4028H.06S
CONFERENCECOMMITTEESUBSTITUTE
FOR
SENATESUBSTITUTE
FOR
HOUSEBILLNO.2149
ANACT
Torepealsections197.400,197.445,327.312,327.313,
327.314,327.331,334.100,334.530,334.655,338.055,
345.015,and345.050,RSMo,andtoenactinlieuthereof
seventeennewsectionsrelatingtoprofessional
licensing,withanemergencyclauseforacertain
section.
BEITENACTEDBYTHEGENERALASSEMBLYOFTHESTATEOFMISSOURI,AS
FOLLOWS:
SectionA.Sections197.400,197.445,327.312,327.313,
2 327.314,327.331,334.100,334.530,334.655,338.055,345.015,and
3 345.050,RSMo,arerepealedandseventeennewsectionsenactedin
4 lieuthereof,tobeknownassections197.400,197.445,324.005,
5 327.312,327.313,327.314,327.331,332.325,334.100,334.530,
6 334.655,338.055,345.015,345.022,345.050,345.052,and345.085,
7 toreadasfollows:
197.400.Asusedinsections197.400to197.475,unlessthe
2 contextotherwiserequires,thefollowingtermsmean:
3 (1)"Council",thehomehealthservicesadvisorycouncil
4 createdbysections197.400to197.475;
5 (2)"Department",thedepartmentofhealthandsenior
6 services;
7 (3)"Homehealthagency",apublicagencyorprivate
1 8 organizationorasubdivisionorsubunitofanagencyor
9 organizationthatprovidestwoormorehomehealthservicesatthe
10 residenceofapatientaccordingtoa[physician's] written[and
11 signed] planoftreatmentsignedbyaphysician,nurse
12 practitioner,clinicalnursespecialist,orphysicianassistant;
13 (4)"Homehealthservices",anyofthefollowingitemsand
14 servicesprovidedattheresidenceofthepatientonapart-timeor
15 intermittentbasis:nursing,physicaltherapy,speechtherapy,
16 occupationaltherapy,homehealthaid,ormedicalsocialservice;
17 (5)"Nursepractitioner,clinicalnursespecialist",a
18 personrecognizedbythestateboardofnursingpursuanttothe
19 provisionsofchapter335topracticeinthisstateasanurse
20 practitionerorclinicalnursespecialist;
21 (6)"Part-timeorintermittentbasis",theprovidingofhome
22 healthservicesinaninterruptedintervalsequenceontheaverage
23 ofnottoexceedthreehoursinanytwenty-four-hour period;
24 [(6)] (7)"Patient'sresidence",theactualplaceof
25 residenceofthepersonreceivinghomehealthservices,including
26 institutionalresidencesaswellasindividualdwellingunits;
27 [(7)] (8)"Physician",apersonlicensedbythestateboard
28 ofregistrationforthehealingartspursuanttotheprovisionsof
29 chapter334topracticeinthisstateasaphysicianandsurgeon;
30 (9)"Physicianassistant",apersonlicensedbythestate
31 boardofregistrationforthehealingartspursuanttothe
32 provisionsofchapter334topracticeinthisstateasaphysician
33 assistant;
34 [(8)] (10)"Planoftreatment",aplanreviewedandsignedas
2 35 oftenas[medically] necessarybyaphysician[or], podiatrist,
36 nursepractitioner,clinicalnursespecialist,oraphysician
37 assistant,nottoexceedsixtydaysinduration,andreviewedbya
38 physicianatleastonceeverysixmonths,prescribingitemsand
39 servicesforanindividualpatient'scondition;
40 [(9)] (11)"Podiatrist",apersonlicensedbythestateboard
41 ofpodiatrypursuanttotheprovisionsofchapter330topractice
42 inthisstateasapodiatrist;
43 [(10)] (12)"Subunit"or"subdivision",anyorganizational
44 unitofalargerorganizationwhichcanbeclearlydefinedasa
45 separateentitywithinthelargerstructure,whichcanmeetallof
46 therequirementsofsections197.400to197.475independentofthe
47 largerorganization,whichcanbeheldaccountableforthecareof
48 patientsitisserving,andwhichprovidestoallpatientscareand
49 servicesmeetingthestandardsandrequirementsofsections
50 197.400to197.475.
197.445.1.Thedepartmentmayadoptreasonablerulesand
2 standardsnecessarytocarryouttheprovisionsofsections
3 197.400to197.477.Therulesandstandardsadoptedshallnotbe
4 lessthanthestandardsestablishedbythefederalgovernmentfor
5 homehealthagenciesunderTitleXVIIIoftheFederalSocial
6 SecurityAct.Thereasonablerulesandstandardsshallbe
7 initiallypromulgatedwithinoneyearofSeptember28,1983.
8 2.Therulesandstandardsadoptedbythedepartmentpursuant
9 totheprovisionsofsections197.400to197.477shallapplytoall
10 healthservicescoveredbysections197.400to197.477renderedto
11 anypatientbeingservedbyahomehealthagencyregardlessof
3 12 sourceofpaymentfortheservice,patient'scondition,orplaceof
13 residence,atwhichthehomehealthservicesareorderedbythe
14 physician[or], podiatrist,nursepractitioner,clinicalnurse
15 specialist,orphysicianassistant. Noruleorportionofarule
16 promulgatedpursuanttotheauthorityofsections197.400to
17 197.477shallbecomeeffectiveunlessithasbeenpromulgated
18 pursuanttotheprovisionsofsection536.024.
324.005.1.Notwithstanding anyrequirementsforlicensure
2 forallprofessionalboards,commissions,committees,andoffices
3 withinthedivisionofprofessionalregistrationtothecontrary,
4 aprofessionalwhohasacurrentlicensetopracticefromanother
5 state,commonwealth,territory,ortheDistrictofColumbiashall
6 beexemptfromthelicensurerequirementsofhisorherrespective
7 licensureboardinthisstateif:
8 (1)Theprofessionalisanactivedutyorreservememberof
9 theArmedForcesoftheUnitedStates,amemberoftheNational
10 Guard,acivilianemployeeoftheUnitedStatesDepartmentof
11 Defense,anauthorizedservicescontractorunder10U.S.C.Section
12 1091,oraprofessionalotherwiseauthorizedbytheUnitedStates
13 DepartmentofDefense;
14 (2)Theprofessionalpracticesthesameoccupationor
15 professionatthesamepracticelevelforwhichheorsheholdsa
16 currentlicense;and
17 (3)Theprofessionalisengagedinthepracticeofa
18 professionalthroughapartnershipwiththefederalInnovative
19 ReadinessTrainingprogramwithintheUnitedStatesDepartmentof
20 Defense.
4 21 2.Theexemptionprovidedinthissectionshallnotpermita
22 professionaltoengageinpracticeexceptaspartofthefederal
23 InnovativeReadinessTrainingprogramwithintheUnitedStates
24 DepartmentofDefense.Theexemptionshallonlyapplywhile:
25 (1)Theprofessional'spracticeisrequiredbytheprogram
26 pursuanttomilitaryorders;and
27 (2)Theservicesprovidedbytheprofessionalarewithinthe
28 scopeofpracticefortheindividual'srespectiveprofessionin
29 thisstate.
327.312.1.PriortoJanuary1,2024,anypersonmayapply
2 totheboardforenrollmentasalandsurveyor-in-training whoisa
3 highschoolgraduate,orwhoholdsaMissouricertificateofhigh
4 schoolequivalence(GED),andeither:
5 (1)Hasgraduatedandreceivedabaccalaureatedegreeinan
6 approvedcurriculumasdefinedbyboardregulationwhichshall
7 includeatleasttwelvesemesterhoursofapprovedsurveying
8 courseworkasdefinedbyboardregulationofwhichatleasttwo
9 semesterhoursshallbeinthelegalaspectsofboundarysurveying;
10 or
11 (2)Haspassedatleastsixtyhoursofcollegecreditwhich
12 shallincludecreditforatleasttwentysemesterhoursofapproved
13 surveyingcourseworkasdefinedbyboardregulationofwhichat
14 leasttwosemesterhoursshallbeinlegalaspectsofboundary
15 surveyingandpresentevidencesatisfactorytotheboardthatin
16 additiontheretosuchpersonhasatleastoneyearofcombined
17 professionalofficeandfieldexperienceinlandsurveying
18 projectsundertheimmediatepersonalsupervisionofa
5 19 professionallandsurveyor;or
20 (3)Haspassedatleasttwelvesemesterhoursofapproved
21 surveyingcourseworkasdefinedbyboardregulationofwhichat
22 leasttwosemesterhoursshallbeinlegalaspectsofland
23 surveyingandinadditiontheretohasatleasttwoyearsof
24 combinedprofessionalofficeandfieldexperienceinland
25 surveyingprojectsundertheimmediatepersonalsupervisionofa
26 professionallandsurveyor. Pursuanttothisprovision,notmore
27 thanoneyearofsatisfactorypostsecondaryeducationworkshall
28 countasequivalentyearsofsatisfactorylandsurveyingworkas
29 aforementioned.
30 2.Theboardshallissueacertificateofcompletiontoeach
31 applicantwhosatisfiestherequirementsoftheaforementioned
32 landsurveyor-in-training programandpassessuchexaminationor
33 examinationsasshallberequiredbytheboard.
34 3.BeginningJanuary1,2024,anypersonmayapplytothe
35 boardforenrollmentasalandsurveyor-internwhoisahighschool
36 graduate,orwhoholdsacertificateofhighschoolequivalence
37 (GED),andhaspassedanyexaminationrequiredbytheboard
38 pursuanttosection327.331.
327.313.Applicationsforenrollmentasaland[surveyor-in-
2 training] surveyor-intern shallbetypewrittenonprescribedforms
3 furnishedtotheapplicant. Theapplicationshallcontain
4 applicant'sstatementsshowingtheapplicant'seducation,
5 experience,andsuchotherpertinentinformationastheboardmay
6 require.Eachapplicationshallcontainastatementthatitis
7 madeunderoathoraffirmationandthattherepresentations are
6 8 trueandcorrecttothebestknowledgeandbeliefoftheapplicant,
9 subjecttothepenaltiesofmakingafalseaffidavitordeclaration
10 andshallbeaccompaniedbytherequiredfee.
327.314.1.PriortoJanuary1,2024,anypersonmayapply
2 totheboardforlicensureasaprofessionallandsurveyorwhohas
3 beenenrolledasalandsurveyor-in-training andhaspresented
4 evidencetothesatisfactionoftheboardthatsaidpersonhas
5 acquiredatleastfouryearsofsatisfactoryprofessionalfield
6 andofficeexperienceinlandsurveyingfromthedateofenrollment
7 asalandsurveyor-in-training. Thisexperienceshallhavebeen
8 undertheimmediatepersonalsupervisionofaprofessionalland
9 surveyor.
10 2.BeginningJanuary1,2024,anypersonmayapplytothe
11 boardforlicensurewhopresentsevidencesatisfactorytothe
12 boardthattheapplicanthasmettherequirementsasprovidedin
13 thissubsection:
14 (1)Anapplicantshallbeahighschoolgraduateorholda
15 certificateofhighschoolequivalence(GED),andeither:
16 (a)Hasgraduatedandreceivedabaccalaureatedegreeinan
17 approvedcurriculum,asdefinedbytheboard,whichshallinclude
18 atleastfifteensemesterhoursofapprovedsurveyingcoursework,
19 asdefinedbytheboard,ofwhichatleastsixsemesterhoursshall
20 beinthelegalaspectsofboundarysurveying;or
21 (b)Haspassedatleastsixtyhoursofcollegecreditwhich
22 shallincludeatleastfifteensemesterhoursofapproved
23 surveyingcoursework,asdefinedbytheboard,ofwhichatleast
24 sixsemesterhoursshallbeinlegalaspectsofboundarysurveying;
7 25 or
26 (c)Haspassedatleastfifteensemesterhoursofapproved
27 surveyingcoursework,asdefinedbytheboard,ofwhichatleast
28 sixsemesterhoursshallbeinlegalaspectsoflandsurveying;
29 (d)Anapplicantmeetingtherequirementsofparagraph(a)of
30 thissubdivisionshallhaveacquiredatleastfouryearsof
31 satisfactoryfieldandofficeexperienceinlandsurveyingunder
32 theimmediatepersonalsupervisionofaprofessionalland
33 surveyor;
34 (e)Anapplicantmeetingtherequirementsofparagraph(b)of
35 thissubdivisionshallhaveacquiredatleastfiveyearsof
36 satisfactoryfieldandofficeexperienceinlandsurveyingunder
37 theimmediatepersonalsupervisionofaprofessionalland
38 surveyor;
39 (f)Anapplicantmeetingtherequirementsofparagraph(c)of
40 thissubdivisionshallhaveacquiredatleastsixyearsof
41 satisfactoryfieldandofficeexperienceinlandsurveyingunder
42 theimmediatepersonalsupervisionofaprofessionalland
43 surveyor. Pursuanttothisprovision,uptooneyearofpost-
44 secondaryeducation,approvedbytheboard,maycountas
45 equivalentworkexperience;
46 (2)Anapplicantshallpassanyexaminationsrequiredbythe
47 boardpursuanttosection327.331;
48 (3)Anypersonenrolledasalandsurveyor-in-training prior
49 toJanuary1,2024,shallonlyberequiredtomeettherequirements
50 inplacepursuanttotheirenrollment.
327.331.1.Afterithasbeendeterminedthatanapplicant
8 2 possessesthequalificationsentitlingtheapplicanttobe
3 examined,eachapplicantforexaminationandenrollmentasaland
4 surveyor-in-training andforexaminationandlicensureasa
5 professionallandsurveyorinMissourishallappearbeforethe
6 boardoritsrepresentatives forexaminationatthetimeandplace
7 specified.
8 2.Theexaminationorexaminationsshallbeofsuchform,
9 contentanddurationasshallbedeterminedbytheboardto
10 thoroughlytestthequalificationsofeachapplicanttobecome
11 enrolledasaland[surveyor-in-training] surveyor-intern orto
12 becomelicensedasaprofessionallandsurveyorinMissouri.
13 3.Anyapplicanttobeeligibleforenrollmentorforlicense
14 mustmakeagradeontheapplicableexaminationofatleastseventy
15 percent.
16 4.Anypersonwhopassestheexaminationhereinabove
17 specifiedshallbeentitledtobeenrolledasaland[surveyor-in-
18 training] surveyor-intern orlicensedasaprofessionalland
19 surveyor,asthecasemaybe,inMissouriandshallreceivea
20 certificateofenrollmentoralicense,asthecasemaybe.
332.325.1.TheMissouridentalboardmaycollaboratewith
2 thedepartmentofhealthandseniorservicesandtheofficeof
3 dentalhealthwithinthedepartmentofhealthandseniorservices
4 toapprovepilotprojectsdesignedtoexaminenewmethodsof
5 extendingcaretomedicallyunderservedpopulations,asdefinedin
6 42U.S.C.Section300e-1(7). Thesepilotprojectsmayemploy
7 techniquesorapproachestocarethatmaynecessitateawaiverof
8 therequirementsofthischapterandregulationspromulgated
9 9 thereunder;provided:
10 (1)Theprojectplanhasaclearlystatedobjectiveof
11 servingaspecificunderservedpopulationthatwarrants,inthe
12 opinionofamajorityoftheboard,grantingapprovalforapilot
13 project;
14 (2)Theprojecthasafinitestartdateandterminationdate;
15 (3)Theprojectclearlydefinesthenewtechniquesor
16 approachesitintendstoexaminetodetermineifitresultsinan
17 improvementinaccessorqualityofcare;
18 (4)Theprojectplanidentifiesspecificandlimited
19 locationsandpopulationstoparticipateinthepilotproject;
20 (5)Theprojectplanclearlyestablishesminimumguidelines
21 andstandardsforthepilotproject,including,butnotlimitedto,
22 provisionsforprotectingsafetyofparticipatingpatients;
23 (6)Theprojectplanclearlydefinesthemeasurement
24 criteriaitwillusetoevaluatetheoutcomesofthepilotproject
25 onaccessandqualityofcare;and
26 (7)Theprojectplanidentifiesreportingintervalsto
27 communicateinterimandfinaloutcomestotheboard.
