73R10117 JMM-D
          By Cain, Berlanga, et al.                             H.B. No. 1478
          Substitute the following for H.B. No. 1478:
          By Berlanga                                       C.S.H.B. No. 1478
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to the regulation of speech-language pathology and
    1-3  audiology and the continuation of the State Committee of Examiners
    1-4  for Speech Pathology and Audiology.
    1-5        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-6        SECTION 1.  Section 2, Chapter 381, Acts of the 68th
    1-7  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
    1-8  Civil Statutes), is amended to read as follows:
    1-9        Sec. 2.  DEFINITIONS.  In this Act:
   1-10              (1)  "Board" means the State <Texas> Board of Examiners
   1-11  for Speech-Language Pathology and Audiology <Health>.
   1-12              (2)  <"Committee" means the State Committee of
   1-13  Examiners for Speech-Language Pathology and Audiology.>
   1-14              <(3)>  "Department" means the Texas Department of
   1-15  Health.
   1-16              (3) <(4)>  "Person" means an individual, corporation,
   1-17  partnership, or other legal entity.
   1-18              (4) <(5)>  "Speech-language pathologist" means an
   1-19  individual who practices speech-language pathology, who makes a
   1-20  nonmedical evaluation, who examines, counsels, or provides
   1-21  habilitative or rehabilitative services for persons who have or are
   1-22  suspected of having speech, voice, or language disorders, and who
   1-23  meets the qualifications of <set forth in> this Act.
   1-24              (5) <(6)>  "The practice of speech-language pathology"
    2-1  means the application of nonmedical principles, methods, and
    2-2  procedures for the measurement, testing, evaluation, prediction,
    2-3  counseling, habilitation, rehabilitation, or instruction related to
    2-4  the development and disorders of communication, including speech,
    2-5  voice, <or> language, oral pharyngeal function, or cognitive
    2-6  processes, for the purpose of rendering or offering to render an
    2-7  evaluation, prevention, or modification of these disorders and
    2-8  conditions in individuals or groups of individuals.
    2-9  Speech-language pathologists may perform <the> basic audiometric
   2-10  screening tests and aural rehabilitation or habilitation <hearing
   2-11  therapy procedures consistent with their training>.
   2-12              (6) <(7)>  "Audiologist" means a person who practices
   2-13  audiology, who makes a nonmedical evaluation, who examines,
   2-14  counsels, or provides habilitative or rehabilitative services for
   2-15  persons who have or are suspected of having a hearing or vestibular
   2-16  disorder, and who meets the qualifications of <set forth in> this
   2-17  Act.
   2-18              (7) <(8)>  "The practice of audiology" means the
   2-19  application of nonmedical principles, methods, and procedures for
   2-20  the measurement, testing, appraisal, prediction, consultation,
   2-21  counseling, habilitation, rehabilitation, or instruction related to
   2-22  <hearing and> disorders of the auditory or vestibular systems
   2-23  <hearing and> for the purpose of rendering or offering to render
   2-24  services modifying communicative disorders involving speech,
   2-25  language, auditory or vestibular function, or other aberrant
   2-26  behavior relating to hearing loss.  An audiologist may engage in
   2-27  any tasks, procedures, acts, or practices that are necessary (A)
    3-1  for the evaluation of hearing; (B) for training in the use of
    3-2  amplification including hearing aids; <or> (C) for the making of
    3-3  earmolds for hearing aids; (D) for the fitting, dispensing, and
    3-4  sale of hearing aids; or (E) for the management of cerumen.  An
    3-5  audiologist may participate in consultation regarding noise control
    3-6  and hearing conservation, may provide evaluations of environment or
    3-7  equipment including calibration of equipment used in testing
    3-8  auditory functioning and hearing conservation, and may perform the
    3-9  basic speech and language screening tests and procedures consistent
   3-10  with his or her training.
   3-11              (8)  "Licensed assistant in speech-language
   3-12  <(9)  "Speech-language> pathology <aide>" means a person who meets
   3-13  minimum qualifications which the board <committee> may establish
   3-14  for licensed assistants <speech-language pathology aides> and who
   3-15  works under the direction of a licensed speech-language
   3-16  pathologist.  The qualifications for licensure as a licensed
   3-17  assistant in speech-language pathology <aide> shall be uniform and
   3-18  shall be less than those established by this Act as necessary for
   3-19  licensure as a speech-language pathologist.
   3-20              (9)  "Licensed assistant in audiology"
   3-21  <(10)  "Audiology aide"> means a person who meets minimum
   3-22  qualifications which the board <committee> may establish for
   3-23  licensed assistants <audiology aides> and who works under the
   3-24  direction of a licensed audiologist.  The qualifications for
   3-25  licensure as a licensed assistant in <an> audiology <aide> shall be
   3-26  uniform and shall be less than those established by this Act as
   3-27  necessary for licensure as an audiologist.
    4-1        SECTION 2.  Section 3, Chapter 381, Acts of the 68th
    4-2  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
    4-3  Civil Statutes), is amended to read as follows:
    4-4        Sec. 3.  BOARD <Committee>; Membership.  (a)  The State Board
    4-5  <Committee> of Examiners for Speech Pathology and Audiology is
    4-6  created within the Texas Department of Health.  The board
    4-7  <committee> consists of nine members appointed by the governor <to
    4-8  take office on the effective date of this Act>.  Members of the
    4-9  board <committee> must have been residents of the State of Texas
   4-10  for two years immediately preceding appointment and must be
   4-11  representative of varying geographic regions of the state and from
   4-12  varying employment settings.  Six members must have been engaged in
   4-13  rendering services, teaching, or research in speech-language
   4-14  pathology or audiology for at least five years and must meet the
   4-15  qualifications for full licensure under this Act.  Of these six
   4-16  members, three members shall be audiologists, three members shall
   4-17  be speech-language pathologists.  All <Except for the initial
   4-18  appointees, all> six shall hold valid licenses under this Act.
   4-19  Three members shall be selected from the general public.  One of
   4-20  the three public members of the board <committee> must be a
   4-21  physician licensed to practice in the State of Texas and board
   4-22  certified in otolaryngology or pediatrics.  The two remaining
   4-23  public members may not:
   4-24              (1)  be licensed by an occupational regulatory agency
   4-25  in the field of health care;
   4-26              (2)  be employed by and participating in the management
   4-27  of an agency or business entity that provides health-care services
    5-1  or that sells, manufactures, or distributes health-care supplies or
    5-2  equipment;
    5-3              (3)  own, control, or have a direct or indirect
    5-4  interest in more than 10 percent of a business entity that provides
    5-5  health-care services or that sells, manufactures, or distributes
    5-6  health-care supplies or equipment; or
    5-7              (4)  be an officer, employee, or paid consultant of a
    5-8  trade association in the field of health care.  A member of the
    5-9  board <committee> may not be related within the second degree of
   5-10  affinity or consanguinity, as determined under Article 5996h,
   5-11  Revised Statutes, to a person who is an officer, employee, or a
   5-12  paid consultant of a trade association in the health-care field.
   5-13        (b)  An appointment to the board <committee> shall be made
   5-14  without regard to the race, creed, sex, religion, or national
   5-15  origin of the appointee.
