Missouri 2022 Regular Session

Missouri House Bill HB2149 Compare Versions

OldNewDifferences
1-4028H.06T
2-SECOND REGULAR SESSION
3-[TRULY AGREED TO AND FINALLY PASSED]
4-CONFERENCE COMMITTEE SUBSTITUTE NO. 2
1+4028H.06S
2+CONFERENCECOMMITTEESUBSTITUTE
53 FOR
6-SENATE SUBSTITUTE FOR
4+SENATESUBSTITUTE
5+FOR
76 HOUSEBILLNO.2149
8-101ST GENERAL ASSEMBLY
9-2022
107 ANACT
11-To repeal sections 197.400, 197.445, 327.312, 327.313, 327.314, 327.331, 334.100, 334.530,
12-334.655, 338.055, 345.015, and 345.050, RSMo, and to enact in lieu thereof seventeen
13-new sections relating to professional licensing, with an emergency clause for a certain
8+Torepealsections197.400,197.445,327.312,327.313,
9+327.314,327.331,334.100,334.530,334.655,338.055,
10+345.015,and345.050,RSMo,andtoenactinlieuthereof
11+seventeennewsectionsrelatingtoprofessional
12+licensing,withanemergencyclauseforacertain
1413 section.
15-Be it enacted by the General Assembly of the state of Missouri, as follows:
16-Section A. Sections 197.400, 197.445, 327.312, 327.313, 327.314, 327.331, 334.100,
17-2 334.530, 334.655, 338.055, 345.015, and 345.050, RSMo, are repealed and seventeen new
18-3 sections enacted in lieu thereof, to be known as sections 197.400, 197.445, 324.005, 327.312,
19-4 327.313, 327.314, 327.331, 332.325, 334.100, 334.530, 334.655, 338.055, 345.015, 345.022,
20-5 345.050, 345.052, and 345.085, to read as follows:
21-197.400. As used in sections 197.400 to 197.475, unless the context otherwise
22-2 requires, the following terms mean:
23-3 (1) "Council", the home health services advisory council created by sections 197.400
24-4 to 197.475;
25-5 (2) "Department", the department of health and senior services;
26-6 (3) "Home health agency", a public agency or private organization or a subdivision or
27-7 subunit of an agency or organization that provides two or more home health services at the
28-8 residence of a patient according to a[physician's] written[and signed] plan of treatment
29-9signed by a physician, nurse practitioner, clinical nurse specialist, or physician assistant;
30-EXPLANATION — Matter enclosed in bold-faced brackets[thus] in the above bill is not enacted and is
31-intended to be omitted from the law. Matter inbold-facetype in the above bill is proposed language. 10 (4)"Homehealthservices",anyofthefollowingitemsandservicesprovidedatthe
32-11residenceofthepatientonapart-timeorintermittentbasis:nursing,physicaltherapy,speech
33-12therapy,occupationaltherapy,homehealthaid,ormedicalsocialservice;
34-13 (5)"Nursepractitioner,clinicalnursespecialist",apersonrecognizedbythe
35-14stateboardofnursingpursuanttotheprovisionsofchapter335topracticeinthisstate
36-15asanursepractitionerorclinicalnursespecialist;
37-16 (6)"Part-timeorintermittentbasis",theprovidingofhomehealthservicesinan
38-17interruptedintervalsequenceontheaverageofnottoexceedthreehoursinanytwenty-four-
39-18hourperiod;
40-19 [(6)](7)"Patient'sresidence",theactualplaceofresidenceofthepersonreceiving
41-20homehealthservices,includinginstitutionalresidencesaswellasindividualdwellingunits;
42-21 [(7)](8)"Physician",apersonlicensedbythestateboardofregistrationforthe
43-22healingartspursuanttotheprovisionsofchapter334topracticeinthisstateasaphysician
44-23andsurgeon;
45-24 (9)"Physicianassistant",apersonlicensedbythestateboardofregistrationfor
46-25thehealingartspursuanttotheprovisionsofchapter334topracticeinthisstateasa
47-26physicianassistant;
48-27 [(8)](10)"Planoftreatment",aplanreviewedandsignedasoftenas[medically]
49-28necessarybyaphysician[or],podiatrist,nursepractitioner,clinicalnursespecialist,ora
50-29physicianassistant,nottoexceedsixtydaysinduration,andreviewedbyaphysicianat
51-30leastonceeverysixmonths,prescribingitemsandservicesforanindividualpatient's
52-31condition;
53-32 [(9)](11)"Podiatrist",apersonlicensedbythestateboardofpodiatrypursuanttothe
54-33provisionsofchapter330topracticeinthisstateasapodiatrist;
55-34 [(10)] (12)"Subunit"or"subdivision",anyorganizationalunitofalarger
56-35organizationwhichcanbeclearlydefinedasaseparateentitywithinthelargerstructure,
57-36whichcanmeetalloftherequirementsofsections197.400to197.475independentofthe
58-37largerorganization,whichcanbeheldaccountableforthecareofpatientsitisserving,and
59-38whichprovidestoallpatientscareandservicesmeetingthestandardsandrequirementsof
60-39sections197.400to197.475.
61-197.445.1.Thedepartmentmayadoptreasonablerulesandstandardsnecessaryto
62-2carryouttheprovisionsofsections197.400to197.477.Therulesandstandardsadopted
63-3shallnotbelessthanthestandardsestablishedbythefederalgovernmentforhomehealth
64-4agenciesunderTitleXVIIIoftheFederalSocialSecurityAct.Thereasonablerulesand
65-5standardsshallbeinitiallypromulgatedwithinoneyearofSeptember28,1983.
66-6 2.Therulesandstandardsadoptedbythedepartmentpursuanttotheprovisionsof
67-7sections197.400to197.477shallapplytoallhealthservicescoveredbysections197.400to
68-CCS#2SSHB2149 2 8197.477renderedtoanypatientbeingservedbyahomehealthagencyregardlessofsourceof
69-9paymentfortheservice,patient'scondition,orplaceofresidence,atwhichthehomehealth
70-10servicesareorderedbythephysician[or],podiatrist, nursepractitioner,clinicalnurse
71-11specialist,orphysicianassistant. Noruleorportionofarulepromulgatedpursuanttothe
72-12authorityofsections197.400to197.477shallbecomeeffectiveunlessithasbeen
73-13promulgatedpursuanttotheprovisionsofsection536.024.
74-324.005.1.Notwithstandinganyrequirementsforlicensureforallprofessional
75-2boards,commissions,committees,andofficeswithinthedivisionofprofessional
76-3registrationtothecontrary,aprofessionalwhohasacurrentlicensetopracticefrom
77-4anotherstate,commonwealth,territory,ortheDistrictofColumbiashallbeexempt
78-5fromthelicensurerequirementsofhisorherrespectivelicensureboardinthisstateif:
79-6 (1)TheprofessionalisanactivedutyorreservememberoftheArmedForcesof
80-7theUnitedStates,amemberoftheNationalGuard,acivilianemployeeoftheUnited
81-8StatesDepartmentofDefense,anauthorizedservicescontractorunder10U.S.C.
82-9Section1091,oraprofessionalotherwiseauthorizedbytheUnitedStatesDepartmentof
83-10Defense;
84-11 (2)Theprofessionalpracticesthesameoccupationorprofessionatthesame
85-12practicelevelforwhichheorsheholdsacurrentlicense;and
86-13 (3)Theprofessionalisengagedinthepracticeofaprofessionalthrougha
87-14partnershipwiththefederalInnovativeReadinessTrainingprogramwithintheUnited
88-15StatesDepartmentofDefense.
89-16 2.Theexemptionprovidedinthissectionshallnotpermitaprofessionalto
90-17engageinpracticeexceptaspartofthefederalInnovativeReadinessTrainingprogram
91-18withintheUnitedStatesDepartmentofDefense.Theexemptionshallonlyapplywhile:
92-19 (1)Theprofessional'spracticeisrequiredbytheprogrampursuanttomilitary
93-20orders;and
94-21 (2)Theservicesprovidedbytheprofessionalarewithinthescopeofpracticefor
95-22theindividual'srespectiveprofessioninthisstate.
96-327.312.1.PriortoJanuary1,2024,anypersonmayapplytotheboardfor
97-2enrollmentasalandsurveyor-in-trainingwhoisahighschoolgraduate,orwhoholdsa
98-3Missouricertificateofhighschoolequivalence(GED),andeither:
99-4 (1)Hasgraduatedandreceivedabaccalaureatedegreeinanapprovedcurriculumas
100-5definedbyboardregulationwhichshallincludeatleasttwelvesemesterhoursofapproved
101-6surveyingcourseworkasdefinedbyboardregulationofwhichatleasttwosemesterhours
102-7shallbeinthelegalaspectsofboundarysurveying;or
103-8 (2)Haspassedatleastsixtyhoursofcollegecreditwhichshallincludecreditforat
104-9leasttwentysemesterhoursofapprovedsurveyingcourseworkasdefinedbyboard
105-CCS#2SSHB2149 3 10regulationofwhichatleasttwosemesterhoursshallbeinlegalaspectsofboundary
106-11surveyingandpresentevidencesatisfactorytotheboardthatinadditiontheretosuchperson
107-12hasatleastoneyearofcombinedprofessionalofficeandfieldexperienceinlandsurveying
108-13projectsundertheimmediatepersonalsupervisionofaprofessionallandsurveyor;or
109-14 (3)Haspassedatleasttwelvesemesterhoursofapprovedsurveyingcourseworkas
110-15definedbyboardregulationofwhichatleasttwosemesterhoursshallbeinlegalaspectsof
111-16landsurveyingandinadditiontheretohasatleasttwoyearsofcombinedprofessionaloffice
112-17andfieldexperienceinlandsurveyingprojectsundertheimmediatepersonalsupervisionofa
113-18professionallandsurveyor.Pursuanttothisprovision,notmorethanoneyearofsatisfactory
114-19postsecondaryeducationworkshallcountasequivalentyearsofsatisfactorylandsurveying
115-20workasaforementioned.
116-21 2.Theboardshallissueacertificateofcompletiontoeachapplicantwhosatisfiesthe
117-22requirementsoftheaforementionedlandsurveyor-in-trainingprogramandpassessuch
118-23examinationorexaminationsasshallberequiredbytheboard.
119-24 3.BeginningJanuary1,2024,anypersonmayapplytotheboardforenrollment
120-25asalandsurveyor-internwhoisahighschoolgraduate,orwhoholdsacertificateof
121-26highschoolequivalence(GED),andhaspassedanyexaminationrequiredbytheboard
122-27pursuanttosection327.331.
123-327.313.Applicationsforenrollmentasaland[surveyor-in-training] surveyor-
124-2internshallbetypewrittenonprescribedformsfurnishedtotheapplicant.Theapplication
125-3shallcontainapplicant'sstatementsshowingtheapplicant'seducation,experience,andsuch
126-4otherpertinentinformationastheboardmayrequire.Eachapplicationshallcontaina
127-5statementthatitismadeunderoathoraffirmationandthattherepresentationsaretrueand
128-6correcttothebestknowledgeandbeliefoftheapplicant,subjecttothepenaltiesofmakinga
129-7falseaffidavitordeclarationandshallbeaccompaniedbytherequiredfee.
130-327.314.1.PriortoJanuary1,2024,anypersonmayapplytotheboardfor
131-2licensureasaprofessionallandsurveyorwhohasbeenenrolledasalandsurveyor-in-training
132-3andhaspresentedevidencetothesatisfactionoftheboardthatsaidpersonhasacquiredat
133-4leastfouryearsofsatisfactoryprofessionalfieldandofficeexperienceinlandsurveyingfrom
134-5thedateofenrollmentasalandsurveyor-in-training.Thisexperienceshallhavebeenunder
135-6theimmediatepersonalsupervisionofaprofessionallandsurveyor.
136-7 2.BeginningJanuary1,2024,anypersonmayapplytotheboardforlicensure
137-8whopresentsevidencesatisfactorytotheboardthattheapplicanthasmetthe
138-9requirementsasprovidedinthissubsection:
139-10 (1)Anapplicantshallbeahighschoolgraduateorholdacertificateofhigh
140-11schoolequivalence(GED),andeither:
141-CCS#2SSHB2149 4 12 (a)Hasgraduatedandreceivedabaccalaureatedegreeinanapproved
142-13curriculum,asdefinedbytheboard,whichshallincludeatleastfifteensemesterhours
143-14ofapprovedsurveyingcoursework,asdefinedbytheboard,ofwhichatleastsix
144-15semesterhoursshallbeinthelegalaspectsofboundarysurveying;or
145-16 (b)Haspassedatleastsixtyhoursofcollegecreditwhichshallincludeatleast
146-17fifteensemesterhoursofapprovedsurveyingcoursework,asdefinedbytheboard,of
147-18whichatleastsixsemesterhoursshallbeinlegalaspectsofboundarysurveying;or
148-19 (c)Haspassedatleastfifteensemesterhoursofapprovedsurveyingcoursework,
149-20asdefinedbytheboard,ofwhichatleastsixsemesterhoursshallbeinlegalaspectsof
150-21landsurveying;
151-22 (d)Anapplicantmeetingtherequirementsofparagraph(a)ofthissubdivision
152-23shallhaveacquiredatleastfouryearsofsatisfactoryfieldandofficeexperienceinland
153-24surveyingundertheimmediatepersonalsupervisionofaprofessionallandsurveyor;
154-25 (e)Anapplicantmeetingtherequirementsofparagraph(b)ofthissubdivision
155-26shallhaveacquiredatleastfiveyearsofsatisfactoryfieldandofficeexperienceinland
156-27surveyingundertheimmediatepersonalsupervisionofaprofessionallandsurveyor;
157-28 (f)Anapplicantmeetingtherequirementsofparagraph(c)ofthissubdivision
158-29shallhaveacquiredatleastsixyearsofsatisfactoryfieldandofficeexperienceinland
159-30surveyingundertheimmediatepersonalsupervisionofaprofessionallandsurveyor.
160-31Pursuanttothisprovision,uptooneyearofpost-secondaryeducation,approvedbythe
161-32board,maycountasequivalentworkexperience;
162-33 (2)Anapplicantshallpassanyexaminationsrequiredbytheboardpursuantto
163-34section327.331;
164-35 (3)Anypersonenrolledasalandsurveyor-in-trainingpriortoJanuary1,2024,
165-36shallonlyberequiredtomeettherequirementsinplacepursuanttotheirenrollment.
166-327.331.1.Afterithasbeendeterminedthatanapplicantpossessesthe
167-2qualificationsentitlingtheapplicanttobeexamined,eachapplicantforexaminationand
168-3enrollmentasalandsurveyor-in-trainingandforexaminationandlicensureasaprofessional
169-4landsurveyorinMissourishallappearbeforetheboardoritsrepresentativesforexamination
170-5atthetimeandplacespecified.
171-6 2.Theexaminationorexaminationsshallbeofsuchform,contentanddurationas
172-7shallbedeterminedbytheboardtothoroughlytestthequalificationsofeachapplicantto
173-8becomeenrolledasaland[surveyor-in-training] surveyor-internortobecomelicensedasa
174-9professionallandsurveyorinMissouri.
175-10 3.Anyapplicanttobeeligibleforenrollmentorforlicensemustmakeagradeonthe
176-11applicableexaminationofatleastseventypercent.
177-CCS#2SSHB2149 5 12 4.Anypersonwhopassestheexaminationhereinabovespecifiedshallbeentitledto
178-13beenrolledasaland[surveyor-in-training] surveyor-internorlicensedasaprofessionalland
179-14surveyor,asthecasemaybe,inMissouriandshallreceiveacertificateofenrollmentora
180-15license,asthecasemaybe.
181-332.325.1.TheMissouridentalboardmaycollaboratewiththedepartmentof
182-2healthandseniorservicesandtheofficeofdentalhealthwithinthedepartmentofhealth
183-3andseniorservicestoapprovepilotprojectsdesignedtoexaminenewmethodsof
184-4extendingcaretomedicallyunderservedpopulations,asdefinedin42U.S.C.Section
185-5300e-1(7).Thesepilotprojectsmayemploytechniquesorapproachestocarethatmay
186-6necessitateawaiveroftherequirementsofthischapterandregulationspromulgated
187-7thereunder;provided:
188-8 (1)Theprojectplanhasaclearlystatedobjectiveofservingaspecific
189-9underservedpopulationthatwarrants,intheopinionofamajorityoftheboard,
190-10grantingapprovalforapilotproject;
191-11 (2)Theprojecthasafinitestartdateandterminationdate;
192-12 (3)Theprojectclearlydefinesthenewtechniquesorapproachesitintendsto
193-13examinetodetermineifitresultsinanimprovementinaccessorqualityofcare;
194-14 (4)Theprojectplanidentifiesspecificandlimitedlocationsandpopulationsto
195-15participateinthepilotproject;
196-16 (5)Theprojectplanclearlyestablishesminimumguidelinesandstandardsfor
197-17thepilotproject,including,butnotlimitedto,provisionsforprotectingsafetyof
198-18participatingpatients;
199-19 (6)Theprojectplanclearlydefinesthemeasurementcriteriaitwilluseto
200-20evaluatetheoutcomesofthepilotprojectonaccessandqualityofcare;and
201-21 (7)Theprojectplanidentifiesreportingintervalstocommunicateinterimand
202-22finaloutcomestotheboard.
203-23 2.Theboardmaypromulgaterulesandregulationstoimplementtheprovisions
204-24ofthissection.Anyruleorportionofarule,asthattermisdefinedinsection536.010,
205-25thatiscreatedundertheauthoritydelegatedinthissectionshallbecomeeffectiveonlyif
206-26itcomplieswithandissubjecttoalloftheprovisionsofchapter536and,ifapplicable,
207-27section536.028.Thissectionandchapter536arenonseverableandifanyofthepowers
208-28vestedwiththegeneralassemblypursuanttochapter536toreview,todelaythe
209-29effectivedate,ortodisapproveandannularulearesubsequentlyheldunconstitutional,
210-30thenthegrantofrulemakingauthorityandanyruleproposedoradoptedafterAugust
211-3128,2022,shallbeinvalidandvoid.
212-32 3.TheprovisionsofthissectionshallexpireonAugust28,2026.Theboardshall
213-33provideafinalreportonapprovedprojectsandrelateddataorfindingstothegeneral
214-CCS#2SSHB2149 6 34assemblyonorbeforeDecember31,2025.Thename,location,approvaldates,and
215-35generaldescriptionofanapprovedpilotprojectshallbedeemedapublicrecord
216-36pursuanttochapter610.
217-334.100.1.Theboardmayrefusetoissueorrenewanycertificateofregistrationor
218-2authority,permitorlicenserequiredpursuanttothischapterforoneoranycombinationof
219-3causesstatedinsubsection2ofthissection.Theboardshallnotifytheapplicantinwritingof
220-4thereasonsfortherefusalandshalladvisetheapplicantoftheapplicant'srighttofilea
221-5complaintwiththeadministrativehearingcommissionasprovidedbychapter621.Asan
222-6alternativetoarefusaltoissueorrenewanycertificate,registrationorauthority,theboard
223-7may,atitsdiscretion,issuealicensewhichissubjecttoprobation,restrictionorlimitationto
224-8anapplicantforlicensureforanyoneoranycombinationofcausesstatedinsubsection2of
225-9thissection.Theboard'sorderofprobation,limitationorrestrictionshallcontainastatement
226-10ofthedisciplineimposed,thebasistherefor,thedatesuchactionshallbecomeeffective,anda
227-11statementthattheapplicanthasthirtydaystorequestinwritingahearingbeforethe
228-12administrativehearingcommission.Iftheboardissuesaprobationary,limitedorrestricted
229-13licensetoanapplicantforlicensure,eitherpartymayfileawrittenpetitionwiththe
230-14administrativehearingcommissionwithinthirtydaysoftheeffectivedateoftheprobationary,
231-15limitedorrestrictedlicenseseekingreviewoftheboard'sdetermination.Ifnowrittenrequest
232-16forahearingisreceivedbytheadministrativehearingcommissionwithinthethirty-day
233-17period,therighttoseekreviewoftheboard'sdecisionshallbeconsideredaswaived.
234-18 2.Theboardmaycauseacomplainttobefiledwiththeadministrativehearing
235-19commissionasprovidedbychapter621againstanyholderofanycertificateofregistrationor
236-20authority,permitorlicenserequiredbythischapteroranypersonwhohasfailedtorenewor
237-21hassurrenderedtheperson'scertificateofregistrationorauthority,permitorlicenseforany
238-22oneoranycombinationofthefollowingcauses:
239-23 (1)Useofanycontrolledsubstance,asdefinedinchapter195,oralcoholicbeverage
240-24toanextentthatsuchuseimpairsaperson'sabilitytoperformtheworkofanyprofession
241-25licensedorregulatedbythischapter;
242-26 (2)Thepersonhasbeenfinallyadjudicatedandfoundguilty,orenteredapleaof
243-27guiltyornolocontendere,inacriminalprosecutionunderthelawsofanystateorofthe
244-28UnitedStates,foranyoffensereasonablyrelatedtothequalifications,functionsordutiesof
245-29anyprofessionlicensedorregulatedpursuanttothischapter,foranyoffenseinvolvingfraud,
246-30dishonestyoranactofviolence,orforanyoffenseinvolvingmoralturpitude,whetherornot
247-31sentenceisimposed;
248-32 (3)Useoffraud,deception,misrepresentationorbriberyinsecuringanycertificateof
249-33registrationorauthority,permitorlicenseissuedpursuanttothischapterorinobtaining
250-34permissiontotakeanyexaminationgivenorrequiredpursuanttothischapter;
251-CCS#2SSHB2149 7 35 (4)Misconduct,fraud,misrepresentation,dishonesty,unethicalconductor
252-36unprofessionalconductintheperformanceofthefunctionsordutiesofanyprofession
253-37licensedorregulatedbythischapter,including,butnotlimitedto,thefollowing:
254-38 (a)Obtainingorattemptingtoobtainanyfee,charge,tuitionorothercompensation
255-39byfraud,deceptionormisrepresentation;willfullyandcontinuallyoverchargingor
256-40overtreatingpatients;orchargingforvisitstothephysician'sofficewhichdidnotoccur
257-41unlesstheserviceswerecontractedforinadvance,orforserviceswhichwerenotrenderedor
258-42documentedinthepatient'srecords;
259-43 (b)Attempting,directlyorindirectly,bywayofintimidation,coercionordeception,
260-44toobtainorretainapatientordiscouragetheuseofasecondopinionorconsultation;
261-45 (c)Willfullyandcontinuallyperforminginappropriateorunnecessarytreatment,
262-46diagnostictestsormedicalorsurgicalservices;
263-47 (d)Delegatingprofessionalresponsibilitiestoapersonwhoisnotqualifiedby
264-48training,skill,competency,age,experienceorlicensuretoperformsuchresponsibilities;
265-49 (e)Misrepresentingthatanydisease,ailmentorinfirmitycanbecuredbyamethod,
266-50procedure,treatment,medicineordevice;
267-51 (f)Performingorprescribingmedicalserviceswhichhavebeendeclaredbyboard
268-52ruletobeofnomedicalorosteopathicvalue;
269-53 (g)Finaldisciplinaryactionbyanyprofessionalmedicalorosteopathicassociationor
270-54societyorlicensedhospitalormedicalstaffofsuchhospitalinthisoranyotherstateor
271-55territory,whetheragreedtovoluntarilyornot,andincluding,butnotlimitedto,anyremoval,
272-56suspension,limitation,orrestrictionoftheperson'slicenseorstafforhospitalprivileges,
273-57failuretorenewsuchprivilegesorlicenseforcause,orotherfinaldisciplinaryaction,ifthe
274-58actionwasinanywayrelatedtounprofessionalconduct,professionalincompetence,
275-59malpracticeoranyotherviolationofanyprovisionofthischapter;
276-60 (h)Signingablankprescriptionform;ordispensing,prescribing,administeringor
277-61otherwisedistributinganydrug,controlledsubstanceorothertreatmentwithoutsufficient
278-62examinationincludingfailingtoestablishavalidphysician-patientrelationshippursuantto
279-63section334.108,orforotherthanmedicallyacceptedtherapeuticorexperimentalor
280-64investigativepurposesdulyauthorizedbyastateorfederalagency,ornotinthecourseof
281-65professionalpractice,ornotingoodfaithtorelievepainandsuffering,ornottocurean
282-66ailment,physicalinfirmityordisease,exceptasauthorizedinsection334.104;
283-67 (i)Exercisinginfluencewithinaphysician-patientrelationshipforpurposesof
284-68engagingapatientinsexualactivity;
285-69 (j)Beinglistedonanystateorfederalsexualoffenderregistry;
286-70 (k)Terminatingthemedicalcareofapatientwithoutadequatenoticeorwithout
287-71makingotherarrangementsforthecontinuedcareofthepatient;
288-CCS#2SSHB2149 8 72 (l)Failingtofurnishdetailsofapatient'smedicalrecordstoothertreatingphysicians
289-73orhospitalsuponproperrequest;orfailingtocomplywithanyotherlawrelatingtomedical
290-74records;
291-75 (m)Failureofanyapplicantorlicenseetocooperatewiththeboardduringany
292-76investigation;
293-77 (n)Failuretocomplywithanysubpoenaorsubpoenaducestecumfromtheboardor
294-78anorderoftheboard;
295-79 (o)Failuretotimelypaylicenserenewalfeesspecifiedinthischapter;
296-80 (p)Violatingaprobationagreement,order,orothersettlementagreementwiththis
297-81boardoranyotherlicensingagency;
298-82 (q)Failingtoinformtheboardofthephysician'scurrentresidenceandbusiness
299-83address;
300-84 (r)Advertisingbyanapplicantorlicenseewhichisfalseormisleading,orwhich
301-85violatesanyruleoftheboard,orwhichclaimswithoutsubstantiationthepositivecureofany
302-86disease,orprofessionalsuperioritytoorgreaterskillthanthatpossessedbyanyother
303-87physician.Anapplicantorlicenseeshallalsobeinviolationofthisprovisioniftheapplicant
304-88orlicenseehasafinancialinterestinanyorganization,corporationorassociationwhichissues
305-89orconductssuchadvertising;
306-90 (s)Anyotherconductthatisunethicalorunprofessionalinvolvingaminor;
307-91 (5)Anyconductorpracticewhichisormightbeharmfulordangeroustothemental
308-92orphysicalhealthofapatientorthepublic;orincompetency,grossnegligenceorrepeated
309-93negligenceintheperformanceofthefunctionsordutiesofanyprofessionlicensedor
310-94regulatedbythischapter.Forthepurposesofthissubdivision,"repeatednegligence"means
311-95thefailure,onmorethanoneoccasion,tousethatdegreeofskillandlearningordinarilyused
312-96underthesameorsimilarcircumstancesbythememberoftheapplicant'sorlicensee's
313-97profession;
314-98 (6)Violationof,orattemptingtoviolate,directlyorindirectly,orassistingor
315-99enablinganypersontoviolate,anyprovisionofthischapterorchapter324,orofanylawful
316-100ruleorregulationadoptedpursuanttothischapterorchapter324;
317-101 (7)Impersonationofanypersonholdingacertificateofregistrationorauthority,
318-102permitorlicenseorallowinganypersontousehisorhercertificateofregistrationor
319-103authority,permit,licenseordiplomafromanyschool;
320-104 (8)Revocation,suspension,restriction,modification,limitation,reprimand,warning,
321-105censure,probationorotherfinaldisciplinaryactionagainsttheholderoforapplicantfora
322-106licenseorotherrighttopracticeanyprofessionregulatedbythischapterbyanotherstate,
323-107territory,federalagencyorcountry,whetherornotvoluntarilyagreedtobythelicenseeor
324-108applicant,including,butnotlimitedto,thedenialoflicensure,surrenderofthelicense,
325-CCS#2SSHB2149 9 109allowingthelicensetoexpireorlapse,ordiscontinuingorlimitingthepracticeofmedicine
326-110whilesubjecttoaninvestigationorwhileactuallyunderinvestigationbyanylicensing
327-111authority,medicalfacility,branchoftheArmedForcesoftheUnitedStatesofAmerica,
328-112insurancecompany,court,agencyofthestateorfederalgovernment,oremployer;
329-113 (9)Apersonisfinallyadjudgedincapacitatedordisabledbyacourtofcompetent
330-114jurisdiction;
331-115 (10)Assistingorenablinganypersontopracticeoroffertopracticeanyprofession
332-116licensedorregulatedbythischapterwhoisnotregisteredandcurrentlyeligibletopractice
333-117pursuanttothischapter;orknowinglyperforminganyactwhichinanywayaids,assists,
334-118procures,advises,orencouragesanypersontopracticemedicinewhoisnotregisteredand
335-119currentlyeligibletopracticepursuanttothischapter.Aphysicianwhoworksinaccordance
336-120withstandingordersorprotocolsorinaccordancewiththeprovisionsofsection334.104
337-121shallnotbeinviolationofthissubdivision;
338-122 (11)Issuanceofacertificateofregistrationorauthority,permitorlicensebasedupon
339-123amaterialmistakeoffact;
340-124 (12)Failuretodisplayavalidcertificateorlicenseifsorequiredbythischapteror
341-125anyrulepromulgatedpursuanttothischapter;
342-126 (13)Violationofthedruglawsorrulesandregulationsofthisstate,includingbutnot
343-127limitedtoanyprovisionofchapter195,anyotherstate,orthefederalgovernment;
344-128 (14)Knowinglymaking,orcausingtobemade,oraiding,orabettinginthemaking
345-129of,afalsestatementinanybirth,deathorothercertificateordocumentexecutedin
346-130connectionwiththepracticeoftheperson'sprofession;
347-131 (15)Knowinglymakingafalsestatement,orallyorinwritingtotheboard;
348-132 (16)Solicitingpatronageinpersonorbyagentsorrepresentatives,orbyanyother
349-133meansormanner,undertheperson'sownnameorunderthenameofanotherpersonor
350-134concern,actualorpretended,insuchamannerastoconfuse,deceive,ormisleadthepublicas
351-135totheneedornecessityfororappropriatenessofhealthcareservicesforallpatients,orthe
352-136qualificationsofanindividualpersonorpersonstodiagnose,render,orperformhealthcare
353-137services;
354-138 (17)Using,orpermittingtheuseof,theperson'snameunderthedesignationof
355-139"Doctor","Dr.","M.D.",or"D.O.",oranysimilardesignationwithreferencetothe
356-140commercialexploitationofanygoods,waresormerchandise;
357-141 (18)Knowinglymakingorcausingtobemadeafalsestatementormisrepresentation
358-142ofamaterialfact,withintenttodefraud,forpaymentpursuanttotheprovisionsofchapter
359-143208orchapter630orforpaymentfromTitleXVIIIorTitleXIXoftheSocialSecurityAct;
360-144 (19)Failureorrefusaltoproperlyguardagainstcontagious,infectiousor
361-145communicablediseasesorthespreadthereof;maintaininganunsanitaryofficeor
362-CCS#2SSHB2149 10 146performingprofessionalservicesunderunsanitaryconditions;orfailuretoreportthe
363-147existenceofanunsanitaryconditionintheofficeofaphysicianorinanyhealthcarefacility
364-148totheboard,inwriting,withinthirtydaysafterthediscoverythereof;
365-149 (20)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist,
366-150payingorofferingtopayareferralfeeor,notwithstandingsection334.010tothecontrary,
367-151practicingorofferingtopracticeprofessionalphysicaltherapyindependentoftheprescription
368-152anddirectionofapersonlicensedandregisteredasaphysicianandsurgeonpursuanttothis
369-153chapter,asadentistpursuanttochapter332,asapodiatristpursuanttochapter330,asan
370-154advancedpracticeregisterednurseunderchapter335,oranylicensedandregistered
371-155physician,dentist,podiatrist,oradvancedpracticeregisterednursepracticinginanother
372-156jurisdiction,whoselicenseisingoodstanding;
373-157 (21)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist,
374-158treatingorattemptingtotreatailmentsorotherhealthconditionsofhumanbeingsotherthan
375-159byprofessionalphysicaltherapyandasauthorizedbysections334.500to334.620;
376-160 (22)Anypersonlicensedtopracticeasaphysicianorsurgeon,requiring,asa
377-161conditionofthephysician-patientrelationship,thatthepatientreceiveprescribeddrugs,
378-162devicesorotherprofessionalservicesdirectlyfromfacilitiesofthatphysician'sofficeorother
379-163entitiesunderthatphysician'sownershiporcontrol.Aphysicianshallprovidethepatient
380-164withaprescriptionwhichmaybetakentothefacilityselectedbythepatientandaphysician
381-165knowinglyfailingtodisclosetoapatientonaformapprovedbytheadvisorycommissionfor
382-166professionalphysicaltherapistsasestablishedbysection334.625whichisdatedandsigned
383-167byapatientorguardianacknowledgingthatthepatientorguardianhasreadandunderstands
384-168thatthephysicianhasapecuniaryinterestinaphysicaltherapyorrehabilitationservice
385-169providingprescribedtreatmentandthattheprescribedtreatmentisavailableonacompetitive
386-170basis.Thissubdivisionshallnotapplytoareferralbyonephysiciantoanotherphysician
387-171withinagroupofphysicianspracticingtogether;
388-172 (23)Apatternofpersonaluseorconsumptionofanycontrolledsubstanceunlessitis
389-173prescribed,dispensedoradministeredbyanotherphysicianwhoisauthorizedbylawtodoso;
390-174 (24)Habitualintoxicationordependenceonalcohol,evidenceofwhichmayinclude
391-175morethanonealcohol-relatedenforcementcontactasdefinedbysection302.525;
392-176 (25)Failuretocomplywithatreatmentprogramoranaftercareprogramenteredinto
393-177aspartofaboardorder,settlementagreementorlicensee'sprofessionalhealthprogram;
394-178 (26)Revocation,suspension,limitation,probation,orrestrictionofanykind
395-179whatsoeverofanycontrolledsubstanceauthority,whetheragreedtovoluntarilyornot,or
396-180voluntaryterminationofacontrolledsubstanceauthoritywhileunderinvestigation;
397-181 (27)Foraphysiciantooperate,conduct,manage,orestablishanabortionfacility,or
398-182foraphysiciantoperformanabortioninanabortionfacility,ifsuchfacilitycomesunderthe
399-CCS#2SSHB2149 11 183definitionofanambulatorysurgicalcenterpursuanttosections197.200to197.240,andsuch
400-184facilityhasfailedtoobtainorrenewalicenseasanambulatorysurgicalcenter.
