Public Act 90-0069 of the 90th General Assembly

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Public Act 90-0069

HB0860 Enrolled                                LRB9002895DPcc

    AN ACT extending the Board of  Speech-Language  Pathology
and  Audiology,  concerning  the  practice of speech-language
pathology and audiology, and amending a named Act.

    Be it enacted by the People of  the  State  of  Illinois,
represented in the General Assembly:

    Section 5. The Regulatory Agency Sunset Act is amended by
changing Section 4.9 and adding Section 4.18 as follows:

    (5 ILCS 80/4.9) (from Ch. 127, par. 1904.9)
    (Text of Section before amendment by P.A. 89-702)
    Sec.  4.9.  The  following Acts are repealed December 31,
1997:
    The Medical Practice Act of 1987.
    The Pharmacy Practice Act of 1987.
    The Illinois Optometric Practice Act of 1987.
    The Podiatric Medical Practice Act of 1987.
    The   Nursing   Home   Administrators    Licensing    and
Disciplinary Act.
    The Physician Assistant Practice Act of 1987.
    The Illinois Nursing Act of 1987.
    The Clinical Social Work and Social Work Practice Act.
    The Clinical Psychologist Licensing Act.
    The  Illinois  Speech-Language  Pathology  and  Audiology
Practice Act.
    The Marriage and Family Therapy Licensing Act.
(Source: P.A. 87-1237.)

    (Text of Section after amendment by P.A. 89-702)
    Sec.  4.9.  The  following Acts are repealed December 31,
1997:
    The Pharmacy Practice Act of 1987.
    The Podiatric Medical Practice Act of 1987.
    The   Nursing   Home   Administrators    Licensing    and
Disciplinary Act.
    The Physician Assistant Practice Act of 1987.
    The Illinois Nursing Act of 1987.
    The Clinical Social Work and Social Work Practice Act.
    The  Illinois  Speech-Language  Pathology  and  Audiology
Practice Act.
    The Marriage and Family Therapy Licensing Act.
(Source: P.A. 89-702, eff. 7-1-97.)

    (5 ILCS 80/4.18 new)
    Sec.  4.18.  Act  repealed January 1, 2008. The following
Act is repealed January 1, 2008:
    The  Illinois  Speech-Language  Pathology  and  Audiology
Practice Act.

    Section 10. The Illinois  Speech-Language  Pathology  and
Audiology  Practice  Act  is  amended by changing Sections 3,
3.5, 5, 7, 8, 11, 13, 14, 16, 17, 18, 21, 22, 28, 30, and  33
and by adding Sections 9.5, 16.5, 28.5, and 29.5 as follows:

    (225 ILCS 110/3) (from Ch. 111, par. 7903)
    Sec.  3.   Definitions.   The following words and phrases
shall have the meaning  ascribed  to  them  in  this  Section
unless the context clearly indicates otherwise:
         (a)  "Department"  means  the Illinois Department of
    Professional Regulation.
         (b)  "Director" means the Director  of  Professional
    Regulation.
         (c)  "Board"  means  the  Board  of  Speech-Language
    Pathology  and  Audiology  established under Section 5 of
    this Act.
         (d)  "Speech-Language Pathologist"  means  a  person
    who  has received a license pursuant to Section 9 of this
    Act and who engages in the  practice  of  speech-language
    pathology, as defined herein.
         (e)  "Audiologist" means a person who has received a
    license pursuant to Section 9 of this Act and who engages
    in the practice of audiology, as defined herein.
         (f)  "Public  member"  means  a  person who is not a
    health professional.  For purposes of  board  membership,
    any  person  with  a  significant financial interest in a
    health service or profession is not a public member.
         (g)  "The practice of audiology" is the  application
    of    nonmedical   methods   and   procedures   for   the
    identification,    measurement,    testing,    appraisal,
    prediction, habilitation, rehabilitation, or  instruction
    related  to  hearing  and  disorders  of  hearing.  These
    procedures are for the purpose of counseling,  consulting
    and  rendering  or  offering  to  render  services or for
    participating in the planning, directing or conducting of
    programs that which are designed to modify  communicative
    disorders involving speech, language or auditory function
    related  to  hearing  loss. The practice of audiology may
    include, but shall not be limited to, the following:
              (1)  any task, procedure, act, or practice that
         is  necessary  for  the  evaluation  of  hearing  or
         vestibular function;
              (2)  training  in  the  use  of  amplification,
         including hearing instruments hearing aids;
              (3)  performing  basic  speech   and   language
         screening   tests  and  procedures  consistent  with
         audiology training.
         (h)  "The practice of speech-language pathology"  is
    the  application of nonmedical methods and procedures for
    the  identification,  measurement,  testing,   appraisal,
    prediction,     habilitation,     rehabilitation,     and
    modification  related  to  communication development, and
    disorders or disabilities  of  speech,  language,  voice,
    swallowing,  and other speech, language and voice related
    disorders.  These  procedures  are  for  the  purpose  of
    counseling,  consulting  and  rendering  or  offering  to
    render  services,  or  for participating in the planning,
    directing  or  conducting  of  programs  that  which  are
    designed to modify communicative disorders and conditions
    in individuals or groups of individuals involving speech,
    language, voice and swallowing function.
         The  practice  of  speech-language  pathology  shall
    include the following, as further provided by rule:
              (1)  hearing   screening   tests   and    aural
         rehabilitation     procedures     consistent    with
         speech-language pathology training;
              (2)  tasks, procedures, acts or practices  that
         are necessary for the evaluation of, and training in
         the  use  of,  augmentative  communication  systems,
         communication  variation,  cognitive rehabilitation,
         non-spoken language production and comprehension.
(Source: P.A. 85-1391.)