   5-16        (c)  A person who is required to register as a lobbyist under
   5-17  Chapter 305, Government Code, in a health-related area may not
   5-18  serve as a member of the board or act as the general counsel to the
   5-19  board.
   5-20        (d)  Each board member shall comply with the board member
   5-21  training requirements established by any other state agency that is
   5-22  given authority to establish the requirements of the board.
   5-23        SECTION 3.  Section 4, Chapter 381, Acts of the 68th
   5-24  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
   5-25  Civil Statutes), is amended to read as follows:
   5-26        Sec. 4.  Terms; Officers; Quorum; Expenses.  (a)  Members
   5-27  <The term of initial appointees to the board shall be determined by
    6-1  lot as follows:  three members are appointed for terms which expire
    6-2  August 31, 1985; three members are appointed for terms which expire
    6-3  August 31, 1987; and three members are appointed for terms which
    6-4  expire August 31, 1989.  After the initial appointments, members>
    6-5  are appointed for staggered terms of six years, with three terms
    6-6  beginning September 1 of each odd-numbered year.  Members of the
    6-7  board <committee> shall serve until the expiration of the term to
    6-8  which they have been appointed or until their successors have
    6-9  qualified.  A person may not be appointed to serve more than two
   6-10  consecutive terms.
   6-11        (b)  The board <committee> shall be organized annually and
   6-12  select a chairperson, vice-chairperson, and a secretary-treasurer.
   6-13  The <initial chairperson shall be a person who meets the
   6-14  qualifications for licensing under this Act.  After September 1,
   6-15  1984, the> chairperson shall hold a valid license under this Act.
   6-16        (c)  Five members of the board <committee> constitute a
   6-17  quorum to do business.
   6-18        (d)  The board <committee> shall hold at least two regular
   6-19  meetings each year <at which time an examination as defined in
   6-20  Section 12 of this Act shall be offered>.  Additional meetings may
   6-21  be held on the call of the chairperson or at the written request of
   6-22  any three members of the board <committee>.  The board is subject
   6-23  to the open meetings law, Chapter 271, Acts of the 60th
   6-24  Legislature, Regular Session, 1967 (Article 6252-17, Vernon's Texas
   6-25  Civil Statutes), and its subsequent amendments.  <At least 14 days'
   6-26  advance notice of the committee meeting is required.>
   6-27        (e)  Board <Committee> members receive no compensation for
    7-1  their services; however, each member of the board <committee> is
    7-2  entitled to a per diem and travel allowance at the rate set by the
    7-3  legislature for state employees in the General Appropriations Act
    7-4  for each day that the member engages in the business of the board
    7-5  <committee>.
    7-6        SECTION 4.  Section 5, Chapter 381, Acts of the 68th
    7-7  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
    7-8  Civil Statutes), is amended to read as follows:
    7-9        Sec. 5.  DUTIES AND POWERS OF THE BOARD <COMMITTEE>.  (a)
   7-10  The board <Subject to the approval of the board, the committee>
   7-11  shall adopt rules necessary to administer and enforce this Act,
   7-12  including rules that establish standards of ethical practice.
   7-13        (b)  With the assistance of the department, the board
   7-14  <committee> shall administer, coordinate, and enforce the
   7-15  provisions of this Act; evaluate the qualifications of applicants;
   7-16  provide for the examination of applicants; and issue subpoenas,
   7-17  examine witnesses, and administer oaths under the laws of the State
   7-18  of Texas.
   7-19        (c)  With the assistance of the department and in accordance
   7-20  with the Administrative Procedure and Texas Register Act, as
   7-21  amended (Article 6252-13a, Vernon's Texas Civil Statutes), the
   7-22  board <committee> shall conduct hearings and keep records and
   7-23  minutes necessary to the orderly administration of this Act.
   7-24        (d)  The board <committee> with the aid of the department
   7-25  shall investigate persons engaging in practices that violate the
   7-26  provisions of this Act.
   7-27        (e)  A person who holds a license to practice speech-language
    8-1  pathology or audiology in this state is governed and controlled by
    8-2  the rules adopted by the <committee and approved by the> board <of
    8-3  health>.
    8-4        (f)  The conferral or enumeration of specific powers
    8-5  elsewhere in this Act shall not be construed as a limitation of the
    8-6  general powers conferred by this section.
    8-7        (g)  The board <committee> shall be represented by the
    8-8  attorney general and the district and county attorneys of this
    8-9  state.
   8-10        (h)  The board <committee> may appoint subcommittees to work
   8-11  under its jurisdiction<, subject to the approval of the board>.
   8-12        (i)  The board shall develop and implement policies that
   8-13  clearly define the respective responsibilities of the board and the
   8-14  staff of the board.
   8-15        (j)  The board shall prepare and maintain a written plan that
   8-16  describes how a person who does not speak English can be provided
   8-17  reasonable access to the board's programs.  The board shall also
   8-18  comply with federal and state laws for program and facility
   8-19  accessibility.
   8-20        (k)  The board shall develop and implement policies that
   8-21  provide the public with a reasonable opportunity to appear before
   8-22  the board and to speak on any issue under the jurisdiction of the
   8-23  board.
   8-24        SECTION 5.  Section 6, Chapter 381, Acts of the 68th
   8-25  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
   8-26  Civil Statutes), is amended to read as follows:
   8-27        Sec. 6.  Employees of the BOARD <Committee>.  The Texas
    9-1  Department of Health shall provide such administrative and clerical
    9-2  employees as are necessary to carry out the provisions of this Act.
    9-3        SECTION 6.  Section 7, Chapter 381, Acts of the 68th
    9-4  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
    9-5  Civil Statutes), is amended to read as follows:
    9-6        Sec. 7.  Seal and Authentication of Records.  The board
    9-7  <committee> shall adopt a seal by which it shall authenticate its
    9-8  proceedings.  Copies of the proceedings, records, and acts of the
    9-9  board <committee> and certificates purporting to relate the facts
   9-10  concerning the proceedings, records, and acts, signed by the
   9-11  secretary-treasurer and authenticated by the seal, are prima facie
   9-12  evidence in all courts of this state.
   9-13        SECTION 7.  Sections 8(a) and (b), Chapter 381, Acts of the
   9-14  68th Legislature, Regular Session, 1983 (Article 4512j, Vernon's
   9-15  Texas Civil Statutes), are amended to read as follows:
   9-16        (a)  Licenses shall be granted either in speech-language
   9-17  pathology or audiology independently.  Persons may be licensed in
   9-18  both areas if they meet the qualifications.  The board by rule
   9-19  shall establish qualifications for dual licensure in
   9-20  speech-language pathology and audiology and may develop a full
   9-21  range of licensing options and establish rules for qualifications
   9-22  as necessary.
   9-23        (b)  A person may not practice or represent himself or
   9-24  herself as a speech-language pathologist or audiologist in this
   9-25  state <after August 31, 1984,> unless he or she is licensed in
   9-26  accordance with the provisions of this Act.
