Speech-Language Pathologists and Audiologists

Military Service Members, Veterans, and Spouses - For more information about obtaining a TDLR license or renewing a TDLR license that expired while serving on active duty, please go to the Military Outreach home page.

The Speech-Language Pathologists and Audiologists Advisory Board is scheduled to meet Friday, June 30 at 1:00 p.m. in the 1st Floor Public Meeting Room (125E) of TDLR's North Campus Building, located at 1106 Clayton Lane in Austin. When the agenda is available, it will be posted online. The meeting will be broadcast on TDLR's YouTube channel.

The Speech-Language Pathologists and Audiologists Advisory Board met February 24 in Austin. The agenda is available online. The meeting was archived and is available on TDLR's YouTube channel.

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Health Professions Transition FAQs

1. When did the transfer happen?
The Texas Department of Licensing and Regulation (TDLR) assumed all activities relating to the Speech-Language Pathologists and Audiologists program including licenses and renewals, customer service and enforcement on October 3, 2016.

2. Now that the transfer is complete, will I need to get a new license issued by TDLR?
No. The license you have now issued by the Texas Department of State Health Services (DSHS) remains valid until its expiration date. When you renew, you will receive a TDLR license.

3. Have the rules changed?
Yes, TDLR has adopted rules for all of the transferred programs. Most of the newly adopted rules are very similar, but some changes have been made. The TDLR health profession rules became effective on October 1, 2016. View the rule changes and links to the TDLR rules

4. What is going to happen with open complaints and cases?
If you filed a complaint with DSHS or had a complaint filed against your license and it was not resolved by the transfer date, TDLR assumed responsibility for the case. You should have already received notification by mail that your complaint was transferred to TDLR.

5. I was fingerprinted for my DSHS license. Do I have to be fingerprinted again?
No, you do not need to be fingerprinted again.

6. How will the supervision requirements for Licensed Speech-Language Pathology Assistants change?
The new TDLR rule on the supervision of Licensed Speech-Language Pathology Assistants is effective October 1, 2016. The rule may be found at Title 16, Texas Administrative Code, §111.50 (g). The rule requires:

  • at least eight hours of supervision per month;
  • at least four of the eight hours must be direct supervision;
  • at least two of the four direct supervision hours must be in person and onsite where the assistant is providing therapy; and
  • up to six of the eight hours may be via telepractice/telehealth without applying for an exception.

Direct supervision implies face-to-face observation of direct client contact at the work/clinic site. For two of the required four hours of direct supervision, the supervisor must be physically present where the therapy is occurring. For the remaining two hours, the supervisor may directly supervise the direct client contact via telepractice/telehealth. If a supervisor is not using telepractice/telehealth, all four of the direct supervision hours must be in person and onsite where the assistant is providing therapy.

Examples of in-direct supervision are other monitoring activities, such as telephone conferences with the licensed assistant, evaluating the licensed assistant’s records and correspondence, reviewing videotapes of the licensed assistant’s therapy, and discussing the licensed assistant’s performance with professional colleagues. Telepractice/telehealth may be used for in-direct supervision. For instance, a supervisor may wish to video conference with an assistant to discuss areas for improvement. This would be considered in-direct supervision because it does not occur during actual client contact.

7. How do I stay informed about changes impacting me?
You have several options to stay connected:

  • Email updates - Sign up for email updates to receive notices about rules, the law, fees, examination requirements, meetings and more. Email updates are the best way for you to stay informed.
  • Meetings - TDLR’s advisory board and Commission meetings are available to watch online live or later at your convenience.
  • Facebook and Twitter - TDLR has a Facebook page and Twitter account dedicated to TDLR Health Professions.

8. Why was my license expiration date extended? Will I have the same expiration date in the future?
To ease the transition, DSHS extended the expiration date by two months for licenses previously set to expire in August, September, and October 2016. For example, if your original expiration date was September 30, your new expiration date is November 30. If your license was extended, you will continue to renew your license in the new expiration month in the future.

9. Will I have to renew on a different schedule?
You will renew on the same schedule unless your license expired in August, September or October 2016. Licenses expiring in those months were extended for two months to ease the transition from DSHS to TDLR. If your license was extended, you will now renew in your new expiration month for future renewals. Your license expiration date will not return to your original expiration month.

10. Why were licensing programs transferred from DSHS to TDLR?
The transfer is the result of a change to Texas law. In 2015, the Texas Legislature passed Senate Bill 202, which transferred several licensing programs from the DSHS to TDLR.

