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                                                       PRINTER'S NO. 411

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 398 Session of 1999


        INTRODUCED BY WILT, THOMAS, TIGUE, YOUNGBLOOD, McCALL,
           E. Z. TAYLOR, TRELLO, FORCIER, HARHAI, STERN, MAHER AND
           SAYLOR, FEBRUARY 8, 1999

        REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE,
           FEBRUARY 8, 1999

                                     AN ACT

     1  Amending the act of December 21, 1984 (P.L.1253, No.238),
     2     entitled "An act regulating the practice of speech-language
     3     pathologists, audiologists and teachers of the hearing
     4     impaired; creating the State Board of Examiners in Speech-
     5     Language and Hearing with certain powers and duties; and
     6     prescribing penalties," further providing for powers and
     7     duties of the board; and providing for impaired
     8     professionals.

     9     The General Assembly of the Commonwealth of Pennsylvania
    10  hereby enacts as follows:
    11     Section 1.  Section 5 of the act of December 21, 1984
    12  (P.L.1253, No.238), known as the Speech-Language and Hearing
    13  Licensure Act, is amended to read:
    14  Section 5.  Powers and duties of board.
    15     The board shall have the power and its duties shall be:
    16         (1)  To approve the qualifications and fitness of
    17     applicants for licensure, and to adopt and revise rules and
    18     regulations requiring applicants to pass examinations
    19     relating to their qualifications as a prerequisite to the
    20     issuance of a license.

