New Mexico 2025 Regular Session

New Mexico Senate Bill SB502 Compare Versions

Only one version of the bill is available at this time.

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28	28	SENATE BILL 502
29	29	57
30	30	TH LEGISLATURE
31	31	-
32	32
33	33	STATE
34	34
35	35	OF
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37	37	NEW
38	38
39	39	MEXICO
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41	41	-
42	42	FIRST SESSION
43	43	,
44	44
45	45	2025
46	46	INTRODUCED BY
47	47	Larry R. Scott
48	48	AN ACT
49	49	RELATING TO PROFESSIONAL LICENSURE; CREATING A NEW LICENSE FOR
50	50	SPEECH-LANGUAGE PATHOLOGY ASSISTANTS; REPEALING THE APPRENTICE
51	51	IN SPEECH AND LANGUAGE LICENSE; REPEALING SECTIONS 61-14B-3.1
52	52	AND 61-14B-15.1 NMSA 1978 (BEING LAWS 1999, CHAPTER 128,
53	53	SECTIONS 3 AND 8, AS AMENDED).
54	54	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
55	55	SECTION 1. Section 61-14B-2 NMSA 1978 (being Laws 1996,
56	56	Chapter 57, Section 2, as amended) is amended to read:
57	57	"61-14B-2. DEFINITIONS.--As used in the Speech-Language
58	58	Pathology, Audiology and Hearing Aid Dispensing Practices Act:
59	59	[A. "apprentice" means a person working toward full
60	60	licensure in speech-language pathology who meets the
61	61	requirements for licensure as an apprentice in speech and
62	62	language pursuant to the Speech-Language Pathology, Audiology
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90	90	and Hearing Aid Dispensing Practices Act;
91	91	B.] A. "appropriate supervisor" means a person
92	92	licensed pursuant to the provisions of the Speech-Language
93	93	Pathology, Audiology and Hearing Aid Dispensing Practices Act
94	94	who has a minimum of two years' experience as a speech-language
95	95	pathologist after the clinical fellowship year;
96	96	[C.] B. "auditory trainer" means a custom-fitted FM
97	97	amplifying instrument other than a hearing aid designed to
98	98	enhance signal-to-noise ratios;
99	99	[D.] C. "audiologist" means a person who engages in
100	100	the practice of audiology, who may or may not dispense hearing
101	101	aids and who meets the qualifications set forth in the Speech-
102	102	Language Pathology, Audiology and Hearing Aid Dispensing
103	103	Practices Act;
104	104	[E.] D. "bilingual-multicultural endorsement" means
105	105	an endorsement that is issued pursuant to the Speech-Language
106	106	Pathology, Audiology and Hearing Aid Dispensing Practices Act
107	107	to a qualified speech-language pathologist and that recognizes
108	108	the licensee's or applicant's demonstrated proficiency in the
109	109	use of languages other than English to provide speech-language
110	110	pathology services;
111	111	[F.] E. "board" means the speech-language
112	112	pathology, audiology and hearing aid dispensing practices
113	113	board;
114	114	[G.] F. "business location" means a permanent
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143	143	physical business location in New Mexico where records can be
144	144	examined and process served;
145	145	[H.] G. "certification by a national professional
146	146	association" means certification issued by a board-approved
147	147	national speech-language or hearing association;
148	148	[I.] H. "clinical fellow" means a person who has
149	149	completed all academic course work and practicum requirements
150	150	for a master's degree or the equivalent in speech-language
151	151	pathology and engages in the practice of speech-language
152	152	pathology as set forth in the provisions of the Speech-Language
153	153	Pathology, Audiology and Hearing Aid Dispensing Practices Act;
154	154	[J.] I. "clinical fellowship year" or "CFY" means
155	155	the time following the completion of all academic course work
156	156	and practicum requirements for a master's degree in speech-
157	157	language pathology and during which a clinical fellow is
158	158	working toward certification by a national professional
159	159	association;
160	160	[K.] J. "department" means the regulation and
161	161	licensing department;
162	162	K. "direct contact" means a level of supervision in
163	163	which a supervisor is able to provide immediate feedback to a
164	164	person that the supervisor is supervising;
165	165	L. "hearing aid" means a wearable instrument or
166	166	device designed or offered for the purpose of aiding or
167	167	compensating for impaired human hearing and any parts,
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196	196	attachments or accessories, including earmolds but excluding
197	197	batteries and cords;
198	198	M. "hearing aid dispenser" means a person other
199	199	than an audiologist or an otolaryngologist who is licensed to
200	200	sell, fit and service hearing aids pursuant to the Speech-
201	201	Language Pathology, Audiology and Hearing Aid Dispensing
202	202	Practices Act and maintains or occupies a permanent physical
203	203	business location in New Mexico where records can be examined
204	204	and process can be served;
205	205	N. "otolaryngologist" means a licensed physician
