Executive Committee

Filed: 5/6/2009

 

 


 

 


 
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1
AMENDMENT TO SENATE BILL 1483

2     AMENDMENT NO. ______. Amend Senate Bill 1483 by replacing
3 everything after the enacting clause with the following:
 
4     "Section 5. The Illinois Speech-Language Pathology and
5 Audiology Practice Act is amended by changing Section 3 and by
6 adding Section 9.3 as follows:
 
7     (225 ILCS 110/3)  (from Ch. 111, par. 7903)
8     (Section scheduled to be repealed on January 1, 2018)
9     Sec. 3. Definitions. The following words and phrases shall
10 have the meaning ascribed to them in this Section unless the
11 context clearly indicates otherwise:
12     (a) "Department" means the Department of Financial and
13 Professional Regulation.
14     (b) "Secretary" means the Secretary of Financial and
15 Professional Regulation.
16     (c) "Board" means the Board of Speech-Language Pathology

 

 

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1 and Audiology established under Section 5 of this Act.
2     (d) "Speech-Language Pathologist" means a person who has
3 received a license pursuant to this Act and who engages in the
4 practice of speech-language pathology.
5     (e) "Audiologist" means a person who has received a license
6 pursuant to this Act and who engages in the practice of
7 audiology.
8     (f) "Public member" means a person who is not a health
9 professional. For purposes of board membership, any person with
10 a significant financial interest in a health service or
11 profession is not a public member.
12     (g) "The practice of audiology" is the application of
13 nonmedical methods and procedures for the identification,
14 measurement, testing, appraisal, prediction, habilitation,
15 rehabilitation, or instruction related to hearing and
16 disorders of hearing. These procedures are for the purpose of
17 counseling, consulting and rendering or offering to render
18 services or for participating in the planning, directing or
19 conducting of programs that are designed to modify
20 communicative disorders involving speech, language or auditory
21 function related to hearing loss. The practice of audiology may
22 include, but shall not be limited to, the following:
23         (1) any task, procedure, act, or practice that is
24     necessary for the evaluation of hearing or vestibular
25     function;
26         (2) training in the use of amplification devices;

 

 

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1         (3) the fitting, dispensing, or servicing of hearing
2     instruments; and
3         (4) performing basic speech and language screening
4     tests and procedures consistent with audiology training.
5     (h) "The practice of speech-language pathology" is the
6 application of nonmedical methods and procedures for the
7 identification, measurement, testing, appraisal, prediction,
8 habilitation, rehabilitation, and modification related to
9 communication development, and disorders or disabilities of
10 speech, language, voice, swallowing, and other speech,
11 language and voice related disorders. These procedures are for
12 the purpose of counseling, consulting and rendering or offering
13 to render services, or for participating in the planning,
14 directing or conducting of programs that are designed to modify
15 communicative disorders and conditions in individuals or
16 groups of individuals involving speech, language, voice and
17 swallowing function.
18     "The practice of speech-language pathology" shall include,
19 but shall not be limited to, the following:
20         (1) hearing screening tests and aural rehabilitation
21     procedures consistent with speech-language pathology
22     training;
23         (2) tasks, procedures, acts or practices that are
24     necessary for the evaluation of, and training in the use
25     of, augmentative communication systems, communication
26     variation, cognitive rehabilitation, non-spoken language

 

 

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1     production and comprehension; and .
2         (3) the use of rigid and flexible endoscopes for the
3     sole purpose of observing and obtaining images of the
4     pharynx and larynx.
5     (i) "Speech-language pathology assistant" means a person
6 who has received a license pursuant to this Act to assist a
7 speech-language pathologist in the manner provided in this Act.
8 (Source: P.A. 94-528, eff. 8-10-05; 95-465, eff. 8-27-07.)
 