   9-27        SECTION 8.  Sections 9(b)-(p), Chapter 381, Acts of the 68th
   10-1  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
   10-2  Civil Statutes), are amended to read as follows:
   10-3        (b)  This Act does not prevent or restrict the activities and
   10-4  services and the use of an official title by persons holding a
   10-5  valid and current certification in speech-language pathology
   10-6  <speech and hearing therapy> from the Central Education Agency if
   10-7  those persons perform speech-language pathology or audiology
   10-8  services solely as a part of their duties within an agency,
   10-9  institution, or organization under the jurisdiction of the Central
  10-10  Education Agency.  Effective September 1, 1994, the Central
  10-11  Education Agency certificate in speech-language pathology shall
  10-12  require the applicant to hold a master's degree in communicative
  10-13  disorders or the equivalent from a university program accredited by
  10-14  the American Speech-Language-Hearing Association and to pass a
  10-15  national examination in speech-language pathology or audiology
  10-16  approved by the board.  If persons affected by this subsection
  10-17  perform work as a speech-language pathologist or audiologist apart
  10-18  from their positions within an agency, institution, or organization
  10-19  of the Central Education Agency, they must have a license issued by
  10-20  the board <committee>, except that a person affected by this
  10-21  subsection may perform speech and hearing screening procedures
  10-22  without compensation without having a license issued by the board
  10-23  <committee>.  In this subsection, "equivalent" means graduate level
  10-24  course work and practicum from a program accredited by the American
  10-25  Speech-Language-Hearing Association.  Course work and practicum
  10-26  requirements are the same as those established by the board for a
  10-27  license in speech-language pathology or audiology.  The clinical
   11-1  fellowship year experience or internship may not be a requirement
   11-2  for the Central Education Agency certificate in speech-language
   11-3  pathology.
   11-4        (c)  This Act does not restrict the activities and services
   11-5  of students <or interns> pursuing a course of study leading to a
   11-6  degree in speech-language pathology at a college or university
   11-7  accredited by the Southern Association of Colleges and Universities
   11-8  or its equivalent, provided that these activities and services
   11-9  constitute a part of their supervised course of study and <or
  11-10  internship year; that after September 1, 1984,> they are supervised
  11-11  by a person licensed under this Act,<;> and that they are
  11-12  designated by a title such as <"Speech-Language Pathology Intern"
  11-13  or> "Speech-Language Pathology Trainee" or other title clearly
  11-14  indicating their professional preparation <the training> status
  11-15  <appropriate to their level of training>.
  11-16        (d)  This Act does not restrict activities and services of
  11-17  students <or interns> in audiology pursuing a course of study
  11-18  leading to a degree in audiology at a college or university
  11-19  accredited by the Southern Association of Colleges and Universities
  11-20  or its equivalent, provided that these activities and services
  11-21  constitute a part of their supervised course of study, <or
  11-22  internship year; that after September 1, 1984,> they are supervised
  11-23  by a person licensed under this Act,<;> and that they are
  11-24  designated by a title such as <"Audiology Intern" or> "Audiology
  11-25  Trainee" or other title clearly indicating their professional
  11-26  preparation <the training> status <appropriate to their level of
  11-27  training>.  A student of audiology in an accredited college or
   12-1  university program is exempt from Chapter 366, Acts of the 61st
   12-2  Legislature, Regular Session, 1969 (Article 4566-1.01 et seq.,
   12-3  Vernon's Texas Civil Statutes), and its subsequent amendments, if
   12-4  the student's activities and services constitute a part of the
   12-5  student's supervised course of study or practicum experience.
   12-6        (e)  <This Act does not restrict the performance of
   12-7  speech-language pathology or audiology services in this state by a
   12-8  person not a resident of this state who is not licensed under this
   12-9  Act, if the services are performed for no more than five days in a
  12-10  calendar year and if the person meets the qualifications and
  12-11  requirements for application for licensure under this Act.>
  12-12        <(f)>  This Act does not restrict the use of an official
  12-13  title by an individual teaching in a university or college training
  12-14  program, provided that the person is not engaged in the practice of
  12-15  speech-language pathology or audiology and does not supervise
  12-16  persons engaged in the practice of speech-language pathology or
  12-17  audiology.
  12-18        (f) <(g)>  This Act does not permit a person to perform an
  12-19  act that would be in violation of the Medical Practice Act (Article
  12-20  4495b, Vernon's Texas Civil Statutes).  <This Act does not permit a
  12-21  person to provide medical or surgical diagnosis or treatment of
  12-22  laryngeal or ear disorders.>
  12-23        (g) <(h)>  Nothing in this Act shall be construed as
  12-24  restricting or preventing a physician or surgeon from engaging in
  12-25  the practice of medicine in this state.  This Act does not restrict
  12-26  speech or hearing testing or evaluation personally conducted by a
  12-27  licensed physician or surgeon.
   13-1        (h) <(i)  This Act does not apply to persons employed by the
   13-2  Texas Department of Health in its programs concerned with hearing
   13-3  or speech services as long as they are performing duties under the
   13-4  jurisdiction of the Texas Department of Health.>
   13-5        <(j)>  This Act does not apply to a person who shows evidence
   13-6  of having received training by the Texas Department of Health in
   13-7  one of the communication, speech, language, or hearing screening
   13-8  training programs approved by that agency, provided that all
   13-9  activities performed under this exception shall be limited to
  13-10  screening as defined by board rule <of hearing sensitivity>.  An
  13-11  individual who has received training by the department in one of
  13-12  the communication, speech, language, or hearing screening training
  13-13  programs approved by the department may not practice
  13-14  speech-language pathology or audiology or represent the individual
  13-15  as a speech-language pathologist or audiologist.
  13-16        (i) <(k)  This Act does not license a person to sell hearing
  13-17  aids as defined in Chapter 366, Acts of the 61st Legislature,
  13-18  Regular Session, 1969, as amended (Article 4566-1.01 et seq.,
  13-19  Vernon's Texas Civil Statutes).>
  13-20        <(l)>  This Act does not prevent or restrict a person
  13-21  licensed under Chapter 366, Acts of the 61st Legislature, Regular
  13-22  Session, 1969 (Article 4566-1.01 et seq., Vernon's Texas Civil
  13-23  Statutes), and its subsequent amendments, <by the Texas Board of
  13-24  Examiners in the Fitting and Dispensing of Hearing Aids> from
  13-25  engaging in the practice of fitting and dispensing hearing aids.
  13-26  This Act does not prohibit a fitter and dispenser of hearing aids
  13-27  licensed under Chapter 366, Acts of the 61st Legislature, Regular
   14-1  Session, 1969 (Article 4566-1.01 et seq., Vernon's Texas Civil
   14-2  Statutes), and its subsequent amendments, from measuring human
   14-3  hearing using an audiometer or by any means to make a selection,
   14-4  adaptation, or sale of a hearing aid, including making impressions
   14-5  for earmolds to be used as part of a hearing aid, and any
   14-6  post-fitting counseling to fit and dispense hearing aids.  A person
   14-7  who is not an audiologist who is licensed to fit and dispense
   14-8  hearing aids under Chapter 366, Acts of the 61st Legislature,
   14-9  Regular Session, 1969 (Article 4566-1.01 et seq., Vernon's Texas
  14-10  Civil Statutes), and its subsequent amendments, may not practice
  14-11  speech-language pathology or audiology or represent the person as a
  14-12  speech-language pathologist or audiologist or by any other term
  14-13  restricted by this Act.