    (225 ILCS 110/3.5)
    Sec. 3.5. Exemptions. This Act does not prohibit:
         (a)  The practice of  speech-language  pathology  or
    audiology  by  students  in  their  course  of  study  in
    programs approved by the Department when acting under the
    direction  and  supervision  of  licensed speech-language
    pathologists or audiologists.
         (b)  The   performance   of   any    speech-language
    pathology   or  audiology  service  by  an  appropriately
    trained person if such service  is  performed  under  the
    supervision   and   full  responsibility  of  a  licensed
    speech-language pathologist or audiologist.
         (b-5)  The performance of an audiology service by an
    appropriately trained person if that service is performed
    under  the  supervision  and  full  responsibility  of  a
    licensed audiologist.
         (c)  The performance of audiometric testing for  the
    purpose   of   industrial   hearing  conservation  by  an
    audiometric  technician  certified  by  the  Council   of
    Accreditation   for   Occupational  Hearing  Conservation
    (CAOHC).
         (d)  The performance of an audiometric screening  by
    an  audiometric  screenings  technician  certified by the
    Department of Public Health.
         (e)  The selling or practice of fitting, dispensing,
    or servicing hearing instruments by a hearing  instrument
    aid  dispenser  licensed  under  the  Hearing  Instrument
    Consumer Protection Act.
         (f)  A person licensed in this State under any other
    Act  from engaging in the practice for which he or she is
    licensed.
         (g)  The performance of vestibular function  testing
    by  an appropriately trained person under the supervision
    of a physician licensed to practice medicine in  all  its
    branches.

    (225 ILCS 110/5) (from Ch. 111, par. 7905)
    Sec.   5.    Board   of   Speech-Language  Pathology  and
Audiology.  There  is  created  a  Board  of  Speech-Language
Pathology and Audiology to be composed of persons  designated
from time to time by the Director, as follows:
         (a)  Five  persons,  2  of  whom  have been licensed
    speech-language pathologists for a period of 5  years  or
    more,  2  of  whom  have been licensed audiologists for a
    period of 5 years or more, and one  public  member.   The
    board  shall  annually elect a chairperson chairman and a
    vice-chairperson.
         (b)  Terms for all members shall be for 3 years. For
    initial appointments, one member shall  be  appointed  to
    serve  for  one year, 2 shall be appointed to serve for 2
    years, and the remaining shall be appointed to serve  for
    3  years  and  until  their  successors are appointed and
    qualify.  Initial terms shall begin on the effective date
    of this Act. Partial terms over 2 years in  length  shall
    be considered as full terms.  A member may be reappointed
    for  a  successive  term,  but no member shall serve more
    than 2 full terms.
         (c)  The membership of the Board  should  reasonably
    reflect  representation from the various geographic areas
    of the State.
         (d)  In  making  appointments  to  the  Board,   the
    Director  shall give due consideration to recommendations
    by organizations of  the  speech-language  pathology  and
    audiology professions in Illinois, including the Illinois
    Speech-Language-Hearing  Association,  and shall promptly
    give due notice to such organizations of any  vacancy  in
    the  membership of the Board.  The Director may terminate
    the appointment of any member for any cause, which in the
    opinion  of  the  Director,  reasonably  justifies   such
    termination.
         (e)  A  majority  of  the  Board  members  currently
    appointed  shall  constitute  a  quorum. A vacancy in the
    membership of the Board shall not impair the right  of  a
    quorum  to  exercise  all  the rights and perform all the
    duties of the Board.
         (f)  The members of the Board shall each receive  as
    compensation  a  reasonable  sum  as  determined  by  the
    Director  for  each day actually engaged in the duties of
    the office, and all  legitimate  and  necessary  expenses
    incurred in attending the meetings of the Board.
         (g)  Members  of the Board shall be immune from suit
    in any action based upon any disciplinary proceedings  or
    other  activities  performed  in good faith as members of
    the Board.
         (h)  The Director may consider  the  recommendations
    of  the Board in establishing guidelines for professional
    conduct, the conduct of formal disciplinary   proceedings
    brought under this Act, and qualifications of applicants.
    Notice of proposed rulemaking shall be transmitted to the
    Board and the Department shall review the response of the
    Board  and  any recommendations made in the response. The
    Department, at any time, may seek the expert  advice  and
    knowledge  of  the  Board  on  any matter relating to the
    administration or enforcement of this Act.
         (i)  Whenever  the  Director   is   satisfied   that
    substantial  justice  has  not  been  done  either  in an
    examination or in the revocation, suspension, or  refusal
    of  a license, or other disciplinary action relating to a
    license,  the  Director  may  order  a  reexamination  or
    rehearing.
(Source: P.A. 85-1391.)

    (225 ILCS 110/7) (from Ch. 111, par. 7907)
    Sec. 7. Licensure requirement. Necessity for Licensure of
Speech-Language    Pathologists    and    Audiologists    and
Applications for Licenses. (a) On or after June 1,  1989,  no
person  shall practice speech-language pathology or audiology
without first applying for and obtaining a license  for  such
purpose from the Department.
    (b)  Applications  must  be  accompanied  by the required
fee.
    (c)  If an applicant neglects, fails, refuses to take  or
fails  to  pass  an  examination for licensure under this Act
within 3 years after filing his application, the fee paid  by
the  applicant shall be forfeited and the application denied.
However, such applicant may thereafter make a new application



