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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 a34licensed audiologist shall take the practical examination,-6- LRB9107670ACpkam 1but is not required to take the written examination to2qualify 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 audiologisthearing 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 graduate30audiology student to such discipline as provided in this Act31for 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$40per 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 65members 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 32shall be licensed 31 hearing instrument dispensers who are. Each hearing32instrument dispenser shall have at least 5 years of33experience. One of the hearing instrument dispensers shall be-11- LRB9107670ACpkam 1a Licensed Audiologist and the other shall be aNational 2 Board Certified Hearing Instrument Specialists, one of whom 3 is a licensed audiologistSpecialist. 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.".