28 2.Theboardmaypromulgaterulesandregulationsto
29 implementtheprovisionsofthissection.Anyruleorportionofa
30 rule,asthattermisdefinedinsection536.010,thatiscreated
31 undertheauthoritydelegatedinthissectionshallbecome
32 effectiveonlyifitcomplieswithandissubjecttoallofthe
33 provisionsofchapter536and,ifapplicable,section536.028.
34 Thissectionandchapter536arenonseverableandifanyofthe
35 powersvestedwiththegeneralassemblypursuanttochapter536to
10 36 review,todelaytheeffectivedate,ortodisapproveandannula
37 rulearesubsequentlyheldunconstitutional, thenthegrantof
38 rulemakingauthorityandanyruleproposedoradoptedafterAugust
39 28,2022,shallbeinvalidandvoid.
40 3.TheprovisionsofthissectionshallexpireonAugust28,
41 2026.Theboardshallprovideafinalreportonapprovedprojects
42 andrelateddataorfindingstothegeneralassemblyonorbefore
43 December31,2025.Thename,location,approvaldates,andgeneral
44 descriptionofanapprovedpilotprojectshallbedeemedapublic
45 recordpursuanttochapter610.
334.100.1.Theboardmayrefusetoissueorrenewany
2 certificateofregistrationorauthority,permitorlicense
3 requiredpursuanttothischapterforoneoranycombinationof
4 causesstatedinsubsection2ofthissection.Theboardshall
5 notifytheapplicantinwritingofthereasonsfortherefusaland
6 shalladvisetheapplicantoftheapplicant'srighttofilea
7 complaintwiththeadministrativehearingcommissionasprovided
8 bychapter621.Asanalternativetoarefusaltoissueorrenew
9 anycertificate,registrationorauthority,theboardmay,atits
10 discretion,issuealicensewhichissubjecttoprobation,
11 restrictionorlimitationtoanapplicantforlicensureforanyone
12 oranycombinationofcausesstatedinsubsection2ofthis
13 section.Theboard'sorderofprobation,limitationor
14 restrictionshallcontainastatementofthedisciplineimposed,
15 thebasistherefor,thedatesuchactionshallbecomeeffective,
16 andastatementthattheapplicanthasthirtydaystorequestin
17 writingahearingbeforetheadministrativehearingcommission.
11 18 Iftheboardissuesaprobationary,limitedorrestrictedlicense
19 toanapplicantforlicensure,eitherpartymayfileawritten
20 petitionwiththeadministrativehearingcommissionwithinthirty
21 daysoftheeffectivedateoftheprobationary,limitedor
22 restrictedlicenseseekingreviewoftheboard'sdetermination.
23 Ifnowrittenrequestforahearingisreceivedbythe
24 administrativehearingcommissionwithinthethirty-dayperiod,
25 therighttoseekreviewoftheboard'sdecisionshallbe
26 consideredaswaived.
27 2.Theboardmaycauseacomplainttobefiledwiththe
28 administrativehearingcommissionasprovidedbychapter621
29 againstanyholderofanycertificateofregistrationor
30 authority,permitorlicenserequiredbythischapteroranyperson
31 whohasfailedtoreneworhassurrenderedtheperson'scertificate
32 ofregistrationorauthority,permitorlicenseforanyoneorany
33 combinationofthefollowingcauses:
34 (1)Useofanycontrolledsubstance,asdefinedinchapter
35 195,oralcoholicbeveragetoanextentthatsuchuseimpairsa
36 person'sabilitytoperformtheworkofanyprofessionlicensedor
37 regulatedbythischapter;
38 (2)Thepersonhasbeenfinallyadjudicatedandfoundguilty,
39 orenteredapleaofguiltyornolocontendere,inacriminal
40 prosecutionunderthelawsofanystateoroftheUnitedStates,
41 foranyoffensereasonablyrelatedtothequalifications,
42 functionsordutiesofanyprofessionlicensedorregulated
43 pursuanttothischapter,foranyoffenseinvolvingfraud,
44 dishonestyoranactofviolence,orforanyoffenseinvolving
12 45 moralturpitude,whetherornotsentenceisimposed;
46 (3)Useoffraud,deception,misrepresentation orbriberyin
47 securinganycertificateofregistrationorauthority,permitor
48 licenseissuedpursuanttothischapterorinobtainingpermission
49 totakeanyexaminationgivenorrequiredpursuanttothischapter;
50 (4)Misconduct,fraud,misrepresentation, dishonesty,
51 unethicalconductorunprofessionalconductintheperformanceof
52 thefunctionsordutiesofanyprofessionlicensedorregulatedby
53 thischapter,including,butnotlimitedto,thefollowing:
54 (a)Obtainingorattemptingtoobtainanyfee,charge,
55 tuitionorothercompensationbyfraud,deceptionor
56 misrepresentation; willfullyandcontinuallyoverchargingor
57 overtreatingpatients;orchargingforvisitstothephysician's
58 officewhichdidnotoccurunlesstheserviceswerecontractedfor
59 inadvance,orforserviceswhichwerenotrenderedordocumented
60 inthepatient'srecords;
61 (b)Attempting,directlyorindirectly,bywayof
62 intimidation,coercionordeception,toobtainorretainapatient
63 ordiscouragetheuseofasecondopinionorconsultation;
64 (c)Willfullyandcontinuallyperforminginappropriateor
65 unnecessarytreatment,diagnostictestsormedicalorsurgical
66 services;
67 (d)Delegatingprofessionalresponsibilities toapersonwho
68 isnotqualifiedbytraining,skill,competency,age,experience
69 orlicensuretoperformsuchresponsibilities;
70 (e)Misrepresenting thatanydisease,ailmentorinfirmity
71 canbecuredbyamethod,procedure,treatment,medicineordevice;
13 72 (f)Performingorprescribingmedicalserviceswhichhave
73 beendeclaredbyboardruletobeofnomedicalorosteopathic
74 value;
75 (g)Finaldisciplinaryactionbyanyprofessionalmedicalor
76 osteopathicassociationorsocietyorlicensedhospitalormedical
77 staffofsuchhospitalinthisoranyotherstateorterritory,
78 whetheragreedtovoluntarilyornot,andincluding,butnot
79 limitedto,anyremoval,suspension,limitation,orrestrictionof
80 theperson'slicenseorstafforhospitalprivileges,failureto
81 renewsuchprivilegesorlicenseforcause,orotherfinal
82 disciplinaryaction,iftheactionwasinanywayrelatedto
83 unprofessionalconduct,professionalincompetence,malpracticeor
84 anyotherviolationofanyprovisionofthischapter;
85 (h)Signingablankprescriptionform;ordispensing,
86 prescribing,administeringorotherwisedistributinganydrug,
87 controlledsubstanceorothertreatmentwithoutsufficient
88 examinationincludingfailingtoestablishavalidphysician-
89 patientrelationshippursuanttosection334.108,orforother
90 thanmedicallyacceptedtherapeuticorexperimentalor
91 investigativepurposesdulyauthorizedbyastateorfederal
92 agency,ornotinthecourseofprofessionalpractice,ornotin
93 goodfaithtorelievepainandsuffering,ornottocurean
94 ailment,physicalinfirmityordisease,exceptasauthorizedin
95 section334.104;
96 (i)Exercisinginfluencewithinaphysician-patient
97 relationshipforpurposesofengagingapatientinsexual
98 activity;
14 99 (j)Beinglistedonanystateorfederalsexualoffender
100 registry;
101 (k)Terminatingthemedicalcareofapatientwithout
102 adequatenoticeorwithoutmakingotherarrangementsforthe
103 continuedcareofthepatient;
104 (l)Failingtofurnishdetailsofapatient'smedicalrecords
105 toothertreatingphysiciansorhospitalsuponproperrequest;or
106 failingtocomplywithanyotherlawrelatingtomedicalrecords;
107 (m)Failureofanyapplicantorlicenseetocooperatewith
108 theboardduringanyinvestigation;
109 (n)Failuretocomplywithanysubpoenaorsubpoenaduces
110 tecumfromtheboardoranorderoftheboard;
111 (o)Failuretotimelypaylicenserenewalfeesspecifiedin
112 thischapter;
113 (p)Violatingaprobationagreement,order,orother
114 settlementagreementwiththisboardoranyotherlicensing
115 agency;
116 (q)Failingtoinformtheboardofthephysician'scurrent
117 residenceandbusinessaddress;
118 (r)Advertisingbyanapplicantorlicenseewhichisfalseor
119 misleading,orwhichviolatesanyruleoftheboard,orwhich
120 claimswithoutsubstantiationthepositivecureofanydisease,or
121 professionalsuperioritytoorgreaterskillthanthatpossessed
122 byanyotherphysician. Anapplicantorlicenseeshallalsobein
123 violationofthisprovisioniftheapplicantorlicenseehasa
124 financialinterestinanyorganization,corporationorassociation
125 whichissuesorconductssuchadvertising;
15 126 (s)Anyotherconductthatisunethicalorunprofessional
127 involvingaminor;
128 (5)Anyconductorpracticewhichisormightbeharmfulor
129 dangeroustothementalorphysicalhealthofapatientorthe
130 public;orincompetency,grossnegligenceorrepeatednegligence
131 intheperformanceofthefunctionsordutiesofanyprofession
132 licensedorregulatedbythischapter.Forthepurposesofthis
133 subdivision,"repeatednegligence"meansthefailure,onmorethan
134 oneoccasion,tousethatdegreeofskillandlearningordinarily
135 usedunderthesameorsimilarcircumstancesbythememberofthe
136 applicant'sorlicensee'sprofession;
137 (6)Violationof,orattemptingtoviolate,directlyor
138 indirectly,orassistingorenablinganypersontoviolate,any
139 provisionofthischapterorchapter324,orofanylawfulruleor
140 regulationadoptedpursuanttothischapterorchapter324;
141 (7)Impersonationofanypersonholdingacertificateof
142 registrationorauthority,permitorlicenseorallowingany
143 persontousehisorhercertificateofregistrationorauthority,
144 permit,licenseordiplomafromanyschool;
145 (8)Revocation,suspension,restriction,modification,
146 limitation,reprimand,warning,censure,probationorotherfinal
147 disciplinaryactionagainsttheholderoforapplicantfora
148 licenseorotherrighttopracticeanyprofessionregulatedbythis
149 chapterbyanotherstate,territory,federalagencyorcountry,
150 whetherornotvoluntarilyagreedtobythelicenseeorapplicant,
151 including,butnotlimitedto,thedenialoflicensure,surrender
152 ofthelicense,allowingthelicensetoexpireorlapse,or
16 153 discontinuingorlimitingthepracticeofmedicinewhilesubject
154 toaninvestigationorwhileactuallyunderinvestigationbyany
155 licensingauthority,medicalfacility,branchoftheArmedForces
156 oftheUnitedStatesofAmerica,insurancecompany,court,agency
157 ofthestateorfederalgovernment,oremployer;
158 (9)Apersonisfinallyadjudgedincapacitatedordisabledby
159 acourtofcompetentjurisdiction;
160 (10)Assistingorenablinganypersontopracticeorofferto
161 practiceanyprofessionlicensedorregulatedbythischapterwho
162 isnotregisteredandcurrentlyeligibletopracticepursuantto
163 thischapter;orknowinglyperforminganyactwhichinanyway
164 aids,assists,procures,advises,orencouragesanypersonto
165 practicemedicinewhoisnotregisteredandcurrentlyeligibleto
166 practicepursuanttothischapter.Aphysicianwhoworksin
167 accordancewithstandingordersorprotocolsorinaccordancewith
168 theprovisionsofsection334.104shallnotbeinviolationofthis
169 subdivision;
170 (11)Issuanceofacertificateofregistrationorauthority,
171 permitorlicensebaseduponamaterialmistakeoffact;
172 (12)Failuretodisplayavalidcertificateorlicenseifso
173 requiredbythischapteroranyrulepromulgatedpursuanttothis
174 chapter;
175 (13)Violationofthedruglawsorrulesandregulationsof
176 thisstate,includingbutnotlimitedtoanyprovisionofchapter
177 195,anyotherstate,orthefederalgovernment;
178 (14)Knowinglymaking,orcausingtobemade,oraiding,or
179 abettinginthemakingof,afalsestatementinanybirth,deathor
17 180 othercertificateordocumentexecutedinconnectionwiththe
181 practiceoftheperson'sprofession;
182 (15)Knowinglymakingafalsestatement,orallyorinwriting
183 totheboard;
184 (16)Solicitingpatronageinpersonorbyagentsor
185 representatives, orbyanyothermeansormanner,underthe
186 person'sownnameorunderthenameofanotherpersonorconcern,
187 actualorpretended,insuchamannerastoconfuse,deceive,or
188 misleadthepublicastotheneedornecessityforor
189 appropriateness ofhealthcareservicesforallpatients,orthe
190 qualificationsofanindividualpersonorpersonstodiagnose,
191 render,orperformhealthcareservices;
192 (17)Using,orpermittingtheuseof,theperson'snameunder
193 thedesignationof"Doctor","Dr.","M.D.",or"D.O.",orany
194 similardesignationwithreferencetothecommercialexploitation
195 ofanygoods,waresormerchandise;
196 (18)Knowinglymakingorcausingtobemadeafalsestatement
197 ormisrepresentation ofamaterialfact,withintenttodefraud,
198 forpaymentpursuanttotheprovisionsofchapter208orchapter
199 630orforpaymentfromTitleXVIIIorTitleXIXoftheSocial
200 SecurityAct;
201 (19)Failureorrefusaltoproperlyguardagainst
202 contagious,infectiousorcommunicablediseasesorthespread
203 thereof;maintaininganunsanitaryofficeorperforming
204 professionalservicesunderunsanitaryconditions;orfailureto
205 reporttheexistenceofanunsanitaryconditionintheofficeofa
206 physicianorinanyhealthcarefacilitytotheboard,inwriting,
18 207 withinthirtydaysafterthediscoverythereof;
208 (20)Anycandidateforlicensureorpersonlicensedto
209 practiceasaphysicaltherapist,payingorofferingtopaya
210 referralfeeor,notwithstanding section334.010tothecontrary,
211 practicingorofferingtopracticeprofessionalphysicaltherapy
212 independentoftheprescriptionanddirectionofapersonlicensed
213 andregisteredasaphysicianandsurgeonpursuanttothischapter,
214 asadentistpursuanttochapter332,asapodiatristpursuantto
215 chapter330,asanadvancedpracticeregisterednurseunder
216 chapter335,oranylicensedandregisteredphysician,dentist,
217 podiatrist,oradvancedpracticeregisterednursepracticingin
218 anotherjurisdiction,whoselicenseisingoodstanding;
219 (21)Anycandidateforlicensureorpersonlicensedto
220 practiceasaphysicaltherapist,treatingorattemptingtotreat
221 ailmentsorotherhealthconditionsofhumanbeingsotherthanby
222 professionalphysicaltherapyandasauthorizedbysections
223 334.500to334.620;
224 (22)Anypersonlicensedtopracticeasaphysicianor
225 surgeon,requiring,asaconditionofthephysician-patient
226 relationship,thatthepatientreceiveprescribeddrugs,devices
227 orotherprofessionalservicesdirectlyfromfacilitiesofthat
228 physician'sofficeorotherentitiesunderthatphysician's
229 ownershiporcontrol.Aphysicianshallprovidethepatientwitha
230 prescriptionwhichmaybetakentothefacilityselectedbythe
231 patientandaphysicianknowinglyfailingtodisclosetoapatient
232 onaformapprovedbytheadvisorycommissionforprofessional
233 physicaltherapistsasestablishedbysection334.625whichis
19 234 datedandsignedbyapatientorguardianacknowledgingthatthe
235 patientorguardianhasreadandunderstandsthatthephysicianhas
236 apecuniaryinterestinaphysicaltherapyorrehabilitation
237 serviceprovidingprescribedtreatmentandthattheprescribed
238 treatmentisavailableonacompetitivebasis.Thissubdivision
239 shallnotapplytoareferralbyonephysiciantoanotherphysician
240 withinagroupofphysicianspracticingtogether;
241 (23)Apatternofpersonaluseorconsumptionofany
242 controlledsubstanceunlessitisprescribed,dispensedor
243 administeredbyanotherphysicianwhoisauthorizedbylawtodo
244 so;
245 (24)Habitualintoxicationordependenceonalcohol,
246 evidenceofwhichmayincludemorethanonealcohol-related
247 enforcementcontactasdefinedbysection302.525;
248 (25)Failuretocomplywithatreatmentprogramoran
249 aftercareprogramenteredintoaspartofaboardorder,settlement
250 agreementorlicensee'sprofessionalhealthprogram;
251 (26)Revocation,suspension,limitation,probation,or
252 restrictionofanykindwhatsoeverofanycontrolledsubstance
253 authority,whetheragreedtovoluntarilyornot,orvoluntary
254 terminationofacontrolledsubstanceauthoritywhileunder
255 investigation;
256 (27)Foraphysiciantooperate,conduct,manage,or
257 establishanabortionfacility,orforaphysiciantoperforman
258 abortioninanabortionfacility,ifsuchfacilitycomesunderthe
259 definitionofanambulatorysurgicalcenterpursuanttosections
260 197.200to197.240,andsuchfacilityhasfailedtoobtainorrenew
20 261 alicenseasanambulatorysurgicalcenter.