206	206	who has completed a recognized residency in otolaryngology and
207	207	is certified by the American board of otolaryngology;
208	208	O. "paraprofessional" means a person who provides
209	209	adjunct speech-pathology or audiology services under the direct
210	210	supervision of a licensed speech-language pathologist or
211	211	audiologist;
212	212	P. "practice of audiology" means the application of
213	213	principles, methods and procedures of measurement, testing,
214	214	appraisal, prognostication, aural rehabilitation, aural
215	215	habilitation, consultation, hearing aid selection and fitting,
216	216	counseling, instruction and research related to hearing and
217	217	disorders of hearing for the purpose of nonmedical diagnosis,
218	218	prevention, identification, amelioration or the modification of
219	219	communicative disorders involving speech, language auditory
220	220	function or other aberrant behavior related to hearing
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249	249	disorders;
250	250	Q. "practice of hearing aid dispensing" means the
251	251	behavioral measurement of human hearing for the purpose of the
252	252	selection and fitting of hearing aids or other rehabilitative
253	253	devices to ameliorate the dysfunction of hearing sensitivity;
254	254	this may include otoscopic inspection of the ear, fabrication
255	255	of ear impressions and earmolds, instruction, consultation and
256	256	counseling on the use and care of these instruments, medical
257	257	referral when appropriate and the analysis of function and
258	258	servicing of these instruments involving their modification or
259	259	adjustment;
260	260	R. "practice of speech-language pathology" means
261	261	the rendering or offering to render to individuals, groups,
262	262	organizations or the public any service in speech or language
263	263	pathology involving the nonmedical application of principles,
264	264	methods and procedures for the measurement, testing, diagnosis,
265	265	prognostication, counseling and instruction related to the
266	266	development and disorders of communications, speech, fluency,
267	267	voice, verbal and written language, auditory comprehension,
268	268	cognition, dysphagia, oral pharyngeal or laryngeal sensorimotor
269	269	competencies and treatment of persons requiring use of an
270	270	augmentative communication device for the purpose of nonmedical
271	271	diagnosing, preventing, treating and ameliorating such
272	272	disorders and conditions in individuals and groups of
273	273	individuals;
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302	302	S. "repetitive, mechanical or routine tasks" means
303	303	tasks that are simple, predictable or rote and do not require
304	304	the expertise of a speech-language pathologist to administer.
305	305	These activities are essential for maintaining consistency and
306	306	effectiveness in therapy services provided by speech-language
307	307	pathologists. "Repetitive, mechanical or routine tasks"
308	308	includes implementing routine therapy sessions, recording and
309	309	documenting data, preparing therapy materials and setting up
310	310	clean environments;
311	311	[S.] T. "screening" means a pass-fail procedure to
312	312	identify individuals who may require further assessment in the
313	313	areas of speech-language pathology, audiology or hearing aid
314	314	dispensing;
315	315	[T.] U. "speech-language pathologist" means a
316	316	person who engages in the practice of speech-language pathology
317	317	and who meets the qualifications set forth in the Speech-
318	318	Language Pathology, Audiology and Hearing Aid Dispensing
319	319	Practices Act;
320	320	V. "speech-language pathology assistant" means a
321	321	person who assists in the practice of speech-language pathology
322	322	and meets the qualifications set forth in the Speech-Language
323	323	Pathology, Audiology and Hearing Aid Dispensing Practices Act;
324	324	[U.] W. "sponsor" means a licensed hearing aid
325	325	dispenser, audiologist or otolaryngologist who has an
326	326	endorsement to dispense hearing aids and:
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355	355	(1) is employed in the same business location
356	356	where the trainee is being trained; and
357	357	(2) has been actively engaged in the
358	358	dispensing of hearing aids during three of the past five years;
359	359	[V.] X. "student" means a person who is a full- or
360	360	part-time student enrolled in an accredited college or
361	361	university program in speech-language pathology, audiology or
362	362	communicative disorders;
363	363	[W.] Y. "supervisor" means a speech-language
364	364	pathologist or audiologist licensed pursuant to the provisions
365	365	of the Speech-Language Pathology, Audiology and Hearing Aid
366	366	Dispensing Practices Act who provides supervision in the area
367	367	of speech-language pathology or audiology; and
368	368	[X.] Z. "trainee" means a person working toward
369	369	full licensure as a hearing aid dispenser under the direct
370	370	supervision of a sponsor."
