4028H.06T
SECOND REGULAR SESSION
[TRULY AGREED TO AND FINALLY PASSED]
CONFERENCE COMMITTEE SUBSTITUTE NO. 2
FOR
SENATE SUBSTITUTE FOR
HOUSE BILL NO. 2149
101ST GENERAL ASSEMBLY
2022
AN ACT
To repeal sections 197.400, 197.445, 327.312, 327.313, 327.314, 327.331, 334.100, 334.530,
334.655, 338.055, 345.015, and 345.050, RSMo, and to enact in lieu thereof seventeen
new sections relating to professional licensing, with an emergency clause for a certain
section.
Be it enacted by the General Assembly of the state of Missouri, as follows:
Section A. Sections 197.400, 197.445, 327.312, 327.313, 327.314, 327.331, 334.100,
2 334.530, 334.655, 338.055, 345.015, and 345.050, RSMo, are repealed and seventeen new
3 sections enacted in lieu thereof, to be known as sections 197.400, 197.445, 324.005, 327.312,
4 327.313, 327.314, 327.331, 332.325, 334.100, 334.530, 334.655, 338.055, 345.015, 345.022,
5 345.050, 345.052, and 345.085, to read as follows:
197.400. As used in sections 197.400 to 197.475, unless the context otherwise
2 requires, the following terms mean:
3 (1) "Council", the home health services advisory council created by sections 197.400
4 to 197.475;
5 (2) "Department", the department of health and senior services;
6 (3) "Home health agency", a public agency or private organization or a subdivision or
7 subunit of an agency or organization that provides two or more home health services at the
8 residence of a patient according to a[physician's] written[and signed] plan of treatment
9signed by a physician, nurse practitioner, clinical nurse specialist, or physician assistant;
EXPLANATION — Matter enclosed in bold-faced brackets[thus] in the above bill is not enacted and is
intended to be omitted from the law. Matter inbold-facetype in the above bill is proposed language. 10 (4)"Homehealthservices",anyofthefollowingitemsandservicesprovidedatthe
11residenceofthepatientonapart-timeorintermittentbasis:nursing,physicaltherapy,speech
12therapy,occupationaltherapy,homehealthaid,ormedicalsocialservice;
13 (5)"Nursepractitioner,clinicalnursespecialist",apersonrecognizedbythe
14stateboardofnursingpursuanttotheprovisionsofchapter335topracticeinthisstate
15asanursepractitionerorclinicalnursespecialist;
16 (6)"Part-timeorintermittentbasis",theprovidingofhomehealthservicesinan
17interruptedintervalsequenceontheaverageofnottoexceedthreehoursinanytwenty-four-
18hourperiod;
19 [(6)](7)"Patient'sresidence",theactualplaceofresidenceofthepersonreceiving
20homehealthservices,includinginstitutionalresidencesaswellasindividualdwellingunits;
21 [(7)](8)"Physician",apersonlicensedbythestateboardofregistrationforthe
22healingartspursuanttotheprovisionsofchapter334topracticeinthisstateasaphysician
23andsurgeon;
24 (9)"Physicianassistant",apersonlicensedbythestateboardofregistrationfor
25thehealingartspursuanttotheprovisionsofchapter334topracticeinthisstateasa
26physicianassistant;
27 [(8)](10)"Planoftreatment",aplanreviewedandsignedasoftenas[medically]
28necessarybyaphysician[or],podiatrist,nursepractitioner,clinicalnursespecialist,ora
29physicianassistant,nottoexceedsixtydaysinduration,andreviewedbyaphysicianat
30leastonceeverysixmonths,prescribingitemsandservicesforanindividualpatient's
31condition;
32 [(9)](11)"Podiatrist",apersonlicensedbythestateboardofpodiatrypursuanttothe
33provisionsofchapter330topracticeinthisstateasapodiatrist;
34 [(10)] (12)"Subunit"or"subdivision",anyorganizationalunitofalarger
35organizationwhichcanbeclearlydefinedasaseparateentitywithinthelargerstructure,
36whichcanmeetalloftherequirementsofsections197.400to197.475independentofthe
37largerorganization,whichcanbeheldaccountableforthecareofpatientsitisserving,and
38whichprovidestoallpatientscareandservicesmeetingthestandardsandrequirementsof
39sections197.400to197.475.
197.445.1.Thedepartmentmayadoptreasonablerulesandstandardsnecessaryto
2carryouttheprovisionsofsections197.400to197.477.Therulesandstandardsadopted
3shallnotbelessthanthestandardsestablishedbythefederalgovernmentforhomehealth
4agenciesunderTitleXVIIIoftheFederalSocialSecurityAct.Thereasonablerulesand
5standardsshallbeinitiallypromulgatedwithinoneyearofSeptember28,1983.
6 2.Therulesandstandardsadoptedbythedepartmentpursuanttotheprovisionsof
7sections197.400to197.477shallapplytoallhealthservicescoveredbysections197.400to
CCS#2SSHB2149 2 8197.477renderedtoanypatientbeingservedbyahomehealthagencyregardlessofsourceof
9paymentfortheservice,patient'scondition,orplaceofresidence,atwhichthehomehealth
10servicesareorderedbythephysician[or],podiatrist, nursepractitioner,clinicalnurse
11specialist,orphysicianassistant. Noruleorportionofarulepromulgatedpursuanttothe
12authorityofsections197.400to197.477shallbecomeeffectiveunlessithasbeen
13promulgatedpursuanttotheprovisionsofsection536.024.
324.005.1.Notwithstandinganyrequirementsforlicensureforallprofessional
2boards,commissions,committees,andofficeswithinthedivisionofprofessional
3registrationtothecontrary,aprofessionalwhohasacurrentlicensetopracticefrom
4anotherstate,commonwealth,territory,ortheDistrictofColumbiashallbeexempt
5fromthelicensurerequirementsofhisorherrespectivelicensureboardinthisstateif:
6 (1)TheprofessionalisanactivedutyorreservememberoftheArmedForcesof
7theUnitedStates,amemberoftheNationalGuard,acivilianemployeeoftheUnited
8StatesDepartmentofDefense,anauthorizedservicescontractorunder10U.S.C.
9Section1091,oraprofessionalotherwiseauthorizedbytheUnitedStatesDepartmentof
10Defense;
11 (2)Theprofessionalpracticesthesameoccupationorprofessionatthesame
12practicelevelforwhichheorsheholdsacurrentlicense;and
13 (3)Theprofessionalisengagedinthepracticeofaprofessionalthrougha
14partnershipwiththefederalInnovativeReadinessTrainingprogramwithintheUnited
15StatesDepartmentofDefense.
16 2.Theexemptionprovidedinthissectionshallnotpermitaprofessionalto
17engageinpracticeexceptaspartofthefederalInnovativeReadinessTrainingprogram
18withintheUnitedStatesDepartmentofDefense.Theexemptionshallonlyapplywhile:
19 (1)Theprofessional'spracticeisrequiredbytheprogrampursuanttomilitary
20orders;and
21 (2)Theservicesprovidedbytheprofessionalarewithinthescopeofpracticefor
22theindividual'srespectiveprofessioninthisstate.
327.312.1.PriortoJanuary1,2024,anypersonmayapplytotheboardfor
2enrollmentasalandsurveyor-in-trainingwhoisahighschoolgraduate,orwhoholdsa
3Missouricertificateofhighschoolequivalence(GED),andeither:
4 (1)Hasgraduatedandreceivedabaccalaureatedegreeinanapprovedcurriculumas
5definedbyboardregulationwhichshallincludeatleasttwelvesemesterhoursofapproved
6surveyingcourseworkasdefinedbyboardregulationofwhichatleasttwosemesterhours
7shallbeinthelegalaspectsofboundarysurveying;or
8 (2)Haspassedatleastsixtyhoursofcollegecreditwhichshallincludecreditforat
9leasttwentysemesterhoursofapprovedsurveyingcourseworkasdefinedbyboard
CCS#2SSHB2149 3 10regulationofwhichatleasttwosemesterhoursshallbeinlegalaspectsofboundary
11surveyingandpresentevidencesatisfactorytotheboardthatinadditiontheretosuchperson
12hasatleastoneyearofcombinedprofessionalofficeandfieldexperienceinlandsurveying
13projectsundertheimmediatepersonalsupervisionofaprofessionallandsurveyor;or
14 (3)Haspassedatleasttwelvesemesterhoursofapprovedsurveyingcourseworkas
15definedbyboardregulationofwhichatleasttwosemesterhoursshallbeinlegalaspectsof
16landsurveyingandinadditiontheretohasatleasttwoyearsofcombinedprofessionaloffice
17andfieldexperienceinlandsurveyingprojectsundertheimmediatepersonalsupervisionofa
18professionallandsurveyor.Pursuanttothisprovision,notmorethanoneyearofsatisfactory
19postsecondaryeducationworkshallcountasequivalentyearsofsatisfactorylandsurveying
20workasaforementioned.
21 2.Theboardshallissueacertificateofcompletiontoeachapplicantwhosatisfiesthe
22requirementsoftheaforementionedlandsurveyor-in-trainingprogramandpassessuch
23examinationorexaminationsasshallberequiredbytheboard.
24 3.BeginningJanuary1,2024,anypersonmayapplytotheboardforenrollment
25asalandsurveyor-internwhoisahighschoolgraduate,orwhoholdsacertificateof
26highschoolequivalence(GED),andhaspassedanyexaminationrequiredbytheboard
27pursuanttosection327.331.
327.313.Applicationsforenrollmentasaland[surveyor-in-training] surveyor-
2internshallbetypewrittenonprescribedformsfurnishedtotheapplicant.Theapplication
3shallcontainapplicant'sstatementsshowingtheapplicant'seducation,experience,andsuch
4otherpertinentinformationastheboardmayrequire.Eachapplicationshallcontaina
5statementthatitismadeunderoathoraffirmationandthattherepresentationsaretrueand
6correcttothebestknowledgeandbeliefoftheapplicant,subjecttothepenaltiesofmakinga
7falseaffidavitordeclarationandshallbeaccompaniedbytherequiredfee.
327.314.1.PriortoJanuary1,2024,anypersonmayapplytotheboardfor
2licensureasaprofessionallandsurveyorwhohasbeenenrolledasalandsurveyor-in-training
3andhaspresentedevidencetothesatisfactionoftheboardthatsaidpersonhasacquiredat
4leastfouryearsofsatisfactoryprofessionalfieldandofficeexperienceinlandsurveyingfrom
5thedateofenrollmentasalandsurveyor-in-training.Thisexperienceshallhavebeenunder
6theimmediatepersonalsupervisionofaprofessionallandsurveyor.
7 2.BeginningJanuary1,2024,anypersonmayapplytotheboardforlicensure
8whopresentsevidencesatisfactorytotheboardthattheapplicanthasmetthe
9requirementsasprovidedinthissubsection:
10 (1)Anapplicantshallbeahighschoolgraduateorholdacertificateofhigh
11schoolequivalence(GED),andeither:
CCS#2SSHB2149 4 12 (a)Hasgraduatedandreceivedabaccalaureatedegreeinanapproved
13curriculum,asdefinedbytheboard,whichshallincludeatleastfifteensemesterhours
14ofapprovedsurveyingcoursework,asdefinedbytheboard,ofwhichatleastsix
15semesterhoursshallbeinthelegalaspectsofboundarysurveying;or
16 (b)Haspassedatleastsixtyhoursofcollegecreditwhichshallincludeatleast
17fifteensemesterhoursofapprovedsurveyingcoursework,asdefinedbytheboard,of
18whichatleastsixsemesterhoursshallbeinlegalaspectsofboundarysurveying;or
19 (c)Haspassedatleastfifteensemesterhoursofapprovedsurveyingcoursework,
20asdefinedbytheboard,ofwhichatleastsixsemesterhoursshallbeinlegalaspectsof
21landsurveying;
22 (d)Anapplicantmeetingtherequirementsofparagraph(a)ofthissubdivision
23shallhaveacquiredatleastfouryearsofsatisfactoryfieldandofficeexperienceinland
24surveyingundertheimmediatepersonalsupervisionofaprofessionallandsurveyor;
25 (e)Anapplicantmeetingtherequirementsofparagraph(b)ofthissubdivision
26shallhaveacquiredatleastfiveyearsofsatisfactoryfieldandofficeexperienceinland
27surveyingundertheimmediatepersonalsupervisionofaprofessionallandsurveyor;
28 (f)Anapplicantmeetingtherequirementsofparagraph(c)ofthissubdivision
29shallhaveacquiredatleastsixyearsofsatisfactoryfieldandofficeexperienceinland
30surveyingundertheimmediatepersonalsupervisionofaprofessionallandsurveyor.
31Pursuanttothisprovision,uptooneyearofpost-secondaryeducation,approvedbythe
32board,maycountasequivalentworkexperience;
33 (2)Anapplicantshallpassanyexaminationsrequiredbytheboardpursuantto
34section327.331;
35 (3)Anypersonenrolledasalandsurveyor-in-trainingpriortoJanuary1,2024,
36shallonlyberequiredtomeettherequirementsinplacepursuanttotheirenrollment.
327.331.1.Afterithasbeendeterminedthatanapplicantpossessesthe
2qualificationsentitlingtheapplicanttobeexamined,eachapplicantforexaminationand
3enrollmentasalandsurveyor-in-trainingandforexaminationandlicensureasaprofessional
4landsurveyorinMissourishallappearbeforetheboardoritsrepresentativesforexamination
5atthetimeandplacespecified.
6 2.Theexaminationorexaminationsshallbeofsuchform,contentanddurationas
7shallbedeterminedbytheboardtothoroughlytestthequalificationsofeachapplicantto
8becomeenrolledasaland[surveyor-in-training] surveyor-internortobecomelicensedasa
9professionallandsurveyorinMissouri.
10 3.Anyapplicanttobeeligibleforenrollmentorforlicensemustmakeagradeonthe
11applicableexaminationofatleastseventypercent.
CCS#2SSHB2149 5 12 4.Anypersonwhopassestheexaminationhereinabovespecifiedshallbeentitledto
13beenrolledasaland[surveyor-in-training] surveyor-internorlicensedasaprofessionalland
14surveyor,asthecasemaybe,inMissouriandshallreceiveacertificateofenrollmentora
15license,asthecasemaybe.
332.325.1.TheMissouridentalboardmaycollaboratewiththedepartmentof
2healthandseniorservicesandtheofficeofdentalhealthwithinthedepartmentofhealth
3andseniorservicestoapprovepilotprojectsdesignedtoexaminenewmethodsof
4extendingcaretomedicallyunderservedpopulations,asdefinedin42U.S.C.Section
5300e-1(7).Thesepilotprojectsmayemploytechniquesorapproachestocarethatmay
6necessitateawaiveroftherequirementsofthischapterandregulationspromulgated
7thereunder;provided:
8 (1)Theprojectplanhasaclearlystatedobjectiveofservingaspecific
9underservedpopulationthatwarrants,intheopinionofamajorityoftheboard,
10grantingapprovalforapilotproject;
11 (2)Theprojecthasafinitestartdateandterminationdate;
12 (3)Theprojectclearlydefinesthenewtechniquesorapproachesitintendsto
13examinetodetermineifitresultsinanimprovementinaccessorqualityofcare;
14 (4)Theprojectplanidentifiesspecificandlimitedlocationsandpopulationsto
15participateinthepilotproject;
16 (5)Theprojectplanclearlyestablishesminimumguidelinesandstandardsfor
17thepilotproject,including,butnotlimitedto,provisionsforprotectingsafetyof
18participatingpatients;
19 (6)Theprojectplanclearlydefinesthemeasurementcriteriaitwilluseto
20evaluatetheoutcomesofthepilotprojectonaccessandqualityofcare;and
21 (7)Theprojectplanidentifiesreportingintervalstocommunicateinterimand
22finaloutcomestotheboard.
