Missouri Statute | Act | Code |Occupations And Professions| US Code - US Statute | Chapter 345 Speech Pathologists And Audiologists

Sections 345.010 to 345.080 may be cited as the "Licensure Act
for Speech-Language Pathologists and Audiologists". (L. 1973 H.B. 329 §
1, A.L. 1995 S.B. 69, et al., A.L. 1998 H.B. 1601, et al.)

As used in sections 345.010 to 345.080, the following terms mean:

(1) "Audiologist", a person who is licensed as an audiologist pursuant to
sections 345.010 to 345.080 to practice audiology;

(2) "Audiology aide", a person who is registered as an audiology aide by
the board, who does not act independently but works under the direction
and supervision of a licensed audiologist. Such person assists the
audiologist with activities which require an understanding of audiology
but do not require formal training in the relevant academics. To be
eligible for registration by the board, each applicant shall submit a
registration fee, be of good moral and ethical character; and:

(a) Be at least eighteen years of age;

(b) Furnish evidence of the person's educational qualifications which
shall be at a minimum:

a. Certification of graduation from an accredited high school or its
equivalent; and

b. On-the-job training;

(c) Be employed in a setting in which direct and indirect supervision are
provided on a regular and systematic basis by a licensed audiologist.

However, the aide shall not administer or interpret hearing screening or
diagnostic tests, fit or dispense hearing instruments, make ear
impressions, make diagnostic statements, determine case selection,
present written reports to anyone other than the supervisor without the
signature of the supervisor, make referrals to other professionals or
agencies, use a title other than speech-language pathology aide or
clinical audiology aide, develop or modify treatment plans, discharge
clients from treatment or terminate treatment, disclose clinical
information, either orally or in writing, to anyone other than the
supervising speech-language pathologist/audiologist, or perform any
procedure for which he or she is not qualified, has not been adequately
trained or both;

(3) "Board", the state board of registration for the healing arts;

(4) "Clinical fellowship", the supervised professional employment period
following completion of the academic and practicum requirements of an
accredited training program as defined in sections 345.010 to 345.080;

(5) "Commission", the advisory commission for speech-language
pathologists and audiologists;

(6) "Hearing instrument" or "hearing aid", any wearable device or
instrument designed for or offered for the purpose of aiding or
compensating for impaired human hearing and any parts, attachments or
accessories, including ear molds, but excluding batteries, cords,
receivers and repairs;

(7) "Person", any individual, organization, or corporate body, except
that only individuals may be licensed pursuant to sections 345.010 to
345.080;

(8) "Practice of audiology":

(a) The application of accepted audiologic principles, methods and
procedures for the measurement, testing, interpretation, appraisal and
prediction related to disorders of the auditory system, balance system or
related structures and systems;

(b) Provides consultation, counseling to the patient, client, student,
their family or interested parties;

(c) Provides academic, social and medical referrals when appropriate;

(d) Provides for establishing goals, implementing strategies, methods and
techniques, for habilitation, rehabilitation or aural rehabilitation,
related to disorders of the auditory system, balance system or related
structures and systems;

(e) Provides for involvement in related research, teaching or public
education;

(f) Provides for rendering of services or participates in the planning,
directing or conducting of programs which are designed to modify
audition, communicative, balance or cognitive disorder, which may involve
speech and language or education issues;

(g) Provides and interprets behavioral and neurophysiologic measurements
of auditory balance, cognitive processing and related functions,
including intraoperative monitoring;

(h) Provides involvement in any tasks, procedures, acts or practices that
are necessary for evaluation of audition, hearing, training in the use of
amplification or assistive listening devices;

(i) Provides selection and assessment of hearing instruments;

(j) Provides for taking impressions of the ear, making custom ear molds,
ear plugs, swim molds and industrial noise protectors;

(k) Provides assessment of external ear and cerumen management;

(l) Provides advising, fitting, mapping assessment of implantable devices
such as cochlear or auditory brain stem devices;

