Skip to: content | navigation

State Licensure Trends


State Requirements For Audiologists to Dispense Hearing Aids

Thirty states permit audiologists to dispense hearing aids under an audiology license. By virtue of amending the hearing aid dealers' licensure law, the audiology licensure law, or both:

  • Alabama
  • Alaska 
  • Arkansas 
  • Colorado 
  • Connecticut*
  • Florida 
  • Georgia   
  • Idaho 
  • Illinois 
  • Indiana   
  • Louisiana 
  • Massachusetts              
  • Maryland 
  • Michigan
  • Minnesota 
  • Mississippi       
  • New Mexico**
  • New York
  • Oklahoma
  • Ohio 
  • Rhode Island 
  • South Carolina
  • South Dakota 
  • Tennessee
  • Texas*
  • Utah
  • Vermont
  • Washington
  • West Virginia 
  • Wisconsin                    

*certain conditions apply
**audiologists must obtain an endorsement to dispense hearing aids

The following twenty states and the District of Columbia require audiologists to hold HAD licensure to dispense hearing aids.

  • Arizona
  • California
  • Delaware
  • District of Columbia
  • Hawaii
  • Iowa
  • Kansas
  • Kentucky
  • Maine
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • North Carolina
  • North Dakota
  • Oregon
  • Pennsylvania
  • Virginia
  • Wyoming

Return to Top


Continuing Education: Issues and Status


Issues
Opinions differ about the value of continuing education as a way to ensure continued professional competence and up-to-date knowledge and skills. Reexamination and such performance assessments as simulations, peer reviews, and audits are commonly mentioned as alternatives to the commonly utilized credit methods that characterized the majority of continued competence programs.

There is new evidence, however, that suggests that continuing education can affect behavior and make a difference in the performance of the participants. These positive effects are enhanced when the continuing education programs are carefully planned in terms of content, presentation, and outcome.

The value of continuing education as a requirement for license renewal continues to be appreciated as additional states that did not initially require mandatory continuing education provisions are now adopting such requirements.


Status
Even with additional states adopting continuing education requirements, the lack of consensus regarding mandatory continued education is reflected in the variations in the licensure laws for speech-language pathologists and audiologists. Of the 50 states that regulate audiology and/or speech-language pathology through licensure or title registration, 41 require continuing education for licensure renewal while 6 states have no such requirement.

A break-down of the hour or continuing education unit (CEU) requirement and time period specification for the 41 states that have mandatory continuing education programs are as follows:

State Continuing Education Requirement
Alabama 12 hours (1 CEU) in 1 year
Arizona 8 hours in 1 year
Arkansas 10 hours in 1 year
California 12 hours for licenses that expire in 2001; thereafter 24 hours in 2 years
Delaware 20 hours (2 CEUs) in 2 years
Florida 30 credit hours in 2 years
Georgia 25 hours in 2 years
Illinois 20 hours (2 CEUs) in 2 years
Indiana 36 clock hours in 2 years
Iowa 30 clock hours or 3 CEUs in 2 years
Kansas 20 hours (2 CEUs) in 2 years
Kentucky 15 hours in 1 year
Louisiana 10 hours (1 CEU) in 1 year
Maine 50 clock hours in 2 years
Maryland 20 hours (2 CEUs) in 2 years
Massachusetts 20 hours (2 CEUs) in 2 years
Minnesota 30 contact hours in 2 years
Mississippi 10 hours (1 CEU) in 1 year
Missouri 30 hours every 2 years (effective in 2000)
Montana 40 hours (4 CEUs) in 2 years
Nebraska 20 hours (2 CEUs) in 2 years
Nevada 15 hours in 1 year
New Hampshire (SLP only) 50 clock hours in 3 years
New Jersey 20 hours (2 CEUs) in 2 years
New Mexico 10 hours (1 CEU) in 1 year
New York 30 hours in 3 years
North Dakota 10 hours (1 CEU) in 1 year
Ohio 20 hours (2 CEUs) in 2 years
Oklahoma

20 hours every 2 years

Oregon 10 hours (1 CEU) in 1 year
Pennsylvania 20 hours in 2 years
Rhode Island 20 hours in 2 years (SLPs and Audiologists) 30 hours in 2 years (dual licenses)
South Carolina 32 hours in 2 years
South Dakota 12 hours in 1 year
Tennessee 10 hours (1 CEU) in 1 year
Texas 10 hours (1 CEU) in 1 year
Utah 20 hours (2 CEUs) in 2 years
Virginia 30 hours in 2 years
West Virginia 10 hours every 2 years
Wisconsin 20 hours (2 CEUs) in 2 years
Wyoming 20 hours in 1 year