23 2.Theboardmaypromulgaterulesandregulationstoimplementtheprovisions
24ofthissection.Anyruleorportionofarule,asthattermisdefinedinsection536.010,
25thatiscreatedundertheauthoritydelegatedinthissectionshallbecomeeffectiveonlyif
26itcomplieswithandissubjecttoalloftheprovisionsofchapter536and,ifapplicable,
27section536.028.Thissectionandchapter536arenonseverableandifanyofthepowers
28vestedwiththegeneralassemblypursuanttochapter536toreview,todelaythe
29effectivedate,ortodisapproveandannularulearesubsequentlyheldunconstitutional,
30thenthegrantofrulemakingauthorityandanyruleproposedoradoptedafterAugust
3128,2022,shallbeinvalidandvoid.
32 3.TheprovisionsofthissectionshallexpireonAugust28,2026.Theboardshall
33provideafinalreportonapprovedprojectsandrelateddataorfindingstothegeneral
CCS#2SSHB2149 6 34assemblyonorbeforeDecember31,2025.Thename,location,approvaldates,and
35generaldescriptionofanapprovedpilotprojectshallbedeemedapublicrecord
36pursuanttochapter610.
334.100.1.Theboardmayrefusetoissueorrenewanycertificateofregistrationor
2authority,permitorlicenserequiredpursuanttothischapterforoneoranycombinationof
3causesstatedinsubsection2ofthissection.Theboardshallnotifytheapplicantinwritingof
4thereasonsfortherefusalandshalladvisetheapplicantoftheapplicant'srighttofilea
5complaintwiththeadministrativehearingcommissionasprovidedbychapter621.Asan
6alternativetoarefusaltoissueorrenewanycertificate,registrationorauthority,theboard
7may,atitsdiscretion,issuealicensewhichissubjecttoprobation,restrictionorlimitationto
8anapplicantforlicensureforanyoneoranycombinationofcausesstatedinsubsection2of
9thissection.Theboard'sorderofprobation,limitationorrestrictionshallcontainastatement
10ofthedisciplineimposed,thebasistherefor,thedatesuchactionshallbecomeeffective,anda
11statementthattheapplicanthasthirtydaystorequestinwritingahearingbeforethe
12administrativehearingcommission.Iftheboardissuesaprobationary,limitedorrestricted
13licensetoanapplicantforlicensure,eitherpartymayfileawrittenpetitionwiththe
14administrativehearingcommissionwithinthirtydaysoftheeffectivedateoftheprobationary,
15limitedorrestrictedlicenseseekingreviewoftheboard'sdetermination.Ifnowrittenrequest
16forahearingisreceivedbytheadministrativehearingcommissionwithinthethirty-day
17period,therighttoseekreviewoftheboard'sdecisionshallbeconsideredaswaived.
18 2.Theboardmaycauseacomplainttobefiledwiththeadministrativehearing
19commissionasprovidedbychapter621againstanyholderofanycertificateofregistrationor
20authority,permitorlicenserequiredbythischapteroranypersonwhohasfailedtorenewor
21hassurrenderedtheperson'scertificateofregistrationorauthority,permitorlicenseforany
22oneoranycombinationofthefollowingcauses:
23 (1)Useofanycontrolledsubstance,asdefinedinchapter195,oralcoholicbeverage
24toanextentthatsuchuseimpairsaperson'sabilitytoperformtheworkofanyprofession
25licensedorregulatedbythischapter;
26 (2)Thepersonhasbeenfinallyadjudicatedandfoundguilty,orenteredapleaof
27guiltyornolocontendere,inacriminalprosecutionunderthelawsofanystateorofthe
28UnitedStates,foranyoffensereasonablyrelatedtothequalifications,functionsordutiesof
29anyprofessionlicensedorregulatedpursuanttothischapter,foranyoffenseinvolvingfraud,
30dishonestyoranactofviolence,orforanyoffenseinvolvingmoralturpitude,whetherornot
31sentenceisimposed;
32 (3)Useoffraud,deception,misrepresentationorbriberyinsecuringanycertificateof
33registrationorauthority,permitorlicenseissuedpursuanttothischapterorinobtaining
34permissiontotakeanyexaminationgivenorrequiredpursuanttothischapter;
CCS#2SSHB2149 7 35 (4)Misconduct,fraud,misrepresentation,dishonesty,unethicalconductor
36unprofessionalconductintheperformanceofthefunctionsordutiesofanyprofession
37licensedorregulatedbythischapter,including,butnotlimitedto,thefollowing:
38 (a)Obtainingorattemptingtoobtainanyfee,charge,tuitionorothercompensation
39byfraud,deceptionormisrepresentation;willfullyandcontinuallyoverchargingor
40overtreatingpatients;orchargingforvisitstothephysician'sofficewhichdidnotoccur
41unlesstheserviceswerecontractedforinadvance,orforserviceswhichwerenotrenderedor
42documentedinthepatient'srecords;
43 (b)Attempting,directlyorindirectly,bywayofintimidation,coercionordeception,
44toobtainorretainapatientordiscouragetheuseofasecondopinionorconsultation;
45 (c)Willfullyandcontinuallyperforminginappropriateorunnecessarytreatment,
46diagnostictestsormedicalorsurgicalservices;
47 (d)Delegatingprofessionalresponsibilitiestoapersonwhoisnotqualifiedby
48training,skill,competency,age,experienceorlicensuretoperformsuchresponsibilities;
49 (e)Misrepresentingthatanydisease,ailmentorinfirmitycanbecuredbyamethod,
50procedure,treatment,medicineordevice;
51 (f)Performingorprescribingmedicalserviceswhichhavebeendeclaredbyboard
52ruletobeofnomedicalorosteopathicvalue;
53 (g)Finaldisciplinaryactionbyanyprofessionalmedicalorosteopathicassociationor
54societyorlicensedhospitalormedicalstaffofsuchhospitalinthisoranyotherstateor
55territory,whetheragreedtovoluntarilyornot,andincluding,butnotlimitedto,anyremoval,
56suspension,limitation,orrestrictionoftheperson'slicenseorstafforhospitalprivileges,
57failuretorenewsuchprivilegesorlicenseforcause,orotherfinaldisciplinaryaction,ifthe
58actionwasinanywayrelatedtounprofessionalconduct,professionalincompetence,
59malpracticeoranyotherviolationofanyprovisionofthischapter;
60 (h)Signingablankprescriptionform;ordispensing,prescribing,administeringor
61otherwisedistributinganydrug,controlledsubstanceorothertreatmentwithoutsufficient
62examinationincludingfailingtoestablishavalidphysician-patientrelationshippursuantto
63section334.108,orforotherthanmedicallyacceptedtherapeuticorexperimentalor
64investigativepurposesdulyauthorizedbyastateorfederalagency,ornotinthecourseof
65professionalpractice,ornotingoodfaithtorelievepainandsuffering,ornottocurean
66ailment,physicalinfirmityordisease,exceptasauthorizedinsection334.104;
67 (i)Exercisinginfluencewithinaphysician-patientrelationshipforpurposesof
68engagingapatientinsexualactivity;
69 (j)Beinglistedonanystateorfederalsexualoffenderregistry;
70 (k)Terminatingthemedicalcareofapatientwithoutadequatenoticeorwithout
71makingotherarrangementsforthecontinuedcareofthepatient;
CCS#2SSHB2149 8 72 (l)Failingtofurnishdetailsofapatient'smedicalrecordstoothertreatingphysicians
73orhospitalsuponproperrequest;orfailingtocomplywithanyotherlawrelatingtomedical
74records;
75 (m)Failureofanyapplicantorlicenseetocooperatewiththeboardduringany
76investigation;
77 (n)Failuretocomplywithanysubpoenaorsubpoenaducestecumfromtheboardor
78anorderoftheboard;
79 (o)Failuretotimelypaylicenserenewalfeesspecifiedinthischapter;
80 (p)Violatingaprobationagreement,order,orothersettlementagreementwiththis
81boardoranyotherlicensingagency;
82 (q)Failingtoinformtheboardofthephysician'scurrentresidenceandbusiness
83address;
84 (r)Advertisingbyanapplicantorlicenseewhichisfalseormisleading,orwhich
85violatesanyruleoftheboard,orwhichclaimswithoutsubstantiationthepositivecureofany
86disease,orprofessionalsuperioritytoorgreaterskillthanthatpossessedbyanyother
87physician.Anapplicantorlicenseeshallalsobeinviolationofthisprovisioniftheapplicant
88orlicenseehasafinancialinterestinanyorganization,corporationorassociationwhichissues
89orconductssuchadvertising;
90 (s)Anyotherconductthatisunethicalorunprofessionalinvolvingaminor;
91 (5)Anyconductorpracticewhichisormightbeharmfulordangeroustothemental
92orphysicalhealthofapatientorthepublic;orincompetency,grossnegligenceorrepeated
93negligenceintheperformanceofthefunctionsordutiesofanyprofessionlicensedor
94regulatedbythischapter.Forthepurposesofthissubdivision,"repeatednegligence"means
95thefailure,onmorethanoneoccasion,tousethatdegreeofskillandlearningordinarilyused
96underthesameorsimilarcircumstancesbythememberoftheapplicant'sorlicensee's
97profession;
98 (6)Violationof,orattemptingtoviolate,directlyorindirectly,orassistingor
99enablinganypersontoviolate,anyprovisionofthischapterorchapter324,orofanylawful
100ruleorregulationadoptedpursuanttothischapterorchapter324;
101 (7)Impersonationofanypersonholdingacertificateofregistrationorauthority,
102permitorlicenseorallowinganypersontousehisorhercertificateofregistrationor
103authority,permit,licenseordiplomafromanyschool;
104 (8)Revocation,suspension,restriction,modification,limitation,reprimand,warning,
105censure,probationorotherfinaldisciplinaryactionagainsttheholderoforapplicantfora
106licenseorotherrighttopracticeanyprofessionregulatedbythischapterbyanotherstate,
107territory,federalagencyorcountry,whetherornotvoluntarilyagreedtobythelicenseeor
108applicant,including,butnotlimitedto,thedenialoflicensure,surrenderofthelicense,
CCS#2SSHB2149 9 109allowingthelicensetoexpireorlapse,ordiscontinuingorlimitingthepracticeofmedicine
110whilesubjecttoaninvestigationorwhileactuallyunderinvestigationbyanylicensing
111authority,medicalfacility,branchoftheArmedForcesoftheUnitedStatesofAmerica,
112insurancecompany,court,agencyofthestateorfederalgovernment,oremployer;
113 (9)Apersonisfinallyadjudgedincapacitatedordisabledbyacourtofcompetent
114jurisdiction;
115 (10)Assistingorenablinganypersontopracticeoroffertopracticeanyprofession
116licensedorregulatedbythischapterwhoisnotregisteredandcurrentlyeligibletopractice
117pursuanttothischapter;orknowinglyperforminganyactwhichinanywayaids,assists,
118procures,advises,orencouragesanypersontopracticemedicinewhoisnotregisteredand
119currentlyeligibletopracticepursuanttothischapter.Aphysicianwhoworksinaccordance
120withstandingordersorprotocolsorinaccordancewiththeprovisionsofsection334.104
121shallnotbeinviolationofthissubdivision;
122 (11)Issuanceofacertificateofregistrationorauthority,permitorlicensebasedupon
123amaterialmistakeoffact;
124 (12)Failuretodisplayavalidcertificateorlicenseifsorequiredbythischapteror
125anyrulepromulgatedpursuanttothischapter;
126 (13)Violationofthedruglawsorrulesandregulationsofthisstate,includingbutnot
127limitedtoanyprovisionofchapter195,anyotherstate,orthefederalgovernment;
128 (14)Knowinglymaking,orcausingtobemade,oraiding,orabettinginthemaking
129of,afalsestatementinanybirth,deathorothercertificateordocumentexecutedin
130connectionwiththepracticeoftheperson'sprofession;
131 (15)Knowinglymakingafalsestatement,orallyorinwritingtotheboard;
132 (16)Solicitingpatronageinpersonorbyagentsorrepresentatives,orbyanyother
133meansormanner,undertheperson'sownnameorunderthenameofanotherpersonor
134concern,actualorpretended,insuchamannerastoconfuse,deceive,ormisleadthepublicas
135totheneedornecessityfororappropriatenessofhealthcareservicesforallpatients,orthe
136qualificationsofanindividualpersonorpersonstodiagnose,render,orperformhealthcare
137services;
138 (17)Using,orpermittingtheuseof,theperson'snameunderthedesignationof
139"Doctor","Dr.","M.D.",or"D.O.",oranysimilardesignationwithreferencetothe
140commercialexploitationofanygoods,waresormerchandise;
141 (18)Knowinglymakingorcausingtobemadeafalsestatementormisrepresentation
142ofamaterialfact,withintenttodefraud,forpaymentpursuanttotheprovisionsofchapter
143208orchapter630orforpaymentfromTitleXVIIIorTitleXIXoftheSocialSecurityAct;
144 (19)Failureorrefusaltoproperlyguardagainstcontagious,infectiousor
145communicablediseasesorthespreadthereof;maintaininganunsanitaryofficeor
CCS#2SSHB2149 10 146performingprofessionalservicesunderunsanitaryconditions;orfailuretoreportthe
147existenceofanunsanitaryconditionintheofficeofaphysicianorinanyhealthcarefacility
148totheboard,inwriting,withinthirtydaysafterthediscoverythereof;
149 (20)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist,
150payingorofferingtopayareferralfeeor,notwithstandingsection334.010tothecontrary,
151practicingorofferingtopracticeprofessionalphysicaltherapyindependentoftheprescription
152anddirectionofapersonlicensedandregisteredasaphysicianandsurgeonpursuanttothis
153chapter,asadentistpursuanttochapter332,asapodiatristpursuanttochapter330,asan
154advancedpracticeregisterednurseunderchapter335,oranylicensedandregistered
155physician,dentist,podiatrist,oradvancedpracticeregisterednursepracticinginanother
156jurisdiction,whoselicenseisingoodstanding;
157 (21)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist,
158treatingorattemptingtotreatailmentsorotherhealthconditionsofhumanbeingsotherthan
159byprofessionalphysicaltherapyandasauthorizedbysections334.500to334.620;
160 (22)Anypersonlicensedtopracticeasaphysicianorsurgeon,requiring,asa
161conditionofthephysician-patientrelationship,thatthepatientreceiveprescribeddrugs,
162devicesorotherprofessionalservicesdirectlyfromfacilitiesofthatphysician'sofficeorother
163entitiesunderthatphysician'sownershiporcontrol.Aphysicianshallprovidethepatient
164withaprescriptionwhichmaybetakentothefacilityselectedbythepatientandaphysician
165knowinglyfailingtodisclosetoapatientonaformapprovedbytheadvisorycommissionfor
166professionalphysicaltherapistsasestablishedbysection334.625whichisdatedandsigned
167byapatientorguardianacknowledgingthatthepatientorguardianhasreadandunderstands
168thatthephysicianhasapecuniaryinterestinaphysicaltherapyorrehabilitationservice
169providingprescribedtreatmentandthattheprescribedtreatmentisavailableonacompetitive
170basis.Thissubdivisionshallnotapplytoareferralbyonephysiciantoanotherphysician
171withinagroupofphysicianspracticingtogether;
172 (23)Apatternofpersonaluseorconsumptionofanycontrolledsubstanceunlessitis
173prescribed,dispensedoradministeredbyanotherphysicianwhoisauthorizedbylawtodoso;
174 (24)Habitualintoxicationordependenceonalcohol,evidenceofwhichmayinclude
175morethanonealcohol-relatedenforcementcontactasdefinedbysection302.525;
176 (25)Failuretocomplywithatreatmentprogramoranaftercareprogramenteredinto
177aspartofaboardorder,settlementagreementorlicensee'sprofessionalhealthprogram;
178 (26)Revocation,suspension,limitation,probation,orrestrictionofanykind
179whatsoeverofanycontrolledsubstanceauthority,whetheragreedtovoluntarilyornot,or
180voluntaryterminationofacontrolledsubstanceauthoritywhileunderinvestigation;
181 (27)Foraphysiciantooperate,conduct,manage,orestablishanabortionfacility,or
182foraphysiciantoperformanabortioninanabortionfacility,ifsuchfacilitycomesunderthe
CCS#2SSHB2149 11 183definitionofanambulatorysurgicalcenterpursuanttosections197.200to197.240,andsuch
184facilityhasfailedtoobtainorrenewalicenseasanambulatorysurgicalcenter.
