State of Illinois
91st General Assembly
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91_SB1404sam001

 










                                             LRB9107670ACpkam

 1                    AMENDMENT TO SENATE BILL 1404

 2        AMENDMENT NO.     .  Amend Senate Bill 1404 by  replacing
 3    everything after the enacting clause with the following:

 4        "Section  5.   The Hearing Instrument Consumer Protection
 5    Act is amended by changing Sections 4, 7, 8, 11, 14, 15,  and
 6    16 as follows:

 7        (225 ILCS 50/4) (from Ch. 111, par. 7404)
 8        Sec.  4.  Disclosure; waiver; complaints; insurance.  The
 9    hearing instrument dispenser shall give at no charge to every
10    person  fitted  and  sold  a  hearing  instrument  the  "User
11    Instructional Brochure", supplied by the  hearing  instrument
12    manufacturer containing information required by the U.S. Food
13    and Drug Administration.
14        Whenever  a  sale  or  service  of  one  or  more hearing
15    instrument involving $50 or more is made or contracted to  be
16    made,  whether  under  a  single  contract  or under multiple
17    contracts, at  the  time  of  the  transaction,  the  hearing
18    instrument  dispenser shall furnish the consumer with a fully
19    completed receipt or contract pertaining to that transaction,
20    in substantially the same language as that used in  the  oral
21    presentation  to  the  consumer.   The  receipt  or  contract
22    provided  to the consumer shall contain the dispenser's name,
 
                            -2-              LRB9107670ACpkam
 1    license number, business address, business phone number,  and
 2    signature;  the  name,  address, and signature of the hearing
 3    instrument consumer;  and  the  name  and  signature  of  the
 4    purchaser if the consumer and the purchaser are not the same;
 5    the hearing instrument manufacturer's name, and the model and
 6    serial  numbers;  the  date  of  purchase;  and  the  charges
 7    required  to complete the terms of the sale fully and clearly
 8    stated.  When the hearing  instrument  is  delivered  to  the
 9    consumer  or purchaser, the serial number shall be written on
10    the original receipt or contract and a copy shall be given to
11    the consumer or purchaser.  If a used hearing  instrument  is
12    sold,  the receipt and the container thereof shall be clearly
13    marked as "used" or "reconditioned", whichever is applicable,
14    with terms of guarantee, if any.
15        All  hearing  instruments  offered  for  sale   must   be
16    accompanied  by  a  30-business  day  return  privilege.  The
17    receipt or contract provided to the consumer shall state that
18    the consumer has a right to return the hearing instrument for
19    a refund within 30 business days of the date of delivery.  If
20    a nonrefundable dispensing fee or restocking  fee,  or  both,
21    will  be  withheld  from the consumer in event of return, the
22    terms must be clearly  stated  on  the  receipt  or  contract
23    provided to the consumer.
24        A  hearing  instrument dispenser shall not sell a hearing
25    instrument unless the prospective user has presented  to  the
26    hearing instrument dispenser a written statement, signed by a
27    licensed  physician,  which states that the patient's hearing
28    loss  has  been  medically  evaluated  and  the  patient   is
29    considered a candidate for a hearing instrument.  The medical
30    evaluation   must  have  taken  place  within  the  6  months
31    immediately preceding the date of the  sale  of  the  hearing
32    instrument  to  the prospective hearing instrument user.   If
33    the prospective hearing instrument user is 18 years of age or
34    older,  the  hearing  instrument  dispenser  may  afford  the
 