States vary in the specifics of their continuing education requirements. Such variations are readily apparent in the following examples:

  • "36 clock hours may include 6 hours of self study" (Indiana)
  • "20 hours must include 4 hours in the area of licensure and up to 16 hours can be in a related area" (Maryland)
  • "40 hours must include 25 hours obtained through attendance at approved sponsor programs or academic course work" (Montana)
  • "30 clock hours must be obtained in "face-to-face graduate level "instruction" and related to the area of licensure" (Utah)
  • "50 clock hours to be earned as follows: a minimum of 25 hours in sponsored activities; maximum of 25 hours in non-sponsored activities; maximum of 15 hours in teaching; and maximum of 15 hours in writing or publishing books or articles" (Maine)
  • "30 clock hours of approved continuing education directly related to the clinical practice of speech-language pathology or audiology, or take and pass the National Exam in Speech-Language Pathology or Audiology" (Iowa)

ASHA CEUs are accepted by all of the states that have continuing education requirements in place, although some state licensure boards have exercised the right to accept only certain programs which are approved for ASHA CEUs. For example: Florida will only approve programs that have "direct clinical relevance" to the consumer of speech-language pathology and audiology services. Iowa accepts 12 clock hours from ASHA and requires a licensee to request specific approval for credit of additional hours.

The following 6 states that regulate audiology and/or speech-language pathology currently have NO provisions to require continuing education for license renewal:

  • Alaska
  • Colorado
  • Connecticut
  • Hawaii
  • North Carolina
  • Washington

For further information on specific state requirements, please contact the individual licensure boards.

Return to Top


States Regulating Audiology & Speech-Language Pathology

50 states regulate 1 or both professions. 50 states regulate AUDs. 47 states regulate SLPs.

  • 3 states do not regulate SLPs:
    • Colorado
    • Michigan
    • South Dakota

47 states regulate both AUDs and SLPs

  • all but 1 state currently regulates via licensure, which protects both practice and titles.
  • Colorado (Audiology)
Regulates via registration, which is NOT required to practice the profession. However, persons who want to use the protected title must meet certain requirements and be registered.

41 states require continuing education for license renewal.

12 states require school-based AUDs/SLPs to be licensed:

  • Connecticut
  • Delaware
  • Hawaii
  • Kansas
  • Indiana
  • Louisiana
  • Masssachusetts
  • Montana
  • New Mexico
  • Ohio
  • Texas
  • Vermont


State Teacher Credentialing

At the present time there are 12 states in which individuals must hold a state license in speech-language pathology to work in any setting, including schools. These states are Connecticut, Delaware, Hawaii, Kansas, Indiana, Louisiana, Massachusetts, Montana, New Mexico, Ohio, Texas and Vermont. In the remaining states, individuals must obtain a separate credential issued by each state's department of education to provide services in the public schools. In many cases, audiologists in the public schools are contract employees and do not fall under the purview of the state department of education. State licensure is then typically required for practice.


Overview of School Speech-Language Pathology Requirements for Initial Employment

State Licensure Required (12 States)

1.  Connecticut
2.  Delaware
3.  Hawaii
4.  Indiana (effective July 2005)    
5.  Kansas
6.  Louisiana

 7.    Massachusetts
 8.    Montana
 9.    New Mexico
10.   Ohio
11.   Texas
12.   Vermont 


Master's Degree Required (29 States + DC)

1.   Alaska
2.   Arkansas
3.   California
4.   District of Columbia       
5.   Georgia
6.   Idaho
7.   Illinois
8.   Iowa
9.   Kentucky
10. Maryland
11. Michigan
12. Minnesota
13. Mississippi
14. Missouri
15. Nebraska 

16.  New Hampshire
17.  New Jersey
18.  North Carolina
19.  North Dakota
20.  Oklahoma
21.  Rhode Island
22.  South Dakota
23.  Tennessee
24.  Utah
25.  Vermont
26.  Virginia
27.  Washington
28.  West Virginia
29.  Wisconsin
30.  Wyoming
 

Provisional License with a Bachelor's Degree (5 States)
(Master's must be attained within three to five years)

1. Colorado
2. Florida
3. Maine
4. New York
5. South Carolina


Full License with a Bachelor's Degree + (1 State)

1. Oregon

Full License with a Bachelor's Degree (4 States)

1. Alabama
2. Arizona
3. Nevada
4. Pennsylvania


Overview of School Audiology Requirements for Initial Employment


Note: States marked with an asterisk (*) indicate states in which there are several possible routes to obtaining a department of education credential and may appear in more than one category.