  14-14        (j) <(m)>  This Act does not prevent persons in an industrial
  14-15  setting from engaging in hearing testing as a part of a hearing
  14-16  conservation program in compliance with regulations of the
  14-17  Occupational Safety and Health Administration, provided that such
  14-18  persons are certified by an agency acceptable to the Occupational
  14-19  Safety and Health Administration.
  14-20        (k) <(n)>  This Act does not prevent or restrict
  14-21  communication, speech, language, or hearing screenings as defined
  14-22  by board rule <sensitivity screening evaluations> conducted by
  14-23  registered nurses licensed by the laws of this state and practicing
  14-24  in accordance with the standards of professional conduct and ethics
  14-25  promulgated by the rules and regulations of the Board of Nurse
  14-26  Examiners.
  14-27        <(o)  This Act does not prevent the use of the title
   15-1  "Certified Hearing Aid Audiologist" by a person so certified by the
   15-2  National Hearing Aid Association if the person is a licensed
   15-3  hearing aid dispenser and uses the title solely in connection with
   15-4  fitting and dispensing hearing aids and does not represent himself
   15-5  to be a licensed audiologist under this Act.>
   15-6        <(p)  Nothing in this Act shall be construed as restricting
   15-7  or preventing a licensed psychologist from engaging in the practice
   15-8  of psychology within the scope of the activities permitted under
   15-9  that license.>
  15-10        SECTION 9.  Chapter 381, Acts of the 68th Legislature,
  15-11  Regular Session, 1983 (Article 4512j, Vernon's Texas Civil
  15-12  Statutes), is amended by adding Section 9A to read as follows:
  15-13        Sec. 9A.  FITTING AND DISPENSING OF HEARING AIDS BY PERSONS
  15-14  REGULATED UNDER THIS ACT.  (a)  A person licensed as a
  15-15  speech-language pathologist under this Act may not fit, dispense,
  15-16  or sell hearing aids unless the person meets the specific
  15-17  requirements for fitting and dispensing hearing aids under this Act
  15-18  or Chapter 366, Acts of the 61st Legislature, Regular Session, 1969
  15-19  (Article 4566-1.01 et seq., Vernon's Texas Civil Statutes), and its
  15-20  subsequent amendments.
  15-21        (b)  A person who meets the requirements of this Act for
  15-22  licensure as an audiologist or audiologist intern who fits and
  15-23  dispenses hearing aids must:
  15-24              (1)  register with the board the person's intent to fit
  15-25  and dispense hearing aids;
  15-26              (2)  adhere to the profession's code of ethics;
  15-27              (3)  comply with the federal Food and Drug
   16-1  Administration guidelines required for fitting and dispensing
   16-2  hearing aids;
   16-3              (4)  provide a written contract for services in this
   16-4  state that contains the name, mailing address, and telephone number
   16-5  of the board; and
   16-6              (5)  follow the guidelines adopted by board rule for a
   16-7  30-day trial period on every hearing aid purchased.
   16-8        (c)  If audiometric testing is not conducted in a stationary
   16-9  acoustical enclosure, sound level measurements must be conducted at
  16-10  the time of the testing to ensure that ambient noise levels meet
  16-11  permissible standards for testing threshold to 20 dB based on the
  16-12  most recent American National Standards Institute "ears covered"
  16-13  octave band criteria for permissible ambient noise levels during
  16-14  audiometric testing.  A dBa equivalent level may be used to
  16-15  determine compliance.  The board shall adopt rules necessary to
  16-16  enforce this subsection.
  16-17        (d)  A licensed hearing aid fitter and dispenser or licensed
  16-18  audiologist may not sell a hearing aid to a person under 18 years
  16-19  of age unless the prospective user, parent, or guardian presents
  16-20  the hearing aid fitter and dispenser or audiologist with a written
  16-21  statement signed by a licensed physician who specializes in
  16-22  diseases of the ear that states that the prospective user's hearing
  16-23  loss has been medically evaluated during the six-month period
  16-24  preceding the date the statement is presented and that the
  16-25  prospective user may be considered a candidate for a hearing
  16-26  instrument.
  16-27        SECTION 10.  Section 10, Chapter 381, Acts of the 68th
   17-1  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
   17-2  Civil Statutes), is amended to read as follows:
   17-3        Sec. 10.  Qualification of Applicants for License; INTERN
   17-4  LICENSE.  (a)  To be eligible for licensing as a speech-language
   17-5  pathologist or audiologist, an applicant must:
   17-6              (1)  possess a minimum of <at least> a master's degree
   17-7  with a major in not less than one of the areas of communicative
   17-8  sciences or disorders from a program accredited by the American
   17-9  Speech-Language-Hearing Association in <speech-language pathology
  17-10  or audiology from> an accredited or approved college or university;
  17-11              (2)  submit transcripts from one or more colleges or
  17-12  universities showing successful completion of course work in
  17-13  amounts set by the <committee with the approval of the> board in
  17-14  the following areas:
  17-15                    (A)  information about normal development and use
  17-16  of speech, language, and hearing;
  17-17                    (B)  information about evaluation, habilitation,
  17-18  and rehabilitation of speech, language, and hearing disorders; and
  17-19                    (C)  information pertaining to related fields
  17-20  that augment the work of clinical practitioners of speech-language
  17-21  pathology and audiology;
  17-22              (3)  have successfully completed at least 36 <30>
  17-23  semester hours in courses that are acceptable toward a graduate
  17-24  degree by the college or university in which they are taken, at
  17-25  least 24 <21> of which are within the professional area for which
  17-26  the license is requested and at least six of which are in audiology
  17-27  for the applicant for a license in speech-language pathology
   18-1  <license> or not less than six of which are in speech-language
   18-2  pathology for the applicant for a license in audiology;
   18-3              (4)  have completed the <a> minimum number of <300
   18-4  clock> hours established by the board of supervised clinical
   18-5  experience with individuals who present a variety of communication
   18-6  disorders.   This<, and this> experience must have been obtained
   18-7  within his or her educational <training> institution or in one of
   18-8  its cooperating programs and under the supervision of a person
   18-9  holding a valid license to practice speech-language pathology or
  18-10  audiology<, provided during the first year of this Act, the
  18-11  supervision may be under a person who would have met the
  18-12  qualifications for a license under this Act>; and
  18-13              (5)  have obtained <the equivalent of nine months of>
  18-14  full-time supervised professional experience as defined by board
  18-15  rule in which bona fide clinical work has been accomplished in the
  18-16  major professional area for which the license is being sought,
  18-17  under the supervision of a qualified person acceptable to the board
  18-18  <committee> pursuant to guidelines approved by the board.  The
  18-19  supervised professional <which> experience must have begun after
  18-20  completion of the academic and clinical experience required by this
  18-21  section.