for examination, accompanied by the required fee and  provide
evidence  of meeting the requirements in force at the time of
the new application.  In the event an  applicant  has  passed
part of an examination administered during the 3 year period,
but  has failed to pass the examination in its entirety, said
individual's partial scores shall be void, and  he  shall  be
required  to  retake all portions of the examination within a
successive 3 year period.
    (d)  In lieu of the examination given to other applicants
for licensure,  the  Director  may  issue  a  license  to  an
individual  who  presents  proof  to the Director that he was
actively  engaged   in   the   practice   of   audiology   or
speech-language  pathology,  or  both, prior to June 1, 1989,
and who has practiced such profession in this State for 2  of
the  last 4 years immediately preceding the enactment of this
Act.  The Director may issue a license under this  subsection
(d)   to   an  individual  who  has  actively  practiced  the
profession for at least 4 years, but who does  not  meet  the
requirement  of  practicing  2  of  the  last  4  years.   In
addition,  such  individual  shall  demonstrate  evidence  of
receiving  one of the following: (1) a master's degree or its
equivalent in speech-language  pathology  or  audiology,  and
meeting   the   certification   standards   of  the  American
Speech-Language-Hearing Association (ASHA), or  (2)  a  valid
Type  10-Speech  and  Language  Impaired  Certificate  or its
equivalent from the Illinois State Board of  Education.   The
application  for  a license without examination shall be made
to the Director within one year of the enactment date of this
Act.  Prior to the licensure  of  an  individual  under  this
Section,   the   Director  may  require  that  the  applicant
demonstrate satisfactory knowledge  of  current  developments
and procedures in his area of specialization.
(Source: P.A. 85-1391.)
    (225 ILCS 110/8) (from Ch. 111, par. 7908)
    Sec. 8.  Qualifications of Applicants for Speech-Language
Pathology   and  Audiology  licenses.  The  Department  shall
require that each applicant for a license to practice shall:
         (a)  (Blank);
         (b)  Be at least 21 years of age;
         (c)  Not have violated any provisions of Section  16
    of this Act;
         (d)  Present  satisfactory  evidence  of receiving a
    master's degree in speech-language pathology or audiology
    from a program approved by the  Department.   Nothing  in
    this  Act  shall be construed to prevent any program from
    establishing higher standards than specified in this Act;
         (e)  Pass   an   examination   authorized   by   the
    Department in the theory and practice of the  profession,
    provided  that the Department may recognize a certificate
    granted   by   the    American    Speech-Language-Hearing
    Association in lieu of such examination; and
         (f)  Have  completed  the  equivalent of 9 months of
    full-time, supervised professional experience.
    Applicants have 3 years from the date of  application  to
complete the application process. If the process has not been
completed  within  3  years, the application shall be denied,
the fee shall be forfeited, and the  applicant  must  reapply
and   meet   the  requirements  in  effect  at  the  time  of
reapplication.
(Source: P.A. 89-387, eff. 8-20-95.)

    (225 ILCS 110/9.5 new)
    Sec. 9.5. Practice by corporations. No license  shall  be
issued  by  the  Department  to  any  corporation, the stated
purpose of which includes or that practices or  holds  itself
out  as  available  to  practice speech-language pathology or
audiology, unless it is organized under the provisions of the

Professional Service Corporation Act.

    (225 ILCS 110/11) (from Ch. 111, par. 7911)
    Sec.  11.   Expiration,  renewal   and   restoration   of
licenses.
    (a)  The  expiration  date  and  renewal  period for each
license issued under this  Act  shall  be  set  by  rule.   A
speech-language  pathologist  or  audiologist  may renew such
license  during  the  month  preceding  the  expiration  date
thereof by paying the required fee.
    (a-5)  All renewal  applicants  shall  provide  proof  of
having met the continuing education requirements set forth in
the  rules  of the Department.  At a minimum, the rules shall
require a renewal applicant to provide proof of completing at
least 20 hours of  continuing  education  during  the  2-year
licensing cycle for which he or she is currently licensed. An
audiologist who has met the continuing education requirements
of  the  Hearing Instrument Consumer Protection Act during an
equivalent licensing cycle under this Act shall be deemed  to
have  met  the continuing education requirements of this Act.
The Department shall provide by rule for an  orderly  process
for  the reinstatement of licenses that have not been renewed
for failure to meet the  continuing  education  requirements.
The  continuing education requirements may be waived in cases
of extreme hardship as defined by rule of the Department.
    The Department shall establish by rule a  means  for  the
verification   of  completion  of  the  continuing  education
required  by  this  Section.   This   verification   may   be
accomplished   through   audits   of  records  maintained  by
licensees, by requiring the filing  of  continuing  education
certificates   with   the   Department,  or  by  other  means
established by the Department.
    (b)  Inactive status.
         (1)  Any licensee who  notifies  the  Department  in
    writing  on forms prescribed by the Department, may elect
    to place his or her license on  an  inactive  status  and
    shall,  subject  to  rules  of the Department, be excused
    from payment of renewal fees until he or she notifies the
    Department in writing of his  or  her  desire  to  resume
    active status.;
         (2)  Any   licensee   requesting   restoration  from
    inactive status shall be required to (i) pay the  current
    renewal  fee  and  (ii)  demonstrate  that  he or she has
    obtained  the  equivalent  of  20  hours  of   continuing
    education  if  the licensee has been inactive, as further
    provided by rule of the Department. and shall be required
    to restore his license;
         (3)  Any licensee whose license is  in  an  inactive
    status  shall  not  practice  in  the  State  of Illinois
    without first restoring his or her license.; and
         (4)  Any licensee who shall engage in  the  practice
    while   the  license  is  lapsed  or  inactive  shall  be
    considered to be practicing without a license which shall
    be grounds for discipline under Section 16 of this Act.
    (c)  Any speech-language pathologist or audiologist whose
license has expired may have his or her license  restored  at
any  time  within  5 years after the expiration thereof, upon
payment of  the  required  fee  and  meeting  the  continuing
education requirements of subdivision (2) of subsection (b).
    (d)  Any  person  whose license has been expired for more
than 5 years or more may have his or her license restored  by
making   application  to  the  Department  and  filing  proof
acceptable to the Department of his or her  fitness  to  have
his   or  her  license  restored,  including  sworn  evidence
certifying to active lawful practice in another jurisdiction,
and  by  paying  the  required  restoration  fee.   A  person
practicing on an expired license is deemed to  be  practicing
without a license.
    (e)  If  a  person  whose  license  has  expired  has not
maintained  active  practice  in  another  jurisdiction,  the
Department  shall  determine,  by   an   evaluation   process
established  by  rule,  his  or  her fitness to resume active
status and may require the person to  complete  a  period  of
evaluated  clinical  experience,  and  may require successful
completion of an examination.
    (f)  Any person whose license has expired while he or she
has been engaged (1) in federal or State  service  on  active
duty,  or  (2) in training or education under the supervision
of the  United  States  preliminary  to  induction  into  the
military  service,  may  have  his  or  her  license restored
without paying any lapsed  renewal  or  restoration  fee,  if
within 2 years after termination of such service, training or
education   he   or   she   furnishes   the  Department  with
satisfactory proof that he or she has  been  so  engaged  and
that  his  or  her service, training or education has been so
terminated.
(Source: P.A. 85-1391.)