262 3.Collaborativepracticearrangements,protocolsand
263 standingordersshallbeinwritingandsignedanddatedbya
264 physicianpriortotheirimplementation.
265 4.Afterthefilingofsuchcomplaintbeforethe
266 administrativehearingcommission,theproceedingsshallbe
267 conductedinaccordancewiththeprovisionsofchapter621.Upona
268 findingbytheadministrativehearingcommissionthatthegrounds,
269 providedinsubsection2ofthissection,fordisciplinaryaction
270 aremet,theboardmay,singlyorincombination,warn,censureor
271 placethepersonnamedinthecomplaintonprobationonsuchterms
272 andconditionsastheboarddeemsappropriateforaperiodnotto
273 exceedtenyears,ormaysuspendtheperson'slicense,certificate
274 orpermitforaperiodnottoexceedthreeyears,orrestrictor
275 limittheperson'slicense,certificateorpermitforan
276 indefiniteperiodoftime,orrevoketheperson'slicense,
277 certificate,orpermit,oradministerapublicorprivate
278 reprimand,ordenytheperson'sapplicationforalicense,or
279 permanentlywithholdissuanceofalicenseorrequirethepersonto
280 submittothecare,counselingortreatmentofphysicians
281 designatedbytheboardattheexpenseoftheindividualtobe
282 examined,orrequirethepersontoattendsuchcontinuing
283 educationalcoursesandpasssuchexaminationsastheboardmay
284 direct.
285 5.Inanyorderofrevocation,theboardmayprovidethatthe
286 personmaynotapplyforreinstatementoftheperson'slicensefor
287 aperiodoftimerangingfromtwotosevenyearsfollowingthedate
21 288 oftheorderofrevocation. Allstayordersshalltollthistime
289 period.
290 6.Beforerestoringtogoodstandingalicense,certificate
291 orpermitissuedpursuanttothischapterwhichhasbeenina
292 revoked,suspendedorinactivestateforanycauseformorethan
293 twoyears,theboardmayrequiretheapplicanttoattendsuch
294 continuingmedicaleducationcoursesandpasssuchexaminationsas
295 theboardmaydirect.
296 7.Inanyinvestigation,hearingorotherproceedingto
297 determinealicensee'sorapplicant'sfitnesstopractice,any
298 recordrelatingtoanypatientofthelicenseeorapplicantshall
299 bediscoverablebytheboardandadmissibleintoevidence,
300 regardlessofanystatutoryorcommonlawprivilegewhichsuch
301 licensee,applicant,recordcustodianorpatientmightotherwise
302 invoke.Inaddition,nosuchlicensee,applicant,orrecord
303 custodianmaywithholdrecordsortestimonybearingupona
304 licensee'sorapplicant'sfitnesstopracticeonthegroundof
305 privilegebetweensuchlicensee,applicantorrecordcustodianand
306 apatient.
307 8.Theactoflawfullydispensing,prescribing,
308 administering,orotherwisedistributingivermectintabletsor
309 hydroxychloroquine sulfatetabletsforhumanuseshallnotbe
310 groundsfordenial,suspension,revocation,orotherdisciplinary
311 actionbytheboard.
334.530.1.Acandidateforlicensetopracticeasa
2 physicaltherapistshallfurnishevidenceofsuchperson's
3 educationalqualificationsbysubmittingsatisfactoryevidenceof
22 4 completionofaprogramofphysicaltherapyeducationapprovedas
5 reputablebytheboardoreligibilitytograduatefromsucha
6 programwithinninetydays.Acandidatewhopresentssatisfactory
7 evidenceoftheperson'sgraduationfromaschoolofphysical
8 therapyapprovedasreputablebytheAmericanMedicalAssociation
9 or,ifgraduatedbefore1936,bytheAmericanPhysicalTherapy
10 Association,orifgraduatedafter1988,theCommissionon
11 AccreditationforPhysicalTherapyEducationoritssuccessor,is
12 deemedtohavecompliedwiththeeducationalqualificationsof
13 thissubsection.
14 2.Personsdesiringtopracticeasphysicaltherapistsin
15 thisstateshallappearbeforetheboardatsuchtimeandplaceas
16 theboardmaydirectandbeexaminedastotheirfitnesstoengage
17 insuchpractice. Applicantsshallmeetthequalifyingstandards
18 forsuchexaminations,includinganyrequirementsestablishedby
19 anyentitycontractedbytheboardtoadministertheboard-
20 approvedexamination. Applicationsforexaminationshallbein
21 writing,onaformfurnishedbytheboardandshallinclude
22 evidencesatisfactorytotheboardthattheapplicantpossesses
23 thequalificationssetforthinsubsection1ofthissectionand
24 meetstherequirementsestablishedtoqualifyforexamination.
25 Eachapplicationshallcontainastatementthatitismadeunder
26 oathoraffirmationandthatitsrepresentations aretrueand
27 correcttothebestknowledgeandbeliefoftheapplicant,subject
28 tothepenaltiesofmakingafalseaffidavitordeclaration.
29 3.Theexaminationofqualifiedcandidatesforlicensesto
30 practicephysicaltherapyshalltestentry-levelcompetenceas
23 31 relatedtophysicaltherapytheory,examinationandevaluation,
32 physicaltherapydiagnosis,prognosis,treatment,intervention,
33 prevention,andconsultation.
34 4.Theexaminationshallembrace,inrelationtothehuman
35 being,thesubjectsofanatomy,chemistry,kinesiology,pathology,
36 physics,physiology,psychology,physicaltherapytheoryand
37 proceduresasrelatedtomedicine,surgeryandpsychiatry,and
38 suchothersubjects,includingmedicalethics,astheboarddeems
39 usefultotestthefitnessofthecandidatetopracticephysical
40 therapy.
41 5.Nopersonwhohasfailedonsixormoreoccasionsto
42 achieveapassingscoreontheexaminationrequiredbythissection
43 shallbeeligibleforlicensurebyexaminationunderthissection.
44 6.Theapplicantshallpassatestadministeredbytheboard
45 onthelawsandrulesrelatedtothepracticeofphysicaltherapy
46 inMissouri.
334.655.1.Acandidateforlicensuretopracticeasa
2 physicaltherapistassistantshallfurnishevidenceofthe
3 person'seducationalqualifications. Theeducationalrequirements
4 forlicensureasaphysicaltherapistassistantare:
5 (1)Acertificateofgraduationfromanaccreditedhigh
6 schooloritsequivalent;and
7 (2)Satisfactoryevidenceofcompletionofanassociate
8 degreeprogramofphysicaltherapyeducationaccreditedbythe
9 commissiononaccreditationofphysicaltherapyeducationor
10 eligibilitytograduatefromsuchaprogramwithinninetydays.
11 2.Personsdesiringtopracticeasaphysicaltherapist
24 12 assistantinthisstateshallappearbeforetheboardatsuchtime
13 andplaceastheboardmaydirectandbeexaminedastothe
14 person'sfitnesstoengageinsuchpractice.Applicantsshallmeet
15 thequalifyingstandardsforsuchexaminations,includingany
16 requirementsestablishedbyanyentitycontractedbytheboardto
17 administertheboard-approvedexamination. Applicationsfor
18 examinationshallbeonaformfurnishedbytheboardandshall
19 includeevidencesatisfactorytotheboardthattheapplicant
20 possessesthequalificationsprovidedinsubsection1ofthis
21 sectionandmeetstherequirementsestablishedtoqualifyfor
22 examination. Eachapplicationshallcontainastatementthatthe
23 statementismadeunderoathofaffirmationandthatits
24 representations aretrueandcorrecttothebestknowledgeand
25 beliefofthepersonsigningthestatement,subjecttothe
26 penaltiesofmakingafalseaffidavitordeclaration.
27 3.Theexaminationofqualifiedcandidatesforlicensureto
28 practiceasphysicaltherapistassistantsshallembracean
29 examinationwhichshallcoverthecurriculumtaughtinaccredited
30 associatedegreeprogramsofphysicaltherapyassistanteducation.
31 Suchexaminationshallbesufficienttotestthequalificationof
32 thecandidatesaspractitioners.
33 4.Theexaminationshallinclude,asrelatedtothehuman
34 body,thesubjectsofanatomy,kinesiology,pathology,physiology,
35 psychology,physicaltherapytheoryandproceduresasrelatedto
36 medicineandsuchothersubjects,includingmedicalethics,asthe
37 boarddeemsusefultotestthefitnessofthecandidatetopractice
38 asaphysicaltherapistassistant.
25 39 5.Nopersonwhohasfailedonsixormoreoccasionsto
40 achieveapassingscoreontheexaminationrequiredbythissection
41 shallbeeligibleforlicensurebyexaminationunderthissection.
42 6.Theapplicantshallpassatestadministeredbytheboard
43 onthelawsandrulesrelatedtothepracticeasaphysical
44 therapistassistantinthisstate.
45 [6.] 7.Theboardshalllicensewithoutexaminationany
46 legallyqualifiedpersonwhoisaresidentofthisstateandwho
47 wasactivelyengagedinpracticeasaphysicaltherapistassistant
48 onAugust28,1993.Theboardmaylicensesuchpersonpursuantto
49 thissubsectionuntilninetydaysaftertheeffectivedateofthis
50 section.
51 [7.] 8.Acandidatetopracticeasaphysicaltherapist
52 assistantwhodoesnotmeettheeducationalqualificationsmay
53 submittotheboardanapplicationforexaminationifsuchperson
54 canfurnishwrittenevidencetotheboardthatthepersonhasbeen
55 employedinthisstateforatleastthreeofthelastfiveyears
56 underthesupervisionofalicensedphysicaltherapistandsuch
57 personpossessestheknowledgeandtrainingequivalenttothat
58 obtainedinanaccreditedschool.Theboardmaylicensesuch
59 personspursuanttothissubsectionuntilninetydaysafterrules
60 developedbythestateboardofhealingartsregardingphysical
61 therapistassistantlicensingbecomeeffective.
338.055.1.Theboardmayrefusetoissueanycertificateof
2 registrationorauthority,permitorlicenserequiredpursuantto
3 thischapterforoneoranycombinationofcausesstatedin
4 subsection2ofthissectionorifthedesignatedpharmacist-in-
26 5 charge,manager-in-charge, oranyofficer,owner,manager,or
6 controllingshareholderoftheapplicanthascommittedanyactor
7 practiceinsubsection2ofthissection.Theboardshallnotify
8 theapplicantinwritingofthereasonsfortherefusalandshall
9 advisetheapplicantofhisorherrighttofileacomplaintwith
10 theadministrativehearingcommissionasprovidedbychapter621.
11 2.Theboardmaycauseacomplainttobefiledwiththe
12 administrativehearingcommissionasprovidedbychapter621
13 againstanyholderofanycertificateofregistrationor
14 authority,permitorlicenserequiredbythischapteroranyperson
15 whohasfailedtoreneworhassurrenderedhisorhercertificate
16 ofregistrationorauthority,permitorlicenseforanyoneorany
17 combinationofthefollowingcauses:
18 (1)Useofanycontrolledsubstance,asdefinedinchapter
19 195,oralcoholicbeveragetoanextentthatsuchuseimpairsa
20 person'sabilitytoperformtheworkofanyprofessionlicensedor
21 regulatedbythischapter;
22 (2)Thepersonhasbeenfinallyadjudicatedandfoundguilty,
23 orenteredapleaofguiltyornolocontendere,inacriminal
24 prosecutionunderthelawsofanystateoroftheUnitedStates,
25 foranyoffensereasonablyrelatedtothequalifications,
26 functionsordutiesofanyprofessionlicensedorregulatedunder
27 thischapter,foranyoffenseanessentialelementofwhichis
28 fraud,dishonestyoranactofviolence,orforanyoffense
29 involvingmoralturpitude,whetherornotsentenceisimposed;
30 (3)Useoffraud,deception,misrepresentation orbriberyin
31 securinganycertificateofregistrationorauthority,permitor
27 32 licenseissuedpursuanttothischapterorinobtainingpermission
33 totakeanyexaminationgivenorrequiredpursuanttothischapter;
34 (4)Obtainingorattemptingtoobtainanyfee,charge,
35 tuitionorothercompensationbyfraud,deceptionor
36 misrepresentation;
37 (5)Incompetence,misconduct,grossnegligence,fraud,
38 misrepresentation ordishonestyintheperformanceofthe
39 functionsordutiesofanyprofessionlicensedorregulatedbythis
40 chapter;
41 (6)Violationof,orassistingorenablinganypersonto
42 violate,anyprovisionofthischapter,orofanylawfulruleor
43 regulationadoptedpursuanttothischapter;
44 (7)Impersonationofanypersonholdingacertificateof
45 registrationorauthority,permitorlicenseorallowingany
46 persontousehisorhercertificateofregistrationorauthority,
47 permit,license,ordiplomafromanyschool;
48 (8)Denialoflicensuretoanapplicantordisciplinary
49 actionagainstanapplicantortheholderofalicenseorother
50 righttopracticeanyprofessionregulatedbythischaptergranted
51 byanotherstate,territory,federalagency,orcountrywhetheror
52 notvoluntarilyagreedtobythelicenseeorapplicant,including,
53 butnotlimitedto,surrenderofthelicenseupongroundsforwhich
54 denialordisciplineisauthorizedinthisstate;
55 (9)Apersonisfinallyadjudgedincapacitatedbyacourtof
56 competentjurisdiction;
57 (10)Assistingorenablinganypersontopracticeorofferto
58 practiceanyprofessionlicensedorregulatedbythischapterwho
28 59 isnotregisteredandcurrentlyeligibletopracticeunderthis
60 chapter;
61 (11)Issuanceofacertificateofregistrationorauthority,
62 permitorlicensebaseduponamaterialmistakeoffact;
63 (12)Failuretodisplayavalidcertificateorlicenseifso
64 requiredbythischapteroranyrulepromulgatedhereunder;
65 (13)Violationofanyprofessionaltrustorconfidence;
66 (14)Useofanyadvertisementorsolicitationwhichisfalse,
67 misleadingordeceptivetothegeneralpublicorpersonstowhom
68 theadvertisementorsolicitationisprimarilydirected;
69 (15)Violationofthedruglawsorrulesandregulationsof
70 thisstate,anyotherstateorthefederalgovernment;
71 (16)Theintentionalactofsubstitutingorotherwise
72 changingthecontent,formulaorbrandofanydrugprescribedby
73 written,electronic,ororalprescriptionwithoutpriorwrittenor
74 oralapprovalfromtheprescriberfortherespectivechangeineach
75 prescription;provided,however,thatnothingcontainedherein
76 shallprohibitapharmacistfromsubstitutingorchangingthe
77 brandofanydrugasprovidedundersection338.056,andanysuch
78 substitutingorchangingofthebrandofanydrugasprovidedfor
79 insection338.056shallnotbedeemedunprofessionalor
80 dishonorableconductunlessaviolationofsection338.056occurs;
81 (17)Personaluseorconsumptionofanycontrolledsubstance
82 unlessitisprescribed,dispensed,oradministeredbyahealth
83 careproviderwhoisauthorizedbylawtodoso.