401-185 3.Collaborativepracticearrangements,protocolsandstandingordersshallbein
402-186writingandsignedanddatedbyaphysicianpriortotheirimplementation.
403-187 4.Afterthefilingofsuchcomplaintbeforetheadministrativehearingcommission,
404-188theproceedingsshallbeconductedinaccordancewiththeprovisionsofchapter621.Upona
405-189findingbytheadministrativehearingcommissionthatthegrounds,providedinsubsection2
406-190ofthissection,fordisciplinaryactionaremet,theboardmay,singlyorincombination,warn,
407-191censureorplacethepersonnamedinthecomplaintonprobationonsuchtermsand
408-192conditionsastheboarddeemsappropriateforaperiodnottoexceedtenyears,ormay
409-193suspendtheperson'slicense,certificateorpermitforaperiodnottoexceedthreeyears,or
410-194restrictorlimittheperson'slicense,certificateorpermitforanindefiniteperiodoftime,or
411-195revoketheperson'slicense,certificate,orpermit,oradministerapublicorprivatereprimand,
412-196ordenytheperson'sapplicationforalicense,orpermanentlywithholdissuanceofalicenseor
413-197requirethepersontosubmittothecare,counselingortreatmentofphysiciansdesignatedby
414-198theboardattheexpenseoftheindividualtobeexamined,orrequirethepersontoattendsuch
415-199continuingeducationalcoursesandpasssuchexaminationsastheboardmaydirect.
416-200 5.Inanyorderofrevocation,theboardmayprovidethatthepersonmaynotapplyfor
417-201reinstatementoftheperson'slicenseforaperiodoftimerangingfromtwotosevenyears
418-202followingthedateoftheorderofrevocation.Allstayordersshalltollthistimeperiod.
419-203 6.Beforerestoringtogoodstandingalicense,certificateorpermitissuedpursuantto
420-204thischapterwhichhasbeeninarevoked,suspendedorinactivestateforanycauseformore
421-205thantwoyears,theboardmayrequiretheapplicanttoattendsuchcontinuingmedical
422-206educationcoursesandpasssuchexaminationsastheboardmaydirect.
423-207 7.Inanyinvestigation,hearingorotherproceedingtodeterminealicensee'sor
424-208applicant'sfitnesstopractice,anyrecordrelatingtoanypatientofthelicenseeorapplicant
425-209shallbediscoverablebytheboardandadmissibleintoevidence,regardlessofanystatutoryor
426-210commonlawprivilegewhichsuchlicensee,applicant,recordcustodianorpatientmight
427-211otherwiseinvoke.Inaddition,nosuchlicensee,applicant,orrecordcustodianmaywithhold
428-212recordsortestimonybearinguponalicensee'sorapplicant'sfitnesstopracticeontheground
429-213ofprivilegebetweensuchlicensee,applicantorrecordcustodianandapatient.
430-214 8.Theactoflawfullydispensing,prescribing,administering,orotherwise
431-215distributingivermectintabletsorhydroxychloroquinesulfatetabletsforhumanuse
432-216shallnotbegroundsfordenial,suspension,revocation,orotherdisciplinaryactionby
433-217theboard.
434-334.530.1.Acandidateforlicensetopracticeasaphysicaltherapistshallfurnish
435-2evidenceofsuchperson'seducationalqualificationsbysubmittingsatisfactoryevidenceof
436-CCS#2SSHB2149 12 3completionofaprogramofphysicaltherapyeducationapprovedasreputablebytheboardor
437-4eligibilitytograduatefromsuchaprogramwithinninetydays. Acandidatewhopresents
438-5satisfactoryevidenceoftheperson'sgraduationfromaschoolofphysicaltherapyapprovedas
439-6reputablebytheAmericanMedicalAssociationor,ifgraduatedbefore1936,bytheAmerican
440-7PhysicalTherapyAssociation,orifgraduatedafter1988,theCommissiononAccreditation
441-8forPhysicalTherapyEducationoritssuccessor,isdeemedtohavecompliedwiththe
442-9educationalqualificationsofthissubsection.
443-10 2.Personsdesiringtopracticeasphysicaltherapistsinthisstateshallappearbefore
444-11theboardatsuchtimeandplaceastheboardmaydirectandbeexaminedastotheirfitnessto
445-12engageinsuchpractice.Applicantsshallmeetthequalifyingstandardsforsuch
446-13examinations,includinganyrequirementsestablishedbyanyentitycontractedbythe
447-14boardtoadministertheboard-approvedexamination.Applicationsforexaminationshall
448-15beinwriting,onaformfurnishedbytheboardandshallincludeevidencesatisfactorytothe
449-16boardthattheapplicantpossessesthequalificationssetforthinsubsection1ofthissection
450-17andmeetstherequirementsestablishedtoqualifyforexamination. Eachapplication
451-18shallcontainastatementthatitismadeunderoathoraffirmationandthatitsrepresentations
452-19aretrueandcorrecttothebestknowledgeandbeliefoftheapplicant,subjecttothepenalties
453-20ofmakingafalseaffidavitordeclaration.
454-21 3.Theexaminationofqualifiedcandidatesforlicensestopracticephysicaltherapy
455-22shalltestentry-levelcompetenceasrelatedtophysicaltherapytheory,examinationand
456-23evaluation,physicaltherapydiagnosis,prognosis,treatment,intervention,prevention,and
457-24consultation.
458-25 4.Theexaminationshallembrace,inrelationtothehumanbeing,thesubjectsof
459-26anatomy,chemistry,kinesiology,pathology,physics,physiology,psychology,physical
460-27therapytheoryandproceduresasrelatedtomedicine,surgeryandpsychiatry,andsuch
461-28othersubjects,includingmedicalethics,astheboarddeemsusefultotestthefitnessofthe
462-29candidatetopracticephysicaltherapy.
463-30 5.Nopersonwhohasfailedonsixormoreoccasionstoachieveapassingscore
464-31ontheexaminationrequiredbythissectionshallbeeligibleforlicensurebyexamination
465-32underthissection.
466-33 6.Theapplicantshallpassatestadministeredbytheboardonthelawsandrules
467-34relatedtothepracticeofphysicaltherapyinMissouri.
468-334.655.1.Acandidateforlicensuretopracticeasaphysicaltherapistassistantshall
469-2furnishevidenceoftheperson'seducationalqualifications.Theeducationalrequirementsfor
470-3licensureasaphysicaltherapistassistantare:
471-4 (1)Acertificateofgraduationfromanaccreditedhighschooloritsequivalent;and
472-CCS#2SSHB2149 13 5 (2)Satisfactoryevidenceofcompletionofanassociatedegreeprogramofphysical
473-6therapyeducationaccreditedbythecommissiononaccreditationofphysicaltherapy
474-7educationoreligibilitytograduatefromsuchaprogramwithinninetydays.
475-8 2.Personsdesiringtopracticeasaphysicaltherapistassistantinthisstateshall
476-9appearbeforetheboardatsuchtimeandplaceastheboardmaydirectandbeexaminedasto
477-10theperson'sfitnesstoengageinsuchpractice.Applicantsshallmeetthequalifying
478-11standardsforsuchexaminations,includinganyrequirementsestablishedbyanyentity
479-12contractedbytheboardtoadministertheboard-approvedexamination.Applications
480-13forexaminationshallbeonaformfurnishedbytheboardandshallincludeevidence
481-14satisfactorytotheboardthattheapplicantpossessesthequalificationsprovidedinsubsection
482-151ofthissectionandmeetstherequirementsestablishedtoqualifyforexamination. Each
483-16applicationshallcontainastatementthatthestatementismadeunderoathofaffirmationand
484-17thatitsrepresentationsaretrueandcorrecttothebestknowledgeandbeliefoftheperson
485-18signingthestatement,subjecttothepenaltiesofmakingafalseaffidavitordeclaration.
486-19 3.Theexaminationofqualifiedcandidatesforlicensuretopracticeasphysical
487-20therapistassistantsshallembraceanexaminationwhichshallcoverthecurriculumtaughtin
488-21accreditedassociatedegreeprogramsofphysicaltherapyassistanteducation.Such
489-22examinationshallbesufficienttotestthequalificationofthecandidatesaspractitioners.
490-23 4.Theexaminationshallinclude,asrelatedtothehumanbody,thesubjectsof
491-24anatomy,kinesiology,pathology,physiology,psychology,physicaltherapytheoryand
492-25proceduresasrelatedtomedicineandsuchothersubjects,includingmedicalethics,asthe
493-26boarddeemsusefultotestthefitnessofthecandidatetopracticeasaphysicaltherapist
494-27assistant.
495-28 5.Nopersonwhohasfailedonsixormoreoccasionstoachieveapassingscore
496-29ontheexaminationrequiredbythissectionshallbeeligibleforlicensurebyexamination
497-30underthissection.
498-31 6.Theapplicantshallpassatestadministeredbytheboardonthelawsandrules
499-32relatedtothepracticeasaphysicaltherapistassistantinthisstate.
500-33 [6.]7.Theboardshalllicensewithoutexaminationanylegallyqualifiedpersonwho
501-34isaresidentofthisstateandwhowasactivelyengagedinpracticeasaphysicaltherapist
502-35assistantonAugust28,1993.Theboardmaylicensesuchpersonpursuanttothissubsection
503-36untilninetydaysaftertheeffectivedateofthissection.
504-37 [7.]8.Acandidatetopracticeasaphysicaltherapistassistantwhodoesnotmeetthe
505-38educationalqualificationsmaysubmittotheboardanapplicationforexaminationifsuch
506-39personcanfurnishwrittenevidencetotheboardthatthepersonhasbeenemployedinthis
507-40stateforatleastthreeofthelastfiveyearsunderthesupervisionofalicensedphysical
508-41therapistandsuchpersonpossessestheknowledgeandtrainingequivalenttothatobtainedin
509-CCS#2SSHB2149 14 42anaccreditedschool.Theboardmaylicensesuchpersonspursuanttothissubsectionuntil
510-43ninetydaysafterrulesdevelopedbythestateboardofhealingartsregardingphysical
511-44therapistassistantlicensingbecomeeffective.
512-338.055.1.Theboardmayrefusetoissueanycertificateofregistrationorauthority,
513-2permitorlicenserequiredpursuanttothischapterforoneoranycombinationofcausesstated
514-3insubsection2ofthissectionorifthedesignatedpharmacist-in-charge,manager-in-charge,
515-4oranyofficer,owner,manager,orcontrollingshareholderoftheapplicanthascommittedany
516-5actorpracticeinsubsection2ofthissection.Theboardshallnotifytheapplicantinwriting
517-6ofthereasonsfortherefusalandshalladvisetheapplicantofhisorherrighttofilea
518-7complaintwiththeadministrativehearingcommissionasprovidedbychapter621.
519-8 2.Theboardmaycauseacomplainttobefiledwiththeadministrativehearing
520-9commissionasprovidedbychapter621againstanyholderofanycertificateofregistrationor
521-10authority,permitorlicenserequiredbythischapteroranypersonwhohasfailedtorenewor
522-11hassurrenderedhisorhercertificateofregistrationorauthority,permitorlicenseforanyone
523-12oranycombinationofthefollowingcauses:
524-13 (1)Useofanycontrolledsubstance,asdefinedinchapter195,oralcoholicbeverage
525-14toanextentthatsuchuseimpairsaperson'sabilitytoperformtheworkofanyprofession
526-15licensedorregulatedbythischapter;
527-16 (2)Thepersonhasbeenfinallyadjudicatedandfoundguilty,orenteredapleaof
528-17guiltyornolocontendere,inacriminalprosecutionunderthelawsofanystateorofthe
529-18UnitedStates,foranyoffensereasonablyrelatedtothequalifications,functionsordutiesof
530-19anyprofessionlicensedorregulatedunderthischapter,foranyoffenseanessentialelement
531-20ofwhichisfraud,dishonestyoranactofviolence,orforanyoffenseinvolvingmoral
532-21turpitude,whetherornotsentenceisimposed;
533-22 (3)Useoffraud,deception,misrepresentationorbriberyinsecuringanycertificateof
534-23registrationorauthority,permitorlicenseissuedpursuanttothischapterorinobtaining
535-24permissiontotakeanyexaminationgivenorrequiredpursuanttothischapter;
536-25 (4)Obtainingorattemptingtoobtainanyfee,charge,tuitionorothercompensation
537-26byfraud,deceptionormisrepresentation;
538-27 (5)Incompetence,misconduct,grossnegligence,fraud,misrepresentationor
539-28dishonestyintheperformanceofthefunctionsordutiesofanyprofessionlicensedor
540-29regulatedbythischapter;
541-30 (6)Violationof,orassistingorenablinganypersontoviolate,anyprovisionofthis
542-31chapter,orofanylawfulruleorregulationadoptedpursuanttothischapter;
543-32 (7)Impersonationofanypersonholdingacertificateofregistrationorauthority,
544-33permitorlicenseorallowinganypersontousehisorhercertificateofregistrationor
545-34authority,permit,license,ordiplomafromanyschool;
546-CCS#2SSHB2149 15 35 (8)Denialoflicensuretoanapplicantordisciplinaryactionagainstanapplicantor
547-36theholderofalicenseorotherrighttopracticeanyprofessionregulatedbythischapter
548-37grantedbyanotherstate,territory,federalagency,orcountrywhetherornotvoluntarily
549-38agreedtobythelicenseeorapplicant,including,butnotlimitedto,surrenderofthelicense
550-39upongroundsforwhichdenialordisciplineisauthorizedinthisstate;
551-40 (9)Apersonisfinallyadjudgedincapacitatedbyacourtofcompetentjurisdiction;
552-41 (10)Assistingorenablinganypersontopracticeoroffertopracticeanyprofession
553-42licensedorregulatedbythischapterwhoisnotregisteredandcurrentlyeligibletopractice
554-43underthischapter;
555-44 (11)Issuanceofacertificateofregistrationorauthority,permitorlicensebasedupon
556-45amaterialmistakeoffact;
557-46 (12)Failuretodisplayavalidcertificateorlicenseifsorequiredbythischapteror
558-47anyrulepromulgatedhereunder;
559-48 (13)Violationofanyprofessionaltrustorconfidence;
560-49 (14)Useofanyadvertisementorsolicitationwhichisfalse,misleadingordeceptive
561-50tothegeneralpublicorpersonstowhomtheadvertisementorsolicitationisprimarily
562-51directed;
563-52 (15)Violationofthedruglawsorrulesandregulationsofthisstate,anyotherstateor
564-53thefederalgovernment;
565-54 (16)Theintentionalactofsubstitutingorotherwisechangingthecontent,formulaor
566-55brandofanydrugprescribedbywritten,electronic,ororalprescriptionwithoutpriorwritten
567-56ororalapprovalfromtheprescriberfortherespectivechangeineachprescription;provided,
568-57however,thatnothingcontainedhereinshallprohibitapharmacistfromsubstitutingor
569-58changingthebrandofanydrugasprovidedundersection338.056,andanysuchsubstituting
570-59orchangingofthebrandofanydrugasprovidedforinsection338.056shallnotbedeemed
571-60unprofessionalordishonorableconductunlessaviolationofsection338.056occurs;
572-61 (17)Personaluseorconsumptionofanycontrolledsubstanceunlessitisprescribed,
573-62dispensed,oradministeredbyahealthcareproviderwhoisauthorizedbylawtodoso.
574-63 3.Afterthefilingofsuchcomplaint,theproceedingsshallbeconductedin
575-64accordancewiththeprovisionsofchapter621.Uponafindingbytheadministrativehearing
576-65commissionthatthegrounds,providedinsubsection2ofthissection,fordisciplinaryaction
577-66aremet,theboardmay,singlyorincombination,censureorplacethepersonnamedinthe
578-67complaintonprobationonsuchtermsandconditionsastheboarddeemsappropriatefora
579-68periodnottoexceedfiveyears,ormaysuspend,foraperiodnottoexceedthreeyears,or
580-69revokethelicense,certificate,orpermit.Theboardmayimposeadditionaldisciplineona
581-70licensee,registrant,orpermitteefoundtohaveviolatedanydisciplinarytermspreviously
582-71imposedunderthissectionorbyagreement.Theadditionaldisciplinemayinclude,singlyor
583-CCS#2SSHB2149 16 72incombination,censure,placingthelicensee,registrant,orpermitteenamedinthecomplaint
584-73onadditionalprobationonsuchtermsandconditionsastheboarddeemsappropriate,which
585-74additionalprobationshallnotexceedfiveyears,orsuspensionforaperiodnottoexceedthree
586-75years,orrevocationofthelicense,certificate,orpermit.
587-76 4.Iftheboardconcludesthatalicenseeorregistranthascommittedanactoris
588-77engaginginacourseofconductwhichwouldbegroundsfordisciplinaryactionwhich
589-78constitutesaclearandpresentdangertothepublichealthandsafety,theboardmayfilea
590-79complaintbeforetheadministrativehearingcommissionrequestinganexpeditedhearingand
591-80specifyingtheactivitieswhichgiverisetothedangerandthenatureoftheproposed
592-81restrictionorsuspensionofthelicensee'sorregistrant'slicense.Withinfifteendaysafter
593-82serviceofthecomplaintonthelicenseeorregistrant,theadministrativehearingcommission
594-83shallconductapreliminaryhearingtodeterminewhethertheallegedactivitiesofthelicensee
595-84orregistrantappeartoconstituteaclearandpresentdangertothepublichealthandsafety
596-85whichjustifythatthelicensee'sorregistrant'slicenseorregistrationbeimmediatelyrestricted
597-86orsuspended.Theburdenofprovingthattheactionsofalicenseeorregistrantconstitutea
598-87clearandpresentdangertothepublichealthandsafetyshallbeuponthestateboardof
599-88pharmacy.Theadministrativehearingcommissionshallissueitsdecisionimmediatelyafter
600-89thehearingandshalleithergranttotheboardtheauthoritytosuspendorrestrictthelicenseor
601-90dismisstheaction.
602-91 5.Iftheadministrativehearingcommissiongrantstemporaryauthoritytotheboardto
603-92restrictorsuspendthelicensee'sorregistrant'slicense,suchtemporaryauthorityoftheboard
604-93shallbecomefinalauthorityifthereisnorequestbythelicenseeorregistrantforafull
605-94hearingwithinthirtydaysofthepreliminaryhearing.Theadministrativehearingcommission
606-95shall,ifrequestedbythelicenseeorregistrantnamedinthecomplaint,setadatetoholdafull
607-96hearingundertheprovisionsofchapter621regardingtheactivitiesallegedintheinitial
608-97complaintfiledbytheboard.
609-98 6.Iftheadministrativehearingcommissiondismissestheactionfiledbytheboard
610-99pursuanttosubsection4ofthissection,suchdismissalshallnotbartheboardfrominitiating
611-100asubsequentactiononthesamegrounds.
612-101 7.Theboardshallnotdeny,revoke,orsuspend,orotherwisetakeany
613-102disciplinaryactionagainst,acertificateofregistrationorauthority,permit,orlicense
614-103requiredbythischapterforanypersonduetothelawfuldispensing,distributing,or
615-104sellingofivermectintabletsorhydroxychloroquinesulfatetabletsforhumanusein
616-105accordancewithprescriberdirections.Apharmacistshallnotcontacttheprescribing
617-106physicianorthepatienttodisputetheefficacyofivermectintabletsor
618-107hydroxychloroquinesulfatetabletsforhumanuseunlessthephysicianorpatient
619-CCS#2SSHB2149 17 108inquiresofthepharmacistabouttheefficacyofivermectintabletsor
620-109hydroxychloroquinesulfatetablets.
621-345.015.Asusedinsections345.010to345.080,thefollowingtermsmean:
622-2 (1)"Audiologist",apersonwhoislicensedasanaudiologistpursuanttosections
623-3345.010to345.080topracticeaudiology;
624-4 (2)"Audiologyaide",apersonwhoisregisteredasanaudiologyaidebytheboard,
625-5whodoesnotactindependentlybutworksunderthedirectionandsupervisionofalicensed
626-6audiologist.Suchpersonassiststheaudiologistwithactivitieswhichrequirean
627-7understandingofaudiologybutdonotrequireformaltrainingintherelevantacademics.
628-8Tobeeligibleforregistrationbytheboard,eachapplicantshallsubmitaregistrationfeeand:
629-9 (a)Beatleasteighteenyearsofage;
630-10 (b)Furnishevidenceoftheperson'seducationalqualificationswhichshallbeata
631-11minimum:
632-12 a.Certificationofgraduationfromanaccreditedhighschooloritsequivalent;and
633-13 b.On-the-jobtraining;
634-14 (c)Beemployedinasettinginwhichdirectandindirectsupervisionareprovidedon
635-15aregularandsystematicbasisbyalicensedaudiologist.
636-16
637-17However,theaideshallnotadministerorinterprethearingscreeningordiagnostictests,fitor
638-18dispensehearinginstruments,makeearimpressions,makediagnosticstatements,determine
639-19caseselection,presentwrittenreportstoanyoneotherthanthesupervisorwithoutthe
640-20signatureofthesupervisor,makereferralstootherprofessionalsoragencies,useatitleother
641-21thanaudiologyaide,developormodifytreatmentplans,dischargeclientsfromtreatmentor
642-22terminatetreatment,discloseclinicalinformation,eitherorallyorinwriting,toanyoneother
643-23thanthesupervisingaudiologist,orperformanyprocedureforwhichheorsheisnot
644-24qualified,hasnotbeenadequatelytrainedorboth;
645-25 (3)"Board",thestateboardofregistrationforthehealingarts;
646-26 (4)"Clinicalfellowship",thesupervisedprofessionalemploymentperiod
647-27followingcompletionoftheacademicandpracticumrequirementsofanaccredited
648-28trainingprogramunderthischapter;
649-29 (5)"Commission",theadvisorycommissionforspeech-languagepathologistsand
650-30audiologists;
651-31 [(5)](6)"Hearinginstrument"or"hearingaid",anywearabledeviceorinstrument
652-32designedfororofferedforthepurposeofaidingorcompensatingforimpairedhumanhearing
653-33andanyparts,attachmentsoraccessories,includingearmolds,butexcludingbatteries,cords,
654-34receiversandrepairs;
655-CCS#2SSHB2149 18 35 [(6)](7)"Person",anyindividual,organization,orcorporatebody,exceptthatonly
656-36individualsmaybelicensedpursuanttosections345.010to345.080;
657-37 [(7)](8)"Practiceofaudiology":
658-38 (a)Theapplicationofacceptedaudiologicprinciples,methodsandproceduresforthe
659-39measurement,testing,interpretation,appraisalandpredictionrelatedtodisordersofthe
660-40auditorysystem,balancesystemorrelatedstructuresandsystems;
661-41 (b)Providesconsultationorcounselingtothepatient,client,student,theirfamilyor
662-42interestedparties;
663-43 (c)Providesacademic,socialandmedicalreferralswhenappropriate;
664-44 (d)Providesforestablishinggoals,implementingstrategies,methodsandtechniques,
665-45forhabilitation,rehabilitationorauralrehabilitation,relatedtodisordersoftheauditory
666-46system,balancesystemorrelatedstructuresandsystems;
667-47 (e)Providesforinvolvementinrelatedresearch,teachingorpubliceducation;
668-48 (f)Providesforrenderingofservicesorparticipatesintheplanning,directingor
669-49conductingofprogramswhicharedesignedtomodifyaudition,communicative,balanceor
670-50cognitivedisorder,whichmayinvolvespeechandlanguageoreducationissues;
671-51 (g)Providesandinterpretsbehavioralandneurophysiologicmeasurementsof
672-52auditorybalance,cognitiveprocessingandrelatedfunctions,includingintraoperative
673-53monitoring;
674-54 (h)Providesinvolvementinanytasks,procedures,actsorpracticesthatarenecessary
675-55forevaluationofaudition,hearing,trainingintheuseofamplificationorassistivelistening
676-56devices;
677-57 (i)Providesselection,assessment,fitting,programming,anddispensingofhearing
678-58instruments,assistivelisteningdevices,andotheramplificationsystems;
679-59 (j)Providesfortakingimpressionsoftheear,makingcustomearmolds,earplugs,
680-60swimmoldsandindustrialnoiseprotectors;
681-61 (k)Providesassessmentofexternalearandcerumenmanagement;
682-62 (l)Providesadvising,fitting,mappingassessmentofimplantabledevicessuchas
683-63cochlearorauditorybrainstemdevices;
684-64 (m)Providesinformationinnoisecontrolandhearingconservationincluding
685-65education,equipmentselection,equipmentcalibration,siteevaluationandemployee
686-66evaluation;
687-67 (n)Providesperformingbasicspeech-languagescreeningtest;
688-68 (o)Providesinvolvementinsocialaspectsofcommunication,includingchallenging
689-69behaviorandineffectivesocialskills,lackofcommunicationopportunities;
690-70 (p)Providessupportandtrainingoffamilymembersandothercommunication
691-71partnersfortheindividualwithauditorybalance,cognitiveandcommunicationdisorders;
692-CCS#2SSHB2149 19 72 (q)Providesauralrehabilitationandrelatedservicestoindividualswithhearingloss
693-73andtheirfamilies;
694-74 (r)Evaluates,collaboratesandmanagesauditionproblemsintheassessmentofthe
695-75centralauditoryprocessingdisordersandprovidinginterventionforindividualswithcentral
696-76auditoryprocessingdisorders;
697-77 (s)Developsandmanagesacademicandclinicalproblemsincommunication
698-78sciencesanddisorders;
699-79 (t)Conducts,disseminatesandappliesresearchincommunicationsciencesand
700-80disorders;
701-81 [(8)](9)"Practiceofspeech-languagepathology":
702-82 (a)Providesscreening,identification,assessment,diagnosis,treatment,intervention,
703-83includingbutnotlimitedtoprevention,restoration,ameliorationandcompensation,and
704-84follow-upservicesfordisordersof:
705-85 a.Speech:articulation,fluency,voice,includingrespiration,phonationand
706-86resonance;
707-87 b.Language,involvingtheparametersofphonology,morphology,syntax,semantics
708-88andpragmatic;andincludingdisordersofreceptiveandexpressivecommunicationinoral,
709-89written,graphicandmanualmodalities;
710-90 c.Oral,pharyngeal,cervicalesophagealandrelatedfunctions,suchasdysphagia,
711-91includingdisordersofswallowingandoralfunctionsforfeeding;orofacialmyofunctional
712-92disorders;
713-93 d.Cognitiveaspectsofcommunication,includingcommunicationdisabilityandother
714-94functionaldisabilitiesassociatedwithcognitiveimpairment;
715-95 e.Socialaspectsofcommunication,includingchallengingbehavior,ineffectivesocial
716-96skills,lackofcommunicationopportunities;
717-97 (b)Providesconsultationandcounselingandmakesreferralswhenappropriate;
718-98 (c)Trainsandsupportsfamilymembersandothercommunicationpartnersof
719-99individualswithspeech,voice,language,communicationandswallowingdisabilities;
720-100 (d)Developsandestablisheseffectiveaugmentativeandalternativecommunication
721-101techniquesandstrategies,includingselecting,prescribinganddispensingofaugmentative
722-102aidsanddevices;andthetrainingofindividuals,theirfamiliesandothercommunication
723-103partnersintheiruse;
724-104 (e)Selects,fitsandestablisheseffectiveuseofappropriateprosthetic/adaptive
725-105devicesforspeakingandswallowing,suchastracheoesophagealvalves,electrolarynges,or
726-106speakingvalves;
727-107 (f)Usesinstrumentaltechnologytodiagnoseandtreatdisordersofcommunication
728-108andswallowing,suchasvideofluoroscopy,nasendoscopy,ultrasonographyandstroboscopy;
729-CCS#2SSHB2149 20 109 (g)Providesauralrehabilitativeandrelatedcounselingservicestoindividualswith
730-110hearinglossandtotheirfamilies;
731-111 (h)Collaboratesintheassessmentofcentralauditoryprocessingdisordersincasesin
732-112whichthereisevidenceofspeech,languageorothercognitivecommunicationdisorders;
733-113providesinterventionforindividualswithcentralauditoryprocessingdisorders;
734-114 (i)Conductspure-toneairconductionhearingscreeningandscreeningtympanometry
735-115forthepurposeoftheinitialidentificationorreferral;
736-116 (j)Enhancesspeechandlanguageproficiencyandcommunicationeffectiveness,
737-117includingbutnotlimitedtoaccentreduction,collaborationwithteachersofEnglishasa
738-118secondlanguageandimprovementofvoice,performanceandsinging;
739-119 (k)Trainsandsupervisessupportpersonnel;
740-120 (l)Developsandmanagesacademicandclinicalprogramsincommunicationsciences
741-121anddisorders;
742-122 (m)Conducts,disseminatesandappliesresearchincommunicationsciencesand
743-123disorders;
744-124 (n)Measuresoutcomesoftreatmentandconductscontinuousevaluationofthe
745-125effectivenessofpracticesandprogramstoimproveandmaintainqualityofservices;
746-126 [(9)](10)"Speech-languagepathologist",apersonwhoislicensedasaspeech-
747-127languagepathologistpursuanttosections345.010to345.080;whoengagesinthepracticeof
748-128speech-languagepathologyasdefinedinsections345.010to345.080;
749-129 [(10)] (11)"Speech-languagepathologyaide",apersonwhoisregisteredasaspeech-
750-130languageaidebytheboard,whodoesnotactindependentlybutworksunderthedirectionand
751-131supervisionofalicensedspeech-languagepathologist.Suchpersonassiststhespeech-
752-132languagepathologistwithactivitieswhichrequireanunderstandingofspeech-language
753-133pathologybutdonotrequireformaltrainingintherelevantacademics.Tobeeligiblefor
754-134registrationbytheboard,eachapplicantshallsubmitaregistrationfeeand:
755-135 (a)Beatleasteighteenyearsofage;
756-136 (b)Furnishevidenceoftheperson'seducationalqualificationswhichshallbeata
757-137minimum:
758-138 a.Certificationofgraduationfromanaccreditedhighschooloritsequivalent;and
759-139 b.On-the-jobtraining;
760-140 (c)Beemployedinasettinginwhichdirectandindirectsupervisionisprovidedona
761-141regularandsystematicbasisbyalicensedspeech-languagepathologist.
762-142
763-143However,theaideshallnotadministerorinterprethearingscreeningordiagnostictests,fitor
764-144dispensehearinginstruments,makeearimpressions,makediagnosticstatements,determine
765-145caseselection,presentwrittenreportstoanyoneotherthanthesupervisorwithoutthe
766-CCS#2SSHB2149 21 146signatureofthesupervisor,makereferralstootherprofessionalsoragencies,useatitleother
767-147thanspeech-languagepathologyaide,developormodifytreatmentplans,dischargeclients
768-148fromtreatmentorterminatetreatment,discloseclinicalinformation,eitherorallyorin
769-149writing,toanyoneotherthanthesupervisingspeech-languagepathologist,orperformany
770-150procedureforwhichheorsheisnotqualified,hasnotbeenadequatelytrainedorboth;
771-151 [(11)](12)"Speech-languagepathologyassistant",apersonwhoisregisteredasa
772-152speech-languagepathologyassistantbytheboard,whodoesnotactindependentlybutworks
773-153underthedirectionandsupervisionofalicensedspeech-languagepathologistpracticingforat
774-154leastoneyearorspeech-languagepathologistpracticingundersubdivision(1)or(6)of
775-155subsection1ofsection345.025foratleastoneyearandwhoseactivitiesrequireboth
776-156academicandpracticaltraininginthefieldofspeech-languagepathologyalthoughless
777-157trainingthanthoseestablishedbysections345.010to345.080asnecessaryforlicensingasa
778-158speech-languagepathologist.Tobeeligibleforregistrationbytheboard,eachapplicantshall
779-159submittheregistrationfee,supervisingspeech-languagepathologistinformationif
780-160employmentisconfirmed,ifnotsuchinformationshallbeprovidedafterregistration,and
781-161furnishevidenceoftheperson'seducationalqualificationswhichmeetthefollowing:
782-162 (a)Holdabachelor'sleveldegreefromaninstitutionaccreditedorapprovedbya
783-163regionalaccreditingbodyrecognizedbytheUnitedStatesDepartmentofEducationorits
784-164equivalent;and
785-165 (b)Submitofficialtranscriptsfromoneormoreaccreditedcollegesoruniversities
786-166presentingevidenceofthecompletionofbachelor'slevelcourseworkandrequirementsinthe
787-167fieldofspeech-languagepathologyasestablishedbytheboardthroughrulesandregulations;
788-168 (c)Submitproofofcompletionofthenumberandtypeofclinicalhoursas
789-169establishedbytheboardthroughrulesandregulations.