    (225 ILCS 110/13) (from Ch. 111, par. 7913)
    Sec. 13. Licensing applicants from other States.
    Upon payment of the required fee, an applicant who  is  a
speech-language pathologist or audiologist licensed under the
laws  of  another  state  or  territory of the United States,
shall,  without  examination  be  granted  a  license  as   a
speech-language pathologist or audiologist by the Department:
    (a)  whenever the requirements of such state or territory
of   the   United  States  were  at  the  date  of  licensure
substantially equal to the requirements then in force in this
State; or
    (b)  whenever  such  requirements  of  another  state  or
territory of the United States together with educational  and
professional  qualifications, as distinguished from practical
experience, of the applicant since  obtaining  a  license  as
speech-language  pathologist  or audiologist in such state or
territory of the United States are substantially equal to the
requirements in force in Illinois at the time of  application
for   licensure   as   a   speech-language   pathologist   or
audiologist.
    Applicants  have  3 years from the date of application to
complete the application process. If the process has not been
completed within 3 years, the application  shall  be  denied,
the  fee  shall  be forfeited, and the applicant must reapply
and  meet  the  requirements  in  effect  at  the   time   of
reapplication.
(Source: P.A. 85-1391.)

    (225 ILCS 110/14) (from Ch. 111, par. 7914)
    Sec. 14.  Fees.
    (a)  The  Department shall provide by rule for a schedule
of fees to be paid  for  licenses  by  all  applicants.   The
Department  shall  consult  with  the  Board and consider its
recommendations when establishing the schedule  of  fees  and
any increase in fees to be paid by license applicants.
    (b)  Except as provided in subsection (c) below, the fees
for the administration and enforcement of this Act, including
but   not   limited   to  original  licensure,  renewal,  and
restoration, shall be set by rule and shall be nonrefundable.
    (c)  Applicants for examination shall be required to pay,
either to the Department or the designated testing service, a
fee covering the  cost  of  initial  screening  to  determine
eligibility and to provide the examination. Failure to appear
for  the  examination  on  the scheduled date at the time and
place specified, after the application  for  examination  has
been  received  and  acknowledged  by  the  Department or the
designated testing service, shall result in the forfeiture of
the examination fee.
(a) The following fees are non-refundable:
    1.   Application  for   initial   license   pursuant   to
examination: $90.
    2.   Application for licensure for a person licensed as a
speech-language pathologist or audiologist under the laws  of
another State or territory of the United States: $100.
    3.  Application for renewal of a license: $50 per year.
    4.   (i)  Application for restoration of a license, other
than from inactive status: $10 plus  payment  of  all  lapsed
renewal fees.
    (ii)  Application  for  restoration from inactive status:
$10 plus current renewal fees.
    5.  Issuance of a  duplicate  certificate  of  licensure,
issuance of a replacement certificate for a certificate which
has  been lost or destroyed or issuance of a certificate with
a change of name or address other  than  during  the  renewal
period: $20.  No fee is required for name and address changes
on  Department  records  when  no  duplicate  certificate  is
issued.
    6.  Application  for  a  certification  of  a  licensee's
record for any purpose: $20.
    7.  Application  for rescoring of an examination: cost to
the Department of rescoring the examination,  plus  any  fees
charged  by  the  applicable  testing  service  to  have  the
examination rescored.
    (b)  Applicants  for any examination shall be required to
pay, either to the Department or to  the  designated  testing
service,  a  fee  covering  the  cost of initial screening to
determine eligibility and providing the examination.
    (c)  The fee for a wall certificate shall be  the  actual
cost of producing such certificate.
    (d)  The   fee  for  a  roster  of  persons  licensed  as
speech-language pathologists or audiologists  in  this  State
shall be the actual cost of producing such a roster.
(Source: P.A. 85-1391.)