(m) Provides information in noise control and hearing conservation
including education, equipment selection, equipment calibration, site
evaluation and employee evaluation;

(n) Provides performing basic speech-language screening test;

(o) Provides involvement in social aspects of communication, including
challenging behavior and ineffective social skills, lack of communication
opportunities;

(p) Provides support and training of family members and other
communication partners for the individual with auditory balance,
cognitive and communication disorders;

(q) Provides aural rehabilitation and related services to individuals
with hearing loss and their families;

(r) Evaluates, collaborates and manages audition problems in the
assessment of the central auditory processing disorders and providing
intervention for individuals with central auditory processing disorders;

(s) Develops and manages academic and clinical problems in communication
sciences and disorders;

(t) Conducts, disseminates and applies research in communication sciences
and disorders;

(9) "Practice of speech-language pathology":

(a) Provides screening, identification, assessment, diagnosis, treatment,
intervention, including but not limited to prevention, restoration,
amelioration and compensation, and follow-up services for disorders of:

a. Speech: articulation, fluency, voice, including respiration, phonation
and resonance;

b. Language, involving the parameters of phonology, morphology, syntax,
semantics and pragmatic; and including disorders of receptive and
expressive communication in oral, written, graphic and manual modalities;

c. Oral, pharyngeal, cervical esophageal and related functions, such as
dysphagia, including disorders of swallowing and oral functions for
feeding; orofacial myofunctional disorders;

d. Cognitive aspects of communication, including communication disability
and other functional disabilities associated with cognitive impairment;

e. Social aspects of communication, including challenging behavior,
ineffective social skills, lack of communication opportunities;

(b) Provides consultation and counseling and makes referrals when
appropriate;

(c) Trains and supports family members and other communication partners
of individuals with speech, voice, language, communication and swallowing
disabilities;

(d) Develops and establishes effective augmentative and alternative
communication techniques and strategies, including selecting, prescribing
and dispensing of augmentative aids and devices; and the training of
individuals, their families and other communication partners in their use;

(e) Selects, fits and establishes effective use of appropriate
prosthetic/adaptive devices for speaking and swallowing, such as
tracheoesophageal valves, electrolarynges, or speaking valves;

(f) Uses instrumental technology to diagnose and treat disorders of
communication and swallowing, such as videofluoroscopy, nasendoscopy,
ultrasonography and stroboscopy;

(g) Provides aural rehabilitative and related counseling services to
individuals with hearing loss and to their families;

(h) Collaborates in the assessment of central auditory processing
disorders in cases in which there is evidence of speech, language or
other cognitive communication disorders; provides intervention for
individuals with central auditory processing disorders;

(i) Conducts pure-tone air conduction hearing screening and screening
tympanometry for the purpose of the initial identification or referral;

(j) Enhances speech and language proficiency and communication
effectiveness, including but not limited to accent reduction,
collaboration with teachers of English as a second language and
improvement of voice, performance and singing;

(k) Trains and supervises support personnel;

(l) Develops and manages academic and clinical programs in communication
sciences and disorders;

(m) Conducts, disseminates and applies research in communication sciences
and disorders;

(n) Measures outcomes of treatment and conducts continuous evaluation of
the effectiveness of practices and programs to improve and maintain
quality of services;

(10) "Speech-language pathologist", a person who is licensed as a
speech-language pathologist pursuant to sections 345.010 to 345.080; who
engages in the practice of speech-language pathology as defined in
sections 345.010 to 345.080;

(11) "Speech-language pathology aide", a person who is registered as a
speech-language aide by the board, who does not act independently but
works under the direction and supervision of a licensed speech-language
pathologist. Such person assists the speech-language pathologist with
activities which require an understanding of speech-language pathology
but do not require formal training in the relevant academics. To be
eligible for registration by the board, each applicant shall submit a
registration fee, be of good moral and ethical character; and:

