REVIEW PATIENT DATA . THE27
303300 1075
304301 -10- SUPERVISOR SHALL ADJUST THE AMOUNT OF SUPERVISION BASED ON THE1
305302 SPEECH-LANGUAGE PATHOLOGY ASSISTANT'S COMPETENCIES AND SKILL2
306303 LEVEL IN TREATING PATIENTS WHO HAVE A VARIETY OF COMMUNICATION3
307304 DISORDERS. THE SUPERVISING SPEECH-LANGUAGE PATHOLOGIST SHALL4
308305 ACCURATELY DOCUMENT AND REGULARLY RECORD ALL SUPERVISORY5
309306 ACTIVITIES, FOR BOTH DIRECT AND INDIRECT SUPERVISION. FOR6
310307 MEDICALLY FRAGILE PATIENTS WHO ARE ACUTELY ILL AND IN AN7
311308 UNSTABLE HEALTH CONDITION, THE SUPERVISOR SHALL PROVIDE ONE8
312309 HUNDRED PERCENT DIRECT SUPERVISION OF THE SPEECH -LANGUAGE9
313310 PATHOLOGY ASSISTANT, WHICH MAY BE THROUGH SYNCHRONOUS OR LIVE10
314311 TELESUPERVISION.11
315312 (6) A SUPERVISOR SHALL PROVIDE FEEDBACK REGARDING THE12
316313 QUALITY OF A SPEECH-LANGUAGE PATHOLOGY ASSISTANT'S PERFORMANCE13
317314 OF ASSIGNED TASKS . INFORMATION OBTAINED DURING DIRECT14
318315 SUPERVISION MAY INCLUDE DATA RELATIVE TO THE RELIABILITY BETWEEN15
319316 THE SPEECH-LANGUAGE PATHOLOGY ASSISTANT AND THE SUPERVISOR ON16
320317 CORRECT OR INCORRECT RECORDING OF TARGET BEHAVIOR, ACCURACY IN17
321318 IMPLEMENTING ASSIGNED TREATMENT PROCEDURES AND IN RECORDING18
322319 DATA, AND THE ABILITY TO INTERACT EFFECTIVELY WITH THE PATIENT19
323320 DURING THE PRESENTATION AND IMPLEMENTATION OF ASSIGNED20
324321 PROCEDURES AND ACTIVITIES.21
325322 (7) A SPEECH-LANGUAGE PATHOLOGY ASSISTANT SHALL NOT22
326323 PERFORM TASKS WHEN A SUPERVISOR CANNOT BE REACHED BY PERSONAL23
327324 CONTACT, VIA PHONE, OR BY OTHER IMMEDIATE ELECTRONIC MEANS. IF24
328325 FOR SOME REASON A SUPERVISOR BECOMES UNABLE TO CONTINUE25
329326 SUPERVISION, THE SPEECH-LANGUAGE PATHOLOGY ASSISTANT SHALL NOT26
330327 PERFORM SPEECH-LANGUAGE PATHOLOGY TASKS UNTIL ANOTHER27
331328 1075
332329 -11- QUALIFIED SUPERVISOR IS AVAILABLE TO SUPERVISE .1
333330 SECTION 7. In Colorado Revised Statutes, 12-305-112, amend2
334331 (2) introductory portion, (2)(r), and (2)(s)(II); and add (2)(t) as follows:3
335332 12-305-112. Grounds for discipline - definitions. (2) The4
336333 director may take disciplinary or other action specified in section5
337334 12-20-404 or 12-305-113 or issue a cease-and-desist order to a certificate6
338335 holder OR A SPEECH-LANGUAGE PATHOLOGY ASSISTANT in accordance7
339336 with sections 12-20-405 and 12-305-113 (8) upon proof that the8
340337 certificate holder: 9
341338 (r) Has otherwise violated any A provision of this article 305 or10
342339 lawful order or rule of the director; or11
343340 (s) Has committed:12
344341 (II) An abuse of health insurance, as set forth in section13
345342 18-13-119; OR14
346343 (t) HAS FAILED TO PROPERLY DIRECT AND SUPERVISE A15
347344 SPEECH-LANGUAGE PATHOLOGY ASSISTANT WHO IS UNDER THE16
348345 SPEECH-LANGUAGE PATHOLOGIST 'S DIRECTION AND SUPERVISION17
349346 PURSUANT TO SECTION 12-305-111.5.18
350347 SECTION 8. In Colorado Revised Statutes, 24-34-104, amend19
351348 (34)(a)(III) as follows:20
352349 24-34-104. General assembly review of regulatory agencies21
353350 and functions for repeal, continuation, or reestablishment - legislative22
354351 declaration - repeal. (34) (a) The following agencies, functions, or both,23
355352 are scheduled for repeal on September 1, 2033:24
356353 (III) The regulation of speech-language pathologists AND25
357354 SPEECH-LANGUAGE PATHOLOGY ASSISTANTS by the director of the26
358355 division of professions and occupations in accordance with article 305 of27
359356 1075
360357 -12- title 12;1
361358 SECTION 9. Act subject to petition - effective date. This act2
362359 takes effect at 12:01 a.m. on the day following the expiration of the3
363360 ninety-day period after final adjournment of the general assembly; except4
364361 that, if a referendum petition is filed pursuant to section 1 (3) of article V5
365362 of the state constitution against this act or an item, section, or part of this6
366363 act within such period, then the act, item, section, or part will not take7
367364 effect unless approved by the people at the general election to be held in8
368365 November 2026 and, in such case, will take effect on the date of the9
369366 official declaration of the vote thereon by the governor.10
370367 1075
371368 -13-