84 3.Afterthefilingofsuchcomplaint,theproceedingsshall
85 beconductedinaccordancewiththeprovisionsofchapter621.
29 86 Uponafindingbytheadministrativehearingcommissionthatthe
87 grounds,providedinsubsection2ofthissection,for
88 disciplinaryactionaremet,theboardmay,singlyorin
89 combination,censureorplacethepersonnamedinthecomplainton
90 probationonsuchtermsandconditionsastheboarddeems
91 appropriateforaperiodnottoexceedfiveyears,ormaysuspend,
92 foraperiodnottoexceedthreeyears,orrevokethelicense,
93 certificate,orpermit.Theboardmayimposeadditional
94 disciplineonalicensee,registrant,orpermitteefoundtohave
95 violatedanydisciplinarytermspreviouslyimposedunderthis
96 sectionorbyagreement. Theadditionaldisciplinemayinclude,
97 singlyorincombination,censure,placingthelicensee,
98 registrant,orpermitteenamedinthecomplaintonadditional
99 probationonsuchtermsandconditionsastheboarddeems
100 appropriate,whichadditionalprobationshallnotexceedfive
101 years,orsuspensionforaperiodnottoexceedthreeyears,or
102 revocationofthelicense,certificate,orpermit.
103 4.Iftheboardconcludesthatalicenseeorregistranthas
104 committedanactorisengaginginacourseofconductwhichwould
105 begroundsfordisciplinaryactionwhichconstitutesaclearand
106 presentdangertothepublichealthandsafety,theboardmayfile
107 acomplaintbeforetheadministrativehearingcommission
108 requestinganexpeditedhearingandspecifyingtheactivities
109 whichgiverisetothedangerandthenatureoftheproposed
110 restrictionorsuspensionofthelicensee'sorregistrant's
111 license.Withinfifteendaysafterserviceofthecomplaintonthe
112 licenseeorregistrant,theadministrativehearingcommission
30 113 shallconductapreliminaryhearingtodeterminewhetherthe
114 allegedactivitiesofthelicenseeorregistrantappearto
115 constituteaclearandpresentdangertothepublichealthand
116 safetywhichjustifythatthelicensee'sorregistrant'slicense
117 orregistrationbeimmediatelyrestrictedorsuspended. The
118 burdenofprovingthattheactionsofalicenseeorregistrant
119 constituteaclearandpresentdangertothepublichealthand
120 safetyshallbeuponthestateboardofpharmacy. The
121 administrativehearingcommissionshallissueitsdecision
122 immediatelyafterthehearingandshalleithergranttotheboard
123 theauthoritytosuspendorrestrictthelicenseordismissthe
124 action.
125 5.Iftheadministrativehearingcommissiongrantstemporary
126 authoritytotheboardtorestrictorsuspendthelicensee'sor
127 registrant'slicense,suchtemporaryauthorityoftheboardshall
128 becomefinalauthorityifthereisnorequestbythelicenseeor
129 registrantforafullhearingwithinthirtydaysofthepreliminary
130 hearing.Theadministrativehearingcommissionshall,if
131 requestedbythelicenseeorregistrantnamedinthecomplaint,set
132 adatetoholdafullhearingundertheprovisionsofchapter621
133 regardingtheactivitiesallegedintheinitialcomplaintfiledby
134 theboard.
135 6.Iftheadministrativehearingcommissiondismissesthe
136 actionfiledbytheboardpursuanttosubsection4ofthissection,
137 suchdismissalshallnotbartheboardfrominitiatingasubsequent
138 actiononthesamegrounds.
139 7.Theboardshallnotdeny,revoke,orsuspend,orotherwise
31 140 takeanydisciplinaryactionagainst,acertificateof
141 registrationorauthority,permit,orlicenserequiredbythis
142 chapterforanypersonduetothelawfuldispensing,distributing,
143 orsellingofivermectintabletsorhydroxychloroquine sulfate
144 tabletsforhumanuseinaccordancewithprescriberdirections. A
145 pharmacistshallnotcontacttheprescribingphysicianorthe
146 patienttodisputetheefficacyofivermectintabletsor
147 hydroxychloroquine sulfatetabletsforhumanuseunlessthe
148 physicianorpatientinquiresofthepharmacistabouttheefficacy
149 ofivermectintabletsorhydroxychloroquine sulfatetablets.
345.015.Asusedinsections345.010to345.080,the
2 followingtermsmean:
3 (1)"Audiologist",apersonwhoislicensedasanaudiologist
4 pursuanttosections345.010to345.080topracticeaudiology;
5 (2)"Audiologyaide",apersonwhoisregisteredasan
6 audiologyaidebytheboard,whodoesnotactindependentlybut
7 worksunderthedirectionandsupervisionofalicensed
8 audiologist. Suchpersonassiststheaudiologistwithactivities
9 whichrequireanunderstandingofaudiologybutdonotrequire
10 formaltrainingintherelevantacademics. Tobeeligiblefor
11 registrationbytheboard,eachapplicantshallsubmita
12 registrationfeeand:
13 (a)Beatleasteighteenyearsofage;
14 (b)Furnishevidenceoftheperson'seducational
15 qualificationswhichshallbeataminimum:
16 a.Certificationofgraduationfromanaccreditedhigh
17 schooloritsequivalent;and
32 18 b.On-the-jobtraining;
19 (c)Beemployedinasettinginwhichdirectandindirect
20 supervisionareprovidedonaregularandsystematicbasisbya
21 licensedaudiologist.
22
23 However,theaideshallnotadministerorinterprethearing
24 screeningordiagnostictests,fitordispensehearing
25 instruments,makeearimpressions,makediagnosticstatements,
26 determinecaseselection,presentwrittenreportstoanyoneother
27 thanthesupervisorwithoutthesignatureofthesupervisor,make
28 referralstootherprofessionalsoragencies,useatitleother
29 thanaudiologyaide,developormodifytreatmentplans,discharge
30 clientsfromtreatmentorterminatetreatment,discloseclinical
31 information,eitherorallyorinwriting,toanyoneotherthanthe
32 supervisingaudiologist,orperformanyprocedureforwhichheor
33 sheisnotqualified,hasnotbeenadequatelytrainedorboth;
34 (3)"Board",thestateboardofregistrationforthehealing
35 arts;
36 (4)"Clinicalfellowship",thesupervisedprofessional
37 employmentperiodfollowingcompletionoftheacademicand
38 practicumrequirementsofanaccreditedtrainingprogramunder
39 thischapter;
40 (5)"Commission",theadvisorycommissionforspeech-
41 languagepathologistsandaudiologists;
42 [(5)] (6)"Hearinginstrument"or"hearingaid",any
43 wearabledeviceorinstrumentdesignedfororofferedforthe
44 purposeofaidingorcompensatingforimpairedhumanhearingand
33 45 anyparts,attachmentsoraccessories,includingearmolds,but
46 excludingbatteries,cords,receiversandrepairs;
47 [(6)] (7)"Person",anyindividual,organization,or
48 corporatebody,exceptthatonlyindividualsmaybelicensed
49 pursuanttosections345.010to345.080;
50 [(7)] (8)"Practiceofaudiology":
51 (a)Theapplicationofacceptedaudiologicprinciples,
52 methodsandproceduresforthemeasurement,testing,
53 interpretation, appraisalandpredictionrelatedtodisordersof
54 theauditorysystem,balancesystemorrelatedstructuresand
55 systems;
56 (b)Providesconsultationorcounselingtothepatient,
57 client,student,theirfamilyorinterestedparties;
58 (c)Providesacademic,socialandmedicalreferralswhen
59 appropriate;
60 (d)Providesforestablishinggoals,implementing
61 strategies,methodsandtechniques,forhabilitation,
62 rehabilitationorauralrehabilitation, relatedtodisordersof
63 theauditorysystem,balancesystemorrelatedstructuresand
64 systems;
65 (e)Providesforinvolvementinrelatedresearch,teaching
66 orpubliceducation;
67 (f)Providesforrenderingofservicesorparticipatesinthe
68 planning,directingorconductingofprogramswhicharedesigned
69 tomodifyaudition,communicative,balanceorcognitivedisorder,
70 whichmayinvolvespeechandlanguageoreducationissues;
71 (g)Providesandinterpretsbehavioralandneurophysiologic
34 72 measurementsofauditorybalance,cognitiveprocessingandrelated
73 functions,includingintraoperativemonitoring;
74 (h)Providesinvolvementinanytasks,procedures,actsor
75 practicesthatarenecessaryforevaluationofaudition,hearing,
76 trainingintheuseofamplificationorassistivelistening
77 devices;
78 (i)Providesselection,assessment,fitting,programming,
79 anddispensingofhearinginstruments,assistivelistening
80 devices,andotheramplificationsystems;
81 (j)Providesfortakingimpressionsoftheear,makingcustom
82 earmolds,earplugs,swimmoldsandindustrialnoiseprotectors;
83 (k)Providesassessmentofexternalearandcerumen
84 management;
85 (l)Providesadvising,fitting,mappingassessmentof
86 implantabledevicessuchascochlearorauditorybrainstem
87 devices;
88 (m)Providesinformationinnoisecontrolandhearing
89 conservationincludingeducation,equipmentselection,equipment
90 calibration,siteevaluationandemployeeevaluation;
91 (n)Providesperformingbasicspeech-language screening
92 test;
93 (o)Providesinvolvementinsocialaspectsofcommunication,
94 includingchallengingbehaviorandineffectivesocialskills,lack
95 ofcommunicationopportunities;
96 (p)Providessupportandtrainingoffamilymembersandother
97 communicationpartnersfortheindividualwithauditorybalance,
98 cognitiveandcommunicationdisorders;
35 99 (q)Providesauralrehabilitationandrelatedservicesto
100 individualswithhearinglossandtheirfamilies;
101 (r)Evaluates,collaboratesandmanagesauditionproblemsin
102 theassessmentofthecentralauditoryprocessingdisordersand
103 providinginterventionforindividualswithcentralauditory
104 processingdisorders;
105 (s)Developsandmanagesacademicandclinicalproblemsin
106 communicationsciencesanddisorders;
107 (t)Conducts,disseminatesandappliesresearchin
108 communicationsciencesanddisorders;
109 [(8)] (9)"Practiceofspeech-language pathology":
110 (a)Providesscreening,identification, assessment,
111 diagnosis,treatment,intervention,includingbutnotlimitedto
112 prevention,restoration,ameliorationandcompensation,and
113 follow-upservicesfordisordersof:
114 a.Speech:articulation,fluency,voice,including
115 respiration,phonationandresonance;
116 b.Language,involvingtheparametersofphonology,
117 morphology,syntax,semanticsandpragmatic;andincluding
118 disordersofreceptiveandexpressivecommunicationinoral,
119 written,graphicandmanualmodalities;
120 c.Oral,pharyngeal,cervicalesophagealandrelated
121 functions,suchasdysphagia,includingdisordersofswallowing
122 andoralfunctionsforfeeding;orofacialmyofunctionaldisorders;
123 d.Cognitiveaspectsofcommunication,including
124 communicationdisabilityandotherfunctionaldisabilities
125 associatedwithcognitiveimpairment;
36 126 e.Socialaspectsofcommunication,includingchallenging
127 behavior,ineffectivesocialskills,lackofcommunication
128 opportunities;
129 (b)Providesconsultationandcounselingandmakesreferrals
130 whenappropriate;
131 (c)Trainsandsupportsfamilymembersandother
132 communicationpartnersofindividualswithspeech,voice,
133 language,communicationandswallowingdisabilities;
134 (d)Developsandestablisheseffectiveaugmentativeand
135 alternativecommunicationtechniquesandstrategies,including
136 selecting,prescribinganddispensingofaugmentativeaidsand
137 devices;andthetrainingofindividuals,theirfamiliesandother
138 communicationpartnersintheiruse;
139 (e)Selects,fitsandestablisheseffectiveuseof
140 appropriateprosthetic/adaptive devicesforspeakingand
141 swallowing,suchastracheoesophageal valves,electrolarynges, or
142 speakingvalves;
143 (f)Usesinstrumentaltechnologytodiagnoseandtreat
144 disordersofcommunicationandswallowing,suchas
145 videofluoroscopy, nasendoscopy,ultrasonography andstroboscopy;
146 (g)Providesauralrehabilitativeandrelatedcounseling
147 servicestoindividualswithhearinglossandtotheirfamilies;
148 (h)Collaboratesintheassessmentofcentralauditory
149 processingdisordersincasesinwhichthereisevidenceofspeech,
150 languageorothercognitivecommunicationdisorders;provides
151 interventionforindividualswithcentralauditoryprocessing
152 disorders;
37 153 (i)Conductspure-toneairconductionhearingscreeningand
154 screeningtympanometryforthepurposeoftheinitial
155 identificationorreferral;
156 (j)Enhancesspeechandlanguageproficiencyand
157 communicationeffectiveness,includingbutnotlimitedtoaccent
158 reduction,collaborationwithteachersofEnglishasasecond
159 languageandimprovementofvoice,performanceandsinging;
160 (k)Trainsandsupervisessupportpersonnel;
161 (l)Developsandmanagesacademicandclinicalprogramsin
162 communicationsciencesanddisorders;
163 (m)Conducts,disseminatesandappliesresearchin
164 communicationsciencesanddisorders;
165 (n)Measuresoutcomesoftreatmentandconductscontinuous
166 evaluationoftheeffectivenessofpracticesandprogramsto
167 improveandmaintainqualityofservices;
168 [(9)] (10)"Speech-language pathologist",apersonwhois
169 licensedasaspeech-language pathologistpursuanttosections
170 345.010to345.080;whoengagesinthepracticeofspeech-language
171 pathologyasdefinedinsections345.010to345.080;
172 [(10)] (11)"Speech-language pathologyaide",apersonwho
173 isregisteredasaspeech-language aidebytheboard,whodoesnot
174 actindependentlybutworksunderthedirectionandsupervisionof
175 alicensedspeech-language pathologist. Suchpersonassiststhe
176 speech-language pathologistwithactivitieswhichrequirean
177 understandingofspeech-language pathologybutdonotrequire
178 formaltrainingintherelevantacademics. Tobeeligiblefor
179 registrationbytheboard,eachapplicantshallsubmita
38 180 registrationfeeand:
181 (a)Beatleasteighteenyearsofage;
182 (b)Furnishevidenceoftheperson'seducational
183 qualificationswhichshallbeataminimum:
184 a.Certificationofgraduationfromanaccreditedhigh
185 schooloritsequivalent;and
186 b.On-the-jobtraining;
187 (c)Beemployedinasettinginwhichdirectandindirect
188 supervisionisprovidedonaregularandsystematicbasisbya
189 licensedspeech-language pathologist.