185 3.Collaborativepracticearrangements,protocolsandstandingordersshallbein
186writingandsignedanddatedbyaphysicianpriortotheirimplementation.
187 4.Afterthefilingofsuchcomplaintbeforetheadministrativehearingcommission,
188theproceedingsshallbeconductedinaccordancewiththeprovisionsofchapter621.Upona
189findingbytheadministrativehearingcommissionthatthegrounds,providedinsubsection2
190ofthissection,fordisciplinaryactionaremet,theboardmay,singlyorincombination,warn,
191censureorplacethepersonnamedinthecomplaintonprobationonsuchtermsand
192conditionsastheboarddeemsappropriateforaperiodnottoexceedtenyears,ormay
193suspendtheperson'slicense,certificateorpermitforaperiodnottoexceedthreeyears,or
194restrictorlimittheperson'slicense,certificateorpermitforanindefiniteperiodoftime,or
195revoketheperson'slicense,certificate,orpermit,oradministerapublicorprivatereprimand,
196ordenytheperson'sapplicationforalicense,orpermanentlywithholdissuanceofalicenseor
197requirethepersontosubmittothecare,counselingortreatmentofphysiciansdesignatedby
198theboardattheexpenseoftheindividualtobeexamined,orrequirethepersontoattendsuch
199continuingeducationalcoursesandpasssuchexaminationsastheboardmaydirect.
200 5.Inanyorderofrevocation,theboardmayprovidethatthepersonmaynotapplyfor
201reinstatementoftheperson'slicenseforaperiodoftimerangingfromtwotosevenyears
202followingthedateoftheorderofrevocation.Allstayordersshalltollthistimeperiod.
203 6.Beforerestoringtogoodstandingalicense,certificateorpermitissuedpursuantto
204thischapterwhichhasbeeninarevoked,suspendedorinactivestateforanycauseformore
205thantwoyears,theboardmayrequiretheapplicanttoattendsuchcontinuingmedical
206educationcoursesandpasssuchexaminationsastheboardmaydirect.
207 7.Inanyinvestigation,hearingorotherproceedingtodeterminealicensee'sor
208applicant'sfitnesstopractice,anyrecordrelatingtoanypatientofthelicenseeorapplicant
209shallbediscoverablebytheboardandadmissibleintoevidence,regardlessofanystatutoryor
210commonlawprivilegewhichsuchlicensee,applicant,recordcustodianorpatientmight
211otherwiseinvoke.Inaddition,nosuchlicensee,applicant,orrecordcustodianmaywithhold
212recordsortestimonybearinguponalicensee'sorapplicant'sfitnesstopracticeontheground
213ofprivilegebetweensuchlicensee,applicantorrecordcustodianandapatient.
214 8.Theactoflawfullydispensing,prescribing,administering,orotherwise
215distributingivermectintabletsorhydroxychloroquinesulfatetabletsforhumanuse
216shallnotbegroundsfordenial,suspension,revocation,orotherdisciplinaryactionby
217theboard.
334.530.1.Acandidateforlicensetopracticeasaphysicaltherapistshallfurnish
2evidenceofsuchperson'seducationalqualificationsbysubmittingsatisfactoryevidenceof
CCS#2SSHB2149 12 3completionofaprogramofphysicaltherapyeducationapprovedasreputablebytheboardor
4eligibilitytograduatefromsuchaprogramwithinninetydays. Acandidatewhopresents
5satisfactoryevidenceoftheperson'sgraduationfromaschoolofphysicaltherapyapprovedas
6reputablebytheAmericanMedicalAssociationor,ifgraduatedbefore1936,bytheAmerican
7PhysicalTherapyAssociation,orifgraduatedafter1988,theCommissiononAccreditation
8forPhysicalTherapyEducationoritssuccessor,isdeemedtohavecompliedwiththe
9educationalqualificationsofthissubsection.
10 2.Personsdesiringtopracticeasphysicaltherapistsinthisstateshallappearbefore
11theboardatsuchtimeandplaceastheboardmaydirectandbeexaminedastotheirfitnessto
12engageinsuchpractice.Applicantsshallmeetthequalifyingstandardsforsuch
13examinations,includinganyrequirementsestablishedbyanyentitycontractedbythe
14boardtoadministertheboard-approvedexamination.Applicationsforexaminationshall
15beinwriting,onaformfurnishedbytheboardandshallincludeevidencesatisfactorytothe
16boardthattheapplicantpossessesthequalificationssetforthinsubsection1ofthissection
17andmeetstherequirementsestablishedtoqualifyforexamination. Eachapplication
18shallcontainastatementthatitismadeunderoathoraffirmationandthatitsrepresentations
19aretrueandcorrecttothebestknowledgeandbeliefoftheapplicant,subjecttothepenalties
20ofmakingafalseaffidavitordeclaration.
21 3.Theexaminationofqualifiedcandidatesforlicensestopracticephysicaltherapy
22shalltestentry-levelcompetenceasrelatedtophysicaltherapytheory,examinationand
23evaluation,physicaltherapydiagnosis,prognosis,treatment,intervention,prevention,and
24consultation.
25 4.Theexaminationshallembrace,inrelationtothehumanbeing,thesubjectsof
26anatomy,chemistry,kinesiology,pathology,physics,physiology,psychology,physical
27therapytheoryandproceduresasrelatedtomedicine,surgeryandpsychiatry,andsuch
28othersubjects,includingmedicalethics,astheboarddeemsusefultotestthefitnessofthe
29candidatetopracticephysicaltherapy.
30 5.Nopersonwhohasfailedonsixormoreoccasionstoachieveapassingscore
31ontheexaminationrequiredbythissectionshallbeeligibleforlicensurebyexamination
32underthissection.
33 6.Theapplicantshallpassatestadministeredbytheboardonthelawsandrules
34relatedtothepracticeofphysicaltherapyinMissouri.
334.655.1.Acandidateforlicensuretopracticeasaphysicaltherapistassistantshall
2furnishevidenceoftheperson'seducationalqualifications.Theeducationalrequirementsfor
3licensureasaphysicaltherapistassistantare:
4 (1)Acertificateofgraduationfromanaccreditedhighschooloritsequivalent;and
CCS#2SSHB2149 13 5 (2)Satisfactoryevidenceofcompletionofanassociatedegreeprogramofphysical
6therapyeducationaccreditedbythecommissiononaccreditationofphysicaltherapy
7educationoreligibilitytograduatefromsuchaprogramwithinninetydays.
8 2.Personsdesiringtopracticeasaphysicaltherapistassistantinthisstateshall
9appearbeforetheboardatsuchtimeandplaceastheboardmaydirectandbeexaminedasto
10theperson'sfitnesstoengageinsuchpractice.Applicantsshallmeetthequalifying
11standardsforsuchexaminations,includinganyrequirementsestablishedbyanyentity
12contractedbytheboardtoadministertheboard-approvedexamination.Applications
13forexaminationshallbeonaformfurnishedbytheboardandshallincludeevidence
14satisfactorytotheboardthattheapplicantpossessesthequalificationsprovidedinsubsection
151ofthissectionandmeetstherequirementsestablishedtoqualifyforexamination. Each
16applicationshallcontainastatementthatthestatementismadeunderoathofaffirmationand
17thatitsrepresentationsaretrueandcorrecttothebestknowledgeandbeliefoftheperson
18signingthestatement,subjecttothepenaltiesofmakingafalseaffidavitordeclaration.
19 3.Theexaminationofqualifiedcandidatesforlicensuretopracticeasphysical
20therapistassistantsshallembraceanexaminationwhichshallcoverthecurriculumtaughtin
21accreditedassociatedegreeprogramsofphysicaltherapyassistanteducation.Such
22examinationshallbesufficienttotestthequalificationofthecandidatesaspractitioners.
23 4.Theexaminationshallinclude,asrelatedtothehumanbody,thesubjectsof
24anatomy,kinesiology,pathology,physiology,psychology,physicaltherapytheoryand
25proceduresasrelatedtomedicineandsuchothersubjects,includingmedicalethics,asthe
26boarddeemsusefultotestthefitnessofthecandidatetopracticeasaphysicaltherapist
27assistant.
28 5.Nopersonwhohasfailedonsixormoreoccasionstoachieveapassingscore
29ontheexaminationrequiredbythissectionshallbeeligibleforlicensurebyexamination
30underthissection.
31 6.Theapplicantshallpassatestadministeredbytheboardonthelawsandrules
32relatedtothepracticeasaphysicaltherapistassistantinthisstate.
33 [6.]7.Theboardshalllicensewithoutexaminationanylegallyqualifiedpersonwho
34isaresidentofthisstateandwhowasactivelyengagedinpracticeasaphysicaltherapist
35assistantonAugust28,1993.Theboardmaylicensesuchpersonpursuanttothissubsection
36untilninetydaysaftertheeffectivedateofthissection.
37 [7.]8.Acandidatetopracticeasaphysicaltherapistassistantwhodoesnotmeetthe
38educationalqualificationsmaysubmittotheboardanapplicationforexaminationifsuch
39personcanfurnishwrittenevidencetotheboardthatthepersonhasbeenemployedinthis
40stateforatleastthreeofthelastfiveyearsunderthesupervisionofalicensedphysical
41therapistandsuchpersonpossessestheknowledgeandtrainingequivalenttothatobtainedin
CCS#2SSHB2149 14 42anaccreditedschool.Theboardmaylicensesuchpersonspursuanttothissubsectionuntil
43ninetydaysafterrulesdevelopedbythestateboardofhealingartsregardingphysical
44therapistassistantlicensingbecomeeffective.
338.055.1.Theboardmayrefusetoissueanycertificateofregistrationorauthority,
2permitorlicenserequiredpursuanttothischapterforoneoranycombinationofcausesstated
3insubsection2ofthissectionorifthedesignatedpharmacist-in-charge,manager-in-charge,
4oranyofficer,owner,manager,orcontrollingshareholderoftheapplicanthascommittedany
5actorpracticeinsubsection2ofthissection.Theboardshallnotifytheapplicantinwriting
6ofthereasonsfortherefusalandshalladvisetheapplicantofhisorherrighttofilea
7complaintwiththeadministrativehearingcommissionasprovidedbychapter621.
8 2.Theboardmaycauseacomplainttobefiledwiththeadministrativehearing
9commissionasprovidedbychapter621againstanyholderofanycertificateofregistrationor
10authority,permitorlicenserequiredbythischapteroranypersonwhohasfailedtorenewor
11hassurrenderedhisorhercertificateofregistrationorauthority,permitorlicenseforanyone
12oranycombinationofthefollowingcauses:
13 (1)Useofanycontrolledsubstance,asdefinedinchapter195,oralcoholicbeverage
14toanextentthatsuchuseimpairsaperson'sabilitytoperformtheworkofanyprofession
15licensedorregulatedbythischapter;
16 (2)Thepersonhasbeenfinallyadjudicatedandfoundguilty,orenteredapleaof
17guiltyornolocontendere,inacriminalprosecutionunderthelawsofanystateorofthe
18UnitedStates,foranyoffensereasonablyrelatedtothequalifications,functionsordutiesof
19anyprofessionlicensedorregulatedunderthischapter,foranyoffenseanessentialelement
20ofwhichisfraud,dishonestyoranactofviolence,orforanyoffenseinvolvingmoral
21turpitude,whetherornotsentenceisimposed;
22 (3)Useoffraud,deception,misrepresentationorbriberyinsecuringanycertificateof
23registrationorauthority,permitorlicenseissuedpursuanttothischapterorinobtaining
24permissiontotakeanyexaminationgivenorrequiredpursuanttothischapter;
25 (4)Obtainingorattemptingtoobtainanyfee,charge,tuitionorothercompensation
26byfraud,deceptionormisrepresentation;
27 (5)Incompetence,misconduct,grossnegligence,fraud,misrepresentationor
28dishonestyintheperformanceofthefunctionsordutiesofanyprofessionlicensedor
29regulatedbythischapter;
30 (6)Violationof,orassistingorenablinganypersontoviolate,anyprovisionofthis
31chapter,orofanylawfulruleorregulationadoptedpursuanttothischapter;
32 (7)Impersonationofanypersonholdingacertificateofregistrationorauthority,
33permitorlicenseorallowinganypersontousehisorhercertificateofregistrationor
34authority,permit,license,ordiplomafromanyschool;
CCS#2SSHB2149 15 35 (8)Denialoflicensuretoanapplicantordisciplinaryactionagainstanapplicantor
36theholderofalicenseorotherrighttopracticeanyprofessionregulatedbythischapter
37grantedbyanotherstate,territory,federalagency,orcountrywhetherornotvoluntarily
38agreedtobythelicenseeorapplicant,including,butnotlimitedto,surrenderofthelicense
39upongroundsforwhichdenialordisciplineisauthorizedinthisstate;
40 (9)Apersonisfinallyadjudgedincapacitatedbyacourtofcompetentjurisdiction;
41 (10)Assistingorenablinganypersontopracticeoroffertopracticeanyprofession
42licensedorregulatedbythischapterwhoisnotregisteredandcurrentlyeligibletopractice
43underthischapter;
44 (11)Issuanceofacertificateofregistrationorauthority,permitorlicensebasedupon
45amaterialmistakeoffact;
46 (12)Failuretodisplayavalidcertificateorlicenseifsorequiredbythischapteror
47anyrulepromulgatedhereunder;
48 (13)Violationofanyprofessionaltrustorconfidence;
49 (14)Useofanyadvertisementorsolicitationwhichisfalse,misleadingordeceptive
50tothegeneralpublicorpersonstowhomtheadvertisementorsolicitationisprimarily
51directed;
52 (15)Violationofthedruglawsorrulesandregulationsofthisstate,anyotherstateor
53thefederalgovernment;
54 (16)Theintentionalactofsubstitutingorotherwisechangingthecontent,formulaor
55brandofanydrugprescribedbywritten,electronic,ororalprescriptionwithoutpriorwritten
56ororalapprovalfromtheprescriberfortherespectivechangeineachprescription;provided,
57however,thatnothingcontainedhereinshallprohibitapharmacistfromsubstitutingor
58changingthebrandofanydrugasprovidedundersection338.056,andanysuchsubstituting
59orchangingofthebrandofanydrugasprovidedforinsection338.056shallnotbedeemed
60unprofessionalordishonorableconductunlessaviolationofsection338.056occurs;
61 (17)Personaluseorconsumptionofanycontrolledsubstanceunlessitisprescribed,
62dispensed,oradministeredbyahealthcareproviderwhoisauthorizedbylawtodoso.