790-345.022.1.Anypersonintheperson'sclinicalfellowshipshallholdaprovisional
791-2licensetopracticespeech-languagepathologyoraudiology.Theboardmayissuea
792-3provisionallicensetoanapplicantwho:
793-4 (1)Hasmettherequirementsforpracticumandacademicrequirementsfroman
794-5accreditedtrainingprogramunderthischapter;
795-6 (2)Submitsanapplicationtotheboardonaformprescribedbytheboard.Such
796-7formshallincludeaplanforthecontentandsupervisionoftheclinicalfellowship,as
797-8wellasevidenceofgoodmoralandethicalcharacter;and
798-9 (3)Submitstotheboardanapplicationfee,assetbytheboard,forthe
799-10provisionallicense.
800-11 2.Aprovisionallicenseiseffectiveforoneyearandmaybeextendedforan
801-12additionaltwelvemonthsonlyforpurposesofcompletingthepostgraduateclinical
802-13experienceportionoftheclinicalfellowship;provided,thattheapplicanthaspassedthe
803-CCS#2SSHB2149 22 14nationalexaminationandshallholdamaster'sdegreefromanapprovedtraining
804-15programinhisorherareaofapplication.
805-16 3.Withintwelvemonthsofissuanceoftheprovisionallicense,theapplicantshall
806-17passanexaminationpromulgatedorapprovedbytheboard.
807-18 4.Withintwelvemonthsofissuanceofaprovisionallicense,theapplicantshall
808-19completetherequirementsforthemaster'sordoctoraldegreefromaprogram
809-20accreditedbytheCouncilonAcademicAccreditationoftheAmericanSpeech-
810-21Language-HearingAssociationorotheraccreditingagencyapprovedbytheboardin
811-22theareainwhichlicensureissought.
812-345.050.[1.]Tobeeligibleforlicensurebytheboardbyexamination,eachapplicant
813-2shallsubmittheapplicationfeeandshallfurnishevidenceofsuchperson'scurrent
814-3competenceandshall:
815-4 (1)Holdamaster'soradoctoraldegreefromaprogramthatwasawarded
816-5"accreditationcandidate"statusorisaccreditedbytheCouncilonAcademicAccreditationof
817-6theAmericanSpeech-Language-HearingAssociationorotheraccreditingagencyapproved
818-7bytheboardintheareainwhichlicensureissought;
819-8 (2)Submitofficialtranscriptsfromoneormoreaccreditedcollegesoruniversities
820-9presentingevidenceofthecompletionofcourseworkandclinicalpracticumrequirements
821-10equivalenttothatrequiredbytheCouncilonAcademicAccreditationoftheAmerican
822-11Speech-Language-HearingAssociationorotheraccreditingagencyapprovedbytheboard;
823-12[and]
824-13 (3)Presentwrittenevidenceofcompletionofaclinicalfellowshipfrom
825-14supervisors.Theexperiencerequiredbythissubdivisionshallfollowthecompletionof
826-15therequirementsofsubdivisions(1)and(2)ofthissubsection.Thisperiodof
827-16employmentshallbeunderthedirectsupervisionofapersonwhoislicensedbythestate
828-17ofMissouriintheprofessioninwhichtheapplicantseekstobelicensed.Persons
829-18applyingwithanaudiologyclinicaldoctoraldegreeareexemptfromthisprovision;and
830-19 (4)Passanexaminationpromulgatedorapprovedbytheboard.Theboardshall
831-20determinethesubjectandscopeoftheexaminations.
832-21 [2.Tobeeligibleforlicensurebytheboardwithoutexamination,eachapplicantshall
833-22makeapplicationonformsprescribedbytheboard,submittheapplicationfee,submitan
834-23activitystatementandmeetoneofthefollowingrequirements:
835-24 (1)Theboardshallissuealicensetoanyspeech-languagepathologistoraudiologist
836-25whoislicensedinanothercountryandwhohashadnoviolations,suspensionorrevocations
837-26ofalicensetopracticespeech-languagepathologyoraudiologyinanyjurisdiction;provided
838-27that,suchpersonislicensedinacountrywhoserequirementsaresubstantiallyequalto,or
839-28greaterthan,Missouriatthetimetheapplicantappliesforlicensure;or
840-CCS#2SSHB2149 23 29 (2)HoldthecertificateofclinicalcompetenceissuedbytheAmericanSpeech-
841-30Language-HearingAssociationintheareainwhichlicensureissought.]
842-345.052.1.Forpurposesofthissection,thefollowingtermsmean:
843-2 (1)"Board",theMissouriboardofregistrationforthehealingarts;
844-3 (2)"Commission",theadvisorycommissionforspeech-languagepathologists
845-4andaudiologists;
846-5 (3)"License",alicense,certificate,registration,permit,accreditation,or
847-6militaryoccupationalspecialtythatenablesapersontolegallypracticeanoccupationor
848-7professioninaparticularjurisdiction;
849-8 (4)"Military",theArmedForcesoftheUnitedStatesincludingtheAirForce,
850-9Army,CoastGuard,MarineCorps,Navy,SpaceForce,NationalGuard,andanyother
851-10militarybranchthatisdesignatedbyCongressaspartoftheArmedForcesofthe
852-11UnitedStates,andallreservecomponentsandauxiliaries.Suchtermalsoincludesthe
853-12militaryreservesandmilitiaoftheUnitedStatesterritoryorstate;
854-13 (5)"Nonresidentmilitaryspouse",anonresidentspouseofanactiveduty
855-14memberoftheArmedForcesoftheUnitedStateswhohasbeentransferredoris
856-15scheduledtobetransferredtoanadjacentstateandisorwillbedomiciledinthestateof
857-16Missouri,orhasmovedtothestateofMissourionapermanentchange-of-stationbasis;
858-17 (6)"Residentmilitaryspouse",aspouseofanactivedutymemberoftheArmed
859-18ForcesoftheUnitedStateswhohasbeentransferredorisscheduledtobetransferredto
860-19thestateofMissouri,whoisdomiciledinthestateofMissouri,orwhohasMissourias
861-20hisorherhomeofrecord.
862-21 2.Anypersonwhoholdsavalidcurrentspeech-languagepathologistor
863-22audiologistlicenseissuedbyanotherstate,abranchorunitofthemilitary,aterritoryof
864-23theUnitedStates,ortheDistrictofColumbia,andwhohasbeenlicensedforatleastone
865-24yearintheotherjurisdiction,maysubmitanapplicationforaspeech-language
866-25pathologistoraudiologistlicenseinMissourialongwithproofofcurrentlicensureand
867-26proofoflicensureforatleastoneyearintheotherjurisdiction,totheboard.
868-27 3.Theboardshall:
869-28 (1)Withinsixmonthsofreceivinganapplicationdescribedinsubsection2of
870-29thissection,waiveanyexamination,educational,orexperiencerequirementsfor
871-30licensureinthisstatefortheapplicantifitdeterminesthattherewereminimum
872-31educationrequirementsand,ifapplicable,workexperienceandclinicalsupervision
873-32requirementsineffectandtheotherstateverifiesthatthepersonmetthose
874-33requirementsinordertobelicensedorcertifiedinthatstate.Theboardmay
875-34requireanapplicanttotakeandpassanexaminationspecifictothelawsofthisstate;or
876-CCS#2SSHB2149 24 35 (2)Withinthirtydaysofreceivinganapplicationdescribedinsubsection2of
877-36thissectionfromanonresidentmilitaryspouseoraresidentmilitaryspouse,waiveany
878-37examination,educational,orexperiencerequirementsforlicensureinthisstateforthe
879-38applicantandissuesuchapplicantalicenseunderthissectionifsuchapplicant
880-39otherwisemeetstherequirementsofthissection.
881-40 4.(1)Theboardshallnotwaiveanyexamination,educational,orexperience
882-41requirementsforanyapplicantwhohashadhisorherlicenserevokedbyaboard
883-42outsidethestate;whoiscurrentlyunderinvestigation,whohasacomplaintpending,or
884-43whoiscurrentlyunderdisciplinaryaction,exceptasprovidedinsubdivision(2)ofthis
885-44subsection,withaboardoutsidethestate;whodoesnotholdalicenseingoodstanding
886-45withaboardoutsidethestate;whohasacriminalrecordthatwoulddisqualifyhimor
887-46herforlicensureinMissouri;orwhodoesnotholdavalidcurrentlicenseintheother
888-47jurisdictiononthedatetheboardreceiveshisorherapplicationunderthissection.
889-48 (2)Ifanotherjurisdictionhastakendisciplinaryactionagainstanapplicant,the
890-49boardshalldetermineifthecausefortheactionwascorrectedandthematterresolved.
891-50Ifthematterhasnotbeenresolvedbythatjurisdiction,theboardmaydenyalicense
892-51untilthematterisresolved.
893-52 5.Nothinginthissectionshallprohibittheboardfromdenyingalicensetoan
894-53applicantunderthissectionforanyreasondescribedinsection345.065.
895-54 6.Anypersonwhoislicensedundertheprovisionsofthissectionshallbesubject
896-55totheboard'sjurisdictionandallrulesandregulationspertainingtothepracticeasa
897-56speech-languagepathologistoraudiologistinthisstate.
898-57 7.Thissectionshallnotbeconstruedtowaiveanyrequirementforanapplicant
899-58topayanyfees.
14+BEITENACTEDBYTHEGENERALASSEMBLYOFTHESTATEOFMISSOURI,AS
15+FOLLOWS:
16+SectionA.Sections197.400,197.445,327.312,327.313,
17+2 327.314,327.331,334.100,334.530,334.655,338.055,345.015,and
18+3 345.050,RSMo,arerepealedandseventeennewsectionsenactedin
19+4 lieuthereof,tobeknownassections197.400,197.445,324.005,
20+5 327.312,327.313,327.314,327.331,332.325,334.100,334.530,
21+6 334.655,338.055,345.015,345.022,345.050,345.052,and345.085,
22+7 toreadasfollows:
23+197.400.Asusedinsections197.400to197.475,unlessthe
24+2 contextotherwiserequires,thefollowingtermsmean:
25+3 (1)"Council",thehomehealthservicesadvisorycouncil
26+4 createdbysections197.400to197.475;
27+5 (2)"Department",thedepartmentofhealthandsenior
28+6 services;
29+7 (3)"Homehealthagency",apublicagencyorprivate
30+1 8 organizationorasubdivisionorsubunitofanagencyor
31+9 organizationthatprovidestwoormorehomehealthservicesatthe
32+10 residenceofapatientaccordingtoa[physician's] written[and
33+11 signed] planoftreatmentsignedbyaphysician,nurse
34+12 practitioner,clinicalnursespecialist,orphysicianassistant;
35+13 (4)"Homehealthservices",anyofthefollowingitemsand
36+14 servicesprovidedattheresidenceofthepatientonapart-timeor
37+15 intermittentbasis:nursing,physicaltherapy,speechtherapy,
38+16 occupationaltherapy,homehealthaid,ormedicalsocialservice;
39+17 (5)"Nursepractitioner,clinicalnursespecialist",a
40+18 personrecognizedbythestateboardofnursingpursuanttothe
41+19 provisionsofchapter335topracticeinthisstateasanurse
42+20 practitionerorclinicalnursespecialist;
43+21 (6)"Part-timeorintermittentbasis",theprovidingofhome
44+22 healthservicesinaninterruptedintervalsequenceontheaverage
45+23 ofnottoexceedthreehoursinanytwenty-four-hour period;
46+24 [(6)] (7)"Patient'sresidence",theactualplaceof
47+25 residenceofthepersonreceivinghomehealthservices,including
48+26 institutionalresidencesaswellasindividualdwellingunits;
49+27 [(7)] (8)"Physician",apersonlicensedbythestateboard
50+28 ofregistrationforthehealingartspursuanttotheprovisionsof
51+29 chapter334topracticeinthisstateasaphysicianandsurgeon;
52+30 (9)"Physicianassistant",apersonlicensedbythestate
53+31 boardofregistrationforthehealingartspursuanttothe
54+32 provisionsofchapter334topracticeinthisstateasaphysician
55+33 assistant;
56+34 [(8)] (10)"Planoftreatment",aplanreviewedandsignedas
57+2 35 oftenas[medically] necessarybyaphysician[or], podiatrist,
58+36 nursepractitioner,clinicalnursespecialist,oraphysician
59+37 assistant,nottoexceedsixtydaysinduration,andreviewedbya
60+38 physicianatleastonceeverysixmonths,prescribingitemsand
61+39 servicesforanindividualpatient'scondition;
62+40 [(9)] (11)"Podiatrist",apersonlicensedbythestateboard
63+41 ofpodiatrypursuanttotheprovisionsofchapter330topractice
64+42 inthisstateasapodiatrist;
65+43 [(10)] (12)"Subunit"or"subdivision",anyorganizational
66+44 unitofalargerorganizationwhichcanbeclearlydefinedasa
67+45 separateentitywithinthelargerstructure,whichcanmeetallof
68+46 therequirementsofsections197.400to197.475independentofthe
69+47 largerorganization,whichcanbeheldaccountableforthecareof
70+48 patientsitisserving,andwhichprovidestoallpatientscareand
71+49 servicesmeetingthestandardsandrequirementsofsections
72+50 197.400to197.475.
73+197.445.1.Thedepartmentmayadoptreasonablerulesand
74+2 standardsnecessarytocarryouttheprovisionsofsections
75+3 197.400to197.477.Therulesandstandardsadoptedshallnotbe
76+4 lessthanthestandardsestablishedbythefederalgovernmentfor
77+5 homehealthagenciesunderTitleXVIIIoftheFederalSocial
78+6 SecurityAct.Thereasonablerulesandstandardsshallbe
79+7 initiallypromulgatedwithinoneyearofSeptember28,1983.
80+8 2.Therulesandstandardsadoptedbythedepartmentpursuant
81+9 totheprovisionsofsections197.400to197.477shallapplytoall
82+10 healthservicescoveredbysections197.400to197.477renderedto
83+11 anypatientbeingservedbyahomehealthagencyregardlessof
84+3 12 sourceofpaymentfortheservice,patient'scondition,orplaceof
85+13 residence,atwhichthehomehealthservicesareorderedbythe
86+14 physician[or], podiatrist,nursepractitioner,clinicalnurse
87+15 specialist,orphysicianassistant. Noruleorportionofarule
88+16 promulgatedpursuanttotheauthorityofsections197.400to
89+17 197.477shallbecomeeffectiveunlessithasbeenpromulgated
90+18 pursuanttotheprovisionsofsection536.024.
91+324.005.1.Notwithstanding anyrequirementsforlicensure
92+2 forallprofessionalboards,commissions,committees,andoffices
93+3 withinthedivisionofprofessionalregistrationtothecontrary,
94+4 aprofessionalwhohasacurrentlicensetopracticefromanother
95+5 state,commonwealth,territory,ortheDistrictofColumbiashall
96+6 beexemptfromthelicensurerequirementsofhisorherrespective
97+7 licensureboardinthisstateif:
98+8 (1)Theprofessionalisanactivedutyorreservememberof
99+9 theArmedForcesoftheUnitedStates,amemberoftheNational
100+10 Guard,acivilianemployeeoftheUnitedStatesDepartmentof
101+11 Defense,anauthorizedservicescontractorunder10U.S.C.Section
102+12 1091,oraprofessionalotherwiseauthorizedbytheUnitedStates
103+13 DepartmentofDefense;
104+14 (2)Theprofessionalpracticesthesameoccupationor
105+15 professionatthesamepracticelevelforwhichheorsheholdsa
106+16 currentlicense;and
107+17 (3)Theprofessionalisengagedinthepracticeofa
108+18 professionalthroughapartnershipwiththefederalInnovative
109+19 ReadinessTrainingprogramwithintheUnitedStatesDepartmentof
110+20 Defense.
111+4 21 2.Theexemptionprovidedinthissectionshallnotpermita
112+22 professionaltoengageinpracticeexceptaspartofthefederal
113+23 InnovativeReadinessTrainingprogramwithintheUnitedStates
114+24 DepartmentofDefense.Theexemptionshallonlyapplywhile:
115+25 (1)Theprofessional'spracticeisrequiredbytheprogram
116+26 pursuanttomilitaryorders;and
117+27 (2)Theservicesprovidedbytheprofessionalarewithinthe
118+28 scopeofpracticefortheindividual'srespectiveprofessionin
119+29 thisstate.
120+327.312.1.PriortoJanuary1,2024,anypersonmayapply
121+2 totheboardforenrollmentasalandsurveyor-in-training whoisa
122+3 highschoolgraduate,orwhoholdsaMissouricertificateofhigh
123+4 schoolequivalence(GED),andeither:
124+5 (1)Hasgraduatedandreceivedabaccalaureatedegreeinan
125+6 approvedcurriculumasdefinedbyboardregulationwhichshall
126+7 includeatleasttwelvesemesterhoursofapprovedsurveying
127+8 courseworkasdefinedbyboardregulationofwhichatleasttwo
128+9 semesterhoursshallbeinthelegalaspectsofboundarysurveying;
129+10 or
130+11 (2)Haspassedatleastsixtyhoursofcollegecreditwhich
131+12 shallincludecreditforatleasttwentysemesterhoursofapproved
132+13 surveyingcourseworkasdefinedbyboardregulationofwhichat
133+14 leasttwosemesterhoursshallbeinlegalaspectsofboundary
134+15 surveyingandpresentevidencesatisfactorytotheboardthatin
135+16 additiontheretosuchpersonhasatleastoneyearofcombined
136+17 professionalofficeandfieldexperienceinlandsurveying
137+18 projectsundertheimmediatepersonalsupervisionofa
138+5 19 professionallandsurveyor;or
139+20 (3)Haspassedatleasttwelvesemesterhoursofapproved
140+21 surveyingcourseworkasdefinedbyboardregulationofwhichat
141+22 leasttwosemesterhoursshallbeinlegalaspectsofland
142+23 surveyingandinadditiontheretohasatleasttwoyearsof
143+24 combinedprofessionalofficeandfieldexperienceinland
144+25 surveyingprojectsundertheimmediatepersonalsupervisionofa
145+26 professionallandsurveyor. Pursuanttothisprovision,notmore
146+27 thanoneyearofsatisfactorypostsecondaryeducationworkshall
147+28 countasequivalentyearsofsatisfactorylandsurveyingworkas
148+29 aforementioned.
149+30 2.Theboardshallissueacertificateofcompletiontoeach
150+31 applicantwhosatisfiestherequirementsoftheaforementioned
151+32 landsurveyor-in-training programandpassessuchexaminationor
152+33 examinationsasshallberequiredbytheboard.
153+34 3.BeginningJanuary1,2024,anypersonmayapplytothe
154+35 boardforenrollmentasalandsurveyor-internwhoisahighschool
155+36 graduate,orwhoholdsacertificateofhighschoolequivalence
156+37 (GED),andhaspassedanyexaminationrequiredbytheboard
157+38 pursuanttosection327.331.
158+327.313.Applicationsforenrollmentasaland[surveyor-in-
159+2 training] surveyor-intern shallbetypewrittenonprescribedforms
160+3 furnishedtotheapplicant. Theapplicationshallcontain
161+4 applicant'sstatementsshowingtheapplicant'seducation,
162+5 experience,andsuchotherpertinentinformationastheboardmay
163+6 require.Eachapplicationshallcontainastatementthatitis
164+7 madeunderoathoraffirmationandthattherepresentations are
165+6 8 trueandcorrecttothebestknowledgeandbeliefoftheapplicant,
166+9 subjecttothepenaltiesofmakingafalseaffidavitordeclaration
167+10 andshallbeaccompaniedbytherequiredfee.
168+327.314.1.PriortoJanuary1,2024,anypersonmayapply
169+2 totheboardforlicensureasaprofessionallandsurveyorwhohas
170+3 beenenrolledasalandsurveyor-in-training andhaspresented
171+4 evidencetothesatisfactionoftheboardthatsaidpersonhas
172+5 acquiredatleastfouryearsofsatisfactoryprofessionalfield
173+6 andofficeexperienceinlandsurveyingfromthedateofenrollment
174+7 asalandsurveyor-in-training. Thisexperienceshallhavebeen
175+8 undertheimmediatepersonalsupervisionofaprofessionalland
176+9 surveyor.
177+10 2.BeginningJanuary1,2024,anypersonmayapplytothe
178+11 boardforlicensurewhopresentsevidencesatisfactorytothe
179+12 boardthattheapplicanthasmettherequirementsasprovidedin
180+13 thissubsection:
181+14 (1)Anapplicantshallbeahighschoolgraduateorholda
182+15 certificateofhighschoolequivalence(GED),andeither:
183+16 (a)Hasgraduatedandreceivedabaccalaureatedegreeinan
184+17 approvedcurriculum,asdefinedbytheboard,whichshallinclude
185+18 atleastfifteensemesterhoursofapprovedsurveyingcoursework,
186+19 asdefinedbytheboard,ofwhichatleastsixsemesterhoursshall
187+20 beinthelegalaspectsofboundarysurveying;or
188+21 (b)Haspassedatleastsixtyhoursofcollegecreditwhich
189+22 shallincludeatleastfifteensemesterhoursofapproved
190+23 surveyingcoursework,asdefinedbytheboard,ofwhichatleast
191+24 sixsemesterhoursshallbeinlegalaspectsofboundarysurveying;
192+7 25 or
193+26 (c)Haspassedatleastfifteensemesterhoursofapproved
194+27 surveyingcoursework,asdefinedbytheboard,ofwhichatleast
195+28 sixsemesterhoursshallbeinlegalaspectsoflandsurveying;
196+29 (d)Anapplicantmeetingtherequirementsofparagraph(a)of
197+30 thissubdivisionshallhaveacquiredatleastfouryearsof
198+31 satisfactoryfieldandofficeexperienceinlandsurveyingunder
199+32 theimmediatepersonalsupervisionofaprofessionalland
200+33 surveyor;
201+34 (e)Anapplicantmeetingtherequirementsofparagraph(b)of
202+35 thissubdivisionshallhaveacquiredatleastfiveyearsof
203+36 satisfactoryfieldandofficeexperienceinlandsurveyingunder
204+37 theimmediatepersonalsupervisionofaprofessionalland
205+38 surveyor;
206+39 (f)Anapplicantmeetingtherequirementsofparagraph(c)of
207+40 thissubdivisionshallhaveacquiredatleastsixyearsof
208+41 satisfactoryfieldandofficeexperienceinlandsurveyingunder
209+42 theimmediatepersonalsupervisionofaprofessionalland
210+43 surveyor. Pursuanttothisprovision,uptooneyearofpost-
211+44 secondaryeducation,approvedbytheboard,maycountas
212+45 equivalentworkexperience;
213+46 (2)Anapplicantshallpassanyexaminationsrequiredbythe
214+47 boardpursuanttosection327.331;
215+48 (3)Anypersonenrolledasalandsurveyor-in-training prior
216+49 toJanuary1,2024,shallonlyberequiredtomeettherequirements
217+50 inplacepursuanttotheirenrollment.
218+327.331.1.Afterithasbeendeterminedthatanapplicant
219+8 2 possessesthequalificationsentitlingtheapplicanttobe
220+3 examined,eachapplicantforexaminationandenrollmentasaland
221+4 surveyor-in-training andforexaminationandlicensureasa
222+5 professionallandsurveyorinMissourishallappearbeforethe
223+6 boardoritsrepresentatives forexaminationatthetimeandplace
224+7 specified.
225+8 2.Theexaminationorexaminationsshallbeofsuchform,
226+9 contentanddurationasshallbedeterminedbytheboardto
227+10 thoroughlytestthequalificationsofeachapplicanttobecome
228+11 enrolledasaland[surveyor-in-training] surveyor-intern orto
229+12 becomelicensedasaprofessionallandsurveyorinMissouri.
230+13 3.Anyapplicanttobeeligibleforenrollmentorforlicense
231+14 mustmakeagradeontheapplicableexaminationofatleastseventy
232+15 percent.
233+16 4.Anypersonwhopassestheexaminationhereinabove
234+17 specifiedshallbeentitledtobeenrolledasaland[surveyor-in-
235+18 training] surveyor-intern orlicensedasaprofessionalland
236+19 surveyor,asthecasemaybe,inMissouriandshallreceivea
237+20 certificateofenrollmentoralicense,asthecasemaybe.
238+332.325.1.TheMissouridentalboardmaycollaboratewith
239+2 thedepartmentofhealthandseniorservicesandtheofficeof
240+3 dentalhealthwithinthedepartmentofhealthandseniorservices
241+4 toapprovepilotprojectsdesignedtoexaminenewmethodsof
242+5 extendingcaretomedicallyunderservedpopulations,asdefinedin
243+6 42U.S.C.Section300e-1(7). Thesepilotprojectsmayemploy
244+7 techniquesorapproachestocarethatmaynecessitateawaiverof
245+8 therequirementsofthischapterandregulationspromulgated
246+9 9 thereunder;provided:
247+10 (1)Theprojectplanhasaclearlystatedobjectiveof
248+11 servingaspecificunderservedpopulationthatwarrants,inthe
249+12 opinionofamajorityoftheboard,grantingapprovalforapilot
250+13 project;
251+14 (2)Theprojecthasafinitestartdateandterminationdate;
252+15 (3)Theprojectclearlydefinesthenewtechniquesor
253+16 approachesitintendstoexaminetodetermineifitresultsinan
254+17 improvementinaccessorqualityofcare;
255+18 (4)Theprojectplanidentifiesspecificandlimited
256+19 locationsandpopulationstoparticipateinthepilotproject;
257+20 (5)Theprojectplanclearlyestablishesminimumguidelines
258+21 andstandardsforthepilotproject,including,butnotlimitedto,
259+22 provisionsforprotectingsafetyofparticipatingpatients;
260+23 (6)Theprojectplanclearlydefinesthemeasurement
261+24 criteriaitwillusetoevaluatetheoutcomesofthepilotproject
262+25 onaccessandqualityofcare;and
263+26 (7)Theprojectplanidentifiesreportingintervalsto
264+27 communicateinterimandfinaloutcomestotheboard.
265+28 2.Theboardmaypromulgaterulesandregulationsto
266+29 implementtheprovisionsofthissection.Anyruleorportionofa
267+30 rule,asthattermisdefinedinsection536.010,thatiscreated
268+31 undertheauthoritydelegatedinthissectionshallbecome
269+32 effectiveonlyifitcomplieswithandissubjecttoallofthe
270+33 provisionsofchapter536and,ifapplicable,section536.028.
271+34 Thissectionandchapter536arenonseverableandifanyofthe
272+35 powersvestedwiththegeneralassemblypursuanttochapter536to
273+10 36 review,todelaytheeffectivedate,ortodisapproveandannula
274+37 rulearesubsequentlyheldunconstitutional, thenthegrantof
275+38 rulemakingauthorityandanyruleproposedoradoptedafterAugust
276+39 28,2022,shallbeinvalidandvoid.
277+40 3.TheprovisionsofthissectionshallexpireonAugust28,
278+41 2026.Theboardshallprovideafinalreportonapprovedprojects
279+42 andrelateddataorfindingstothegeneralassemblyonorbefore
280+43 December31,2025.Thename,location,approvaldates,andgeneral
281+44 descriptionofanapprovedpilotprojectshallbedeemedapublic
282+45 recordpursuanttochapter610.
283+334.100.1.Theboardmayrefusetoissueorrenewany
284+2 certificateofregistrationorauthority,permitorlicense
285+3 requiredpursuanttothischapterforoneoranycombinationof
286+4 causesstatedinsubsection2ofthissection.Theboardshall
287+5 notifytheapplicantinwritingofthereasonsfortherefusaland
288+6 shalladvisetheapplicantoftheapplicant'srighttofilea
289+7 complaintwiththeadministrativehearingcommissionasprovided
290+8 bychapter621.Asanalternativetoarefusaltoissueorrenew
291+9 anycertificate,registrationorauthority,theboardmay,atits
292+10 discretion,issuealicensewhichissubjecttoprobation,
293+11 restrictionorlimitationtoanapplicantforlicensureforanyone
294+12 oranycombinationofcausesstatedinsubsection2ofthis
295+13 section.Theboard'sorderofprobation,limitationor
296+14 restrictionshallcontainastatementofthedisciplineimposed,
297+15 thebasistherefor,thedatesuchactionshallbecomeeffective,
298+16 andastatementthattheapplicanthasthirtydaystorequestin
299+17 writingahearingbeforetheadministrativehearingcommission.
300+11 18 Iftheboardissuesaprobationary,limitedorrestrictedlicense
301+19 toanapplicantforlicensure,eitherpartymayfileawritten
302+20 petitionwiththeadministrativehearingcommissionwithinthirty
303+21 daysoftheeffectivedateoftheprobationary,limitedor
304+22 restrictedlicenseseekingreviewoftheboard'sdetermination.
305+23 Ifnowrittenrequestforahearingisreceivedbythe
306+24 administrativehearingcommissionwithinthethirty-dayperiod,
307+25 therighttoseekreviewoftheboard'sdecisionshallbe
308+26 consideredaswaived.