(a) Be at least eighteen years of age;

(b) Furnish evidence of the person's educational qualifications which
shall be at a minimum:

a. Certification of graduation from an accredited high school or its
equivalent; and

b. On-the-job training;

(c) Be employed in a setting in which direct and indirect supervision is
provided on a regular and systematic basis by a licensed speech-language
pathologist. However, the aide shall not administer or interpret hearing
screening or diagnostic tests, fit or dispense hearing instruments, make
ear impressions, make diagnostic statements, determine case selection,
present written reports to anyone other than the supervisor without the
signature of the supervisor, make referrals to other professionals or
agencies, use a title other than speech-language pathology aide or
clinical audiology aide, develop or modify treatment plans, discharge
clients from treatment or terminate treatment, disclose clinical
information, either orally or in writing, to anyone other than the
supervising speech-language pathologist/audiologist, or perform any
procedure for which he or she is not qualified, has not been adequately
trained or both;

(12) "Speech-language pathology assistant", a person who is registered as
a speech-language pathology assistant by the board, who does not act
independently but works under the direction and supervision of a licensed
speech-language pathologist and whose activities require both academic
and practical training in the field of speech-language pathology although
less training than those established by sections 345.010 to 345.080 as
necessary for licensing as a speech-language pathologist. To be eligible
for registration by the board, each applicant shall submit the
registration fee, be of good moral character and furnish evidence of the
person's educational qualifications which meet the following:

(a) Hold a bachelor's level degree in the field of speech-language
pathology from an institution accredited or approved by a regional
accrediting body recognized by the United States Department of Education
or its equivalent; and

(b) Submit official transcripts from one or more accredited colleges or
universities presenting evidence of the completion of bachelor's level
course work and clinical practicum requirements equivalent to that
required or approved by a regional accrediting body recognized by the
United States Department of Education or its equivalent. (L. 1973 H.B.
329 § 2, A.L. 1986 H.B. 1242, A.L. 1995 S.B. 69, et al., A.L. 1998 H.B.
1601, et al., A.L. 2004 S.B. 1122, A.L. 2005 S.B. 100)

1. Licensure or registration shall be granted in either
speech-language pathology or audiology independently. A person may be
licensed or registered in both areas if the person is qualified. Each
licensed or registered person shall display the license or certificate
prominently in the person's place of practice.

2. No person shall practice or hold himself or herself out as being able
to practice speech-language pathology or audiology in this state unless
the person is licensed in accordance with the provisions of sections
345.010 to 345.080. Nothing in sections 345.010 to 345.080, however,
shall be construed to prevent a qualified person licensed in this state
under any other law from engaging in the profession for which the person
is licensed, and a licensed physician or surgeon may practice
speech-language pathology or audiology without being licensed in
accordance with the provisions of sections 345.010 to 345.080.

3. No person shall hold himself or herself out as being a speech-
language pathologist in this state unless the person is licensed as
provided in sections 345.010 to 345.080. Any person who, in any manner,
represents himself or herself as a speech-language pathologist or who
uses in connection with such person's name the words or letters: "speech-
language pathologist", "speech pathologist", "speech therapy", "speech
therapist", "speech clinic", "speech clinician", "S.L.P.", "language
specialist", "logopedist" or any other letters, words, abbreviations or
insignia, indicating or implying that the person is a speech-language
pathologist without a valid existing license is guilty of a class B
misdemeanor.

4. No person shall hold himself or herself out as being an audiologist in
this state unless the person is licensed as provided in sections 345.010
to 345.080. Any person who, in any manner, represents himself or herself
as an audiologist or who uses in connection with such person's name the
words: "audiology", "audiologist", "audiological", "hearing clinic",
"hearing clinician", "hearing therapist" or any other letters, words,
abbreviations or insignia, indicating or implying that the person is an
audiologist without a valid existing license is guilty of a class B
misdemeanor.

