As Introduced                            1            

122nd General Assembly                                             4            

   Regular Session                                   S. B. No. 96  5            

      1997-1998                                                    6            


                     SENATORS CUPP-HERINGTON                       8            


                                                                   10           

                           A   B I L L                                          

             To amend sections 3709.161, 3721.21, 4753.01 to       12           

                4753.07, 4753.071, 4753.072, 4753.08 to 4753.10,   13           

                4753.12, and 4769.01; to amend, for the purpose    14           

                of adopting new section numbers as indicated in    15           

                parentheses, sections 4753.071 (4753.061) and                   

                4753.072 (4753.063); and to enact sections         16           

                3319.223 and 4753.062 of the Revised Code to       17           

                require a study of the shortage of school                       

                speech-language pathologists; to permit issuance   18           

                of temporary educator licenses in the specialty    19           

                of school speech-language pathology; to provide    20           

                for the licensure of speech-language pathologist   21           

                assistants; to add an educational service center                

                superintendent to the Board of Speech-Language     22           

                Pathology and Audiology; to maintain the           23           

                provisions of this act on and after January 1,     24           

                2002, by amending the versions of sections                      

                4753.05, 4753.08, and 4753.12 of the Revised Code  25           

                that take effect on that date; to eliminate        26           

                issuance of temporary educator licenses in school  27           

                speech-language pathology on January 1, 2002, by                

                repealing section 3319.223 of the Revised Code on  28           

                that date; and to declare an emergency.            29           




BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:        31           

      Section 1.  That sections 3709.161, 3721.21, 4753.01,        33           

4753.02, 4753.03, 4753.04, 4753.05, 4753.06, 4753.07, 4753.071,    34           

                                                          2      

                                                                 
4753.072, 4753.08, 4753.09, 4753.10, 4753.12, and 4769.01 be       35           

amended; sections 4753.071 (4753.061) and 4753.072 (4753.063) be   36           

amended for the purpose of adopting new section numbers as         37           

indicated in parentheses; and sections 3319.223 and 4753.062 of    38           

the Revised Code be enacted to read as follows:                    39           

      Sec. 3319.223.  (A)  ON REQUEST OF A SCHOOL DISTRICT         41           

SUPERINTENDENT, THE STATE BOARD OF EDUCATION MAY ISSUE A           42           

TEMPORARY LICENSE TO AN INDIVIDUAL AS AN EDUCATOR IN THE           43           

SPECIALTY OF SCHOOL SPEECH-LANGUAGE PATHOLOGY.                     44           

      TO QUALIFY FOR A TEMPORARY LICENSE ISSUED UNDER THIS         46           

SECTION, AN INDIVIDUAL MUST HAVE AT LEAST A BACHELOR'S DEGREE IN   47           

SPEECH AND HEARING OR IN AN EQUIVALENT COURSE OF STUDY CONSIDERED  48           

ACCEPTABLE BY THE BOARD.  THE BOARD SHALL EVALUATE EACH            49           

APPLICATION RECEIVED AND ISSUE A TEMPORARY LICENSE TO EACH                      

APPLICANT WHO MEETS THE QUALIFICATIONS FOR LICENSURE.              50           

      (B)  A TEMPORARY LICENSE ISSUED UNDER THIS SECTION IS VALID  53           

ONLY FOR TEACHING IN THE DISTRICT REPRESENTED BY THE                            

SUPERINTENDENT WHO REQUESTED ISSUANCE OF THE LICENSE AND EXPIRES   54           

ONE YEAR AFTER IT IS ISSUED.  A TEMPORARY LICENSE MAY BE RENEWED,  56           

BUT ONLY IF THE SUPERINTENDENT PRESENTS EVIDENCE SATISFACTORY TO   57           

THE BOARD OF ONE OF THE FOLLOWING:                                 58           

      (1)  THAT THE HOLDER IS ENROLLED IN A MASTER'S DEGREE        60           

PROGRAM LEADING TO LICENSURE BY THE BOARD OF SPEECH-LANGUAGE       61           

PATHOLOGY AND AUDIOLOGY UNDER CHAPTER 4753. OF THE REVISED CODE;   64           

      (2)  THAT THE HOLDER IS QUALIFIED TO BE ENROLLED IN A        66           

MASTER'S DEGREE PROGRAM LEADING TO LICENSURE BY THE BOARD OF       68           

SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY BUT WAS DENIED ENROLLMENT  69           

IN A MASTER'S DEGREE PROGRAM IN THIS STATE BECAUSE OF A LACK OF    71           

AVAILABLE POSITIONS IN A PROGRAM;                                               

      (3)  THAT THE HOLDER IS QUALIFIED TO BE ENROLLED IN A        73           

MASTER'S DEGREE PROGRAM LEADING TO LICENSURE BY THE BOARD OF       75           

SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY BUT WAS PREVENTED FROM     76           

ENROLLING IN A MASTER'S DEGREE PROGRAM BECAUSE OF EXTENUATING      78           

CIRCUMSTANCES ACCEPTED BY THE STATE BOARD OF EDUCATION.                         

                                                          3      

                                                                 
      Sec. 3709.161.  (A)  The board of health of a city or        87           

general health district may procure a policy or policies of        88           

insurance insuring the members of the board, the health            89           

commissioner, and the employees of the board against liability on  90           

account of damage or injury to persons and property resulting      91           

from any act or omission that occurs in the individual's official  93           

capacity as a member or employee of the board or resulting solely  94           

out of such membership or employment.                              95           

      (B)(1)  As used in this division, "health care               97           

professional" means all of the following:                          98           

      (a)  A dentist or dental hygienist licensed under Chapter    101          

4715. of the Revised Code;                                         102          

      (b)  A registered nurse or licensed practical nurse          105          

licensed under Chapter 4723. of the Revised Code;                  106          

      (c)  A person authorized under Chapter 4729. of the Revised  108          

Code to practice as a pharmacist;                                  109          

      (d)  A person authorized under Chapter 4730. of the Revised  113          

Code to practice as a physician assistant;                         115          

      (e)  A person authorized under Chapter 4731. of the Revised  118          

Code to practice medicine and surgery, osteopathic medicine and    119          

surgery, or podiatry;                                                           

      (f)  A psychologist licensed under Chapter 4732. of the      123          

Revised Code;                                                                   

      (g)  A veterinarian licensed under Chapter 4741. of the      127          

Revised Code;                                                                   

      (h)  A speech-language pathologist, SPEECH-LANGUAGE          129          

PATHOLOGY ASSISTANT, or audiologist licensed under Chapter 4753.   132          

of the Revised Code;                                                            

      (i)  An occupational therapist, physical therapist,          135          

physical therapist assistant, or athletic trainer licensed under   136          

Chapter 4755. of the Revised Code;                                 137          

      (j)  A professional clinical counselor, professional         139          

counselor, independent social worker, or social worker licensed    141          

under Chapter 4757. of the Revised Code;                           142          

                                                          4      

                                                                 
      (k)  A dietician DIETITIAN licensed under Chapter 4759. of   146          

the Revised Code.                                                               

      (2)  The board of health of a city or general health         148          

district may purchase liability insurance for a health care        149          

professional with whom the board contracts for the provision of    150          

health care services against liability on account of damage or     151          

injury to persons and property arising from the health care        152          

professional's performance of services under the contract.  The    153          

policy shall be purchased from an insurance company licensed to    154          

do business in this state, if such a policy is available from      155          

such a company.  The board of health of a city or general health   156          

district shall report the cost of the liability insurance policy   157          

and subsequent increases in the cost to the director of health on  158          

a form prescribed by the director.                                 159          

      Sec. 3721.21.  As used in sections 3721.21 to 3721.34 of     168          

the Revised Code:                                                  169          

      (A)  "Long-term care facility" means either of the           171          

following:                                                         172          

      (1)  A nursing home as defined in section 3721.01 of the     174          

Revised Code, other than a nursing home or part of a nursing home  175          

certified as an intermediate care facility for the mentally        176          

retarded under Title XIX of the "Social Security Act," 49 Stat.    177          

620 (1935), 42 U.S.C.A. 301, as amended;                           178          

      (2)  A facility or part of a facility that is certified as   180          

a skilled nursing facility or a nursing facility under Title       181          

XVIII or XIX of the "Social Security Act."                         182          

      (B)  "Residential care facility" has the same meaning as in  184          

section 3721.01 of the Revised Code.                               185          

      (C)  "Abuse" means knowingly causing physical harm or        187          

recklessly causing serious physical harm to a resident by          188          

physical contact with the resident or by use of physical or        189          

chemical restraint, medication, or isolation as punishment, for    190          

staff convenience, excessively, as a substitute for treatment, or  191          

in amounts that preclude habilitation and treatment.               192          

                                                          5      

                                                                 
      (D)  "Neglect" means recklessly failing to provide a         194          

resident with any treatment, care, goods, or service necessary to  195          

maintain the health or safety of the resident when the failure     196          

results in serious physical harm to the resident.                  197          

      (E)  "Misappropriation" means depriving, defrauding, or      199          

otherwise obtaining the real or personal property of a resident    200          

by any means prohibited by the Revised Code, including violations  201          

of Chapter 2911. or 2913. of the Revised Code.                     202          

      (F)  "Resident" includes a resident, patient, former         205          

resident or patient, or deceased resident or patient of a                       

long-term care facility or a residential care facility.            206          

      (G)  "Physical restraint" has the same meaning as in         208          

section 3721.10 of the Revised Code.                               209          

      (H)  "Chemical restraint" has the same meaning as in         211          

section 3721.10 of the Revised Code.                               212          

      (I)  "Nursing and nursing-related services" means the        215          

personal care services and other services not constituting                      

skilled nursing care that are specified in rules the public        216          

health council shall adopt in accordance with Chapter 119. of the  218          

Revised Code.                                                                   