    (225 ILCS 110/16) (from Ch. 111, par. 7916)
    Sec.    16.  Refusal,   revocation   or   suspension   of
Speech-Language Pathology or Audiology licenses.
    (1)  The Department may refuse to issue or renew, or  may
revoke,  suspend,  place  on probation, censure, reprimand or
take other disciplinary action as  the  Department  may  deem
proper,  including  fines  not  to  exceed  $5,000  for  each
violation,  with regard to any license or certificate for any
one or combination of the following causes:
         (a)  Fraud in procuring the license.
         (b)  Habitual intoxication or addiction to  the  use
    of drugs.
         (c)  Willful  or repeated violations of the rules of
    the Department of Public Health.
         (d)  Division of fees or agreeing to split or divide
    the  fees  received  for  speech-language  pathology   or
    audiology  services  with  any  person  for  referring an
    individual, or assisting in the care or treatment  of  an
    individual,  without  the  knowledge of the individual or
    his or her legal representative.
         (e)  Employing,  procuring,  inducing,   aiding   or
    abetting  a  person  not  licensed  as  a speech-language
    pathologist or audiologist to engage in the  unauthorized
    practice of speech-language pathology or audiology.
         (f)  Making    any   misrepresentations   or   false
    promises, directly or indirectly, to influence,  persuade
    or induce patronage.
         (g)  Professional connection or association with, or
    lending  his  or  her  name  to  another  for the illegal
    practice of speech-language  pathology  or  audiology  by
    another,  or  professional connection or association with
    any person, firm or corporation holding itself out in any
    manner contrary to this Act.
         (h)  Obtaining or seeking to obtain  checks,  money,
    or  any  other  things  of  value  by false or fraudulent
    representations, including but not limited  to,  engaging
    in  such  fraudulent  practice  to  defraud  the  medical
    assistance program of the Department of Public Aid.
         (i)  Practicing  under  a name other than his or her
    own.
         (j)  Improper,   unprofessional   or    dishonorable
    conduct of a character likely to deceive, defraud or harm
    the public.
         (k)  Conviction  in  this  or  another  state of any
    crime which is a felony under the laws of this  State  or
    conviction  of  a  felony  in  a  federal  court,  if the
    Department determines,  after  investigation,  that  such
    person has not been sufficiently rehabilitated to warrant
    the public trust.
         (1)  Permitting   a   person   under   his   or  her
    supervision to perform any  function  not  authorized  by
    this Act.
         (m)  A  violation  of  any  provision of this Act or
    rules promulgated thereunder.
         (n)  Revocation by another state,  the  District  of
    Columbia,  territory,  or  foreign nation of a license to
    practice speech-language pathology or  audiology  in  its
    jurisdiction  if  at  least  one  of the grounds for that
    revocation is the same as or the equivalent of one of the
    grounds for revocation set forth herein.
         (o)  Willfully failing  to  report  an  instance  of
    suspected  child  abuse  or  neglect  as  required by the
    Abused and Neglected Child Reporting Act.
         (p)  Gross  or  repeated  malpractice  resulting  in
    injury or death of an individual.
         (q)  Willfully making or  filing  false  records  or



    reports  in  his  or  her  practice  as a speech-language
    pathologist or audiologist, including,  but  not  limited
    to,  false  records  to support claims against the public
    assistance program of the Illinois Department  of  Public
    Aid.
         (r)  Professional incompetence as manifested by poor
    standards of care or mental incompetence as declared by a
    court of competent jurisdiction.
         (s)  Repeated  irregularities  in  billing  a  third
    party  for  services  rendered  to  an  individual.   For
    purposes  of  this  Section,  "irregularities in billing"
    shall include:
              (i)  reporting  excessive   charges   for   the
         purpose  of  obtaining  a total payment in excess of
         that  usually  received   by   the   speech-language
         pathologist   or   audiologist   for   the  services
         rendered;
              (ii)  reporting  charges   for   services   not
         rendered; or
              (iii)  incorrectly  reporting services rendered
         for the purpose of obtaining payment not earned.
         (t)  (Blank) Failure to file a return, or to pay the
    tax, penalty or interest shown in a filed return,  or  to
    pay  any final assessment of tax, penalty or interest, as
    required by any tax  act  administered  by  the  Illinois
    Department   of   Revenue,   until   such   time  as  the
    requirements of any such tax act are satisfied.
         (u)  Violation   of   the   Health    Care    Worker
    Self-Referral Act.
         (v)  Physical  illness, including but not limited to
    deterioration through the aging process or loss of  motor
    skill,  mental illness, or disability that results in the
    inability to  practice  the  profession  with  reasonable
    judgment, skill, or safety.
    (2)  The  Department  shall  deny  a  license  or renewal
authorized by this Act to any person who has defaulted on  an
educational loan guaranteed by the Illinois State Scholarship
Commission;  however,  the  Department may issue a license or
renewal if the  aforementioned  persons  have  established  a
satisfactory  repayment  record as determined by the Illinois
State Scholarship Commission.
    (3)  The  entry  of  an  order   by   a   circuit   court
establishing that any person holding a license under this Act
is  subject to involuntary admission or judicial admission as
provided  for  in  the  Mental   Health   and   Developmental
Disabilities  Code,  operates  as  an automatic suspension of
that license.  That  person  may  have  his  or  her  license
restored  only upon the determination by a circuit court that
the patient is no longer subject to involuntary admission  or
judicial  admission  and  the issuance of an order so finding
and  discharging  the   patient,   and   upon   the   Board's
recommendation   to   the  Department  that  the  license  be
restored. Where the circumstances so indicate, the Board  may
recommend  to  the  Department that it require an examination
prior to restoring any license automatically suspended  under
this subsection.
    (4)  The  Department  may  refuse to issue or may suspend
the license of any person who fails to file a return,  or  to
pay the tax, penalty, or interest shown in a filed return, or
to  pay  any final assessment of the tax penalty or interest,
as required by any tax Act administered by the Department  of
Revenue,  until such time as the requirements of any such tax
Act are satisfied.
    (5)  In enforcing this Section, the Board upon a  showing
of  a possible violation may compel an individual licensed to
practice under this Act, or who  has  applied  for  licensure
pursuant  to  this  Act,  to  submit  to a mental or physical
examination, or both, as required by and at  the  expense  of
the   Department.    The  examining  physicians  or  clinical
psychologists shall be those specifically designated  by  the
Board.  The individual to be examined may have, at his or her
own  expense,  another  physician or clinical psychologist of
his  or  her  choice  present  during  all  aspects  of  this
examination.  Failure of any individual to submit to a mental
or physical examination, when directed, shall be grounds  for
suspension of his or her license until the individual submits
to  the  examination  if  the  Board  finds, after notice and
hearing, that the refusal to submit to  the  examination  was
without reasonable cause.
    If  the  Board  finds  an  individual  unable to practice
because of the reasons set forth in this Section,  the  Board
may require that individual to submit to care, counseling, or
treatment by physicians or clinical psychologists approved or
designated by the Board, as a condition, term, or restriction
for  continued, reinstated, or renewed licensure to practice;
or, in lieu of care, counseling, or treatment, the Board  may
recommend   to   the   Department  to  file  a  complaint  to
immediately suspend,  revoke,  or  otherwise  discipline  the
license  of  the individual. Any individual whose license was
granted,  continued,  reinstated,  renewed,  disciplined   or
supervised    subject   to   such   terms,   conditions,   or
restrictions, and  who  fails  to  comply  with  such  terms,
conditions,   or  restrictions,  shall  be  referred  to  the
Director for a determination as  to  whether  the  individual
shall  have his or her license suspended immediately, pending
a hearing by the Board.
    In instances in which the Director immediately suspends a
person's license  under  this  Section,  a  hearing  on  that
person's license must be convened by the Board within 15 days
after the suspension and completed without appreciable delay.
The  Board  shall  have  the  authority to review the subject
individual's record of treatment and counseling regarding the
impairment to the  extent  permitted  by  applicable  federal
statutes  and regulations safeguarding the confidentiality of
medical records.
    An individual licensed under this Act and affected  under
this  Section shall be afforded an opportunity to demonstrate
to the Board that he or she can resume practice in compliance
with acceptable and prevailing standards under the provisions
of his or her license.
(Source: P.A. 87-1207.)