5. No person shall hold himself or herself out as being a speech-
language pathology assistant or aide or audiology aide in this state
unless the person is registered as provided in sections 345.010 to
345.080.

6. Nothing in sections 345.010 to 345.080 shall prohibit a corporation,
partnership, trust, association, or other like organization from engaging
in the business of speech-language pathology or audiology without
licensure if it employs licensed natural persons in the direct practice
of speech-language pathology or audiology. Any such corporation,
partnership, trust, association, or other like organization shall also
file with the board a statement, on a form approved by the board, that it
submits itself to the rules and regulations of the board and the
provisions of sections 345.010 to 345.080 which the board shall deem
applicable to it. (L. 1973 H.B. 329 § 3, A.L. 1995 S.B. 69, et al., A.L.
1998 H.B. 1601, et al.)

1. Any person in the person's clinical fellowship as defined in
sections 345.010 to 345.080 shall hold a provisional license to practice
speech-language pathology or audiology. The board may issue a provisional
license to an applicant who:

(1) Has met the requirements for practicum and academic requirements from
an accredited training program as defined in sections 345.010 to 345.080;

(2) Submits an application to the board on a form prescribed by the
board. Such form shall include a plan for the content and supervision of
the clinical fellowship, as well as evidence of good moral and ethical
character; and

(3) Submits to the board an application fee, as set by the board, for the
provisional license.

2. A provisional license is effective for one year and may be extended
for an additional twelve months only for purposes of completing the
postgraduate clinical experience portion of the clinical fellowship;
provided that, the applicant has passed the national examination and
shall hold a master's degree from an approved training program in his or
her area of application.

3. Within twelve months of issuance of the provisional license, the
applicant shall pass an examination promulgated or approved by the board.

4. Within twelve months of issuance of a provisional license, the
applicant shall complete the master's or doctoral degree from a program
accredited by the Council on Academic Accreditation of the American
Speech- Language-Hearing Association or other accrediting agency approved
by the board in the area in which licensure is sought. (L. 1995 S.B. 69,
et al., A.L. 1998 H.B. 1601, et al., A.L. 2005 S.B. 100)

1. The provisions of sections 345.010 to 345.080 do not apply to:

(1) The activities, services, and the use of an official title on the
part of a person in the employ of a federal agency insofar as such
services are part of the duties of the person's office or position with
such agency;

(2) The activities and services of certified teachers of the deaf;

(3) The activities and services of a student in speech-language pathology
or audiology pursuing a course of study at a university or college that
has been approved by its regional accrediting association, or working in
a recognized training center, if these activities and services constitute
a part of the person's course of study supervised by a licensed
speech-language pathologist or audiologist as provided in section 345.050;

(4) The activities and services of physicians and surgeons licensed
pursuant to chapter 334, RSMo;

(5) Audiometric technicians who are certified by the council for
accreditation of occupational hearing conservationists when conducting
pure tone air conduction audiometric tests for purposes of industrial
hearing conservation and comply with requirements of the federal
Occupational Safety and Health Administration;

(6) A person who holds a current valid certificate as a speech-language
pathologist issued by the Missouri department of elementary and secondary
education and who is an employee of a public school while providing
speech-language pathology services in such school system.

2. No one shall be exempt pursuant to subdivision (1) or (6) of
subsection 1 of this section if the person does any work as a
speech-language pathologist or audiologist outside of the exempted areas
outlined in this section for which a fee or compensation may be paid by
the recipient of the service. When college or university clinics charge a
fee, supervisors of student clinicians shall be licensed. (L. 1973 H.B.
329 § 4, A.L. 1986 H.B. 1242, A.L. 1995 S.B. 69, et al., A.L. 1998 H.B.
1601, et al.)

1. The board shall administer, coordinate, and enforce the
provisions of sections 345.010 to 345.080, evaluate the qualifications of
applicants, supervise the examination of applicants, issue licenses, and
shall investigate persons engaging in practices which appear to violate
the provisions of sections 345.010 to 345.080.