309+27 2.Theboardmaycauseacomplainttobefiledwiththe
310+28 administrativehearingcommissionasprovidedbychapter621
311+29 againstanyholderofanycertificateofregistrationor
312+30 authority,permitorlicenserequiredbythischapteroranyperson
313+31 whohasfailedtoreneworhassurrenderedtheperson'scertificate
314+32 ofregistrationorauthority,permitorlicenseforanyoneorany
315+33 combinationofthefollowingcauses:
316+34 (1)Useofanycontrolledsubstance,asdefinedinchapter
317+35 195,oralcoholicbeveragetoanextentthatsuchuseimpairsa
318+36 person'sabilitytoperformtheworkofanyprofessionlicensedor
319+37 regulatedbythischapter;
320+38 (2)Thepersonhasbeenfinallyadjudicatedandfoundguilty,
321+39 orenteredapleaofguiltyornolocontendere,inacriminal
322+40 prosecutionunderthelawsofanystateoroftheUnitedStates,
323+41 foranyoffensereasonablyrelatedtothequalifications,
324+42 functionsordutiesofanyprofessionlicensedorregulated
325+43 pursuanttothischapter,foranyoffenseinvolvingfraud,
326+44 dishonestyoranactofviolence,orforanyoffenseinvolving
327+12 45 moralturpitude,whetherornotsentenceisimposed;
328+46 (3)Useoffraud,deception,misrepresentation orbriberyin
329+47 securinganycertificateofregistrationorauthority,permitor
330+48 licenseissuedpursuanttothischapterorinobtainingpermission
331+49 totakeanyexaminationgivenorrequiredpursuanttothischapter;
332+50 (4)Misconduct,fraud,misrepresentation, dishonesty,
333+51 unethicalconductorunprofessionalconductintheperformanceof
334+52 thefunctionsordutiesofanyprofessionlicensedorregulatedby
335+53 thischapter,including,butnotlimitedto,thefollowing:
336+54 (a)Obtainingorattemptingtoobtainanyfee,charge,
337+55 tuitionorothercompensationbyfraud,deceptionor
338+56 misrepresentation; willfullyandcontinuallyoverchargingor
339+57 overtreatingpatients;orchargingforvisitstothephysician's
340+58 officewhichdidnotoccurunlesstheserviceswerecontractedfor
341+59 inadvance,orforserviceswhichwerenotrenderedordocumented
342+60 inthepatient'srecords;
343+61 (b)Attempting,directlyorindirectly,bywayof
344+62 intimidation,coercionordeception,toobtainorretainapatient
345+63 ordiscouragetheuseofasecondopinionorconsultation;
346+64 (c)Willfullyandcontinuallyperforminginappropriateor
347+65 unnecessarytreatment,diagnostictestsormedicalorsurgical
348+66 services;
349+67 (d)Delegatingprofessionalresponsibilities toapersonwho
350+68 isnotqualifiedbytraining,skill,competency,age,experience
351+69 orlicensuretoperformsuchresponsibilities;
352+70 (e)Misrepresenting thatanydisease,ailmentorinfirmity
353+71 canbecuredbyamethod,procedure,treatment,medicineordevice;
354+13 72 (f)Performingorprescribingmedicalserviceswhichhave
355+73 beendeclaredbyboardruletobeofnomedicalorosteopathic
356+74 value;
357+75 (g)Finaldisciplinaryactionbyanyprofessionalmedicalor
358+76 osteopathicassociationorsocietyorlicensedhospitalormedical
359+77 staffofsuchhospitalinthisoranyotherstateorterritory,
360+78 whetheragreedtovoluntarilyornot,andincluding,butnot
361+79 limitedto,anyremoval,suspension,limitation,orrestrictionof
362+80 theperson'slicenseorstafforhospitalprivileges,failureto
363+81 renewsuchprivilegesorlicenseforcause,orotherfinal
364+82 disciplinaryaction,iftheactionwasinanywayrelatedto
365+83 unprofessionalconduct,professionalincompetence,malpracticeor
366+84 anyotherviolationofanyprovisionofthischapter;
367+85 (h)Signingablankprescriptionform;ordispensing,
368+86 prescribing,administeringorotherwisedistributinganydrug,
369+87 controlledsubstanceorothertreatmentwithoutsufficient
370+88 examinationincludingfailingtoestablishavalidphysician-
371+89 patientrelationshippursuanttosection334.108,orforother
372+90 thanmedicallyacceptedtherapeuticorexperimentalor
373+91 investigativepurposesdulyauthorizedbyastateorfederal
374+92 agency,ornotinthecourseofprofessionalpractice,ornotin
375+93 goodfaithtorelievepainandsuffering,ornottocurean
376+94 ailment,physicalinfirmityordisease,exceptasauthorizedin
377+95 section334.104;
378+96 (i)Exercisinginfluencewithinaphysician-patient
379+97 relationshipforpurposesofengagingapatientinsexual
380+98 activity;
381+14 99 (j)Beinglistedonanystateorfederalsexualoffender
382+100 registry;
383+101 (k)Terminatingthemedicalcareofapatientwithout
384+102 adequatenoticeorwithoutmakingotherarrangementsforthe
385+103 continuedcareofthepatient;
386+104 (l)Failingtofurnishdetailsofapatient'smedicalrecords
387+105 toothertreatingphysiciansorhospitalsuponproperrequest;or
388+106 failingtocomplywithanyotherlawrelatingtomedicalrecords;
389+107 (m)Failureofanyapplicantorlicenseetocooperatewith
390+108 theboardduringanyinvestigation;
391+109 (n)Failuretocomplywithanysubpoenaorsubpoenaduces
392+110 tecumfromtheboardoranorderoftheboard;
393+111 (o)Failuretotimelypaylicenserenewalfeesspecifiedin
394+112 thischapter;
395+113 (p)Violatingaprobationagreement,order,orother
396+114 settlementagreementwiththisboardoranyotherlicensing
397+115 agency;
398+116 (q)Failingtoinformtheboardofthephysician'scurrent
399+117 residenceandbusinessaddress;
400+118 (r)Advertisingbyanapplicantorlicenseewhichisfalseor
401+119 misleading,orwhichviolatesanyruleoftheboard,orwhich
402+120 claimswithoutsubstantiationthepositivecureofanydisease,or
403+121 professionalsuperioritytoorgreaterskillthanthatpossessed
404+122 byanyotherphysician. Anapplicantorlicenseeshallalsobein
405+123 violationofthisprovisioniftheapplicantorlicenseehasa
406+124 financialinterestinanyorganization,corporationorassociation
407+125 whichissuesorconductssuchadvertising;
408+15 126 (s)Anyotherconductthatisunethicalorunprofessional
409+127 involvingaminor;
410+128 (5)Anyconductorpracticewhichisormightbeharmfulor
411+129 dangeroustothementalorphysicalhealthofapatientorthe
412+130 public;orincompetency,grossnegligenceorrepeatednegligence
413+131 intheperformanceofthefunctionsordutiesofanyprofession
414+132 licensedorregulatedbythischapter.Forthepurposesofthis
415+133 subdivision,"repeatednegligence"meansthefailure,onmorethan
416+134 oneoccasion,tousethatdegreeofskillandlearningordinarily
417+135 usedunderthesameorsimilarcircumstancesbythememberofthe
418+136 applicant'sorlicensee'sprofession;
419+137 (6)Violationof,orattemptingtoviolate,directlyor
420+138 indirectly,orassistingorenablinganypersontoviolate,any
421+139 provisionofthischapterorchapter324,orofanylawfulruleor
422+140 regulationadoptedpursuanttothischapterorchapter324;
423+141 (7)Impersonationofanypersonholdingacertificateof
424+142 registrationorauthority,permitorlicenseorallowingany
425+143 persontousehisorhercertificateofregistrationorauthority,
426+144 permit,licenseordiplomafromanyschool;
427+145 (8)Revocation,suspension,restriction,modification,
428+146 limitation,reprimand,warning,censure,probationorotherfinal
429+147 disciplinaryactionagainsttheholderoforapplicantfora
430+148 licenseorotherrighttopracticeanyprofessionregulatedbythis
431+149 chapterbyanotherstate,territory,federalagencyorcountry,
432+150 whetherornotvoluntarilyagreedtobythelicenseeorapplicant,
433+151 including,butnotlimitedto,thedenialoflicensure,surrender
434+152 ofthelicense,allowingthelicensetoexpireorlapse,or
435+16 153 discontinuingorlimitingthepracticeofmedicinewhilesubject
436+154 toaninvestigationorwhileactuallyunderinvestigationbyany
437+155 licensingauthority,medicalfacility,branchoftheArmedForces
438+156 oftheUnitedStatesofAmerica,insurancecompany,court,agency
439+157 ofthestateorfederalgovernment,oremployer;
440+158 (9)Apersonisfinallyadjudgedincapacitatedordisabledby
441+159 acourtofcompetentjurisdiction;
442+160 (10)Assistingorenablinganypersontopracticeorofferto
443+161 practiceanyprofessionlicensedorregulatedbythischapterwho
444+162 isnotregisteredandcurrentlyeligibletopracticepursuantto
445+163 thischapter;orknowinglyperforminganyactwhichinanyway
446+164 aids,assists,procures,advises,orencouragesanypersonto
447+165 practicemedicinewhoisnotregisteredandcurrentlyeligibleto
448+166 practicepursuanttothischapter.Aphysicianwhoworksin
449+167 accordancewithstandingordersorprotocolsorinaccordancewith
450+168 theprovisionsofsection334.104shallnotbeinviolationofthis
451+169 subdivision;
452+170 (11)Issuanceofacertificateofregistrationorauthority,
453+171 permitorlicensebaseduponamaterialmistakeoffact;
454+172 (12)Failuretodisplayavalidcertificateorlicenseifso
455+173 requiredbythischapteroranyrulepromulgatedpursuanttothis
456+174 chapter;
457+175 (13)Violationofthedruglawsorrulesandregulationsof
458+176 thisstate,includingbutnotlimitedtoanyprovisionofchapter
459+177 195,anyotherstate,orthefederalgovernment;
460+178 (14)Knowinglymaking,orcausingtobemade,oraiding,or
461+179 abettinginthemakingof,afalsestatementinanybirth,deathor
462+17 180 othercertificateordocumentexecutedinconnectionwiththe
463+181 practiceoftheperson'sprofession;
464+182 (15)Knowinglymakingafalsestatement,orallyorinwriting
465+183 totheboard;
466+184 (16)Solicitingpatronageinpersonorbyagentsor
467+185 representatives, orbyanyothermeansormanner,underthe
468+186 person'sownnameorunderthenameofanotherpersonorconcern,
469+187 actualorpretended,insuchamannerastoconfuse,deceive,or
470+188 misleadthepublicastotheneedornecessityforor
471+189 appropriateness ofhealthcareservicesforallpatients,orthe
472+190 qualificationsofanindividualpersonorpersonstodiagnose,
473+191 render,orperformhealthcareservices;
474+192 (17)Using,orpermittingtheuseof,theperson'snameunder
475+193 thedesignationof"Doctor","Dr.","M.D.",or"D.O.",orany
476+194 similardesignationwithreferencetothecommercialexploitation
477+195 ofanygoods,waresormerchandise;
478+196 (18)Knowinglymakingorcausingtobemadeafalsestatement
479+197 ormisrepresentation ofamaterialfact,withintenttodefraud,
480+198 forpaymentpursuanttotheprovisionsofchapter208orchapter
481+199 630orforpaymentfromTitleXVIIIorTitleXIXoftheSocial
482+200 SecurityAct;
483+201 (19)Failureorrefusaltoproperlyguardagainst
484+202 contagious,infectiousorcommunicablediseasesorthespread
485+203 thereof;maintaininganunsanitaryofficeorperforming
486+204 professionalservicesunderunsanitaryconditions;orfailureto
487+205 reporttheexistenceofanunsanitaryconditionintheofficeofa
488+206 physicianorinanyhealthcarefacilitytotheboard,inwriting,
489+18 207 withinthirtydaysafterthediscoverythereof;
490+208 (20)Anycandidateforlicensureorpersonlicensedto
491+209 practiceasaphysicaltherapist,payingorofferingtopaya
492+210 referralfeeor,notwithstanding section334.010tothecontrary,
493+211 practicingorofferingtopracticeprofessionalphysicaltherapy
494+212 independentoftheprescriptionanddirectionofapersonlicensed
495+213 andregisteredasaphysicianandsurgeonpursuanttothischapter,
496+214 asadentistpursuanttochapter332,asapodiatristpursuantto
497+215 chapter330,asanadvancedpracticeregisterednurseunder
498+216 chapter335,oranylicensedandregisteredphysician,dentist,
499+217 podiatrist,oradvancedpracticeregisterednursepracticingin
500+218 anotherjurisdiction,whoselicenseisingoodstanding;
501+219 (21)Anycandidateforlicensureorpersonlicensedto
502+220 practiceasaphysicaltherapist,treatingorattemptingtotreat
503+221 ailmentsorotherhealthconditionsofhumanbeingsotherthanby
504+222 professionalphysicaltherapyandasauthorizedbysections
505+223 334.500to334.620;
506+224 (22)Anypersonlicensedtopracticeasaphysicianor
507+225 surgeon,requiring,asaconditionofthephysician-patient
508+226 relationship,thatthepatientreceiveprescribeddrugs,devices
509+227 orotherprofessionalservicesdirectlyfromfacilitiesofthat
510+228 physician'sofficeorotherentitiesunderthatphysician's
511+229 ownershiporcontrol.Aphysicianshallprovidethepatientwitha
512+230 prescriptionwhichmaybetakentothefacilityselectedbythe
513+231 patientandaphysicianknowinglyfailingtodisclosetoapatient
514+232 onaformapprovedbytheadvisorycommissionforprofessional
515+233 physicaltherapistsasestablishedbysection334.625whichis
516+19 234 datedandsignedbyapatientorguardianacknowledgingthatthe
517+235 patientorguardianhasreadandunderstandsthatthephysicianhas
518+236 apecuniaryinterestinaphysicaltherapyorrehabilitation
519+237 serviceprovidingprescribedtreatmentandthattheprescribed
520+238 treatmentisavailableonacompetitivebasis.Thissubdivision
521+239 shallnotapplytoareferralbyonephysiciantoanotherphysician
522+240 withinagroupofphysicianspracticingtogether;
523+241 (23)Apatternofpersonaluseorconsumptionofany
524+242 controlledsubstanceunlessitisprescribed,dispensedor
525+243 administeredbyanotherphysicianwhoisauthorizedbylawtodo
526+244 so;
527+245 (24)Habitualintoxicationordependenceonalcohol,
528+246 evidenceofwhichmayincludemorethanonealcohol-related
529+247 enforcementcontactasdefinedbysection302.525;
530+248 (25)Failuretocomplywithatreatmentprogramoran
531+249 aftercareprogramenteredintoaspartofaboardorder,settlement
532+250 agreementorlicensee'sprofessionalhealthprogram;
533+251 (26)Revocation,suspension,limitation,probation,or
534+252 restrictionofanykindwhatsoeverofanycontrolledsubstance
535+253 authority,whetheragreedtovoluntarilyornot,orvoluntary
536+254 terminationofacontrolledsubstanceauthoritywhileunder
537+255 investigation;
538+256 (27)Foraphysiciantooperate,conduct,manage,or
539+257 establishanabortionfacility,orforaphysiciantoperforman
540+258 abortioninanabortionfacility,ifsuchfacilitycomesunderthe
541+259 definitionofanambulatorysurgicalcenterpursuanttosections
542+260 197.200to197.240,andsuchfacilityhasfailedtoobtainorrenew
543+20 261 alicenseasanambulatorysurgicalcenter.
544+262 3.Collaborativepracticearrangements,protocolsand
545+263 standingordersshallbeinwritingandsignedanddatedbya
546+264 physicianpriortotheirimplementation.
547+265 4.Afterthefilingofsuchcomplaintbeforethe
548+266 administrativehearingcommission,theproceedingsshallbe
549+267 conductedinaccordancewiththeprovisionsofchapter621.Upona
550+268 findingbytheadministrativehearingcommissionthatthegrounds,
551+269 providedinsubsection2ofthissection,fordisciplinaryaction
552+270 aremet,theboardmay,singlyorincombination,warn,censureor
553+271 placethepersonnamedinthecomplaintonprobationonsuchterms
554+272 andconditionsastheboarddeemsappropriateforaperiodnotto
555+273 exceedtenyears,ormaysuspendtheperson'slicense,certificate
556+274 orpermitforaperiodnottoexceedthreeyears,orrestrictor
557+275 limittheperson'slicense,certificateorpermitforan
558+276 indefiniteperiodoftime,orrevoketheperson'slicense,
559+277 certificate,orpermit,oradministerapublicorprivate
560+278 reprimand,ordenytheperson'sapplicationforalicense,or
561+279 permanentlywithholdissuanceofalicenseorrequirethepersonto
562+280 submittothecare,counselingortreatmentofphysicians
563+281 designatedbytheboardattheexpenseoftheindividualtobe
564+282 examined,orrequirethepersontoattendsuchcontinuing
565+283 educationalcoursesandpasssuchexaminationsastheboardmay
566+284 direct.
567+285 5.Inanyorderofrevocation,theboardmayprovidethatthe
568+286 personmaynotapplyforreinstatementoftheperson'slicensefor
569+287 aperiodoftimerangingfromtwotosevenyearsfollowingthedate
570+21 288 oftheorderofrevocation. Allstayordersshalltollthistime
571+289 period.
572+290 6.Beforerestoringtogoodstandingalicense,certificate
573+291 orpermitissuedpursuanttothischapterwhichhasbeenina
574+292 revoked,suspendedorinactivestateforanycauseformorethan
575+293 twoyears,theboardmayrequiretheapplicanttoattendsuch
576+294 continuingmedicaleducationcoursesandpasssuchexaminationsas
577+295 theboardmaydirect.
578+296 7.Inanyinvestigation,hearingorotherproceedingto
579+297 determinealicensee'sorapplicant'sfitnesstopractice,any
580+298 recordrelatingtoanypatientofthelicenseeorapplicantshall
581+299 bediscoverablebytheboardandadmissibleintoevidence,
582+300 regardlessofanystatutoryorcommonlawprivilegewhichsuch
583+301 licensee,applicant,recordcustodianorpatientmightotherwise
584+302 invoke.Inaddition,nosuchlicensee,applicant,orrecord
585+303 custodianmaywithholdrecordsortestimonybearingupona
586+304 licensee'sorapplicant'sfitnesstopracticeonthegroundof
587+305 privilegebetweensuchlicensee,applicantorrecordcustodianand
588+306 apatient.
589+307 8.Theactoflawfullydispensing,prescribing,
590+308 administering,orotherwisedistributingivermectintabletsor
591+309 hydroxychloroquine sulfatetabletsforhumanuseshallnotbe
592+310 groundsfordenial,suspension,revocation,orotherdisciplinary
593+311 actionbytheboard.
594+334.530.1.Acandidateforlicensetopracticeasa
595+2 physicaltherapistshallfurnishevidenceofsuchperson's
596+3 educationalqualificationsbysubmittingsatisfactoryevidenceof
597+22 4 completionofaprogramofphysicaltherapyeducationapprovedas
598+5 reputablebytheboardoreligibilitytograduatefromsucha
599+6 programwithinninetydays.Acandidatewhopresentssatisfactory
600+7 evidenceoftheperson'sgraduationfromaschoolofphysical
601+8 therapyapprovedasreputablebytheAmericanMedicalAssociation
602+9 or,ifgraduatedbefore1936,bytheAmericanPhysicalTherapy
603+10 Association,orifgraduatedafter1988,theCommissionon
604+11 AccreditationforPhysicalTherapyEducationoritssuccessor,is
605+12 deemedtohavecompliedwiththeeducationalqualificationsof
606+13 thissubsection.
607+14 2.Personsdesiringtopracticeasphysicaltherapistsin
608+15 thisstateshallappearbeforetheboardatsuchtimeandplaceas
609+16 theboardmaydirectandbeexaminedastotheirfitnesstoengage
610+17 insuchpractice. Applicantsshallmeetthequalifyingstandards
611+18 forsuchexaminations,includinganyrequirementsestablishedby
612+19 anyentitycontractedbytheboardtoadministertheboard-
613+20 approvedexamination. Applicationsforexaminationshallbein
614+21 writing,onaformfurnishedbytheboardandshallinclude
615+22 evidencesatisfactorytotheboardthattheapplicantpossesses
616+23 thequalificationssetforthinsubsection1ofthissectionand
617+24 meetstherequirementsestablishedtoqualifyforexamination.
618+25 Eachapplicationshallcontainastatementthatitismadeunder
619+26 oathoraffirmationandthatitsrepresentations aretrueand
620+27 correcttothebestknowledgeandbeliefoftheapplicant,subject
621+28 tothepenaltiesofmakingafalseaffidavitordeclaration.
622+29 3.Theexaminationofqualifiedcandidatesforlicensesto
623+30 practicephysicaltherapyshalltestentry-levelcompetenceas
624+23 31 relatedtophysicaltherapytheory,examinationandevaluation,
625+32 physicaltherapydiagnosis,prognosis,treatment,intervention,
626+33 prevention,andconsultation.
627+34 4.Theexaminationshallembrace,inrelationtothehuman
628+35 being,thesubjectsofanatomy,chemistry,kinesiology,pathology,
629+36 physics,physiology,psychology,physicaltherapytheoryand
630+37 proceduresasrelatedtomedicine,surgeryandpsychiatry,and
631+38 suchothersubjects,includingmedicalethics,astheboarddeems
632+39 usefultotestthefitnessofthecandidatetopracticephysical
633+40 therapy.
634+41 5.Nopersonwhohasfailedonsixormoreoccasionsto
635+42 achieveapassingscoreontheexaminationrequiredbythissection
636+43 shallbeeligibleforlicensurebyexaminationunderthissection.
637+44 6.Theapplicantshallpassatestadministeredbytheboard
638+45 onthelawsandrulesrelatedtothepracticeofphysicaltherapy
639+46 inMissouri.
640+334.655.1.Acandidateforlicensuretopracticeasa
641+2 physicaltherapistassistantshallfurnishevidenceofthe
642+3 person'seducationalqualifications. Theeducationalrequirements
643+4 forlicensureasaphysicaltherapistassistantare:
644+5 (1)Acertificateofgraduationfromanaccreditedhigh
645+6 schooloritsequivalent;and
646+7 (2)Satisfactoryevidenceofcompletionofanassociate
647+8 degreeprogramofphysicaltherapyeducationaccreditedbythe
648+9 commissiononaccreditationofphysicaltherapyeducationor
649+10 eligibilitytograduatefromsuchaprogramwithinninetydays.
650+11 2.Personsdesiringtopracticeasaphysicaltherapist
651+24 12 assistantinthisstateshallappearbeforetheboardatsuchtime
652+13 andplaceastheboardmaydirectandbeexaminedastothe
653+14 person'sfitnesstoengageinsuchpractice.Applicantsshallmeet
654+15 thequalifyingstandardsforsuchexaminations,includingany
655+16 requirementsestablishedbyanyentitycontractedbytheboardto
656+17 administertheboard-approvedexamination. Applicationsfor
657+18 examinationshallbeonaformfurnishedbytheboardandshall
658+19 includeevidencesatisfactorytotheboardthattheapplicant
659+20 possessesthequalificationsprovidedinsubsection1ofthis
660+21 sectionandmeetstherequirementsestablishedtoqualifyfor
661+22 examination. Eachapplicationshallcontainastatementthatthe
662+23 statementismadeunderoathofaffirmationandthatits
663+24 representations aretrueandcorrecttothebestknowledgeand
664+25 beliefofthepersonsigningthestatement,subjecttothe
665+26 penaltiesofmakingafalseaffidavitordeclaration.
666+27 3.Theexaminationofqualifiedcandidatesforlicensureto
667+28 practiceasphysicaltherapistassistantsshallembracean
668+29 examinationwhichshallcoverthecurriculumtaughtinaccredited
669+30 associatedegreeprogramsofphysicaltherapyassistanteducation.
670+31 Suchexaminationshallbesufficienttotestthequalificationof
671+32 thecandidatesaspractitioners.
672+33 4.Theexaminationshallinclude,asrelatedtothehuman
673+34 body,thesubjectsofanatomy,kinesiology,pathology,physiology,
674+35 psychology,physicaltherapytheoryandproceduresasrelatedto
675+36 medicineandsuchothersubjects,includingmedicalethics,asthe
676+37 boarddeemsusefultotestthefitnessofthecandidatetopractice
677+38 asaphysicaltherapistassistant.
678+25 39 5.Nopersonwhohasfailedonsixormoreoccasionsto
679+40 achieveapassingscoreontheexaminationrequiredbythissection
680+41 shallbeeligibleforlicensurebyexaminationunderthissection.
681+42 6.Theapplicantshallpassatestadministeredbytheboard
682+43 onthelawsandrulesrelatedtothepracticeasaphysical
683+44 therapistassistantinthisstate.
684+45 [6.] 7.Theboardshalllicensewithoutexaminationany
685+46 legallyqualifiedpersonwhoisaresidentofthisstateandwho
686+47 wasactivelyengagedinpracticeasaphysicaltherapistassistant
687+48 onAugust28,1993.Theboardmaylicensesuchpersonpursuantto
688+49 thissubsectionuntilninetydaysaftertheeffectivedateofthis
689+50 section.
690+51 [7.] 8.Acandidatetopracticeasaphysicaltherapist
691+52 assistantwhodoesnotmeettheeducationalqualificationsmay
692+53 submittotheboardanapplicationforexaminationifsuchperson
693+54 canfurnishwrittenevidencetotheboardthatthepersonhasbeen
694+55 employedinthisstateforatleastthreeofthelastfiveyears
695+56 underthesupervisionofalicensedphysicaltherapistandsuch
696+57 personpossessestheknowledgeandtrainingequivalenttothat
697+58 obtainedinanaccreditedschool.Theboardmaylicensesuch
698+59 personspursuanttothissubsectionuntilninetydaysafterrules
699+60 developedbythestateboardofhealingartsregardingphysical
700+61 therapistassistantlicensingbecomeeffective.
701+338.055.1.Theboardmayrefusetoissueanycertificateof
702+2 registrationorauthority,permitorlicenserequiredpursuantto
703+3 thischapterforoneoranycombinationofcausesstatedin
704+4 subsection2ofthissectionorifthedesignatedpharmacist-in-
705+26 5 charge,manager-in-charge, oranyofficer,owner,manager,or
706+6 controllingshareholderoftheapplicanthascommittedanyactor
707+7 practiceinsubsection2ofthissection.Theboardshallnotify
708+8 theapplicantinwritingofthereasonsfortherefusalandshall
709+9 advisetheapplicantofhisorherrighttofileacomplaintwith
710+10 theadministrativehearingcommissionasprovidedbychapter621.
711+11 2.Theboardmaycauseacomplainttobefiledwiththe
712+12 administrativehearingcommissionasprovidedbychapter621
713+13 againstanyholderofanycertificateofregistrationor
714+14 authority,permitorlicenserequiredbythischapteroranyperson
715+15 whohasfailedtoreneworhassurrenderedhisorhercertificate
716+16 ofregistrationorauthority,permitorlicenseforanyoneorany
717+17 combinationofthefollowingcauses:
718+18 (1)Useofanycontrolledsubstance,asdefinedinchapter
719+19 195,oralcoholicbeveragetoanextentthatsuchuseimpairsa
720+20 person'sabilitytoperformtheworkofanyprofessionlicensedor
721+21 regulatedbythischapter;
722+22 (2)Thepersonhasbeenfinallyadjudicatedandfoundguilty,
723+23 orenteredapleaofguiltyornolocontendere,inacriminal
724+24 prosecutionunderthelawsofanystateoroftheUnitedStates,
725+25 foranyoffensereasonablyrelatedtothequalifications,
726+26 functionsordutiesofanyprofessionlicensedorregulatedunder
727+27 thischapter,foranyoffenseanessentialelementofwhichis
728+28 fraud,dishonestyoranactofviolence,orforanyoffense
729+29 involvingmoralturpitude,whetherornotsentenceisimposed;
730+30 (3)Useoffraud,deception,misrepresentation orbriberyin
731+31 securinganycertificateofregistrationorauthority,permitor
732+27 32 licenseissuedpursuanttothischapterorinobtainingpermission
733+33 totakeanyexaminationgivenorrequiredpursuanttothischapter;
734+34 (4)Obtainingorattemptingtoobtainanyfee,charge,
735+35 tuitionorothercompensationbyfraud,deceptionor
736+36 misrepresentation;
737+37 (5)Incompetence,misconduct,grossnegligence,fraud,
738+38 misrepresentation ordishonestyintheperformanceofthe
739+39 functionsordutiesofanyprofessionlicensedorregulatedbythis
740+40 chapter;
741+41 (6)Violationof,orassistingorenablinganypersonto
742+42 violate,anyprovisionofthischapter,orofanylawfulruleor
743+43 regulationadoptedpursuanttothischapter;
744+44 (7)Impersonationofanypersonholdingacertificateof
745+45 registrationorauthority,permitorlicenseorallowingany
746+46 persontousehisorhercertificateofregistrationorauthority,
747+47 permit,license,ordiplomafromanyschool;
748+48 (8)Denialoflicensuretoanapplicantordisciplinary
749+49 actionagainstanapplicantortheholderofalicenseorother
750+50 righttopracticeanyprofessionregulatedbythischaptergranted
751+51 byanotherstate,territory,federalagency,orcountrywhetheror
752+52 notvoluntarilyagreedtobythelicenseeorapplicant,including,
753+53 butnotlimitedto,surrenderofthelicenseupongroundsforwhich
754+54 denialordisciplineisauthorizedinthisstate;
755+55 (9)Apersonisfinallyadjudgedincapacitatedbyacourtof
756+56 competentjurisdiction;
757+57 (10)Assistingorenablinganypersontopracticeorofferto
758+58 practiceanyprofessionlicensedorregulatedbythischapterwho
759+28 59 isnotregisteredandcurrentlyeligibletopracticeunderthis
760+60 chapter;
761+61 (11)Issuanceofacertificateofregistrationorauthority,
762+62 permitorlicensebaseduponamaterialmistakeoffact;
763+63 (12)Failuretodisplayavalidcertificateorlicenseifso
764+64 requiredbythischapteroranyrulepromulgatedhereunder;
765+65 (13)Violationofanyprofessionaltrustorconfidence;
766+66 (14)Useofanyadvertisementorsolicitationwhichisfalse,
767+67 misleadingordeceptivetothegeneralpublicorpersonstowhom
768+68 theadvertisementorsolicitationisprimarilydirected;
769+69 (15)Violationofthedruglawsorrulesandregulationsof
770+70 thisstate,anyotherstateorthefederalgovernment;
771+71 (16)Theintentionalactofsubstitutingorotherwise
772+72 changingthecontent,formulaorbrandofanydrugprescribedby
773+73 written,electronic,ororalprescriptionwithoutpriorwrittenor
774+74 oralapprovalfromtheprescriberfortherespectivechangeineach
775+75 prescription;provided,however,thatnothingcontainedherein
776+76 shallprohibitapharmacistfromsubstitutingorchangingthe
777+77 brandofanydrugasprovidedundersection338.056,andanysuch
778+78 substitutingorchangingofthebrandofanydrugasprovidedfor
779+79 insection338.056shallnotbedeemedunprofessionalor
780+80 dishonorableconductunlessaviolationofsection338.056occurs;
781+81 (17)Personaluseorconsumptionofanycontrolledsubstance
782+82 unlessitisprescribed,dispensed,oradministeredbyahealth
783+83 careproviderwhoisauthorizedbylawtodoso.
784+84 3.Afterthefilingofsuchcomplaint,theproceedingsshall
785+85 beconductedinaccordancewiththeprovisionsofchapter621.
786+29 86 Uponafindingbytheadministrativehearingcommissionthatthe
787+87 grounds,providedinsubsection2ofthissection,for
788+88 disciplinaryactionaremet,theboardmay,singlyorin
789+89 combination,censureorplacethepersonnamedinthecomplainton
790+90 probationonsuchtermsandconditionsastheboarddeems
791+91 appropriateforaperiodnottoexceedfiveyears,ormaysuspend,
792+92 foraperiodnottoexceedthreeyears,orrevokethelicense,
793+93 certificate,orpermit.Theboardmayimposeadditional
794+94 disciplineonalicensee,registrant,orpermitteefoundtohave
795+95 violatedanydisciplinarytermspreviouslyimposedunderthis
796+96 sectionorbyagreement. Theadditionaldisciplinemayinclude,
797+97 singlyorincombination,censure,placingthelicensee,
798+98 registrant,orpermitteenamedinthecomplaintonadditional
799+99 probationonsuchtermsandconditionsastheboarddeems
800+100 appropriate,whichadditionalprobationshallnotexceedfive
801+101 years,orsuspensionforaperiodnottoexceedthreeyears,or
802+102 revocationofthelicense,certificate,orpermit.
803+103 4.Iftheboardconcludesthatalicenseeorregistranthas
804+104 committedanactorisengaginginacourseofconductwhichwould
805+105 begroundsfordisciplinaryactionwhichconstitutesaclearand
806+106 presentdangertothepublichealthandsafety,theboardmayfile
807+107 acomplaintbeforetheadministrativehearingcommission
808+108 requestinganexpeditedhearingandspecifyingtheactivities
809+109 whichgiverisetothedangerandthenatureoftheproposed
810+110 restrictionorsuspensionofthelicensee'sorregistrant's
811+111 license.Withinfifteendaysafterserviceofthecomplaintonthe
812+112 licenseeorregistrant,theadministrativehearingcommission
813+30 113 shallconductapreliminaryhearingtodeterminewhetherthe
814+114 allegedactivitiesofthelicenseeorregistrantappearto
815+115 constituteaclearandpresentdangertothepublichealthand
816+116 safetywhichjustifythatthelicensee'sorregistrant'slicense
817+117 orregistrationbeimmediatelyrestrictedorsuspended. The
818+118 burdenofprovingthattheactionsofalicenseeorregistrant
819+119 constituteaclearandpresentdangertothepublichealthand
820+120 safetyshallbeuponthestateboardofpharmacy. The
821+121 administrativehearingcommissionshallissueitsdecision
822+122 immediatelyafterthehearingandshalleithergranttotheboard
823+123 theauthoritytosuspendorrestrictthelicenseordismissthe
824+124 action.
825+125 5.Iftheadministrativehearingcommissiongrantstemporary
826+126 authoritytotheboardtorestrictorsuspendthelicensee'sor
827+127 registrant'slicense,suchtemporaryauthorityoftheboardshall
828+128 becomefinalauthorityifthereisnorequestbythelicenseeor
829+129 registrantforafullhearingwithinthirtydaysofthepreliminary
830+130 hearing.Theadministrativehearingcommissionshall,if
831+131 requestedbythelicenseeorregistrantnamedinthecomplaint,set
832+132 adatetoholdafullhearingundertheprovisionsofchapter621
833+133 regardingtheactivitiesallegedintheinitialcomplaintfiledby
834+134 theboard.
835+135 6.Iftheadministrativehearingcommissiondismissesthe
836+136 actionfiledbytheboardpursuanttosubsection4ofthissection,
837+137 suchdismissalshallnotbartheboardfrominitiatingasubsequent
838+138 actiononthesamegrounds.
839+139 7.Theboardshallnotdeny,revoke,orsuspend,orotherwise
840+31 140 takeanydisciplinaryactionagainst,acertificateof
841+141 registrationorauthority,permit,orlicenserequiredbythis
842+142 chapterforanypersonduetothelawfuldispensing,distributing,
843+143 orsellingofivermectintabletsorhydroxychloroquine sulfate
844+144 tabletsforhumanuseinaccordancewithprescriberdirections. A
845+145 pharmacistshallnotcontacttheprescribingphysicianorthe
846+146 patienttodisputetheefficacyofivermectintabletsor
847+147 hydroxychloroquine sulfatetabletsforhumanuseunlessthe
848+148 physicianorpatientinquiresofthepharmacistabouttheefficacy
849+149 ofivermectintabletsorhydroxychloroquine sulfatetablets.