                            -3-              LRB9107670ACpkam
 1    prospective  user  an  opportunity  to  waive   the   medical
 2    evaluation  required  by  this  Section,  provided  that  the
 3    hearing instrument dispenser:
 4             (i)  Informs  the prospective user that the exercise
 5        of a waiver is not in the user's best health interest;
 6             (ii)  Does not in any  way  actively  encourage  the
 7        prospective user to waive the medical evaluation; and
 8             (iii)  Affords  the  prospective  user the option to
 9        sign the following statement:
10                  "I       have       been       advised       by
11             .................(hearing   instrument   dispenser's
12             name) that the  Food  and  Drug  Administration  has
13             determined  that my best interest would be served if
14             I had a medical evaluation by a  licensed  physician
15             (preferably  a physician who specializes in diseases
16             of the ear) before purchasing a hearing  instrument.
17             I do not wish a medical evaluation before purchasing
18             a hearing instrument."
19        The  hearing  instrument dispenser or his or her employer
20    shall retain proof of the medical examination or  the  waiver
21    for at least 3 years from the date of the sale.
22        If the parent or guardian of any individual under the age
23    of   18  years  is  a  member  of  any  church  or  religious
24    denomination, whose tenets  and  practices  include  reliance
25    upon  spiritual  means  through  prayer  alone and objects to
26    medical treatment and so states in  writing  to  the  hearing
27    instrument dispenser, such individual shall undergo a hearing
28    examination  as provided by this Section but no proof, ruling
29    out any medically treatable  problem  causing  hearing  loss,
30    shall be required.
31        All   persons   licensed   under   this  Act  shall  have
32    conspicuously displayed in  their  business  establishment  a
33    sign  indicating  that  formal  complaints  regarding hearing
34    instrument goods or services may be made to  the  Department.
 
                            -4-              LRB9107670ACpkam
 1    Such  sign shall give the address and telephone number of the
 2    Department.  All persons purchasing hearing instruments shall
 3    be provided with a written statement indicating  that  formal
 4    complaints regarding hearing instrument goods or services may
 5    be  made  to  the  Department  and disclosing the address and
 6    telephone number of the Department.
 7        Any person wishing to make a complaint, against a hearing
 8    instrument dispenser under this Act, shall file it  with  the
 9    Department  within  3  years from the date of the action upon
10    which  the  complaint  is  based.    The   Department   shall
11    investigate all such complaints.
12        All  persons  licensed  under  this  Act  shall  maintain
13    liability  insurance  as  set  forth  by  rule  and  shall be
14    responsible for the annual calibration of all audiometers  in
15    use  by  such  persons.  Such annual calibrations shall be in
16    conformance  with  the  current  standards  set  by  American
17    National Standard Institute.
18    (Source: P.A. 89-72, eff. 12-31-95.)

19        (225 ILCS 50/7) (from Ch. 111, par. 7407)
20        Sec. 7.  Exemptions.
21        (a)  The following are exempt from this Act:
22             (1)  Licensed physicians. This  exemption,  however,
23        does not apply to a physician's employee or subcontractor
24        who is not a physician.
25             (2)  Persons  who only repair or manufacture hearing
26        instruments and their accessories for wholesale.
27             (3)  Audiologists  licensed   under   the   Illinois
28        Speech-Language Pathology and Audiology Practice Act.
29        (b)  Audiometers  used by persons exempt from this Act to
30    dispense hearing instruments must meet the annual calibration
31    requirements  and  current  standards  set  by  the  American
32    National Standards Institute.
33    (Source: P.A. 89-72, eff. 12-31-95.)
 