2. The board shall conduct such hearings and keep such records and
minutes as shall be necessary to an orderly dispatch of business.

3. The board shall adopt reasonable rules and regulations which establish
ethical standards of practice and may amend or repeal the same.

4. Regular meetings of the commission shall be held at such times and
places as it prescribes, and special meetings may be held upon the call
of the chairperson or by request of at least two other members of the
commission, but at least one regular meeting shall be held each year.

5. No rule or portion of a rule promulgated pursuant to the authority of
sections 345.010 to 345.080 shall become effective unless it has been
promulgated pursuant to the provisions of chapter 536, RSMo. (L. 1973
H.B. 329 § 6, A.L. 1981 S.B. 16, A.L. 1995 S.B. 69, et al., A.L. 1998
H.B. 1601, et al.)

1. The board may, within the limits of appropriations, employ
such board personnel as defined in subdivision (4) of subsection 15 of
section 620.010, RSMo, as may be necessary to carry out its duties.

2. All expenses of the board shall be paid only from appropriations made
for that purpose from the board of registration for the healing arts
fund. (L. 1973 H.B. 329 § 7, A.L. 1981 S.B. 16, A.L. 1995 S.B. 69, et
al., A.L. 1998 H.B. 1601, et al.)

The board shall adopt a seal by which it shall authenticate its
proceedings. Copies of its proceedings, records, and acts, when signed by
the secretary and authenticated by the seal, shall be prima facie
evidence in all courts of this state. (L. 1973 H.B. 329 § 8, A.L. 1995
S.B. 69, et al.)

All moneys received pursuant to sections 345.010 to 345.080
shall be collected by the division of professional registration and shall
be transmitted to the department of revenue for deposit in the state
treasury to the credit of the board of registration for the healing arts
fund. (L. 1973 H.B. 329 § 9, A.L. 1981 S.B. 16, A.L. 1998 H.B. 1601, et
al.)

1. To be eligible for licensure by the board by examination,
each applicant shall submit the application fee and shall furnish
evidence of such person's good moral and ethical character, current
competence and shall:

(1) Hold a master's or a doctoral degree from a program accredited by the
Council on Academic Accreditation of the American Speech-Language-
Hearing Association or other accrediting agency approved by the board in
the area in which licensure is sought;

(2) Submit official transcripts from one or more accredited colleges or
universities presenting evidence of the completion of course work and
clinical practicum requirements equivalent to that required by the
Council on Academic Accreditation of the American Speech-Language-Hearing
Association or other accrediting agency approved by the board;

(3) Present written evidence of completion of clinical fellowship as
defined in subdivision (4) of section 345.015 from supervisors. The
experience required by this subdivision shall follow the completion of
the requirements of subdivisions (1) and (2) of this subsection. This
period of employment shall be under the direct supervision of a person
who is licensed by the state of Missouri in the profession in which the
applicant seeks to be licensed. Persons applying with an audiology
clinical doctoral degree are exempt from this provision;

(4) Pass an examination promulgated or approved by the board. The board
shall determine the subject and scope of the examinations.

2. To be eligible for licensure by the board without examination, each
applicant shall make application on forms prescribed by the board, submit
the application fee and shall be of good moral and ethical character,
submit an activity statement and meet one of the following requirements:

(1) The board shall issue a license to any speech-language pathologist or
audiologist who is licensed in another jurisdiction and who has had no
violations, suspension or revocations of a license to practice
speech-language pathology or audiology in any jurisdiction; provided
that, such person is licensed in a jurisdiction whose requirements are
substantially equal to, or greater than, Missouri at the time the
applicant applies for licensure; or