State Licensure Required (18 States)
 

1.  Delaware
2.  Georgia *
3.  Hawaii
4.  Illinois
5.  Iowa *
6.  Louisiana
7.  Maryland
8.  Montana
9.  New Jersey        

10.  New Mexico
11.  New York
12.  North Carolina *
13.  Ohio
14.  South Carolina
15.  Texas
16.  Vermont
17.  Virginia
18.  Kansas

Teacher Certification Required (Includes master's degree) (14 States + DC)

1.  Alaska
2.  California
3.  Colorado
4.  District of Columbia      
5.  Idaho
6.  Indiana
7.  Iowa *
8.  Mississippi
 9.   Nebraska
10.  Nevada *
11.  North Carolina *
12.  South Dakota
13.  Utah
14.  Washington
15.  Wisconsin
 

ASHA Certification (4 States)

1. Georgia *
2. Michigan
3. Nevada *
4. North Carolina *
 

Master's Degree Only - No licensure or certification requirement (1 State)

1. Wyoming


No Provision (18 States)

1.  Alabama
2.  Arizona
3.  Arkansas
4.  Connecticut
5.  Florida
6.  Kentucky
7.  Maine
8.  Massachusetts     
9.  Minnesota
10.  Missouri
11.  New Hampshire
12.  North Dakota
13.  Oklahoma
14.  Oregon
15.  Pennsylvania
16.  Rhode Island
17.  Tennessee
18.  West Virginia 



 Return to Top


State Regulation of Support Personnel: An Overview

Type of Regulation
There are 35 states that officially regulate the use of support personnel. Of the 35 states, there are 12 states that regulate support personnel through licensure, the most stringent form of regulation and 22 states that regulate support personnel through registration, and one state by certification.

Licensure: (12 states)

  • Arizona
  • Idaho
  • Illinois
  • Kentucky
  • Louisiana
  • Massachusetts
  • Maryland
  • New Mexico
  • Ohio
  • Oregon
  • South Carolina
  • Texas

Registration: (22 states)

  • Alabama
  • Alaska
  • Arkansas
  • California
  • Florida
  • Georgia
  • Indiana
  • Iowa
  • Kansas
  • Maine
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • North Carolina
  • Oklahoma
  • Pennsylvania
  • Rhode Island
  • Tennessee
  • Utah
  • West Virginia
  • Wyoming

Although not officially regulated, support personnel are acknowledged in six additional states. In five states (Connecticut, Delawar, New Hampshire, Virginia, Wisconsin), support personnel are not directly regulated. In June 2006, the New Hampshire licensing board for speech-language pathologists was charged with developing regulations establising minimum certification qualifications for speech-language pathology assistance. However, licensed speech-language pathologists and audiologists who use support personnel are required to observe specific supervisory guidelines. Washington has included in state regulations a statement that there is an awareness on the part of the board that support personnel are being utilized and a commitment on the part of the board to study the situation.

Education/Experience Required
The level of education required of support personnel varies from state to state. At one end of the range are those states that require a bachelor's degree plus enrollment in a master's degree program to those states that require a high school diploma plus additional training or those states that are silent on the issue. There are a few states with several tiers of support personnel with different educational requirements for each tier-(therefore, some states appear under more than one of the following categories).

Bachelor's Degree + Graduate Credit Hours /Enrollment In A Masters Degree Program—3 States

  • Montana (SLP Aide I)
  • New Mexico
  • Rhode Island (SLP Aide)

Bachelor's Degree + Some Practicum Requirement—6 States:

  • Arkansas (SLP Asst.)
  • Kentucky
  • Louisiana
  • Rhode Island (SLP Aides
  • South Carolina
  • Texas

Bachelors Degree—6 States:

  • Alabama
  • Florida (SLP Asst.)
  • Idaho (SLP Aide)
  • Indiana (SLP Asst.)
  • Montana (SLP Aide II)
  • West Virginia

Associates Degree—11 States:

  • Alaska (assoc. or bachelors)
  • Arizona
  • Idaho (SLP Asst.)
  • Indiana (SLP Associate)
  • Maine (SLP Asst.)
  • Massachusetts (assoc. bachelors)
  • Missouri (assoc. or bachelors)
  • Maryland
  • North Carolina (assoc. or bachelors)
  • Illinois
  • California (SLP Asst.)