                            -5-              LRB9107670ACpkam
 1        (225 ILCS 50/8) (from Ch. 111, par. 7408)
 2        Sec. 8.  Applicant qualifications; examination.
 3        (a)  In   order   to   protect   persons   with   hearing
 4    impairments, the Department shall authorize or shall  conduct
 5    an  appropriate  examination  for persons who dispense, test,
 6    select, recommend, fit, or service hearing instruments.   The
 7    frequency of holding these examinations shall  be  determined
 8    by  the Department by rule.  Those who successfully pass such
 9    an examination  shall  be  issued  a  license  as  a  hearing
10    instrument  dispenser,  which shall be effective for a 2-year
11    period.
12        (b) Applicants shall be:
13             (1)  at least 18 years of age;
14             (2)  of good moral character;
15             (3)  a high school graduate or the equivalent;
16             (4)  free of contagious or infectious disease; and
17             (5)  a citizen or person who has  the  status  as  a
18        legal alien.
19        Felony  convictions of the applicant and findings against
20    the applicant involving matters set forth in Sections 17  and
21    18  shall  be  considered in determining moral character, but
22    such a conviction or finding  shall  not  make  an  applicant
23    ineligible to register for examination.
24        (c)  Prior  to  engaging  in  the  practice  of  fitting,
25    dispensing,  or  servicing  hearing instruments, an applicant
26    shall  demonstrate,  by  means  of  written   and   practical
27    examinations,  that  such person is qualified to practice the
28    testing,  selecting,  recommending,  fitting,   selling,   or
29    servicing  of hearing instruments as defined in this Act.  An
30    applicant who fails to obtain  a  license  within  12  months
31    after  passing  both  the  written and practical examinations
32    must take and pass those examinations again in  order  to  be
33    eligible  to  receive  a  license.    An  applicant  who is a
34    licensed audiologist shall take  the  practical  examination,
 
                            -6-              LRB9107670ACpkam
 1    but  is  not  required  to  take  the  written examination to
 2    qualify for a license.
 3        The Department shall, by rule, determine  the  conditions
 4    under which an individual is examined.
 5        (d)  Proof  of  having  met  the  minimum requirements of
 6    continuing education as determined  by  the  Board  shall  be
 7    required  of  all  license  renewals.   Pursuant to rule, the
 8    continuing education requirements may, upon petition  to  the
 9    Board,  be  waived  in  whole  or  in  part  if  the  hearing
10    instrument dispenser can demonstrate that he or she served in
11    the  Coast Guard or Armed Forces, had an extreme hardship, or
12    obtained his or her license  by  examination  or  endorsement
13    within the preceding renewal period.
14        (e)  Beginning  January  1, 2001, persons applying for an
15    initial license must demonstrate having earned  an  associate
16    degree  or  its  equivalent from an accredited institution of
17    higher education and meet  the  other  requirements  of  this
18    Section.   In  addition,  the  applicant must demonstrate the
19    successful completion of 12  semester  hours  or  18  quarter
20    hours  of academic undergraduate course work in an accredited
21    institution consisting of 3 semester  hours  of  anatomy  and
22    physiology  of  the  speech and hearing mechanism, 3 semester
23    hours of hearing science, 3 semester hours of introduction to
24    audiology, and 3 semester hours of aural  rehabilitation,  or
25    the quarter hour equivalent.  Persons licensed before January
26    1,  2001 who have a valid license on that date may have their
27    license renewed without  meeting  the  requirements  of  this
28    subsection.
29    (Source: P.A. 89-72, eff. 12-31-95.)

30        (225 ILCS 50/11) (from Ch. 111, par. 7411)
31        Sec. 11.  Graduate audiology students.
32        Full-time  graduate  students  enrolled  in  a program of
33    audiology in an accredited college or university  may  engage
 
                            -7-              LRB9107670ACpkam
 1    in  the  dispensing  of  hearing  instruments  as a part of a
 2    program of audiology without a license under the  supervision
 3    of a licensed audiologist hearing instrument dispenser.
 4        The  supervisor  and  the  supervisor's employer shall be
 5    jointly and severally liable for  any  acts  of  the  student
 6    relating  to  the  practice  of fitting or dispensing hearing
 7    instruments as defined in this Act and the rules  promulgated
 8    hereunder.
 9    (Source: P.A. 89-72, eff. 12-95-31.)