190
191 However,theaideshallnotadministerorinterprethearing
192 screeningordiagnostictests,fitordispensehearing
193 instruments,makeearimpressions,makediagnosticstatements,
194 determinecaseselection,presentwrittenreportstoanyoneother
195 thanthesupervisorwithoutthesignatureofthesupervisor,make
196 referralstootherprofessionalsoragencies,useatitleother
197 thanspeech-language pathologyaide,developormodifytreatment
198 plans,dischargeclientsfromtreatmentorterminatetreatment,
199 discloseclinicalinformation,eitherorallyorinwriting,to
200 anyoneotherthanthesupervisingspeech-language pathologist,or
201 performanyprocedureforwhichheorsheisnotqualified,hasnot
202 beenadequatelytrainedorboth;
203 [(11)] (12)"Speech-language pathologyassistant",aperson
204 whoisregisteredasaspeech-language pathologyassistantbythe
205 board,whodoesnotactindependentlybutworksunderthedirection
206 andsupervisionofalicensedspeech-language pathologist
39 207 practicingforatleastoneyearorspeech-language pathologist
208 practicingundersubdivision(1)or(6)ofsubsection1ofsection
209 345.025foratleastoneyearandwhoseactivitiesrequireboth
210 academicandpracticaltraininginthefieldofspeech-language
211 pathologyalthoughlesstrainingthanthoseestablishedby
212 sections345.010to345.080asnecessaryforlicensingasaspeech-
213 languagepathologist. Tobeeligibleforregistrationbythe
214 board,eachapplicantshallsubmittheregistrationfee,
215 supervisingspeech-language pathologistinformationifemployment
216 isconfirmed,ifnotsuchinformationshallbeprovidedafter
217 registration,andfurnishevidenceoftheperson'seducational
218 qualificationswhichmeetthefollowing:
219 (a)Holdabachelor'sleveldegreefromaninstitution
220 accreditedorapprovedbyaregionalaccreditingbodyrecognized
221 bytheUnitedStatesDepartmentofEducationoritsequivalent;and
222 (b)Submitofficialtranscriptsfromoneormoreaccredited
223 collegesoruniversitiespresentingevidenceofthecompletionof
224 bachelor'slevelcourseworkandrequirementsinthefieldof
225 speech-language pathologyasestablishedbytheboardthrough
226 rulesandregulations;
227 (c)Submitproofofcompletionofthenumberandtypeof
228 clinicalhoursasestablishedbytheboardthroughrulesand
229 regulations.
345.022.1.Anypersonintheperson'sclinicalfellowship
2 shallholdaprovisionallicensetopracticespeech-language
3 pathologyoraudiology. Theboardmayissueaprovisionallicense
4 toanapplicantwho:
40 5 (1)Hasmettherequirementsforpracticumandacademic
6 requirementsfromanaccreditedtrainingprogramunderthis
7 chapter;
8 (2)Submitsanapplicationtotheboardonaformprescribed
9 bytheboard.Suchformshallincludeaplanforthecontentand
10 supervisionoftheclinicalfellowship,aswellasevidenceofgood
11 moralandethicalcharacter;and
12 (3)Submitstotheboardanapplicationfee,assetbythe
13 board,fortheprovisionallicense.
14 2.Aprovisionallicenseiseffectiveforoneyearandmaybe
15 extendedforanadditionaltwelvemonthsonlyforpurposesof
16 completingthepostgraduateclinicalexperienceportionofthe
17 clinicalfellowship;provided,thattheapplicanthaspassedthe
18 nationalexaminationandshallholdamaster'sdegreefroman
19 approvedtrainingprograminhisorherareaofapplication.
20 3.Withintwelvemonthsofissuanceoftheprovisional
21 license,theapplicantshallpassanexaminationpromulgatedor
22 approvedbytheboard.
23 4.Withintwelvemonthsofissuanceofaprovisionallicense,
24 theapplicantshallcompletetherequirementsforthemaster'sor
25 doctoraldegreefromaprogramaccreditedbytheCouncilon
26 AcademicAccreditationoftheAmericanSpeech-Language-Hearing
27 Associationorotheraccreditingagencyapprovedbytheboardin
28 theareainwhichlicensureissought.
345.050.[1.] Tobeeligibleforlicensurebytheboardby
2 examination,eachapplicantshallsubmittheapplicationfeeand
3 shallfurnishevidenceofsuchperson'scurrentcompetenceand
41 4 shall:
5 (1)Holdamaster'soradoctoraldegreefromaprogramthat
6 wasawarded"accreditationcandidate"statusorisaccreditedby
7 theCouncilonAcademicAccreditationoftheAmericanSpeech-
8 Language-Hearing Associationorotheraccreditingagencyapproved
9 bytheboardintheareainwhichlicensureissought;
10 (2)Submitofficialtranscriptsfromoneormoreaccredited
11 collegesoruniversitiespresentingevidenceofthecompletionof
12 courseworkandclinicalpracticumrequirementsequivalenttothat
13 requiredbytheCouncilonAcademicAccreditationoftheAmerican
14 Speech-Language-Hearing Associationorotheraccreditingagency
15 approvedbytheboard;[and]
16 (3)Presentwrittenevidenceofcompletionofaclinical
17 fellowshipfromsupervisors. Theexperiencerequiredbythis
18 subdivisionshallfollowthecompletionoftherequirementsof
19 subdivisions(1)and(2)ofthissubsection. Thisperiodof
20 employmentshallbeunderthedirectsupervisionofapersonwhois
21 licensedbythestateofMissouriintheprofessioninwhichthe
22 applicantseekstobelicensed.Personsapplyingwithanaudiology
23 clinicaldoctoraldegreeareexemptfromthisprovision;and
24 (4)Passanexaminationpromulgatedorapprovedbytheboard.
25 Theboardshalldeterminethesubjectandscopeofthe
26 examinations.
27 [2.Tobeeligibleforlicensurebytheboardwithout
28 examination,eachapplicantshallmakeapplicationonforms
29 prescribedbytheboard,submittheapplicationfee,submitan
30 activitystatementandmeetoneofthefollowingrequirements:
42 31 (1)Theboardshallissuealicensetoanyspeech-language
32 pathologistoraudiologistwhoislicensedinanothercountryand
33 whohashadnoviolations,suspensionorrevocationsofalicense
34 topracticespeech-language pathologyoraudiologyinany
35 jurisdiction;providedthat,suchpersonislicensedinacountry
36 whoserequirementsaresubstantiallyequalto,orgreaterthan,
37 Missouriatthetimetheapplicantappliesforlicensure;or
38 (2)Holdthecertificateofclinicalcompetenceissuedbythe
39 AmericanSpeech-Language-Hearing Associationintheareainwhich
40 licensureissought.]
345.052.1.Forpurposesofthissection,thefollowing
2 termsmean:
3 (1)"Board",theMissouriboardofregistrationforthe
4 healingarts;
5 (2)"Commission",theadvisorycommissionforspeech-
6 languagepathologistsandaudiologists;
7 (3)"License",alicense,certificate,registration,permit,
8 accreditation,ormilitaryoccupationalspecialtythatenablesa
9 persontolegallypracticeanoccupationorprofessionina
10 particularjurisdiction;
11 (4)"Military",theArmedForcesoftheUnitedStates
12 includingtheAirForce,Army,CoastGuard,MarineCorps,Navy,
13 SpaceForce,NationalGuard,andanyothermilitarybranchthatis
14 designatedbyCongressaspartoftheArmedForcesoftheUnited
15 States,andallreservecomponentsandauxiliaries. Suchtermalso
16 includesthemilitaryreservesandmilitiaoftheUnitedStates
17 territoryorstate;
43 18 (5)"Nonresidentmilitaryspouse",anonresidentspouseof
19 anactivedutymemberoftheArmedForcesoftheUnitedStateswho
20 hasbeentransferredorisscheduledtobetransferredtoan
21 adjacentstateandisorwillbedomiciledinthestateof
22 Missouri,orhasmovedtothestateofMissourionapermanent
23 change-of-station basis;
24 (6)"Residentmilitaryspouse",aspouseofanactiveduty
25 memberoftheArmedForcesoftheUnitedStateswhohasbeen
26 transferredorisscheduledtobetransferredtothestateof
27 Missouri,whoisdomiciledinthestateofMissouri,orwhohas
28 Missouriashisorherhomeofrecord.
29 2.Anypersonwhoholdsavalidcurrentspeech-language
30 pathologistoraudiologistlicenseissuedbyanotherstate,a
31 branchorunitofthemilitary,aterritoryoftheUnitedStates,
32 ortheDistrictofColumbia,andwhohasbeenlicensedforatleast
33 oneyearintheotherjurisdiction,maysubmitanapplicationfora
34 speech-language pathologistoraudiologistlicenseinMissouri
35 alongwithproofofcurrentlicensureandproofoflicensureforat
36 leastoneyearintheotherjurisdiction,totheboard.
37 3.Theboardshall:
38 (1)Withinsixmonthsofreceivinganapplicationdescribed
39 insubsection2ofthissection,waiveanyexamination,
40 educational,orexperiencerequirementsforlicensureinthis
41 statefortheapplicantifitdeterminesthattherewereminimum
42 educationrequirementsand,ifapplicable,workexperienceand
43 clinicalsupervisionrequirementsineffectandtheotherstate
44 verifiesthatthepersonmetthoserequirementsinordertobe
44 45 licensedorcertifiedinthatstate.Theboardmayrequirean
46 applicanttotakeandpassanexaminationspecifictothelawsof
47 thisstate;or
48 (2)Withinthirtydaysofreceivinganapplicationdescribed
49 insubsection2ofthissectionfromanonresidentmilitaryspouse
50 oraresidentmilitaryspouse,waiveanyexamination,educational,
51 orexperiencerequirementsforlicensureinthisstateforthe
52 applicantandissuesuchapplicantalicenseunderthissectionif
53 suchapplicantotherwisemeetstherequirementsofthissection.
54 4.(1)Theboardshallnotwaiveanyexamination,
55 educational,orexperiencerequirementsforanyapplicantwhohas
56 hadhisorherlicenserevokedbyaboardoutsidethestate;whois
57 currentlyunderinvestigation,whohasacomplaintpending,orwho
58 iscurrentlyunderdisciplinaryaction,exceptasprovidedin
59 subdivision(2)ofthissubsection,withaboardoutsidethestate;
60 whodoesnotholdalicenseingoodstandingwithaboardoutside
61 thestate;whohasacriminalrecordthatwoulddisqualifyhimor
62 herforlicensureinMissouri;orwhodoesnotholdavalidcurrent
63 licenseintheotherjurisdictiononthedatetheboardreceives
64 hisorherapplicationunderthissection.
65 (2)Ifanotherjurisdictionhastakendisciplinaryaction
66 againstanapplicant,theboardshalldetermineifthecausefor
67 theactionwascorrectedandthematterresolved. Ifthematter
68 hasnotbeenresolvedbythatjurisdiction,theboardmaydenya
69 licenseuntilthematterisresolved.
70 5.Nothinginthissectionshallprohibittheboardfrom
71 denyingalicensetoanapplicantunderthissectionforanyreason
45 72 describedinsection345.065.
73 6.Anypersonwhoislicensedundertheprovisionsofthis
74 sectionshallbesubjecttotheboard'sjurisdictionandallrules
75 andregulationspertainingtothepracticeasaspeech-language
76 pathologistoraudiologistinthisstate.
77 7.Thissectionshallnotbeconstruedtowaiveany
78 requirementforanapplicanttopayanyfees.
345.085.SECTION1.PURPOSE
2 ThepurposeofthisCompactistofacilitateinterstate
3 practiceofaudiologyandspeech-language pathologywiththegoal
4 ofimprovingpublicaccesstoaudiologyandspeech-language
5 pathologyservices.Thepracticeofaudiologyandspeech-language
6 pathologyoccursinthestatewherethepatient/client/student is
7 locatedatthetimeofthepatient/client/student encounter. The
8 Compactpreservestheregulatoryauthorityofstatestoprotect
9 publichealthandsafetythroughthecurrentsystemofstate
10 licensure.
11 ThisCompactisdesignedtoachievethefollowingobjectives:
12 1.Increasepublicaccesstoaudiologyandspeech-language
13 pathologyservicesbyprovidingforthemutualrecognitionof
14 othermemberstatelicenses;
15 2.Enhancethestates'abilitytoprotectthepublic'shealth
16 andsafety;
17 3.Encouragethecooperationofmemberstatesinregulating
18 multistateaudiologyandspeech-language pathologypractice;
19 4.Supportspousesofrelocatingactivedutymilitary
20 personnel;
46 21 5.Enhancetheexchangeoflicensure,investigativeand
22 disciplinaryinformationbetweenmemberstates;
23 6.Allowaremotestatetoholdaproviderofserviceswitha
24 compactprivilegeinthatstateaccountabletothatstate's
25 practicestandards;and
26 7.Allowfortheuseoftelehealthtechnologytofacilitate
27 increasedaccesstoaudiologyandspeech-language pathology
28 services.
29 SECTION2.DEFINITIONS
30 AsusedinthisCompact,andexceptasotherwiseprovided,the
31 followingdefinitionsshallapply:
32 A."Activedutymilitary"meansfull-timedutystatusinthe
33 activeuniformedserviceoftheUnitedStates,includingmembers
34 oftheNationalGuardandReserveonactivedutyorderspursuantto
35 10U.S.C.Chapter1209and1211.
36 B."Adverseaction"meansanyadministrative, civil,
37 equitableorcriminalactionpermittedbyastate'slawswhichis
38 imposedbyalicensingboardorotherauthorityagainstan
39 audiologistorspeech-language pathologist,includingactions
40 againstanindividual'slicenseorprivilegetopracticesuchas
41 revocation,suspension,probation,monitoringofthelicensee,or
42 restrictiononthelicensee'spractice.
43 C."Alternativeprogram"meansanon-disciplinary monitoring
44 processapprovedbyanaudiologyorspeech-language pathology
45 licensingboardtoaddressimpairedpractitioners.
46 D."Audiologist"meansanindividualwhoislicensedbya
47 statetopracticeaudiology.
47 48 E."Audiology"meansthecareandservicesprovidedbya
49 licensedaudiologistassetforthinthememberstate'sstatutes
50 andrules.
51 F."AudiologyandSpeech-Language PathologyCompact
52 Commission"or"Commission"meansthenationaladministrativebody
53 whosemembershipconsistsofallstatesthathaveenactedthe
54 Compact.
55 G."Audiologyandspeech-language pathologylicensing
56 board,""audiologylicensingboard,""speech-language pathology
57 licensingboard,"or"licensingboard"meanstheagencyofastate
58 thatisresponsibleforthelicensingandregulationof
59 audiologistsand/orspeech-language pathologists.