  18-22        (b)  An applicant who has completed the requirements of
  18-23  Subsections (a)(1)-(4) of this section may only be licensed as an
  18-24  intern under this Act.  An applicant who has successfully completed
  18-25  all academic and clinical requirements of Subsections (a)(1)-(4) of
  18-26  this section but who has not had the degree officially conferred on
  18-27  the applicant may be licensed as an intern under this Act.  The
   19-1  board by rule shall prescribe the terms by which an applicant may
   19-2  practice under an intern's license under this subsection.  The
   19-3  board by rule shall establish general guidelines and renewal
   19-4  procedures for the holder of an intern license.  An audiology
   19-5  intern is exempt from Chapter 366, Acts of the 61st Legislature,
   19-6  Regular Session, 1969 (Article 4566-1.01 et seq., Vernon's Texas
   19-7  Civil Statutes), and its subsequent amendments.
   19-8        SECTION 11.  Section 11, Chapter 381, Acts of the 68th
   19-9  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
  19-10  Civil Statutes), is amended to read as follows:
  19-11        Sec. 11.  Application for License.  Each person desiring a
  19-12  license under this Act shall make application to the board
  19-13  <committee> on a form and in the manner the board <committee>
  19-14  prescribes.  The application shall be accompanied by the
  19-15  application fee which may not be refunded by the board <committee>.
  19-16        SECTION 12.  Section 12, Chapter 381, Acts of the 68th
  19-17  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
  19-18  Civil Statutes), is amended to read as follows:
  19-19        Sec. 12.  Examination.  (a)  Each applicant shall pass a
  19-20  validated examination approved <be examined> by the board
  19-21  <committee> and shall pay fees in a manner prescribed by the board
  19-22  <to the committee, at least 30 days prior to the date of
  19-23  examination, a nonrefundable examination fee prescribed by the
  19-24  committee>.  The examination shall be administered <given> at least
  19-25  twice each year <at a time and place established by and under the
  19-26  supervision of the committee>.
  19-27        (b)  The board by rule may establish procedures for the
   20-1  administration of the examination.  The board by rule <committee>
   20-2  may require a <examine by> written or oral examination or <by>
   20-3  both.  The board <committee> shall maintain a record of all
   20-4  examination scores for at least two years after the date of
   20-5  examination.
   20-6        (c)  Standards for acceptable performance shall be determined
   20-7  by the board <committee>.
   20-8        (d)  The board <committee> may examine in whatever
   20-9  theoretical or applied fields of speech-language pathology or
  20-10  audiology it deems appropriate.  It may examine the candidates with
  20-11  regard to their professional skills and their judgment in the
  20-12  utilization of speech-language pathology or audiology techniques or
  20-13  methods.
  20-14        (e)  Persons who fail the examination may be examined at a
  20-15  subsequent time if they pay another nonrefundable examination fee.
  20-16  No applicant who has taken and failed to pass two examinations may
  20-17  take the examination until the person has submitted a new
  20-18  application together with a nonrefundable application fee and
  20-19  presented evidence acceptable to the board <committee> of
  20-20  additional study in the area for which licensure is sought.  A
  20-21  person who fails a licensing examination administered under this
  20-22  Act shall contact the testing service administering the examination
  20-23  to request an analysis of the person's performance on the
  20-24  examination.
  20-25        (f)  Not later than the 30th day after the date on which a
  20-26  licensing examination is administered under this Act, the board
  20-27  shall notify each examinee of the results of the examination.
   21-1  However, if an examination is graded or reviewed by a national or
   21-2  state testing service and the testing service does not directly
   21-3  notify examinees of the results of the examination, the board shall
   21-4  notify examinees of the results of the examination not later than
   21-5  the 14th day after the date on which the board receives the results
   21-6  from the testing service.  If the notice of examination results
   21-7  graded or reviewed by a national or state testing service will be
   21-8  delayed for longer than 90 days after the examination date, the
   21-9  board shall notify the examinee of the reason for the delay before
  21-10  the 90th day.  <The committee may waive the examination for
  21-11  applicants who:>
  21-12              <(1)  present proof of current licensure in another
  21-13  state, including the District of Columbia, or territory of the
  21-14  United States which maintains professional standards considered by
  21-15  the committee to be equivalent to those set forth in this Act; or>
  21-16              <(2)  hold the Certificate of Clinical Competence of
  21-17  the American Speech-Language Hearing Association in the area for
  21-18  which a license is being sought.>
  21-19        SECTION 13.  Section 13, Chapter 381, Acts of the 68th
  21-20  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
  21-21  Civil Statutes), is amended to read as follows:
  21-22        Sec. 13.  LICENSING UNDER SPECIAL CONDITIONS.  (a)  <The
  21-23  committee on request must waive educational, professional
  21-24  experience, and examination requirements for licensure in
  21-25  speech-language pathology for applicants who hold a baccalaureate
  21-26  or graduate degree, are fully certified by the Central Education
  21-27  Agency in speech and hearing therapy or in the judgment of the
   22-1  committee have met equivalent requirements, and within two years
   22-2  prior to the effective date of this Act were engaged in the
   22-3  practice of speech pathology on proof of bona fide practice of
   22-4  speech pathology, presented to the committee in the manner
   22-5  prescribed by the committee's rules, provided they file an
   22-6  application for licensure with the committee or the board of health
   22-7  before January 1, 1986.  Such licenses shall be issued without
   22-8  delay and shall be renewed in the same manner as licenses granted
   22-9  under other provisions of this Act.>
  22-10        <(b)  The committee on request shall waive educational and
  22-11  professional experience requirements for a license in audiology for
  22-12  an applicant who, on the effective date of this Act, holds a
  22-13  graduate degree from an accredited institution of higher education
  22-14  with a major in speech-language pathology or audiology, and has
  22-15  been continuously engaged in the practice of audiology for ten
  22-16  years immediately preceding the effective date of this Act,
  22-17  provided the applicant files an application for licensure with the
  22-18  committee on or before January 1, 1986.  Such an applicant must
  22-19  pass the licensing examination under Section 12 of this Act not
  22-20  later than August 31, 1986.>
  22-21        <(c)>  The board <committee> may <waive the examination and>
  22-22  grant a provisional license <licensure> to an applicant who:
  22-23              (1)  possesses a license in good standing as a
  22-24  speech-language pathologist or an audiologist in another state, the
  22-25  District of Columbia, or a territory of the United States that has
  22-26  licensing requirements that are substantially equivalent to the
  22-27  requirements of this Act;
   23-1              (2)  has passed a national or other examination
   23-2  relating to speech-language pathology or audiology that is
   23-3  recognized by the board; and
   23-4              (3)  is sponsored by a person licensed by the board
   23-5  under this Act with whom the provisional license holder may
   23-6  practice under this section <presents proof of current licensure in
   23-7  another state, including the District of Columbia, or territory of
   23-8  the United States which maintains professional standards considered
   23-9  by the committee to be equivalent to those set forth in this Act>.
  23-10        (b)  An applicant for a provisional license may be excused
  23-11  from the requirement of Subsection (a)(3) of this section if the
  23-12  board determines that compliance with that subsection constitutes a
  23-13  hardship to the applicant.
