SENATE BILL No. 1008

 

 

February 24, 2004, Introduced by Senator JACOBS and referred to the Committee on Health Policy.

 

 

        

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1978 PA 368, entitled                                             

                                                                                

    "Public health code,"                                                       

                                                                                

    by amending sections 16131 and 16263 (MCL 333.16131 and                     

                                                                                

    333.16263), as amended by 2001 PA 139, and by adding section                

                                                                                

    16346 and part 176.                                                         

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 16131.  The terms of office of individual members of                   

                                                                                

2   the boards and task forces, except those appointed to fill                  

                                                                                

3   vacancies, expire 4 years after appointment as follows:                     

                                                                                

                                                                                

                                                                                

4     Nursing                                       June 30                     

                                                                                

5     Nursing home administrator                    June 30                     

                                                                                

6     Optometry                                     June 30                     

                                                                                

7     Pharmacy                                      June 30                     

                                                                                

8     Podiatric medicine and surgery                June 30                     

                                                                                


                                                                                

1     Dentistry                                     June 30                     

                                                                                

2     Chiropractic                                  December 31                 

                                                                                

3     Counseling                                    June 30                     

                                                                                

4     Marriage and family therapy                   June 30                     

                                                                                

5     Speech-language pathology                     December 31                 

                                                                                

6     Medicine                                      December 31                 

                                                                                

7     Occupational therapists                       December 31                 

                                                                                

8     Osteopathic medicine and surgery              December 31                 

                                                                                

9     Physical therapy                              December 31                 

                                                                                

10    Psychology                                    December 31                 

                                                                                

11    Social work                                   December 31                 

                                                                                

12    Veterinary medicine                           December 31                 

                                                                                

13      Sec. 16263.  (1) Except as provided in subsection (2), the                  

                                                                                

14  following words, titles, or letters or a combination thereof,               

                                                                                

15  with or without qualifying words or phrases, are restricted in              

                                                                                

16  use only to those persons authorized under this article to use              

                                                                                

17  the terms and in a way prescribed in this article:                          

                                                                                

18      (a) "Chiropractic", "doctor of chiropractic", "chiropractor",               

                                                                                

19  "d.c.", and "chiropractic physician".                                       

                                                                                

20      (b) "Dentist", "doctor of dental surgery", "oral and                        

                                                                                

21  maxillofacial surgeon", "orthodontist", "prosthodontist",                   

                                                                                

22  "periodontist", "endodontist", "oral pathologist", "pediatric               

                                                                                

23  dentist", "dental hygienist", "registered dental hygienist",                

                                                                                

24  "dental assistant", "registered dental assistant", "r.d.a.",                

                                                                                

25  "d.d.s.", "d.m.d.", and "r.d.h.".                                           

                                                                                

26      (c) "Doctor of medicine" and "m.d.".                                        

                                                                                

27      (d) "Physician's assistant" and "p.a.".                                     


                                                                                

1       (e) "Registered professional nurse", "registered nurse",                    

                                                                                

2   "r.n.", "licensed practical nurse", "l.p.n.", "nurse midwife",              

                                                                                

3   "nurse anesthetist", "nurse practitioner", "trained attendant",             

                                                                                

4   and "t.a.".                                                                 

                                                                                

5       (f) "Doctor of optometry", "optometrist", and "o.d.".                       

                                                                                

6       (g) "Osteopath", "osteopathy", "osteopathic practitioner",                  

                                                                                

7   "doctor of osteopathy", "diplomate in osteopathy", and "d.o.".              

                                                                                

8       (h) "Pharmacy", "pharmacist", "apothecary", "drugstore",                    

                                                                                

9   "druggist", "medicine store", "prescriptions", and "r.ph.".                 

                                                                                

10      (i) "Physical therapy", "physical therapist",                               

                                                                                

11  "physiotherapist", "registered physical therapist", "licensed               

                                                                                

12  physical therapist", "physical therapy technician", "p.t.",                 

                                                                                

13  "r.p.t.", "l.p.t.", and "p.t.t.".                                           

                                                                                

14      (j) "Chiropodist", "chiropody", "chiropodical", "podiatry",                 

                                                                                

15  "podiatrist", "podiatric", "doctor of podiatric medicine", "foot            

                                                                                

16  specialist", "podiatric physician and surgeon", and "d.p.m.".               