63 3.Afterthefilingofsuchcomplaint,theproceedingsshallbeconductedin
64accordancewiththeprovisionsofchapter621.Uponafindingbytheadministrativehearing
65commissionthatthegrounds,providedinsubsection2ofthissection,fordisciplinaryaction
66aremet,theboardmay,singlyorincombination,censureorplacethepersonnamedinthe
67complaintonprobationonsuchtermsandconditionsastheboarddeemsappropriatefora
68periodnottoexceedfiveyears,ormaysuspend,foraperiodnottoexceedthreeyears,or
69revokethelicense,certificate,orpermit.Theboardmayimposeadditionaldisciplineona
70licensee,registrant,orpermitteefoundtohaveviolatedanydisciplinarytermspreviously
71imposedunderthissectionorbyagreement.Theadditionaldisciplinemayinclude,singlyor
CCS#2SSHB2149 16 72incombination,censure,placingthelicensee,registrant,orpermitteenamedinthecomplaint
73onadditionalprobationonsuchtermsandconditionsastheboarddeemsappropriate,which
74additionalprobationshallnotexceedfiveyears,orsuspensionforaperiodnottoexceedthree
75years,orrevocationofthelicense,certificate,orpermit.
76 4.Iftheboardconcludesthatalicenseeorregistranthascommittedanactoris
77engaginginacourseofconductwhichwouldbegroundsfordisciplinaryactionwhich
78constitutesaclearandpresentdangertothepublichealthandsafety,theboardmayfilea
79complaintbeforetheadministrativehearingcommissionrequestinganexpeditedhearingand
80specifyingtheactivitieswhichgiverisetothedangerandthenatureoftheproposed
81restrictionorsuspensionofthelicensee'sorregistrant'slicense.Withinfifteendaysafter
82serviceofthecomplaintonthelicenseeorregistrant,theadministrativehearingcommission
83shallconductapreliminaryhearingtodeterminewhethertheallegedactivitiesofthelicensee
84orregistrantappeartoconstituteaclearandpresentdangertothepublichealthandsafety
85whichjustifythatthelicensee'sorregistrant'slicenseorregistrationbeimmediatelyrestricted
86orsuspended.Theburdenofprovingthattheactionsofalicenseeorregistrantconstitutea
87clearandpresentdangertothepublichealthandsafetyshallbeuponthestateboardof
88pharmacy.Theadministrativehearingcommissionshallissueitsdecisionimmediatelyafter
89thehearingandshalleithergranttotheboardtheauthoritytosuspendorrestrictthelicenseor
90dismisstheaction.
91 5.Iftheadministrativehearingcommissiongrantstemporaryauthoritytotheboardto
92restrictorsuspendthelicensee'sorregistrant'slicense,suchtemporaryauthorityoftheboard
93shallbecomefinalauthorityifthereisnorequestbythelicenseeorregistrantforafull
94hearingwithinthirtydaysofthepreliminaryhearing.Theadministrativehearingcommission
95shall,ifrequestedbythelicenseeorregistrantnamedinthecomplaint,setadatetoholdafull
96hearingundertheprovisionsofchapter621regardingtheactivitiesallegedintheinitial
97complaintfiledbytheboard.
98 6.Iftheadministrativehearingcommissiondismissestheactionfiledbytheboard
99pursuanttosubsection4ofthissection,suchdismissalshallnotbartheboardfrominitiating
100asubsequentactiononthesamegrounds.
101 7.Theboardshallnotdeny,revoke,orsuspend,orotherwisetakeany
102disciplinaryactionagainst,acertificateofregistrationorauthority,permit,orlicense
103requiredbythischapterforanypersonduetothelawfuldispensing,distributing,or
104sellingofivermectintabletsorhydroxychloroquinesulfatetabletsforhumanusein
105accordancewithprescriberdirections.Apharmacistshallnotcontacttheprescribing
106physicianorthepatienttodisputetheefficacyofivermectintabletsor
107hydroxychloroquinesulfatetabletsforhumanuseunlessthephysicianorpatient
CCS#2SSHB2149 17 108inquiresofthepharmacistabouttheefficacyofivermectintabletsor
109hydroxychloroquinesulfatetablets.
345.015.Asusedinsections345.010to345.080,thefollowingtermsmean:
2 (1)"Audiologist",apersonwhoislicensedasanaudiologistpursuanttosections
3345.010to345.080topracticeaudiology;
4 (2)"Audiologyaide",apersonwhoisregisteredasanaudiologyaidebytheboard,
5whodoesnotactindependentlybutworksunderthedirectionandsupervisionofalicensed
6audiologist.Suchpersonassiststheaudiologistwithactivitieswhichrequirean
7understandingofaudiologybutdonotrequireformaltrainingintherelevantacademics.
8Tobeeligibleforregistrationbytheboard,eachapplicantshallsubmitaregistrationfeeand:
9 (a)Beatleasteighteenyearsofage;
10 (b)Furnishevidenceoftheperson'seducationalqualificationswhichshallbeata
11minimum:
12 a.Certificationofgraduationfromanaccreditedhighschooloritsequivalent;and
13 b.On-the-jobtraining;
14 (c)Beemployedinasettinginwhichdirectandindirectsupervisionareprovidedon
15aregularandsystematicbasisbyalicensedaudiologist.
16
17However,theaideshallnotadministerorinterprethearingscreeningordiagnostictests,fitor
18dispensehearinginstruments,makeearimpressions,makediagnosticstatements,determine
19caseselection,presentwrittenreportstoanyoneotherthanthesupervisorwithoutthe
20signatureofthesupervisor,makereferralstootherprofessionalsoragencies,useatitleother
21thanaudiologyaide,developormodifytreatmentplans,dischargeclientsfromtreatmentor
22terminatetreatment,discloseclinicalinformation,eitherorallyorinwriting,toanyoneother
23thanthesupervisingaudiologist,orperformanyprocedureforwhichheorsheisnot
24qualified,hasnotbeenadequatelytrainedorboth;
25 (3)"Board",thestateboardofregistrationforthehealingarts;
26 (4)"Clinicalfellowship",thesupervisedprofessionalemploymentperiod
27followingcompletionoftheacademicandpracticumrequirementsofanaccredited
28trainingprogramunderthischapter;
29 (5)"Commission",theadvisorycommissionforspeech-languagepathologistsand
30audiologists;
31 [(5)](6)"Hearinginstrument"or"hearingaid",anywearabledeviceorinstrument
32designedfororofferedforthepurposeofaidingorcompensatingforimpairedhumanhearing
33andanyparts,attachmentsoraccessories,includingearmolds,butexcludingbatteries,cords,
34receiversandrepairs;
CCS#2SSHB2149 18 35 [(6)](7)"Person",anyindividual,organization,orcorporatebody,exceptthatonly
36individualsmaybelicensedpursuanttosections345.010to345.080;
37 [(7)](8)"Practiceofaudiology":
38 (a)Theapplicationofacceptedaudiologicprinciples,methodsandproceduresforthe
39measurement,testing,interpretation,appraisalandpredictionrelatedtodisordersofthe
40auditorysystem,balancesystemorrelatedstructuresandsystems;
41 (b)Providesconsultationorcounselingtothepatient,client,student,theirfamilyor
42interestedparties;
43 (c)Providesacademic,socialandmedicalreferralswhenappropriate;
44 (d)Providesforestablishinggoals,implementingstrategies,methodsandtechniques,
45forhabilitation,rehabilitationorauralrehabilitation,relatedtodisordersoftheauditory
46system,balancesystemorrelatedstructuresandsystems;
47 (e)Providesforinvolvementinrelatedresearch,teachingorpubliceducation;
48 (f)Providesforrenderingofservicesorparticipatesintheplanning,directingor
49conductingofprogramswhicharedesignedtomodifyaudition,communicative,balanceor
50cognitivedisorder,whichmayinvolvespeechandlanguageoreducationissues;
51 (g)Providesandinterpretsbehavioralandneurophysiologicmeasurementsof
52auditorybalance,cognitiveprocessingandrelatedfunctions,includingintraoperative
53monitoring;
54 (h)Providesinvolvementinanytasks,procedures,actsorpracticesthatarenecessary
55forevaluationofaudition,hearing,trainingintheuseofamplificationorassistivelistening
56devices;
57 (i)Providesselection,assessment,fitting,programming,anddispensingofhearing
58instruments,assistivelisteningdevices,andotheramplificationsystems;
59 (j)Providesfortakingimpressionsoftheear,makingcustomearmolds,earplugs,
60swimmoldsandindustrialnoiseprotectors;
61 (k)Providesassessmentofexternalearandcerumenmanagement;
62 (l)Providesadvising,fitting,mappingassessmentofimplantabledevicessuchas
63cochlearorauditorybrainstemdevices;
64 (m)Providesinformationinnoisecontrolandhearingconservationincluding
65education,equipmentselection,equipmentcalibration,siteevaluationandemployee
66evaluation;
67 (n)Providesperformingbasicspeech-languagescreeningtest;
68 (o)Providesinvolvementinsocialaspectsofcommunication,includingchallenging
69behaviorandineffectivesocialskills,lackofcommunicationopportunities;
70 (p)Providessupportandtrainingoffamilymembersandothercommunication
71partnersfortheindividualwithauditorybalance,cognitiveandcommunicationdisorders;
CCS#2SSHB2149 19 72 (q)Providesauralrehabilitationandrelatedservicestoindividualswithhearingloss
73andtheirfamilies;
74 (r)Evaluates,collaboratesandmanagesauditionproblemsintheassessmentofthe
75centralauditoryprocessingdisordersandprovidinginterventionforindividualswithcentral
76auditoryprocessingdisorders;
77 (s)Developsandmanagesacademicandclinicalproblemsincommunication
78sciencesanddisorders;
79 (t)Conducts,disseminatesandappliesresearchincommunicationsciencesand
80disorders;
81 [(8)](9)"Practiceofspeech-languagepathology":
82 (a)Providesscreening,identification,assessment,diagnosis,treatment,intervention,
83includingbutnotlimitedtoprevention,restoration,ameliorationandcompensation,and
84follow-upservicesfordisordersof:
85 a.Speech:articulation,fluency,voice,includingrespiration,phonationand
86resonance;
87 b.Language,involvingtheparametersofphonology,morphology,syntax,semantics
88andpragmatic;andincludingdisordersofreceptiveandexpressivecommunicationinoral,
89written,graphicandmanualmodalities;
90 c.Oral,pharyngeal,cervicalesophagealandrelatedfunctions,suchasdysphagia,
91includingdisordersofswallowingandoralfunctionsforfeeding;orofacialmyofunctional
92disorders;
93 d.Cognitiveaspectsofcommunication,includingcommunicationdisabilityandother
94functionaldisabilitiesassociatedwithcognitiveimpairment;
95 e.Socialaspectsofcommunication,includingchallengingbehavior,ineffectivesocial
96skills,lackofcommunicationopportunities;
97 (b)Providesconsultationandcounselingandmakesreferralswhenappropriate;
98 (c)Trainsandsupportsfamilymembersandothercommunicationpartnersof
99individualswithspeech,voice,language,communicationandswallowingdisabilities;
100 (d)Developsandestablisheseffectiveaugmentativeandalternativecommunication
101techniquesandstrategies,includingselecting,prescribinganddispensingofaugmentative
102aidsanddevices;andthetrainingofindividuals,theirfamiliesandothercommunication
103partnersintheiruse;
104 (e)Selects,fitsandestablisheseffectiveuseofappropriateprosthetic/adaptive
105devicesforspeakingandswallowing,suchastracheoesophagealvalves,electrolarynges,or
106speakingvalves;
107 (f)Usesinstrumentaltechnologytodiagnoseandtreatdisordersofcommunication
108andswallowing,suchasvideofluoroscopy,nasendoscopy,ultrasonographyandstroboscopy;
CCS#2SSHB2149 20 109 (g)Providesauralrehabilitativeandrelatedcounselingservicestoindividualswith
110hearinglossandtotheirfamilies;
111 (h)Collaboratesintheassessmentofcentralauditoryprocessingdisordersincasesin
112whichthereisevidenceofspeech,languageorothercognitivecommunicationdisorders;
113providesinterventionforindividualswithcentralauditoryprocessingdisorders;
114 (i)Conductspure-toneairconductionhearingscreeningandscreeningtympanometry
115forthepurposeoftheinitialidentificationorreferral;
116 (j)Enhancesspeechandlanguageproficiencyandcommunicationeffectiveness,
117includingbutnotlimitedtoaccentreduction,collaborationwithteachersofEnglishasa
118secondlanguageandimprovementofvoice,performanceandsinging;
119 (k)Trainsandsupervisessupportpersonnel;
120 (l)Developsandmanagesacademicandclinicalprogramsincommunicationsciences
121anddisorders;
122 (m)Conducts,disseminatesandappliesresearchincommunicationsciencesand
123disorders;
124 (n)Measuresoutcomesoftreatmentandconductscontinuousevaluationofthe
125effectivenessofpracticesandprogramstoimproveandmaintainqualityofservices;
126 [(9)](10)"Speech-languagepathologist",apersonwhoislicensedasaspeech-
127languagepathologistpursuanttosections345.010to345.080;whoengagesinthepracticeof
128speech-languagepathologyasdefinedinsections345.010to345.080;
129 [(10)] (11)"Speech-languagepathologyaide",apersonwhoisregisteredasaspeech-
130languageaidebytheboard,whodoesnotactindependentlybutworksunderthedirectionand
131supervisionofalicensedspeech-languagepathologist.Suchpersonassiststhespeech-
132languagepathologistwithactivitieswhichrequireanunderstandingofspeech-language
133pathologybutdonotrequireformaltrainingintherelevantacademics.Tobeeligiblefor
134registrationbytheboard,eachapplicantshallsubmitaregistrationfeeand:
135 (a)Beatleasteighteenyearsofage;
136 (b)Furnishevidenceoftheperson'seducationalqualificationswhichshallbeata
137minimum:
138 a.Certificationofgraduationfromanaccreditedhighschooloritsequivalent;and
139 b.On-the-jobtraining;
140 (c)Beemployedinasettinginwhichdirectandindirectsupervisionisprovidedona
141regularandsystematicbasisbyalicensedspeech-languagepathologist.