371	371	SECTION 2. A new section of the Speech-Language
372	372	Pathology, Audiology and Hearing Aid Dispensing Practices Act,
373	373	Section 61-14B-3.3 NMSA 1978, is enacted to read:
374	374	"61-14B-3.3. [NEW MATERIAL ] SCOPE OF PRACTICE--SPEECH-
375	375	LANGUAGE PATHOLOGY ASSISTANT.--
376	376	A. The scope of practice for a speech-language
377	377	pathology assistant is to assist a speech-language pathologist
378	378	with administrative, clinically related and clinical tasks that
379	379	are planned, selected, directed or designed by the speech-
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408	408	language pathology assistant's appropriate supervisor. The
409	409	appropriate supervisor of a speech-language pathology assistant
410	410	may delegate to a speech-language pathology assistant certain
411	411	repetitive, mechanical or routine tasks that fall within the
412	412	scope of the practice of speech-language pathology. The
413	413	appropriate supervisor of a speech-language pathology assistant
414	414	retains full legal and ethical responsibility for every patient
415	415	to whom the speech-language pathology assistant provides
416	416	services. The scope of practice for a speech-language
417	417	pathology assistant may include:
418	418	(1) providing clerical, administrative,
419	419	prevention, advocacy and clinically related support to a
420	420	supervising speech-language pathologist;
421	421	(2) at the discretion of the supervising
422	422	speech-language pathologist, assisting with or conducting
423	423	speech, language and hearing screenings without providing
424	424	clinical interpretation;
425	425	(3) documenting a patient's performance and
426	426	reporting the information to the supervising speech-language
427	427	pathologist;
428	428	(4) assisting a supervising speech-language
429	429	pathologist in the provision of services to a patient who
430	430	speaks a language other than English, if the speech-language
431	431	pathology assistant has demonstrated competency in the language
432	432	the patient speaks;
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461	461	(5) programming and providing instruction in
462	462	the use of augmentative and alternative communication devices;
463	463	(6) providing guidance and treatment via
464	464	telepractice to students who are selected by an appropriate
465	465	supervisor; and
466	466	(7) assisting and supporting an appropriate
467	467	supervisor during feeding and swallowing evaluations and
468	468	treatments.
469	469	B. A speech-language pathology assistant shall not:
470	470	(1) represent the speech-language pathology
471	471	assistant's self as a speech-language pathologist;
472	472	(2) disclose clinical or confidential
473	473	information either orally or in writing to anyone other than
474	474	the supervising speech-language pathologist, unless otherwise
475	475	mandated by law;
476	476	(3) perform or interpret diagnostic tests,
477	477	instrumental dysphagia exams, feeding assessments or swallowing
478	478	assessments or strategies;
479	479	(4) write, develop or modify a patient's
480	480	treatment plan;
481	481	(5) provide interpretative information to a
482	482	patient or a patient's family regarding the patient's status or
483	483	services;
484	484	(6) select patients or plan treatment
485	485	sessions;
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514	514	(7) design or select augmentative or
515	515	alternative communication systems or devices;
516	516	(8) treat medically fragile patients
517	517	independently;
518	518	(9) discharge a patient from therapy services;
519	519	or
520	520	(10) make referrals for additional service.
521	521	C. The board shall promulgate rules to outline the
522	522	types of procedures that a speech-language pathology assistant
523	523	may or may not perform under the supervision of an appropriate
524	524	supervisor.