Repeal of Chapter 145 administrative rules

JUSTIFICATION FOR ADMINISTRATIVE RULE ADOPTION

General Provisions for Speech-Language Pathologists and Audiologists Program

16 TAC Chapter 145, repeal of Subchapter A, Subchapter A, §145.1; Subchapter B, §§145.11 - 145.15; Subchapter C, §§145.31 - 145.33; Subchapter D, §§145.41 - 145.45; Subchapter E, §§145.61 - 145.66; Subchapter F, §§145.81 - 145.86; Subchapter G, §145.91; subchapter H, §§145.101 - 145.104; Subchapter I, §145.111 and §145.112; Subchapter J, §145.121 and §145.122; Subchapter K, §145.141 and §145.142; Subchapter L, §§145.161 - 145.165; Subchapter M, §145.181 and §145.182; Subchapter N, §§145.191 - 145.204; Subchapter O, §§145.211 - 145.216; Subchapter P, §§145.231 - 145.233

The Texas Commission of Licensing and Regulation (Commission) adopts the repeal of current rules at 16 Texas Administrative Code (TAC), Chapter 145, Subchapter A, §145.1; Subchapter B, §§145.11 - 145.15; Subchapter C, §§145.31 - 145.33; Subchapter D, §§145.41 - 145.45; Subchapter E, §§145.61 - 145.66; Subchapter F, §§145.81 - 145.86; Subchapter G, §145.91; subchapter H, §§145.101 - 145.104; Subchapter I, §145.111 and §145.112; Subchapter J, §145.121 and §145.122; Subchapter K, §145.141 and §145.142; Subchapter L, §§145.161 - 145.165; Subchapter M, §145.181 and §145.182; Subchapter N, §§145.191 - 145.204; Subchapter O, §§145.211 - 145.216; Subchapter P, §§145.231 - 145.233, regarding the Speech-Language Pathologists and Audiologists program, without changes to the proposed text as published in the October 21, 2016, issue of the Texas Register (41 TexReg 8242). The repeal will not be republished.

The Texas Legislature enacted Senate Bill 202 (S.B. 202), 84th Legislature, Regular Session (2015), which in part, transferred 13 occupational licensing programs in two phases from the Department of State Health Services (DSHS) to the Texas Commission of Licensing and Regulation (Commission) and the Texas Department of Licensing and Regulation (Department). Under Phase 1, the following seven programs were transferred from DSHS to the Commission and the Department: (1) Midwives, Texas Occupations Code, Chapter 203; (2) Speech-Language Pathologists and Audiologists, Chapter 401; (3) Hearing Instrument Fitters and Dispensers, Chapter 402; (4) Licensed Dyslexia Practitioners and Licensed Dyslexia Therapists, Chapter 403; (5) Athletic Trainers, Chapter 451; (6) Orthotists and Prosthetists, Chapter 605; and (7) Dietitians, Chapter 701. The statutory amendments transferring regulation of these seven Phase 1 programs from DSHS to the Commission and the Department took effect on September 1, 2015.

On April 13, 2016, the Commission adopted its own set of rules for the Speech-Language Pathologists and Audiologists program located at 16 TAC Chapter 111. The Commission’s rules were effective October 1, 2016. (41 TexReg 4441). The Department officially commenced all regulatory functions for the Speech-Language Pathologists and Audiologists program on October 3, 2016.

The current 16 TAC Chapter 145 rules were transferred from DSHS to be repealed to eliminate industry and public confusion. (41 TexReg 7585). These rules were formerly located at 22 TAC Chapter 741. The adopted repeal is necessary to complete the implementation of S.B. 202.

The adopted repeal of Subchapter A, §145.1 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The adopted repeal of Subchapter B, §§145.11 - 145.15 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The adopted repeal of Subchapter C, §§145.31 - 145.33 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The adopted repeal of Subchapter D, §§145.41 - 145.45 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The adopted repeal of Subchapter E, §§145.61 - 145.66 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The adopted repeal of Subchapter F, §§145.81 - 145.86 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The adopted repeal of Subchapter G, §145.91 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The adopted repeal of Subchapter H, §§145.101 - 145.104 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The adopted repeal of Subchapter I, §145.111 and §145.112 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The adopted repeal of Subchapter J, §145.121 and §145.122 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The adopted repeal of Subchapter K, §145.141 and §145.142 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The adopted repeal of Subchapter L, §§145.161 - 145.165 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The adopted repeal of Subchapter M, §145.181 and §145.182 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The adopted repeal of Subchapter N, §§145.191 - 145.204 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The adopted repeal of Subchapter O, §§145.211 - 145.216 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The adopted repeal of Subchapter P, §§145.231 - 145.233 eliminates industry and public confusion by removing duplicate and obsolete rules for the Speech-Language Pathologists and Audiologists program.