      (J)  "Personal care services" has the same meaning as in     220          

section 3721.01 of the Revised Code.                               221          

      (K)  "Nurse aide" means an individual, other than a          223          

licensed health professional practicing within the scope of the    224          

professional's license, who provides nursing and nursing-related   226          

services to residents in a long-term care facility, either as a    227          

member of the staff of the facility for monetary compensation or   228          

as a volunteer without monetary compensation.                      229          

      (L)  "Licensed health professional" means all of the         231          

following:                                                         232          

      (1)  An occupational therapist or occupational therapy       234          

assistant licensed under Chapter 4755. of the Revised Code;        235          

      (2)  A physical therapist or physical therapy assistant      237          

licensed under Chapter 4755. of the Revised Code;                  238          

                                                          6      

                                                                 
      (3)  A physician authorized under Chapter 4731. of the       240          

Revised Code to practice medicine and surgery, osteopathic         241          

medicine and surgery, or podiatry;                                 242          

      (4)  A physician assistant authorized under Chapter 4730.    245          

of the Revised Code to practice as a physician assistant;                       

      (5)  A registered nurse or licensed practical nurse          247          

licensed under Chapter 4723. of the Revised Code;                  248          

      (6)  A social worker or independent social worker licensed   251          

under Chapter 4757. of the Revised Code or a social work                        

assistant registered under that chapter;                           252          

      (7)  A speech-language pathologist, SPEECH-LANGUAGE          254          

PATHOLOGY ASSISTANT, or audiologist licensed under Chapter 4753.   256          

of the Revised Code;                                                            

      (8)  A dentist or dental hygienist licensed under Chapter    258          

4715. of the Revised Code;                                         259          

      (9)  An optometrist licensed under Chapter 4725. of the      261          

Revised Code;                                                      262          

      (10)  A pharmacist licensed under Chapter 4729. of the       264          

Revised Code;                                                      265          

      (11)  A psychologist licensed under Chapter 4732. of the     267          

Revised Code;                                                      268          

      (12)  A chiropractor licensed under Chapter 4734. of the     270          

Revised Code;                                                      271          

      (13)  A nursing home administrator licensed or temporarily   273          

licensed under Chapter 4751. of the Revised Code;                  274          

      (14)  A professional counselor or professional clinical      276          

counselor licensed under Chapter 4757. of the Revised Code.        277          

      (M)  "Competency evaluation program" means a program         279          

through which the competency of a nurse aide to provide nursing    280          

and nursing-related services is evaluated.                         281          

      (N)  "Training and competency evaluation program" means a    283          

program of nurse aide training and evaluation of competency to     284          

provide nursing and nursing-related services.                      285          

      Sec. 4753.01.  As used in sections 4753.01 to 4753.12 of     294          

                                                          7      

                                                                 
the Revised Code THIS CHAPTER:                                     295          

      (A)  "Speech-language pathologist" means a person who        297          

practices speech-language pathology and who represents himself     298          

CLAIMS to be a speech-language pathologist when he holds out to    300          

the public by any means, or by any service or function he          301          

performs PERFORMED, directly or indirectly, or by using the term   303          

"speech pathology," "speech pathologist," "speech correction,"     304          

"speech correctionist," "speech therapy," "speech therapist,"      305          

"speech clinic," "speech clinician," "language pathology,"         306          

"language pathologist," "voice therapy," "voice therapist,"        307          

"voice pathology," "voice pathologist," "logopedics,"              308          

"logopedist," "communicology," "communicologist," "aphasiology,"   309          

"aphasiologist," "phoniatrist," or any variation, synonym,         310          

coinage, or whatever expresses, employs, or implies these terms,   311          

names, or functions.  "Person" means an individual, partnership,   312          

organization, or corporation, except that only individuals may be  313          

licensed under this law.                                                        

      (B)  "Speech-language pathology" means the application of    315          

principles, methods, or procedures related to the development and  316          

disorders of human communication.  Disorders include any and all   317          

conditions, whether of organic or nonorganic origin, that impede   318          

the normal process of human communication including disorders and  319          

related disorders of speech, articulation, fluency, voice, oral    320          

and written language; auditory comprehension and processing;       321          

oral, pharyngeal, or laryngeal sensorimotor competencies;          322          

mastication or deglutition following a medical examination by a    323          

physician licensed pursuant to AUTHORIZED UNDER Chapter 4731. of   324          

the Revised Code TO PRACTICE MEDICINE AND SURGERY OR OSTEOPATHIC   325          

MEDICINE AND SURGERY; auditory or visual processing; auditory or   327          

visual memory and cognition; communication; and assisted           328          

augmentative communication treatment and devices.                  329          

      (C)  "Practice of speech-language pathology" means           331          

planning, directing, supervising, and conducting habilitative or   332          

rehabilitative counseling programs for individuals or groups of    333          

                                                          8      

                                                                 
individuals who have or are suspected of having disorders of       334          

communication, any service in speech-language pathology including  335          

prevention, identification, evaluation, consultation,              336          

habilitation or rehabilitation, instruction, and research.         337          

      The practice of speech-language pathology may include        339          

pure-tone air conduction hearing screening, screening              340          

tympanometry, and acoustic reflex screening, limited to a          341          

pass-or-fail determination for the identification of individuals   342          

with other disorders of communication.  The practice of            343          

speech-language pathology also may include aural habilitation or   344          

rehabilitation which means the provision of services and           345          

procedures for facilitating adequate auditory, speech, and         346          

language skills in individuals with hearing impairment.  The       347          

practice of speech-language pathology does not include the         348          

practice of medicine and surgery or osteopathic medicine and       349          

surgery, or the performance of a task in the normal practice of    350          

medicine and surgery OR OSTEOPATHIC MEDICINE AND SURGERY by a      351          

person to whom the task is delegated by a licensed physician.      354          

      (D)  "SPEECH-LANGUAGE PATHOLOGY ASSISTANT" MEANS A PERSON    356          

WHO, UNDER THE SUPERVISION OF A SPEECH-LANGUAGE PATHOLOGIST,       357          

ASSISTS THE SPEECH-LANGUAGE PATHOLOGIST BY PERFORMING THE MORE     358          

REPETITIVE, MECHANICAL, OR ROUTINE CLINICAL ACTIVITIES THAT ARE    359          

PART OF THE PRACTICE OF SPEECH-LANGUAGE PATHOLOGY, INCLUDING SUCH  361          

ACTIVITIES AS CONDUCTING SPEECH-LANGUAGE SCREENINGS, PROVIDING     362          

ASSISTANCE IN THE DIRECT TREATMENT OF CLIENTS ACCORDING TO         363          

DOCUMENTED TREATMENT PLANS OR PROTOCOLS DEVELOPED BY THE           364          

SUPERVISING SPEECH-LANGUAGE PATHOLOGIST, DOCUMENTING CLIENT        365          

PROGRESS TOWARD MEETING THE OBJECTIVES STATED IN THE CLIENT'S      366          

TREATMENT PLAN, ASSISTING THE SPEECH-LANGUAGE PATHOLOGIST DURING   367          

ASSESSMENT OF CLIENTS, ASSISTING THE SPEECH-LANGUAGE PATHOLOGIST   368          

BY PREPARING MATERIALS AND NOTES FOR THE SPEECH-LANGUAGE           369          

PATHOLOGIST'S USE AND BY PERFORMING SIMILAR CLERICAL DUTIES        370          

DIRECTED BY THE SPEECH-LANGUAGE PATHOLOGIST, PERFORMING CHECKS     371          

AND MAINTENANCE OF EQUIPMENT, AND PARTICIPATING WITH THE           372          

                                                          9      

                                                                 
SPEECH-LANGUAGE PATHOLOGIST IN RESEARCH PROJECTS AND OTHER         373          

PROGRAMS ASSOCIATED WITH SPEECH-LANGUAGE PATHOLOGY.                374          

      (E)  "SPEECH-LANGUAGE PATHOLOGY AIDE" OR "AUDIOLOGY AIDE"    377          

MEANS A PERSON WHO SUPPORTS A SUPERVISING SPEECH-LANGUAGE          378          

PATHOLOGIST OR AUDIOLOGIST IN PERFORMING THE NONTECHNICAL          379          

ACTIVITIES ASSOCIATED WITH THE PRACTICE OF SPEECH-LANGUAGE         380          

PATHOLOGY OR AUDIOLOGY, SUCH AS PREPARING TREATMENT ROOMS AND      381          

MATERIALS, ORDERING SUPPLIES, AND MAINTAINING RECORD KEEPING       382          

SYSTEMS.                                                                        