850+345.015.Asusedinsections345.010to345.080,the
851+2 followingtermsmean:
852+3 (1)"Audiologist",apersonwhoislicensedasanaudiologist
853+4 pursuanttosections345.010to345.080topracticeaudiology;
854+5 (2)"Audiologyaide",apersonwhoisregisteredasan
855+6 audiologyaidebytheboard,whodoesnotactindependentlybut
856+7 worksunderthedirectionandsupervisionofalicensed
857+8 audiologist. Suchpersonassiststheaudiologistwithactivities
858+9 whichrequireanunderstandingofaudiologybutdonotrequire
859+10 formaltrainingintherelevantacademics. Tobeeligiblefor
860+11 registrationbytheboard,eachapplicantshallsubmita
861+12 registrationfeeand:
862+13 (a)Beatleasteighteenyearsofage;
863+14 (b)Furnishevidenceoftheperson'seducational
864+15 qualificationswhichshallbeataminimum:
865+16 a.Certificationofgraduationfromanaccreditedhigh
866+17 schooloritsequivalent;and
867+32 18 b.On-the-jobtraining;
868+19 (c)Beemployedinasettinginwhichdirectandindirect
869+20 supervisionareprovidedonaregularandsystematicbasisbya
870+21 licensedaudiologist.
871+22
872+23 However,theaideshallnotadministerorinterprethearing
873+24 screeningordiagnostictests,fitordispensehearing
874+25 instruments,makeearimpressions,makediagnosticstatements,
875+26 determinecaseselection,presentwrittenreportstoanyoneother
876+27 thanthesupervisorwithoutthesignatureofthesupervisor,make
877+28 referralstootherprofessionalsoragencies,useatitleother
878+29 thanaudiologyaide,developormodifytreatmentplans,discharge
879+30 clientsfromtreatmentorterminatetreatment,discloseclinical
880+31 information,eitherorallyorinwriting,toanyoneotherthanthe
881+32 supervisingaudiologist,orperformanyprocedureforwhichheor
882+33 sheisnotqualified,hasnotbeenadequatelytrainedorboth;
883+34 (3)"Board",thestateboardofregistrationforthehealing
884+35 arts;
885+36 (4)"Clinicalfellowship",thesupervisedprofessional
886+37 employmentperiodfollowingcompletionoftheacademicand
887+38 practicumrequirementsofanaccreditedtrainingprogramunder
888+39 thischapter;
889+40 (5)"Commission",theadvisorycommissionforspeech-
890+41 languagepathologistsandaudiologists;
891+42 [(5)] (6)"Hearinginstrument"or"hearingaid",any
892+43 wearabledeviceorinstrumentdesignedfororofferedforthe
893+44 purposeofaidingorcompensatingforimpairedhumanhearingand
894+33 45 anyparts,attachmentsoraccessories,includingearmolds,but
895+46 excludingbatteries,cords,receiversandrepairs;
896+47 [(6)] (7)"Person",anyindividual,organization,or
897+48 corporatebody,exceptthatonlyindividualsmaybelicensed
898+49 pursuanttosections345.010to345.080;
899+50 [(7)] (8)"Practiceofaudiology":
900+51 (a)Theapplicationofacceptedaudiologicprinciples,
901+52 methodsandproceduresforthemeasurement,testing,
902+53 interpretation, appraisalandpredictionrelatedtodisordersof
903+54 theauditorysystem,balancesystemorrelatedstructuresand
904+55 systems;
905+56 (b)Providesconsultationorcounselingtothepatient,
906+57 client,student,theirfamilyorinterestedparties;
907+58 (c)Providesacademic,socialandmedicalreferralswhen
908+59 appropriate;
909+60 (d)Providesforestablishinggoals,implementing
910+61 strategies,methodsandtechniques,forhabilitation,
911+62 rehabilitationorauralrehabilitation, relatedtodisordersof
912+63 theauditorysystem,balancesystemorrelatedstructuresand
913+64 systems;
914+65 (e)Providesforinvolvementinrelatedresearch,teaching
915+66 orpubliceducation;
916+67 (f)Providesforrenderingofservicesorparticipatesinthe
917+68 planning,directingorconductingofprogramswhicharedesigned
918+69 tomodifyaudition,communicative,balanceorcognitivedisorder,
919+70 whichmayinvolvespeechandlanguageoreducationissues;
920+71 (g)Providesandinterpretsbehavioralandneurophysiologic
921+34 72 measurementsofauditorybalance,cognitiveprocessingandrelated
922+73 functions,includingintraoperativemonitoring;
923+74 (h)Providesinvolvementinanytasks,procedures,actsor
924+75 practicesthatarenecessaryforevaluationofaudition,hearing,
925+76 trainingintheuseofamplificationorassistivelistening
926+77 devices;
927+78 (i)Providesselection,assessment,fitting,programming,
928+79 anddispensingofhearinginstruments,assistivelistening
929+80 devices,andotheramplificationsystems;
930+81 (j)Providesfortakingimpressionsoftheear,makingcustom
931+82 earmolds,earplugs,swimmoldsandindustrialnoiseprotectors;
932+83 (k)Providesassessmentofexternalearandcerumen
933+84 management;
934+85 (l)Providesadvising,fitting,mappingassessmentof
935+86 implantabledevicessuchascochlearorauditorybrainstem
936+87 devices;
937+88 (m)Providesinformationinnoisecontrolandhearing
938+89 conservationincludingeducation,equipmentselection,equipment
939+90 calibration,siteevaluationandemployeeevaluation;
940+91 (n)Providesperformingbasicspeech-language screening
941+92 test;
942+93 (o)Providesinvolvementinsocialaspectsofcommunication,
943+94 includingchallengingbehaviorandineffectivesocialskills,lack
944+95 ofcommunicationopportunities;
945+96 (p)Providessupportandtrainingoffamilymembersandother
946+97 communicationpartnersfortheindividualwithauditorybalance,
947+98 cognitiveandcommunicationdisorders;
948+35 99 (q)Providesauralrehabilitationandrelatedservicesto
949+100 individualswithhearinglossandtheirfamilies;
950+101 (r)Evaluates,collaboratesandmanagesauditionproblemsin
951+102 theassessmentofthecentralauditoryprocessingdisordersand
952+103 providinginterventionforindividualswithcentralauditory
953+104 processingdisorders;
954+105 (s)Developsandmanagesacademicandclinicalproblemsin
955+106 communicationsciencesanddisorders;
956+107 (t)Conducts,disseminatesandappliesresearchin
957+108 communicationsciencesanddisorders;
958+109 [(8)] (9)"Practiceofspeech-language pathology":
959+110 (a)Providesscreening,identification, assessment,
960+111 diagnosis,treatment,intervention,includingbutnotlimitedto
961+112 prevention,restoration,ameliorationandcompensation,and
962+113 follow-upservicesfordisordersof:
963+114 a.Speech:articulation,fluency,voice,including
964+115 respiration,phonationandresonance;
965+116 b.Language,involvingtheparametersofphonology,
966+117 morphology,syntax,semanticsandpragmatic;andincluding
967+118 disordersofreceptiveandexpressivecommunicationinoral,
968+119 written,graphicandmanualmodalities;
969+120 c.Oral,pharyngeal,cervicalesophagealandrelated
970+121 functions,suchasdysphagia,includingdisordersofswallowing
971+122 andoralfunctionsforfeeding;orofacialmyofunctionaldisorders;
972+123 d.Cognitiveaspectsofcommunication,including
973+124 communicationdisabilityandotherfunctionaldisabilities
974+125 associatedwithcognitiveimpairment;
975+36 126 e.Socialaspectsofcommunication,includingchallenging
976+127 behavior,ineffectivesocialskills,lackofcommunication
977+128 opportunities;
978+129 (b)Providesconsultationandcounselingandmakesreferrals
979+130 whenappropriate;
980+131 (c)Trainsandsupportsfamilymembersandother
981+132 communicationpartnersofindividualswithspeech,voice,
982+133 language,communicationandswallowingdisabilities;
983+134 (d)Developsandestablisheseffectiveaugmentativeand
984+135 alternativecommunicationtechniquesandstrategies,including
985+136 selecting,prescribinganddispensingofaugmentativeaidsand
986+137 devices;andthetrainingofindividuals,theirfamiliesandother
987+138 communicationpartnersintheiruse;
988+139 (e)Selects,fitsandestablisheseffectiveuseof
989+140 appropriateprosthetic/adaptive devicesforspeakingand
990+141 swallowing,suchastracheoesophageal valves,electrolarynges, or
991+142 speakingvalves;
992+143 (f)Usesinstrumentaltechnologytodiagnoseandtreat
993+144 disordersofcommunicationandswallowing,suchas
994+145 videofluoroscopy, nasendoscopy,ultrasonography andstroboscopy;
995+146 (g)Providesauralrehabilitativeandrelatedcounseling
996+147 servicestoindividualswithhearinglossandtotheirfamilies;
997+148 (h)Collaboratesintheassessmentofcentralauditory
998+149 processingdisordersincasesinwhichthereisevidenceofspeech,
999+150 languageorothercognitivecommunicationdisorders;provides
1000+151 interventionforindividualswithcentralauditoryprocessing
1001+152 disorders;
1002+37 153 (i)Conductspure-toneairconductionhearingscreeningand
1003+154 screeningtympanometryforthepurposeoftheinitial
1004+155 identificationorreferral;
1005+156 (j)Enhancesspeechandlanguageproficiencyand
1006+157 communicationeffectiveness,includingbutnotlimitedtoaccent
1007+158 reduction,collaborationwithteachersofEnglishasasecond
1008+159 languageandimprovementofvoice,performanceandsinging;
1009+160 (k)Trainsandsupervisessupportpersonnel;
1010+161 (l)Developsandmanagesacademicandclinicalprogramsin
1011+162 communicationsciencesanddisorders;
1012+163 (m)Conducts,disseminatesandappliesresearchin
1013+164 communicationsciencesanddisorders;
1014+165 (n)Measuresoutcomesoftreatmentandconductscontinuous
1015+166 evaluationoftheeffectivenessofpracticesandprogramsto
1016+167 improveandmaintainqualityofservices;
1017+168 [(9)] (10)"Speech-language pathologist",apersonwhois
1018+169 licensedasaspeech-language pathologistpursuanttosections
1019+170 345.010to345.080;whoengagesinthepracticeofspeech-language
1020+171 pathologyasdefinedinsections345.010to345.080;
1021+172 [(10)] (11)"Speech-language pathologyaide",apersonwho
1022+173 isregisteredasaspeech-language aidebytheboard,whodoesnot
1023+174 actindependentlybutworksunderthedirectionandsupervisionof
1024+175 alicensedspeech-language pathologist. Suchpersonassiststhe
1025+176 speech-language pathologistwithactivitieswhichrequirean
1026+177 understandingofspeech-language pathologybutdonotrequire
1027+178 formaltrainingintherelevantacademics. Tobeeligiblefor
1028+179 registrationbytheboard,eachapplicantshallsubmita
1029+38 180 registrationfeeand:
1030+181 (a)Beatleasteighteenyearsofage;
1031+182 (b)Furnishevidenceoftheperson'seducational
1032+183 qualificationswhichshallbeataminimum:
1033+184 a.Certificationofgraduationfromanaccreditedhigh
1034+185 schooloritsequivalent;and
1035+186 b.On-the-jobtraining;
1036+187 (c)Beemployedinasettinginwhichdirectandindirect
1037+188 supervisionisprovidedonaregularandsystematicbasisbya
1038+189 licensedspeech-language pathologist.
1039+190
1040+191 However,theaideshallnotadministerorinterprethearing
1041+192 screeningordiagnostictests,fitordispensehearing
1042+193 instruments,makeearimpressions,makediagnosticstatements,
1043+194 determinecaseselection,presentwrittenreportstoanyoneother
1044+195 thanthesupervisorwithoutthesignatureofthesupervisor,make
1045+196 referralstootherprofessionalsoragencies,useatitleother
1046+197 thanspeech-language pathologyaide,developormodifytreatment
1047+198 plans,dischargeclientsfromtreatmentorterminatetreatment,
1048+199 discloseclinicalinformation,eitherorallyorinwriting,to
1049+200 anyoneotherthanthesupervisingspeech-language pathologist,or
1050+201 performanyprocedureforwhichheorsheisnotqualified,hasnot
1051+202 beenadequatelytrainedorboth;
1052+203 [(11)] (12)"Speech-language pathologyassistant",aperson
1053+204 whoisregisteredasaspeech-language pathologyassistantbythe
1054+205 board,whodoesnotactindependentlybutworksunderthedirection
1055+206 andsupervisionofalicensedspeech-language pathologist
1056+39 207 practicingforatleastoneyearorspeech-language pathologist
1057+208 practicingundersubdivision(1)or(6)ofsubsection1ofsection
1058+209 345.025foratleastoneyearandwhoseactivitiesrequireboth
1059+210 academicandpracticaltraininginthefieldofspeech-language
1060+211 pathologyalthoughlesstrainingthanthoseestablishedby
1061+212 sections345.010to345.080asnecessaryforlicensingasaspeech-
1062+213 languagepathologist. Tobeeligibleforregistrationbythe
1063+214 board,eachapplicantshallsubmittheregistrationfee,
1064+215 supervisingspeech-language pathologistinformationifemployment
1065+216 isconfirmed,ifnotsuchinformationshallbeprovidedafter
1066+217 registration,andfurnishevidenceoftheperson'seducational
1067+218 qualificationswhichmeetthefollowing:
1068+219 (a)Holdabachelor'sleveldegreefromaninstitution
1069+220 accreditedorapprovedbyaregionalaccreditingbodyrecognized
1070+221 bytheUnitedStatesDepartmentofEducationoritsequivalent;and
1071+222 (b)Submitofficialtranscriptsfromoneormoreaccredited
1072+223 collegesoruniversitiespresentingevidenceofthecompletionof
1073+224 bachelor'slevelcourseworkandrequirementsinthefieldof
1074+225 speech-language pathologyasestablishedbytheboardthrough
1075+226 rulesandregulations;
1076+227 (c)Submitproofofcompletionofthenumberandtypeof
1077+228 clinicalhoursasestablishedbytheboardthroughrulesand
1078+229 regulations.
1079+345.022.1.Anypersonintheperson'sclinicalfellowship
1080+2 shallholdaprovisionallicensetopracticespeech-language
1081+3 pathologyoraudiology. Theboardmayissueaprovisionallicense
1082+4 toanapplicantwho:
1083+40 5 (1)Hasmettherequirementsforpracticumandacademic
1084+6 requirementsfromanaccreditedtrainingprogramunderthis
1085+7 chapter;
1086+8 (2)Submitsanapplicationtotheboardonaformprescribed
1087+9 bytheboard.Suchformshallincludeaplanforthecontentand
1088+10 supervisionoftheclinicalfellowship,aswellasevidenceofgood
1089+11 moralandethicalcharacter;and
1090+12 (3)Submitstotheboardanapplicationfee,assetbythe
1091+13 board,fortheprovisionallicense.
1092+14 2.Aprovisionallicenseiseffectiveforoneyearandmaybe
1093+15 extendedforanadditionaltwelvemonthsonlyforpurposesof
1094+16 completingthepostgraduateclinicalexperienceportionofthe
1095+17 clinicalfellowship;provided,thattheapplicanthaspassedthe
1096+18 nationalexaminationandshallholdamaster'sdegreefroman
1097+19 approvedtrainingprograminhisorherareaofapplication.
1098+20 3.Withintwelvemonthsofissuanceoftheprovisional
1099+21 license,theapplicantshallpassanexaminationpromulgatedor
1100+22 approvedbytheboard.
1101+23 4.Withintwelvemonthsofissuanceofaprovisionallicense,
1102+24 theapplicantshallcompletetherequirementsforthemaster'sor
1103+25 doctoraldegreefromaprogramaccreditedbytheCouncilon
1104+26 AcademicAccreditationoftheAmericanSpeech-Language-Hearing
1105+27 Associationorotheraccreditingagencyapprovedbytheboardin
1106+28 theareainwhichlicensureissought.
1107+345.050.[1.] Tobeeligibleforlicensurebytheboardby
1108+2 examination,eachapplicantshallsubmittheapplicationfeeand
1109+3 shallfurnishevidenceofsuchperson'scurrentcompetenceand
1110+41 4 shall:
1111+5 (1)Holdamaster'soradoctoraldegreefromaprogramthat
1112+6 wasawarded"accreditationcandidate"statusorisaccreditedby
1113+7 theCouncilonAcademicAccreditationoftheAmericanSpeech-
1114+8 Language-Hearing Associationorotheraccreditingagencyapproved
1115+9 bytheboardintheareainwhichlicensureissought;
1116+10 (2)Submitofficialtranscriptsfromoneormoreaccredited
1117+11 collegesoruniversitiespresentingevidenceofthecompletionof
1118+12 courseworkandclinicalpracticumrequirementsequivalenttothat
1119+13 requiredbytheCouncilonAcademicAccreditationoftheAmerican
1120+14 Speech-Language-Hearing Associationorotheraccreditingagency
1121+15 approvedbytheboard;[and]
1122+16 (3)Presentwrittenevidenceofcompletionofaclinical
1123+17 fellowshipfromsupervisors. Theexperiencerequiredbythis
1124+18 subdivisionshallfollowthecompletionoftherequirementsof
1125+19 subdivisions(1)and(2)ofthissubsection. Thisperiodof
1126+20 employmentshallbeunderthedirectsupervisionofapersonwhois
1127+21 licensedbythestateofMissouriintheprofessioninwhichthe
1128+22 applicantseekstobelicensed.Personsapplyingwithanaudiology
1129+23 clinicaldoctoraldegreeareexemptfromthisprovision;and
1130+24 (4)Passanexaminationpromulgatedorapprovedbytheboard.
1131+25 Theboardshalldeterminethesubjectandscopeofthe
1132+26 examinations.
1133+27 [2.Tobeeligibleforlicensurebytheboardwithout
1134+28 examination,eachapplicantshallmakeapplicationonforms
1135+29 prescribedbytheboard,submittheapplicationfee,submitan
1136+30 activitystatementandmeetoneofthefollowingrequirements:
1137+42 31 (1)Theboardshallissuealicensetoanyspeech-language
1138+32 pathologistoraudiologistwhoislicensedinanothercountryand
1139+33 whohashadnoviolations,suspensionorrevocationsofalicense
1140+34 topracticespeech-language pathologyoraudiologyinany
1141+35 jurisdiction;providedthat,suchpersonislicensedinacountry
1142+36 whoserequirementsaresubstantiallyequalto,orgreaterthan,
1143+37 Missouriatthetimetheapplicantappliesforlicensure;or
1144+38 (2)Holdthecertificateofclinicalcompetenceissuedbythe
1145+39 AmericanSpeech-Language-Hearing Associationintheareainwhich
1146+40 licensureissought.]
1147+345.052.1.Forpurposesofthissection,thefollowing
1148+2 termsmean:
1149+3 (1)"Board",theMissouriboardofregistrationforthe
1150+4 healingarts;
1151+5 (2)"Commission",theadvisorycommissionforspeech-
1152+6 languagepathologistsandaudiologists;
1153+7 (3)"License",alicense,certificate,registration,permit,
1154+8 accreditation,ormilitaryoccupationalspecialtythatenablesa
1155+9 persontolegallypracticeanoccupationorprofessionina
1156+10 particularjurisdiction;
1157+11 (4)"Military",theArmedForcesoftheUnitedStates
1158+12 includingtheAirForce,Army,CoastGuard,MarineCorps,Navy,
1159+13 SpaceForce,NationalGuard,andanyothermilitarybranchthatis
1160+14 designatedbyCongressaspartoftheArmedForcesoftheUnited
1161+15 States,andallreservecomponentsandauxiliaries. Suchtermalso
1162+16 includesthemilitaryreservesandmilitiaoftheUnitedStates
1163+17 territoryorstate;
1164+43 18 (5)"Nonresidentmilitaryspouse",anonresidentspouseof
1165+19 anactivedutymemberoftheArmedForcesoftheUnitedStateswho
1166+20 hasbeentransferredorisscheduledtobetransferredtoan
1167+21 adjacentstateandisorwillbedomiciledinthestateof
1168+22 Missouri,orhasmovedtothestateofMissourionapermanent
1169+23 change-of-station basis;
1170+24 (6)"Residentmilitaryspouse",aspouseofanactiveduty
1171+25 memberoftheArmedForcesoftheUnitedStateswhohasbeen
1172+26 transferredorisscheduledtobetransferredtothestateof
1173+27 Missouri,whoisdomiciledinthestateofMissouri,orwhohas
1174+28 Missouriashisorherhomeofrecord.
1175+29 2.Anypersonwhoholdsavalidcurrentspeech-language
1176+30 pathologistoraudiologistlicenseissuedbyanotherstate,a
1177+31 branchorunitofthemilitary,aterritoryoftheUnitedStates,
1178+32 ortheDistrictofColumbia,andwhohasbeenlicensedforatleast
1179+33 oneyearintheotherjurisdiction,maysubmitanapplicationfora
1180+34 speech-language pathologistoraudiologistlicenseinMissouri
1181+35 alongwithproofofcurrentlicensureandproofoflicensureforat
1182+36 leastoneyearintheotherjurisdiction,totheboard.
1183+37 3.Theboardshall:
1184+38 (1)Withinsixmonthsofreceivinganapplicationdescribed
1185+39 insubsection2ofthissection,waiveanyexamination,
1186+40 educational,orexperiencerequirementsforlicensureinthis
1187+41 statefortheapplicantifitdeterminesthattherewereminimum
1188+42 educationrequirementsand,ifapplicable,workexperienceand
1189+43 clinicalsupervisionrequirementsineffectandtheotherstate
1190+44 verifiesthatthepersonmetthoserequirementsinordertobe
1191+44 45 licensedorcertifiedinthatstate.Theboardmayrequirean
1192+46 applicanttotakeandpassanexaminationspecifictothelawsof
1193+47 thisstate;or
1194+48 (2)Withinthirtydaysofreceivinganapplicationdescribed
1195+49 insubsection2ofthissectionfromanonresidentmilitaryspouse
1196+50 oraresidentmilitaryspouse,waiveanyexamination,educational,
1197+51 orexperiencerequirementsforlicensureinthisstateforthe
1198+52 applicantandissuesuchapplicantalicenseunderthissectionif
1199+53 suchapplicantotherwisemeetstherequirementsofthissection.
1200+54 4.(1)Theboardshallnotwaiveanyexamination,
1201+55 educational,orexperiencerequirementsforanyapplicantwhohas
1202+56 hadhisorherlicenserevokedbyaboardoutsidethestate;whois
1203+57 currentlyunderinvestigation,whohasacomplaintpending,orwho
1204+58 iscurrentlyunderdisciplinaryaction,exceptasprovidedin
1205+59 subdivision(2)ofthissubsection,withaboardoutsidethestate;
1206+60 whodoesnotholdalicenseingoodstandingwithaboardoutside
1207+61 thestate;whohasacriminalrecordthatwoulddisqualifyhimor
1208+62 herforlicensureinMissouri;orwhodoesnotholdavalidcurrent
1209+63 licenseintheotherjurisdictiononthedatetheboardreceives
1210+64 hisorherapplicationunderthissection.
1211+65 (2)Ifanotherjurisdictionhastakendisciplinaryaction
1212+66 againstanapplicant,theboardshalldetermineifthecausefor
1213+67 theactionwascorrectedandthematterresolved. Ifthematter
1214+68 hasnotbeenresolvedbythatjurisdiction,theboardmaydenya
1215+69 licenseuntilthematterisresolved.
1216+70 5.Nothinginthissectionshallprohibittheboardfrom
1217+71 denyingalicensetoanapplicantunderthissectionforanyreason
1218+45 72 describedinsection345.065.
1219+73 6.Anypersonwhoislicensedundertheprovisionsofthis
1220+74 sectionshallbesubjecttotheboard'sjurisdictionandallrules
1221+75 andregulationspertainingtothepracticeasaspeech-language
1222+76 pathologistoraudiologistinthisstate.
1223+77 7.Thissectionshallnotbeconstruedtowaiveany
1224+78 requirementforanapplicanttopayanyfees.
9001225 345.085.SECTION1.PURPOSE
901-2 ThepurposeofthisCompactistofacilitateinterstatepracticeofaudiologyand
902-3speech-languagepathologywiththegoalofimprovingpublicaccesstoaudiologyand
903-4speech-languagepathologyservices.Thepracticeofaudiologyandspeech-language
904-5pathologyoccursinthestatewherethepatient/client/studentislocatedatthetimeofthe
905-6patient/client/studentencounter.TheCompactpreservestheregulatoryauthorityof
906-7statestoprotectpublichealthandsafetythroughthecurrentsystemofstatelicensure.
907-8 ThisCompactisdesignedtoachievethefollowingobjectives:
908-9 1.Increasepublicaccesstoaudiologyandspeech-languagepathologyservicesby
909-10providingforthemutualrecognitionofothermemberstatelicenses;
910-11 2.Enhancethestates'abilitytoprotectthepublic'shealthandsafety;
911-12 3.Encouragethecooperationofmemberstatesinregulatingmultistate
912-13audiologyandspeech-languagepathologypractice;
913-CCS#2SSHB2149 25 14 4.Supportspousesofrelocatingactivedutymilitarypersonnel;
914-15 5.Enhancetheexchangeoflicensure,investigativeanddisciplinaryinformation
915-16betweenmemberstates;
916-17 6.Allowaremotestatetoholdaproviderofserviceswithacompactprivilegein
917-18thatstateaccountabletothatstate'spracticestandards;and
918-19 7.Allowfortheuseoftelehealthtechnologytofacilitateincreasedaccessto
919-20audiologyandspeech-languagepathologyservices.
920-21 SECTION2.DEFINITIONS
921-22 AsusedinthisCompact,andexceptasotherwiseprovided,thefollowing
922-23definitionsshallapply:
923-24 A."Activedutymilitary"meansfull-timedutystatusintheactiveuniformed
924-25serviceoftheUnitedStates,includingmembersoftheNationalGuardandReserveon
925-26activedutyorderspursuantto10U.S.C.Chapter1209and1211.
926-27 B."Adverseaction"meansanyadministrative,civil,equitableorcriminal
927-28actionpermittedbyastate'slawswhichisimposedbyalicensingboardorother
928-29authorityagainstanaudiologistorspeech-languagepathologist,includingactions
929-30againstanindividual'slicenseorprivilegetopracticesuchasrevocation,suspension,
930-31probation,monitoringofthelicensee,orrestrictiononthelicensee'spractice.
931-32 C."Alternativeprogram"meansanon-disciplinarymonitoringprocess
932-33approvedbyanaudiologyorspeech-languagepathologylicensingboardtoaddress
933-34impairedpractitioners.
934-35 D."Audiologist"meansanindividualwhoislicensedbyastatetopractice
935-36audiology.
936-37 E."Audiology"meansthecareandservicesprovidedbyalicensedaudiologist
937-38assetforthinthememberstate'sstatutesandrules.
938-39 F."AudiologyandSpeech-LanguagePathologyCompactCommission"or
939-40"Commission"meansthenationaladministrativebodywhosemembershipconsistsof
940-41allstatesthathaveenactedtheCompact.
941-42 G."Audiologyandspeech-languagepathologylicensingboard,""audiology
942-43licensingboard,""speech-languagepathologylicensingboard,"or"licensingboard"
943-44meanstheagencyofastatethatisresponsibleforthelicensingandregulationof
944-45audiologistsand/orspeech-languagepathologists.
945-46 H."Compactprivilege"meanstheauthorizationgrantedbyaremotestateto
946-47allowalicenseefromanothermemberstatetopracticeasanaudiologistorspeech-
947-48languagepathologistintheremotestateunderitslawsandrules.Thepracticeof
948-49audiologyorspeech-languagepathologyoccursinthememberstatewherethepatient/
949-50client/studentislocatedatthetimeofthepatient/client/studentencounter.
950-CCS#2SSHB2149 26 51 I."Currentsignificantinvestigativeinformation"meansinvestigative
951-52informationthatalicensingboard,afteraninquiryorinvestigationthatincludes
952-53notificationandanopportunityfortheaudiologistorspeech-languagepathologistto
953-54respond,ifrequiredbystatelaw,hasreasontobelieveisnotgroundlessand,ifproved
954-55true,wouldindicatemorethanaminorinfraction.
955-56 J."Datasystem"meansarepositoryofinformationaboutlicensees,including,
956-57butnotlimitedto,continuingeducation,examination,licensure,investigative,compact
957-58privilegeandadverseaction.
958-59 K."Encumberedlicense"meansalicenseinwhichanadverseactionrestricts
959-60thepracticeofaudiologyorspeech-languagepathologybythelicenseeandsaidadverse
960-61actionhasbeenreportedtotheNationalPractitionersDataBank(NPDB).
961-62 L."ExecutiveCommittee"meansagroupofdirectorselectedorappointedto
962-63actonbehalfof,andwithinthepowersgrantedtothemby,theCommission.
963-64 M."Homestate"meansthememberstatethatisthelicensee'sprimarystateof
964-65residence.
965-66 N."Impairedpractitioner"meansindividualswhoseprofessionalpracticeis
966-67adverselyaffectedbysubstanceabuse,addiction,orotherhealth-relatedconditions.
967-68 O."Licensee"meansanindividualwhocurrentlyholdsanauthorizationfrom
968-69thestatelicensingboardtopracticeasanaudiologistorspeech-languagepathologist.
969-70 P."Memberstate"meansastatethathasenactedtheCompact.
970-71 Q."Privilegetopractice"meansalegalauthorizationpermittingthepracticeof
971-72audiologyorspeech-languagepathologyinaremotestate.
972-73 R."Remotestate"meansamemberstateotherthanthehomestatewherea
973-74licenseeisexercisingorseekingtoexercisethecompactprivilege.
974-75 S."Rule"meansaregulation,principleordirectivepromulgatedbythe
975-76Commissionthathastheforceoflaw.
976-77 T."Single-statelicense"meansanaudiologyorspeech-languagepathology
977-78licenseissuedbyamemberstatethatauthorizespracticeonlywithintheissuingstate
978-79anddoesnotincludeaprivilegetopracticeinanyothermemberstate.
979-80 U."Speech-languagepathologist"meansanindividualwhoislicensedbyastate
980-81topracticespeech-languagepathology.
981-82 V."Speech-languagepathology"meansthecareandservicesprovidedbya
982-83licensedspeech-languagepathologistassetforthinthememberstate'sstatutesand
983-84rules.
984-85 W."State"meansanystate,commonwealth,districtorterritoryoftheUnited
985-86StatesofAmericathatregulatesthepracticeofaudiologyandspeech-language
986-87pathology.
987-CCS#2SSHB2149 27 88 X."Statepracticelaws"meansamemberstate'slaws,rulesandregulationsthat
988-89governthepracticeofaudiologyorspeech-languagepathology,definethescopeof
989-90audiologyorspeech-languagepathologypractice,andcreatethemethodsandgrounds
990-91forimposingdiscipline.
991-92 Y."Telehealth"meanstheapplicationoftelecommunicationtechnologyto
992-93deliveraudiologyorspeech-languagepathologyservicesatadistanceforassessment,
993-94interventionand/orconsultation.
994-95 SECTION3.STATEPARTICIPATIONINTHECOMPACT
995-96 A.Alicenseissuedtoanaudiologistorspeech-languagepathologistbyahome
996-97statetoaresidentinthatstateshallberecognizedbyeachmemberstateasauthorizing
997-98anaudiologistorspeech-languagepathologisttopracticeaudiologyorspeech-language
998-99pathology,underaprivilegetopractice,ineachmemberstate.
999-100 B.Astatemustimplementorutilizeproceduresforconsideringthecriminal
1000-101historyrecordsofapplicantsforinitialprivilegetopractice.Theseproceduresshall
1001-102includethesubmissionoffingerprintsorotherbiometric-basedinformationby
1002-103applicantsforthepurposeofobtaininganapplicant'scriminalhistoryrecord
1003-104informationfromtheFederalBureauofInvestigationandtheagencyresponsiblefor
1004-105retainingthatstate'scriminalrecords.
1005-106 1.Amemberstatemustfullyimplementacriminalbackgroundcheck
1006-107requirement,withinatimeframeestablishedbyrule,byreceivingtheresultsofthe
1007-108FederalBureauofInvestigationrecordsearchoncriminalbackgroundchecksanduse
1008-109theresultsinmakinglicensuredecisions.
1009-110 2.Communicationbetweenamemberstate,theCommissionandamong
1010-111memberstatesregardingtheverificationofeligibilityforlicensurethroughthe
1011-112CompactshallnotincludeanyinformationreceivedfromtheFederalBureauof
1012-113Investigationrelatingtoafederalcriminalrecordscheckperformedbyamemberstate
1013-114underPublicLaw92-544.
1014-115 C.Uponapplicationforaprivilegetopractice,thelicensingboardintheissuing
1015-116remotestateshallascertain,throughthedatasystem,whethertheapplicanthasever
1016-117held,oristheholderof,alicenseissuedbyanyotherstate,whetherthereareany
1017-118encumbrancesonanylicenseorprivilegetopracticeheldbytheapplicant,whetherany
1018-119adverseactionhasbeentakenagainstanylicenseorprivilegetopracticeheldbythe
1019-120applicant.
1020-121 D.Eachmemberstateshallrequireanapplicanttoobtainorretainalicensein
1021-122thehomestateandmeetthehomestate'squalificationsforlicensureorrenewalof
1022-123licensure,aswellas,allotherapplicablestatelaws.