9     (225 ILCS 110/9.3 new)
10     (Section scheduled to be repealed on January 1, 2018)
11     Sec. 9.3. Requirements for the use of endoscopes.
12     (a) A speech-language pathologist may perform an
13 endoscopic procedure using either a rigid or flexible endoscope
14 for the sole purpose of observing and obtaining images of the
15 pharynx and larynx if all of the following requirements have
16 been met:
17          (1) If the patient has a voice disorder or vocal cord
18     dysfunction, he or she must be examined by a physician who
19     has been granted hospital privileges to perform these
20     procedures and the speech-language pathologist must have
21     received from that physician a written referral and direct
22     authorization to perform the procedure.
23         (2) If the patient has a swallowing disorder or a
24     velopharyngeal disorder, he or she must be examined by a
25     physician licensed to practice medicine in all its branches

 

 

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1     and the speech-language pathologist must have received
2     from that physician a written referral and direct
3     authorization to perform the procedure.
4         (3) The speech-language pathologist has (i) been
5     granted hospital privileges to perform these procedures or
6     (ii) completed a hands-on university or college course, or
7     a hands-on seminar or workshop in endoscopy as a technique
8     for investigating speech and swallowing, which qualifies
9     for continuing education credit with the American
10     Speech-Language-Hearing Association (ASHA).
11         (4) The speech-language pathologist must send a
12     written report or recorded copy of the observations
13     recorded during the procedure to the referring physician,
14     and if the speech-language pathologist performs the
15     procedure and observes an abnormality or the possibility of
16     a condition that requires medical attention, the
17     speech-language pathologist shall immediately refer the
18     patient to the referring physician for examination.
19         (5) In no instance may the speech-language pathologist
20     use an endoscope to perform any procedure that disrupts
21     living tissue.
22     (b) A speech-language pathologist may use a flexible
23 endoscope for the sole purpose of observing and obtaining
24 images of the pharynx and larynx if, in addition to meeting the
25 requirements of subsection (a) of this Section, all of the
26 following requirements have been met:

 

 

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1         (1) The speech-language pathologist has observed 10
2     procedures performed by either (i) a physician who has been
3     granted hospital privileges to perform these procedures or
4     (ii) a speech-language pathologist who has met the
5     requirements of item (3) of subsection (a) of this Section
6     and items (1) and (2) of this subsection (b) in a licensed
7     health care facility or a clinic affiliated with a
8     hospital, university, college, or ASHA-approved continuing
9     education course that has emergency medical backup and a
10     physician available or in the office of a physician who is
11     available.
12         (2) The speech-language pathologist has successfully
13     performed 25 procedures under the direct supervision of a
14     physician who has been granted hospital privileges to
15     perform these procedures; provided, however, that the
16     physician may delegate the supervision of up to 10 of the
17     25 procedures to a speech-language pathologist who has met
18     the requirements of this Section. The supervising
19     physician shall provide written verification that the
20     speech-language pathologist in training has successfully
21     completed the requirements of this item (2) demonstrating
22     the ability to perform these procedures. The
23     speech-language pathologist shall have this written
24     verification on file and readily available for inspection
25     upon request by the Board.
26         (3) The observation of the patient's function must take

 

 

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1     place (i) under the supervision of a physician and (ii) in
2     a licensed health care facility or a clinic affiliated with
3     a hospital, university, or college that has emergency
4     medical backup and a physician available or in the office
5     of a physician who is available.
6     (c) Nothing in this Section shall be construed to authorize
7 a medical diagnosis.
8     (d) Nothing in this Section shall preclude the use of a
9 rigid or flexible endoscope for the purpose of training or
10 research done in conjunction with a speech-language pathology
11 program accredited by the Council for Academic Accreditation,
12 provided that (i) emergency medical backup is available when
13 flexible endoscopy is performed and (ii) such training or
14 research is performed with the participation of either a
15 physician who has been granted hospital privileges to perform
16 these procedures or a speech-language pathologist who has met
17 the requirements of item (3) of subsection (a) of this Section
18 and items (1) and (2) of subsection (b) of this Section.
19     (e) Nothing in this Section shall be construed to allow a
20 speech-language pathologist to use an anesthetic without the
21 authorization of a physician who has been granted hospital
22 privileges to perform the procedure.
 
23     Section 99. Effective date. This Act takes effect upon
24 becoming law.".