(2) Hold the certificate of clinical competence issued by the American
Speech-Language-Hearing Association in the area in which licensure is
sought. (L. 1973 H.B. 329 § 10, A.L. 1981 S.B. 16, A.L. 1984 H.B. 1286,
A.L. 1985 H.B. 1242, A.L. 1986 H.B. 384 Revision, A.L. 1990 S.B. 697,
A.L. 1995 S.B. 69, et al., A.L. 1998 H.B. 1601, et al., A.L. 2005 S.B.
100)

1. Every person licensed or registered pursuant to the
provisions of sections 345.010 to 345.080 shall renew the license on or
before the renewal date. Such renewal date shall be determined by the
board. The application shall be made on a form furnished by the board.
The application shall include, but not be limited to, disclosure of the
applicant's full name and the applicant's office and residence addresses
and the date and number of the applicant's license, all final
disciplinary actions taken against the applicant by any
speech-language-hearing association or society, state, territory, federal
agency or country and information concerning the applicant's current
physical and mental fitness to practice as a speech-language pathologist
or audiologist.

2. A blank form for application for license renewal shall be mailed to
each person licensed in this state at the person's last known office or
residence address. The failure to mail the form of application or the
failure to receive it does not, however, relieve any person of the duty
to renew the license and pay the fee required by sections 345.010 to
345.080 for failure to renew the license.

3. An applicant for renewal of a license pursuant to this section shall:

(1) Submit an amount established by the board; and

(2) Meet any other requirements the board establishes as conditions for
license renewal, including the demonstration of continued competence to
practice the profession for which the license is issued. A requirement of
continued competence may include, but is not limited to, continuing
education, examination, self-evaluation, peer review, performance
appraisal or practical simulation.

4. If a license is suspended pursuant to section 345.065, the license
expires on the expiration date as established by the board for all
licenses issued pursuant to sections 345.010 to 345.080. Such license may
be renewed but does not entitle the licensee to engage in the licensed
activity or in any other conduct or activity which violates the order of
judgment by which the license was suspended until such license has been
reinstated.

5. If a license is revoked on disciplinary grounds pursuant to section
345.065, the license expires on the expiration date as established by the
board for all licenses issued pursuant to sections 345.010 to 345.080.
Such license may not be renewed. If a license is reinstated after its
expiration, the licensee, as a condition of reinstatement, shall pay a
reinstatement fee that is equal to the renewal fee in effect on the last
regular renewal date immediately preceding the date of reinstatement plus
any late fee established by the board. (L. 1990 S.B. 697, A.L. 1995 S.B.
69, et al., A.L. 1998 H.B. 1601, et al.)

1. The board shall charge a license or registration renewal fee
for each license or registration renewed. Persons possessing the required
training and qualifications to be licensed or registered as both a
speech-language pathologist and audiologist shall receive both licenses,
which for the purposes of this section shall be considered as a single
license or certificate. Duplicate licenses or certificates shall be
issued without additional charge to persons practicing in more than one
location. Persons who allow their licenses to lapse shall submit a
reinstatement fee, and if the license has lapsed for more than a
three-year period, the board may require reexamination.

2. The fees prescribed by section 345.051 and this section shall be
exclusive, and notwithstanding any other provision of law, no
municipality may require any person licensed pursuant to the provisions
of sections 345.010 to 345.080 to furnish any bond, pass any examination,
or pay any license fee or occupational tax.

3. The board shall set the amount of the fees which sections 345.010 to
345.080 authorize* and require** by rules and regulations promulgated
pursuant to section 536.021, RSMo. The fees shall be set at a level to
produce revenue which shall not substantially exceed the cost and expense
of administering sections 345.010 to 345.080. (L. 1973 H.B. 329 § 11,
A.L. 1981 S.B. 16, A.L. 1995 S.B. 69, et al., A.L. 1998 H.B. 1601, et al.)

*Word "authorizes" appears in original rolls.