     1         (2)  To adopt and revise rules and regulations consistent
     2     with the law as may be necessary to implement the provisions
     3     of this act. These rules and regulations shall include, but
     4     not be limited to, codes of ethics for speech-language
     5     pathologists, audiologists and teachers of the hearing
     6     impaired. The codes of ethics shall provide further that,
     7     whereas speech-language pathologists, audiologists and
     8     teachers of the hearing impaired provide nonmedical and
     9     nonsurgical services, medical diagnosis and medical treatment
    10     by these persons are specifically to be considered unethical
    11     and illegal.
    12         (3)  To examine for, deny, approve, issue, revoke,
    13     suspend or renew the licenses of speech-language pathologist,
    14     audiologist and teacher of the hearing impaired applicants.
    15         (4)  To conduct hearings upon complaints of violations of
    16     this act and the rules and regulations adopted pursuant to
    17     this act, and to prosecute and enjoin all such violations.
    18         (5)  To spend funds necessary for the proper performance
    19     of its assigned duties in accordance with the fiscal and
    20     other laws of this Commonwealth and upon approval by the
    21     Commissioner of Professional and Occupational Affairs.
    22         (6)  To waive examination and educational requirements
    23     and grant a license as provided in sections 6 and 7.
    24         (7)  To establish standards of eligibility for license
    25     renewal. These standards shall include, but not be limited
    26     to, the demonstration of satisfactory completion of 20 clock
    27     hours of continuing education related to the practice of
    28     speech-language pathology, audiology or teaching the hearing
    29     impaired in accordance with board regulations. No credit may
    30     be given for courses in office management or practice
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     1     building. The board may waive all or part of the continuing
     2     education requirement to a licensee who shows to the
     3     satisfaction of the board that the licensee was unable to
     4     complete the requirement due to illness, emergency or
     5     hardship. The requirement to demonstrate the satisfactory
     6     completion of continuing education shall begin with the
     7     biennial renewal period to be designated by regulation of the
     8     board and following written notice to licensees.
     9         (8)  To promulgate rules and regulations regarding
    10     persons functioning under the direction of audiologists,
    11     speech-language pathologists and teachers of the hearing
    12     impaired.
    13     Section 2.  The act is amended by adding a section to read:
    14  Section 17.1.  Impaired professionals.
    15     (a)  Appointment of professional consultant.--The board, with
    16  the approval of the Commissioner of Professional and
    17  Occupational Affairs, shall appoint and fix the compensation of
    18  a professional consultant who is a licensee of the board or such
    19  other professional as the board may determine, with education
    20  and experience in the identification, treatment and
    21  rehabilitation of persons with physical or mental impairments.
    22  This consultant shall be accountable to the board and shall act
    23  as a liaison between the board and treatment programs, such as
    24  alcohol and drug treatment programs licensed by the Department
    25  of Health, psychological counseling and impaired professional
    26  support groups that are approved by the board and provide
    27  services to licensees under this act.
    28     (b)  Board action against impaired professionals.--
    29         (1)  The board may deter and ultimately dismiss any of
    30     the types of corrective action set forth in this act for an
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     1     impaired professional so long as the professional is
     2     progressing satisfactorily in an approved treatment program.
     3         (2)  An approved program provider shall, upon request,
     4     disclose to the consultant any information in its possession
     5     regarding an impaired professional in treatment which the
     6     program provider is not prohibited from disclosing by an act
     7     of this Commonwealth, another state or the United States.
     8         (3)  The disclosure of information by an approved program
     9     provider under this section shall apply in the case of an
    10     impaired professional who:
    11             (i)  Enters an agreement in accordance with this
    12         section.
    13             (ii)  Is the subject of a board investigation or
    14         disciplinary proceeding.
    15             (iii)  Voluntarily enters a treatment program other
    16         than under the provisions of this section, but who fails
    17         to complete the program successfully or to adhere to an
    18         aftercare plan developed by the program provider.
    19         (4)  The provisions of this subsection shall not apply to
    20     a professional convicted of a felonious act prohibited by the
    21     act of April 14, 1972 (P.L.233, No.64), known as The
    22     Controlled Substance, Drug, Device and Cosmetic Act, or
    23     convicted of a felony relating to a controlled substance in a
    24     court of law of the United States or any other state,
    25     territory or country.
    26     (c)  Board agreement with impaired professional.--An impaired
    27  professional who enrolls in an approved treatment program shall
    28  enter into an agreement with the board under which the
    29  professional's license shall be suspended or revoked.
    30  Enforcement of that suspension or revocation may be stayed for
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     1  the length of time the professional remains in the program and
     2  makes satisfactory progress, complies with the terms of the
     3  agreement and adheres to any limitations on this practice
     4  imposed by the board to protect the public. Failure to enter
     5  into an agreement shall disqualify the professional from the
     6  impaired professional program and shall activate an immediate
     7  investigation and disciplinary proceeding by the board.
     8     (d)  Consultant disclosure to board.--If, in the opinion of
     9  the consultant after consultation with the provider, an impaired
    10  professional who is enrolled in an approved treatment program
    11  has not progressed satisfactorily, the consultant shall disclose
    12  to the board all information in the consultant's possession
    13  regarding this professional, and the board shall institute
    14  proceedings to determine if the stay of the enforcement of the
    15  suspension or revocation of the impaired professional's license
    16  should be vacated.
    17     (e)  Immunity to approved program provider.--An approved
    18  program provider who makes a disclosure pursuant to this section
    19  shall not be subject to civil liability for the disclosure or
    20  its consequences.
    21     (f)  Mandatory reporting to board.--
    22         (1)  Any hospital or health care facility, peer or
    23     colleague who has substantial evidence that a professional
    24     has an active addictive disease for which the professional is
    25     not receiving treatment, is diverting a controlled substance
    26     or is mentally or physically incompetent to carry out the
    27     duties of that professional's license shall make or cause to
    28     be made a report to the board.
    29         (2)  Any person or facility who acts in a treatment
    30     capacity to an impaired speech-language pathologist,
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     1     audiologist or as a teacher of the hearing impaired in an
     2     approved treatment program shall be exempt from the mandatory
     3     reporting requirements of this subsection. Any person or
     4     facility who reports under this subsection in good faith and
     5     without malice shall be immune from any civil or criminal
     6     liability arising from the report.
     7         (3)  Failure to provide the report within a reasonable
     8     time from receipt of knowledge of impairment shall subject
     9     the person or facility to a fine not to exceed $1,000. The
    10     board shall impose the penalty only after affording the
    11     accused party the opportunity for a hearing as provided in 2
    12     Pa.C.S. (relating to administrative law and procedure).
    13     Section 3.  This act shall take effect in 60 days.












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