The Department drafted and distributed the proposed repeal to persons internal and external to the agency. The proposed repeal was published in the October 21, 2016, issue of the Texas Register (41 TexReg 8242). The deadline for public comments was November 21, 2016. The Department did not receive any comments on the proposed repeal during the 30-day public comment period.

At its meeting on January 27, 2017, the Commission adopted the proposed repeal.

The repeal is adopted under Texas Occupations Code, Chapters 51, 401 and 402 as applicable, which authorize the Commission, the Department’s governing body, to adopt rules as necessary to implement these chapters and any other law establishing a program regulated by the Department.

The statutory provisions affected by the adoption are those set forth in Texas Occupations Code, Chapters 51, 401 and 402 as applicable. No other statutes, articles, or codes are affected by the adoption.

[Subchapter A. Definitions]

[§145.1. Definitions.]

[Subchapter B. The Board.]

[§145.11. Officers.]

[§145.12. Committees.]

[§145.13. Transaction of Official Business.]

[§145.14. Petition for Adoption of a Rule.]

[§145.15. Impartiality and Nondiscrimination.]

[Subchapter C. Screening Procedures.]

[§145.31. Communication Screening.]

[§145.32. Hearing Screening.]

[§145.33. Newborn Hearing Screening.]

[Subchapter D. Code of Ethics; Duties and Responsibilities of Supervisors.]

[§145.41. Professional Responsibilities of License Holders.]

[§145.42. Advertising.]

[§145.43. Recordkeeping and Billing.]

[§145.44. Requirements, Duties, and Responsibilities of Supervisors.]

[§145.45. Consumer Information and Display of License.]

[Subchapter E. Requirements for Licensure of Speech-Language Pathologists.]

[§145.61. Requirements for a Speech-Language Pathology License.]

[§145.62. Requirements for an Intern in Speech-Language Pathology License.]

[§145.63. Waiver of Clinical and Examination Requirements for Speech-Language Pathologists.]

[§145.64. Requirements for an Assistant in Speech-Language Pathology License.]

[§145.65. Requirements for a Temporary Certificate of Registration in Speech-Language Pathology.]

[§145.66. Licensing in Speech-Language Pathology for Military Service Members, Military Veterans, and Military Spouses.]

[Subchapter F. Requirements for Licensure of Audiologists.]

[§145.81. Requirements for an Audiology License.]

[§145.82. Requirements for an Intern in Audiology License.]

[§145.83. Waiver of Clinical and Examination Requirements for Audiologists.]

[§145.84. Requirements for an Assistant in Audiology License.]

[§145.85. Requirements for a Temporary Certificate of Registration in Audiology.]

[§145.86. Licensing in Audiology for Military Service Members, Military Veterans, and Military Spouses.]

[Subchapter G. Requirements for Dual Licensure as a Speech-Language Pathologist and an Audiologist.]

[§145.91. Requirements for Dual Licenses in Speech-Language Pathology and Audiology.]

[Subchapter H. Fitting and Dispensing of Hearing Instruments.]

[§145.101. Registration of Audiologists and Interns in Audiology to Fit and Dispense Instruments.]

[§145.102. General Practice Requirements of Audiologists and Interns in Audiology who Fit and Dispense Hearing Instruments.]

[§145.103. Requirements of Audiologists and Interns in Audiology Conducting Audiometric Testing for the Purpose of Fitting and Dispensing Hearing Instruments.

[§145.104. Joint Rule Regarding the Sale of Hearing Instruments.]

[Subchapter I. Application Procedures.]

[§145.111. Application Process.]

[§145.112. Required Application Materials.]

[Subchapter J. Licensure Examinations.]

[§145.121. Examination Administration.]

[§145.122. Jurisprudence Examination.]

[Subchapter K. Issuance of License.]

[§145.141. Issuance of License.]

[§145.142. Criminal History Record Information Requirement for Licensure Issuance.]

[Subchapter L. License Renewal and Continuing Professional Education.]

[§145.161. Renewal Procedures.]

[§145.162. Requirements for Continuing Professional Education.]

[§145.163. Criminal History Record Information Requirement for License Renewal.]

[§145.164. Late Renewal of a License.]

[§145.165. Renewal of Licensee on Active Military Duty.]

[Subchapter M. Fees and Processing Procedures.]