1023-124 E.Foranaudiologist:
1024-CCS#2SSHB2149 28 125 1.Mustmeetoneofthefollowingeducationalrequirements:
1025-126 a.Onorbefore,Dec.31,2007,hasgraduatedwithamaster'sdegreeordoctorate
1026-127inaudiology,orequivalentdegreeregardlessofdegreename,fromaprogramthatis
1027-128accreditedbyanaccreditingagencyrecognizedbytheCouncilforHigherEducation
1028-129Accreditation,oritssuccessor,orbytheUnitedStatesDepartmentofEducationand
1029-130operatedbyacollegeoruniversityaccreditedbyaregionalornationalaccrediting
1030-131organizationrecognizedbytheboard;or
1031-132 b.Onorafter,Jan.1,2008,hasgraduatedwithaDoctoraldegreeinaudiology,
1032-133orequivalentdegree,regardlessofdegreename,fromaprogramthatisaccreditedby
1033-134anaccreditingagencyrecognizedbytheCouncilforHigherEducationAccreditation,or
1034-135itssuccessor,orbytheUnitedStatesDepartmentofEducationandoperatedbyacollege
1035-136oruniversityaccreditedbyaregionalornationalaccreditingorganizationrecognized
1036-137bytheboard;or
1037-138 c.Hasgraduatedfromanaudiologyprogramthatishousedinaninstitutionof
1038-139highereducationoutsideoftheUnitedStates(a)forwhichtheprogramandinstitution
1039-140havebeenapprovedbytheauthorizedaccreditingbodyintheapplicablecountryand
1040-141(b)thedegreeprogramhasbeenverifiedbyanindependentcredentialsreviewagency
1041-142tobecomparabletoastatelicensingboard-approvedprogram.
1042-143 2.Hascompletedasupervisedclinicalpracticumexperiencefromanaccredited
1043-144educationalinstitutionoritscooperatingprogramsasrequiredbytheCommission;
1044-145 3.HassuccessfullypassedanationalexaminationapprovedbytheCommission;
1045-146 4.Holdsanactive,unencumberedlicense;
1046-147 5.Hasnotbeenconvictedorfoundguilty,andhasnotenteredintoanagreed
1047-148disposition,ofafelonyrelatedtothepracticeofaudiology,underapplicablestateor
1048-149federalcriminallaw;
1049-150 6.HasavalidUnitedStatesSocialSecurityorNationalPractitioner
1050-151Identificationnumber.
1051-152 F.Foraspeech-languagepathologist:
1052-153 1.Mustmeetoneofthefollowingeducationalrequirements:
1053-154 a.Hasgraduatedwithamaster'sdegreefromaspeech-languagepathology
1054-155programthatisaccreditedbyanorganizationrecognizedbytheUnitedStates
1055-156DepartmentofEducationandoperatedbyacollegeoruniversityaccreditedbya
1056-157regionalornationalaccreditingorganizationrecognizedbytheboard;or
1057-158 b.Hasgraduatedfromaspeech-languagepathologyprogramthatishousedin
1058-159aninstitutionofhighereducationoutsideoftheUnitedStates(a)forwhichtheprogram
1059-160andinstitutionhavebeenapprovedbytheauthorizedaccreditingbodyintheapplicable
1060-CCS#2SSHB2149 29 161countryand(b)thedegreeprogramhasbeenverifiedbyanindependentcredentials
1061-162reviewagencytobecomparabletoastatelicensingboard-approvedprogram.
1062-163 2.Hascompletedasupervisedclinicalpracticumexperiencefroman
1063-164educationalinstitutionoritscooperatingprogramsasrequiredbytheCommission;
1064-165 3.Hascompletedasupervisedpostgraduateprofessionalexperienceasrequired
1065-166bytheCommission;
1066-167 4.HassuccessfullypassedanationalexaminationapprovedbytheCommission;
1067-168 5.Holdsanactive,unencumberedlicense;
1068-169 6.Hasnotbeenconvictedorfoundguilty,andhasnotenteredintoanagreed
1069-170disposition,ofafelonyrelatedtothepracticeofspeech-languagepathology,under
1070-171applicablestateorfederalcriminallaw;
1071-172 7.HasavalidUnitedStatesSocialSecurityorNationalPractitioner
1072-173Identificationnumber.
1073-174 G.Theprivilegetopracticeisderivedfromthehomestatelicense.
1074-175 H.Anaudiologistorspeech-languagepathologistpracticinginamemberstate
1075-176mustcomplywiththestatepracticelawsofthestateinwhichtheclientislocatedatthe
1076-177timeserviceisprovided.Thepracticeofaudiologyandspeech-languagepathologyshall
1077-178includeallaudiologyandspeech-languagepathologypracticeasdefinedbythestate
1078-179practicelawsofthememberstateinwhichtheclientislocated.Thepracticeof
1079-180audiologyandspeech-languagepathologyinamemberstateunderaprivilegeto
1080-181practiceshallsubjectanaudiologistorspeech-languagepathologisttothejurisdictionof
1081-182thelicensingboard,thecourtsandthelawsofthememberstateinwhichtheclientis
1082-183locatedatthetimeserviceisprovided.
1083-184 I.Individualsnotresidinginamemberstateshallcontinuetobeabletoapply
1084-185foramemberstate'ssingle-statelicenseasprovidedunderthelawsofeachmember
1085-186state.However,thesingle-statelicensegrantedtotheseindividualsshallnotbe
1086-187recognizedasgrantingtheprivilegetopracticeaudiologyorspeech-languagepathology
1087-188inanyothermemberstate.NothinginthisCompactshallaffecttherequirements
1088-189establishedbyamemberstatefortheissuanceofasingle-statelicense.
1089-190 J.Memberstatesmaychargeafeeforgrantingacompactprivilege.
1090-191 K.Memberstatesmustcomplywiththebylawsandrulesandregulationsofthe
1091-192Commission.
1092-193 SECTION4.COMPACTPRIVILEGE
1093-194 A.Toexercisethecompactprivilegeunderthetermsandprovisionsofthe
1094-195Compact,theaudiologistorspeech-languagepathologistshall:
1095-196 1.Holdanactivelicenseinthehomestate;
1096-197 2.Havenoencumbranceonanystatelicense;
1097-CCS#2SSHB2149 30 198 3.Beeligibleforacompactprivilegeinanymemberstateinaccordancewith
1098-199Section3;
1099-200 4.Havenothadanyadverseactionagainstanylicenseorcompactprivilege
1100-201withintheprevious2yearsfromdateofapplication;
1101-202 5.NotifytheCommissionthatthelicenseeisseekingthecompactprivilege
1102-203withinaremotestate(s);
1103-204 6.Payanyapplicablefees,includinganystatefee,forthecompactprivilege;
1104-205 7.ReporttotheCommissionadverseactiontakenbyanynon-memberstate
1105-206within30daysfromthedatetheadverseactionistaken.
1106-207 B.Forthepurposesofthecompactprivilege,anaudiologistorspeech-language
1107-208pathologistshallonlyholdonehomestatelicenseatatime.
1108-209 C.ExceptasprovidedinSection6,ifanaudiologistorspeech-language
1109-210pathologistchangesprimarystateofresidencebymovingbetweentwo-memberstates,
1110-211theaudiologistorspeech-languagepathologistmustapplyforlicensureinthenewhome
1111-212state,andthelicenseissuedbythepriorhomestateshallbedeactivatedinaccordance
1112-213withapplicablerulesadoptedbytheCommission.
1113-214 D.Theaudiologistorspeech-languagepathologistmayapplyforlicensurein
1114-215advanceofachangeinprimarystateofresidence.
1115-216 E.Alicenseshallnotbeissuedbythenewhomestateuntiltheaudiologistor
1116-217speech-languagepathologistprovidessatisfactoryevidenceofachangeinprimarystate
1117-218ofresidencetothenewhomestateandsatisfiesallapplicablerequirementstoobtaina
1118-219licensefromthenewhomestate.
1119-220 F.Ifanaudiologistorspeech-languagepathologistchangesprimarystateof
1120-221residencebymovingfromamemberstatetoanon-memberstate,thelicenseissuedby
1121-222thepriorhomestateshallconverttoasingle-statelicense,validonlyintheformerhome
1122-223state.
1123-224 G.Thecompactprivilegeisvaliduntiltheexpirationdateofthehomestate
1124-225license.ThelicenseemustcomplywiththerequirementsofSection4Atomaintainthe
1125-226compactprivilegeintheremotestate.
1126-227 H.Alicenseeprovidingaudiologyorspeech-languagepathologyservicesina
1127-228remotestateunderthecompactprivilegeshallfunctionwithinthelawsandregulations
1128-229oftheremotestate.
1129-230 I.Alicenseeprovidingaudiologyorspeech-languagepathologyservicesina
1130-231remotestateissubjecttothatstate'sregulatoryauthority.Aremotestatemay,in
1131-232accordancewithdueprocessandthatstate'slaws,removealicensee'scompactprivilege
1132-233intheremotestateforaspecificperiodoftime,imposefines,and/ortakeanyother
1133-234necessaryactionstoprotectthehealthandsafetyofitscitizens.
1134-CCS#2SSHB2149 31 235 J.Ifahomestatelicenseisencumbered,thelicenseeshalllosethecompact
1135-236privilegeinanyremotestateuntilthefollowingoccur:
1136-237 1.Thehomestatelicenseisnolongerencumbered;and
1137-238 2.Twoyearshaveelapsedfromthedateoftheadverseaction.
1138-239 K.Onceanencumberedlicenseinthehomestateisrestoredtogoodstanding,
1139-240thelicenseemustmeettherequirementsofSection4Atoobtainacompactprivilegein
1140-241anyremotestate.
1141-242 L.OncetherequirementsofSection4Jhavebeenmet,thelicenseemustmeet
1142-243therequirementsinSection4Atoobtainacompactprivilegeinaremotestate.
1143-244 SECTION5.COMPACTPRIVILEGETOPRACTICETELEHEALTH
1144-245 Memberstatesshallrecognizetherightofanaudiologistorspeech-language
1145-246pathologist,licensedbyahomestateinaccordancewithSection3andunderrules
1146-247promulgatedbytheCommission,topracticeaudiologyorspeech-languagepathologyin
1147-248anymemberstateviatelehealthunderaprivilegetopracticeasprovidedinthe
1148-249CompactandrulespromulgatedbytheCommission.
1149-250 SECTION6.ACTIVEDUTYMILITARYPERSONNELORTHEIRSPOUSES
1150-251 Activedutymilitarypersonnel,ortheirspouse,shalldesignateahomestate
1151-252wheretheindividualhasacurrentlicenseingoodstanding.Theindividualmayretain
1152-253thehomestatedesignationduringtheperiodtheservicememberisonactiveduty.
1153-254Subsequenttodesignatingahomestate,theindividualshallonlychangetheirhome
1154-255statethroughapplicationforlicensureinthenewstate.
1155-256 SECTION7.ADVERSEACTIONS
1156-257 A.Inadditiontotheotherpowersconferredbystatelaw,aremotestateshall
1157-258havetheauthority,inaccordancewithexistingstatedueprocesslaw,to:
1158-259 1.Takeadverseactionagainstanaudiologist'sorspeech-languagepathologist's
1159-260privilegetopracticewithinthatmemberstate.
1160-261 2.Issuesubpoenasforbothhearingsandinvestigationsthatrequirethe
1161-262attendanceandtestimonyofwitnessesaswellastheproductionofevidence.Subpoenas
1162-263issuedbyalicensingboardinamemberstatefortheattendanceandtestimonyof
1163-264witnessesortheproductionofevidencefromanothermemberstateshallbeenforcedin
1164-265thelatterstatebyanycourtofcompetentjurisdiction,accordingtothepracticeand
1165-266procedureofthatcourtapplicabletosubpoenasissuedinproceedingspendingbeforeit.
1166-267Theissuingauthorityshallpayanywitnessfees,travelexpenses,mileageandotherfees
1167-268requiredbytheservicestatutesofthestateinwhichthewitnessesorevidenceare
1168-269located.
1169-270 3.Onlythehomestateshallhavethepowertotakeadverseactionagainstan
1170-271audiologist'sorspeech-languagepathologist'slicenseissuedbythehomestate.
1171-CCS#2SSHB2149 32 272 B.Forpurposesoftakingadverseaction,thehomestateshallgivethesame
1172-273priorityandeffecttoreportedconductreceivedfromamemberstateasitwouldifthe
1173-274conducthadoccurredwithinthehomestate.Insodoing,thehomestateshallapplyits
1174-275ownstatelawstodetermineappropriateaction.
1175-276 C.Thehomestateshallcompleteanypendinginvestigationsofanaudiologistor
1176-277speech-languagepathologistwhochangesprimarystateofresidenceduringthecourse
1177-278oftheinvestigations.Thehomestateshallalsohavetheauthoritytotakeappropriate
1178-279action(s)andshallpromptlyreporttheconclusionsoftheinvestigationstothe
1179-280administratorofthedatasystem.Theadministratorofthecoordinatedlicensure
1180-281informationsystemshallpromptlynotifythenewhomestateofanyadverseactions.
1181-282 D.Ifotherwisepermittedbystatelaw,thememberstatemayrecoverfromthe
1182-283affectedaudiologistorspeech-languagepathologistthecostsofinvestigationsand
1183-284dispositionofcasesresultingfromanyadverseactiontakenagainstthataudiologistor
1184-285speech-languagepathologist.
1185-286 E.Thememberstatemaytakeadverseactionbasedonthefactualfindingsof
1186-287theremotestate,providedthatthememberstatefollowsthememberstate'sown
1187-288proceduresfortakingtheadverseaction.
1188-289 F.JointInvestigations:
1189-290 1.Inadditiontotheauthoritygrantedtoamemberstatebyitsrespective
1190-291audiologyorspeech-languagepathologypracticeactorotherapplicablestatelaw,any
1191-292memberstatemayparticipatewithothermemberstatesinjointinvestigationsof
1192-293licensees.
1193-294 2.Memberstatesshallshareanyinvestigative,litigation,orcompliance
1194-295materialsinfurtheranceofanyjointorindividualinvestigationinitiatedunderthe
1195-296Compact.
1196-297 G.Ifadverseactionistakenbythehomestateagainstanaudiologist'sorspeech-
1197-298languagepathologist'slicense,theaudiologist'sorspeech-languagepathologist's
1198-299privilegetopracticeinallothermemberstatesshallbedeactivateduntilall
1199-300encumbranceshavebeenremovedfromthestatelicense.Allhomestatedisciplinary
1200-301ordersthatimposeadverseactionagainstanaudiologist'sorspeech-language
1201-302pathologist'slicenseshallincludeastatementthattheaudiologist'sorspeech-
1202-303languagepathologist'sprivilegetopracticeisdeactivatedinallmemberstatesduring
1203-304thependencyoftheorder.
1204-305 H.Ifamemberstatetakesadverseaction,itshallpromptlynotifythe
1205-306administratorofthedatasystem.Theadministratorofthedatasystemshallpromptly
1206-307notifythehomestateofanyadverseactionsbyremotestates.
1207-CCS#2SSHB2149 33 308 I.NothinginthisCompactshalloverrideamemberstate'sdecisionthat
1208-309participationinanalternativeprogrammaybeusedinlieuofadverseaction.
1209-310 SECTION8.ESTABLISHMENT OFTHEAUDIOLOGY ANDSPEECH-
1210-311LANGUAGE PATHOLOGY COMPACTCOMMISSION
1211-312 A.TheCompactmemberstatesherebycreateandestablishajointpublicagency
1212-313knownastheAudiologyandSpeech-LanguagePathologyCompactCommission:
1213-314 1.TheCommissionisaninstrumentalityoftheCompactstates.
1214-315 2.VenueisproperandjudicialproceedingsbyoragainsttheCommissionshall
1215-316bebroughtsolelyandexclusivelyinacourtofcompetentjurisdictionwherethe
1216-317principalofficeoftheCommissionislocated.TheCommissionmaywaivevenueand
1217-318jurisdictionaldefensestotheextentitadoptsorconsentstoparticipateinalternative
1218-319disputeresolutionproceedings.
1219-320 3.NothinginthisCompactshallbeconstruedtobeawaiverofsovereign
1220-321immunity.
1221-322 B.Membership,VotingandMeetings:
1222-323 1.Eachmemberstateshallhavetwo(2)delegatesselectedbythatmember
1223-324state'slicensingboard.Thedelegatesshallbecurrentmembersofthelicensingboard.
1224-325Oneshallbeanaudiologistandoneshallbeaspeech-languagepathologist.
1225-326 2.Anadditionalfive(5)delegates,whoareeitherapublicmemberorboard
1226-327administratorfromastatelicensingboard,shallbechosenbytheExecutiveCommittee
1227-328fromapoolofnomineesprovidedbytheCommissionatLarge.
1228-329 3.Anydelegatemayberemovedorsuspendedfromofficeasprovidedbythelaw
1229-330ofthestatefromwhichthedelegateisappointed.
1230-331 4.ThememberstateboardshallfillanyvacancyoccurringontheCommission,
1231-332within90days.
1232-333 5.Eachdelegateshallbeentitledtoone(1)votewithregardtothepromulgation
1233-334ofrulesandcreationofbylawsandshallotherwisehaveanopportunitytoparticipatein
1234-335thebusinessandaffairsoftheCommission.
1235-336 6.Adelegateshallvoteinpersonorbyothermeansasprovidedinthebylaws.
1236-337Thebylawsmayprovidefordelegates'participationinmeetingsbytelephoneorother
1237-338meansofcommunication.
1238-339 7.TheCommissionshallmeetatleastonceduringeachcalendaryear.
1239-340Additionalmeetingsshallbeheldassetforthinthebylaws.
1240-341 C.TheCommissionshallhavethefollowingpowersandduties:
1241-342 1.EstablishthefiscalyearoftheCommission;
1242-343 2.Establishbylaws;
1243-344 3.EstablishaCodeofEthics;
1244-CCS#2SSHB2149 34 345 4.Maintainitsfinancialrecordsinaccordancewiththebylaws;
1245-346 5.MeetandtakeactionsasareconsistentwiththeprovisionsofthisCompact
1246-347andthebylaws;
1247-348 6.Promulgateuniformrulestofacilitateandcoordinateimplementationand
1248-349administrationofthisCompact.Therulesshallhavetheforceandeffectoflawand
1249-350shallbebindinginallmemberstates;
1250-351 7.Bringandprosecutelegalproceedingsoractionsinthenameofthe
1251-352Commission,providedthatthestandingofanystateaudiologyorspeech-language
1252-353pathologylicensingboardtosueorbesuedunderapplicablelawshallnotbeaffected;
1253-354 8.Purchaseandmaintaininsuranceandbonds;
1254-355 9.Borrow,accept,orcontractforservicesofpersonnel,including,butnot
1255-356limitedto,employeesofamemberstate;
1256-357 10.Hireemployees,electorappointofficers,fixcompensation,defineduties,
1257-358grantindividualsappropriateauthoritytocarryoutthepurposesoftheCompact,and
1258-359toestablishtheCommission'spersonnelpoliciesandprogramsrelatingtoconflictsof
1259-360interest,qualificationsofpersonnel,andotherrelatedpersonnelmatters;
1260-361 11.Acceptanyandallappropriatedonationsandgrantsofmoney,equipment,
1261-362supplies,materialsandservices,andtoreceive,utilizeanddisposeofthesame;provided
1262-363thatatalltimestheCommissionshallavoidanyappearanceofimproprietyand/or
1263-364conflictofinterest;
1264-365 12.Lease,purchase,acceptappropriategiftsordonationsof,orotherwiseto
1265-366own,hold,improveoruse,anyproperty,real,personalormixed;providedthatatall
1266-367timestheCommissionshallavoidanyappearanceofimpropriety;
1267-368 13.Sell,convey,mortgage,pledge,lease,exchange,abandon,orotherwise
1268-369disposeofanypropertyreal,personal,ormixed;
1269-370 14.Establishabudgetandmakeexpenditures;
1270-371 15.Borrowmoney;
1271-372 16.Appointcommittees,includingstandingcommitteescomposedofmembers,
1272-373andotherinterestedpersonsasmaybedesignatedinthisCompactandthebylaws;
1273-374 17.Provideandreceiveinformationfrom,andcooperatewith,lawenforcement
1274-375agencies;
1275-376 18.EstablishandelectanExecutiveCommittee;and
1276-377 19.Performotherfunctionsasmaybenecessaryorappropriatetoachievethe
1277-378purposesofthisCompactconsistentwiththestateregulationofaudiologyandspeech-
1278-379languagepathologylicensureandpractice.
1279-380 D.TheExecutiveCommittee
1280-CCS#2SSHB2149 35 381 TheExecutiveCommitteeshallhavethepowertoactonbehalfofthe
1281-382CommissionaccordingtothetermsofthisCompact:
1282-383 1.TheExecutiveCommitteeshallbecomposedoften(10)members:
1283-384 a.Seven(7)votingmemberswhoareelectedbytheCommissionfromthe
1284-385currentmembershipoftheCommission;
1285-386 b.Two(2)ex-officios,consistingofonenonvotingmemberfromarecognized
1286-387nationalaudiologyprofessionalassociationandonenonvotingmemberfroma
1287-388recognizednationalspeech-languagepathologyassociation;and
1288-389 c.One(1)ex-officio,nonvotingmemberfromtherecognizedmembership
1289-390organizationoftheaudiologyandspeech-languagepathologylicensingboards.
1290-391 E.Theex-officiomembersshallbeselectedbytheirrespectiveorganizations.
1291-392 1.TheCommissionmayremoveanymemberoftheExecutiveCommitteeas
1292-393providedinbylaws.
1293-394 2.TheExecutiveCommitteeshallmeetatleastannually.
1294-395 3.TheExecutiveCommitteeshallhavethefollowingdutiesandresponsibilities:
1295-396 a.RecommendtotheentireCommissionchangestotherulesorbylaws,changes
1296-397tothisCompactlegislation,feespaidbyCompactmemberstatessuchasannualdues,
1297-398andanycommissionCompactfeechargedtolicenseesforthecompactprivilege;
1298-399 b.EnsureCompactadministrationservicesareappropriatelyprovided,
1299-400contractualorotherwise;
1300-401 c.Prepareandrecommendthebudget;
1301-402 d.MaintainfinancialrecordsonbehalfoftheCommission;
1302-403 e.MonitorCompactcomplianceofmemberstatesandprovidecompliance
1303-404reportstotheCommission;
1304-405 f.Establishadditionalcommitteesasnecessary;and
1305-406 g.Otherdutiesasprovidedinrulesorbylaws.
1306-407 4.MeetingsoftheCommission
1307-408 Allmeetingsshallbeopentothepublic,andpublicnoticeofmeetingsshallbe
1308-409giveninthesamemannerasrequiredundertherulemakingprovisionsinSection10.
1309-410 5.TheCommissionortheExecutiveCommitteeorothercommitteesofthe
1310-411Commissionmayconveneinaclosed,non-publicmeetingiftheCommissionor
1311-412ExecutiveCommitteeorothercommitteesoftheCommissionmustdiscuss:
1312-413 a.Non-complianceofamemberstatewithitsobligationsundertheCompact;
1313-414 b.Theemployment,compensation,disciplineorothermatters,practicesor
1314-415proceduresrelatedtospecificemployeesorothermattersrelatedtotheCommission's
1315-416internalpersonnelpracticesandprocedures;
1316-417 c.Current,threatened,orreasonablyanticipatedlitigation;
1317-CCS#2SSHB2149 36 418 d.Negotiationofcontractsforthepurchase,lease,orsaleofgoods,services,or
1318-419realestate;
1319-420 e.Accusinganypersonofacrimeorformallycensuringanyperson;
1320-421 f.Disclosureoftradesecretsorcommercialorfinancialinformationthatis
1321-422privilegedorconfidential;
1322-423 g.Disclosureofinformationofapersonalnaturewheredisclosurewould
1323-424constituteaclearlyunwarrantedinvasionofpersonalprivacy;
1324-425 h.Disclosureofinvestigativerecordscompiledforlawenforcementpurposes;
1325-426 i.Disclosureofinformationrelatedtoanyinvestigativereportspreparedbyor
1326-427onbehalfoforforuseoftheCommissionorothercommitteechargedwith
1327-428responsibilityofinvestigationordeterminationofcomplianceissuespursuanttothe
1328-429Compact;or
1329-430 j.Mattersspecificallyexemptedfromdisclosurebyfederalormemberstate
1330-431statute.
1331-432 6.Ifameeting,orportionofameeting,isclosedpursuanttothisprovision,the
1332-433Commission'slegalcounselordesigneeshallcertifythatthemeetingmaybeclosedand
1333-434shallreferenceeachrelevantexemptingprovision.
1334-435 7.TheCommissionshallkeepminutesthatfullyandclearlydescribeallmatters
1335-436discussedinameetingandshallprovideafullandaccuratesummaryofactionstaken,
1336-437andthereasonstherefore,includingadescriptionoftheviewsexpressed.Alldocuments
1337-438consideredinconnectionwithanactionshallbeidentifiedinminutes.Allminutesand
1338-439documentsofaclosedmeetingshallremainunderseal,subjecttoreleasebyamajority
1339-440voteoftheCommissionororderofacourtofcompetentjurisdiction.
1340-441 8.FinancingoftheCommission:
1341-442 a.TheCommissionshallpay,orprovideforthepaymentof,thereasonable
1342-443expensesofitsestablishment,organization,andongoingactivities.
1343-444 b.TheCommissionmayacceptanyandallappropriaterevenuesources,
1344-445donations,andgrantsofmoney,equipment,supplies,materials,andservices.
1345-446 c.TheCommissionmaylevyonandcollectanannualassessmentfromeach
1346-447memberstateorimposefeesonotherpartiestocoverthecostoftheoperationsand
1347-448activitiesoftheCommissionanditsstaff,whichmustbeinatotalamountsufficientto
1348-449coveritsannualbudgetasapprovedeachyearforwhichrevenueisnotprovidedby
1349-450othersources.Theaggregateannualassessmentamountshallbeallocatedbasedupona
1350-451formulatobedeterminedbytheCommission,whichshallpromulgatearulebinding
1351-452uponallmemberstates.
1352-CCS#2SSHB2149 37 453 9.TheCommissionshallnotincurobligationsofanykindpriortosecuringthe
1353-454fundsadequatetomeetthesame;norshalltheCommissionpledgethecreditofanyof
1354-455thememberstates,exceptbyandwiththeauthorityofthememberstate.
1355-456 10.TheCommissionshallkeepaccurateaccountsofallreceiptsand
1356-457disbursements.ThereceiptsanddisbursementsoftheCommissionshallbesubject
1357-458totheauditandaccountingproceduresestablishedunderitsbylaws.However,all
1358-459receiptsanddisbursementsoffundshandledbytheCommissionshallbeauditedyearly
1359-460byacertifiedorlicensedpublicaccountant,andthereportoftheauditshallbeincluded
1360-461inandbecomepartoftheannualreportoftheCommission.
1361-462 F.QualifiedImmunity,Defense,andIndemnification:
1362-463 1.Themembers,officers,executivedirector,employeesandrepresentativesof
1363-464theCommissionshallbeimmunefromsuitandliability,eitherpersonallyorintheir
1364-465officialcapacity,foranyclaimfordamagetoorlossofpropertyorpersonalinjuryor
1365-466othercivilliabilitycausedbyorarisingoutofanyactualorallegedact,erroror
1366-467omissionthatoccurred,orthatthepersonagainstwhomtheclaimismadehada
1367-468reasonablebasisforbelievingoccurredwithinthescopeofCommissionemployment,
1368-469dutiesorresponsibilities;providedthatnothinginthisparagraphshallbeconstruedto
1369-470protectanypersonfromsuitand/orliabilityforanydamage,loss,injury,orliability
1370-471causedbytheintentionalorwillfulorwantonmisconductofthatperson.
1371-472 2.TheCommissionshalldefendanymember,officer,executivedirector,
1372-473employeeorrepresentativeoftheCommissioninanycivilactionseekingtoimpose
1373-474liabilityarisingoutofanyactualorallegedact,error,oromissionthatoccurredwithin
1374-475thescopeofCommissionemployment,duties,orresponsibilities,orthattheperson
1375-476againstwhomtheclaimismadehadareasonablebasisforbelievingoccurredwithinthe
1376-477scopeofCommissionemployment,duties,orresponsibilities;providedthatnothing
1377-478hereinshallbeconstruedtoprohibitthatpersonfromretaininghisorherowncounsel;
1378-479andprovidedfurther,thattheactualorallegedact,error,oromissiondidnotresult
1379-480fromthatperson'sintentionalorwillfulorwantonmisconduct.
1380-481 3.TheCommissionshallindemnifyandholdharmlessanymember,officer,
1381-482executivedirector,employee,orrepresentativeoftheCommissionfortheamountofany
1382-483settlementorjudgmentobtainedagainstthatpersonarisingoutofanyactualoralleged
1383-484act,errororomissionthatoccurredwithinthescopeofCommissionemployment,
1384-485duties,orresponsibilities,orthatpersonhadareasonablebasisforbelievingoccurred
1385-486withinthescopeofCommissionemployment,duties,orresponsibilities,providedthat
1386-487theactualorallegedact,error,oromissiondidnotresultfromtheintentionalorwillful
1387-488orwantonmisconductofthatperson.
1388-489 SECTION9.DATASYSTEM
1389-CCS#2SSHB2149 38 490 A.TheCommissionshallprovideforthedevelopment,maintenance,and
1390-491utilizationofacoordinateddatabaseandreportingsystemcontaininglicensure,adverse
1391-492action,andinvestigativeinformationonalllicensedindividualsinmemberstates.
1392-493 B.Notwithstandinganyotherprovisionofstatelawtothecontrary,amember
1393-494stateshallsubmitauniformdatasettothedatasystemonallindividualstowhomthis
1394-495CompactisapplicableasrequiredbytherulesoftheCommission,including:
1395-496 1.Identifyinginformation;
1396-497 2.Licensuredata;
1397-498 3.Adverseactionsagainstalicenseorcompactprivilege;
1398-499 4.Non-confidentialinformationrelatedtoalternativeprogramparticipation;
1399-500 5.Anydenialofapplicationforlicensure,andthereason(s)fordenial;and
1400-501 6.OtherinformationthatmayfacilitatetheadministrationofthisCompact,as
1401-502determinedbytherulesoftheCommission.
1402-503 C.Investigativeinformationpertainingtoalicenseeinanymemberstateshall
1403-504onlybeavailabletoothermemberstates.
1404-505 D.TheCommissionshallpromptlynotifyallmemberstatesofanyadverse
1405-506actiontakenagainstalicenseeoranindividualapplyingforalicense.Adverseaction
1406-507informationpertainingtoalicenseeinanymemberstateshallbeavailabletoanyother
1407-508memberstate.
1408-509 E.Memberstatescontributinginformationtothedatasystemmaydesignate
1409-510informationthatmaynotbesharedwiththepublicwithouttheexpresspermissionof
1410-511thecontributingstate.
1411-512 F.Anyinformationsubmittedtothedatasystemthatissubsequentlyrequiredto
1412-513beexpungedbythelawsofthememberstatecontributingtheinformationshallbe
1413-514removedfromthedatasystem.
1414-515 SECTION10.RULEMAKING
1415-516 A.TheCommissionshallexerciseitsrulemakingpowerspursuanttothecriteria
1416-517setforthinthisSectionandtherulesadoptedthereunder.Rulesandamendmentsshall
1417-518becomebindingasofthedatespecifiedineachruleoramendment.
1418-519 B.Ifamajorityofthelegislaturesofthememberstatesrejectsarule,by
1419-520enactmentofastatuteorresolutioninthesamemannerusedtoadopttheCompact
1420-521within4yearsofthedateofadoptionoftherule,theruleshallhavenofurtherforceand
1421-522effectinanymemberstate.
1422-523 C.Rulesoramendmentstotherulesshallbeadoptedataregularorspecial
1423-524meetingoftheCommission.
1424-525 D.Priortopromulgationandadoptionofafinalruleorrulesbythe
1425-526Commission,andatleastthirty(30)daysinadvanceofthemeetingatwhichtherule
1426-CCS#2SSHB2149 39 527shallbeconsideredandvotedupon,theCommissionshallfileaNoticeofProposed
1427-528Rulemaking:
1428-529 1.OnthewebsiteoftheCommissionorotherpubliclyaccessibleplatform;and
1429-530 2.Onthewebsiteofeachmemberstateaudiologyorspeech-languagepathology
1430-531licensingboardorotherpubliclyaccessibleplatformorthepublicationinwhicheach
1431-532statewouldotherwisepublishproposedrules.
1432-533 E.TheNoticeofProposedRulemakingshallinclude:
1433-534 1.Theproposedtime,date,andlocationofthemeetinginwhichtheruleshallbe
1434-535consideredandvotedupon;
1435-536 2.Thetextoftheproposedruleoramendmentandthereasonfortheproposed
1436-537rule;
1437-538 3.Arequestforcommentsontheproposedrulefromanyinterestedperson;and
1438-539 4.ThemannerinwhichinterestedpersonsmaysubmitnoticetotheCommission
1439-540oftheirintentiontoattendthepublichearingandanywrittencomments.
1440-541 F.Priortotheadoptionofaproposedrule,theCommissionshallallowpersons
1441-542tosubmitwrittendata,facts,opinionsandarguments,whichshallbemadeavailableto
1442-543thepublic.