142
143However,theaideshallnotadministerorinterprethearingscreeningordiagnostictests,fitor
144dispensehearinginstruments,makeearimpressions,makediagnosticstatements,determine
145caseselection,presentwrittenreportstoanyoneotherthanthesupervisorwithoutthe
CCS#2SSHB2149 21 146signatureofthesupervisor,makereferralstootherprofessionalsoragencies,useatitleother
147thanspeech-languagepathologyaide,developormodifytreatmentplans,dischargeclients
148fromtreatmentorterminatetreatment,discloseclinicalinformation,eitherorallyorin
149writing,toanyoneotherthanthesupervisingspeech-languagepathologist,orperformany
150procedureforwhichheorsheisnotqualified,hasnotbeenadequatelytrainedorboth;
151 [(11)](12)"Speech-languagepathologyassistant",apersonwhoisregisteredasa
152speech-languagepathologyassistantbytheboard,whodoesnotactindependentlybutworks
153underthedirectionandsupervisionofalicensedspeech-languagepathologistpracticingforat
154leastoneyearorspeech-languagepathologistpracticingundersubdivision(1)or(6)of
155subsection1ofsection345.025foratleastoneyearandwhoseactivitiesrequireboth
156academicandpracticaltraininginthefieldofspeech-languagepathologyalthoughless
157trainingthanthoseestablishedbysections345.010to345.080asnecessaryforlicensingasa
158speech-languagepathologist.Tobeeligibleforregistrationbytheboard,eachapplicantshall
159submittheregistrationfee,supervisingspeech-languagepathologistinformationif
160employmentisconfirmed,ifnotsuchinformationshallbeprovidedafterregistration,and
161furnishevidenceoftheperson'seducationalqualificationswhichmeetthefollowing:
162 (a)Holdabachelor'sleveldegreefromaninstitutionaccreditedorapprovedbya
163regionalaccreditingbodyrecognizedbytheUnitedStatesDepartmentofEducationorits
164equivalent;and
165 (b)Submitofficialtranscriptsfromoneormoreaccreditedcollegesoruniversities
166presentingevidenceofthecompletionofbachelor'slevelcourseworkandrequirementsinthe
167fieldofspeech-languagepathologyasestablishedbytheboardthroughrulesandregulations;
168 (c)Submitproofofcompletionofthenumberandtypeofclinicalhoursas
169establishedbytheboardthroughrulesandregulations.
345.022.1.Anypersonintheperson'sclinicalfellowshipshallholdaprovisional
2licensetopracticespeech-languagepathologyoraudiology.Theboardmayissuea
3provisionallicensetoanapplicantwho:
4 (1)Hasmettherequirementsforpracticumandacademicrequirementsfroman
5accreditedtrainingprogramunderthischapter;
6 (2)Submitsanapplicationtotheboardonaformprescribedbytheboard.Such
7formshallincludeaplanforthecontentandsupervisionoftheclinicalfellowship,as
8wellasevidenceofgoodmoralandethicalcharacter;and
9 (3)Submitstotheboardanapplicationfee,assetbytheboard,forthe
10provisionallicense.
11 2.Aprovisionallicenseiseffectiveforoneyearandmaybeextendedforan
12additionaltwelvemonthsonlyforpurposesofcompletingthepostgraduateclinical
13experienceportionoftheclinicalfellowship;provided,thattheapplicanthaspassedthe
CCS#2SSHB2149 22 14nationalexaminationandshallholdamaster'sdegreefromanapprovedtraining
15programinhisorherareaofapplication.
16 3.Withintwelvemonthsofissuanceoftheprovisionallicense,theapplicantshall
17passanexaminationpromulgatedorapprovedbytheboard.
18 4.Withintwelvemonthsofissuanceofaprovisionallicense,theapplicantshall
19completetherequirementsforthemaster'sordoctoraldegreefromaprogram
20accreditedbytheCouncilonAcademicAccreditationoftheAmericanSpeech-
21Language-HearingAssociationorotheraccreditingagencyapprovedbytheboardin
22theareainwhichlicensureissought.
345.050.[1.]Tobeeligibleforlicensurebytheboardbyexamination,eachapplicant
2shallsubmittheapplicationfeeandshallfurnishevidenceofsuchperson'scurrent
3competenceandshall:
4 (1)Holdamaster'soradoctoraldegreefromaprogramthatwasawarded
5"accreditationcandidate"statusorisaccreditedbytheCouncilonAcademicAccreditationof
6theAmericanSpeech-Language-HearingAssociationorotheraccreditingagencyapproved
7bytheboardintheareainwhichlicensureissought;
8 (2)Submitofficialtranscriptsfromoneormoreaccreditedcollegesoruniversities
9presentingevidenceofthecompletionofcourseworkandclinicalpracticumrequirements
10equivalenttothatrequiredbytheCouncilonAcademicAccreditationoftheAmerican
11Speech-Language-HearingAssociationorotheraccreditingagencyapprovedbytheboard;
12[and]
13 (3)Presentwrittenevidenceofcompletionofaclinicalfellowshipfrom
14supervisors.Theexperiencerequiredbythissubdivisionshallfollowthecompletionof
15therequirementsofsubdivisions(1)and(2)ofthissubsection.Thisperiodof
16employmentshallbeunderthedirectsupervisionofapersonwhoislicensedbythestate
17ofMissouriintheprofessioninwhichtheapplicantseekstobelicensed.Persons
18applyingwithanaudiologyclinicaldoctoraldegreeareexemptfromthisprovision;and
19 (4)Passanexaminationpromulgatedorapprovedbytheboard.Theboardshall
20determinethesubjectandscopeoftheexaminations.
21 [2.Tobeeligibleforlicensurebytheboardwithoutexamination,eachapplicantshall
22makeapplicationonformsprescribedbytheboard,submittheapplicationfee,submitan
23activitystatementandmeetoneofthefollowingrequirements:
24 (1)Theboardshallissuealicensetoanyspeech-languagepathologistoraudiologist
25whoislicensedinanothercountryandwhohashadnoviolations,suspensionorrevocations
26ofalicensetopracticespeech-languagepathologyoraudiologyinanyjurisdiction;provided
27that,suchpersonislicensedinacountrywhoserequirementsaresubstantiallyequalto,or
28greaterthan,Missouriatthetimetheapplicantappliesforlicensure;or
CCS#2SSHB2149 23 29 (2)HoldthecertificateofclinicalcompetenceissuedbytheAmericanSpeech-
30Language-HearingAssociationintheareainwhichlicensureissought.]
345.052.1.Forpurposesofthissection,thefollowingtermsmean:
2 (1)"Board",theMissouriboardofregistrationforthehealingarts;
3 (2)"Commission",theadvisorycommissionforspeech-languagepathologists
4andaudiologists;
5 (3)"License",alicense,certificate,registration,permit,accreditation,or
6militaryoccupationalspecialtythatenablesapersontolegallypracticeanoccupationor
7professioninaparticularjurisdiction;
8 (4)"Military",theArmedForcesoftheUnitedStatesincludingtheAirForce,
9Army,CoastGuard,MarineCorps,Navy,SpaceForce,NationalGuard,andanyother
10militarybranchthatisdesignatedbyCongressaspartoftheArmedForcesofthe
11UnitedStates,andallreservecomponentsandauxiliaries.Suchtermalsoincludesthe
12militaryreservesandmilitiaoftheUnitedStatesterritoryorstate;
13 (5)"Nonresidentmilitaryspouse",anonresidentspouseofanactiveduty
14memberoftheArmedForcesoftheUnitedStateswhohasbeentransferredoris
15scheduledtobetransferredtoanadjacentstateandisorwillbedomiciledinthestateof
16Missouri,orhasmovedtothestateofMissourionapermanentchange-of-stationbasis;
17 (6)"Residentmilitaryspouse",aspouseofanactivedutymemberoftheArmed
18ForcesoftheUnitedStateswhohasbeentransferredorisscheduledtobetransferredto
19thestateofMissouri,whoisdomiciledinthestateofMissouri,orwhohasMissourias
20hisorherhomeofrecord.
21 2.Anypersonwhoholdsavalidcurrentspeech-languagepathologistor
22audiologistlicenseissuedbyanotherstate,abranchorunitofthemilitary,aterritoryof
23theUnitedStates,ortheDistrictofColumbia,andwhohasbeenlicensedforatleastone
24yearintheotherjurisdiction,maysubmitanapplicationforaspeech-language
25pathologistoraudiologistlicenseinMissourialongwithproofofcurrentlicensureand
26proofoflicensureforatleastoneyearintheotherjurisdiction,totheboard.
27 3.Theboardshall:
28 (1)Withinsixmonthsofreceivinganapplicationdescribedinsubsection2of
29thissection,waiveanyexamination,educational,orexperiencerequirementsfor
30licensureinthisstatefortheapplicantifitdeterminesthattherewereminimum
31educationrequirementsand,ifapplicable,workexperienceandclinicalsupervision
32requirementsineffectandtheotherstateverifiesthatthepersonmetthose
33requirementsinordertobelicensedorcertifiedinthatstate.Theboardmay
34requireanapplicanttotakeandpassanexaminationspecifictothelawsofthisstate;or
CCS#2SSHB2149 24 35 (2)Withinthirtydaysofreceivinganapplicationdescribedinsubsection2of
36thissectionfromanonresidentmilitaryspouseoraresidentmilitaryspouse,waiveany
37examination,educational,orexperiencerequirementsforlicensureinthisstateforthe
38applicantandissuesuchapplicantalicenseunderthissectionifsuchapplicant
39otherwisemeetstherequirementsofthissection.
40 4.(1)Theboardshallnotwaiveanyexamination,educational,orexperience
41requirementsforanyapplicantwhohashadhisorherlicenserevokedbyaboard
42outsidethestate;whoiscurrentlyunderinvestigation,whohasacomplaintpending,or
43whoiscurrentlyunderdisciplinaryaction,exceptasprovidedinsubdivision(2)ofthis
44subsection,withaboardoutsidethestate;whodoesnotholdalicenseingoodstanding
45withaboardoutsidethestate;whohasacriminalrecordthatwoulddisqualifyhimor
46herforlicensureinMissouri;orwhodoesnotholdavalidcurrentlicenseintheother
47jurisdictiononthedatetheboardreceiveshisorherapplicationunderthissection.
48 (2)Ifanotherjurisdictionhastakendisciplinaryactionagainstanapplicant,the
49boardshalldetermineifthecausefortheactionwascorrectedandthematterresolved.
50Ifthematterhasnotbeenresolvedbythatjurisdiction,theboardmaydenyalicense
51untilthematterisresolved.
52 5.Nothinginthissectionshallprohibittheboardfromdenyingalicensetoan
53applicantunderthissectionforanyreasondescribedinsection345.065.
54 6.Anypersonwhoislicensedundertheprovisionsofthissectionshallbesubject
55totheboard'sjurisdictionandallrulesandregulationspertainingtothepracticeasa
56speech-languagepathologistoraudiologistinthisstate.
57 7.Thissectionshallnotbeconstruedtowaiveanyrequirementforanapplicant
58topayanyfees.
345.085.SECTION1.PURPOSE
2 ThepurposeofthisCompactistofacilitateinterstatepracticeofaudiologyand
3speech-languagepathologywiththegoalofimprovingpublicaccesstoaudiologyand
4speech-languagepathologyservices.Thepracticeofaudiologyandspeech-language
5pathologyoccursinthestatewherethepatient/client/studentislocatedatthetimeofthe
6patient/client/studentencounter.TheCompactpreservestheregulatoryauthorityof
7statestoprotectpublichealthandsafetythroughthecurrentsystemofstatelicensure.
8 ThisCompactisdesignedtoachievethefollowingobjectives:
9 1.Increasepublicaccesstoaudiologyandspeech-languagepathologyservicesby
10providingforthemutualrecognitionofothermemberstatelicenses;
11 2.Enhancethestates'abilitytoprotectthepublic'shealthandsafety;
12 3.Encouragethecooperationofmemberstatesinregulatingmultistate
13audiologyandspeech-languagepathologypractice;
CCS#2SSHB2149 25 14 4.Supportspousesofrelocatingactivedutymilitarypersonnel;
15 5.Enhancetheexchangeoflicensure,investigativeanddisciplinaryinformation
16betweenmemberstates;
17 6.Allowaremotestatetoholdaproviderofserviceswithacompactprivilegein
18thatstateaccountabletothatstate'spracticestandards;and
19 7.Allowfortheuseoftelehealthtechnologytofacilitateincreasedaccessto
20audiologyandspeech-languagepathologyservices.
21 SECTION2.DEFINITIONS
22 AsusedinthisCompact,andexceptasotherwiseprovided,thefollowing
23definitionsshallapply:
24 A."Activedutymilitary"meansfull-timedutystatusintheactiveuniformed
25serviceoftheUnitedStates,includingmembersoftheNationalGuardandReserveon
26activedutyorderspursuantto10U.S.C.Chapter1209and1211.
27 B."Adverseaction"meansanyadministrative,civil,equitableorcriminal
28actionpermittedbyastate'slawswhichisimposedbyalicensingboardorother
29authorityagainstanaudiologistorspeech-languagepathologist,includingactions
30againstanindividual'slicenseorprivilegetopracticesuchasrevocation,suspension,
31probation,monitoringofthelicensee,orrestrictiononthelicensee'spractice.
32 C."Alternativeprogram"meansanon-disciplinarymonitoringprocess
33approvedbyanaudiologyorspeech-languagepathologylicensingboardtoaddress
34impairedpractitioners.
35 D."Audiologist"meansanindividualwhoislicensedbyastatetopractice
36audiology.
37 E."Audiology"meansthecareandservicesprovidedbyalicensedaudiologist
38assetforthinthememberstate'sstatutesandrules.
39 F."AudiologyandSpeech-LanguagePathologyCompactCommission"or
40"Commission"meansthenationaladministrativebodywhosemembershipconsistsof
41allstatesthathaveenactedtheCompact.
42 G."Audiologyandspeech-languagepathologylicensingboard,""audiology
43licensingboard,""speech-languagepathologylicensingboard,"or"licensingboard"
44meanstheagencyofastatethatisresponsibleforthelicensingandregulationof
45audiologistsand/orspeech-languagepathologists.
46 H."Compactprivilege"meanstheauthorizationgrantedbyaremotestateto
47allowalicenseefromanothermemberstatetopracticeasanaudiologistorspeech-
48languagepathologistintheremotestateunderitslawsandrules.Thepracticeof
49audiologyorspeech-languagepathologyoccursinthememberstatewherethepatient/
50client/studentislocatedatthetimeofthepatient/client/studentencounter.