10        (225 ILCS 50/14) (from Ch. 111, par. 7414)
11        Sec.  14.   Powers  and  duties  of  the Department.  The
12    powers and duties of the Department are:
13        (a)  To issue licenses and to administer examinations  to
14    applicants;
15        (b)  To  license  persons  who are qualified to engage in
16    the testing, recommending, fitting, selling,  and  dispensing
17    of hearing instruments;
18        (c)  To  provide  the  equipment and facilities necessary
19    for the examination;
20        (d)  To issue and to renew licenses;
21        (e)  To suspend or revoke licenses or to take such  other
22    disciplinary action as provided in this Act;
23        (f)  To  consider all recommendations and requests of the
24    Board and to inform it  of  all  actions  of  the  Department
25    insofar  as  hearing  instrument  dispensers  are  concerned,
26    including  any  instances where the actions of the Department
27    are contrary to the recommendations of the Board;
28        (g)  To promulgate rules necessary to implement this Act;
29        (h)  (Blank)   To subject the supervisor  of  a  graduate
30    audiology  student to such discipline as provided in this Act
31    for any violations made by the  graduate  audiology  student;
32    and
33        (i)  To  conduct  such  consumer  education  programs and
 
                            -8-              LRB9107670ACpkam
 1    awareness programs for persons with a hearing  impairment  as
 2    may be recommended by the Board.
 3    (Source: P.A. 89-72, eff. 12-31-95; 89-626, eff. 8-9-96.)

 4        (225 ILCS 50/15) (from Ch. 111, par. 7415)
 5        Sec. 15.  Fees.
 6        (a)  The  following  are  fees  to be charged and are not
 7    refundable:
 8             (1)  The fee for application for a  license  is  $40
 9        $35.
10             (2)  In  addition to the application fee, applicants
11        for any examination shall be required to pay,  either  to
12        the  Department  or  to the designated testing service, a
13        fee covering the actual cost of the examination.  Failure
14        to appear for the examination on the scheduled  date,  at
15        the  time  and  place  specified,  after  the applicant's
16        application and fee for the examination has been received
17        and acknowledged by  the  Department  or  the  designated
18        testing  service,  shall  result in the forfeiture of the
19        fee.
20             (3)  The fee for a license shall be $115 $40  per  2
21        year licensure period.
22             (4)  The  fee  for  the  reinstatement  of a license
23        which has been expired for more than  90  days  but  less
24        than  2  years  is $50 plus payment of all lapsed renewal
25        and late fees.
26             (5)  The fee for the restoration of a license  which
27        has  been  expired  for  more  than  2 years is $100 plus
28        payment of all lapsed renewal and late fees.
29             (6)  The  fee  for  the  issuance  of  a   duplicate
30        license,  for the issuance of a replacement license which
31        has been lost or destroyed  or  for  the  issuance  of  a
32        license  with a change of name or address is $10.  No fee
33        is required for name and address  changes  on  Department
 
                            -9-              LRB9107670ACpkam
 1        records when no duplicate license is issued.
 2             (7)  The fee for a licensee's record for any purpose
 3        is $10.
 4             (8)  The  fee  to have the scoring of an examination
 5        administered by the Department reviewed and  verified  is
 6        $10, plus any fee charged by the testing service.
 7             (9)  The  fee for a wall license shall be the actual
 8        cost of such license.
 9             (10)  The fee for a roster of  persons  licensed  as
10        hearing instrument dispensers shall be the actual cost of
11        such roster.
12             (11)  The annual fee for any organization registered
13        pursuant  to  Section 6 is $100.  Such fee is in addition
14        to all other fees imposed under this Act.
15             (12)  A late fee, which shall be in the same  amount
16        as  the  license  renewal  fee,  shall  be  charged  to a
17        dispenser whose license renewal fee is  received  by  the
18        Department after the expiration date of the license.
19             (13)  Sponsors of continuing education courses shall
20        provide  such  information as may be required by rule and
21        shall pay a fee of $150  per  course.   However,  courses
22        certified  or  approved  for  continuing education by the
23        International Hearing Aid Society, the  American  Academy
24        of Audiology, the Academy of Dispensing Audiologists, the
25        American   Speech-Language-Hearing  Association,  or  any
26        other national organization approved by the  Board  shall
27        be  exempt  from such fee and compliance with such course
28        filing requirements as specified by rule.
29        (b)  The  moneys  received  as  fees  and  fines  by  the
30    Department under this Act shall be deposited in  the  Hearing
31    Instrument  Dispenser  Examining and Disciplinary Fund, which
32    is hereby created as a special fund in  the  State  Treasury,
33    and shall be used only for the administration and enforcement
34    of  this  Act,  including:  (1)  costs  directly  related  to
 