**Word "requires" appears in original rolls.

1. The board may refuse to issue any certificate of registration
or authority, permit or license required pursuant to sections 345.010 to
345.080 for one or any combination of causes stated in subsection 2 of
this section. The board shall notify the applicant in writing of the
reasons for the refusal and shall advise the applicant of the applicant's
right to file a complaint with the administrative hearing commission as
provided by chapter 621, RSMo. As an alternative to a refusal to issue or
renew any certificate, registration or authority, the board may, at its
discretion, issue a license which is subject to probation, restriction or
limitation to an applicant for licensure for any one or any combination
of causes stated in subsection 2 of this section. The board's order of
probation, limitation or restriction shall contain a statement of the
discipline imposed, the basis therefor, the date such action shall become
effective and a statement that the applicant has thirty days to request
in writing a hearing before the administrative hearing commission. If the
board issues a probationary, limited or restricted license to an
applicant for licensure, either party may file a written petition with
the administrative hearing commission within thirty days of the effective
date of the probationary, limited or restricted license seeking review of
the board's determination. If no written request for a hearing is
received by the administrative hearing commission within the thirty-day
period, the right to seek review of the board's decision shall be
considered as waived.

2. The board may cause a complaint to be filed with the administrative
hearing commission as provided by chapter 621, RSMo, against any holder
of any certificate of registration or authority, permit or license
required by sections 345.010 to 345.080 or any person who has failed to
renew or has surrendered the person's certificate of registration or
authority, permit or license for any one or any combination of the
following causes:

(1) Use of any controlled substance, as defined in chapter 195, RSMo, or
alcoholic beverage to an extent that such use impairs a person's ability
to perform the work of any profession licensed or regulated by sections
345.010 to 345.080;

(2) The person has been finally adjudicated and found guilty, or entered
a plea of guilty or nolo contendere, in a criminal prosecution under the
laws of any state or of the United States, for any offense reasonably
related to the qualifications, functions or duties of any profession
licensed or regulated pursuant to sections 345.010 to 345.080, for any
offense an essential element of which is fraud, dishonesty or an act of
violence, or for any offense involving moral turpitude, whether or not
sentence is imposed;

(3) Use of fraud, deception, misrepresentation or bribery in securing any
certificate of registration or authority, permit or license issued
pursuant to sections 345.010 to 345.080 or in obtaining permission to
take any examination given or required pursuant to sections 345.010 to
345.080;

(4) Obtaining or attempting to obtain any fee, charge, tuition or other
compensation by fraud, deception or misrepresentation;

(5) Incompetency, misconduct, gross negligence, fraud, misrepresentation
or dishonesty in the performance of the functions or duties of any
profession licensed or regulated by sections 345.010 to 345.080;

(6) Violation of, or assisting or enabling any person to violate, any
provision of sections 345.010 to 345.080, or of any lawful rule or
regulation adopted pursuant to sections 345.010 to 345.080;

(7) Impersonation of any person holding a certificate of registration or
authority, permit or license or allowing any person to use his or her
certificate of registration or authority, permit, license or diploma from
any school;

(8) Disciplinary action against the holder of a license or other right to
practice any profession regulated by sections 345.010 to 345.080 granted
by another state, territory, federal agency or country upon grounds for
which revocation or suspension is authorized in this state;

(9) A person is finally adjudged insane or incompetent by a court of
competent jurisdiction;

(10) Assisting or enabling any person to practice or offer to practice
any profession licensed or regulated by sections 345.010 to 345.080 who
is not registered and currently eligible to practice pursuant to sections
345.010 to 345.080;

(11) Issuance of a certificate of registration or authority, permit or
license based upon a material mistake of fact;

(12) Failure to display a valid certificate or license if so required by
sections 345.010 to 345.080 or any rule promulgated pursuant to sections
345.010 to 345.080;

(13) Violation of any professional trust or confidence;

(14) Fraudulently or deceptively using a license, provisional license or
registration;

(15) Altering a license, provisional license or registration;

(16) Willfully making or filing a false report or record in the practice
of speech-language pathology or audiology;