1443-544 G.TheCommissionshallgrantanopportunityforapublichearingbeforeit
1444-545adoptsaruleoramendmentifahearingisrequestedby:
1445-546 1.Atleasttwenty-five(25)persons;
1446-547 2.Astateorfederalgovernmentalsubdivisionoragency;or
1447-548 3.Anassociationhavingatleasttwenty-five(25)members.
1448-549 H.Ifahearingisheldontheproposedruleoramendment,theCommissionshall
1449-550publishtheplace,time,anddateofthescheduledpublichearing.Ifthehearingisheld
1450-551viaelectronicmeans,theCommissionshallpublishthemechanismforaccesstothe
1451-552electronichearing.
1452-553 1.Allpersonswishingtobeheardatthehearingshallnotifytheexecutive
1453-554directoroftheCommissionorotherdesignatedmemberinwritingoftheirdesireto
1454-555appearandtestifyatthehearingnotlessthanfive(5)businessdaysbeforethescheduled
1455-556dateofthehearing.
1456-557 2.Hearingsshallbeconductedinamannerprovidingeachpersonwhowishesto
1457-558commentafairandreasonableopportunitytocommentorallyorinwriting.
1458-559 3.Allhearingsshallberecorded.Acopyoftherecordingshallbemade
1459-560availableonrequest.
1460-561 4.Nothinginthissectionshallbeconstruedasrequiringaseparatehearingon
1461-562eachrule.RulesmaybegroupedfortheconvenienceoftheCommissionathearings
1462-563requiredbythissection.
1463-CCS#2SSHB2149 40 564 I.Followingthescheduledhearingdate,orbythecloseofbusinessonthe
1464-565scheduledhearingdateifthehearingwasnotheld,theCommissionshallconsiderall
1465-566writtenandoralcommentsreceived.
1466-567 J.Ifnowrittennoticeofintenttoattendthepublichearingbyinterestedparties
1467-568isreceived,theCommissionmayproceedwithpromulgationoftheproposedrule
1468-569withoutapublichearing.
1469-570 K.TheCommissionshall,bymajorityvoteofallmembers,takefinalactionon
1470-571theproposedruleandshalldeterminetheeffectivedateoftherule,ifany,basedonthe
1471-572rulemakingrecordandthefulltextoftherule.
1472-573 L.Upondeterminationthatanemergencyexists,theCommissionmayconsider
1473-574andadoptanemergencyrulewithoutpriornotice,opportunityforcomment,or
1474-575hearing,providedthattheusualrulemakingproceduresprovidedintheCompactand
1475-576inthissectionshallberetroactivelyappliedtotheruleassoonasreasonablypossible,in
1476-577noeventlaterthanninety(90)daysaftertheeffectivedateoftherule.Forthepurposes
1477-578ofthisprovision,anemergencyruleisonethatmustbeadoptedimmediatelyinorder
1478-579to:
1479-580 1.Meetanimminentthreattopublichealth,safety,orwelfare;
1480-581 2.PreventalossofCommissionormemberstatefunds;or
1481-582 3.Meetadeadlineforthepromulgationofanadministrativerulethatis
1482-583establishedbyfederallaworrule.
1483-584 M.TheCommissionoranauthorizedcommitteeoftheCommissionmaydirect
1484-585revisionstoapreviouslyadoptedruleoramendmentforpurposesofcorrecting
1485-586typographicalerrors,errorsinformat,errorsinconsistency,orgrammaticalerrors.
1486-587PublicnoticeofanyrevisionsshallbepostedonthewebsiteoftheCommission.The
1487-588revisionshallbesubjecttochallengebyanypersonforaperiodofthirty(30)daysafter
1488-589posting.Therevisionmaybechallengedonlyongroundsthattherevisionresultsina
1489-590materialchangetoarule.Achallengeshallbemadeinwritinganddeliveredtothe
1490-591chairoftheCommissionpriortotheendofthenoticeperiod.Ifnochallengeismade,
1491-592therevisionshalltakeeffectwithoutfurtheraction.Iftherevisionischallenged,the
1492-593revisionmaynottakeeffectwithouttheapprovaloftheCommission.
1493-594 SECTION 11.OVERSIGHT ,DISPUTE RESOLUTION, AND
1494-595ENFORCEMENT
1495-596 A.DisputeResolution
1496-597 1.Uponrequestbyamemberstate,theCommissionshallattempttoresolve
1497-598disputesrelatedtotheCompactthatariseamongmemberstatesandbetweenmember
1498-599andnon-memberstates.
1499-CCS#2SSHB2149 41 600 2.TheCommissionshallpromulgatearuleprovidingforbothmediationand
1500-601bindingdisputeresolutionfordisputesasappropriate.
1501-602 B.Enforcement
1502-603 1.TheCommission,inthereasonableexerciseofitsdiscretion,shallenforcethe
1503-604provisionsandrulesofthisCompact.
1504-605 2.Bymajorityvote,theCommissionmayinitiatelegalactionintheUnited
1505-606StatesDistrictCourtfortheDistrictofColumbiaorthefederaldistrictwherethe
1506-607Commissionhasitsprincipalofficesagainstamemberstateindefaulttoenforce
1507-608compliancewiththeprovisionsoftheCompactanditspromulgatedrulesandbylaws.
1508-609Thereliefsoughtmayincludebothinjunctivereliefanddamages.Intheeventjudicial
1509-610enforcementisnecessary,theprevailingmembershallbeawardedallcostsoflitigation,
1510-611includingreasonableattorney'sfees.
1511-612 3.TheremedieshereinshallnotbetheexclusiveremediesoftheCommission.
1512-613TheCommissionmaypursueanyotherremediesavailableunderfederalorstatelaw.
1513-614 SECTION12.DATEOFIMPLEMENTATIONOFTHEINTERSTATE
1514-615COMMISSION FORAUDIOLOGY ANDSPEECH-LANGUAGE PATHOLOGY
1515-616PRACTICEANDASSOCIATEDRULES,WITHDRAWAL,ANDAMENDMENT
1516-617 A.TheCompactshallcomeintoeffectonthedateonwhichtheCompactstatute
1517-618isenactedintolawinthe10thmemberstate.Theprovisions,whichbecomeeffectiveat
1518-619thattime,shallbelimitedtothepowersgrantedtotheCommissionrelatingtoassembly
1519-620andthepromulgationofrules.Thereafter,theCommissionshallmeetandexercise
1520-621rulemakingpowersnecessarytotheimplementationandadministrationofthe
1521-622Compact.
1522-623 B.AnystatethatjoinstheCompactsubsequenttotheCommission'sinitial
1523-624adoptionoftherulesshallbesubjecttotherulesastheyexistonthedateonwhichthe
1524-625Compactbecomeslawinthatstate.Anyrulethathasbeenpreviouslyadoptedbythe
1525-626CommissionshallhavethefullforceandeffectoflawonthedaytheCompactbecomes
1526-627lawinthatstate.
1527-628 C.AnymemberstatemaywithdrawfromthisCompactbyenactingastatute
1528-629repealingthesame.
1529-630 1.Amemberstate'swithdrawalshallnottakeeffectuntilsix(6)monthsafter
1530-631enactmentoftherepealingstatute.
1531-632 2.Withdrawalshallnotaffectthecontinuingrequirementofthewithdrawing
1532-633state'saudiologyorspeech-languagepathologylicensingboardtocomplywiththe
1533-634investigativeandadverseactionreportingrequirementsofthisactpriortotheeffective
1534-635dateofwithdrawal.
1535-CCS#2SSHB2149 42 636 D.NothingcontainedinthisCompactshallbeconstruedtoinvalidateorprevent
1536-637anyaudiologyorspeech-languagepathologylicensureagreementorothercooperative
1537-638arrangementbetweenamemberstateandanon-memberstatethatdoesnotconflict
1538-639withtheprovisionsofthisCompact.
1539-640 E.ThisCompactmaybeamendedbythememberstates.Noamendmenttothis
1540-641Compactshallbecomeeffectiveandbindinguponanymemberstateuntilitisenacted
1541-642intothelawsofallmemberstates.
1542-643 SECTION13.CONSTRUCTION ANDSEVERABILITY
1543-644 ThisCompactshallbeliberallyconstruedsoastoeffectuatethepurposes
1544-645thereof.TheprovisionsofthisCompactshallbeseverableandifanyphrase,clause,
1545-646sentenceorprovisionofthisCompactisdeclaredtobecontrarytotheconstitutionof
1546-647anymemberstateoroftheUnitedStatesortheapplicabilitythereoftoanygovernment,
1547-648agency,personorcircumstanceisheldinvalid,thevalidityoftheremainderofthis
1548-649Compactandtheapplicabilitythereoftoanygovernment,agency,personor
1549-650circumstanceshallnotbeaffectedthereby.IfthisCompactshallbeheldcontraryto
1550-651theconstitutionofanymemberstate,theCompactshallremaininfullforceandeffect
1551-652astotheremainingmemberstatesandinfullforceandeffectastothememberstate
1552-653affectedastoallseverablematters.
1553-654 SECTION14.BINDINGEFFECTOFCOMPACTANDOTHERLAWS
1554-655 A.Nothinghereinpreventstheenforcementofanyotherlawofamemberstate
1555-656thatisnotinconsistentwiththeCompact.
1556-657 B.AlllawsinamemberstateinconflictwiththeCompactaresupersededtothe
1557-658extentoftheconflict.
1558-659 C.AlllawfulactionsoftheCommission,includingallrulesandbylaws
1559-660promulgatedbytheCommission,arebindinguponthememberstates.
1560-661 D.AllagreementsbetweentheCommissionandthememberstatesarebinding
1561-662inaccordancewiththeirterms.
1562-663 E.IntheeventanyprovisionoftheCompactexceedstheconstitutionallimits
1563-664imposedonthelegislatureofanymemberstate,theprovisionshallbeineffectivetothe
1564-665extentoftheconflictwiththeconstitutionalprovisioninquestioninthatmemberstate.
1565-SectionB.Becauseoftheurgentneedoflow-incomeMissouriresidentsforaccessto
1566-2qualityhealthcareservices,theenactmentofsection324.005ofthisactisdeemednecessary
1567-3fortheimmediatepreservationofthepublichealth,welfare,peace,andsafety,andishereby
1568-4declaredtobeanemergencyactwithinthemeaningoftheconstitution,andtheenactmentof
1569-5section324.005ofthisactshallbeinfullforceandeffectuponitspassageandapproval.
1570-
1571-CCS#2SSHB2149 43
1226+2 ThepurposeofthisCompactistofacilitateinterstate
1227+3 practiceofaudiologyandspeech-language pathologywiththegoal
1228+4 ofimprovingpublicaccesstoaudiologyandspeech-language
1229+5 pathologyservices.Thepracticeofaudiologyandspeech-language
1230+6 pathologyoccursinthestatewherethepatient/client/student is
1231+7 locatedatthetimeofthepatient/client/student encounter. The
1232+8 Compactpreservestheregulatoryauthorityofstatestoprotect
1233+9 publichealthandsafetythroughthecurrentsystemofstate
1234+10 licensure.
1235+11 ThisCompactisdesignedtoachievethefollowingobjectives:
1236+12 1.Increasepublicaccesstoaudiologyandspeech-language
1237+13 pathologyservicesbyprovidingforthemutualrecognitionof
1238+14 othermemberstatelicenses;
1239+15 2.Enhancethestates'abilitytoprotectthepublic'shealth
1240+16 andsafety;
1241+17 3.Encouragethecooperationofmemberstatesinregulating
1242+18 multistateaudiologyandspeech-language pathologypractice;
1243+19 4.Supportspousesofrelocatingactivedutymilitary
1244+20 personnel;
1245+46 21 5.Enhancetheexchangeoflicensure,investigativeand
1246+22 disciplinaryinformationbetweenmemberstates;
1247+23 6.Allowaremotestatetoholdaproviderofserviceswitha
1248+24 compactprivilegeinthatstateaccountabletothatstate's
1249+25 practicestandards;and
1250+26 7.Allowfortheuseoftelehealthtechnologytofacilitate
1251+27 increasedaccesstoaudiologyandspeech-language pathology
1252+28 services.
1253+29 SECTION2.DEFINITIONS
1254+30 AsusedinthisCompact,andexceptasotherwiseprovided,the
1255+31 followingdefinitionsshallapply:
1256+32 A."Activedutymilitary"meansfull-timedutystatusinthe
1257+33 activeuniformedserviceoftheUnitedStates,includingmembers
1258+34 oftheNationalGuardandReserveonactivedutyorderspursuantto
1259+35 10U.S.C.Chapter1209and1211.
1260+36 B."Adverseaction"meansanyadministrative, civil,
1261+37 equitableorcriminalactionpermittedbyastate'slawswhichis
1262+38 imposedbyalicensingboardorotherauthorityagainstan
1263+39 audiologistorspeech-language pathologist,includingactions
1264+40 againstanindividual'slicenseorprivilegetopracticesuchas
1265+41 revocation,suspension,probation,monitoringofthelicensee,or
1266+42 restrictiononthelicensee'spractice.
1267+43 C."Alternativeprogram"meansanon-disciplinary monitoring
1268+44 processapprovedbyanaudiologyorspeech-language pathology
1269+45 licensingboardtoaddressimpairedpractitioners.
1270+46 D."Audiologist"meansanindividualwhoislicensedbya
1271+47 statetopracticeaudiology.
1272+47 48 E."Audiology"meansthecareandservicesprovidedbya
1273+49 licensedaudiologistassetforthinthememberstate'sstatutes
1274+50 andrules.
1275+51 F."AudiologyandSpeech-Language PathologyCompact
1276+52 Commission"or"Commission"meansthenationaladministrativebody
1277+53 whosemembershipconsistsofallstatesthathaveenactedthe
1278+54 Compact.
1279+55 G."Audiologyandspeech-language pathologylicensing
1280+56 board,""audiologylicensingboard,""speech-language pathology
1281+57 licensingboard,"or"licensingboard"meanstheagencyofastate
1282+58 thatisresponsibleforthelicensingandregulationof
1283+59 audiologistsand/orspeech-language pathologists.
1284+60 H."Compactprivilege"meanstheauthorizationgrantedbya
1285+61 remotestatetoallowalicenseefromanothermemberstateto
1286+62 practiceasanaudiologistorspeech-language pathologistinthe
1287+63 remotestateunderitslawsandrules.Thepracticeofaudiology
1288+64 orspeech-language pathologyoccursinthememberstatewherethe
1289+65 patient/client/student islocatedatthetimeofthepatient/
1290+66 client/studentencounter.
1291+67 I."Currentsignificantinvestigativeinformation"means
1292+68 investigativeinformationthatalicensingboard,afteraninquiry
1293+69 orinvestigationthatincludesnotificationandanopportunityfor
1294+70 theaudiologistorspeech-language pathologisttorespond,if
1295+71 requiredbystatelaw,hasreasontobelieveisnotgroundlessand,
1296+72 ifprovedtrue,wouldindicatemorethanaminorinfraction.
1297+73 J."Datasystem"meansarepositoryofinformationabout
1298+74 licensees,including,butnotlimitedto,continuingeducation,
1299+48 75 examination,licensure,investigative,compactprivilegeand
1300+76 adverseaction.
1301+77 K."Encumberedlicense"meansalicenseinwhichanadverse
1302+78 actionrestrictsthepracticeofaudiologyorspeech-language
1303+79 pathologybythelicenseeandsaidadverseactionhasbeenreported
1304+80 totheNationalPractitionersDataBank(NPDB).
1305+81 L."ExecutiveCommittee"meansagroupofdirectorselected
1306+82 orappointedtoactonbehalfof,andwithinthepowersgrantedto
1307+83 themby,theCommission.
1308+84 M."Homestate"meansthememberstatethatisthelicensee's
1309+85 primarystateofresidence.
1310+86 N."Impairedpractitioner"meansindividualswhose
1311+87 professionalpracticeisadverselyaffectedbysubstanceabuse,
1312+88 addiction,orotherhealth-relatedconditions.
1313+89 O."Licensee"meansanindividualwhocurrentlyholdsan
1314+90 authorizationfromthestatelicensingboardtopracticeasan
1315+91 audiologistorspeech-language pathologist.
1316+92 P."Memberstate"meansastatethathasenactedtheCompact.
1317+93 Q."Privilegetopractice"meansalegalauthorization
1318+94 permittingthepracticeofaudiologyorspeech-language pathology
1319+95 inaremotestate.
1320+96 R."Remotestate"meansamemberstateotherthanthehome
1321+97 statewherealicenseeisexercisingorseekingtoexercisethe
1322+98 compactprivilege.
1323+99 S."Rule"meansaregulation,principleordirective
1324+100 promulgatedbytheCommissionthathastheforceoflaw.
1325+101 T."Single-statelicense"meansanaudiologyorspeech-
1326+49 102 languagepathologylicenseissuedbyamemberstatethat
1327+103 authorizespracticeonlywithintheissuingstateanddoesnot
1328+104 includeaprivilegetopracticeinanyothermemberstate.
1329+105 U."Speech-language pathologist"meansanindividualwhois
1330+106 licensedbyastatetopracticespeech-language pathology.
1331+107 V."Speech-language pathology"meansthecareandservices
1332+108 providedbyalicensedspeech-language pathologistassetforthin
1333+109 thememberstate'sstatutesandrules.
1334+110 W."State"meansanystate,commonwealth,districtor
1335+111 territoryoftheUnitedStatesofAmericathatregulatesthe
1336+112 practiceofaudiologyandspeech-language pathology.
1337+113 X."Statepracticelaws"meansamemberstate'slaws,rules
1338+114 andregulationsthatgovernthepracticeofaudiologyorspeech-
1339+115 languagepathology,definethescopeofaudiologyorspeech-
1340+116 languagepathologypractice,andcreatethemethodsandgrounds
1341+117 forimposingdiscipline.
1342+118 Y."Telehealth"meanstheapplicationoftelecommunication
1343+119 technologytodeliveraudiologyorspeech-language pathology
1344+120 servicesatadistanceforassessment,interventionand/or
1345+121 consultation.
1346+122 SECTION3.STATEPARTICIPATIONINTHECOMPACT
1347+123 A.Alicenseissuedtoanaudiologistorspeech-language
1348+124 pathologistbyahomestatetoaresidentinthatstateshallbe
1349+125 recognizedbyeachmemberstateasauthorizinganaudiologistor
1350+126 speech-language pathologisttopracticeaudiologyorspeech-
1351+127 languagepathology,underaprivilegetopractice,ineachmember
1352+128 state.
1353+50 129 B.Astatemustimplementorutilizeproceduresfor
1354+130 consideringthecriminalhistoryrecordsofapplicantsforinitial
1355+131 privilegetopractice. Theseproceduresshallincludethe
1356+132 submissionoffingerprintsorotherbiometric-based informationby
1357+133 applicantsforthepurposeofobtaininganapplicant'scriminal
1358+134 historyrecordinformationfromtheFederalBureauof
1359+135 Investigationandtheagencyresponsibleforretainingthat
1360+136 state'scriminalrecords.
1361+137 1.Amemberstatemustfullyimplementacriminalbackground
1362+138 checkrequirement,withinatimeframeestablishedbyrule,by
1363+139 receivingtheresultsoftheFederalBureauofInvestigation
1364+140 recordsearchoncriminalbackgroundchecksandusetheresultsin
1365+141 makinglicensuredecisions.
1366+142 2.Communicationbetweenamemberstate,theCommissionand
1367+143 amongmemberstatesregardingtheverificationofeligibilityfor
1368+144 licensurethroughtheCompactshallnotincludeanyinformation
1369+145 receivedfromtheFederalBureauofInvestigationrelatingtoa
1370+146 federalcriminalrecordscheckperformedbyamemberstateunder
1371+147 PublicLaw92-544.
1372+148 C.Uponapplicationforaprivilegetopractice,the
1373+149 licensingboardintheissuingremotestateshallascertain,
1374+150 throughthedatasystem,whethertheapplicanthaseverheld,oris
1375+151 theholderof,alicenseissuedbyanyotherstate,whetherthere
1376+152 areanyencumbrancesonanylicenseorprivilegetopracticeheld
1377+153 bytheapplicant,whetheranyadverseactionhasbeentakenagainst
1378+154 anylicenseorprivilegetopracticeheldbytheapplicant.
1379+155 D.Eachmemberstateshallrequireanapplicanttoobtainor
1380+51 156 retainalicenseinthehomestateandmeetthehomestate's
1381+157 qualificationsforlicensureorrenewaloflicensure,aswellas,
1382+158 allotherapplicablestatelaws.
1383+159 E.Foranaudiologist:
1384+160 1.Mustmeetoneofthefollowingeducationalrequirements:
1385+161 a.Onorbefore,Dec.31,2007,hasgraduatedwithamaster's
1386+162 degreeordoctorateinaudiology,orequivalentdegreeregardless
1387+163 ofdegreename,fromaprogramthatisaccreditedbyanaccrediting
1388+164 agencyrecognizedbytheCouncilforHigherEducation
1389+165 Accreditation,oritssuccessor,orbytheUnitedStates
1390+166 DepartmentofEducationandoperatedbyacollegeoruniversity
1391+167 accreditedbyaregionalornationalaccreditingorganization
1392+168 recognizedbytheboard;or
1393+169 b.Onorafter,Jan.1,2008,hasgraduatedwithaDoctoral
1394+170 degreeinaudiology,orequivalentdegree,regardlessofdegree
1395+171 name,fromaprogramthatisaccreditedbyanaccreditingagency
1396+172 recognizedbytheCouncilforHigherEducationAccreditation,or
1397+173 itssuccessor,orbytheUnitedStatesDepartmentofEducationand
1398+174 operatedbyacollegeoruniversityaccreditedbyaregionalor
1399+175 nationalaccreditingorganizationrecognizedbytheboard;or
1400+176 c.Hasgraduatedfromanaudiologyprogramthatishousedin
1401+177 aninstitutionofhighereducationoutsideoftheUnitedStates(a)
1402+178 forwhichtheprogramandinstitutionhavebeenapprovedbythe
1403+179 authorizedaccreditingbodyintheapplicablecountryand(b)the
1404+180 degreeprogramhasbeenverifiedbyanindependentcredentials
1405+181 reviewagencytobecomparabletoastatelicensingboard-approved
1406+182 program.
1407+52 183 2.Hascompletedasupervisedclinicalpracticumexperience
1408+184 fromanaccreditededucationalinstitutionoritscooperating
1409+185 programsasrequiredbytheCommission;
1410+186 3.Hassuccessfullypassedanationalexaminationapproved
1411+187 bytheCommission;
1412+188 4.Holdsanactive,unencumberedlicense;
1413+189 5.Hasnotbeenconvictedorfoundguilty,andhasnot
1414+190 enteredintoanagreeddisposition,ofafelonyrelatedtothe
1415+191 practiceofaudiology,underapplicablestateorfederalcriminal
1416+192 law;
1417+193 6.HasavalidUnitedStatesSocialSecurityorNational
1418+194 PractitionerIdentificationnumber.
1419+195 F.Foraspeech-language pathologist:
1420+196 1.Mustmeetoneofthefollowingeducationalrequirements:
1421+197 a.Hasgraduatedwithamaster'sdegreefromaspeech-
1422+198 languagepathologyprogramthatisaccreditedbyanorganization
1423+199 recognizedbytheUnitedStatesDepartmentofEducationand
1424+200 operatedbyacollegeoruniversityaccreditedbyaregionalor
1425+201 nationalaccreditingorganizationrecognizedbytheboard;or
1426+202 b.Hasgraduatedfromaspeech-language pathologyprogram
1427+203 thatishousedinaninstitutionofhighereducationoutsideofthe
1428+204 UnitedStates(a)forwhichtheprogramandinstitutionhavebeen
1429+205 approvedbytheauthorizedaccreditingbodyintheapplicable
1430+206 countryand(b)thedegreeprogramhasbeenverifiedbyan
1431+207 independentcredentialsreviewagencytobecomparabletoastate
1432+208 licensingboard-approvedprogram.
1433+209 2.Hascompletedasupervisedclinicalpracticumexperience
1434+53 210 fromaneducationalinstitutionoritscooperatingprogramsas
1435+211 requiredbytheCommission;
1436+212 3.Hascompletedasupervisedpostgraduateprofessional
1437+213 experienceasrequiredbytheCommission;
1438+214 4.Hassuccessfullypassedanationalexaminationapproved
1439+215 bytheCommission;
1440+216 5.Holdsanactive,unencumberedlicense;
1441+217 6.Hasnotbeenconvictedorfoundguilty,andhasnot
1442+218 enteredintoanagreeddisposition,ofafelonyrelatedtothe
1443+219 practiceofspeech-language pathology,underapplicablestateor
1444+220 federalcriminallaw;
1445+221 7.HasavalidUnitedStatesSocialSecurityorNational
1446+222 PractitionerIdentificationnumber.
1447+223 G.Theprivilegetopracticeisderivedfromthehomestate
1448+224 license.
1449+225 H.Anaudiologistorspeech-language pathologistpracticing
1450+226 inamemberstatemustcomplywiththestatepracticelawsofthe
1451+227 stateinwhichtheclientislocatedatthetimeserviceis
1452+228 provided.Thepracticeofaudiologyandspeech-language pathology
1453+229 shallincludeallaudiologyandspeech-language pathologypractice
1454+230 asdefinedbythestatepracticelawsofthememberstateinwhich
1455+231 theclientislocated.Thepracticeofaudiologyandspeech-
1456+232 languagepathologyinamemberstateunderaprivilegetopractice
1457+233 shallsubjectanaudiologistorspeech-language pathologisttothe
1458+234 jurisdictionofthelicensingboard,thecourtsandthelawsofthe
1459+235 memberstateinwhichtheclientislocatedatthetimeserviceis
1460+236 provided.
1461+54 237 I.Individualsnotresidinginamemberstateshallcontinue
1462+238 tobeabletoapplyforamemberstate'ssingle-statelicenseas
1463+239 providedunderthelawsofeachmemberstate.However,thesingle-
1464+240 statelicensegrantedtotheseindividualsshallnotberecognized
1465+241 asgrantingtheprivilegetopracticeaudiologyorspeech-language
1466+242 pathologyinanyothermemberstate.NothinginthisCompactshall
1467+243 affecttherequirementsestablishedbyamemberstateforthe
1468+244 issuanceofasingle-statelicense.
1469+245 J.Memberstatesmaychargeafeeforgrantingacompact
1470+246 privilege.
1471+247 K.Memberstatesmustcomplywiththebylawsandrulesand
1472+248 regulationsoftheCommission.
1473+249 SECTION4.COMPACTPRIVILEGE
1474+250 A.Toexercisethecompactprivilegeunderthetermsand
1475+251 provisionsoftheCompact,theaudiologistorspeech-language
1476+252 pathologistshall:
1477+253 1.Holdanactivelicenseinthehomestate;
1478+254 2.Havenoencumbranceonanystatelicense;
1479+255 3.Beeligibleforacompactprivilegeinanymemberstatein
1480+256 accordancewithSection3;
1481+257 4.Havenothadanyadverseactionagainstanylicenseor
1482+258 compactprivilegewithintheprevious2yearsfromdateof
1483+259 application;
1484+260 5.NotifytheCommissionthatthelicenseeisseekingthe
1485+261 compactprivilegewithinaremotestate(s);
1486+262 6.Payanyapplicablefees,includinganystatefee,forthe
1487+263 compactprivilege;
1488+55 264 7.ReporttotheCommissionadverseactiontakenbyanynon-
1489+265 memberstatewithin30daysfromthedatetheadverseactionis
1490+266 taken.
1491+267 B.Forthepurposesofthecompactprivilege,anaudiologist
1492+268 orspeech-language pathologistshallonlyholdonehomestate
1493+269 licenseatatime.
1494+270 C.ExceptasprovidedinSection6,ifanaudiologistor
1495+271 speech-language pathologistchangesprimarystateofresidenceby
1496+272 movingbetweentwo-memberstates,theaudiologistorspeech-
1497+273 languagepathologistmustapplyforlicensureinthenewhome
1498+274 state,andthelicenseissuedbythepriorhomestateshallbe
1499+275 deactivatedinaccordancewithapplicablerulesadoptedbythe
1500+276 Commission.
1501+277 D.Theaudiologistorspeech-language pathologistmayapply
1502+278 forlicensureinadvanceofachangeinprimarystateofresidence.
1503+279 E.Alicenseshallnotbeissuedbythenewhomestateuntil
1504+280 theaudiologistorspeech-language pathologistprovides
1505+281 satisfactoryevidenceofachangeinprimarystateofresidenceto
1506+282 thenewhomestateandsatisfiesallapplicablerequirementsto
1507+283 obtainalicensefromthenewhomestate.
1508+284 F.Ifanaudiologistorspeech-language pathologistchanges
1509+285 primarystateofresidencebymovingfromamemberstatetoanon-
1510+286 memberstate,thelicenseissuedbythepriorhomestateshall
1511+287 converttoasingle-statelicense,validonlyintheformerhome
1512+288 state.
1513+289 G.Thecompactprivilegeisvaliduntiltheexpirationdate
1514+290 ofthehomestatelicense.Thelicenseemustcomplywiththe
1515+56 291 requirementsofSection4Atomaintainthecompactprivilegeinthe
1516+292 remotestate.
1517+293 H.Alicenseeprovidingaudiologyorspeech-language
1518+294 pathologyservicesinaremotestateunderthecompactprivilege
1519+295 shallfunctionwithinthelawsandregulationsoftheremotestate.
1520+296 I.Alicenseeprovidingaudiologyorspeech-language
1521+297 pathologyservicesinaremotestateissubjecttothatstate's
1522+298 regulatoryauthority. Aremotestatemay,inaccordancewithdue
1523+299 processandthatstate'slaws,removealicensee'scompact
1524+300 privilegeintheremotestateforaspecificperiodoftime,impose
1525+301 fines,and/ortakeanyothernecessaryactionstoprotectthe
1526+302 healthandsafetyofitscitizens.
1527+303 J.Ifahomestatelicenseisencumbered,thelicenseeshall
1528+304 losethecompactprivilegeinanyremotestateuntilthefollowing
1529+305 occur:
1530+306 1.Thehomestatelicenseisnolongerencumbered;and
1531+307 2.Twoyearshaveelapsedfromthedateoftheadverse
1532+308 action.
1533+309 K.Onceanencumberedlicenseinthehomestateisrestored
1534+310 togoodstanding,thelicenseemustmeettherequirementsof
1535+311 Section4Atoobtainacompactprivilegeinanyremotestate.
1536+312 L.OncetherequirementsofSection4Jhavebeenmet,the
1537+313 licenseemustmeettherequirementsinSection4Atoobtaina
1538+314 compactprivilegeinaremotestate.
1539+315 SECTION5.COMPACTPRIVILEGETOPRACTICETELEHEALTH
1540+316 Memberstatesshallrecognizetherightofanaudiologistor
1541+317 speech-language pathologist,licensedbyahomestatein
1542+57 318 accordancewithSection3andunderrulespromulgatedbythe
1543+319 Commission,topracticeaudiologyorspeech-language pathologyin
1544+320 anymemberstateviatelehealthunderaprivilegetopracticeas
1545+321 providedintheCompactandrulespromulgatedbytheCommission.
1546+322 SECTION6.ACTIVEDUTYMILITARYPERSONNELORTHEIRSPOUSES
1547+323 Activedutymilitarypersonnel,ortheirspouse,shall
1548+324 designateahomestatewheretheindividualhasacurrentlicense
1549+325 ingoodstanding. Theindividualmayretainthehomestate
1550+326 designationduringtheperiodtheservicememberisonactiveduty.
1551+327 Subsequenttodesignatingahomestate,theindividualshallonly
1552+328 changetheirhomestatethroughapplicationforlicensureinthe
1553+329 newstate.
1554+330 SECTION7.ADVERSEACTIONS
1555+331 A.Inadditiontotheotherpowersconferredbystatelaw,a
1556+332 remotestateshallhavetheauthority,inaccordancewithexisting
1557+333 statedueprocesslaw,to:
1558+334 1.Takeadverseactionagainstanaudiologist'sorspeech-
1559+335 languagepathologist'sprivilegetopracticewithinthatmember
1560+336 state.
1561+337 2.Issuesubpoenasforbothhearingsandinvestigationsthat
1562+338 requiretheattendanceandtestimonyofwitnessesaswellasthe
1563+339 productionofevidence.Subpoenasissuedbyalicensingboardina
1564+340 memberstatefortheattendanceandtestimonyofwitnessesorthe
1565+341 productionofevidencefromanothermemberstateshallbeenforced
1566+342 inthelatterstatebyanycourtofcompetentjurisdiction,
1567+343 accordingtothepracticeandprocedureofthatcourtapplicableto
1568+344 subpoenasissuedinproceedingspendingbeforeit.Theissuing
1569+58 345 authorityshallpayanywitnessfees,travelexpenses,mileageand
1570+346 otherfeesrequiredbytheservicestatutesofthestateinwhich
1571+347 thewitnessesorevidencearelocated.
1572+348 3.Onlythehomestateshallhavethepowertotakeadverse
1573+349 actionagainstanaudiologist'sorspeech-language pathologist's
1574+350 licenseissuedbythehomestate.