                            -10-             LRB9107670ACpkam
 1    licensing  of persons under this Act; and (2) by the Board in
 2    the exercise of its powers and performance of its duties, and
 3    such  use  shall  be  made  by  the  Department   with   full
 4    consideration of all recommendations of the Board.
 5        All moneys deposited in the Fund shall be appropriated to
 6    the  Department  for expenses of the Department and the Board
 7    in the administration and enforcement of this Act.
 8        Moneys in the Fund may be invested and  reinvested,  with
 9    all  earnings deposited in the Fund and used for the purposes
10    set forth in this Act.
11        Upon the completion of any audit  of  the  Department  as
12    prescribed  by  the  Illinois State Auditing Act, which audit
13    shall include an audit of the Fund, the Department shall make
14    a copy of the audit open  to  inspection  by  any  interested
15    person,  which  copy  shall be submitted to the Department by
16    the Auditor General, in  addition  to  the  copies  of  audit
17    reports  required to be submitted to other State officers and
18    agencies by Section 3-14 of the Illinois State Auditing Act.
19    (Source: P.A. 89-72, eff. 12-31-95.)

20        (225 ILCS 50/16) (from Ch. 111, par. 7416)
21        Sec. 16.  Hearing Instrument Consumer  Protection  Board.
22    There  shall  be  established  a  Hearing Instrument Consumer
23    Protection  Board  which  shall  assist,  advise   and   make
24    recommendations to the Department.
25        The  Board  shall  consist  of  6  5 members who shall be
26    residents of Illinois.  One shall be a licensed physician who
27    specializes in otology or  otolaryngology;  one  shall  be  a
28    member of a consumer-oriented organization concerned with the
29    hearing  impaired;  one  shall  be  from  the general public,
30    preferably a senior  citizen;  and  3  2  shall  be  licensed
31    hearing   instrument   dispensers   who  are.   Each  hearing
32    instrument  dispenser  shall  have  at  least  5   years   of
33    experience. One of the hearing instrument dispensers shall be
 
                            -11-             LRB9107670ACpkam
 1    a  Licensed  Audiologist  and  the  other shall be a National
 2    Board Certified Hearing Instrument Specialists, one  of  whom
 3    is a licensed audiologist Specialist.  If a vote of the Board
 4    results in a tie, the Director shall cast the deciding vote.
 5        Members  of  the Board shall be appointed by the Director
 6    after    consultation    with    appropriate     professional
 7    organizations and consumer groups. The term of office of each
 8    shall  be  4  years.   Before  a  member's  term expires, the
 9    Director shall appoint a successor to assume member's  duties
10    at  the  expiration  of  his  or  her  predecessor's term.  A
11    vacancy shall be filled  by  appointment  for  the  unexpired
12    term.  The  members  shall  annually  designate one member as
13    chairman.   No  member  of  the  Board  who  has   served   2
14    successive,  full  terms may be reappointed. The Director may
15    remove members for good cause.
16        Members of the  Board  shall  receive  reimbursement  for
17    actual  and  necessary  travel and for other expenses, not to
18    exceed the limit established by the Department.
19    (Source: P.A. 89-72, eff. 12-31-95.)

20        Section 10.  The Illinois Speech-Language  Pathology  and
21    Audiology Practice Act is amended by changing Sections 4, 14,
22    and 14.5 and by adding Section 7.1 as follows:

23        (225 ILCS 110/4) (from Ch. 111, par. 7904)
24        Sec. 4.  Powers and duties of the Department.  Subject to
25    the provisions of this Act, the Department shall exercise the
26    following functions, powers and duties:
27        (a)  Conduct  or  authorize examinations to ascertain the
28    fitness and qualifications  of  applicants  for  license  and
29    issue  licenses  to  those  who  are  found  to  be  fit  and
30    qualified.
31        (b)  Prescribe  rules  and  regulations  for  a method of
32    examination of candidates.
 