      (F)  "Audiologist" means a person who practices audiology    384          

and who represents himself CLAIMS TO THE PUBLIC to be an           385          

audiologist by using the term "audiology," "audiologist,"          387          

"audiometry," "audiometrist," "audiological," "hearing therapy,"   388          

"hearing therapist," "hearing clinic," "hearing clinician," or     389          

"hearing aid audiologist," or any similar title.                   390          

      (E)(G)  "Audiology" means the application of principles,     392          

methods, or procedures related to hearing and the disorders of     393          

hearing.                                                           394          

      (F)(H)  "Disorders" includes any and all conditions,         396          

whether of organic or nonorganic origin, peripheral or central,    397          

that impede the normal process of human communication including    398          

disorders of auditory sensitivity, acuity, function, or            399          

processing.                                                        400          

      (G)(I)  "Practice of audiology" means the planning,          402          

directing, supervising, and conducting of habilitative or          403          

rehabilitative counseling programs for individuals or groups of    404          

individuals who have or are suspected of having disorders of       405          

hearing; any service in audiology, including prevention,           406          

identification, evaluation, consultation, habilitation or          407          

rehabilitation, instruction, and research; participating in        408          

hearing conservation, hearing aid and assistive listening device   409          

evaluation, selection, preparation, dispensing, and orientation;   410          

fabricating ear molds; providing auditory training and speech      411          

reading; and administering tests of vestibular function and tests  412          

                                                          10     

                                                                 
for tinnitus in accordance with section 4753.14 of the Revised     413          

Code.  The "practice of audiology" includes speech and language    414          

screening limited to a pass-or-fail determination, for the         415          

purpose of identification of individuals with disorders of         416          

communication.  The practice of audiology does not include the     417          

practice of medicine and surgery or osteopathic medicine and       418          

surgery, or the performance of a task in the normal practice of    419          

medicine and surgery or osteopathic medicine and surgery by a      420          

person to whom the task is delegated by a licensed physician.      421          

      Sec. 4753.02.  No person shall practice, OR offer to         430          

practice, or aid and abet the practice of the profession of        432          

speech-language pathology or audiology, or use in connection with  434          

his THE PERSON'S name, or otherwise assume, use, or advertise any  436          

title or description tending to convey the impression that he THE  437          

PERSON is a speech-language pathologist or audiologist, unless     440          

the person is licensed under this chapter AS A SPEECH-LANGUAGE     441          

PATHOLOGIST OR AUDIOLOGIST.                                                     

      NO PERSON SHALL PRACTICE AS A SPEECH-LANGUAGE PATHOLOGY      443          

ASSISTANT UNLESS THE PERSON IS LICENSED UNDER THIS CHAPTER AS A    444          

SPEECH-LANGUAGE PATHOLOGY ASSISTANT.                               445          

      NO PERSON SHALL BE EMPLOYED AS A SPEECH-LANGUAGE PATHOLOGY   447          

AIDE OR AUDIOLOGY AIDE UNLESS THE PERSON IS LICENSED UNDER THIS    448          

CHAPTER AS A SPEECH-LANGUAGE PATHOLOGY AIDE OR AUDIOLOGY AIDE.     449          

      Sec. 4753.03.  There is hereby created the board of          458          

speech-language pathology and audiology consisting of eight NINE   459          

residents of this state to be appointed by the governor with the   460          

advice and consent of the senate.  Three members of the board      461          

shall be licensed speech-language pathologists, and three members  462          

shall be licensed audiologists, who have been licensed and         463          

engaged in the practice, teaching, administration, or research in  464          

the area of appointment for at least five years prior to the       465          

dates of their appointment.  Beginning with the first appointment  466          

of an audiologist to the board after the effective date of this    467          

amendment NOVEMBER 5, 1992, at all times one of the audiologists   469          

                                                          11     

                                                                 
serving on the board must be an audiologist engaged in the         470          

practice of fitting and dispensing hearing aids.  ONE MEMBER       471          

SHALL BE THE SUPERINTENDENT OF AN EDUCATIONAL SERVICE CENTER.  At  472          

all times, two members shall be representatives of the general     473          

public, and neither shall be a speech-language pathologist or      474          

audiologist or a person licensed under this chapter.  At least     475          

one of the members representing the general public shall be at     476          

least sixty years of age.  Any speech-language pathologists and    477          

audiologists among the initial appointees shall have at least a    478          

bachelor's degree in speech-language pathology or audiology and    479          

shall meet the standards for licensure, other than examination,    480          

established by section 4753.06 or 4753.08 of the Revised Code.     481          

Any speech-language pathologist or audiologist appointed to the    482          

board after the effective date of this amendment NOVEMBER 5,       484          

1992, must hold a master's or doctorate degree.                    485          

      Terms of office shall be for three years, each term          487          

commencing on the twenty-seventh day of September and ending on    488          

the twenty-sixth day of September.  Each A member shall hold       489          

office from the date of his appointment until the end of the term  491          

for which he THE MEMBER was appointed.  Any A member appointed to  493          

fill a vacancy occurring prior to the expiration of the term for   494          

which his THE MEMBER'S predecessor was appointed shall hold        496          

office for the remainder of such term.  Any A member shall         497          

continue in office subsequent to the expiration date of his THE    499          

MEMBER'S term until his THE MEMBER'S successor takes office, or    500          

until a period of sixty days has elapsed, whichever occurs first.  501          

No person shall be appointed to serve consecutively more than two  502          

full terms.  The executive council of the Ohio speech and hearing  503          

association may recommend, within forty-five days after any        504          

vacancy or expiration of a member's term occurs, no more than      505          

three persons to fill each position or vacancy on the board, and   506          

the governor may make his appointment from APPOINT ONE OF the      507          

persons so recommended.  If the council fails to make              509          

recommendations within the required time, the governor shall make  510          

                                                          12     

                                                                 
the appointment without its recommendations.                       511          

      The terms of all speech-language pathology members shall     513          

not end in the same year; the terms of all audiology members       514          

shall not end in the same year.  Upon the first appointment        515          

following the effective date of this amendment NOVEMBER 5, 1992,   517          

the governor shall appoint speech-language pathology members and   518          

audiology members to one-, two-, or three-year terms to prevent    519          

the terms of all speech-language pathology members or all          520          

audiology members from ending in the same year.  Thereafter, all   521          

terms shall be for three years.                                    522          

      Sec. 4753.04.  The board of speech-language pathology and    531          

audiology shall hold at least one regular meeting a year, at       532          

which it shall elect a chairman CHAIRPERSON and vice-chairman      534          

VICE-CHAIRPERSON from among its members.  Additional meetings may  535          

be held upon call of the chairman CHAIRPERSON or at the written    536          

request of two or more members of the board.  Five members of the  537          

board constitute a quorum to conduct business, if one member who   538          

is a speech-language pathologist and, one member who is an         539          

audiologist, AND THE MEMBER WHO IS A SUPERINTENDENT OF AN          540          

EDUCATIONAL SERVICE CENTER are present.                                         

      The board may employ an executive director, who shall serve  542          

at the board's pleasure, and shall designate his THE duties and    543          

fix his THE compensation OF THE EXECUTIVE DIRECTOR.  The board     545          

may hire such other employees and consultants as it finds                       

necessary.  Members of the board shall receive compensation        546          

pursuant to division (J) of section 124.15 of the Revised Code     547          

for each day employed in the discharge of their official duties.   548          

The members shall be reimbursed for actual and necessary expenses  549          

incurred in the performance of their official duties.  All         550          

vouchers of the board shall be signed by the chairman CHAIRPERSON  551          

or the executive director of the board.                            552          

      Sec. 4753.05.  (A)  The board of speech-language pathology   561          

and audiology may make reasonable rules necessary for the          562          

administration of this chapter.  The board shall adopt rules to    563          

                                                          13     

                                                                 
ensure ethical standards of practice by speech-language            564          

pathologists and audiologists licensed pursuant to this chapter.   565          

All rules adopted under this chapter shall be adopted in           566          

accordance with Chapter 119. of the Revised Code.                  567          

      (B)  The board shall determine ESTABLISH the nature and      569          

scope of examinations to be administered to applicants for         570          

licensure pursuant to this chapter in the practices of AS          571          

speech-language pathology PATHOLOGISTS and audiology, and shall    572          

evaluate the qualifications of all applicants AUDIOLOGISTS.        574          

Written examinations may be supplemented by such practical and     576          

oral examinations as the board shall determine by rule.  The       577          

board shall determine by rule the minimum examination score for    578          

licensure.  Licensure shall be granted independently in                         

speech-language pathology and audiology.  The board shall          579          

maintain a current public record of all persons licensed, to be    580          

made available upon request.                                       581          

      (C)  The board shall publish and make available, upon        583          

request, the licensure standards prescribed by this chapter and    584          

rules adopted pursuant thereto FOR SPEECH-LANGUAGE PATHOLOGISTS,   585          

SPEECH-LANGUAGE PATHOLOGY ASSISTANTS, SPEECH-LANGUAGE PATHOLOGY    586          

AIDES, AUDIOLOGISTS, AND AUDIOLOGY AIDES.  THE BOARD SHALL         587          

MAINTAIN A CURRENT PUBLIC RECORD OF ALL PERSONS LICENSED, TO BE    588          

MADE AVAILABLE ON REQUEST.                                                      