                                                                                

17      (k) "Consulting psychologist", "psychologist", "psychological               

                                                                                

18  assistant", "psychological examiner", "licensed psychologist",              

                                                                                

19  and "limited licensed psychologist".                                        

                                                                                

20                                                                               (l) "Licensed professional counselor", "licensed counselor",                        

                                                                                

21  "professional counselor", and "l.p.c.".                                     

                                                                                

22      (m) "Sanitarian", "registered sanitarian", and "r.s.".                      

                                                                                

23      (n) "Social worker", "certified social worker", "social work                

                                                                                

24  technician", "s.w.", "c.s.w.", and "s.w.t.".                                

                                                                                

25      (o) "Veterinary", "veterinarian", "veterinary doctor",                      

                                                                                

26  "veterinary surgeon", "doctor of veterinary medicine", "v.m.d.",            

                                                                                

27  "d.v.m.", "animal technician", or "animal technologist".                    


                                                                                

1       (p) "Occupational therapist", "occupational therapist                       

                                                                                

2   registered", "certified occupational therapist", "o.t.",                    

                                                                                

3   "o.t.r.", "c.o.t.", "certified occupational therapy assistant",             

                                                                                

4   "occupational therapy assistant", or "c.o.t.a.".                            

                                                                                

5       (q) "Marriage advisor" or "marriage consultant"; "family                    

                                                                                

6   counselor", "family advisor", "family therapist", or "family                

                                                                                

7   consultant"; "family guidance counselor", "family guidance                  

                                                                                

8   advisor", or "family guidance consultant"; "marriage guidance               

                                                                                

9   counselor", "marriage guidance advisor", or "marriage guidance              

                                                                                

10  consultant"; "family relations counselor"; "marriage relations              

                                                                                

11  counselor", "marriage relations advisor", or "marriage relations            

                                                                                

12  consultant"; "marital counselor" or "marital therapist"; "limited           

                                                                                

13  licensed marriage and family therapist" or "limited licensed                

                                                                                

14  marriage counselor"; "licensed marriage and family therapist" or            

                                                                                

15  "licensed marriage counselor"; and "l.m.f.t.".                              

                                                                                

16      (r) "Nursing home administrator".                                           

                                                                                

17      (s) "Speech-language pathologist", "speech pathologist",                    

                                                                                

18  "speech therapist", "speech correctionist", "speech clinician",             

                                                                                

19  "language therapist", "language pathologist", "logopedist",                 

                                                                                

20  "communicologist", "aphasiologist", "phoniatrist", "voice                   

                                                                                

21  therapist", and "voice pathologist".                                        

                                                                                

22      (2) Notwithstanding section 16261, a person who was specially               

                                                                                

23  trained at an institution of higher education in this state to              

                                                                                

24  assist a physician in the field of orthopedics and upon                     

                                                                                

25  completion of training, received a 2-year associate of science              

                                                                                

26  degree as an orthopedic physician's assistant before January 1,             

                                                                                

27  1977, may use the title "orthopedic physician's assistant"                  


                                                                                

1   whether or not the person is licensed under this article.                   

                                                                                

2       Sec. 16346.  Fees for an individual licensed or seeking                     

                                                                                

3   licensure as a speech therapist or speech pathologist under part            

                                                                                

4   176 are as follows:                                                         

                                                                                

5       (a) Application processing fee........................$ 20.00           

                                                                                

6       (b) License fee, per year............................  75.00.           