CCS#2SSHB2149 26 51 I."Currentsignificantinvestigativeinformation"meansinvestigative
52informationthatalicensingboard,afteraninquiryorinvestigationthatincludes
53notificationandanopportunityfortheaudiologistorspeech-languagepathologistto
54respond,ifrequiredbystatelaw,hasreasontobelieveisnotgroundlessand,ifproved
55true,wouldindicatemorethanaminorinfraction.
56 J."Datasystem"meansarepositoryofinformationaboutlicensees,including,
57butnotlimitedto,continuingeducation,examination,licensure,investigative,compact
58privilegeandadverseaction.
59 K."Encumberedlicense"meansalicenseinwhichanadverseactionrestricts
60thepracticeofaudiologyorspeech-languagepathologybythelicenseeandsaidadverse
61actionhasbeenreportedtotheNationalPractitionersDataBank(NPDB).
62 L."ExecutiveCommittee"meansagroupofdirectorselectedorappointedto
63actonbehalfof,andwithinthepowersgrantedtothemby,theCommission.
64 M."Homestate"meansthememberstatethatisthelicensee'sprimarystateof
65residence.
66 N."Impairedpractitioner"meansindividualswhoseprofessionalpracticeis
67adverselyaffectedbysubstanceabuse,addiction,orotherhealth-relatedconditions.
68 O."Licensee"meansanindividualwhocurrentlyholdsanauthorizationfrom
69thestatelicensingboardtopracticeasanaudiologistorspeech-languagepathologist.
70 P."Memberstate"meansastatethathasenactedtheCompact.
71 Q."Privilegetopractice"meansalegalauthorizationpermittingthepracticeof
72audiologyorspeech-languagepathologyinaremotestate.
73 R."Remotestate"meansamemberstateotherthanthehomestatewherea
74licenseeisexercisingorseekingtoexercisethecompactprivilege.
75 S."Rule"meansaregulation,principleordirectivepromulgatedbythe
76Commissionthathastheforceoflaw.
77 T."Single-statelicense"meansanaudiologyorspeech-languagepathology
78licenseissuedbyamemberstatethatauthorizespracticeonlywithintheissuingstate
79anddoesnotincludeaprivilegetopracticeinanyothermemberstate.
80 U."Speech-languagepathologist"meansanindividualwhoislicensedbyastate
81topracticespeech-languagepathology.
82 V."Speech-languagepathology"meansthecareandservicesprovidedbya
83licensedspeech-languagepathologistassetforthinthememberstate'sstatutesand
84rules.
85 W."State"meansanystate,commonwealth,districtorterritoryoftheUnited
86StatesofAmericathatregulatesthepracticeofaudiologyandspeech-language
87pathology.
CCS#2SSHB2149 27 88 X."Statepracticelaws"meansamemberstate'slaws,rulesandregulationsthat
89governthepracticeofaudiologyorspeech-languagepathology,definethescopeof
90audiologyorspeech-languagepathologypractice,andcreatethemethodsandgrounds
91forimposingdiscipline.
92 Y."Telehealth"meanstheapplicationoftelecommunicationtechnologyto
93deliveraudiologyorspeech-languagepathologyservicesatadistanceforassessment,
94interventionand/orconsultation.
95 SECTION3.STATEPARTICIPATIONINTHECOMPACT
96 A.Alicenseissuedtoanaudiologistorspeech-languagepathologistbyahome
97statetoaresidentinthatstateshallberecognizedbyeachmemberstateasauthorizing
98anaudiologistorspeech-languagepathologisttopracticeaudiologyorspeech-language
99pathology,underaprivilegetopractice,ineachmemberstate.
100 B.Astatemustimplementorutilizeproceduresforconsideringthecriminal
101historyrecordsofapplicantsforinitialprivilegetopractice.Theseproceduresshall
102includethesubmissionoffingerprintsorotherbiometric-basedinformationby
103applicantsforthepurposeofobtaininganapplicant'scriminalhistoryrecord
104informationfromtheFederalBureauofInvestigationandtheagencyresponsiblefor
105retainingthatstate'scriminalrecords.
106 1.Amemberstatemustfullyimplementacriminalbackgroundcheck
107requirement,withinatimeframeestablishedbyrule,byreceivingtheresultsofthe
108FederalBureauofInvestigationrecordsearchoncriminalbackgroundchecksanduse
109theresultsinmakinglicensuredecisions.
110 2.Communicationbetweenamemberstate,theCommissionandamong
111memberstatesregardingtheverificationofeligibilityforlicensurethroughthe
112CompactshallnotincludeanyinformationreceivedfromtheFederalBureauof
113Investigationrelatingtoafederalcriminalrecordscheckperformedbyamemberstate
114underPublicLaw92-544.
115 C.Uponapplicationforaprivilegetopractice,thelicensingboardintheissuing
116remotestateshallascertain,throughthedatasystem,whethertheapplicanthasever
117held,oristheholderof,alicenseissuedbyanyotherstate,whetherthereareany
118encumbrancesonanylicenseorprivilegetopracticeheldbytheapplicant,whetherany
119adverseactionhasbeentakenagainstanylicenseorprivilegetopracticeheldbythe
120applicant.
121 D.Eachmemberstateshallrequireanapplicanttoobtainorretainalicensein
122thehomestateandmeetthehomestate'squalificationsforlicensureorrenewalof
123licensure,aswellas,allotherapplicablestatelaws.
124 E.Foranaudiologist:
CCS#2SSHB2149 28 125 1.Mustmeetoneofthefollowingeducationalrequirements:
126 a.Onorbefore,Dec.31,2007,hasgraduatedwithamaster'sdegreeordoctorate
127inaudiology,orequivalentdegreeregardlessofdegreename,fromaprogramthatis
128accreditedbyanaccreditingagencyrecognizedbytheCouncilforHigherEducation
129Accreditation,oritssuccessor,orbytheUnitedStatesDepartmentofEducationand
130operatedbyacollegeoruniversityaccreditedbyaregionalornationalaccrediting
131organizationrecognizedbytheboard;or
132 b.Onorafter,Jan.1,2008,hasgraduatedwithaDoctoraldegreeinaudiology,
133orequivalentdegree,regardlessofdegreename,fromaprogramthatisaccreditedby
134anaccreditingagencyrecognizedbytheCouncilforHigherEducationAccreditation,or
135itssuccessor,orbytheUnitedStatesDepartmentofEducationandoperatedbyacollege
136oruniversityaccreditedbyaregionalornationalaccreditingorganizationrecognized
137bytheboard;or
138 c.Hasgraduatedfromanaudiologyprogramthatishousedinaninstitutionof
139highereducationoutsideoftheUnitedStates(a)forwhichtheprogramandinstitution
140havebeenapprovedbytheauthorizedaccreditingbodyintheapplicablecountryand
141(b)thedegreeprogramhasbeenverifiedbyanindependentcredentialsreviewagency
142tobecomparabletoastatelicensingboard-approvedprogram.
143 2.Hascompletedasupervisedclinicalpracticumexperiencefromanaccredited
144educationalinstitutionoritscooperatingprogramsasrequiredbytheCommission;
145 3.HassuccessfullypassedanationalexaminationapprovedbytheCommission;
146 4.Holdsanactive,unencumberedlicense;
147 5.Hasnotbeenconvictedorfoundguilty,andhasnotenteredintoanagreed
148disposition,ofafelonyrelatedtothepracticeofaudiology,underapplicablestateor
149federalcriminallaw;
150 6.HasavalidUnitedStatesSocialSecurityorNationalPractitioner
151Identificationnumber.
152 F.Foraspeech-languagepathologist:
153 1.Mustmeetoneofthefollowingeducationalrequirements:
154 a.Hasgraduatedwithamaster'sdegreefromaspeech-languagepathology
155programthatisaccreditedbyanorganizationrecognizedbytheUnitedStates
156DepartmentofEducationandoperatedbyacollegeoruniversityaccreditedbya
157regionalornationalaccreditingorganizationrecognizedbytheboard;or
158 b.Hasgraduatedfromaspeech-languagepathologyprogramthatishousedin
159aninstitutionofhighereducationoutsideoftheUnitedStates(a)forwhichtheprogram
160andinstitutionhavebeenapprovedbytheauthorizedaccreditingbodyintheapplicable
CCS#2SSHB2149 29 161countryand(b)thedegreeprogramhasbeenverifiedbyanindependentcredentials
162reviewagencytobecomparabletoastatelicensingboard-approvedprogram.
163 2.Hascompletedasupervisedclinicalpracticumexperiencefroman
164educationalinstitutionoritscooperatingprogramsasrequiredbytheCommission;
165 3.Hascompletedasupervisedpostgraduateprofessionalexperienceasrequired
166bytheCommission;
167 4.HassuccessfullypassedanationalexaminationapprovedbytheCommission;
168 5.Holdsanactive,unencumberedlicense;
169 6.Hasnotbeenconvictedorfoundguilty,andhasnotenteredintoanagreed
170disposition,ofafelonyrelatedtothepracticeofspeech-languagepathology,under
171applicablestateorfederalcriminallaw;
172 7.HasavalidUnitedStatesSocialSecurityorNationalPractitioner
173Identificationnumber.
174 G.Theprivilegetopracticeisderivedfromthehomestatelicense.
175 H.Anaudiologistorspeech-languagepathologistpracticinginamemberstate
176mustcomplywiththestatepracticelawsofthestateinwhichtheclientislocatedatthe
177timeserviceisprovided.Thepracticeofaudiologyandspeech-languagepathologyshall
178includeallaudiologyandspeech-languagepathologypracticeasdefinedbythestate
179practicelawsofthememberstateinwhichtheclientislocated.Thepracticeof
180audiologyandspeech-languagepathologyinamemberstateunderaprivilegeto
181practiceshallsubjectanaudiologistorspeech-languagepathologisttothejurisdictionof
182thelicensingboard,thecourtsandthelawsofthememberstateinwhichtheclientis
183locatedatthetimeserviceisprovided.
184 I.Individualsnotresidinginamemberstateshallcontinuetobeabletoapply
185foramemberstate'ssingle-statelicenseasprovidedunderthelawsofeachmember
186state.However,thesingle-statelicensegrantedtotheseindividualsshallnotbe
187recognizedasgrantingtheprivilegetopracticeaudiologyorspeech-languagepathology
188inanyothermemberstate.NothinginthisCompactshallaffecttherequirements
189establishedbyamemberstatefortheissuanceofasingle-statelicense.
190 J.Memberstatesmaychargeafeeforgrantingacompactprivilege.
191 K.Memberstatesmustcomplywiththebylawsandrulesandregulationsofthe
192Commission.
193 SECTION4.COMPACTPRIVILEGE
194 A.Toexercisethecompactprivilegeunderthetermsandprovisionsofthe
195Compact,theaudiologistorspeech-languagepathologistshall:
196 1.Holdanactivelicenseinthehomestate;
197 2.Havenoencumbranceonanystatelicense;
CCS#2SSHB2149 30 198 3.Beeligibleforacompactprivilegeinanymemberstateinaccordancewith
199Section3;
200 4.Havenothadanyadverseactionagainstanylicenseorcompactprivilege
201withintheprevious2yearsfromdateofapplication;
202 5.NotifytheCommissionthatthelicenseeisseekingthecompactprivilege
203withinaremotestate(s);
204 6.Payanyapplicablefees,includinganystatefee,forthecompactprivilege;
205 7.ReporttotheCommissionadverseactiontakenbyanynon-memberstate
206within30daysfromthedatetheadverseactionistaken.
207 B.Forthepurposesofthecompactprivilege,anaudiologistorspeech-language
208pathologistshallonlyholdonehomestatelicenseatatime.
209 C.ExceptasprovidedinSection6,ifanaudiologistorspeech-language
210pathologistchangesprimarystateofresidencebymovingbetweentwo-memberstates,
211theaudiologistorspeech-languagepathologistmustapplyforlicensureinthenewhome
212state,andthelicenseissuedbythepriorhomestateshallbedeactivatedinaccordance
213withapplicablerulesadoptedbytheCommission.
214 D.Theaudiologistorspeech-languagepathologistmayapplyforlicensurein
215advanceofachangeinprimarystateofresidence.
216 E.Alicenseshallnotbeissuedbythenewhomestateuntiltheaudiologistor
217speech-languagepathologistprovidessatisfactoryevidenceofachangeinprimarystate
218ofresidencetothenewhomestateandsatisfiesallapplicablerequirementstoobtaina
219licensefromthenewhomestate.
220 F.Ifanaudiologistorspeech-languagepathologistchangesprimarystateof
221residencebymovingfromamemberstatetoanon-memberstate,thelicenseissuedby
222thepriorhomestateshallconverttoasingle-statelicense,validonlyintheformerhome
223state.
224 G.Thecompactprivilegeisvaliduntiltheexpirationdateofthehomestate
225license.ThelicenseemustcomplywiththerequirementsofSection4Atomaintainthe
226compactprivilegeintheremotestate.
227 H.Alicenseeprovidingaudiologyorspeech-languagepathologyservicesina
228remotestateunderthecompactprivilegeshallfunctionwithinthelawsandregulations
229oftheremotestate.
230 I.Alicenseeprovidingaudiologyorspeech-languagepathologyservicesina
231remotestateissubjecttothatstate'sregulatoryauthority.Aremotestatemay,in
232accordancewithdueprocessandthatstate'slaws,removealicensee'scompactprivilege
233intheremotestateforaspecificperiodoftime,imposefines,and/ortakeanyother
234necessaryactionstoprotectthehealthandsafetyofitscitizens.
CCS#2SSHB2149 31 235 J.Ifahomestatelicenseisencumbered,thelicenseeshalllosethecompact
236privilegeinanyremotestateuntilthefollowingoccur:
237 1.Thehomestatelicenseisnolongerencumbered;and
238 2.Twoyearshaveelapsedfromthedateoftheadverseaction.
239 K.Onceanencumberedlicenseinthehomestateisrestoredtogoodstanding,
240thelicenseemustmeettherequirementsofSection4Atoobtainacompactprivilegein
241anyremotestate.
242 L.OncetherequirementsofSection4Jhavebeenmet,thelicenseemustmeet
243therequirementsinSection4Atoobtainacompactprivilegeinaremotestate.
244 SECTION5.COMPACTPRIVILEGETOPRACTICETELEHEALTH
245 Memberstatesshallrecognizetherightofanaudiologistorspeech-language
246pathologist,licensedbyahomestateinaccordancewithSection3andunderrules
247promulgatedbytheCommission,topracticeaudiologyorspeech-languagepathologyin
248anymemberstateviatelehealthunderaprivilegetopracticeasprovidedinthe
249CompactandrulespromulgatedbytheCommission.
250 SECTION6.ACTIVEDUTYMILITARYPERSONNELORTHEIRSPOUSES
251 Activedutymilitarypersonnel,ortheirspouse,shalldesignateahomestate
252wheretheindividualhasacurrentlicenseingoodstanding.Theindividualmayretain
253thehomestatedesignationduringtheperiodtheservicememberisonactiveduty.
254Subsequenttodesignatingahomestate,theindividualshallonlychangetheirhome
255statethroughapplicationforlicensureinthenewstate.
