Washington State

House of Representatives

Office of Program Research

BILL

ANALYSIS

Health Care & Wellness Committee

ESSB 5601

This analysis was prepared by non-partisan legislative staff for the use of legislative members in their deliberations. This analysis is not a part of the legislation nor does it constitute a statement of legislative intent.

Brief Description: Regulating speech-language pathology assistants.

Sponsors: Senate Committee on Health & Long-Term Care (originally sponsored by Senator Franklin).

Brief Summary of Engrossed Substitute Bill

  • Establishes a licensure program for speech-language pathology assistants.

Hearing Date: 3/24/09

Staff: Jim Morishima (786-7191)

Background:

A speech-language pathologist is a professional who treats human communication disorders affecting speech, language, and swallowing. Speech-language pathologists are subject to licensure by the Board of Hearing and Speech (Board), which consists of 11 members, two of whom must be licensed speech-language pathologists. The minimum qualifications for licensure as a speech-language pathologist include a master's degree or doctorate from a Board-approved institution of higher education, a supervised clinical practicum experience, and post-graduate professional work experience approved by the Board. The Board may also require that speech language pathologists comply with continuing competency requirements.

Licensure as a speech-language pathologist is currently not required for speech-language pathology services provided in schools. Instead, speech-language pathologists who practice in schools must be certified by the Washington Professional Educator Standards Board as educational staff associates.

A speech-language pathology assistant performs delegated tasks at the direction, and under the supervision, of licensed speech-language pathologists (or certified educational staff associates). Speech-language pathology assistants are not credentialed in Washington.

In response to legislation introduced in 2007, the Department of Health (DOH) conducted a sunrise review. The DOH concluded that speech-language pathology assistants be certified, rather than licensed.

Summary of Bill:

Beginning one year from the effective date of the act, no person may represent himself or herself as a speech-language pathology assistant unless he or she is licensed by the Board. In order to qualify for licensure as a speech-language pathology assistant, a person must either:

In lieu of these requirements, an applicant may meet the requirements for licensure if, within one year of the effective date of the act, he or she submits a competency checklist to the Board and is employed under the supervision of a speech-language pathologist for at least 600 hours within the last three years as defined by the Board by rule. The Board may require that all licensed speech-language pathology assistants comply with continuing competency requirements.

A licensed speech-language pathology assistant must provide speech-language pathology services under the direction and supervision of a licensed speech-language pathologist or a certified educational staff associate. The Board must designate the procedures and tasks that licensed speech-language pathology assistants may perform under the direct or indirect supervision of a licensed speech-language pathologist. A licensed speech-language pathology assistant may only perform procedures or tasks delegated by licensed speech-language pathologists and must follow the individualized education program or treatment plan. Speech-language pathology assistants may not perform procedures or tasks that require diagnosis, evaluation, or clinical interpretation.

Licensed speech-language pathologists are subject to licensure and discipline by the Board. The membership of the Board is increased to include one advisory, non-voting member who is a licensed speech-language pathology assistant.

The term “hearing health care professional” is defined as a licensed audiologist or hearing instrument fitter/dispenser or a licensed physician specializing in diseases of the ear.

Appropriation: None.

Fiscal Note: Available.

Effective Date: The bill takes effect 90 days after adjournment of the session in which the bill is passed.