                                                                                

7                  PART 176.  SPEECH-LANGUAGE PATHOLOGY                         

                                                                                

8       Sec. 17601.  (1) As used in this part:                                      

                                                                                

9       (a) "Practice of speech-language pathology" means the                       

                                                                                

10  application of principles, methods, and procedures related to the           

                                                                                

11  development of disorders of human communication including, but              

                                                                                

12  not limited to, the following:                                              

                                                                                

13                                                                               (i) Screening, identifying, assessing, interpreting,                                

                                                                                

14  diagnosing, rehabilitating, and preventing disorders of speech              

                                                                                

15  and language.                                                               

                                                                                

16      (ii) Screening, identifying, assessing, interpreting,                        

                                                                                

17  diagnosing, rehabilitating, and preventing disorders of                     

                                                                                

18  oral-pharyngeal function, dysphagia, and related disorders.                 

                                                                                

19      (iii) Screening, identifying, assessing, interpreting,                       

                                                                                

20  diagnosing, rehabilitating, and preventing                                  

                                                                                

21  cognitive-communicative disorders.                                          

                                                                                

22      (iv) Assessing, selecting, and developing augmentative and                   

                                                                                

23  alternative communication systems and providing training in their           

                                                                                

24  use.                                                                        

                                                                                

25      (v) Providing aural rehabilitation and related counseling                   

                                                                                

26  services to hearing impaired individuals and their families.                

                                                                                

27      (vi) Enhancing speech-language proficiency and communication                 


                                                                                

1   effectiveness.                                                              

                                                                                

2       (vii) Screening of hearing and other factors for the purpose                 

                                                                                

3   of speech-language evaluation or the initial identification of              

                                                                                

4   individuals with other communication disorders provided that                

                                                                                

5   judgments and descriptive statements about results of that                  

                                                                                

6   screening are limited to pass-fail determinations.                          

                                                                                

7       (b) "Speech-language pathologist" means an individual engaged               

                                                                                

8   in the practice of speech-language pathology.                               

                                                                                

9       (2) In addition to the definitions in this part, article 1                  

                                                                                

10  contains general definitions and principles of construction                 

                                                                                

11  applicable to all articles in this code and part 161 contains               

                                                                                

12  definitions applicable to this part.                                        

                                                                                

13      Sec. 17603.  Beginning the effective date of the amendatory                 

                                                                                

14  act that added this part, an individual shall not use the titles            

                                                                                

15  "speech-language pathologist", "speech pathologist", "speech                

                                                                                

16  therapist", "speech correctionist", "speech clinician", "language           

                                                                                

17  therapist", "language pathologist", "logopedist",                           

                                                                                

18  "communicologist", "aphasiologist", "phoniatrist", "voice                   

                                                                                

19  therapist", and "voice pathologist", or similar words that                  

                                                                                

20  indicate that the individual is a speech-language pathologist,              

                                                                                

21  unless the individual is licensed under this article as a                   

                                                                                

22  speech-language pathologist.                                                

                                                                                

23      Sec. 17605.  The Michigan board of speech-language pathology                

                                                                                

24  is created in the department and consists of the following 7                

                                                                                

25  members who meet the requirements of part 161:                              

                                                                                

26      (a) Four individuals who meet the requirements of section                   

                                                                                

27  16135(2).  The speech-language pathologists shall be from a list            


                                                                                

1   of at least 3 times the number of vacancies submitted to the                

                                                                                

2   governor by the Michigan speech-language-hearing association.               

                                                                                

3       (b) Three public members.                                                   

                                                                                

4       Sec. 17607.  (1) An individual shall not engage in the                      

                                                                                

5   practice of speech-language pathology unless licensed under this            

                                                                                

6   part.                                                                       

                                                                                

7       (2) Subsection (1) does not prevent any of the following:                   

                                                                                

8       (a) An individual licensed under any other part or act from                 

                                                                                

9   performing activities that are considered speech-language                   

                                                                                

10  pathology services if those activities are within the                       

                                                                                

11  individual's scope of practice and if the individual does not use           

                                                                                

12  the titles protected under section 17603.                                   

                                                                                

13      (b) An individual not licensed under this part from                         

                                                                                

14  performing activities that are considered speech-language                   

                                                                                

15  pathology services while under the supervision of an individual             

                                                                                

16  who is licensed under this part, if the individual does not use             

                                                                                

17  the titles protected under section 17603.                                   