256 SECTION7.ADVERSEACTIONS
257 A.Inadditiontotheotherpowersconferredbystatelaw,aremotestateshall
258havetheauthority,inaccordancewithexistingstatedueprocesslaw,to:
259 1.Takeadverseactionagainstanaudiologist'sorspeech-languagepathologist's
260privilegetopracticewithinthatmemberstate.
261 2.Issuesubpoenasforbothhearingsandinvestigationsthatrequirethe
262attendanceandtestimonyofwitnessesaswellastheproductionofevidence.Subpoenas
263issuedbyalicensingboardinamemberstatefortheattendanceandtestimonyof
264witnessesortheproductionofevidencefromanothermemberstateshallbeenforcedin
265thelatterstatebyanycourtofcompetentjurisdiction,accordingtothepracticeand
266procedureofthatcourtapplicabletosubpoenasissuedinproceedingspendingbeforeit.
267Theissuingauthorityshallpayanywitnessfees,travelexpenses,mileageandotherfees
268requiredbytheservicestatutesofthestateinwhichthewitnessesorevidenceare
269located.
270 3.Onlythehomestateshallhavethepowertotakeadverseactionagainstan
271audiologist'sorspeech-languagepathologist'slicenseissuedbythehomestate.
CCS#2SSHB2149 32 272 B.Forpurposesoftakingadverseaction,thehomestateshallgivethesame
273priorityandeffecttoreportedconductreceivedfromamemberstateasitwouldifthe
274conducthadoccurredwithinthehomestate.Insodoing,thehomestateshallapplyits
275ownstatelawstodetermineappropriateaction.
276 C.Thehomestateshallcompleteanypendinginvestigationsofanaudiologistor
277speech-languagepathologistwhochangesprimarystateofresidenceduringthecourse
278oftheinvestigations.Thehomestateshallalsohavetheauthoritytotakeappropriate
279action(s)andshallpromptlyreporttheconclusionsoftheinvestigationstothe
280administratorofthedatasystem.Theadministratorofthecoordinatedlicensure
281informationsystemshallpromptlynotifythenewhomestateofanyadverseactions.
282 D.Ifotherwisepermittedbystatelaw,thememberstatemayrecoverfromthe
283affectedaudiologistorspeech-languagepathologistthecostsofinvestigationsand
284dispositionofcasesresultingfromanyadverseactiontakenagainstthataudiologistor
285speech-languagepathologist.
286 E.Thememberstatemaytakeadverseactionbasedonthefactualfindingsof
287theremotestate,providedthatthememberstatefollowsthememberstate'sown
288proceduresfortakingtheadverseaction.
289 F.JointInvestigations:
290 1.Inadditiontotheauthoritygrantedtoamemberstatebyitsrespective
291audiologyorspeech-languagepathologypracticeactorotherapplicablestatelaw,any
292memberstatemayparticipatewithothermemberstatesinjointinvestigationsof
293licensees.
294 2.Memberstatesshallshareanyinvestigative,litigation,orcompliance
295materialsinfurtheranceofanyjointorindividualinvestigationinitiatedunderthe
296Compact.
297 G.Ifadverseactionistakenbythehomestateagainstanaudiologist'sorspeech-
298languagepathologist'slicense,theaudiologist'sorspeech-languagepathologist's
299privilegetopracticeinallothermemberstatesshallbedeactivateduntilall
300encumbranceshavebeenremovedfromthestatelicense.Allhomestatedisciplinary
301ordersthatimposeadverseactionagainstanaudiologist'sorspeech-language
302pathologist'slicenseshallincludeastatementthattheaudiologist'sorspeech-
303languagepathologist'sprivilegetopracticeisdeactivatedinallmemberstatesduring
304thependencyoftheorder.
305 H.Ifamemberstatetakesadverseaction,itshallpromptlynotifythe
306administratorofthedatasystem.Theadministratorofthedatasystemshallpromptly
307notifythehomestateofanyadverseactionsbyremotestates.
CCS#2SSHB2149 33 308 I.NothinginthisCompactshalloverrideamemberstate'sdecisionthat
309participationinanalternativeprogrammaybeusedinlieuofadverseaction.
310 SECTION8.ESTABLISHMENT OFTHEAUDIOLOGY ANDSPEECH-
311LANGUAGE PATHOLOGY COMPACTCOMMISSION
312 A.TheCompactmemberstatesherebycreateandestablishajointpublicagency
313knownastheAudiologyandSpeech-LanguagePathologyCompactCommission:
314 1.TheCommissionisaninstrumentalityoftheCompactstates.
315 2.VenueisproperandjudicialproceedingsbyoragainsttheCommissionshall
316bebroughtsolelyandexclusivelyinacourtofcompetentjurisdictionwherethe
317principalofficeoftheCommissionislocated.TheCommissionmaywaivevenueand
318jurisdictionaldefensestotheextentitadoptsorconsentstoparticipateinalternative
319disputeresolutionproceedings.
320 3.NothinginthisCompactshallbeconstruedtobeawaiverofsovereign
321immunity.
322 B.Membership,VotingandMeetings:
323 1.Eachmemberstateshallhavetwo(2)delegatesselectedbythatmember
324state'slicensingboard.Thedelegatesshallbecurrentmembersofthelicensingboard.
325Oneshallbeanaudiologistandoneshallbeaspeech-languagepathologist.
326 2.Anadditionalfive(5)delegates,whoareeitherapublicmemberorboard
327administratorfromastatelicensingboard,shallbechosenbytheExecutiveCommittee
328fromapoolofnomineesprovidedbytheCommissionatLarge.
329 3.Anydelegatemayberemovedorsuspendedfromofficeasprovidedbythelaw
330ofthestatefromwhichthedelegateisappointed.
331 4.ThememberstateboardshallfillanyvacancyoccurringontheCommission,
332within90days.
333 5.Eachdelegateshallbeentitledtoone(1)votewithregardtothepromulgation
334ofrulesandcreationofbylawsandshallotherwisehaveanopportunitytoparticipatein
335thebusinessandaffairsoftheCommission.
336 6.Adelegateshallvoteinpersonorbyothermeansasprovidedinthebylaws.
337Thebylawsmayprovidefordelegates'participationinmeetingsbytelephoneorother
338meansofcommunication.
339 7.TheCommissionshallmeetatleastonceduringeachcalendaryear.
340Additionalmeetingsshallbeheldassetforthinthebylaws.
341 C.TheCommissionshallhavethefollowingpowersandduties:
342 1.EstablishthefiscalyearoftheCommission;
343 2.Establishbylaws;
344 3.EstablishaCodeofEthics;
CCS#2SSHB2149 34 345 4.Maintainitsfinancialrecordsinaccordancewiththebylaws;
346 5.MeetandtakeactionsasareconsistentwiththeprovisionsofthisCompact
347andthebylaws;
348 6.Promulgateuniformrulestofacilitateandcoordinateimplementationand
349administrationofthisCompact.Therulesshallhavetheforceandeffectoflawand
350shallbebindinginallmemberstates;
351 7.Bringandprosecutelegalproceedingsoractionsinthenameofthe
352Commission,providedthatthestandingofanystateaudiologyorspeech-language
353pathologylicensingboardtosueorbesuedunderapplicablelawshallnotbeaffected;
354 8.Purchaseandmaintaininsuranceandbonds;
355 9.Borrow,accept,orcontractforservicesofpersonnel,including,butnot
356limitedto,employeesofamemberstate;
357 10.Hireemployees,electorappointofficers,fixcompensation,defineduties,
358grantindividualsappropriateauthoritytocarryoutthepurposesoftheCompact,and
359toestablishtheCommission'spersonnelpoliciesandprogramsrelatingtoconflictsof
360interest,qualificationsofpersonnel,andotherrelatedpersonnelmatters;
361 11.Acceptanyandallappropriatedonationsandgrantsofmoney,equipment,
362supplies,materialsandservices,andtoreceive,utilizeanddisposeofthesame;provided
363thatatalltimestheCommissionshallavoidanyappearanceofimproprietyand/or
364conflictofinterest;
365 12.Lease,purchase,acceptappropriategiftsordonationsof,orotherwiseto
366own,hold,improveoruse,anyproperty,real,personalormixed;providedthatatall
367timestheCommissionshallavoidanyappearanceofimpropriety;
368 13.Sell,convey,mortgage,pledge,lease,exchange,abandon,orotherwise
369disposeofanypropertyreal,personal,ormixed;
370 14.Establishabudgetandmakeexpenditures;
371 15.Borrowmoney;
372 16.Appointcommittees,includingstandingcommitteescomposedofmembers,
373andotherinterestedpersonsasmaybedesignatedinthisCompactandthebylaws;
374 17.Provideandreceiveinformationfrom,andcooperatewith,lawenforcement
375agencies;
376 18.EstablishandelectanExecutiveCommittee;and
377 19.Performotherfunctionsasmaybenecessaryorappropriatetoachievethe
378purposesofthisCompactconsistentwiththestateregulationofaudiologyandspeech-
379languagepathologylicensureandpractice.
380 D.TheExecutiveCommittee
CCS#2SSHB2149 35 381 TheExecutiveCommitteeshallhavethepowertoactonbehalfofthe
382CommissionaccordingtothetermsofthisCompact:
383 1.TheExecutiveCommitteeshallbecomposedoften(10)members:
384 a.Seven(7)votingmemberswhoareelectedbytheCommissionfromthe
385currentmembershipoftheCommission;
386 b.Two(2)ex-officios,consistingofonenonvotingmemberfromarecognized
387nationalaudiologyprofessionalassociationandonenonvotingmemberfroma
388recognizednationalspeech-languagepathologyassociation;and
389 c.One(1)ex-officio,nonvotingmemberfromtherecognizedmembership
390organizationoftheaudiologyandspeech-languagepathologylicensingboards.
391 E.Theex-officiomembersshallbeselectedbytheirrespectiveorganizations.
392 1.TheCommissionmayremoveanymemberoftheExecutiveCommitteeas
393providedinbylaws.
394 2.TheExecutiveCommitteeshallmeetatleastannually.
395 3.TheExecutiveCommitteeshallhavethefollowingdutiesandresponsibilities:
396 a.RecommendtotheentireCommissionchangestotherulesorbylaws,changes
397tothisCompactlegislation,feespaidbyCompactmemberstatessuchasannualdues,
398andanycommissionCompactfeechargedtolicenseesforthecompactprivilege;
399 b.EnsureCompactadministrationservicesareappropriatelyprovided,
400contractualorotherwise;
401 c.Prepareandrecommendthebudget;
402 d.MaintainfinancialrecordsonbehalfoftheCommission;
403 e.MonitorCompactcomplianceofmemberstatesandprovidecompliance
404reportstotheCommission;
405 f.Establishadditionalcommitteesasnecessary;and
406 g.Otherdutiesasprovidedinrulesorbylaws.
407 4.MeetingsoftheCommission
408 Allmeetingsshallbeopentothepublic,andpublicnoticeofmeetingsshallbe
409giveninthesamemannerasrequiredundertherulemakingprovisionsinSection10.
410 5.TheCommissionortheExecutiveCommitteeorothercommitteesofthe
411Commissionmayconveneinaclosed,non-publicmeetingiftheCommissionor
412ExecutiveCommitteeorothercommitteesoftheCommissionmustdiscuss:
413 a.Non-complianceofamemberstatewithitsobligationsundertheCompact;
414 b.Theemployment,compensation,disciplineorothermatters,practicesor
415proceduresrelatedtospecificemployeesorothermattersrelatedtotheCommission's
416internalpersonnelpracticesandprocedures;
417 c.Current,threatened,orreasonablyanticipatedlitigation;
CCS#2SSHB2149 36 418 d.Negotiationofcontractsforthepurchase,lease,orsaleofgoods,services,or
419realestate;
420 e.Accusinganypersonofacrimeorformallycensuringanyperson;
421 f.Disclosureoftradesecretsorcommercialorfinancialinformationthatis
422privilegedorconfidential;
423 g.Disclosureofinformationofapersonalnaturewheredisclosurewould
424constituteaclearlyunwarrantedinvasionofpersonalprivacy;
425 h.Disclosureofinvestigativerecordscompiledforlawenforcementpurposes;
426 i.Disclosureofinformationrelatedtoanyinvestigativereportspreparedbyor
427onbehalfoforforuseoftheCommissionorothercommitteechargedwith
428responsibilityofinvestigationordeterminationofcomplianceissuespursuanttothe
429Compact;or
430 j.Mattersspecificallyexemptedfromdisclosurebyfederalormemberstate
431statute.
432 6.Ifameeting,orportionofameeting,isclosedpursuanttothisprovision,the
433Commission'slegalcounselordesigneeshallcertifythatthemeetingmaybeclosedand
434shallreferenceeachrelevantexemptingprovision.
435 7.TheCommissionshallkeepminutesthatfullyandclearlydescribeallmatters
436discussedinameetingandshallprovideafullandaccuratesummaryofactionstaken,
437andthereasonstherefore,includingadescriptionoftheviewsexpressed.Alldocuments
438consideredinconnectionwithanactionshallbeidentifiedinminutes.Allminutesand
439documentsofaclosedmeetingshallremainunderseal,subjecttoreleasebyamajority
440voteoftheCommissionororderofacourtofcompetentjurisdiction.
441 8.FinancingoftheCommission:
442 a.TheCommissionshallpay,orprovideforthepaymentof,thereasonable
443expensesofitsestablishment,organization,andongoingactivities.
444 b.TheCommissionmayacceptanyandallappropriaterevenuesources,
445donations,andgrantsofmoney,equipment,supplies,materials,andservices.
446 c.TheCommissionmaylevyonandcollectanannualassessmentfromeach
447memberstateorimposefeesonotherpartiestocoverthecostoftheoperationsand
448activitiesoftheCommissionanditsstaff,whichmustbeinatotalamountsufficientto
449coveritsannualbudgetasapprovedeachyearforwhichrevenueisnotprovidedby
450othersources.Theaggregateannualassessmentamountshallbeallocatedbasedupona
451formulatobedeterminedbytheCommission,whichshallpromulgatearulebinding
452uponallmemberstates.
CCS#2SSHB2149 37 453 9.TheCommissionshallnotincurobligationsofanykindpriortosecuringthe
454fundsadequatetomeetthesame;norshalltheCommissionpledgethecreditofanyof
455thememberstates,exceptbyandwiththeauthorityofthememberstate.
456 10.TheCommissionshallkeepaccurateaccountsofallreceiptsand
457disbursements.ThereceiptsanddisbursementsoftheCommissionshallbesubject
458totheauditandaccountingproceduresestablishedunderitsbylaws.However,all
459receiptsanddisbursementsoffundshandledbytheCommissionshallbeauditedyearly
460byacertifiedorlicensedpublicaccountant,andthereportoftheauditshallbeincluded
461inandbecomepartoftheannualreportoftheCommission.