      (D)  The board shall submit to the governor each year a      590          

report of all its official actions during the preceding year       591          

together with any recommendations and findings with regard to the  592          

improvement of the professions of audiology and speech-language    593          

pathology.                                                         594          

      (E)  The board shall investigate all alleged irregularities  596          

in the practices of speech-language pathology and audiology by     597          

persons licensed pursuant to this chapter and any violations of    598          

this chapter or rules adopted by the board.  The board shall not   599          

investigate the practice of any person specifically exempted from  600          

licensure under this chapter by section 4753.12 of the Revised     601          

                                                          14     

                                                                 
Code, as long as the person is practicing within the scope of his  602          

THE PERSON'S license or is carrying out responsibilities as        603          

described in division (H) or (I) of section 4753.12 of the         604          

Revised Code and does not hold himself out CLAIM to be a           605          

speech-language pathologist or audiologist.                        606          

      In conducting investigations under this division, the board  608          

may administer oaths, order the taking of depositions, issue       609          

subpoenas, and compel the attendance of witnesses and the          610          

production of books, accounts, papers, records, documents, and     611          

testimony.  In any case of disobedience or neglect of any          612          

subpoena served on any person or the refusal of any witness to                  

testify to any matter regarding which he THE WITNESS may lawfully  613          

be interrogated, the court of common pleas of any county where     614          

such disobedience, neglect, or refusal occurs or any judge         616          

thereof, on application by the board, shall compel obedience by                 

attachment proceedings for contempt, as in the case of             617          

disobedience of the requirements of a subpoena issued from such    618          

court, or a refusal to testify therein.                            619          

      (F)  The board shall conduct such hearings and keep such     621          

records and minutes as are necessary to carry out this chapter.    622          

      (G)  The board shall adopt a seal by which it shall          624          

authenticate its proceedings.  Copies of the proceedings,          625          

records, and acts signed by the chairman CHAIRPERSON or executive  627          

director and authenticated by such seal shall be prima-facie                    

evidence thereof in all courts of this state.                      628          

      THIS IS AN INTERIM SECTION EFFECTIVE UNTIL JANUARY 1, 2002.  630          

      Sec. 4753.06.  No person is eligible for licensure as a      639          

speech-language pathologist or audiologist unless:                 640          

      (A)  He THE PERSON has obtained a broad general education    642          

to serve as a background for his THE PERSON'S specialized          644          

academic training and preparatory professional experience.  Such   646          

background may include study from among the areas of human         647          

psychology, sociology, psychological and physical development,     648          

the physical sciences, especially those that pertain to acoustic   649          

                                                          15     

                                                                 
and biological phenomena, and human anatomy and physiology,        650          

including neuroanatomy and neurophysiology.                        651          

      (B)  He THE PERSON submits to the board an official          653          

transcript demonstrating that he THE PERSON has at least a         654          

master's degree in the area in which licensure is sought or the    656          

equivalent as determined by the board.  His THE PERSON'S academic  657          

credit must include course work accumulated in the completion of   659          

a well-integrated course of study approved by the board and        660          

delineated by rule dealing with the normal aspects of human        661          

communication, development and disorders thereof, and clinical     662          

techniques for the evaluation and the improvement or eradication   663          

of such disorders.  The course work must have been completed at    664          

colleges or universities accredited by regional or national        665          

accrediting organizations recognized by the board.                 666          

      (C)  He THE PERSON submits to the board evidence of the      668          

completion of appropriate, supervised clinical experience in the   670          

professional area, speech-language pathology or audiology, for     671          

which licensure is requested, dealing with a variety of            672          

communication disorders. The appropriateness of the experience     673          

shall be determined under rules of the board.  This experience     674          

shall have been obtained in an accredited college or university,   675          

in a cooperating program of an accredited college or university,   676          

or in another program approved by the board.                       677          

      (D)  He THE PERSON presents to the board written evidence    679          

that he has OF HAVING obtained professional experience.  The       681          

professional experience shall be appropriately supervised as       682          

determined by board rule. The amount of professional experience    683          

shall be determined by board rule and shall be bona fide clinical  684          

work that has been accomplished in the major professional area,    685          

speech-language pathology or audiology, in which licensure is      686          

being sought.  This experience shall not begin until the           687          

requirements of divisions (B) and (C) of this section have been    688          

completed unless approved by the board.  Before beginning the      689          

supervised professional experience pursuant to this section, any   690          

                                                          16     

                                                                 
applicant for licensure to practice speech-language pathology or   691          

audiology shall meet the requirements for a conditional license    692          

pursuant to section 4753.071 4753.061 of the Revised Code.         693          

      (E)  He THE PERSON submits to the board evidence that he     695          

has OF HAVING passed the examination for licensure to practice     697          

speech-language pathology or audiology ESTABLISHED pursuant to     698          

division (B) of section 4753.05 of the Revised Code.               699          

      Sec. 4753.071 4753.061.  The board of speech-language        708          

pathology and audiology shall issue a conditional license AS A     710          

SPEECH-LANGUAGE PATHOLOGIST OR AUDIOLOGIST to an applicant who,    711          

except for the supervised professional experience:                 712          

      (A)  Meets the academic, practicum, and examination          714          

requirements of divisions (B), (C), and (E) of section 4753.06 of  715          

the Revised Code;                                                  716          

      (B)  Submits an application to the board, including a plan   718          

for the content of the supervised professional experience on a     719          

form prescribed by the board and pays to the board the             720          

appropriate fee for a conditional license.  An applicant may not   721          

begin employment until the conditional license has been approved.  722          

      A conditional license authorizes an individual to practice   724          

speech-language pathology or audiology while completing the        725          

supervised professional experience as required by division (D) of  726          

section 4753.06 of the Revised Code.  A person holding a           727          

conditional license may practice speech-language pathology or      728          

audiology while working under the supervision of a person fully    729          

licensed in accordance with this chapter.  A conditional license   730          

is valid for eighteen months unless suspended or revoked pursuant  731          

to section 2301.373 or 4753.10 of the Revised Code.                732          

      A person holding a conditional license may perform services  734          

for which reimbursement will be sought under the medicare program  735          

established under Title XVIII of the "Social Security Act," 49     736          

Stat. 620 (1935), 42 U.S.C. 301, as amended, or the medical        737          

assistance program established under Chapter 5111. of the Revised  738          

Code and Title XIX of the "Social Security Act" but all requests   740          

                                                          17     

                                                                 
for reimbursement for such services shall be made by the person    741          

who supervises the person performing the services.                 742          

      Sec. 4753.062.  (A)  THE BOARD OF SPEECH-LANGUAGE PATHOLOGY  745          

AND AUDIOLOGY SHALL ADOPT RULES FOR THE LICENSURE OF               746          

SPEECH-LANGUAGE PATHOLOGY ASSISTANTS.  IN ADOPTING THE RULES, THE  747          

BOARD MAY CONSIDER THE GUIDELINES ESTABLISHED BY THE AMERICAN      749          

SPEECH-LANGUAGE-HEARING ASSOCIATION.  THE BOARD'S RULES SHALL DO   750          

ALL OF THE FOLLOWING:                                              751          

      (1)  SPECIFY THE QUALIFICATIONS NECESSARY TO RECEIVE A       753          

LICENSE AS A SPEECH-LANGUAGE PATHOLOGY ASSISTANT UNDER DIVISION    755          

(B)(1) OF THIS SECTION, INCLUDING REQUIREMENTS REGARDING           756          

SUPERVISED PROFESSIONAL EXPERIENCE AND DEMONSTRATION OF            757          

COMPETENCY;                                                                     

      (2)  ESTABLISH STANDARDS FOR THE PRACTICE OF                 759          

SPEECH-LANGUAGE PATHOLOGY ASSISTANTS;                              760          

      (3)  ESTABLISH STANDARDS FOR APPROPRIATE SUPERVISION OF A    763          

SPEECH-LANGUAGE PATHOLOGY ASSISTANT BY A SPEECH-LANGUAGE                        

PATHOLOGIST, INCLUDING REQUIREMENTS THAT MUST BE MET TO BE THE     764          

SUPERVISOR OF A SPEECH-LANGUAGE PATHOLOGY ASSISTANT AND            765          

REQUIREMENTS THAT MUST BE MET WHEN SUPERVISING A SPEECH-LANGUAGE   766          

PATHOLOGY ASSISTANT;                                               767          

      (4)  PROVIDE FOR ISSUANCE OF CONDITIONAL LICENSES TO         769          

APPLICANTS WHO HAVE FULFILLED ALL OF THE REQUIREMENTS FOR          770          

LICENSURE EXCEPT FOR SUPERVISED PROFESSIONAL EXPERIENCE.           771          

      (B)  THE BOARD SHALL LICENSE AN APPLICANT TO PRACTICE AS A   773          

SPEECH-LANGUAGE PATHOLOGIST ASSISTANT IF ONE OF THE FOLLOWING      776          

APPLIES:                                                                        

      (1)  THE APPLICANT HAS OBTAINED AN ASSOCIATE DEGREE IN A     778          

SPEECH-LANGUAGE PATHOLOGY ASSISTANT TRAINING PROGRAM APPROVED BY   779          

THE AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION, OR COMPLETED A   780          

COLLEGE-BASED SPEECH-LANGUAGE PATHOLOGY ASSISTANT CERTIFICATE      782          

PROGRAM FROM AN INSTITUTION ACCEPTABLE TO THE BOARD OR AN                       

EQUIVALENT COURSE OF STUDY WITH A MAJOR EMPHASIS IN THE AREA OF    783          

SPEECH-LANGUAGE PATHOLOGY, AND HAS THE QUALIFICATIONS FOR          785          

                                                          18     

                                                                 
LICENSURE SPECIFIED BY THE BOARD IN RULES ADOPTED UNDER DIVISION   786          

(A)(1) OF THIS SECTION;                                                         

      (2)  THE APPLICANT HAS OBTAINED A BACHELOR'S DEGREE IN       788          

SPEECH-LANGUAGE PATHOLOGY FROM AN INSTITUTION ACCEPTABLE TO THE    789          

BOARD.                                                                          