  23-14        (c)  A provisional license is valid until the date the board
  23-15  approves or denies the provisional license holder's application for
  23-16  a license.  The board shall issue a license under this Act to the
  23-17  holder of a provisional license under this section if:
  23-18              (1)  the provisional license holder passes the
  23-19  examination required by Section 12 of this Act;
  23-20              (2)  the board verifies that the provisional license
  23-21  holder has the academic and experience requirements for a license
  23-22  under this Act; and
  23-23              (3)  the provisional license holder satisfies any other
  23-24  license requirements under this Act.
  23-25        (d)  The board must complete the processing of a provisional
  23-26  license holder's application for a license not later than the 180th
  23-27  day after the date the provisional license is issued.
   24-1        (e) <(d)>  The board <committee> may waive the examination
   24-2  and grant licensure to an applicant who holds the Certificate of
   24-3  Clinical Competence of the American Speech-Language Hearing
   24-4  Association <or has met equivalent requirements in the area for
   24-5  which a license is sought>.
   24-6        SECTION 14.  Sections 14(a), (c), and (d), Chapter 381, Acts
   24-7  of the 68th Legislature, Regular Session, 1983 (Article 4512j,
   24-8  Vernon's Texas Civil Statutes), are amended to read as follows:
   24-9        (a)  The board <committee> shall issue a license to an
  24-10  applicant who meets the requirements of this Act and who pays to
  24-11  the board <committee> the initial nonrefundable license fee.
  24-12        (c)  On receiving an application provided for under
  24-13  Subsection (b) of this section accompanied by the nonrefundable
  24-14  application fee, the board <committee> shall issue a temporary
  24-15  certificate of registration which entitles the applicant to
  24-16  practice audiology or speech-language pathology for a period ending
  24-17  eight weeks after the conclusion of the next examination given
  24-18  after the date of issue.
  24-19        (d)  The board by rule may adopt a system under which
  24-20  licenses expire on various dates during the year.  For the year in
  24-21  which the license expiration date is changed, license fees payable
  24-22  on the original expiration date shall be prorated on a monthly
  24-23  basis so that each licensee shall pay only that portion of the
  24-24  license fee that is allocable to the number of months during which
  24-25  the license is valid.  On renewal of the license on the new
  24-26  expiration date, the total license renewal fee is payable <All
  24-27  licenses expire and become invalid one year from the date of
   25-1  issuance if not renewed>.
   25-2        SECTION 15.  Chapter 381, Acts of the 68th Legislature,
   25-3  Regular Session, 1983 (Article 4512j, Vernon's Texas Civil
   25-4  Statutes), is amended by adding Section 14A to read as follows:
   25-5        Sec. 14A.  TEMPORARY LICENSE; INACTIVE STATUS.  (a)  The
   25-6  board by rule may provide for the issuance of a temporary license.
   25-7        (b)  The board by rule may provide for a person who holds a
   25-8  license under this Act to be placed on inactive status.  Rules
   25-9  adopted under this section shall include a time limit for a license
  25-10  holder to remain on inactive status.
  25-11        SECTION 16.  Sections 15(a), (c), and (d), Chapter 381, Acts
  25-12  of the 68th Legislature, Regular Session, 1983 (Article 4512j,
  25-13  Vernon's Texas Civil Statutes), are amended to read as follows:
  25-14        (a)  Each licensed speech-language pathologist or audiologist
  25-15  shall annually pay the nonrefundable renewal fee for a renewal of
  25-16  his license.  A 60-day grace period shall be allowed.  After
  25-17  expiration of the grace period, the board <committee> may renew
  25-18  each license after payment of a penalty set by the rules.  No
  25-19  person who applies for renewal within two years after the date of
  25-20  expiration of the license may be required to submit to an
  25-21  examination as a condition to renewal.  An application for a
  25-22  license filed not later than the second anniversary of the
  25-23  expiration date of the person's license is considered an
  25-24  application for renewal.
  25-25        (c)  Renewal <Within three years of the effective date of
  25-26  this Act, renewal> of a license is contingent on the applicant's
  25-27  meeting uniform mandatory continuing education requirements that
   26-1  shall be established by the board <committee>.   These continuing
   26-2  education requirements must be of such a nature that they can be
   26-3  met without necessitating an extended absence from the licensee's
   26-4  county of residence.  <Notice of continuing education requirements
   26-5  shall be sent to all persons licensed under this Act at least 12
   26-6  months prior to the time that the person's license renewal is
   26-7  dependent on completion of the requirements.>  Continuing education
   26-8  requirements shall be sent to new applicants with the forms on
   26-9  which they are to apply for licensure.  Notification or changes in
  26-10  continuing education requirements shall be sent to persons licensed
  26-11  under this Act at least one year prior to the date on which the new
  26-12  requirements become effective.
  26-13        (d)  If a person's license has been expired for two years or
  26-14  longer, the person may not renew the license.  The person may
  26-15  obtain a new license by complying with the requirements and
  26-16  procedures for obtaining an original license.  However, the board
  26-17  may renew without reexamination an expired license of a person who
  26-18  within the last three years was licensed in this state and is
  26-19  currently licensed and has been in practice in another state for
  26-20  the two years preceding application.  An applicant who was licensed
  26-21  in this state but whose license has been expired for more than
  26-22  three years may reapply for a license by meeting the current
  26-23  licensing requirements.  The board may adopt rules concerning the
  26-24  reinstatement of a license in a case of medical hardship.   To
  26-25  renew an expired license the person must pay to the board a fee
  26-26  that is equal to the examination fee for the license.  <A suspended
  26-27  license is subject to expiration and may be renewed as provided in
   27-1  this Act, but the renewal does not entitle the licensee, while the
   27-2  license remains suspended and until it is reinstated, to engage in
   27-3  the licensed activity or in any other activity or conduct in
   27-4  violation of the order or judgment by which the license was
   27-5  suspended.  A license revoked on disciplinary grounds is subject to
   27-6  expiration as provided in this Act, but it may not be renewed.  If
   27-7  it is reinstated after its expiration, the licensee as a condition
   27-8  of reinstatement shall pay a reinstatement fee in an amount equal
   27-9  to the renewal fee in effect on the last preceding regular renewal
  27-10  date before the date on which it is reinstated, plus the
  27-11  delinquency fee, if any, accrued at the time of the license
  27-12  revocation.>
  27-13        SECTION 17.  Section 16, Chapter 381, Acts of the 68th
  27-14  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
  27-15  Civil Statutes), is amended to read as follows:
  27-16        Sec. 16.  Fees.  <The amount of fees initially prescribed in
  27-17  connection with a license as a speech-language pathologist or
  27-18  audiologist may not exceed the following:>
  27-19        <(1)  application fee:        $75>
  27-20        <(2)  examination fee:        $50>
  27-21        <(3)  initial license fee:    $75>
  27-22        <(4)  license renewal fee:    $75>
  27-23        <(5)  delinquency fee:        $50>
  27-24        <(6)  temporary license fee:  $25>
  27-25        <(7)  duplicate license fee:  $10>
  27-26  The board <committee> by rule shall establish reasonable and
  27-27  necessary fees.  The<, and such> fees set by the board shall be
   28-1  adjusted so that the total fees collected, in the aggregate, shall
   28-2  be sufficient to meet the expenses of administering this Act <and
   28-3  so that unnecessary surpluses in the fund provided for in Section
   28-4  20 of this Act are avoided>.