462 F.QualifiedImmunity,Defense,andIndemnification:
463 1.Themembers,officers,executivedirector,employeesandrepresentativesof
464theCommissionshallbeimmunefromsuitandliability,eitherpersonallyorintheir
465officialcapacity,foranyclaimfordamagetoorlossofpropertyorpersonalinjuryor
466othercivilliabilitycausedbyorarisingoutofanyactualorallegedact,erroror
467omissionthatoccurred,orthatthepersonagainstwhomtheclaimismadehada
468reasonablebasisforbelievingoccurredwithinthescopeofCommissionemployment,
469dutiesorresponsibilities;providedthatnothinginthisparagraphshallbeconstruedto
470protectanypersonfromsuitand/orliabilityforanydamage,loss,injury,orliability
471causedbytheintentionalorwillfulorwantonmisconductofthatperson.
472 2.TheCommissionshalldefendanymember,officer,executivedirector,
473employeeorrepresentativeoftheCommissioninanycivilactionseekingtoimpose
474liabilityarisingoutofanyactualorallegedact,error,oromissionthatoccurredwithin
475thescopeofCommissionemployment,duties,orresponsibilities,orthattheperson
476againstwhomtheclaimismadehadareasonablebasisforbelievingoccurredwithinthe
477scopeofCommissionemployment,duties,orresponsibilities;providedthatnothing
478hereinshallbeconstruedtoprohibitthatpersonfromretaininghisorherowncounsel;
479andprovidedfurther,thattheactualorallegedact,error,oromissiondidnotresult
480fromthatperson'sintentionalorwillfulorwantonmisconduct.
481 3.TheCommissionshallindemnifyandholdharmlessanymember,officer,
482executivedirector,employee,orrepresentativeoftheCommissionfortheamountofany
483settlementorjudgmentobtainedagainstthatpersonarisingoutofanyactualoralleged
484act,errororomissionthatoccurredwithinthescopeofCommissionemployment,
485duties,orresponsibilities,orthatpersonhadareasonablebasisforbelievingoccurred
486withinthescopeofCommissionemployment,duties,orresponsibilities,providedthat
487theactualorallegedact,error,oromissiondidnotresultfromtheintentionalorwillful
488orwantonmisconductofthatperson.
489 SECTION9.DATASYSTEM
CCS#2SSHB2149 38 490 A.TheCommissionshallprovideforthedevelopment,maintenance,and
491utilizationofacoordinateddatabaseandreportingsystemcontaininglicensure,adverse
492action,andinvestigativeinformationonalllicensedindividualsinmemberstates.
493 B.Notwithstandinganyotherprovisionofstatelawtothecontrary,amember
494stateshallsubmitauniformdatasettothedatasystemonallindividualstowhomthis
495CompactisapplicableasrequiredbytherulesoftheCommission,including:
496 1.Identifyinginformation;
497 2.Licensuredata;
498 3.Adverseactionsagainstalicenseorcompactprivilege;
499 4.Non-confidentialinformationrelatedtoalternativeprogramparticipation;
500 5.Anydenialofapplicationforlicensure,andthereason(s)fordenial;and
501 6.OtherinformationthatmayfacilitatetheadministrationofthisCompact,as
502determinedbytherulesoftheCommission.
503 C.Investigativeinformationpertainingtoalicenseeinanymemberstateshall
504onlybeavailabletoothermemberstates.
505 D.TheCommissionshallpromptlynotifyallmemberstatesofanyadverse
506actiontakenagainstalicenseeoranindividualapplyingforalicense.Adverseaction
507informationpertainingtoalicenseeinanymemberstateshallbeavailabletoanyother
508memberstate.
509 E.Memberstatescontributinginformationtothedatasystemmaydesignate
510informationthatmaynotbesharedwiththepublicwithouttheexpresspermissionof
511thecontributingstate.
512 F.Anyinformationsubmittedtothedatasystemthatissubsequentlyrequiredto
513beexpungedbythelawsofthememberstatecontributingtheinformationshallbe
514removedfromthedatasystem.
515 SECTION10.RULEMAKING
516 A.TheCommissionshallexerciseitsrulemakingpowerspursuanttothecriteria
517setforthinthisSectionandtherulesadoptedthereunder.Rulesandamendmentsshall
518becomebindingasofthedatespecifiedineachruleoramendment.
519 B.Ifamajorityofthelegislaturesofthememberstatesrejectsarule,by
520enactmentofastatuteorresolutioninthesamemannerusedtoadopttheCompact
521within4yearsofthedateofadoptionoftherule,theruleshallhavenofurtherforceand
522effectinanymemberstate.
523 C.Rulesoramendmentstotherulesshallbeadoptedataregularorspecial
524meetingoftheCommission.
525 D.Priortopromulgationandadoptionofafinalruleorrulesbythe
526Commission,andatleastthirty(30)daysinadvanceofthemeetingatwhichtherule
CCS#2SSHB2149 39 527shallbeconsideredandvotedupon,theCommissionshallfileaNoticeofProposed
528Rulemaking:
529 1.OnthewebsiteoftheCommissionorotherpubliclyaccessibleplatform;and
530 2.Onthewebsiteofeachmemberstateaudiologyorspeech-languagepathology
531licensingboardorotherpubliclyaccessibleplatformorthepublicationinwhicheach
532statewouldotherwisepublishproposedrules.
533 E.TheNoticeofProposedRulemakingshallinclude:
534 1.Theproposedtime,date,andlocationofthemeetinginwhichtheruleshallbe
535consideredandvotedupon;
536 2.Thetextoftheproposedruleoramendmentandthereasonfortheproposed
537rule;
538 3.Arequestforcommentsontheproposedrulefromanyinterestedperson;and
539 4.ThemannerinwhichinterestedpersonsmaysubmitnoticetotheCommission
540oftheirintentiontoattendthepublichearingandanywrittencomments.
541 F.Priortotheadoptionofaproposedrule,theCommissionshallallowpersons
542tosubmitwrittendata,facts,opinionsandarguments,whichshallbemadeavailableto
543thepublic.
544 G.TheCommissionshallgrantanopportunityforapublichearingbeforeit
545adoptsaruleoramendmentifahearingisrequestedby:
546 1.Atleasttwenty-five(25)persons;
547 2.Astateorfederalgovernmentalsubdivisionoragency;or
548 3.Anassociationhavingatleasttwenty-five(25)members.
549 H.Ifahearingisheldontheproposedruleoramendment,theCommissionshall
550publishtheplace,time,anddateofthescheduledpublichearing.Ifthehearingisheld
551viaelectronicmeans,theCommissionshallpublishthemechanismforaccesstothe
552electronichearing.
553 1.Allpersonswishingtobeheardatthehearingshallnotifytheexecutive
554directoroftheCommissionorotherdesignatedmemberinwritingoftheirdesireto
555appearandtestifyatthehearingnotlessthanfive(5)businessdaysbeforethescheduled
556dateofthehearing.
557 2.Hearingsshallbeconductedinamannerprovidingeachpersonwhowishesto
558commentafairandreasonableopportunitytocommentorallyorinwriting.
559 3.Allhearingsshallberecorded.Acopyoftherecordingshallbemade
560availableonrequest.
561 4.Nothinginthissectionshallbeconstruedasrequiringaseparatehearingon
562eachrule.RulesmaybegroupedfortheconvenienceoftheCommissionathearings
563requiredbythissection.
CCS#2SSHB2149 40 564 I.Followingthescheduledhearingdate,orbythecloseofbusinessonthe
565scheduledhearingdateifthehearingwasnotheld,theCommissionshallconsiderall
566writtenandoralcommentsreceived.
567 J.Ifnowrittennoticeofintenttoattendthepublichearingbyinterestedparties
568isreceived,theCommissionmayproceedwithpromulgationoftheproposedrule
569withoutapublichearing.
570 K.TheCommissionshall,bymajorityvoteofallmembers,takefinalactionon
571theproposedruleandshalldeterminetheeffectivedateoftherule,ifany,basedonthe
572rulemakingrecordandthefulltextoftherule.
573 L.Upondeterminationthatanemergencyexists,theCommissionmayconsider
574andadoptanemergencyrulewithoutpriornotice,opportunityforcomment,or
575hearing,providedthattheusualrulemakingproceduresprovidedintheCompactand
576inthissectionshallberetroactivelyappliedtotheruleassoonasreasonablypossible,in
577noeventlaterthanninety(90)daysaftertheeffectivedateoftherule.Forthepurposes
578ofthisprovision,anemergencyruleisonethatmustbeadoptedimmediatelyinorder
579to:
580 1.Meetanimminentthreattopublichealth,safety,orwelfare;
581 2.PreventalossofCommissionormemberstatefunds;or
582 3.Meetadeadlineforthepromulgationofanadministrativerulethatis
583establishedbyfederallaworrule.
584 M.TheCommissionoranauthorizedcommitteeoftheCommissionmaydirect
585revisionstoapreviouslyadoptedruleoramendmentforpurposesofcorrecting
586typographicalerrors,errorsinformat,errorsinconsistency,orgrammaticalerrors.
587PublicnoticeofanyrevisionsshallbepostedonthewebsiteoftheCommission.The
588revisionshallbesubjecttochallengebyanypersonforaperiodofthirty(30)daysafter
589posting.Therevisionmaybechallengedonlyongroundsthattherevisionresultsina
590materialchangetoarule.Achallengeshallbemadeinwritinganddeliveredtothe
591chairoftheCommissionpriortotheendofthenoticeperiod.Ifnochallengeismade,
592therevisionshalltakeeffectwithoutfurtheraction.Iftherevisionischallenged,the
593revisionmaynottakeeffectwithouttheapprovaloftheCommission.
594 SECTION 11.OVERSIGHT ,DISPUTE RESOLUTION, AND
595ENFORCEMENT
596 A.DisputeResolution
597 1.Uponrequestbyamemberstate,theCommissionshallattempttoresolve
598disputesrelatedtotheCompactthatariseamongmemberstatesandbetweenmember
599andnon-memberstates.
CCS#2SSHB2149 41 600 2.TheCommissionshallpromulgatearuleprovidingforbothmediationand
601bindingdisputeresolutionfordisputesasappropriate.
602 B.Enforcement
603 1.TheCommission,inthereasonableexerciseofitsdiscretion,shallenforcethe
604provisionsandrulesofthisCompact.
605 2.Bymajorityvote,theCommissionmayinitiatelegalactionintheUnited
606StatesDistrictCourtfortheDistrictofColumbiaorthefederaldistrictwherethe
607Commissionhasitsprincipalofficesagainstamemberstateindefaulttoenforce
608compliancewiththeprovisionsoftheCompactanditspromulgatedrulesandbylaws.
609Thereliefsoughtmayincludebothinjunctivereliefanddamages.Intheeventjudicial
610enforcementisnecessary,theprevailingmembershallbeawardedallcostsoflitigation,
611includingreasonableattorney'sfees.
612 3.TheremedieshereinshallnotbetheexclusiveremediesoftheCommission.
613TheCommissionmaypursueanyotherremediesavailableunderfederalorstatelaw.
614 SECTION12.DATEOFIMPLEMENTATIONOFTHEINTERSTATE
615COMMISSION FORAUDIOLOGY ANDSPEECH-LANGUAGE PATHOLOGY
616PRACTICEANDASSOCIATEDRULES,WITHDRAWAL,ANDAMENDMENT
617 A.TheCompactshallcomeintoeffectonthedateonwhichtheCompactstatute
618isenactedintolawinthe10thmemberstate.Theprovisions,whichbecomeeffectiveat
619thattime,shallbelimitedtothepowersgrantedtotheCommissionrelatingtoassembly
620andthepromulgationofrules.Thereafter,theCommissionshallmeetandexercise
621rulemakingpowersnecessarytotheimplementationandadministrationofthe
622Compact.
623 B.AnystatethatjoinstheCompactsubsequenttotheCommission'sinitial
624adoptionoftherulesshallbesubjecttotherulesastheyexistonthedateonwhichthe
625Compactbecomeslawinthatstate.Anyrulethathasbeenpreviouslyadoptedbythe
626CommissionshallhavethefullforceandeffectoflawonthedaytheCompactbecomes
627lawinthatstate.
628 C.AnymemberstatemaywithdrawfromthisCompactbyenactingastatute
629repealingthesame.
630 1.Amemberstate'swithdrawalshallnottakeeffectuntilsix(6)monthsafter
631enactmentoftherepealingstatute.
632 2.Withdrawalshallnotaffectthecontinuingrequirementofthewithdrawing
633state'saudiologyorspeech-languagepathologylicensingboardtocomplywiththe
634investigativeandadverseactionreportingrequirementsofthisactpriortotheeffective
635dateofwithdrawal.
CCS#2SSHB2149 42 636 D.NothingcontainedinthisCompactshallbeconstruedtoinvalidateorprevent
637anyaudiologyorspeech-languagepathologylicensureagreementorothercooperative
638arrangementbetweenamemberstateandanon-memberstatethatdoesnotconflict
639withtheprovisionsofthisCompact.
640 E.ThisCompactmaybeamendedbythememberstates.Noamendmenttothis
641Compactshallbecomeeffectiveandbindinguponanymemberstateuntilitisenacted
642intothelawsofallmemberstates.
643 SECTION13.CONSTRUCTION ANDSEVERABILITY
644 ThisCompactshallbeliberallyconstruedsoastoeffectuatethepurposes
645thereof.TheprovisionsofthisCompactshallbeseverableandifanyphrase,clause,
646sentenceorprovisionofthisCompactisdeclaredtobecontrarytotheconstitutionof
647anymemberstateoroftheUnitedStatesortheapplicabilitythereoftoanygovernment,
648agency,personorcircumstanceisheldinvalid,thevalidityoftheremainderofthis
649Compactandtheapplicabilitythereoftoanygovernment,agency,personor
650circumstanceshallnotbeaffectedthereby.IfthisCompactshallbeheldcontraryto
651theconstitutionofanymemberstate,theCompactshallremaininfullforceandeffect
652astotheremainingmemberstatesandinfullforceandeffectastothememberstate
653affectedastoallseverablematters.
654 SECTION14.BINDINGEFFECTOFCOMPACTANDOTHERLAWS
655 A.Nothinghereinpreventstheenforcementofanyotherlawofamemberstate
656thatisnotinconsistentwiththeCompact.
657 B.AlllawsinamemberstateinconflictwiththeCompactaresupersededtothe
658extentoftheconflict.
659 C.AlllawfulactionsoftheCommission,includingallrulesandbylaws
660promulgatedbytheCommission,arebindinguponthememberstates.
661 D.AllagreementsbetweentheCommissionandthememberstatesarebinding
662inaccordancewiththeirterms.
663 E.IntheeventanyprovisionoftheCompactexceedstheconstitutionallimits
664imposedonthelegislatureofanymemberstate,theprovisionshallbeineffectivetothe
665extentoftheconflictwiththeconstitutionalprovisioninquestioninthatmemberstate.
SectionB.Becauseoftheurgentneedoflow-incomeMissouriresidentsforaccessto
2qualityhealthcareservices,theenactmentofsection324.005ofthisactisdeemednecessary
3fortheimmediatepreservationofthepublichealth,welfare,peace,andsafety,andishereby
4declaredtobeanemergencyactwithinthemeaningoftheconstitution,andtheenactmentof
5section324.005ofthisactshallbeinfullforceandeffectuponitspassageandapproval.
✔
CCS#2SSHB2149 43