60 H."Compactprivilege"meanstheauthorizationgrantedbya
61 remotestatetoallowalicenseefromanothermemberstateto
62 practiceasanaudiologistorspeech-language pathologistinthe
63 remotestateunderitslawsandrules.Thepracticeofaudiology
64 orspeech-language pathologyoccursinthememberstatewherethe
65 patient/client/student islocatedatthetimeofthepatient/
66 client/studentencounter.
67 I."Currentsignificantinvestigativeinformation"means
68 investigativeinformationthatalicensingboard,afteraninquiry
69 orinvestigationthatincludesnotificationandanopportunityfor
70 theaudiologistorspeech-language pathologisttorespond,if
71 requiredbystatelaw,hasreasontobelieveisnotgroundlessand,
72 ifprovedtrue,wouldindicatemorethanaminorinfraction.
73 J."Datasystem"meansarepositoryofinformationabout
74 licensees,including,butnotlimitedto,continuingeducation,
48 75 examination,licensure,investigative,compactprivilegeand
76 adverseaction.
77 K."Encumberedlicense"meansalicenseinwhichanadverse
78 actionrestrictsthepracticeofaudiologyorspeech-language
79 pathologybythelicenseeandsaidadverseactionhasbeenreported
80 totheNationalPractitionersDataBank(NPDB).
81 L."ExecutiveCommittee"meansagroupofdirectorselected
82 orappointedtoactonbehalfof,andwithinthepowersgrantedto
83 themby,theCommission.
84 M."Homestate"meansthememberstatethatisthelicensee's
85 primarystateofresidence.
86 N."Impairedpractitioner"meansindividualswhose
87 professionalpracticeisadverselyaffectedbysubstanceabuse,
88 addiction,orotherhealth-relatedconditions.
89 O."Licensee"meansanindividualwhocurrentlyholdsan
90 authorizationfromthestatelicensingboardtopracticeasan
91 audiologistorspeech-language pathologist.
92 P."Memberstate"meansastatethathasenactedtheCompact.
93 Q."Privilegetopractice"meansalegalauthorization
94 permittingthepracticeofaudiologyorspeech-language pathology
95 inaremotestate.
96 R."Remotestate"meansamemberstateotherthanthehome
97 statewherealicenseeisexercisingorseekingtoexercisethe
98 compactprivilege.
99 S."Rule"meansaregulation,principleordirective
100 promulgatedbytheCommissionthathastheforceoflaw.
101 T."Single-statelicense"meansanaudiologyorspeech-
49 102 languagepathologylicenseissuedbyamemberstatethat
103 authorizespracticeonlywithintheissuingstateanddoesnot
104 includeaprivilegetopracticeinanyothermemberstate.
105 U."Speech-language pathologist"meansanindividualwhois
106 licensedbyastatetopracticespeech-language pathology.
107 V."Speech-language pathology"meansthecareandservices
108 providedbyalicensedspeech-language pathologistassetforthin
109 thememberstate'sstatutesandrules.
110 W."State"meansanystate,commonwealth,districtor
111 territoryoftheUnitedStatesofAmericathatregulatesthe
112 practiceofaudiologyandspeech-language pathology.
113 X."Statepracticelaws"meansamemberstate'slaws,rules
114 andregulationsthatgovernthepracticeofaudiologyorspeech-
115 languagepathology,definethescopeofaudiologyorspeech-
116 languagepathologypractice,andcreatethemethodsandgrounds
117 forimposingdiscipline.
118 Y."Telehealth"meanstheapplicationoftelecommunication
119 technologytodeliveraudiologyorspeech-language pathology
120 servicesatadistanceforassessment,interventionand/or
121 consultation.
122 SECTION3.STATEPARTICIPATIONINTHECOMPACT
123 A.Alicenseissuedtoanaudiologistorspeech-language
124 pathologistbyahomestatetoaresidentinthatstateshallbe
125 recognizedbyeachmemberstateasauthorizinganaudiologistor
126 speech-language pathologisttopracticeaudiologyorspeech-
127 languagepathology,underaprivilegetopractice,ineachmember
128 state.
50 129 B.Astatemustimplementorutilizeproceduresfor
130 consideringthecriminalhistoryrecordsofapplicantsforinitial
131 privilegetopractice. Theseproceduresshallincludethe
132 submissionoffingerprintsorotherbiometric-based informationby
133 applicantsforthepurposeofobtaininganapplicant'scriminal
134 historyrecordinformationfromtheFederalBureauof
135 Investigationandtheagencyresponsibleforretainingthat
136 state'scriminalrecords.
137 1.Amemberstatemustfullyimplementacriminalbackground
138 checkrequirement,withinatimeframeestablishedbyrule,by
139 receivingtheresultsoftheFederalBureauofInvestigation
140 recordsearchoncriminalbackgroundchecksandusetheresultsin
141 makinglicensuredecisions.
142 2.Communicationbetweenamemberstate,theCommissionand
143 amongmemberstatesregardingtheverificationofeligibilityfor
144 licensurethroughtheCompactshallnotincludeanyinformation
145 receivedfromtheFederalBureauofInvestigationrelatingtoa
146 federalcriminalrecordscheckperformedbyamemberstateunder
147 PublicLaw92-544.
148 C.Uponapplicationforaprivilegetopractice,the
149 licensingboardintheissuingremotestateshallascertain,
150 throughthedatasystem,whethertheapplicanthaseverheld,oris
151 theholderof,alicenseissuedbyanyotherstate,whetherthere
152 areanyencumbrancesonanylicenseorprivilegetopracticeheld
153 bytheapplicant,whetheranyadverseactionhasbeentakenagainst
154 anylicenseorprivilegetopracticeheldbytheapplicant.
155 D.Eachmemberstateshallrequireanapplicanttoobtainor
51 156 retainalicenseinthehomestateandmeetthehomestate's
157 qualificationsforlicensureorrenewaloflicensure,aswellas,
158 allotherapplicablestatelaws.
159 E.Foranaudiologist:
160 1.Mustmeetoneofthefollowingeducationalrequirements:
161 a.Onorbefore,Dec.31,2007,hasgraduatedwithamaster's
162 degreeordoctorateinaudiology,orequivalentdegreeregardless
163 ofdegreename,fromaprogramthatisaccreditedbyanaccrediting
164 agencyrecognizedbytheCouncilforHigherEducation
165 Accreditation,oritssuccessor,orbytheUnitedStates
166 DepartmentofEducationandoperatedbyacollegeoruniversity
167 accreditedbyaregionalornationalaccreditingorganization
168 recognizedbytheboard;or
169 b.Onorafter,Jan.1,2008,hasgraduatedwithaDoctoral
170 degreeinaudiology,orequivalentdegree,regardlessofdegree
171 name,fromaprogramthatisaccreditedbyanaccreditingagency
172 recognizedbytheCouncilforHigherEducationAccreditation,or
173 itssuccessor,orbytheUnitedStatesDepartmentofEducationand
174 operatedbyacollegeoruniversityaccreditedbyaregionalor
175 nationalaccreditingorganizationrecognizedbytheboard;or
176 c.Hasgraduatedfromanaudiologyprogramthatishousedin
177 aninstitutionofhighereducationoutsideoftheUnitedStates(a)
178 forwhichtheprogramandinstitutionhavebeenapprovedbythe
179 authorizedaccreditingbodyintheapplicablecountryand(b)the
180 degreeprogramhasbeenverifiedbyanindependentcredentials
181 reviewagencytobecomparabletoastatelicensingboard-approved
182 program.
52 183 2.Hascompletedasupervisedclinicalpracticumexperience
184 fromanaccreditededucationalinstitutionoritscooperating
185 programsasrequiredbytheCommission;
186 3.Hassuccessfullypassedanationalexaminationapproved
187 bytheCommission;
188 4.Holdsanactive,unencumberedlicense;
189 5.Hasnotbeenconvictedorfoundguilty,andhasnot
190 enteredintoanagreeddisposition,ofafelonyrelatedtothe
191 practiceofaudiology,underapplicablestateorfederalcriminal
192 law;
193 6.HasavalidUnitedStatesSocialSecurityorNational
194 PractitionerIdentificationnumber.
195 F.Foraspeech-language pathologist:
196 1.Mustmeetoneofthefollowingeducationalrequirements:
197 a.Hasgraduatedwithamaster'sdegreefromaspeech-
198 languagepathologyprogramthatisaccreditedbyanorganization
199 recognizedbytheUnitedStatesDepartmentofEducationand
200 operatedbyacollegeoruniversityaccreditedbyaregionalor
201 nationalaccreditingorganizationrecognizedbytheboard;or
202 b.Hasgraduatedfromaspeech-language pathologyprogram
203 thatishousedinaninstitutionofhighereducationoutsideofthe
204 UnitedStates(a)forwhichtheprogramandinstitutionhavebeen
205 approvedbytheauthorizedaccreditingbodyintheapplicable
206 countryand(b)thedegreeprogramhasbeenverifiedbyan
207 independentcredentialsreviewagencytobecomparabletoastate
208 licensingboard-approvedprogram.
209 2.Hascompletedasupervisedclinicalpracticumexperience
53 210 fromaneducationalinstitutionoritscooperatingprogramsas
211 requiredbytheCommission;
212 3.Hascompletedasupervisedpostgraduateprofessional
213 experienceasrequiredbytheCommission;
214 4.Hassuccessfullypassedanationalexaminationapproved
215 bytheCommission;
216 5.Holdsanactive,unencumberedlicense;
217 6.Hasnotbeenconvictedorfoundguilty,andhasnot
218 enteredintoanagreeddisposition,ofafelonyrelatedtothe
219 practiceofspeech-language pathology,underapplicablestateor
220 federalcriminallaw;
221 7.HasavalidUnitedStatesSocialSecurityorNational
222 PractitionerIdentificationnumber.
223 G.Theprivilegetopracticeisderivedfromthehomestate
224 license.
225 H.Anaudiologistorspeech-language pathologistpracticing
226 inamemberstatemustcomplywiththestatepracticelawsofthe
227 stateinwhichtheclientislocatedatthetimeserviceis
228 provided.Thepracticeofaudiologyandspeech-language pathology
229 shallincludeallaudiologyandspeech-language pathologypractice
230 asdefinedbythestatepracticelawsofthememberstateinwhich
231 theclientislocated.Thepracticeofaudiologyandspeech-
232 languagepathologyinamemberstateunderaprivilegetopractice
233 shallsubjectanaudiologistorspeech-language pathologisttothe
234 jurisdictionofthelicensingboard,thecourtsandthelawsofthe
235 memberstateinwhichtheclientislocatedatthetimeserviceis
236 provided.
54 237 I.Individualsnotresidinginamemberstateshallcontinue
238 tobeabletoapplyforamemberstate'ssingle-statelicenseas
239 providedunderthelawsofeachmemberstate.However,thesingle-
240 statelicensegrantedtotheseindividualsshallnotberecognized
241 asgrantingtheprivilegetopracticeaudiologyorspeech-language
242 pathologyinanyothermemberstate.NothinginthisCompactshall
243 affecttherequirementsestablishedbyamemberstateforthe
244 issuanceofasingle-statelicense.
245 J.Memberstatesmaychargeafeeforgrantingacompact
246 privilege.
247 K.Memberstatesmustcomplywiththebylawsandrulesand
248 regulationsoftheCommission.
249 SECTION4.COMPACTPRIVILEGE
250 A.Toexercisethecompactprivilegeunderthetermsand
251 provisionsoftheCompact,theaudiologistorspeech-language
252 pathologistshall:
253 1.Holdanactivelicenseinthehomestate;
254 2.Havenoencumbranceonanystatelicense;
255 3.Beeligibleforacompactprivilegeinanymemberstatein
256 accordancewithSection3;
257 4.Havenothadanyadverseactionagainstanylicenseor
258 compactprivilegewithintheprevious2yearsfromdateof
259 application;
260 5.NotifytheCommissionthatthelicenseeisseekingthe
261 compactprivilegewithinaremotestate(s);
262 6.Payanyapplicablefees,includinganystatefee,forthe
263 compactprivilege;
55 264 7.ReporttotheCommissionadverseactiontakenbyanynon-
265 memberstatewithin30daysfromthedatetheadverseactionis
266 taken.
267 B.Forthepurposesofthecompactprivilege,anaudiologist
268 orspeech-language pathologistshallonlyholdonehomestate
269 licenseatatime.
270 C.ExceptasprovidedinSection6,ifanaudiologistor
271 speech-language pathologistchangesprimarystateofresidenceby
272 movingbetweentwo-memberstates,theaudiologistorspeech-
273 languagepathologistmustapplyforlicensureinthenewhome
274 state,andthelicenseissuedbythepriorhomestateshallbe
275 deactivatedinaccordancewithapplicablerulesadoptedbythe
276 Commission.
277 D.Theaudiologistorspeech-language pathologistmayapply
278 forlicensureinadvanceofachangeinprimarystateofresidence.
279 E.Alicenseshallnotbeissuedbythenewhomestateuntil
280 theaudiologistorspeech-language pathologistprovides
281 satisfactoryevidenceofachangeinprimarystateofresidenceto
282 thenewhomestateandsatisfiesallapplicablerequirementsto
283 obtainalicensefromthenewhomestate.
284 F.Ifanaudiologistorspeech-language pathologistchanges
285 primarystateofresidencebymovingfromamemberstatetoanon-
286 memberstate,thelicenseissuedbythepriorhomestateshall
287 converttoasingle-statelicense,validonlyintheformerhome
288 state.
289 G.Thecompactprivilegeisvaliduntiltheexpirationdate
290 ofthehomestatelicense.Thelicenseemustcomplywiththe
56 291 requirementsofSection4Atomaintainthecompactprivilegeinthe
292 remotestate.
293 H.Alicenseeprovidingaudiologyorspeech-language
294 pathologyservicesinaremotestateunderthecompactprivilege
295 shallfunctionwithinthelawsandregulationsoftheremotestate.
296 I.Alicenseeprovidingaudiologyorspeech-language
297 pathologyservicesinaremotestateissubjecttothatstate's
298 regulatoryauthority. Aremotestatemay,inaccordancewithdue
299 processandthatstate'slaws,removealicensee'scompact
300 privilegeintheremotestateforaspecificperiodoftime,impose
301 fines,and/ortakeanyothernecessaryactionstoprotectthe
302 healthandsafetyofitscitizens.
303 J.Ifahomestatelicenseisencumbered,thelicenseeshall
304 losethecompactprivilegeinanyremotestateuntilthefollowing
305 occur:
306 1.Thehomestatelicenseisnolongerencumbered;and
307 2.Twoyearshaveelapsedfromthedateoftheadverse
308 action.
309 K.Onceanencumberedlicenseinthehomestateisrestored
310 togoodstanding,thelicenseemustmeettherequirementsof
311 Section4Atoobtainacompactprivilegeinanyremotestate.
312 L.OncetherequirementsofSection4Jhavebeenmet,the
313 licenseemustmeettherequirementsinSection4Atoobtaina
314 compactprivilegeinaremotestate.
315 SECTION5.COMPACTPRIVILEGETOPRACTICETELEHEALTH
316 Memberstatesshallrecognizetherightofanaudiologistor
317 speech-language pathologist,licensedbyahomestatein
57 318 accordancewithSection3andunderrulespromulgatedbythe
319 Commission,topracticeaudiologyorspeech-language pathologyin
320 anymemberstateviatelehealthunderaprivilegetopracticeas
321 providedintheCompactandrulespromulgatedbytheCommission.
322 SECTION6.ACTIVEDUTYMILITARYPERSONNELORTHEIRSPOUSES
323 Activedutymilitarypersonnel,ortheirspouse,shall
324 designateahomestatewheretheindividualhasacurrentlicense
325 ingoodstanding. Theindividualmayretainthehomestate
326 designationduringtheperiodtheservicememberisonactiveduty.
