Full Text of SB1483 96th General Assembly
SB1483ham001 96TH GENERAL ASSEMBLY
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Executive Committee
Filed: 5/6/2009
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| AMENDMENT TO SENATE BILL 1483
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| AMENDMENT NO. ______. Amend Senate Bill 1483 by replacing | 3 |
| everything after the enacting clause with the following:
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| "Section 5. The Illinois Speech-Language Pathology and
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| Audiology Practice Act is amended by changing Section 3 and by | 6 |
| adding Section 9.3 as follows:
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| (225 ILCS 110/3) (from Ch. 111, par. 7903)
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| (Section scheduled to be repealed on January 1, 2018)
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| 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:
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| (a) "Department" means the Department of Financial and
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| Professional
Regulation.
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| (b) "Secretary" means the Secretary of Financial and | 15 |
| Professional Regulation.
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| (c) "Board" means the Board of Speech-Language Pathology |
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| and Audiology
established under Section 5 of this Act.
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| (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.
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| (e) "Audiologist" means a person who has received a license | 6 |
| pursuant to this
Act and who engages in the practice of | 7 |
| audiology.
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| (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.
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| (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
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| 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:
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| (1) any task, procedure, act, or practice that is | 24 |
| necessary for the
evaluation of hearing or
vestibular | 25 |
| function;
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| (2) training in the use of amplification devices;
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| (3) the fitting, dispensing, or servicing of hearing | 2 |
| instruments; and
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| (4) performing basic speech and language screening | 4 |
| tests and procedures
consistent with audiology training.
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| (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,
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| 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.
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| "The practice of speech-language pathology" shall include, | 19 |
| but
shall not be
limited to, the following:
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| (1) hearing screening tests and aural rehabilitation | 21 |
| procedures
consistent with speech-language pathology | 22 |
| training;
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| (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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| production and comprehension ; and .
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| (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.
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| (Source: P.A. 94-528, eff. 8-10-05; 95-465, eff. 8-27-07.)
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| (225 ILCS 110/9.3 new)
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| (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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| 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) 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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| 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.
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| Section 99. Effective date. This Act takes effect upon | 24 |
| becoming law.".
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