   28-5        SECTION 18.  Section 17, Chapter 381, Acts of the 68th
   28-6  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
   28-7  Civil Statutes), is amended to read as follows:
   28-8        Sec. 17.  DENIAL, SUSPENSION, AND REVOCATION.  (a)  The board
   28-9  <committee> may refuse to issue a license to an applicant or may
  28-10  suspend or revoke the license of any licensee for any of the
  28-11  following causes:
  28-12              (1)  obtaining a license by means of fraud,
  28-13  misrepresentation, or concealment of material facts;
  28-14              (2)  selling, bartering, or offering to sell or barter
  28-15  a license or certificate of registration;
  28-16              (3)  unprofessional conduct that has endangered or is
  28-17  likely to endanger the health, welfare, or safety of the public as
  28-18  defined by the rules established by the board <committee> or
  28-19  violation of the code of ethics adopted and published by the board
  28-20  <committee>;
  28-21              (4)  violating any lawful order or rule rendered or
  28-22  adopted by the board <committee>; or
  28-23              (5)  violating any provisions of this Act.
  28-24        (b)  The board <committee> shall deny an application for or
  28-25  suspend or revoke or impose probationary conditions on a license as
  28-26  ordered by the board <committee> in any decision made after hearing
  28-27  as provided in this Act.  One year from the date of revocation of a
   29-1  license under this Act, application may be made to the board
   29-2  <committee> for reinstatement.  The board <committee> shall have
   29-3  discretion to accept or reject an application for reinstatement and
   29-4  may require an examination for the reinstatement.
   29-5        (c)  A plea or verdict of guilty or a conviction following a
   29-6  plea of nolo contendere made to a charge of a felony or of an
   29-7  offense involving moral turpitude is deemed to be a conviction
   29-8  within the meaning of this Act.  At the direction of the board
   29-9  <committee> the license may be suspended or revoked or the board
  29-10  <committee> may decline to issue a license when the time for appeal
  29-11  of the conviction has elapsed or the judgment or conviction has
  29-12  been affirmed on appeal, or when an order granting probation is
  29-13  made suspending the imposition of sentence irrespective of a
  29-14  subsequent order allowing a person to withdraw his or her plea of
  29-15  guilty, or setting aside the verdict of guilty, or dismissing the
  29-16  information or indictment.
  29-17        (d)  In addition to the other disciplinary actions authorized
  29-18  by this section, the board may issue a written reprimand to a
  29-19  license holder who violates this Act or require that a license
  29-20  holder who violates this Act attend continuing education programs.
  29-21  The board may specify the number of hours that must be completed by
  29-22  an individual license holder to fulfill the requirements of this
  29-23  subsection.
  29-24        (e)  If a license suspension is probated, the board may
  29-25  require the license holder to:
  29-26              (1)  report regularly to the board on matters that are
  29-27  the basis of the probation;
   30-1              (2)  limit practice to the areas prescribed by the
   30-2  board; or
   30-3              (3)  continue or review continuing professional
   30-4  education until the license holder attains a degree of skill
   30-5  satisfactory to the board in those areas that are the basis of the
   30-6  probation.
   30-7        (f)  The schedule of sanctions adopted by the board by rule
   30-8  shall be used for any sanction imposed as the result of a hearing
   30-9  conducted by the board.
  30-10        SECTION 19.  Section 18(b), Chapter 381, Acts of the 68th
  30-11  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
  30-12  Civil Statutes), is amended to read as follows:
  30-13        (b)  If a person other than a licensed speech-language
  30-14  pathologist or audiologist has engaged in any act or practice which
  30-15  constitutes an offense under this Act, a district court of any
  30-16  county on application of the board <committee> may issue an
  30-17  injunction or other appropriate order restraining such conduct.
  30-18        SECTION 20.  Section 19, Chapter 381, Acts of the 68th
  30-19  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
  30-20  Civil Statutes), is amended to read as follows:
  30-21        Sec. 19.  Procedures for Denial, Revocation, or Suspension of
  30-22  a License.  (a)  A person whose application for a license is denied
  30-23  is entitled to a hearing before the board <committee> if such
  30-24  person submits a written request to the board <committee>.
  30-25        (b)  Proceedings for revocation or suspension of a license
  30-26  shall be commenced by filing charges with the board <committee> in
  30-27  writing and under oath.  The charges may be made by any person or
   31-1  persons.
   31-2        (c)  <The chairperson of the committee shall fix a time and
   31-3  place for a hearing and shall cause a written copy of the charges
   31-4  or reason for denial of a license, together with a notice of the
   31-5  time and place fixed for the hearing, to be served on the applicant
   31-6  requesting the hearing or the licensee against whom the charges
   31-7  have been filed at least 20 days prior to the date set for the
   31-8  hearing.  Service of charges and notice of hearing may be given by
   31-9  certified mail to the last known address of the licensee or
  31-10  applicant.>
  31-11        <(d)  At the hearing the applicant or licensee has the right
  31-12  to appear either personally or by counsel or both, to produce
  31-13  witnesses, to have subpoenas issued by the committee, and to
  31-14  cross-examine opposing or adverse witnesses.>
  31-15        <(e)  The committee shall determine the charges on their
  31-16  merits and enter an order in a permanent record setting forth the
  31-17  findings of fact and law and the action taken.  A copy of the order
  31-18  of the committee shall be mailed to the applicant or licensee at
  31-19  his or her last known address by certified mail.>
  31-20        <(f)  An individual whose application for a license has been
  31-21  refused or whose license has been cancelled, revoked, or suspended
  31-22  by the committee may take an appeal, within 20 days after the order
  31-23  is entered, to any district court of Travis County or to any
  31-24  district court of the county of his or her residence.>
  31-25        <(g)  In all appeals prosecuted in any of the courts of this
  31-26  state pursuant to the provisions of this Act, such trials shall be
  31-27  de novo as that term is used and understood in appeals from justice
   32-1  of the peace courts.  Under no circumstances shall the substantial
   32-2  evidence rule as interpreted and applied by the courts in Texas in
   32-3  other cases ever be used or applied to appeals prosecuted under the
   32-4  provisions of this Act.>
   32-5        <(h)>  All proceedings under this Act shall conform to the
   32-6  requirements of the Administrative Procedure and Texas Register
   32-7  Act, as amended (Article 6252-13a <6252-13g>, Vernon's Texas Civil
   32-8  Statutes), except as modified by this section.
   32-9        SECTION 21.  Section 20, Chapter 381, Acts of the 68th
  32-10  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
  32-11  Civil Statutes), is amended to read as follows:
  32-12        Sec. 20.  DISPOSITION OF FUNDS RECEIVED.  (a)  All funds
  32-13  received by the board <committee> under this Act shall be deposited
  32-14  in accordance with applicable state law in the State Treasury in a
  32-15  separate fund to be known as the speech-language pathology and
  32-16  audiology fund and be appropriated to the board <Texas Department
  32-17  of Health> solely for administration of this Act.