    (225 ILCS 110/16.5 new)
    Sec. 16.5. Advertising. A person licensed under this  Act
may  advertise  the  availability of professional services in
the public media or on the premises where  such  professional
services  are  rendered  as  permitted  by  law, provided the
advertising is truthful and not misleading or deceptive.  The
Department may adopt rules consistent with this Section.

    (225 ILCS 110/17) (from Ch. 111, par. 7917)
    Sec.  17.   Investigations;  notice of hearing.  Upon the
motion of either the Department or  the  Board  or  upon  the
verified  complaint  in  writing  of any person setting forth
facts that which  if  proven  would  constitute  grounds  for
refusal  to  issue, suspension, or revocation of a license or
for taking any other disciplinary action with regard to a  of
license   under   this   Act,   the  Department  Board  shall
investigate the actions of any person, hereinafter called the
"licensee", who holds or represents that he or  she  holds  a
license.   All such motions or complaints shall be brought to
the Board.
    The Director shall, before refusing to issue, suspending,
revoking, placing on probationary status, or taking any other
disciplinary action as the  Director  may  deem  proper  with
regard to any license, at least 30 days prior to the date set
for  the  hearing,  notify  the  licensee  in  writing of any
charges made and the time and place  for  a  hearing  of  the
charges before the Board.  The Board shall also direct him to
file  his  or her written answer thereto with the Board under
oath within 20 days after the service on him of such  notice,
and  inform  him that if he or she fails to file such answer,
his or her license  may  be  suspended,  revoked,  placed  on
probationary status or other disciplinary action may be taken
with  regard thereto, including limiting the scope, nature or
extent of his or  her  practice  as  the  Director  may  deem
proper.
    Such  written  notice  and  any notice in such proceeding
thereafter may  be  served  by  delivery  personally  to  the
licensee,  or  by registered or certified mail to the address
specified by the licensee in his or her last notification  to
the Director.
(Source: P.A. 85-1391.)

    (225 ILCS 110/18) (from Ch. 111, par. 7918)
    Sec. 18.  Disciplinary actions.
    (a)  In  case the licensee, after receiving notice, fails
to file an answer, his or her license may, in the  discretion
of  the Director, having first received the recommendation of
the Board, be  suspended,  revoked,  placed  on  probationary
status  or the Director may take whatever disciplinary action
he or she may deem  proper,  including  limiting  the  scope,
nature,  or extent of the person's practice or the imposition
of a fine, without a hearing, if  the  act  or  acts  charged
constitute sufficient grounds for such action under this Act.
    (b)  The  Director may temporarily suspend the license of
a  speech-language  pathologist  or  audiologist  without   a
hearing, simultaneous to the institution of proceedings for a
hearing  under  this Act, if the Director finds that evidence
in his or her possession  indicates  that  a  speech-language
pathologist's or audiologist's continuation in practice would
constitute  an  immediate danger to the public.  In the event
that the Director  temporarily  suspends  the  license  of  a
speech-language pathologist or audiologist without a hearing,
a hearing by the Board must be held within 15 days after such
suspension  has  occurred  and  concluded without appreciable
delay.
    (c)  The  entry  of  a  decree  by  any   circuit   court
establishing that any person holding a license under this Act
is a person subject to involuntary admission under the Mental
Health and Developmental Disabilities Code shall operate as a
suspension  of  that  license.   That  person  may resume his
practice only upon a finding by the Board that  he  has  been
determined  to  be no longer subject to involuntary admission
by the court and  upon  the  Board's  recommendation  to  the
Director that he be permitted to resume his practice.
(Source: P.A. 85-1391.)