525	525	D. For the purposes of this section, "medically
526	526	fragile patient" means a person who has a chronic physical
527	527	condition that results in a prolonged dependency on medical
528	528	care for which daily skilled nursing intervention is medically
529	529	necessary."
530	530	SECTION 3. A new section of the Speech-Language
531	531	Pathology, Audiology and Hearing Aid Dispensing Practices Act,
532	532	Section 61-14B-15.2 NMSA 1978, is enacted to read:
533	533	"61-14B-15.2. [NEW MATERIAL ] REQUIREMENTS FOR LICENSURE--
534	534	SPEECH-LANGUAGE PATHOLOGY ASSISTANT.--A license to practice as
535	535	a speech-language pathology assistant shall be issued by the
536	536	board to a person who files a completed application, pays the
537	537	required fees and submits documentation and evidence to
538	538	demonstrate that the person has met either of the following
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567	567	sets of educational, supervisory and employment requirements:
568	568	A. completion:
569	569	(1) of a nationally recognized speech-language
570	570	pathology assistant educational program that is accredited by a
571	571	nationally recognized speech-language-hearing association;
572	572	(2) and passage of a nationally recognized
573	573	standard examination for speech-language pathology assistant
574	574	verification; and
575	575	(3) of at least one hundred supervised
576	576	clinical hours under the supervision of a certified speech-
577	577	language pathologist; or
578	578	B. active certification as a speech-language
579	579	pathology assistant from a nationally recognized certification
580	580	body and proof of passage of a state jurisprudence exam for
581	581	speech-language pathology assistants."
582	582	SECTION 4. A new section of the Speech-Language
583	583	Pathology, Audiology and Hearing Aid Dispensing Practices Act,
584	584	Section 61-14B-15.3 NMSA 1978, is enacted to read:
585	585	"61-14B-15.3. [NEW MATERIAL ] SPEECH-LANGUAGE PATHOLOGY
586	586	ASSISTANT SUPERVISION REQUIREMENTS.--
587	587	A. A speech-language pathology assistant shall be
588	588	supervised by an appropriate supervisor who:
589	589	(1) has consented in writing to supervise the
590	590	speech-language pathology assistant;
591	591	(2) is licensed pursuant to the Speech-
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620	620	Language Pathology, Audiology and Hearing Aid Dispensing
621	621	Practices Act; and
622	622	(3) has completed a minimum of two hours of
623	623	board-approved training in clinical instruction and
624	624	supervision.
625	625	B. An appropriate supervisor shall:
626	626	(1) provide supervision to no more than two
627	627	full-time or three part-time speech-language pathology
628	628	assistants;
629	629	(2) be responsible for an entire caseload and
630	630	workload. The appropriate supervisor shall ensure that the
631	631	speech-language pathology assistant does not have an individual
632	632	caseload or workload that is separate from the appropriate
633	633	supervisor's;
634	634	(3) be present for the first and last contact
635	635	with each patient;
636	636	(4) provide a level of supervision necessary
637	637	for each situation, based on the:
638	638	(a) competencies, skills and experience
639	639	of the speech-language pathology assistant;
640	640	(b) needs of the patient being served;
641	641	and
642	642	(c) service setting; and
643	643	(5) provide direct contact to speech-language
644	644	pathology assistants when a speech-language pathology assistant
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673	673	is providing services to a patient that are not repetitive,
674	674	mechanical or routine tasks."
675	675	SECTION 5. Section 61-14B-16.1 NMSA 1978 (being Laws
676	676	2022, Chapter 39, Section 63) is amended to read:
677	677	"61-14B-16.1. EXPEDITED LICENSURE.--
678	678	A. The board shall issue an expedited license
679	679	without examination to a speech-language pathologist, speech-
680	680	language pathology assistant , audiologist or hearing aid
681	681	dispenser licensed in another licensing jurisdiction in
682	682	accordance with Section 61-1-31.1 NMSA 1978. The board shall
683	683	issue the expedited license as soon as practicable but no later
684	684	than thirty days after the person files an application with the
685	685	required fees and demonstrates that the person holds a valid,
686	686	unrestricted license and is in good standing with the licensing
687	687	board in the other licensing jurisdiction. If the board issues
688	688	an expedited license to a person whose prior licensing
689	689	jurisdiction did not require examination, the board may require
690	690	the person to pass an examination before license renewal.