  32-18        (b)  All <After August 31, 1984, all> expenses for the
  32-19  administration of the Act shall be paid from fees collected by the
  32-20  board <committee> under this Act.
  32-21        <(c)  There is hereby appropriated $80,000 to the
  32-22  speech-language pathology and audiology fund for the implementation
  32-23  of this Act, said funds coming from the General Revenue Fund for
  32-24  the first year provided that the first $80,000 of application and
  32-25  license fees shall be returned to the General Revenue Fund as they
  32-26  are received.>
  32-27        SECTION 22.  Section 22, Chapter 381, Acts of the 68th
   33-1  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
   33-2  Civil Statutes), is amended to read as follows:
   33-3        Sec. 22.  SUNSET PROVISION.  The State Board <Committee> of
   33-4  Examiners for Speech-Language Pathology and Audiology is subject to
   33-5  Chapter 325, Government Code (Texas Sunset Act).  Unless continued
   33-6  in existence as provided by that chapter, the board <committee> is
   33-7  abolished and this Act expires September 1, 2005 <1993>.
   33-8        SECTION 23.  Chapter 381, Acts of the 68th Legislature,
   33-9  Regular Session, 1983 (Article 4512j, Vernon's Texas Civil
  33-10  Statutes), is amended by adding Section 23 to read as follows:
  33-11        Sec. 23.  COMPLAINT PROCEDURE IN GENERAL.  (a)  The board
  33-12  shall keep an information file about each complaint filed with the
  33-13  board.  The board's information file shall be kept current and
  33-14  contain a record for each complaint of:
  33-15              (1)  all persons contacted in relation to the
  33-16  complaint;
  33-17              (2)  a summary of findings made at each step of the
  33-18  complaint process;
  33-19              (3)  an explanation of the legal basis and reason for a
  33-20  complaint that is dismissed; and
  33-21              (4)  other relevant information.
  33-22        (b)  If a written complaint is filed with the board that the
  33-23  board has authority to resolve, the board, at least as frequently
  33-24  as quarterly and until final disposition of the complaint, shall
  33-25  notify the parties to the complaint of the status of the complaint
  33-26  unless the notice would jeopardize an undercover investigation.
  33-27        (c)  The board by rule shall adopt a form to standardize
   34-1  information concerning complaints made to the board.  The board by
   34-2  rule shall prescribe information to be provided to a person when
   34-3  the person files a complaint with the board.
   34-4        (d)  The board shall provide reasonable assistance to a
   34-5  person who wishes to file a complaint with the board.
   34-6        (e)  The board shall list along with its regular telephone
   34-7  number the toll-free telephone number that may be called to present
   34-8  a complaint about a health professional if the toll-free number is
   34-9  established under other state law.
  34-10        SECTION 24.  Chapter 381, Acts of the 68th Legislature,
  34-11  Regular Session, 1983 (Article 4512j, Vernon's Texas Civil
  34-12  Statutes), is amended by adding Sections 24 and 25 to read as
  34-13  follows:
  34-14        Sec. 24.  COMPLAINT INVESTIGATION AND DISPOSITION.  (a)  The
  34-15  board shall adopt rules concerning the investigation of a complaint
  34-16  filed with the board.  The rules adopted under this subsection
  34-17  shall:
  34-18              (1)  distinguish between categories of complaints;
  34-19              (2)  ensure that complaints are not dismissed without
  34-20  appropriate consideration;
  34-21              (3)  require that the board be advised of a complaint
  34-22  that is dismissed and that a letter be sent to the person who filed
  34-23  the complaint explaining the action taken on the dismissed
  34-24  complaint;
  34-25              (4)  ensure that the person who filed the complaint has
  34-26  an opportunity to explain the allegations made in the complaint;
  34-27  and
   35-1              (5)  prescribe guidelines concerning the categories of
   35-2  complaints that require the use of a private investigator and the
   35-3  procedures for the board to obtain the services of a private
   35-4  investigator.
   35-5        (b)  The board shall dispose of all complaints in a timely
   35-6  manner.  The board shall establish a schedule for conducting each
   35-7  phase of a complaint that is under the control of the board not
   35-8  later than the 30th day after the date the complaint is received by
   35-9  the board.  The schedule shall be kept in the information file for
  35-10  the complaint and all parties shall be notified of the projected
  35-11  time requirements for pursuing the complaint.  A change in the
  35-12  schedule must be noted in the complaint information file and all
  35-13  parties to the complaint must be notified not later than the
  35-14  seventh day after the date the change is made.
  35-15        (c)  The director of the board shall notify the board of a
  35-16  complaint that extends beyond the time prescribed by the board for
  35-17  resolving the complaint so that the board may take necessary action
  35-18  on the complaint.
  35-19        Sec. 25.  INFORMAL PROCEEDINGS.  (a)  The board by rule shall
  35-20  adopt procedures governing:
  35-21              (1)  informal disposition of a contested case under
  35-22  Section 13(e), Administrative Procedure and Texas Register Act
  35-23  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
  35-24  subsequent amendments; and
  35-25              (2)  informal proceedings held in compliance with
  35-26  Section 18(c), Administrative Procedure and Texas Register Act
  35-27  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
   36-1  subsequent amendments.
   36-2        (b)  Rules adopted under this section must:
   36-3              (1)  provide the complainant, if applicable and
   36-4  permitted by law, an opportunity to be heard;
   36-5              (2)  provide the licensee an opportunity to be heard;
   36-6  and
   36-7              (3)  require the presence of an attorney to advise the
   36-8  board or board's employees.
   36-9        (c)  The attorney under Subsection (b)(3) of this section
  36-10  must be either a legal representative of the department who
  36-11  represents the board or the board's employees or a representative
  36-12  of the office of the attorney general.
  36-13        SECTION 25.  Chapter 381, Acts of the 68th Legislature,
  36-14  Regular Session, 1983 (Article 4512j, Vernon's Texas Civil
  36-15  Statutes), is amended by adding Section 26 to read as follows:
  36-16        Sec. 26.  MONITORING OF LICENSE HOLDER.  The board by rule
  36-17  shall develop a system for monitoring license holders' compliance
  36-18  with the requirements of this Act.  Rules adopted under this
  36-19  section shall include procedures for monitoring a license holder
  36-20  who is ordered by the board to perform certain acts to ascertain
  36-21  that the license holder performs the required acts and to identify
  36-22  and monitor license holders who represent a risk to the public.
  36-23        SECTION 26.  Section 21, Chapter 381, Acts of the 68th
  36-24  Legislature, Regular Session, 1983 (Article 4512j, Vernon's Texas
  36-25  Civil Statutes), is repealed.
  36-26        SECTION 27.  This Act takes effect September 1, 1993.
  36-27        SECTION 28.  The importance of this legislation and the
   37-1  crowded condition of the calendars in both houses create an
   37-2  emergency and an imperative public necessity that the
   37-3  constitutional rule requiring bills to be read on three several
   37-4  days in each house be suspended, and this rule is hereby suspended.