                                                                                

18      (c) The practice of speech-language pathology that is an                    

                                                                                

19  integral part of a program of study by students enrolled in an              

                                                                                

20  accredited speech-language pathology educational program approved           

                                                                                

21  by the board, provided that they are identified as students and             

                                                                                

22  provide speech-language pathology services only while under the             

                                                                                

23  supervision of a licensed speech-language pathologist.                      

                                                                                

24      (d) An individual who meets the qualifications established                  

                                                                                

25  by the state board of education as a teacher of the speech and              

                                                                                

26  language impaired, employed or contracted for employment by a               

                                                                                

27  school district, intermediate school district, nonpublic school,            


                                                                                

1   or department of state government that provides educational                 

                                                                                

2   services.  This part does not prevent that individual from                  

                                                                                

3   engaging in his or her employment so long as the individual does            

                                                                                

4   not use the titles protected under section 17603, and this part             

                                                                                

5   does not prevent a teacher of the speech and language impaired,             

                                                                                

6   employed or contracted for employment by school districts,                  

                                                                                

7   intermediate school districts, nonpublic schools, or departments            

                                                                                

8   of state government that provide educational services, from                 

                                                                                

9   obtaining a license under this part.                                        

                                                                                

10      (e) Self-care by a patient or uncompensated care by a friend                

                                                                                

11  or family member who does not represent or hold himself or                  

                                                                                

12  herself out to be a licensed speech-language pathologist.                   

                                                                                

13      Sec. 17609.  (1) The department shall, upon submission of a                 

                                                                                

14  completed application and payment of the appropriate application            

                                                                                

15  processing and license fee, issue a license under this part to an           

                                                                                

16  individual who possesses a master's or doctorate degree in                  

                                                                                

17  speech-language pathology acceptable to the board and who                   

                                                                                

18  fulfills either of the following:                                           

                                                                                

19      (a) Successful completion of an accredited speech-language                  

                                                                                

20  pathology training program approved by the department and the               

                                                                                

21  board having at least 9 months, or the equivalent, of full-time             

                                                                                

22  supervised postgraduate clinical experience in speech-language              

                                                                                

23  pathology and passing a national examination acceptable to the              

                                                                                

24  board.                                                                      

                                                                                

25      (b) Having the credential conferred by the American                         

                                                                                

26  speech-language-hearing association or its successor organization           

                                                                                

27  as a certified speech-language-pathologist or its successor                 


                                                                                

1   credential, acceptable to the board.  The credential conferred by           

                                                                                

2   the American speech-language-hearing association as a certified             

                                                                                

3   speech-language pathologist is considered the substantial                   

                                                                                

4   equivalent to the requirements of subdivision (a) and that                  

                                                                                

5   credential and the standards of qualification for that                      

                                                                                

6   credential, as they exist on the effective date of the amendatory           

                                                                                

7   act that added this part, are adopted by reference.                         

                                                                                

8       (2) The board may promulgate rules under section 16145 as                   

                                                                                

9   necessary or appropriate to fulfill its functions under this                

                                                                                

10  article and to amend or supplement the requirements for licensure           

                                                                                

11  under subsection (1), including adopting updated standards of               

                                                                                

12  that organization or standards of any successor organization of             

                                                                                

13  the American speech-language-hearing association.                           

                                                                                

14      (3) Subject to section 16204, the department shall by rule                  

                                                                                

15  prescribe continuing education requirements as a condition for              

                                                                                

16  licensure renewal.                                                          

                                                                                

17      Sec. 17611.  The department shall issue a license to an                     

                                                                                

18  applicant from another state that offers reciprocity to licensees           

                                                                                

19  in Michigan and has licensure requirements substantially                    

                                                                                

20  equivalent to this part, as determined by the board.                        

                                                                                

21      Sec. 17613.  This part does not require new or additional                   

                                                                                

22  third party reimbursement or mandated worker's compensation                 

                                                                                

23  benefits for services rendered by an individual licensed under              

                                                                                

24  this part.