[§145.181. Schedule of Fees.]

[§145.182. Time Periods for Processing Applications and Renewals.]

[Subchapter N. Complaints, Violations, Penalties, and Disciplinary Actions.]

[§145.191. Compliant Procedures.]

[§145.192. Disciplinary Action; Notices.]

[§145.193. Revocation, Suspension, Emergency Suspension, or Denial.]

[§145.194. Informal Disposition.]

[§145.195. Formal Hearings; Surrender of License.]

[§145.196. Default Orders.]

[§145.197. Monitoring of Licensees.]

[§145.198. Administrative Penalties.]

[§145.199. Schedule of Sanctions.]

[§145.200. Licensing of Persons with Criminal Convictions.]

[§145.201. Suspension of License Relating to Child Support and Child Custody.]

[§145.202. Request for Criminal History Evaluation Letter.]

[§145.203. Board Ordered Refund.]

[§145.204. Cease and Desist Order.]

[Subchapter O. Telehealth.]

[§145.211. Definitions Relating to Telehealth.]

[§145.212. Service Delivery Models of Speech-Language Pathologists.]

[§145.213. Requirements for the Use of Telehealth by Speech-Language Pathologists.]

[§145.214. Limitations on the Use of Telecommunications Technology by Speech-Language Pathologists.]

[§145.215. Requirements for Providing Telehealth Services in Speech-Language Pathology.]

[§145.216. Requirements for Providing Telepractice Service in Audiology.]

[Subchapter P. Joint Rules for Fitting and Dispensing of Hearing Instruments by Telepractice.]

[§145.231. Purpose.]

[§145.232. Definitions.]

[§145.233. Requirements for Providing Telehealth Services for the Fitting and Dispensing of Hearing Instruments.]

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State, on February 7, 2017.

Brian E. Francis
Executive Director
Texas Department of Licensing and Regulation


Proposed Changes to Speech-Language Pathologists and Audiologists Rules

With the assistance and advice of the Speech-Language Pathologists and Audiologists Advisory Board, TDLR is proposing to streamline the rules to be more user-friendly, flexible and efficient. Below you will find highlights of the rule changes.

More User-Friendly Rules:
  • License types are now grouped by license requirements.
  • Larger rule sections, with multiple subsections, were broken down into smaller rules.
  • Unnecessary rules removed based on S.B. 202 statutory changes.
Greater Flexibility on Supervision Requirements:
  • For Assistants in Speech-Language Pathology, the supervision hours will now be on a monthly basis, instead of a weekly basis.
  • For Assistants in Audiology, the supervision hours can now be done on a weekly or monthly basis, instead of just a weekly basis.
  • For Assistants in Speech-Language Pathology, the supervisor is required to provide at least 8 hours per month of supervision, at least 4 hours of which are direct and at least 2 hours of which are in-person and onsite. Telepractice/telehealth provisions may be used for up to 6 hours of supervision without applying for an exception.
  • For Assistants in Audiology, the supervisor is required to be onsite at the assistant's employment location for at least 10 hours per week, or 40 hours per month, and provide at least 1 hour per week or 4 hours per month of direct supervision, at the location where the assistant is employed. Telepractice/telehealth provisions may be used in certain situations.
Online Submission and Reporting Supervisory Hours:
  • To further reduce unnecessary paperwork TDLR has amended the rules to allow for online submission of supervisory statements and hours completed. This will be one on the first projects that TDLR will undertake when the program is transferred.

On October 14, 2015, the Texas Commission of Licensing and Regulation voted unanimously to appoint eight members to the Speech-Language Pathologists and Audiologists Advisory Board:

  • Public Member: Emanuel Bodner, Houston, Texas. Term expires 9/1/2021.
  • Speech-Language Pathologist: Patricia Brannon, San Antonio, Texas. Term expires 9/1/2017.
  • Speech-Language Pathologist: Cheval Bryant, Sugar Land, Texas. Term expires 9/1/2019.
  • Public Member - Physician: Dr. Tammy Camp, Shallowater, Texas. Term expires 9/1/2017.
  • Audiologist: Robert Novak, San Antonio, Texas. Term expires 9/1/2017.
  • Audiologist: Cristen Plummer, Round Rock, Texas. Term expires 9/1/2019.
  • Speech-Language Pathologist: Sherry Sancibrian (Presiding Officer), Lubbock, Texas. Term expires 9/1/2021.

FOR MORE INFORMATION - Send an e-mail to cs.speech@tdlr.texas.gov or call (800) 803-9202 or (512) 463-6599.