327 Subsequenttodesignatingahomestate,theindividualshallonly
328 changetheirhomestatethroughapplicationforlicensureinthe
329 newstate.
330 SECTION7.ADVERSEACTIONS
331 A.Inadditiontotheotherpowersconferredbystatelaw,a
332 remotestateshallhavetheauthority,inaccordancewithexisting
333 statedueprocesslaw,to:
334 1.Takeadverseactionagainstanaudiologist'sorspeech-
335 languagepathologist'sprivilegetopracticewithinthatmember
336 state.
337 2.Issuesubpoenasforbothhearingsandinvestigationsthat
338 requiretheattendanceandtestimonyofwitnessesaswellasthe
339 productionofevidence.Subpoenasissuedbyalicensingboardina
340 memberstatefortheattendanceandtestimonyofwitnessesorthe
341 productionofevidencefromanothermemberstateshallbeenforced
342 inthelatterstatebyanycourtofcompetentjurisdiction,
343 accordingtothepracticeandprocedureofthatcourtapplicableto
344 subpoenasissuedinproceedingspendingbeforeit.Theissuing
58 345 authorityshallpayanywitnessfees,travelexpenses,mileageand
346 otherfeesrequiredbytheservicestatutesofthestateinwhich
347 thewitnessesorevidencearelocated.
348 3.Onlythehomestateshallhavethepowertotakeadverse
349 actionagainstanaudiologist'sorspeech-language pathologist's
350 licenseissuedbythehomestate.
351 B.Forpurposesoftakingadverseaction,thehomestate
352 shallgivethesamepriorityandeffecttoreportedconduct
353 receivedfromamemberstateasitwouldiftheconducthad
354 occurredwithinthehomestate.Insodoing,thehomestateshall
355 applyitsownstatelawstodetermineappropriateaction.
356 C.Thehomestateshallcompleteanypendinginvestigations
357 ofanaudiologistorspeech-language pathologistwhochanges
358 primarystateofresidenceduringthecourseofthe
359 investigations. Thehomestateshallalsohavetheauthorityto
360 takeappropriateaction(s)andshallpromptlyreportthe
361 conclusionsoftheinvestigationstotheadministratorofthedata
362 system.Theadministratorofthecoordinatedlicensure
363 informationsystemshallpromptlynotifythenewhomestateofany
364 adverseactions.
365 D.Ifotherwisepermittedbystatelaw,thememberstatemay
366 recoverfromtheaffectedaudiologistorspeech-language
367 pathologistthecostsofinvestigationsanddispositionofcases
368 resultingfromanyadverseactiontakenagainstthataudiologist
369 orspeech-language pathologist.
370 E.Thememberstatemaytakeadverseactionbasedonthe
371 factualfindingsoftheremotestate,providedthatthemember
59 372 statefollowsthememberstate'sownproceduresfortakingthe
373 adverseaction.
374 F.JointInvestigations:
375 1.Inadditiontotheauthoritygrantedtoamemberstateby
376 itsrespectiveaudiologyorspeech-language pathologypracticeact
377 orotherapplicablestatelaw,anymemberstatemayparticipate
378 withothermemberstatesinjointinvestigationsoflicensees.
379 2.Memberstatesshallshareanyinvestigative,litigation,
380 orcompliancematerialsinfurtheranceofanyjointorindividual
381 investigationinitiatedundertheCompact.
382 G.Ifadverseactionistakenbythehomestateagainstan
383 audiologist'sorspeech-language pathologist'slicense,the
384 audiologist'sorspeech-language pathologist'sprivilegeto
385 practiceinallothermemberstatesshallbedeactivateduntilall
386 encumbranceshavebeenremovedfromthestatelicense.Allhome
387 statedisciplinaryordersthatimposeadverseactionagainstan
388 audiologist'sorspeech-language pathologist'slicenseshall
389 includeastatementthattheaudiologist'sorspeech-language
390 pathologist'sprivilegetopracticeisdeactivatedinallmember
391 statesduringthependencyoftheorder.
392 H.Ifamemberstatetakesadverseaction,itshallpromptly
393 notifytheadministratorofthedatasystem.Theadministratorof
394 thedatasystemshallpromptlynotifythehomestateofanyadverse
395 actionsbyremotestates.
396 I.NothinginthisCompactshalloverrideamemberstate's
397 decisionthatparticipationinanalternativeprogrammaybeused
398 inlieuofadverseaction.
60 399 SECTION8.ESTABLISHMENTOFTHEAUDIOLOGYANDSPEECH-
400 LANGUAGEPATHOLOGYCOMPACTCOMMISSION
401 A.TheCompactmemberstatesherebycreateandestablisha
402 jointpublicagencyknownastheAudiologyandSpeech-Language
403 PathologyCompactCommission:
404 1.TheCommissionisaninstrumentality oftheCompact
405 states.
406 2.Venueisproperandjudicialproceedingsbyoragainstthe
407 Commissionshallbebroughtsolelyandexclusivelyinacourtof
408 competentjurisdictionwheretheprincipalofficeofthe
409 Commissionislocated.TheCommissionmaywaivevenueand
410 jurisdictionaldefensestotheextentitadoptsorconsentsto
411 participateinalternativedisputeresolutionproceedings.
412 3.NothinginthisCompactshallbeconstruedtobeawaiver
413 ofsovereignimmunity.
414 B.Membership,VotingandMeetings:
415 1.Eachmemberstateshallhavetwo(2)delegatesselectedby
416 thatmemberstate'slicensingboard.Thedelegatesshallbe
417 currentmembersofthelicensingboard.Oneshallbean
418 audiologistandoneshallbeaspeech-language pathologist.
419 2.Anadditionalfive(5)delegates,whoareeitherapublic
420 memberorboardadministratorfromastatelicensingboard,shall
421 bechosenbytheExecutiveCommitteefromapoolofnominees
422 providedbytheCommissionatLarge.
423 3.Anydelegatemayberemovedorsuspendedfromofficeas
424 providedbythelawofthestatefromwhichthedelegateis
425 appointed.
61 426 4.Thememberstateboardshallfillanyvacancyoccurringon
427 theCommission,within90days.
428 5.Eachdelegateshallbeentitledtoone(1)votewith
429 regardtothepromulgationofrulesandcreationofbylawsand
430 shallotherwisehaveanopportunitytoparticipateinthebusiness
431 andaffairsoftheCommission.
432 6.Adelegateshallvoteinpersonorbyothermeansas
433 providedinthebylaws.Thebylawsmayprovidefordelegates'
434 participationinmeetingsbytelephoneorothermeansof
435 communication.
436 7.TheCommissionshallmeetatleastonceduringeach
437 calendaryear.Additionalmeetingsshallbeheldassetforthin
438 thebylaws.
439 C.TheCommissionshallhavethefollowingpowersandduties:
440 1.EstablishthefiscalyearoftheCommission;
441 2.Establishbylaws;
442 3.EstablishaCodeofEthics;
443 4.Maintainitsfinancialrecordsinaccordancewiththe
444 bylaws;
445 5.Meetandtakeactionsasareconsistentwiththe
446 provisionsofthisCompactandthebylaws;
447 6.Promulgateuniformrulestofacilitateandcoordinate
448 implementationandadministrationofthisCompact.Therules
449 shallhavetheforceandeffectoflawandshallbebindinginall
450 memberstates;
451 7.Bringandprosecutelegalproceedingsoractionsinthe
452 nameoftheCommission,providedthatthestandingofanystate
62 453 audiologyorspeech-language pathologylicensingboardtosueor
454 besuedunderapplicablelawshallnotbeaffected;
455 8.Purchaseandmaintaininsuranceandbonds;
456 9.Borrow,accept,orcontractforservicesofpersonnel,
457 including,butnotlimitedto,employeesofamemberstate;
458 10.Hireemployees,electorappointofficers,fix
459 compensation,defineduties,grantindividualsappropriate
460 authoritytocarryoutthepurposesoftheCompact,andto
461 establishtheCommission'spersonnelpoliciesandprograms
462 relatingtoconflictsofinterest,qualificationsofpersonnel,
463 andotherrelatedpersonnelmatters;
464 11.Acceptanyandallappropriatedonationsandgrantsof
465 money,equipment,supplies,materialsandservices,andto
466 receive,utilizeanddisposeofthesame;providedthatatall
467 timestheCommissionshallavoidanyappearanceofimpropriety
468 and/orconflictofinterest;
469 12.Lease,purchase,acceptappropriategiftsordonations
470 of,orotherwisetoown,hold,improveoruse,anyproperty,real,
471 personalormixed;providedthatatalltimestheCommissionshall
472 avoidanyappearanceofimpropriety;
473 13.Sell,convey,mortgage,pledge,lease,exchange,
474 abandon,orotherwisedisposeofanypropertyreal,personal,or
475 mixed;
476 14.Establishabudgetandmakeexpenditures;
477 15.Borrowmoney;
478 16.Appointcommittees,includingstandingcommittees
479 composedofmembers,andotherinterestedpersonsasmaybe
63 480 designatedinthisCompactandthebylaws;
481 17.Provideandreceiveinformationfrom,andcooperate
482 with,lawenforcementagencies;
483 18.EstablishandelectanExecutiveCommittee;and
484 19.Performotherfunctionsasmaybenecessaryor
485 appropriatetoachievethepurposesofthisCompactconsistent
486 withthestateregulationofaudiologyandspeech-language
487 pathologylicensureandpractice.
488 D.TheExecutiveCommittee
489 TheExecutiveCommitteeshallhavethepowertoactonbehalf
490 oftheCommissionaccordingtothetermsofthisCompact:
491 1.TheExecutiveCommitteeshallbecomposedoften(10)
492 members:
493 a.Seven(7)votingmemberswhoareelectedbytheCommission
494 fromthecurrentmembershipoftheCommission;
495 b.Two(2)ex-officios,consistingofonenonvotingmember
496 fromarecognizednationalaudiologyprofessionalassociationand
497 onenonvotingmemberfromarecognizednationalspeech-language
498 pathologyassociation;and
499 c.One(1)ex-officio,nonvotingmemberfromtherecognized
500 membershiporganizationoftheaudiologyandspeech-language
501 pathologylicensingboards.
502 E.Theex-officiomembersshallbeselectedbytheir
503 respectiveorganizations.
504 1.TheCommissionmayremoveanymemberoftheExecutive
505 Committeeasprovidedinbylaws.
506 2.TheExecutiveCommitteeshallmeetatleastannually.
64 507 3.TheExecutiveCommitteeshallhavethefollowingduties
508 andresponsibilities:
509 a.RecommendtotheentireCommissionchangestotherulesor
510 bylaws,changestothisCompactlegislation,feespaidbyCompact
511 memberstatessuchasannualdues,andanycommissionCompactfee
512 chargedtolicenseesforthecompactprivilege;
513 b.EnsureCompactadministrationservicesareappropriately
514 provided,contractualorotherwise;
515 c.Prepareandrecommendthebudget;
516 d.MaintainfinancialrecordsonbehalfoftheCommission;
517 e.MonitorCompactcomplianceofmemberstatesandprovide
518 compliancereportstotheCommission;
519 f.Establishadditionalcommitteesasnecessary;and
520 g.Otherdutiesasprovidedinrulesorbylaws.
521 4.MeetingsoftheCommission
522 Allmeetingsshallbeopentothepublic,andpublicnoticeof
523 meetingsshallbegiveninthesamemannerasrequiredunderthe
524 rulemakingprovisionsinSection10.
525 5.TheCommissionortheExecutiveCommitteeorother
526 committeesoftheCommissionmayconveneinaclosed,non-public
527 meetingiftheCommissionorExecutiveCommitteeorother
528 committeesoftheCommissionmustdiscuss:
529 a.Non-complianceofamemberstatewithitsobligations
530 undertheCompact;
531 b.Theemployment,compensation,disciplineorother
532 matters,practicesorproceduresrelatedtospecificemployeesor
533 othermattersrelatedtotheCommission'sinternalpersonnel
65 534 practicesandprocedures;
535 c.Current,threatened,orreasonablyanticipated
536 litigation;
537 d.Negotiationofcontractsforthepurchase,lease,orsale
538 ofgoods,services,orrealestate;
539 e.Accusinganypersonofacrimeorformallycensuringany
540 person;
541 f.Disclosureoftradesecretsorcommercialorfinancial
542 informationthatisprivilegedorconfidential;
543 g.Disclosureofinformationofapersonalnaturewhere
544 disclosurewouldconstituteaclearlyunwarrantedinvasionof
545 personalprivacy;
546 h.Disclosureofinvestigativerecordscompiledforlaw
547 enforcementpurposes;
548 i.Disclosureofinformationrelatedtoanyinvestigative
549 reportspreparedbyoronbehalfoforforuseoftheCommissionor
550 othercommitteechargedwithresponsibilityofinvestigationor
551 determinationofcomplianceissuespursuanttotheCompact;or
552 j.Mattersspecificallyexemptedfromdisclosurebyfederal
553 ormemberstatestatute.
554 6.Ifameeting,orportionofameeting,isclosedpursuant
555 tothisprovision,theCommission'slegalcounselordesignee
556 shallcertifythatthemeetingmaybeclosedandshallreference
557 eachrelevantexemptingprovision.
558 7.TheCommissionshallkeepminutesthatfullyandclearly
559 describeallmattersdiscussedinameetingandshallprovidea
560 fullandaccuratesummaryofactionstaken,andthereasons
66 561 therefore,includingadescriptionoftheviewsexpressed. All
562 documentsconsideredinconnectionwithanactionshallbe
563 identifiedinminutes.Allminutesanddocumentsofaclosed
564 meetingshallremainunderseal,subjecttoreleasebyamajority
565 voteoftheCommissionororderofacourtofcompetent
566 jurisdiction.
567 8.FinancingoftheCommission:
568 a.TheCommissionshallpay,orprovideforthepaymentof,
569 thereasonableexpensesofitsestablishment,organization,and
570 ongoingactivities.
571 b.TheCommissionmayacceptanyandallappropriaterevenue
572 sources,donations,andgrantsofmoney,equipment,supplies,
573 materials,andservices.
574 c.TheCommissionmaylevyonandcollectanannual
575 assessmentfromeachmemberstateorimposefeesonotherparties
576 tocoverthecostoftheoperationsandactivitiesofthe
577 Commissionanditsstaff,whichmustbeinatotalamount
578 sufficienttocoveritsannualbudgetasapprovedeachyearfor
579 whichrevenueisnotprovidedbyothersources.Theaggregate
580 annualassessmentamountshallbeallocatedbaseduponaformulato
581 bedeterminedbytheCommission,whichshallpromulgatearule
582 bindinguponallmemberstates.
583 9.TheCommissionshallnotincurobligationsofanykind
584 priortosecuringthefundsadequatetomeetthesame;norshall
585 theCommissionpledgethecreditofanyofthememberstates,
586 exceptbyandwiththeauthorityofthememberstate.
587 10.TheCommissionshallkeepaccurateaccountsofall
67 588 receiptsanddisbursements. Thereceiptsanddisbursementsofthe
589 Commissionshallbesubjecttotheauditandaccountingprocedures
590 establishedunderitsbylaws.However,allreceiptsand
591 disbursementsoffundshandledbytheCommissionshallbeaudited
592 yearlybyacertifiedorlicensedpublicaccountant,andthereport
593 oftheauditshallbeincludedinandbecomepartoftheannual
594 reportoftheCommission.