High School Diploma + Additional Training As Specified By Board and/or Supervisor—15 States:

  • Arkansas (SLP Aides)
  • Florida (Audiology Asst.)
  • Georgia
  • Iowa
  • Indiana (SLP Aides)
  • Kansas
  • Mississippi
  • Nebraska
  • Ohio
  • Oklahoma
  • Pennsylvania
  • Rhode Island (Audiology Aides)
  • Tennessee
  • Utah
  • Wyoming

Types of Support Personnel Regulated:

Regulate both SLP and Audiology Support Personnel—17 States:

  • Alabama
  • Florida
  • Iowa
  • Kansas
  • Massachusetts
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Ohio
  • Oklahoma
  • Pennsylvania
  • Rhode Island
  • Texas
  • Utah
  • West Virginia
  • Wyoming

Regulate Only SLP Support Personnel—15 States:

  • Alaska
  • Arkansas
  • Georgia
  • Idaho
  • Illinois
  • Indiana
  • Kentucky
  • Louisiana
  • Massachusetts
  • Maine
  • Maryland
  • New Mexico
  • North Carolina
  • Oregon
  • South Carolina

Title

The most common title for support personnel is assistant with 13 states using that term. Ten states use the term "aide" and four states use both assistant and aide. The state of New Mexico uses "apprentice" and Nebraska uses "communication assistant." In some states there are several levels or tiers of support personnel in which each level has its own educational requirements, title and specified level of authorized practice.

Restricted to Public Schools:

  • Kentucky (SLP Asst.)
  • Arkansas (SLP Aides)

Continuing Education—10 States
There are seven states that have extended the continuing education requirements for fully licensed speech-language pathologists and audiologists to include continuing education requirements for support personnel:

  • Alabama - 10 hours per year
  • Alaska - 15 hours per biennium
  • Arkansas - 12 clock hours per year
  • California - 12 hours per biennium
  • Florida - 20 hours per biennium
  • Louisiana - 10 clock hours per year
  • Maryland - 10 hours per biennium
  • Texas - 10 hours per year
  • South Carolina - 8 hours per biennium
  • West Virginia - 5 hours per year

Supervisory Requirements
In order to ensure that support personnel do not exceed the boundaries of their education and experience, most states have imposed one or more supervision requirements. Some states limit the number of support personnel that one licensed SLP or audiologist may supervise. Some states specifically prescribe the amount of direct and indirect supervision that a supervisor must provide to the support personnel. There are even some states that specifically define what activities may and may not be performed by support personnel and others that simply provide a general statement to the effect that the support personnel are the responsibility of the licensed SLP or Audiologist and should be appropriately supervised given their individual education and experience.

States That Limit the Number of Assistants Per Supervisor

Limited to Three Assistants Per Supervisor—9 States:

  • California
  • Indiana
  • Louisiana
  • Massachusetts
  • Mississippi
  • Montana
  • New Hampshire
  • Utah
  • Wyoming

Limited to Two Assistants Per Supervisor—9 States

  • Alaska
  • Georgia
  • Kentucky
  • Maine
  • Maryland
  • North Carolina
  • Ohio
  • Oklahoma
  • West Virginia

Limited To 3 Part-Time or Two Full-Time Assistants Per Supervisor— 3 States:

  • Arkansas
  • Florida
  • South Carolina

States With Different Standards for SLP and Audiologist Supervisors—2 States:

  • Rhode Island: Licensed SLP may supervise one aide; licensed audiologist may supervise 3 aides
  • Wisconsin: licensed SLP may supervise 3 assistants; licensed audiologist may supervise 10 assistants

States That Specify The Amount/Percentage Of Direct/Indirect Supervision—26 States (including states that do not officially regulate support personnel):

  • Alabama
  • Arkansas
  • California
  • Connecticut
  • Florida
  • Georgia
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Massachusetts
  • Mississippi
  • Montana
  • Nebraska
  • New Hampshire
  • New Mexico
  • Ohio
  • Rhode Island
  • South Carolina
  • Tennessee
  • Texas
  • Utah
  • West Virginia
  • Wisconsin

States With Specific Definitions of Acceptable and Unacceptable Activities for Support Personnel—22 States:

  • Alaska
  • Alabama
  • Arkansas
  • Florida
  • Georgia
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Massachusetts
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • New Mexico
  • North Carilina
  • Ohio
  • Pennsylvania
  • South Carolina
  • Texas
  • Utah
  • West Virginia

Return to Top


©1997-2007 American Speech-Language-Hearing Association - Copyright Notice and Legal Disclaimer