1575+351 B.Forpurposesoftakingadverseaction,thehomestate
1576+352 shallgivethesamepriorityandeffecttoreportedconduct
1577+353 receivedfromamemberstateasitwouldiftheconducthad
1578+354 occurredwithinthehomestate.Insodoing,thehomestateshall
1579+355 applyitsownstatelawstodetermineappropriateaction.
1580+356 C.Thehomestateshallcompleteanypendinginvestigations
1581+357 ofanaudiologistorspeech-language pathologistwhochanges
1582+358 primarystateofresidenceduringthecourseofthe
1583+359 investigations. Thehomestateshallalsohavetheauthorityto
1584+360 takeappropriateaction(s)andshallpromptlyreportthe
1585+361 conclusionsoftheinvestigationstotheadministratorofthedata
1586+362 system.Theadministratorofthecoordinatedlicensure
1587+363 informationsystemshallpromptlynotifythenewhomestateofany
1588+364 adverseactions.
1589+365 D.Ifotherwisepermittedbystatelaw,thememberstatemay
1590+366 recoverfromtheaffectedaudiologistorspeech-language
1591+367 pathologistthecostsofinvestigationsanddispositionofcases
1592+368 resultingfromanyadverseactiontakenagainstthataudiologist
1593+369 orspeech-language pathologist.
1594+370 E.Thememberstatemaytakeadverseactionbasedonthe
1595+371 factualfindingsoftheremotestate,providedthatthemember
1596+59 372 statefollowsthememberstate'sownproceduresfortakingthe
1597+373 adverseaction.
1598+374 F.JointInvestigations:
1599+375 1.Inadditiontotheauthoritygrantedtoamemberstateby
1600+376 itsrespectiveaudiologyorspeech-language pathologypracticeact
1601+377 orotherapplicablestatelaw,anymemberstatemayparticipate
1602+378 withothermemberstatesinjointinvestigationsoflicensees.
1603+379 2.Memberstatesshallshareanyinvestigative,litigation,
1604+380 orcompliancematerialsinfurtheranceofanyjointorindividual
1605+381 investigationinitiatedundertheCompact.
1606+382 G.Ifadverseactionistakenbythehomestateagainstan
1607+383 audiologist'sorspeech-language pathologist'slicense,the
1608+384 audiologist'sorspeech-language pathologist'sprivilegeto
1609+385 practiceinallothermemberstatesshallbedeactivateduntilall
1610+386 encumbranceshavebeenremovedfromthestatelicense.Allhome
1611+387 statedisciplinaryordersthatimposeadverseactionagainstan
1612+388 audiologist'sorspeech-language pathologist'slicenseshall
1613+389 includeastatementthattheaudiologist'sorspeech-language
1614+390 pathologist'sprivilegetopracticeisdeactivatedinallmember
1615+391 statesduringthependencyoftheorder.
1616+392 H.Ifamemberstatetakesadverseaction,itshallpromptly
1617+393 notifytheadministratorofthedatasystem.Theadministratorof
1618+394 thedatasystemshallpromptlynotifythehomestateofanyadverse
1619+395 actionsbyremotestates.
1620+396 I.NothinginthisCompactshalloverrideamemberstate's
1621+397 decisionthatparticipationinanalternativeprogrammaybeused
1622+398 inlieuofadverseaction.
1623+60 399 SECTION8.ESTABLISHMENTOFTHEAUDIOLOGYANDSPEECH-
1624+400 LANGUAGEPATHOLOGYCOMPACTCOMMISSION
1625+401 A.TheCompactmemberstatesherebycreateandestablisha
1626+402 jointpublicagencyknownastheAudiologyandSpeech-Language
1627+403 PathologyCompactCommission:
1628+404 1.TheCommissionisaninstrumentality oftheCompact
1629+405 states.
1630+406 2.Venueisproperandjudicialproceedingsbyoragainstthe
1631+407 Commissionshallbebroughtsolelyandexclusivelyinacourtof
1632+408 competentjurisdictionwheretheprincipalofficeofthe
1633+409 Commissionislocated.TheCommissionmaywaivevenueand
1634+410 jurisdictionaldefensestotheextentitadoptsorconsentsto
1635+411 participateinalternativedisputeresolutionproceedings.
1636+412 3.NothinginthisCompactshallbeconstruedtobeawaiver
1637+413 ofsovereignimmunity.
1638+414 B.Membership,VotingandMeetings:
1639+415 1.Eachmemberstateshallhavetwo(2)delegatesselectedby
1640+416 thatmemberstate'slicensingboard.Thedelegatesshallbe
1641+417 currentmembersofthelicensingboard.Oneshallbean
1642+418 audiologistandoneshallbeaspeech-language pathologist.
1643+419 2.Anadditionalfive(5)delegates,whoareeitherapublic
1644+420 memberorboardadministratorfromastatelicensingboard,shall
1645+421 bechosenbytheExecutiveCommitteefromapoolofnominees
1646+422 providedbytheCommissionatLarge.
1647+423 3.Anydelegatemayberemovedorsuspendedfromofficeas
1648+424 providedbythelawofthestatefromwhichthedelegateis
1649+425 appointed.
1650+61 426 4.Thememberstateboardshallfillanyvacancyoccurringon
1651+427 theCommission,within90days.
1652+428 5.Eachdelegateshallbeentitledtoone(1)votewith
1653+429 regardtothepromulgationofrulesandcreationofbylawsand
1654+430 shallotherwisehaveanopportunitytoparticipateinthebusiness
1655+431 andaffairsoftheCommission.
1656+432 6.Adelegateshallvoteinpersonorbyothermeansas
1657+433 providedinthebylaws.Thebylawsmayprovidefordelegates'
1658+434 participationinmeetingsbytelephoneorothermeansof
1659+435 communication.
1660+436 7.TheCommissionshallmeetatleastonceduringeach
1661+437 calendaryear.Additionalmeetingsshallbeheldassetforthin
1662+438 thebylaws.
1663+439 C.TheCommissionshallhavethefollowingpowersandduties:
1664+440 1.EstablishthefiscalyearoftheCommission;
1665+441 2.Establishbylaws;
1666+442 3.EstablishaCodeofEthics;
1667+443 4.Maintainitsfinancialrecordsinaccordancewiththe
1668+444 bylaws;
1669+445 5.Meetandtakeactionsasareconsistentwiththe
1670+446 provisionsofthisCompactandthebylaws;
1671+447 6.Promulgateuniformrulestofacilitateandcoordinate
1672+448 implementationandadministrationofthisCompact.Therules
1673+449 shallhavetheforceandeffectoflawandshallbebindinginall
1674+450 memberstates;
1675+451 7.Bringandprosecutelegalproceedingsoractionsinthe
1676+452 nameoftheCommission,providedthatthestandingofanystate
1677+62 453 audiologyorspeech-language pathologylicensingboardtosueor
1678+454 besuedunderapplicablelawshallnotbeaffected;
1679+455 8.Purchaseandmaintaininsuranceandbonds;
1680+456 9.Borrow,accept,orcontractforservicesofpersonnel,
1681+457 including,butnotlimitedto,employeesofamemberstate;
1682+458 10.Hireemployees,electorappointofficers,fix
1683+459 compensation,defineduties,grantindividualsappropriate
1684+460 authoritytocarryoutthepurposesoftheCompact,andto
1685+461 establishtheCommission'spersonnelpoliciesandprograms
1686+462 relatingtoconflictsofinterest,qualificationsofpersonnel,
1687+463 andotherrelatedpersonnelmatters;
1688+464 11.Acceptanyandallappropriatedonationsandgrantsof
1689+465 money,equipment,supplies,materialsandservices,andto
1690+466 receive,utilizeanddisposeofthesame;providedthatatall
1691+467 timestheCommissionshallavoidanyappearanceofimpropriety
1692+468 and/orconflictofinterest;
1693+469 12.Lease,purchase,acceptappropriategiftsordonations
1694+470 of,orotherwisetoown,hold,improveoruse,anyproperty,real,
1695+471 personalormixed;providedthatatalltimestheCommissionshall
1696+472 avoidanyappearanceofimpropriety;
1697+473 13.Sell,convey,mortgage,pledge,lease,exchange,
1698+474 abandon,orotherwisedisposeofanypropertyreal,personal,or
1699+475 mixed;
1700+476 14.Establishabudgetandmakeexpenditures;
1701+477 15.Borrowmoney;
1702+478 16.Appointcommittees,includingstandingcommittees
1703+479 composedofmembers,andotherinterestedpersonsasmaybe
1704+63 480 designatedinthisCompactandthebylaws;
1705+481 17.Provideandreceiveinformationfrom,andcooperate
1706+482 with,lawenforcementagencies;
1707+483 18.EstablishandelectanExecutiveCommittee;and
1708+484 19.Performotherfunctionsasmaybenecessaryor
1709+485 appropriatetoachievethepurposesofthisCompactconsistent
1710+486 withthestateregulationofaudiologyandspeech-language
1711+487 pathologylicensureandpractice.
1712+488 D.TheExecutiveCommittee
1713+489 TheExecutiveCommitteeshallhavethepowertoactonbehalf
1714+490 oftheCommissionaccordingtothetermsofthisCompact:
1715+491 1.TheExecutiveCommitteeshallbecomposedoften(10)
1716+492 members:
1717+493 a.Seven(7)votingmemberswhoareelectedbytheCommission
1718+494 fromthecurrentmembershipoftheCommission;
1719+495 b.Two(2)ex-officios,consistingofonenonvotingmember
1720+496 fromarecognizednationalaudiologyprofessionalassociationand
1721+497 onenonvotingmemberfromarecognizednationalspeech-language
1722+498 pathologyassociation;and
1723+499 c.One(1)ex-officio,nonvotingmemberfromtherecognized
1724+500 membershiporganizationoftheaudiologyandspeech-language
1725+501 pathologylicensingboards.
1726+502 E.Theex-officiomembersshallbeselectedbytheir
1727+503 respectiveorganizations.
1728+504 1.TheCommissionmayremoveanymemberoftheExecutive
1729+505 Committeeasprovidedinbylaws.
1730+506 2.TheExecutiveCommitteeshallmeetatleastannually.
1731+64 507 3.TheExecutiveCommitteeshallhavethefollowingduties
1732+508 andresponsibilities:
1733+509 a.RecommendtotheentireCommissionchangestotherulesor
1734+510 bylaws,changestothisCompactlegislation,feespaidbyCompact
1735+511 memberstatessuchasannualdues,andanycommissionCompactfee
1736+512 chargedtolicenseesforthecompactprivilege;
1737+513 b.EnsureCompactadministrationservicesareappropriately
1738+514 provided,contractualorotherwise;
1739+515 c.Prepareandrecommendthebudget;
1740+516 d.MaintainfinancialrecordsonbehalfoftheCommission;
1741+517 e.MonitorCompactcomplianceofmemberstatesandprovide
1742+518 compliancereportstotheCommission;
1743+519 f.Establishadditionalcommitteesasnecessary;and
1744+520 g.Otherdutiesasprovidedinrulesorbylaws.
1745+521 4.MeetingsoftheCommission
1746+522 Allmeetingsshallbeopentothepublic,andpublicnoticeof
1747+523 meetingsshallbegiveninthesamemannerasrequiredunderthe
1748+524 rulemakingprovisionsinSection10.
1749+525 5.TheCommissionortheExecutiveCommitteeorother
1750+526 committeesoftheCommissionmayconveneinaclosed,non-public
1751+527 meetingiftheCommissionorExecutiveCommitteeorother
1752+528 committeesoftheCommissionmustdiscuss:
1753+529 a.Non-complianceofamemberstatewithitsobligations
1754+530 undertheCompact;
1755+531 b.Theemployment,compensation,disciplineorother
1756+532 matters,practicesorproceduresrelatedtospecificemployeesor
1757+533 othermattersrelatedtotheCommission'sinternalpersonnel
1758+65 534 practicesandprocedures;
1759+535 c.Current,threatened,orreasonablyanticipated
1760+536 litigation;
1761+537 d.Negotiationofcontractsforthepurchase,lease,orsale
1762+538 ofgoods,services,orrealestate;
1763+539 e.Accusinganypersonofacrimeorformallycensuringany
1764+540 person;
1765+541 f.Disclosureoftradesecretsorcommercialorfinancial
1766+542 informationthatisprivilegedorconfidential;
1767+543 g.Disclosureofinformationofapersonalnaturewhere
1768+544 disclosurewouldconstituteaclearlyunwarrantedinvasionof
1769+545 personalprivacy;
1770+546 h.Disclosureofinvestigativerecordscompiledforlaw
1771+547 enforcementpurposes;
1772+548 i.Disclosureofinformationrelatedtoanyinvestigative
1773+549 reportspreparedbyoronbehalfoforforuseoftheCommissionor
1774+550 othercommitteechargedwithresponsibilityofinvestigationor
1775+551 determinationofcomplianceissuespursuanttotheCompact;or
1776+552 j.Mattersspecificallyexemptedfromdisclosurebyfederal
1777+553 ormemberstatestatute.
1778+554 6.Ifameeting,orportionofameeting,isclosedpursuant
1779+555 tothisprovision,theCommission'slegalcounselordesignee
1780+556 shallcertifythatthemeetingmaybeclosedandshallreference
1781+557 eachrelevantexemptingprovision.
1782+558 7.TheCommissionshallkeepminutesthatfullyandclearly
1783+559 describeallmattersdiscussedinameetingandshallprovidea
1784+560 fullandaccuratesummaryofactionstaken,andthereasons
1785+66 561 therefore,includingadescriptionoftheviewsexpressed. All
1786+562 documentsconsideredinconnectionwithanactionshallbe
1787+563 identifiedinminutes.Allminutesanddocumentsofaclosed
1788+564 meetingshallremainunderseal,subjecttoreleasebyamajority
1789+565 voteoftheCommissionororderofacourtofcompetent
1790+566 jurisdiction.
1791+567 8.FinancingoftheCommission:
1792+568 a.TheCommissionshallpay,orprovideforthepaymentof,
1793+569 thereasonableexpensesofitsestablishment,organization,and
1794+570 ongoingactivities.
1795+571 b.TheCommissionmayacceptanyandallappropriaterevenue
1796+572 sources,donations,andgrantsofmoney,equipment,supplies,
1797+573 materials,andservices.
1798+574 c.TheCommissionmaylevyonandcollectanannual
1799+575 assessmentfromeachmemberstateorimposefeesonotherparties
1800+576 tocoverthecostoftheoperationsandactivitiesofthe
1801+577 Commissionanditsstaff,whichmustbeinatotalamount
1802+578 sufficienttocoveritsannualbudgetasapprovedeachyearfor
1803+579 whichrevenueisnotprovidedbyothersources.Theaggregate
1804+580 annualassessmentamountshallbeallocatedbaseduponaformulato
1805+581 bedeterminedbytheCommission,whichshallpromulgatearule
1806+582 bindinguponallmemberstates.
1807+583 9.TheCommissionshallnotincurobligationsofanykind
1808+584 priortosecuringthefundsadequatetomeetthesame;norshall
1809+585 theCommissionpledgethecreditofanyofthememberstates,
1810+586 exceptbyandwiththeauthorityofthememberstate.
1811+587 10.TheCommissionshallkeepaccurateaccountsofall
1812+67 588 receiptsanddisbursements. Thereceiptsanddisbursementsofthe
1813+589 Commissionshallbesubjecttotheauditandaccountingprocedures
1814+590 establishedunderitsbylaws.However,allreceiptsand
1815+591 disbursementsoffundshandledbytheCommissionshallbeaudited
1816+592 yearlybyacertifiedorlicensedpublicaccountant,andthereport
1817+593 oftheauditshallbeincludedinandbecomepartoftheannual
1818+594 reportoftheCommission.
1819+595 F.QualifiedImmunity,Defense,andIndemnification:
1820+596 1.Themembers,officers,executivedirector,employeesand
1821+597 representatives oftheCommissionshallbeimmunefromsuitand
1822+598 liability,eitherpersonallyorintheirofficialcapacity,for
1823+599 anyclaimfordamagetoorlossofpropertyorpersonalinjuryor
1824+600 othercivilliabilitycausedbyorarisingoutofanyactualor
1825+601 allegedact,errororomissionthatoccurred,orthattheperson
1826+602 againstwhomtheclaimismadehadareasonablebasisforbelieving
1827+603 occurredwithinthescopeofCommissionemployment,dutiesor
1828+604 responsibilities; providedthatnothinginthisparagraphshallbe
1829+605 construedtoprotectanypersonfromsuitand/orliabilityforany
1830+606 damage,loss,injury,orliabilitycausedbytheintentionalor
1831+607 willfulorwantonmisconductofthatperson.
1832+608 2.TheCommissionshalldefendanymember,officer,
1833+609 executivedirector,employeeorrepresentativeoftheCommission
1834+610 inanycivilactionseekingtoimposeliabilityarisingoutofany
1835+611 actualorallegedact,error,oromissionthatoccurredwithinthe
1836+612 scopeofCommissionemployment,duties,orresponsibilities, or
1837+613 thatthepersonagainstwhomtheclaimismadehadareasonable
1838+614 basisforbelievingoccurredwithinthescopeofCommission
1839+68 615 employment,duties,orresponsibilities; providedthatnothing
1840+616 hereinshallbeconstruedtoprohibitthatpersonfromretaining
1841+617 hisorherowncounsel;andprovidedfurther,thattheactualor
1842+618 allegedact,error,oromissiondidnotresultfromthatperson's
1843+619 intentionalorwillfulorwantonmisconduct.
1844+620 3.TheCommissionshallindemnifyandholdharmlessany
1845+621 member,officer,executivedirector,employee,orrepresentative
1846+622 oftheCommissionfortheamountofanysettlementorjudgment
1847+623 obtainedagainstthatpersonarisingoutofanyactualoralleged
1848+624 act,errororomissionthatoccurredwithinthescopeofCommission
1849+625 employment,duties,orresponsibilities, orthatpersonhada
1850+626 reasonablebasisforbelievingoccurredwithinthescopeof
1851+627 Commissionemployment,duties,orresponsibilities, providedthat
1852+628 theactualorallegedact,error,oromissiondidnotresultfrom
1853+629 theintentionalorwillfulorwantonmisconductofthatperson.
1854+630 SECTION9.DATASYSTEM
1855+631 A.TheCommissionshallprovideforthedevelopment,
1856+632 maintenance,andutilizationofacoordinateddatabaseand
1857+633 reportingsystemcontaininglicensure,adverseaction,and
1858+634 investigativeinformationonalllicensedindividualsinmember
1859+635 states.
1860+636 B.Notwithstanding anyotherprovisionofstatelawtothe
1861+637 contrary,amemberstateshallsubmitauniformdatasettothe
1862+638 datasystemonallindividualstowhomthisCompactisapplicable
1863+639 asrequiredbytherulesoftheCommission,including:
1864+640 1.Identifyinginformation;
1865+641 2.Licensuredata;
1866+69 642 3.Adverseactionsagainstalicenseorcompactprivilege;
1867+643 4.Non-confidential informationrelatedtoalternative
1868+644 programparticipation;
1869+645 5.Anydenialofapplicationforlicensure,andthereason(s)
1870+646 fordenial;and
1871+647 6.Otherinformationthatmayfacilitatetheadministration
1872+648 ofthisCompact,asdeterminedbytherulesoftheCommission.
1873+649 C.Investigativeinformationpertainingtoalicenseeinany
1874+650 memberstateshallonlybeavailabletoothermemberstates.
1875+651 D.TheCommissionshallpromptlynotifyallmemberstatesof
1876+652 anyadverseactiontakenagainstalicenseeoranindividual
1877+653 applyingforalicense.Adverseactioninformationpertainingtoa
1878+654 licenseeinanymemberstateshallbeavailabletoanyothermember
1879+655 state.
1880+656 E.Memberstatescontributinginformationtothedatasystem
1881+657 maydesignateinformationthatmaynotbesharedwiththepublic
1882+658 withouttheexpresspermissionofthecontributingstate.
1883+659 F.Anyinformationsubmittedtothedatasystemthatis
1884+660 subsequentlyrequiredtobeexpungedbythelawsofthemember
1885+661 statecontributingtheinformationshallberemovedfromthedata
1886+662 system.
1887+663 SECTION10.RULEMAKING
1888+664 A.TheCommissionshallexerciseitsrulemakingpowers
1889+665 pursuanttothecriteriasetforthinthisSectionandtherules
1890+666 adoptedthereunder. Rulesandamendmentsshallbecomebindingas
1891+667 ofthedatespecifiedineachruleoramendment.
1892+668 B.Ifamajorityofthelegislaturesofthememberstates
1893+70 669 rejectsarule,byenactmentofastatuteorresolutioninthesame
1894+670 mannerusedtoadopttheCompactwithin4yearsofthedateof
1895+671 adoptionoftherule,theruleshallhavenofurtherforceand
1896+672 effectinanymemberstate.
1897+673 C.Rulesoramendmentstotherulesshallbeadoptedata
1898+674 regularorspecialmeetingoftheCommission.
1899+675 D.Priortopromulgationandadoptionofafinalruleor
1900+676 rulesbytheCommission,andatleastthirty(30)daysinadvance
1901+677 ofthemeetingatwhichtheruleshallbeconsideredandvoted
1902+678 upon,theCommissionshallfileaNoticeofProposedRulemaking:
1903+679 1.OnthewebsiteoftheCommissionorotherpublicly
1904+680 accessibleplatform;and
1905+681 2.Onthewebsiteofeachmemberstateaudiologyorspeech-
1906+682 languagepathologylicensingboardorotherpubliclyaccessible
1907+683 platformorthepublicationinwhicheachstatewouldotherwise
1908+684 publishproposedrules.
1909+685 E.TheNoticeofProposedRulemakingshallinclude:
1910+686 1.Theproposedtime,date,andlocationofthemeetingin
1911+687 whichtheruleshallbeconsideredandvotedupon;
1912+688 2.Thetextoftheproposedruleoramendmentandthereason
1913+689 fortheproposedrule;
1914+690 3.Arequestforcommentsontheproposedrulefromany
1915+691 interestedperson;and
1916+692 4.Themannerinwhichinterestedpersonsmaysubmitnotice
1917+693 totheCommissionoftheirintentiontoattendthepublichearing
1918+694 andanywrittencomments.
1919+695 F.Priortotheadoptionofaproposedrule,theCommission
1920+71 696 shallallowpersonstosubmitwrittendata,facts,opinionsand
1921+697 arguments,whichshallbemadeavailabletothepublic.
1922+698 G.TheCommissionshallgrantanopportunityforapublic
1923+699 hearingbeforeitadoptsaruleoramendmentifahearingis
1924+700 requestedby:
1925+701 1.Atleasttwenty-five(25)persons;
1926+702 2.Astateorfederalgovernmentalsubdivisionoragency;or
1927+703 3.Anassociationhavingatleasttwenty-five(25)members.
1928+704 H.Ifahearingisheldontheproposedruleoramendment,
1929+705 theCommissionshallpublishtheplace,time,anddateofthe
1930+706 scheduledpublichearing.Ifthehearingisheldviaelectronic
1931+707 means,theCommissionshallpublishthemechanismforaccesstothe
1932+708 electronichearing.
1933+709 1.Allpersonswishingtobeheardatthehearingshall
1934+710 notifytheexecutivedirectoroftheCommissionorother
1935+711 designatedmemberinwritingoftheirdesiretoappearandtestify
1936+712 atthehearingnotlessthanfive(5)businessdaysbeforethe
1937+713 scheduleddateofthehearing.
1938+714 2.Hearingsshallbeconductedinamannerprovidingeach
1939+715 personwhowishestocommentafairandreasonableopportunityto
1940+716 commentorallyorinwriting.
1941+717 3.Allhearingsshallberecorded. Acopyoftherecording
1942+718 shallbemadeavailableonrequest.
1943+719 4.Nothinginthissectionshallbeconstruedasrequiringa
1944+720 separatehearingoneachrule.Rulesmaybegroupedforthe
1945+721 convenienceoftheCommissionathearingsrequiredbythis
1946+722 section.
1947+72 723 I.Followingthescheduledhearingdate,orbythecloseof
1948+724 businessonthescheduledhearingdateifthehearingwasnotheld,
1949+725 theCommissionshallconsiderallwrittenandoralcomments
1950+726 received.
1951+727 J.Ifnowrittennoticeofintenttoattendthepublic
1952+728 hearingbyinterestedpartiesisreceived,theCommissionmay
1953+729 proceedwithpromulgationoftheproposedrulewithoutapublic
1954+730 hearing.
1955+731 K.TheCommissionshall,bymajorityvoteofallmembers,
1956+732 takefinalactionontheproposedruleandshalldeterminethe
1957+733 effectivedateoftherule,ifany,basedontherulemakingrecord
1958+734 andthefulltextoftherule.
1959+735 L.Upondeterminationthatanemergencyexists,the
1960+736 Commissionmayconsiderandadoptanemergencyrulewithoutprior
1961+737 notice,opportunityforcomment,orhearing,providedthatthe
1962+738 usualrulemakingproceduresprovidedintheCompactandinthis
1963+739 sectionshallberetroactivelyappliedtotheruleassoonas
1964+740 reasonablypossible,innoeventlaterthanninety(90)daysafter
1965+741 theeffectivedateoftherule.Forthepurposesofthis
1966+742 provision,anemergencyruleisonethatmustbeadopted
1967+743 immediatelyinorderto:
1968+744 1.Meetanimminentthreattopublichealth,safety,or
1969+745 welfare;
1970+746 2.PreventalossofCommissionormemberstatefunds;or
1971+747 3.Meetadeadlineforthepromulgationofanadministrative
1972+748 rulethatisestablishedbyfederallaworrule.
1973+749 M.TheCommissionoranauthorizedcommitteeofthe
1974+73 750 Commissionmaydirectrevisionstoapreviouslyadoptedruleor
1975+751 amendmentforpurposesofcorrectingtypographicalerrors,errors
1976+752 informat,errorsinconsistency,orgrammaticalerrors.Public
1977+753 noticeofanyrevisionsshallbepostedonthewebsiteofthe
1978+754 Commission. Therevisionshallbesubjecttochallengebyany
1979+755 personforaperiodofthirty(30)daysafterposting.The
1980+756 revisionmaybechallengedonlyongroundsthattherevision
1981+757 resultsinamaterialchangetoarule.Achallengeshallbemade
1982+758 inwritinganddeliveredtothechairoftheCommissionpriorto
1983+759 theendofthenoticeperiod.Ifnochallengeismade,the
1984+760 revisionshalltakeeffectwithoutfurtheraction.Iftherevision
1985+761 ischallenged,therevisionmaynottakeeffectwithoutthe
1986+762 approvaloftheCommission.
1987+763 SECTION11.OVERSIGHT,DISPUTERESOLUTION,ANDENFORCEMENT
1988+764 A.DisputeResolution
1989+765 1.Uponrequestbyamemberstate,theCommissionshall
1990+766 attempttoresolvedisputesrelatedtotheCompactthatariseamong
1991+767 memberstatesandbetweenmemberandnon-memberstates.
1992+768 2.TheCommissionshallpromulgatearuleprovidingforboth
1993+769 mediationandbindingdisputeresolutionfordisputesas
1994+770 appropriate.
1995+771 B.Enforcement
1996+772 1.TheCommission,inthereasonableexerciseofits
1997+773 discretion,shallenforcetheprovisionsandrulesofthis
1998+774 Compact.
1999+775 2.Bymajorityvote,theCommissionmayinitiatelegalaction
2000+776 intheUnitedStatesDistrictCourtfortheDistrictofColumbiaor
2001+74 777 thefederaldistrictwheretheCommissionhasitsprincipal
2002+778 officesagainstamemberstateindefaulttoenforcecompliance
2003+779 withtheprovisionsoftheCompactanditspromulgatedrulesand
2004+780 bylaws.Thereliefsoughtmayincludebothinjunctivereliefand
2005+781 damages.Intheeventjudicialenforcementisnecessary,the
2006+782 prevailingmembershallbeawardedallcostsoflitigation,
2007+783 includingreasonableattorney'sfees.
2008+784 3.Theremedieshereinshallnotbetheexclusiveremediesof
2009+785 theCommission. TheCommissionmaypursueanyotherremedies
2010+786 availableunderfederalorstatelaw.
2011+787 SECTION12.DATEOFIMPLEMENTATIONOFTHEINTERSTATE
2012+788 COMMISSIONFORAUDIOLOGYANDSPEECH-LANGUAGE PATHOLOGYPRACTICE
2013+789 ANDASSOCIATEDRULES,WITHDRAWAL,ANDAMENDMENT
2014+790 A.TheCompactshallcomeintoeffectonthedateonwhich
2015+791 theCompactstatuteisenactedintolawinthe10thmemberstate.
2016+792 Theprovisions,whichbecomeeffectiveatthattime,shallbe
2017+793 limitedtothepowersgrantedtotheCommissionrelatingto
2018+794 assemblyandthepromulgationofrules.Thereafter,the
2019+795 Commissionshallmeetandexerciserulemakingpowersnecessaryto
2020+796 theimplementationandadministrationoftheCompact.
2021+797 B.AnystatethatjoinstheCompactsubsequenttothe
2022+798 Commission'sinitialadoptionoftherulesshallbesubjecttothe
2023+799 rulesastheyexistonthedateonwhichtheCompactbecomeslawin
2024+800 thatstate.Anyrulethathasbeenpreviouslyadoptedbythe
2025+801 Commissionshallhavethefullforceandeffectoflawontheday
2026+802 theCompactbecomeslawinthatstate.
2027+803 C.AnymemberstatemaywithdrawfromthisCompactby
2028+75 804 enactingastatuterepealingthesame.
2029+805 1.Amemberstate'swithdrawalshallnottakeeffectuntil
2030+806 six(6)monthsafterenactmentoftherepealingstatute.
2031+807 2.Withdrawalshallnotaffectthecontinuingrequirementof
2032+808 thewithdrawingstate'saudiologyorspeech-language pathology
2033+809 licensingboardtocomplywiththeinvestigativeandadverse
2034+810 actionreportingrequirementsofthisactpriortotheeffective
2035+811 dateofwithdrawal.
2036+812 D.NothingcontainedinthisCompactshallbeconstruedto
2037+813 invalidateorpreventanyaudiologyorspeech-language pathology
2038+814 licensureagreementorothercooperativearrangementbetweena
2039+815 memberstateandanon-memberstatethatdoesnotconflictwiththe
2040+816 provisionsofthisCompact.
2041+817 E.ThisCompactmaybeamendedbythememberstates.No
2042+818 amendmenttothisCompactshallbecomeeffectiveandbindingupon
2043+819 anymemberstateuntilitisenactedintothelawsofallmember
2044+820 states.
2045+821 SECTION13.CONSTRUCTIONANDSEVERABILITY
2046+822 ThisCompactshallbeliberallyconstruedsoastoeffectuate
2047+823 thepurposesthereof.TheprovisionsofthisCompactshallbe
2048+824 severableandifanyphrase,clause,sentenceorprovisionofthis
2049+825 Compactisdeclaredtobecontrarytotheconstitutionofany
2050+826 memberstateoroftheUnitedStatesortheapplicabilitythereof
2051+827 toanygovernment,agency,personorcircumstanceisheldinvalid,
2052+828 thevalidityoftheremainderofthisCompactandtheapplicability
2053+829 thereoftoanygovernment,agency,personorcircumstanceshall
2054+830 notbeaffectedthereby.IfthisCompactshallbeheldcontraryto
2055+76 831 theconstitutionofanymemberstate,theCompactshallremainin
2056+832 fullforceandeffectastotheremainingmemberstatesandinfull
2057+833 forceandeffectastothememberstateaffectedastoall
2058+834 severablematters.
2059+835 SECTION14.BINDINGEFFECTOFCOMPACTANDOTHERLAWS
2060+836 A.Nothinghereinpreventstheenforcementofanyotherlaw
2061+837 ofamemberstatethatisnotinconsistentwiththeCompact.
2062+838 B.AlllawsinamemberstateinconflictwiththeCompact
2063+839 aresupersededtotheextentoftheconflict.
2064+840 C.AlllawfulactionsoftheCommission,includingallrules
2065+841 andbylawspromulgatedbytheCommission,arebindinguponthe
2066+842 memberstates.
2067+843 D.AllagreementsbetweentheCommissionandthemember
2068+844 statesarebindinginaccordancewiththeirterms.
2069+845 E.IntheeventanyprovisionoftheCompactexceedsthe
2070+846 constitutionallimitsimposedonthelegislatureofanymember
2071+847 state,theprovisionshallbeineffectivetotheextentofthe
2072+848 conflictwiththeconstitutionalprovisioninquestioninthat
2073+849 memberstate.
2074+SectionB.Becauseoftheurgentneedoflow-incomeMissouri
2075+2 residentsforaccesstoqualityhealthcareservices,the
2076+3 enactmentofsection324.005ofthisactisdeemednecessaryfor
2077+4 theimmediatepreservationofthepublichealth,welfare,peace,
2078+5 andsafety,andisherebydeclaredtobeanemergencyactwithin
2079+6 themeaningoftheconstitution,andtheenactmentofsection
2080+7 324.005ofthisactshallbeinfullforceandeffectuponits
2081+8 passageandapproval.
2082+77 ✓
2083+HouseSponsor SenateHandler
2084+78