595 F.QualifiedImmunity,Defense,andIndemnification:
596 1.Themembers,officers,executivedirector,employeesand
597 representatives oftheCommissionshallbeimmunefromsuitand
598 liability,eitherpersonallyorintheirofficialcapacity,for
599 anyclaimfordamagetoorlossofpropertyorpersonalinjuryor
600 othercivilliabilitycausedbyorarisingoutofanyactualor
601 allegedact,errororomissionthatoccurred,orthattheperson
602 againstwhomtheclaimismadehadareasonablebasisforbelieving
603 occurredwithinthescopeofCommissionemployment,dutiesor
604 responsibilities; providedthatnothinginthisparagraphshallbe
605 construedtoprotectanypersonfromsuitand/orliabilityforany
606 damage,loss,injury,orliabilitycausedbytheintentionalor
607 willfulorwantonmisconductofthatperson.
608 2.TheCommissionshalldefendanymember,officer,
609 executivedirector,employeeorrepresentativeoftheCommission
610 inanycivilactionseekingtoimposeliabilityarisingoutofany
611 actualorallegedact,error,oromissionthatoccurredwithinthe
612 scopeofCommissionemployment,duties,orresponsibilities, or
613 thatthepersonagainstwhomtheclaimismadehadareasonable
614 basisforbelievingoccurredwithinthescopeofCommission
68 615 employment,duties,orresponsibilities; providedthatnothing
616 hereinshallbeconstruedtoprohibitthatpersonfromretaining
617 hisorherowncounsel;andprovidedfurther,thattheactualor
618 allegedact,error,oromissiondidnotresultfromthatperson's
619 intentionalorwillfulorwantonmisconduct.
620 3.TheCommissionshallindemnifyandholdharmlessany
621 member,officer,executivedirector,employee,orrepresentative
622 oftheCommissionfortheamountofanysettlementorjudgment
623 obtainedagainstthatpersonarisingoutofanyactualoralleged
624 act,errororomissionthatoccurredwithinthescopeofCommission
625 employment,duties,orresponsibilities, orthatpersonhada
626 reasonablebasisforbelievingoccurredwithinthescopeof
627 Commissionemployment,duties,orresponsibilities, providedthat
628 theactualorallegedact,error,oromissiondidnotresultfrom
629 theintentionalorwillfulorwantonmisconductofthatperson.
630 SECTION9.DATASYSTEM
631 A.TheCommissionshallprovideforthedevelopment,
632 maintenance,andutilizationofacoordinateddatabaseand
633 reportingsystemcontaininglicensure,adverseaction,and
634 investigativeinformationonalllicensedindividualsinmember
635 states.
636 B.Notwithstanding anyotherprovisionofstatelawtothe
637 contrary,amemberstateshallsubmitauniformdatasettothe
638 datasystemonallindividualstowhomthisCompactisapplicable
639 asrequiredbytherulesoftheCommission,including:
640 1.Identifyinginformation;
641 2.Licensuredata;
69 642 3.Adverseactionsagainstalicenseorcompactprivilege;
643 4.Non-confidential informationrelatedtoalternative
644 programparticipation;
645 5.Anydenialofapplicationforlicensure,andthereason(s)
646 fordenial;and
647 6.Otherinformationthatmayfacilitatetheadministration
648 ofthisCompact,asdeterminedbytherulesoftheCommission.
649 C.Investigativeinformationpertainingtoalicenseeinany
650 memberstateshallonlybeavailabletoothermemberstates.
651 D.TheCommissionshallpromptlynotifyallmemberstatesof
652 anyadverseactiontakenagainstalicenseeoranindividual
653 applyingforalicense.Adverseactioninformationpertainingtoa
654 licenseeinanymemberstateshallbeavailabletoanyothermember
655 state.
656 E.Memberstatescontributinginformationtothedatasystem
657 maydesignateinformationthatmaynotbesharedwiththepublic
658 withouttheexpresspermissionofthecontributingstate.
659 F.Anyinformationsubmittedtothedatasystemthatis
660 subsequentlyrequiredtobeexpungedbythelawsofthemember
661 statecontributingtheinformationshallberemovedfromthedata
662 system.
663 SECTION10.RULEMAKING
664 A.TheCommissionshallexerciseitsrulemakingpowers
665 pursuanttothecriteriasetforthinthisSectionandtherules
666 adoptedthereunder. Rulesandamendmentsshallbecomebindingas
667 ofthedatespecifiedineachruleoramendment.
668 B.Ifamajorityofthelegislaturesofthememberstates
70 669 rejectsarule,byenactmentofastatuteorresolutioninthesame
670 mannerusedtoadopttheCompactwithin4yearsofthedateof
671 adoptionoftherule,theruleshallhavenofurtherforceand
672 effectinanymemberstate.
673 C.Rulesoramendmentstotherulesshallbeadoptedata
674 regularorspecialmeetingoftheCommission.
675 D.Priortopromulgationandadoptionofafinalruleor
676 rulesbytheCommission,andatleastthirty(30)daysinadvance
677 ofthemeetingatwhichtheruleshallbeconsideredandvoted
678 upon,theCommissionshallfileaNoticeofProposedRulemaking:
679 1.OnthewebsiteoftheCommissionorotherpublicly
680 accessibleplatform;and
681 2.Onthewebsiteofeachmemberstateaudiologyorspeech-
682 languagepathologylicensingboardorotherpubliclyaccessible
683 platformorthepublicationinwhicheachstatewouldotherwise
684 publishproposedrules.
685 E.TheNoticeofProposedRulemakingshallinclude:
686 1.Theproposedtime,date,andlocationofthemeetingin
687 whichtheruleshallbeconsideredandvotedupon;
688 2.Thetextoftheproposedruleoramendmentandthereason
689 fortheproposedrule;
690 3.Arequestforcommentsontheproposedrulefromany
691 interestedperson;and
692 4.Themannerinwhichinterestedpersonsmaysubmitnotice
693 totheCommissionoftheirintentiontoattendthepublichearing
694 andanywrittencomments.
695 F.Priortotheadoptionofaproposedrule,theCommission
71 696 shallallowpersonstosubmitwrittendata,facts,opinionsand
697 arguments,whichshallbemadeavailabletothepublic.
698 G.TheCommissionshallgrantanopportunityforapublic
699 hearingbeforeitadoptsaruleoramendmentifahearingis
700 requestedby:
701 1.Atleasttwenty-five(25)persons;
702 2.Astateorfederalgovernmentalsubdivisionoragency;or
703 3.Anassociationhavingatleasttwenty-five(25)members.
704 H.Ifahearingisheldontheproposedruleoramendment,
705 theCommissionshallpublishtheplace,time,anddateofthe
706 scheduledpublichearing.Ifthehearingisheldviaelectronic
707 means,theCommissionshallpublishthemechanismforaccesstothe
708 electronichearing.
709 1.Allpersonswishingtobeheardatthehearingshall
710 notifytheexecutivedirectoroftheCommissionorother
711 designatedmemberinwritingoftheirdesiretoappearandtestify
712 atthehearingnotlessthanfive(5)businessdaysbeforethe
713 scheduleddateofthehearing.
714 2.Hearingsshallbeconductedinamannerprovidingeach
715 personwhowishestocommentafairandreasonableopportunityto
716 commentorallyorinwriting.
717 3.Allhearingsshallberecorded. Acopyoftherecording
718 shallbemadeavailableonrequest.
719 4.Nothinginthissectionshallbeconstruedasrequiringa
720 separatehearingoneachrule.Rulesmaybegroupedforthe
721 convenienceoftheCommissionathearingsrequiredbythis
722 section.
72 723 I.Followingthescheduledhearingdate,orbythecloseof
724 businessonthescheduledhearingdateifthehearingwasnotheld,
725 theCommissionshallconsiderallwrittenandoralcomments
726 received.
727 J.Ifnowrittennoticeofintenttoattendthepublic
728 hearingbyinterestedpartiesisreceived,theCommissionmay
729 proceedwithpromulgationoftheproposedrulewithoutapublic
730 hearing.
731 K.TheCommissionshall,bymajorityvoteofallmembers,
732 takefinalactionontheproposedruleandshalldeterminethe
733 effectivedateoftherule,ifany,basedontherulemakingrecord
734 andthefulltextoftherule.
735 L.Upondeterminationthatanemergencyexists,the
736 Commissionmayconsiderandadoptanemergencyrulewithoutprior
737 notice,opportunityforcomment,orhearing,providedthatthe
738 usualrulemakingproceduresprovidedintheCompactandinthis
739 sectionshallberetroactivelyappliedtotheruleassoonas
740 reasonablypossible,innoeventlaterthanninety(90)daysafter
741 theeffectivedateoftherule.Forthepurposesofthis
742 provision,anemergencyruleisonethatmustbeadopted
743 immediatelyinorderto:
744 1.Meetanimminentthreattopublichealth,safety,or
745 welfare;
746 2.PreventalossofCommissionormemberstatefunds;or
747 3.Meetadeadlineforthepromulgationofanadministrative
748 rulethatisestablishedbyfederallaworrule.
749 M.TheCommissionoranauthorizedcommitteeofthe
73 750 Commissionmaydirectrevisionstoapreviouslyadoptedruleor
751 amendmentforpurposesofcorrectingtypographicalerrors,errors
752 informat,errorsinconsistency,orgrammaticalerrors.Public
753 noticeofanyrevisionsshallbepostedonthewebsiteofthe
754 Commission. Therevisionshallbesubjecttochallengebyany
755 personforaperiodofthirty(30)daysafterposting.The
756 revisionmaybechallengedonlyongroundsthattherevision
757 resultsinamaterialchangetoarule.Achallengeshallbemade
758 inwritinganddeliveredtothechairoftheCommissionpriorto
759 theendofthenoticeperiod.Ifnochallengeismade,the
760 revisionshalltakeeffectwithoutfurtheraction.Iftherevision
761 ischallenged,therevisionmaynottakeeffectwithoutthe
762 approvaloftheCommission.
763 SECTION11.OVERSIGHT,DISPUTERESOLUTION,ANDENFORCEMENT
764 A.DisputeResolution
765 1.Uponrequestbyamemberstate,theCommissionshall
766 attempttoresolvedisputesrelatedtotheCompactthatariseamong
767 memberstatesandbetweenmemberandnon-memberstates.
768 2.TheCommissionshallpromulgatearuleprovidingforboth
769 mediationandbindingdisputeresolutionfordisputesas
770 appropriate.
771 B.Enforcement
772 1.TheCommission,inthereasonableexerciseofits
773 discretion,shallenforcetheprovisionsandrulesofthis
774 Compact.
775 2.Bymajorityvote,theCommissionmayinitiatelegalaction
776 intheUnitedStatesDistrictCourtfortheDistrictofColumbiaor
74 777 thefederaldistrictwheretheCommissionhasitsprincipal
778 officesagainstamemberstateindefaulttoenforcecompliance
779 withtheprovisionsoftheCompactanditspromulgatedrulesand
780 bylaws.Thereliefsoughtmayincludebothinjunctivereliefand
781 damages.Intheeventjudicialenforcementisnecessary,the
782 prevailingmembershallbeawardedallcostsoflitigation,
783 includingreasonableattorney'sfees.
784 3.Theremedieshereinshallnotbetheexclusiveremediesof
785 theCommission. TheCommissionmaypursueanyotherremedies
786 availableunderfederalorstatelaw.
787 SECTION12.DATEOFIMPLEMENTATIONOFTHEINTERSTATE
788 COMMISSIONFORAUDIOLOGYANDSPEECH-LANGUAGE PATHOLOGYPRACTICE
789 ANDASSOCIATEDRULES,WITHDRAWAL,ANDAMENDMENT
790 A.TheCompactshallcomeintoeffectonthedateonwhich
791 theCompactstatuteisenactedintolawinthe10thmemberstate.
792 Theprovisions,whichbecomeeffectiveatthattime,shallbe
793 limitedtothepowersgrantedtotheCommissionrelatingto
794 assemblyandthepromulgationofrules.Thereafter,the
795 Commissionshallmeetandexerciserulemakingpowersnecessaryto
796 theimplementationandadministrationoftheCompact.
797 B.AnystatethatjoinstheCompactsubsequenttothe
798 Commission'sinitialadoptionoftherulesshallbesubjecttothe
799 rulesastheyexistonthedateonwhichtheCompactbecomeslawin
800 thatstate.Anyrulethathasbeenpreviouslyadoptedbythe
801 Commissionshallhavethefullforceandeffectoflawontheday
802 theCompactbecomeslawinthatstate.
803 C.AnymemberstatemaywithdrawfromthisCompactby
75 804 enactingastatuterepealingthesame.
805 1.Amemberstate'swithdrawalshallnottakeeffectuntil
806 six(6)monthsafterenactmentoftherepealingstatute.
807 2.Withdrawalshallnotaffectthecontinuingrequirementof
808 thewithdrawingstate'saudiologyorspeech-language pathology
809 licensingboardtocomplywiththeinvestigativeandadverse
810 actionreportingrequirementsofthisactpriortotheeffective
811 dateofwithdrawal.
812 D.NothingcontainedinthisCompactshallbeconstruedto
813 invalidateorpreventanyaudiologyorspeech-language pathology
814 licensureagreementorothercooperativearrangementbetweena
815 memberstateandanon-memberstatethatdoesnotconflictwiththe
816 provisionsofthisCompact.
817 E.ThisCompactmaybeamendedbythememberstates.No
818 amendmenttothisCompactshallbecomeeffectiveandbindingupon
819 anymemberstateuntilitisenactedintothelawsofallmember
820 states.
821 SECTION13.CONSTRUCTIONANDSEVERABILITY
822 ThisCompactshallbeliberallyconstruedsoastoeffectuate
823 thepurposesthereof.TheprovisionsofthisCompactshallbe
824 severableandifanyphrase,clause,sentenceorprovisionofthis
825 Compactisdeclaredtobecontrarytotheconstitutionofany
826 memberstateoroftheUnitedStatesortheapplicabilitythereof
827 toanygovernment,agency,personorcircumstanceisheldinvalid,
828 thevalidityoftheremainderofthisCompactandtheapplicability
829 thereoftoanygovernment,agency,personorcircumstanceshall
830 notbeaffectedthereby.IfthisCompactshallbeheldcontraryto
76 831 theconstitutionofanymemberstate,theCompactshallremainin
832 fullforceandeffectastotheremainingmemberstatesandinfull
833 forceandeffectastothememberstateaffectedastoall
834 severablematters.
835 SECTION14.BINDINGEFFECTOFCOMPACTANDOTHERLAWS
836 A.Nothinghereinpreventstheenforcementofanyotherlaw
837 ofamemberstatethatisnotinconsistentwiththeCompact.
838 B.AlllawsinamemberstateinconflictwiththeCompact
839 aresupersededtotheextentoftheconflict.
840 C.AlllawfulactionsoftheCommission,includingallrules
841 andbylawspromulgatedbytheCommission,arebindinguponthe
842 memberstates.
843 D.AllagreementsbetweentheCommissionandthemember
844 statesarebindinginaccordancewiththeirterms.
845 E.IntheeventanyprovisionoftheCompactexceedsthe
846 constitutionallimitsimposedonthelegislatureofanymember
847 state,theprovisionshallbeineffectivetotheextentofthe
848 conflictwiththeconstitutionalprovisioninquestioninthat
849 memberstate.
SectionB.Becauseoftheurgentneedoflow-incomeMissouri
2 residentsforaccesstoqualityhealthcareservices,the
3 enactmentofsection324.005ofthisactisdeemednecessaryfor
4 theimmediatepreservationofthepublichealth,welfare,peace,
5 andsafety,andisherebydeclaredtobeanemergencyactwithin
6 themeaningoftheconstitution,andtheenactmentofsection
7 324.005ofthisactshallbeinfullforceandeffectuponits
8 passageandapproval.
77 ✓
HouseSponsor SenateHandler
78