    (225 ILCS 110/21) (from Ch. 111, par. 7921)
    Sec.  21.  Recommendations for disciplinary action Action
by Director. The Board may advise the Director that probation
be granted or that other disciplinary action,  including  the
limitation  of  the  scope,  nature  or  extent of a person's
practice, be taken, as  it  deems  proper.   If  disciplinary
action  other  than  suspension  or  revocation is taken, the
Board  may  advise  the   Director   to   impose   reasonable
limitations  and  requirements  upon  the  licensee to insure
compliance  with  the  terms  of  the  probation   or   other
disciplinary  action,  including, but not limited to, regular
reporting by the licensee to  the  Director  of  his  or  her
actions,  or the licensee placing himself under the care of a
qualified physician for treatment  or  limiting  his  or  her
practice in such manner as the Director may require.
    The  Board shall present to the Director a written report
of its findings and recommendations.  A copy of  such  report
shall  be  served  upon the licensee, either personally or by
registered or certified mail.   Within  20  days  after  such
service,  the  licensee  may present to the Department his or
her  motion  in  writing  for  a  rehearing,  specifying  the
particular grounds therefor.  If the licensee orders and pays
for a transcript of the record, the time elapsing  thereafter
and before such transcript is ready for delivery to him shall
not be counted as part of such 20 days.
    At the expiration of the time allowed for filing a motion
for  rehearing,  the Director may take the action recommended
by the Board.   Upon  suspension,  revocation,  placement  on
probationary  status, or the taking of any other disciplinary
action, including the  limiting  of  the  scope,  nature,  or
extent of one's practice, deemed proper by the Director, with
regard  to  the  license, the licensee shall surrender his or
her license to the Department if ordered  to  do  so  by  the
Department  and  upon his or her failure or refusal to do so,
the Department may seize such license.
    In all instances under this Act in which  the  Board  has
rendered  a  recommendation to the Director with respect to a
particular person, the Director shall notify the Board if, to
the extent that he or she  disagrees  with  or  takes  action
contrary  to  the  recommendation of the Board, file with the
Board and the Secretary of State his specific written reasons
of disagreement.  Such reasons shall be filed within 30  days
after the Director has taken the contrary position.
    Each   order   of   revocation,   suspension   or   other
disciplinary   action  shall  contain  a  brief  and  concise
statement  of  the  ground  or   grounds   upon   which   the
Department's  action  is based, as well as the specific terms
and conditions of such action.
(Source: P.A. 85-1391.)
    (225 ILCS 110/22) (from Ch. 111, par. 7922)
    Sec. 22.  Appointment of a hearing officer.  The Director
shall  have  the  authority  to  appoint  any  attorney  duly
licensed to practice law in the State of Illinois to serve as
the hearing officer for any  action  for  refusal  to  issue,
renew  or discipline of a license.  The hearing officer shall
have full authority to  conduct  the  hearing.   The  hearing
officer  shall report his or her findings and recommendations
to the Board and the Director.  The Board shall have 60  days
after  from receipt of the report to review the report of the
hearing officer and present its findings of fact, conclusions
of law and recommendations to the  Director.   If  the  Board
fails  to  present  its  report within the 60-day period, the
Director may shall issue an order based on the report of  the
hearing  officer.   If  the  Director disagrees in any regard
with the Board's report, he or she  may  issue  an  order  in
contravention of the Board's report.
(Source: P.A. 85-1391.)

    (225 ILCS 110/28) (from Ch. 111, par. 7928)
    Sec.  28.  Injunction  Unlicensed Practice - Injunctions.
The practice of speech-language pathology or audiology by any
person not holding a valid and current license under this Act
is  declared  to  be  inimical  to  the  public  welfare,  to
constitute a public nuisance, and to cause  irreparable  harm
to  the  public welfare.  The Director, the Attorney General,
the State's attorney of any county in the State or any person
may maintain an action in the name of the People of the State
of Illinois, and may apply for an injunction in  any  circuit
court  to  enjoin  any  such  person  from  engaging  in such
practice.  Upon the filing of a  verified  petition  in  such
court,  the  court  or  any  judge  thereof,  if satisfied by
affidavit, or otherwise, that such person has been engaged in
such practice without a valid and current license, may  issue
a  temporary injunction without notice or bond, enjoining the
defendant from any such further practice. Only the showing of
nonlicensure, by affidavit  or  otherwise,  is  necessary  in
order  for  a  temporary  injunction  to issue. A copy of the
verified complaint shall be served upon the defendant and the
proceedings shall thereafter be conducted as in  other  civil
cases   except   as  modified  by  this  Section.  If  it  is
established that the defendant has been, or is engaged in any
such unlawful practice, the court, or any judge thereof,  may
enter   an   order  or  judgment  perpetually  enjoining  the
defendant from further  such  practice.  In  all  proceedings
hereunder,  the  court,  in its discretion, may apportion the
costs among the parties interested  in  the  suit,  including
cost  of  filing  the  complaint, service of process, witness
fees and expenses,  court  reporter  charges  and  reasonable
attorneys'  fees.  In  case  of  violation  of any injunction
issued under the provisions of this Section,  the  court,  or
any  judge thereof, may summarily try and punish the offender
for contempt of court. Such injunction proceedings  shall  be
in  addition  to, and not in lieu of, all penalties and other
remedies provided in this Act.
(Source: P.A. 85-1391.)