      (C)  A SPEECH-LANGUAGE PATHOLOGY ASSISTANT SHALL NOT ACT     792          

INDEPENDENTLY AND SHALL WORK ONLY UNDER THE DIRECT AND INDIRECT    793          

SUPERVISION OF A SPEECH-LANGUAGE PATHOLOGIST LICENSED UNDER THIS   794          

CHAPTER.  A SPEECH-LANGUAGE PATHOLOGY ASSISTANT SHALL NOT          795          

DISPENSE HEARING AIDS.  AN APPLICANT FOR A LICENSE AS A            796          

SPEECH-LANGUAGE PATHOLOGY ASSISTANT SHALL NOT BEGIN EMPLOYMENT AS  797          

A SPEECH-LANGUAGE PATHOLOGY ASSISTANT UNTIL THE APPLICANT'S        798          

LICENSE HAS BEEN APPROVED.                                         799          

      Sec. 4753.072 4753.063.  The board of speech-language        808          

pathology and audiology shall establish by rule pursuant to        811          

ADOPTED IN ACCORDANCE WITH Chapter 119. of the Revised Code the    813          

qualifications for persons seeking licensure as a speech-language  814          

pathology aide or an audiology aide.  The qualifications shall be  816          

less than the standards for licensure as a speech-language         818          

pathologist, SPEECH-LANGUAGE PATHOLOGY ASSISTANT, or audiologist.  819          

An aide shall not act independently and shall work under the       821          

direction and supervision of a speech-language pathologist or      823          

audiologist licensed by the board.  An aide shall not dispense     825          

hearing aids.  An applicant shall not begin employment until the   827          

license has been approved.                                                      

      Sec. 4753.07.  The board of speech-language pathology and    836          

audiology shall EVALUATE THE QUALIFICATIONS OF ALL APPLICANTS FOR  837          

LICENSURE AS A SPEECH-LANGUAGE PATHOLOGIST, SPEECH-LANGUAGE        838          

PATHOLOGY ASSISTANT, SPEECH-LANGUAGE PATHOLOGY AIDE, AUDIOLOGIST,  839          

OR AUDIOLOGY AIDE.  THE BOARD SHALL issue under its seal a THE     841          

APPROPRIATE license or conditional license to every applicant who  843          

has passed the appropriate examinations designated by the board    844          

and who otherwise complies with the licensure requirements of      846          

this chapter.  The license or conditional license entitles the     848          

                                                          19     

                                                                 
holder to practice speech-language pathology or audiology OR BE    850          

EMPLOYED IN THE CAPACITY DESIGNATED BY THE LICENSE.  Each          851          

licensee shall display the license or conditional license or an    853          

official duplicate in a conspicuous place where the licensee       854          

practices speech-language pathology or audiology or both.          855          

      Sec. 4753.08.  The board of speech-language pathology and    864          

audiology shall waive the examination and educational              865          

requirements TO BE LICENSED AS A SPEECH-LANGUAGE PATHOLOGIST OR    866          

AUDIOLOGIST for any applicant who:                                 867          

      (A)  On September 26, 1975, has at least a bachelor's        869          

degree with a major in speech-language pathology or audiology      870          

from an accredited college or university, or who has been          871          

employed as a speech-language pathologist or audiologist for at    872          

least nine months at any time within the three years prior to      873          

September 26, 1975, if an application providing bona fide proof    874          

of such degree or employment is filed with the board within one    875          

year after September 26, 1975, and is accompanied by the           876          

application fee as prescribed in division (A) of section 4753.11   877          

of the Revised Code;                                               878          

      (B)  Presents proof of current certification or licensure    880          

in good standing in the area in which licensure is sought in a     881          

state which has standards at least equal to those for licensure    882          

in this state;                                                     883          

      (C)  Presents proof of a current certificate of clinical     885          

competence in speech-language pathology or audiology that is in    886          

good standing and received from the American                       887          

speech-language-hearing association in the area in which           888          

licensure is sought;                                               889          

      (D)  On January 1, 2001, holds a current certificate         892          

LICENSE, except a temporary certificate, if the certificate        893          

LICENSE is in good standing in the area in which licensure is      894          

sought and if an application providing bona fide proof of the      895          

certificate LICENSE is filed with the board on or after January    897          

1, 2001, but before January 1, 2002.  Notwithstanding division     898          

                                                          20     

                                                                 
(A) of section 4753.11 of the Revised Code, the board shall not    899          

charge a licensure fee for a license issued by waiver to the       900          

holder of such a certificate LICENSE.  As used in this division,   902          

"certificate LICENSE" means a certificate LICENSE issued by the    903          

Ohio department of education to an applicant to serve as a SCHOOL  904          

speech and hearing therapist, a school speech-language             906          

pathologist, a school audiologist, or any equivalent position for  907          

which a certificate LICENSE is issued by the Ohio department of    909          

education.                                                                      

      (E)  On January 1, 2001, is employed as a speech-language    912          

pathologist or audiologist by any agency of this state, if an                   

application providing bona fide proof of the employment in the     913          

area in which licensure is sought is filed with the board on or    914          

after January 1, 2001, but before January 1, 2002.                 915          

Notwithstanding division (A) of section 4753.11 of the Revised     916          

Code, the board shall not charge a licensure fee for a license     917          

issued by waiver to a person so employed.                                       

      THIS IS AN INTERIM SECTION EFFECTIVE UNTIL JANUARY 1, 2002.  919          

      Sec. 4753.09.  (A)  Except as provided in this section and   928          

in section 4753.10 of the Revised Code, a license issued by the    929          

board of speech-language pathology and audiology shall be renewed  930          

biennially in accordance with the standard renewal procedure       931          

contained in Chapter 4745. of the Revised Code.  If the            932          

application for renewal is made after one year, the person shall   933          

apply for licensure as provided in UNDER section 4753.06,          934          

4753.062, 4753.063, or division (B) or (C) of section 4753.08 of   936          

the Revised Code.  The board shall not renew a conditional         937          

license; however, the board may grant an applicant a second        938          

conditional license.                                                            

      The board shall establish by rule adopted pursuant to        940          

Chapter 119. of the Revised Code the qualifications for license    941          

renewal.  Applicants shall demonstrate continued competence,       942          

which may include continuing education, examination,               943          

self-evaluation, peer review, performance appraisal, or practical  944          

                                                          21     

                                                                 
simulation.  The board may establish other requirements as a       945          

condition for license renewal as considered appropriate by the     946          

board.                                                             947          

      The board may renew a license which expires while the        949          

license is suspended, but the renewal shall not affect the         950          

suspension.  The board shall not renew a license which has been    951          

revoked.  If a revoked license is reinstated under section         952          

4753.10 of the Revised Code after it has expired, the licensee,    953          

as a condition of reinstatement, shall pay a reinstatement fee in  954          

the amount equal to the renewal fee in effect on the last          955          

preceding regular renewal date on which it is reinstated, plus     956          

any delinquent fees accrued from the time of the revocation, if    957          

such a fee is prescribed by the board by rule.  A                  958          

      (B)  A license AS A SPEECH-LANGUAGE PATHOLOGIST OR           960          

AUDIOLOGIST shall not be renewed six years after the initial date  962          

on which the license was granted for a person initially licensed   963          

by exemption UNDER SECTION 4753.08 OF THE REVISED CODE until that  965          

person presents to the board proof of completion of the following  966          

requirements:                                                                   

      (A)(1)  Upon presentation of proof of a bachelor's degree    968          

with a major in the area of licensure or successful completion of  969          

at least eighteen semester hours of academic credit, or its        970          

equivalent as determined by the board by rule for colleges and     971          

universities not using semesters, accumulated from accredited      972          

colleges and universities.  These eighteen semester hours shall    973          

be in a variety of courses that provide instruction related to     974          

the nature of communication disorders and present information      975          

pertaining to and training in the evaluation and management of     976          

speech, language, and hearing disorders and shall be in the        977          

professional area, speech-language pathology or audiology, for     978          

which licensure is requested.                                      979          

      (B)(2)  Successful completion of at least one hundred fifty  981          

clock hours of appropriately supervised, as determined by board    982          

rule, clinical experience in the professional area,                983          

                                                          22     

                                                                 
speech-language pathology or audiology, for which licensure is     984          

requested, with individuals who present a variety of               985          

communication disorders, and the experience shall have been        986          

obtained under the supervision of a licensed speech-language       987          

pathologist or audiologist, or within another program approved by  988          

the board.                                                         989          

      Sec. 4753.10.  (A)  In accordance with Chapter 119. of the   998          

Revised Code, the board of speech-language pathology and           999          

audiology may reprimand or place on probation a speech-language    1,000        

pathologist or, SPEECH-LANGUAGE PATHOLOGY ASSISTANT,               1,001        

SPEECH-LANGUAGE PATHOLOGY AIDE, audiologist, OR AUDIOLOGY AIDE,    1,003        

or suspend, revoke, or refuse to issue or renew the license of a   1,004        

speech-language pathologist or, SPEECH-LANGUAGE PATHOLOGY          1,005        

ASSISTANT, SPEECH-LANGUAGE PATHOLOGY AIDE, audiologist, OR         1,007        

AUDIOLOGY AIDE.  Disciplinary actions may be taken by the board    1,008        

for conduct that may result from but not necessarily be limited    1,009        

to:                                                                             

      (A)(1)  Fraud, deception, or misrepresentation in obtaining  1,011        

or attempting to obtain a license;                                 1,012        

      (B)(2)  Fraud, deception, or misrepresentation in using a    1,014        

license;                                                           1,015        

      (C)(3)  Altering a license;                                  1,017        

      (D)(4)  Aiding or abetting unlicensed practice;              1,019        

      (E)(5)  Committing fraud, deception, or misrepresentation    1,021        

in the practice of speech-language pathology or audiology          1,022        

including:                                                                      