                            -12-             LRB9107670ACpkam
 1        (c)  Prescribe rules and regulations defining what  shall
 2    constitute  an  approved  school,  college or department of a
 3    university, except that no school, college or department of a
 4    university that refuses admittance to  applicants  solely  on
 5    account  of  race, color, creed, sex or national origin shall
 6    be approved.
 7        (d)  Conduct hearings on proceedings to revoke,  suspend,
 8    or refusal to issue such licenses.
 9        (e)  Promulgate  rules  and  regulations required for the
10    administration of this Act.
11        (f)  Discipline the supervisor of  a  graduate  audiology
12    student  as  provided  in  this  Act  for  a violation by the
13    graduate audiology student.
14        (g)  Enforce the provisions  of  the  Hearing  Instrument
15    Consumer  Protection  Act and rules promulgated under the Act
16    as that Act and those rules apply  to  licensed  audiologists
17    regulated by the Department.
18    (Source: P.A. 85-1391.)

19        (225 ILCS 110/7.1 new)
20        Sec.   7.1.    Graduate   audiology  students.  Full-time
21    graduate students enrolled in a program of  audiology  in  an
22    accredited college or university may engage in the dispensing
23    of  hearing  instruments  as a part of a program of audiology
24    without a license under the  supervision  of  an  audiologist
25    licensed under this Act.
26        The  supervisor  and  the  supervisor's employer shall be
27    jointly and severally liable for  any  acts  of  the  student
28    relating  to  the  practice  of fitting or dispensing hearing
29    instruments as defined in the rules  promulgated  under  this
30    Act.

31        (225 ILCS 110/14) (from Ch. 111, par. 7914)
32        Sec. 14.  Fees.
 
                            -13-             LRB9107670ACpkam
 1        (a)  The  Department shall provide by rule for a schedule
 2    of fees to be paid  for  licenses  by  all  applicants.   The
 3    Department  shall  consult  with  the  Board and consider its
 4    recommendations when establishing the schedule  of  fees  and
 5    any increase in fees to be paid by license applicants.
 6        (b)  Except as provided in subsection (c) below, the fees
 7    for the administration and enforcement of this Act, including
 8    but   not   limited   to  original  licensure,  renewal,  and
 9    restoration, shall be set by rule and shall be nonrefundable.
10        (b-5)  In addition to any  fees  set  by  the  Department
11    through  administrative  rule,  the  Department shall, at the
12    time of licensure and renewal,  collect  from  each  licensed
13    audiologist  a  Hearing Instrument Consumer Protection Fee of
14    $45.
15        (c)  Applicants for examination shall be required to pay,
16    either to the Department or the designated testing service, a
17    fee covering the  cost  of  initial  screening  to  determine
18    eligibility and to provide the examination. Failure to appear
19    for  the  examination  on  the scheduled date at the time and
20    place specified, after the application  for  examination  has
21    been  received  and  acknowledged  by  the  Department or the
22    designated testing service, shall result in the forfeiture of
23    the examination fee.
24    (Source: P.A. 90-69, eff. 7-8-97.)

25        (225 ILCS 110/14.5)
26        Sec. 14.5.  Deposit of fees and fines.  Beginning July 1,
27    1995, all of the fees and  fines  collected  under  this  Act
28    shall  be  deposited  into  the General Professions Dedicated
29    Fund, with the exception of the Hearing  Instrument  Consumer
30    Protection  Fee  provided  for in subsection (b-5) of Section
31    14, which shall be  deposited  into  the  Hearing  Instrument
32    Dispenser  Licensing  and Discipline Fund administered by the
33    Department of Public Health.
 
                            -14-             LRB9107670ACpkam
 1    (Source: P.A. 88-683, eff. 1-24-95.)

 2        Section 99.  Effective date.  This Act  takes  effect  on
 3    January 1, 2001.".

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