    (225 ILCS 110/28.5 new)
    Sec. 28.5. Cease and desist order. If any person violates
the provisions of this Act, the Director, in the name of  the
People of the State of Illinois, through the Attorney General
or  the State's Attorney of the county in which the violation
is alleged to  have  occurred,  may  petition  for  an  order
enjoining  the violation or for an order enforcing compliance
with this Act. Upon the filing of a  verified  petition,  the
court  with  appropriate  jurisdiction  may issue a temporary
restraining  order,  without  notice   or   bond,   and   may
preliminarily  and permanently enjoin the violation. If it is
established that the person has violated or is violating  the
injunction, the court may punish the offender for contempt of
court. Proceedings under this Section are in addition to, and
not  in lieu of, all other remedies and penalties provided by
this Act.
    Whenever, in the opinion  of  the  Department,  a  person
violates  any provision of this Act, the Department may issue
a rule to show cause why an order to cease and desist  should
not  be  entered  against that person. The rule shall clearly
set forth the grounds relied upon by the Department and shall
allow at least 7 days from the date of the rule  to  file  an
answer  satisfactory  to the Department. Failure to answer to
the satisfaction of the Department shall cause  an  order  to
cease and desist to be issued.

    (225 ILCS 110/29.5 new)
    Sec. 29.5. Unlicensed practice; civil penalty.
    (a)  Any   person  who  practices,  offers  to  practice,
attempts to  practice,  or  holds  oneself  out  to  practice
speech-language pathology or audiology without being licensed
under  this  Act  shall,  in  addition  to  any other penalty
provided by law, pay a civil penalty to the Department in  an
amount not to exceed $5,000 for each offense as determined by
the  Department.  The  civil penalty shall be assessed by the
Department after a hearing is held  in  accordance  with  the
provisions set forth in this Act regarding the provision of a
hearing for the discipline of a licensee.
    (b)  The  Department  has  the  authority  and  power  to
investigate any and all unlicensed activity.
    (c)  The civil penalty shall be paid within 60 days after
the  effective  date of the order imposing the civil penalty.
The order shall constitute a judgment and may  be  filed  and
execution had thereon in the same manner as any judgment from
any court of record.
    (225 ILCS 110/30) (from Ch. 111, par. 7930)
    Sec. 30. Filing license or diploma of another. Any person
filing,  or attempting to file as his or her own, the diploma
or  license  of   another,   or   a   forged   affidavit   of
identification  or qualification, shall be deemed guilty of a
Class 3 felony, and upon conviction thereof, shall be subject
to such fine and imprisonment as is made and provided by  the
statutes of this State for the crime of forgery.
(Source: P.A. 85-1391.)

    (225 ILCS 110/33) (from Ch. 111, par. 7933)
    Sec.  33.  Exemption from civil liability for peer review
committees. While serving upon any peer review committee, any
speech-language  pathologist  or  audiologist  shall  not  be
liable for civil damages as a result of his or her decisions,
findings or recommendations in connection  with  his  or  her
duties  on  such  committee,  except  decisions,  findings or
recommendations  involving  his  or  her  wilful  or   wanton
misconduct.
(Source: P.A. 85-1391.)

    (225 ILCS 110/6 rep.)
    (225 ILCS 110/7.5 rep.)
    (225 ILCS 110/9 rep.)
    (225 ILCS 110/12 rep.)
    (225 ILCS 110/31 rep.)
    (225 ILCS 110/32 rep.)
    Section  15.  The  Illinois Speech-Language Pathology and
Audiology Practice Act is amended by  repealing  Sections  6,
7.5, 9, 12, 31, and 32.

    Section  95.   No  acceleration or delay.  Where this Act
makes changes in a statute that is represented in this Act by
text that is not yet or no longer in effect (for  example,  a
Section  represented  by  multiple versions), the use of that
text does not accelerate or delay the taking  effect  of  (i)
the  changes made by this Act or (ii) provisions derived from
any other Public Act.

    Section 99. Effective date. This Act takes effect on July
1, 1997.
                            INDEX
           Statutes amended in order of appearance
5 ILCS 80/4.9             from Ch. 127, par. 1904.9
5 ILCS 80/4.18 new
225 ILCS 110/3            from Ch. 111, par. 7903
225 ILCS 110/3.5 new
225 ILCS 110/5            from Ch. 111, par. 7905
225 ILCS 110/7            from Ch. 111, par. 7907
225 ILCS 110/8            from Ch. 111, par. 7908
225 ILCS 110/9.5 new
225 ILCS 110/11           from Ch. 111, par. 7911
225 ILCS 110/13           from Ch. 111, par. 7913
225 ILCS 110/14           from Ch. 111, par. 7914
225 ILCS 110/16           from Ch. 111, par. 7916
225 ILCS 110/16.5 new
225 ILCS 110/17           from Ch. 111, par. 7917
225 ILCS 110/18           from Ch. 111, par. 7918
225 ILCS 110/21           from Ch. 111, par. 7921
225 ILCS 110/22           from Ch. 111, par. 7922
225 ILCS 110/28           from Ch. 111, par. 7928
225 ILCS 110/28.5 new
225 ILCS 110/29.5 new
225 ILCS 110/30           from Ch. 111, par. 7930
225 ILCS 110/33           from Ch. 111, par. 7933
225 ILCS 110/6 rep.
225 ILCS 110/7.5 rep.
225 ILCS 110/9 rep.
225 ILCS 110/12 rep.
225 ILCS 110/31 rep.
225 ILCS 110/32 rep.

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