      (1)(a)  Making or filing a false report or record in the     1,024        

practice of speech-language pathology or audiology;                1,025        

      (2)(b)  Submitting a false statement to collect a fee;       1,027        

      (3)(c)  Obtaining a fee through fraud, deception, or         1,029        

misrepresentation, or accepting commissions or rebates or other    1,030        

forms of remuneration for referring persons to others.             1,031        

      (F)(6)  Using or promoting or causing the use of any         1,033        

misleading, deceiving, improbable, or untruthful advertising       1,034        

                                                          23     

                                                                 
matter, promotional literature, testimonial, guarantee, warranty,  1,035        

label, brand, insignia, or any other representation;               1,036        

      (G)(7)  Falsely representing the use or availability of      1,038        

services or advice of a physician;                                 1,039        

      (H)(8)  Misrepresenting the applicant, licensee, or holder   1,041        

by using the word "doctor" or any similar word, abbreviation, or   1,042        

symbol if the use is not accurate or if the degree was not         1,043        

obtained from an accredited institution;                           1,044        

      (I)(9)  Committing any act of dishonorable, immoral, or      1,046        

unprofessional conduct while engaging in the practice of           1,047        

speech-language pathology or audiology;                            1,048        

      (J)(10)  Engaging in illegal, incompetent, or habitually     1,050        

negligent practice;                                                1,051        

      (K)(11)  Providing professional services while:              1,053        

      (1)(a)  Mentally incompetent;                                1,055        

      (2)(b)  Under the influence of alcohol;                      1,057        

      (3)(c)  Using any narcotic or controlled substance or other  1,059        

drug that is in excess of therapeutic amounts or without valid     1,060        

medical indication.                                                1,061        

      (L)(12)  Providing services or promoting the sale of         1,063        

devices, appliances, or products to a person who cannot            1,064        

reasonably be expected to benefit from such services, devices,     1,065        

appliances, or products in accordance with results obtained        1,066        

utilizing appropriate assessment procedures and instruments;       1,067        

      (M)(13)  Violating this chapter or any lawful order given    1,069        

or rule adopted by the board;                                      1,070        

      (N)(14)  Being convicted of or pleading guilty or nolo       1,072        

contendere to a felony or to a crime involving moral turpitude,    1,073        

whether or not any appeal or other proceeding is pending to have   1,074        

the conviction or plea set aside;                                  1,075        

      (O)(15)  Being disciplined by a licensing or disciplinary    1,077        

authority of this or any other state or country or convicted or    1,078        

disciplined by a court of this or any other state or country for   1,079        

an act that would be grounds for disciplinary action under this    1,080        

                                                          24     

                                                                 
section.                                                           1,081        

      (B)  After revocation of a license under this section,       1,083        

application may be made to the board for reinstatement.  The       1,084        

board, in accordance with an order of revocation as issued under   1,085        

Chapter 119. of the Revised Code, may require an examination for   1,086        

such reinstatement.                                                1,087        

      (C)  If any person has engaged in any practice which         1,089        

constitutes an offense under the provisions of this chapter or     1,090        

rules promulgated thereunder by the board, the board may apply to  1,091        

the court of common pleas of the county for an injunction or       1,092        

other appropriate order restraining such conduct, and the court    1,093        

may issue such order.                                              1,094        

      (D)  Any person who wishes to make a complaint against any   1,096        

person licensed pursuant to this chapter shall submit the          1,097        

complaint in writing to the board within one year from the date    1,098        

of the action or event upon which the complaint is based.  The     1,099        

board shall determine whether the allegations in the complaint     1,100        

are of a sufficiently serious nature to warrant formal             1,101        

disciplinary charges against the licensee pursuant to this         1,102        

section.  If the board determines that formal disciplinary         1,103        

charges are warranted, it shall proceed in accordance with the     1,104        

procedures established in Chapter 119. of the Revised Code.        1,105        

      Sec. 4753.12.  Nothing in this chapter shall be construed    1,114        

to:                                                                             

      (A)  Prohibit a person other than an individual from         1,116        

engaging in the business of speech-language pathology or           1,117        

audiology without licensure if it employs a licensed individual    1,118        

in the direct practice of speech-language pathology and            1,119        

audiology.  Such entity shall file a statement with the board, on  1,120        

a form approved by the board for this purpose, swearing that it    1,121        

submits itself to the rules of the board and the provisions of     1,122        

this chapter which the board determines applicable.                1,123        

      (B)  Prevent or restrict the practice of speech and hearing  1,125        

therapy or the use of the official title of such practice by a     1,126        

                                                          25     

                                                                 
person who holds a valid and current license as a speech and       1,128        

hearing therapist issued by the state board of education, to       1,129        

prevent or restrict the establishment of standards and courses of  1,130        

study pursuant to Chapter 3319. of the Revised Code, to prevent    1,131        

or restrict the licensure of teachers pursuant to Chapter 3319.    1,132        

of the Revised Code, or prevent any person assigned by or under    1,133        

the control of the superintendent of or board of a city, local,    1,134        

or exempted village school district or of an educational service                

center from identification screening of speech or hearing          1,136        

impairments of pupils enrolled in the district or educational      1,137        

service center, provided such persons are performing activities    1,138        

within the scope of their employment and do not offer to render    1,139        

speech-language pathology or audiology services to the general     1,140        

public outside of the institutions or organizations in which they  1,141        

are employed.                                                      1,142        

      (C)  Prevent or restrict the practice of a person employed   1,144        

as a speech-language pathologist or, SPEECH-LANGUAGE PATHOLOGY     1,146        

ASSISTANT, SPEECH-LANGUAGE PATHOLOGY AIDE, audiologist, OR         1,147        

AUDIOLOGY AIDE by any agency of the state or the federal           1,148        

government, INCLUDING AN EDUCATOR HOLDING A TEMPORARY LICENSE      1,149        

ISSUED BY THE STATE BOARD OF EDUCATION UNDER SECTION 3319.223 OF   1,150        

THE REVISED CODE.                                                               

      (D)  Restrict the activities and services of a student or    1,152        

intern in speech-language pathology or audiology from pursuing a   1,153        

course of study leading to a degree in these areas                 1,154        

SPEECH-LANGUAGE PATHOLOGY, SPEECH-LANGUAGE PATHOLOGY ASSISTING,    1,155        

OR AUDIOLOGY at a college or university accredited by a            1,156        

recognized regional or national accrediting body or in one of its  1,157        

cooperating clinical training facilities, if these activities and  1,158        

services are supervised by EITHER a person SPEECH-LANGUAGE         1,159        

PATHOLOGIST OR AUDIOLOGIST, AS APPROPRIATE TO THE AREA BEING       1,160        

STUDIED, WHO IS licensed in the area of study or certified by the  1,161        

American speech-language-hearing association in the area of study  1,162        

and if the student is designated by a title such as                1,163        

                                                          26     

                                                                 
"speech-language pathology intern," "SPEECH-LANGUAGE PATHOLOGY     1,164        

ASSISTANT IN TRAINING," "audiology intern," "trainee," or other    1,165        

such title clearly indicating the training status.                 1,166        

      (E)  Prevent a person from performing speech-language        1,168        

pathology or audiology services when performing these services in  1,169        

pursuit of the required supervised professional experience as      1,170        

prescribed in section 4753.06 OR 4753.062 of the Revised Code and  1,172        

that person has been issued a conditional license pursuant to      1,173        

section 4753.071 4753.061 OR 4753.062 of the Revised Code.         1,175        

      (F)  Restrict a speech-language pathologist,                 1,177        

SPEECH-LANGUAGE PATHOLOGY ASSISTANT, or audiologist who holds the  1,179        

certification of the American speech-language-hearing              1,180        

association, or who is licensed as a speech-language pathologist,  1,181        

SPEECH-LANGUAGE PATHOLOGY ASSISTANT, or audiologist in another     1,182        

state and who has made application to the board for a license in   1,183        

this state, from practicing AS A speech-language pathology or      1,184        

audiology PATHOLOGIST, SPEECH-LANGUAGE PATHOLOGY ASSISTANT, OR     1,185        

AUDIOLOGIST without a valid license pending the disposition of     1,187        

the application.                                                                

      (G)  Restrict a person not a resident of this state from     1,189        

offering speech-language pathology or audiology services in this   1,190        

state AS A SPEECH-LANGUAGE PATHOLOGIST, SPEECH-LANGUAGE PATHOLOGY  1,191        

ASSISTANT, OR AUDIOLOGIST if such services are performed for not   1,192        

more than one period of thirty consecutive calendar days in any    1,194        

year, if the person is licensed in the state of the person's       1,195        

residence or certified by the American speech-language-hearing     1,196        

association and files a statement as prescribed by the board in    1,197        

advance of providing these services.  Such person shall be         1,198        

subject to the rules of the board and the provisions of this       1,199        

chapter.                                                                        