691	691	B. The board by rule shall determine the states and
692	692	territories of the United States and the District of Columbia
693	693	from which it will not accept an applicant for expedited
694	694	licensure and determine any foreign countries from which it
695	695	will accept an applicant for expedited licensure. The board
696	696	shall post the lists of disapproved and approved licensing
697	697	jurisdictions on its website. The list of disapproved
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726	726	licensing jurisdictions shall include specific reasons for
727	727	disapproval. The lists shall be reviewed annually to determine
728	728	if amendments to the rule are warranted."
729	729	SECTION 6. Section 61-14B-19 NMSA 1978 (being Laws 1996,
730	730	Chapter 57, Section 19, as amended) is amended to read:
731	731	"61-14B-19. LICENSE RENEWAL.--
732	732	A. Each licensee shall renew the licensee's license
733	733	biennially by submitting a renewal application as provided for
734	734	in the board's regulations. The board may require proof of
735	735	continuing education as a requirement for renewal. The board
736	736	may establish a method to provide for staggered biennial terms.
737	737	The board may authorize license renewal for one year to
738	738	establish the renewal cycle.
739	739	B. A sixty-day grace period shall be allowed to
740	740	each licensee after each licensing period. A license may be
741	741	renewed during the grace period upon payment of a renewal fee
742	742	and a late fee as prescribed by the board.
743	743	C. Any license not renewed by the end of the grace
744	744	period will be considered expired and the licensee shall not be
745	745	eligible to practice within the state until the license is
746	746	renewed. The board shall develop rules regarding requirements
747	747	for renewal of an expired license and may require the licensee
748	748	to reapply as a new applicant.
749	749	D. Clinical fellow licenses may be renewed annually
750	750	for no more than three years; provided the clinical fellow has
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779	779	submitted evidence of passing a recognized standard national
780	780	examination in speech-language pathology prior to or within the
781	781	clinical fellow's second year of the CFY. The CFY license
782	782	shall not be renewed for a second year without evidence of
783	783	passing a recognized standard national examination in speech-
784	784	language pathology.
785	785	[E. An apprentice in speech-language pathology
786	786	shall renew the apprentice's license annually; provided that
787	787	the apprentice is accepted into a master's-level program in
788	788	speech-language pathology or communicative disorders within two
789	789	years of initial licensing.
790	790	F.] E. The board may issue rules providing for
791	791	inactive status of licenses."
792	792	SECTION 7. Section 61-14B-20 NMSA 1978 (being Laws 1996,
793	793	Chapter 57, Section 20, as amended) is amended to read:
794	794	"61-14B-20. FEES.--Except as provided in Section 61-1-34
795	795	NMSA 1978, the board shall establish a schedule of reasonable
796	796	fees for applications, licenses, renewal of licenses, exams,
797	797	penalties and administrative fees. The license and license
798	798	renewal fees shall not exceed:
799	799	A. one hundred dollars ($100) for clinical fellows
800	800	and [apprentices in speech and language ] speech-language
801	801	pathology assistants;
802	802	B. two hundred dollars ($200) for audiologists or
803	803	speech-language pathologists;
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832	832	C. six hundred dollars ($600) for hearing aid
833	833	dispensers;
834	834	D. four hundred dollars ($400) for examinations;
835	835	E. one hundred dollars ($100) for late renewal
836	836	fees;
837	837	F. four hundred dollars ($400) for hearing aid
838	838	dispensing endorsement;
839	839	G. five hundred dollars ($500) for a hearing aid
840	840	dispenser trainee license, which fee includes examination, both
841	841	written and practical;
842	842	H. one hundred dollars ($100) for bilingual-
843	843	multicultural endorsement; and
844	844	I. reasonable administrative fees."
845	845	SECTION 8. REPEAL.--Sections 61-14B-3.1 and 61-14B-15.1
846	846	NMSA 1978 (being Laws 1999, Chapter 128, Sections 3 and 8, as
847	847	amended) are repealed.
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