      (H)  Restrict a person licensed under Chapter 4747. of the   1,201        

Revised Code from engaging in the duties as defined in that        1,202        

chapter related to measuring, testing, and counseling for the      1,203        

purpose of identifying or modifying hearing conditions in          1,204        

                                                          27     

                                                                 
connection with the fitting, dispensing, or servicing of a         1,205        

hearing aid, or affect the authority of hearing aid dealers to     1,206        

deal in hearing aids or advertise the practice of dealing in       1,207        

hearing aids in accordance with Chapter 4747. of the Revised       1,208        

Code.                                                              1,209        

      (I)  Restrict a physician from engaging in the practice of   1,211        

medicine and surgery or osteopathic medicine and surgery or        1,212        

prevent any individual from carrying out any properly delegated    1,213        

responsibilities within the normal practice of medicine and        1,214        

surgery or osteopathic medicine and surgery.                       1,215        

      (J)  Restrict a person registered or licensed under Chapter  1,217        

4723. of the Revised Code from performing those acts and           1,218        

utilizing those procedures that are within the scope of the        1,219        

practice of professional or practical nursing as defined in        1,220        

Chapter 4723. of the Revised Code and the ethics of the nursing    1,221        

profession, provided such a person does not hold self out CLAIM    1,223        

to the public as TO BE a speech-language pathologist,              1,224        

SPEECH-LANGUAGE PATHOLOGY ASSISTANT, or audiologist.               1,225        

      (K)  Restrict an individual licensed as an audiologist       1,227        

under this chapter from fitting, selling, or dispensing hearing    1,228        

aids.                                                              1,229        

      (L)  Authorize the practice of medicine and surgery or       1,231        

entitle a person licensed pursuant to this chapter to engage in    1,232        

the practice of medicine or surgery or any of its branches.        1,233        

      (M)  Restrict a person licensed pursuant to Chapter 4755.    1,235        

of the Revised Code from performing those acts and utilizing       1,236        

those procedures that are within the scope of the practice of      1,237        

occupational therapy or occupational therapy assistant as defined  1,238        

in Chapter 4755. of the Revised Code, provided the person does     1,239        

not hold oneself out CLAIM to the public as TO BE a                1,241        

speech-language pathologist, SPEECH-LANGUAGE PATHOLOGY ASSISTANT,  1,242        

or audiologist.                                                    1,243        

      THIS IS AN INTERIM SECTION EFFECTIVE UNTIL JANUARY 1, 2002.  1,245        

      Sec. 4769.01.  As used in this chapter:                      1,254        

                                                          28     

                                                                 
      (A)  "Medicare" means the program established by Title       1,256        

XVIII of the "Social Security Act," 49 Stat. 620 (1935), 42        1,257        

U.S.C.A. 301, as amended.                                          1,258        

      (B)  "Balance billing" means charging or collecting from a   1,260        

medicare beneficiary an amount in excess of the medicare           1,261        

reimbursement rate for medicare-covered services or supplies       1,262        

provided to a medicare beneficiary, except when medicare is the    1,263        

secondary insurer.  When medicare is the secondary insurer, the    1,264        

health care practitioner may pursue full reimbursement under the   1,265        

terms and conditions of the primary coverage and, if applicable,   1,266        

the charge allowed under the terms and conditions of the           1,267        

appropriate provider contract, from the primary insurer, but the   1,268        

medicare beneficiary cannot be balance billed above the medicare   1,269        

reimbursement rate for a medicare-covered service or supply.       1,270        

"Balance billing" does not include charging or collecting          1,271        

deductibles or coinsurance required by the program.                             

      (C)  "Health care practitioner" means all of the following:  1,273        

      (1)  A dentist or dental hygienist licensed under Chapter    1,275        

4715. of the Revised Code;                                         1,276        

      (2)  A registered or licensed practical nurse licensed       1,278        

under Chapter 4723. of the Revised Code;                           1,279        

      (3)  An optometrist licensed under Chapter 4725. of the      1,281        

Revised Code;                                                      1,282        

      (4)  A dispensing optician, spectacle dispensing optician,   1,284        

contact lens dispensing optician, or spectacle-contact lens        1,285        

dispensing optician licensed under Chapter 4725. of the Revised    1,286        

Code;                                                              1,287        

      (5)  A pharmacist licensed under Chapter 4729. of the        1,289        

Revised Code;                                                      1,290        

      (6)  A physician authorized under Chapter 4731. of the       1,293        

Revised Code to practice medicine and surgery, osteopathic         1,294        

medicine and surgery, or podiatry;                                              

      (7)  A physician assistant authorized under Chapter 4730.    1,297        

of the Revised Code to practice as a physician assistant;          1,298        

                                                          29     

                                                                 
      (8)  A practitioner of a limited branch of medicine issued   1,300        

a certificate under Chapter 4731. of the Revised Code;             1,301        

      (9)  A psychologist licensed under Chapter 4732. of the      1,303        

Revised Code;                                                      1,304        

      (10)  A chiropractor licensed under Chapter 4734. of the     1,306        

Revised Code;                                                      1,307        

      (11)  A hearing aid dealer or fitter licensed under Chapter  1,309        

4747. of the Revised Code;                                         1,310        

      (12)  A speech-language pathologist, SPEECH-LANGUAGE         1,312        

PATHOLOGY ASSISTANT, or audiologist licensed under Chapter 4753.   1,314        

of the Revised Code;                                                            

      (13)  An occupational therapist or occupational therapy      1,316        

assistant licensed under Chapter 4755. of the Revised Code;        1,317        

      (14)  A physical therapist or physical therapy assistant     1,319        

licensed under Chapter 4755. of the Revised Code;                  1,320        

      (15)  A professional clinical counselor, professional        1,322        

counselor, social worker, or independent social worker licensed,   1,324        

or a social work assistant registered, under Chapter 4757. of the  1,325        

Revised Code;                                                      1,326        

      (16)  A dietitian licensed under Chapter 4759. of the        1,328        

Revised Code;                                                      1,329        

      (17)  A respiratory care professional licensed under         1,331        

Chapter 4761. of the Revised Code;                                 1,332        

      (18)  An emergency medical technician-basic, emergency       1,334        

medical technician-intermediate, or emergency medical              1,335        

technician-paramedic certified under Chapter 4765. of the Revised  1,336        

Code.                                                              1,337        

      Section 2.  That existing sections 3709.161, 3721.21,        1,339        

4753.01, 4753.02, 4753.03, 4753.04, 4753.05, 4753.06, 4753.07,     1,340        

4753.071, 4753.072, 4753.08, 4753.09, 4753.10, 4753.12, and        1,342        

4769.01 of the Revised Code are hereby repealed.                   1,343        

      Section 3.  Section 3319.223 of the Revised Code is hereby   1,345        

repealed, effective January 1, 2002.                               1,346        

      Section 4.  That sections 4753.05, 4753.08, and 4753.12 of   1,348        

                                                          30     

                                                                 
the Revised Code, as amended by Am. Sub. S.B. 230 of the 121st     1,349        

General Assembly, be amended to read as follows:                   1,350        

      Sec. 4753.05.  (A)  The board of speech-language pathology   1,359        

and audiology may make reasonable rules necessary for the          1,360        

administration of this chapter.  The board shall adopt rules to    1,361        

ensure ethical standards of practice by speech-language            1,363        

pathologists and audiologists licensed pursuant to this chapter.   1,364        

All rules adopted under this chapter shall be adopted in           1,365        

accordance with Chapter 119. of the Revised Code.                  1,366        

      (B)  The board shall determine ESTABLISH the nature and      1,368        

scope of examinations to be administered to applicants for         1,369        

licensure pursuant to this chapter in the practices of AS          1,370        

speech-language pathology PATHOLOGISTS and audiology, and shall    1,371        

evaluate the qualifications of all applicants AUDIOLOGISTS.        1,373        

Written examinations may be supplemented by such practical and     1,375        

oral examinations as the board shall determine by rule.  The       1,376        

board shall determine by rule the minimum examination score for    1,377        

licensure.  Licensure shall be granted independently in                         

speech-language pathology and audiology.  The board shall          1,378        

maintain a current public record of all persons licensed, to be    1,379        

made available upon request.                                       1,380        

      (C)  The board shall publish and make available, upon        1,382        

request, the licensure standards prescribed by this chapter and    1,383        

rules adopted pursuant thereto FOR SPEECH-LANGUAGE PATHOLOGISTS,   1,384        

SPEECH-LANGUAGE PATHOLOGY ASSISTANTS, SPEECH-LANGUAGE PATHOLOGY    1,385        

AIDES, AUDIOLOGISTS, AND AUDIOLOGY AIDES.  THE BOARD SHALL         1,386        

MAINTAIN A CURRENT PUBLIC RECORD OF ALL PERSONS LICENSED, TO BE    1,387        

MADE AVAILABLE ON REQUEST.                                                      

      (D)  The board shall submit to the governor each year a      1,389        

report of all its official actions during the preceding year       1,390        

together with any recommendations and findings with regard to the  1,391        

improvement of the professions of audiology and speech-language    1,392        

pathology.                                                         1,393        

      (E)  The board shall investigate all alleged irregularities  1,395        

                                                          31     

                                                                 
in the practices of speech-language pathology and audiology by     1,396        

persons licensed pursuant to this chapter and any violations of    1,397        

this chapter or rules adopted by the board.  The board shall not   1,398        

investigate the practice of any person specifically exempted from  1,399        

licensure under this chapter by section 4753.12 of the Revised     1,400        

Code, as long as the person is practicing within the scope of the  1,402        

person's license or is carrying out responsibilities as described               

in division (G) or (H) of section 4753.12 of the Revised Code and  1,404        

does not claim to be a speech-language pathologist or              1,405        

audiologist.                                                                    

      In conducting investigations under this division, the board  1,407        

may administer oaths, order the taking of depositions, issue       1,408        

subpoenas, and compel the attendance of witnesses and the          1,409        

production of books, accounts, papers, records, documents, and     1,411        

testimony.  In any case of disobedience or neglect of any                       

subpoena served on any person or the refusal of any witness to     1,412        

testify to any matter regarding which the witness may lawfully be  1,413        

interrogated, the court of common pleas of any county where such   1,415        

disobedience, neglect, or refusal occurs or any judge thereof, on  1,416        

application by the board, shall compel obedience by attachment     1,417        

proceedings for contempt, as in the case of disobedience of the                 

requirements of a subpoena issued from such court, or a refusal    1,418        

to testify therein.                                                1,419        

      (F)  The board shall conduct such hearings and keep such     1,421        

records and minutes as are necessary to carry out this chapter.    1,422        

      (G)  The board shall adopt a seal by which it shall          1,424        

authenticate its proceedings.  Copies of the proceedings,          1,425        

records, and acts signed by the chairperson or executive director  1,427        

and authenticated by such seal shall be prima-facie evidence       1,428        

thereof in all courts of this state.                               1,429        

      Sec. 4753.08.  The board of speech-language pathology and    1,438        

audiology shall waive the examination, educational, and            1,440        

professional experience requirements TO BE LICENSED AS A                        

SPEECH-LANGUAGE PATHOLOGIST OR AUDIOLOGIST for any applicant who:  1,441        

                                                          32     

                                                                 
      (A)  On September 26, 1975, has at least a bachelor's        1,443        

degree with a major in speech-language pathology or audiology      1,444        

from an accredited college or university, or who has been          1,445        

employed as a speech-language pathologist or audiologist for at    1,446        

least nine months at any time within the three years prior to      1,447        

September 26, 1975, if an application providing bona fide proof    1,448        

of such degree or employment is filed with the board within one    1,449        

year after September 26, 1975, and is accompanied by the           1,450        

application fee as prescribed in division (A) of section 4753.11   1,451        

of the Revised Code;                                               1,452        

      (B)  Presents proof of current certification or licensure    1,454        

in good standing in the area in which licensure is sought in a     1,455        

state which has standards at least equal to those for licensure    1,456        

in this state;                                                     1,457        

      (C)  Presents proof of a current certificate of clinical     1,459        

competence in speech-language pathology or audiology that is in    1,460        

good standing and received from the American                       1,461        

speech-language-hearing association in the area in which           1,462        

licensure is sought.                                               1,463        

      Sec. 4753.12.  Nothing in this chapter shall be construed    1,472        

to:                                                                1,473        

      (A)  Prohibit a person other than an individual from         1,475        

engaging in the business of speech-language pathology or           1,476        

audiology without licensure if it employs a licensed individual    1,477        

in the direct practice of speech-language pathology and            1,478        

audiology.  Such entity shall file a statement with the board, on  1,479        

a form approved by the board for this purpose, swearing that it    1,480        

submits itself to the rules of the board and the provisions of     1,481        

this chapter which the board determines applicable.                1,482        

      (B)  Prevent or restrict the practice of a person employed   1,484        

as a speech-language pathologist or, SPEECH-LANGUAGE PATHOLOGY     1,486        

ASSISTANT, SPEECH-LANGUAGE PATHOLOGY AIDE, audiologist, OR         1,487        

AUDIOLOGY AIDE by any agency of the federal government.            1,488        

      (C)  Restrict the activities and services of a student or    1,490        

                                                          33     

                                                                 
intern in speech-language pathology or audiology from pursuing a   1,491        

course of study leading to a degree in these areas                 1,492        

SPEECH-LANGUAGE PATHOLOGY, SPEECH-LANGUAGE PATHOLOGY ASSISTING,    1,493        

OR AUDIOLOGY at a college or university accredited by a            1,494        

recognized regional or national accrediting body or in one of its  1,495        

cooperating clinical training facilities, if these activities and  1,496        

services are supervised by EITHER a person SPEECH-LANGUAGE         1,497        

PATHOLOGIST OR AUDIOLOGIST, AS APPROPRIATE TO THE AREA BEING       1,498        

STUDIED, WHO IS licensed in the area of study or certified by the  1,499        

American speech-language-hearing association in the area of study  1,500        

and if the student is designated by a title such as                1,501        

"speech-language pathology intern," "SPEECH-LANGUAGE PATHOLOGY     1,502        

ASSISTANT IN TRAINING," "audiology intern," "trainee," or other    1,503        

such title clearly indicating the training status.                 1,504        

      (D)  Prevent a person from performing speech-language        1,506        

pathology or audiology services when performing these services in  1,507        

pursuit of the required supervised professional experience as      1,508        

prescribed in section 4753.06 OR 4753.062 of the Revised Code and  1,510        

that person has been issued a conditional license pursuant to      1,511        

section 4753.071 4753.061 OR 4753.062 of the Revised Code.         1,513        

      (E)  Restrict a speech-language pathologist,                 1,515        

SPEECH-LANGUAGE PATHOLOGY ASSISTANT, or audiologist who holds the  1,517        

certification of the American speech-language-hearing              1,518        

association, or who is licensed as a speech-language pathologist,  1,519        

SPEECH-LANGUAGE PATHOLOGY ASSISTANT, or audiologist in another     1,520        

state and who has made application to the board for a license in   1,521        

this state, from practicing AS A speech-language pathology or      1,522        

audiology PATHOLOGIST, SPEECH-LANGUAGE PATHOLOGY ASSISTANT, OR     1,523        

AUDIOLOGIST without a valid license pending the disposition of     1,525        

the application.                                                                

      (F)  Restrict a person not a resident of this state from     1,527        

offering speech-language pathology or audiology services in this   1,528        

state AS A SPEECH-LANGUAGE PATHOLOGIST, SPEECH-LANGUAGE PATHOLOGY  1,529        

ASSISTANT, OR AUDIOLOGIST if such services are performed for not   1,530        

                                                          34     

                                                                 
more than one period of thirty consecutive calendar days in any    1,532        

year, if the person is licensed in the state of the person's       1,533        

residence or certified by the American speech-language-hearing     1,534        

association and files a statement as prescribed by the board in    1,535        

advance of providing these services.  Such person shall be         1,536        

subject to the rules of the board and the provisions of this       1,537        

chapter.                                                                        

      (G)  Restrict a person licensed under Chapter 4747. of the   1,539        

Revised Code from engaging in the duties as defined in that        1,540        

chapter related to measuring, testing, and counseling for the      1,541        

purpose of identifying or modifying hearing conditions in          1,542        

connection with the fitting, dispensing, or servicing of a         1,543        

hearing aid, or affect the authority of hearing aid dealers to     1,544        

deal in hearing aids or advertise the practice of dealing in       1,545        

hearing aids in accordance with Chapter 4747. of the Revised       1,546        

Code.                                                              1,547        

      (H)  Restrict a physician from engaging in the practice of   1,549        

medicine and surgery or osteopathic medicine and surgery or        1,550        

prevent any individual from carrying out any properly delegated    1,551        

responsibilities within the normal practice of medicine and        1,552        

surgery or osteopathic medicine and surgery.                       1,553        

      (I)  Restrict a person registered or licensed under Chapter  1,555        

4723. of the Revised Code from performing those acts and           1,556        

utilizing those procedures that are within the scope of the        1,557        

practice of professional or practical nursing as defined in        1,558        

Chapter 4723. of the Revised Code and the ethics of the nursing    1,559        

profession, provided such a person does not claim to the public    1,561        

to be a speech-language pathologist, SPEECH-LANGUAGE PATHOLOGY     1,562        

ASSISTANT, or audiologist.                                         1,563        

      (J)  Restrict an individual licensed as an audiologist       1,565        

under this chapter from fitting, selling, or dispensing hearing    1,566        

aids.                                                              1,567        

      (K)  Authorize the practice of medicine and surgery or       1,569        

entitle a person licensed pursuant to this chapter to engage in    1,570        

                                                          35     

                                                                 
the practice of medicine or surgery or any of its branches.        1,571        

      (L)  Restrict a person licensed pursuant to Chapter 4755.    1,573        

of the Revised Code from performing those acts and utilizing       1,574        

those procedures that are within the scope of the practice of      1,575        

occupational therapy or occupational therapy assistant as defined  1,576        

in Chapter 4755. of the Revised Code, provided the person does     1,577        

not claim to the public to be a speech-language pathologist,       1,578        

SPEECH-LANGUAGE PATHOLOGY ASSISTANT, or audiologist.               1,579        

      Section 5.  That all existing versions of sections 4753.05,  1,581        

4753.08, and 4753.12 of the Revised Code are hereby repealed.      1,582        

      Section 6.  Sections 4 and 5 of this act shall take effect   1,584        

on January 1, 2002.                                                1,585        

      Section 7.  The Legislative Office of Education Oversight    1,587        

shall conduct a study of the shortage of speech-language           1,588        

pathologists available to treat students in schools.  The          1,589        

contents of the study and the methodology to be used in            1,590        

conducting the study shall be determined by the Office.  Not                    

later than December 31, 1998, the Office shall submit to the       1,591        

Governor, Speaker of the House of Representatives, and President   1,592        

of the Senate a report of its findings and recommendations.        1,593        

      Section 8.  This act is hereby declared to be an emergency   1,595        

measure necessary for the immediate preservation of the public     1,596        

peace, health, and safety.  The reason for such necessity is that  1,597        

the current supply of licensed speech-language pathologists is     1,598        

inadequate to meet the needs of the state's school children.       1,599        

Therefore, this act shall go into immediate effect.