(17) Using or promoting or causing the use of any misleading, deceiving,
improbable or untruthful advertising matter, promotional literature,
testimonial, guarantee, warranty, label, brand, insignia or any other
representation;

(18) Falsely representing the use or availability of services or advice
of a physician;

(19) Misrepresenting the applicant, licensee or holder by using the word
doctor or any similar word, abbreviation or symbol if the use is not
accurate or if the degree was not obtained from a regionally accredited
institution;

(20) Committing any act of dishonorable, immoral or unprofessional
conduct while engaging in the practice of speech-language pathology or
audiology;

(21) Providing services or promoting the sale of devices, appliances or
products to a person who cannot reasonably be expected to benefit from
such services, devices, appliances or products.

3. After the filing of such complaint, the proceedings shall be conducted
in accordance with the provisions of chapter 621, RSMo. Upon a finding by
the administrative hearing commission that the grounds, provided in
subsection 2 of this section, for disciplinary action are met, the board
may, singly or in combination, censure or place the person named in the
complaint on probation on such terms and conditions as the board deems
appropriate for a period not to exceed ten years, or may suspend, for a
period not to exceed three years, or revoke the license or registration.

4. The board may apply for relief by injunction, without bond, to
restrain any person, partnership or corporation from engaging in any act
or practice which constitutes an offense pursuant to sections 345.010 to
345.080. The board does not need to allege and prove that there is no
adequate remedy at law to obtain an injunction. The members of the board
and the advisory commission shall not be individually liable for applying
for such relief. (L. 1973 H.B. 329 § 13, A.L. 1981 S.B. 16, A.L. 1995
S.B. 69, et al., A.L. 1998 H.B. 1601, et al.)

Any person who practices or holds himself or herself out to be a
speech-language pathologist, speech-language pathology assistant or aide,
audiologist or audiology aide without first having been licensed or
registered is guilty of a class B misdemeanor and, upon conviction, shall
be punished as provided by law. This section shall refer also to the use
of the words "pathologist", "state-licensed clinic", "state registered",
"state certified", "state approved", or any other term, abbreviation, or
symbol when it would falsely give the impression that service is being
provided by persons trained in medicine, speech-language pathology or
audiology or that the licensee's service has been recommended by the
state. (L. 1973 H.B. 329 § 15, A.L. 1981 S.B. 16, A.L. 1995 S.B. 69, et
al., A.L. 1998 H.B. 1601, et al.)

1. There is hereby established an "Advisory Commission for
Speech-Language Pathologists and Audiologists" which shall guide, advise
and make recommendations to the board. The commission shall approve the
examination required by section 345.050, and shall assist the board in
carrying out the provisions of sections 345.010 to 345.075.

2. After August 28, 1997, the commission shall consist of seven members,
one of whom shall be a voting public member, appointed by the board of
registration for the healing arts. Each member shall be a citizen of the
United States and a resident of this state. Three members of the
commission shall be licensed speech-language pathologists and three
members of the commission shall be licensed audiologists. The public
member shall be at the time of appointment a citizen of the United
States; a resident of this state for a period of one year and a
registered voter; a person who is not and never was a member of any
profession licensed or regulated pursuant to sections 345.010 to 345.080
or the spouse of such person; and a person who does not have and never
has had a material, financial interest in either the providing of the
professional services regulated by sections 345.010 to 345.080, or an
activity or organization directly related to any profession licensed or
regulated pursuant to sections 345.010 to 345.080. Members shall be
appointed to serve three-year terms, except as provided in this
subsection. Each member of the advisory commission for speech
pathologists and clinical audiologists on August 28, 1995, shall become a
member of the advisory commission for speech-language pathologists and
clinical audiologists and shall continue to serve until the term for
which the member was appointed expires. Each member of the advisory
commission for speech-language pathologists and clinical audiologists on
August 28, 1997, shall become a member of the advisory commission for
speech-language pathologists and audiologists and shall continue to serve
until the term for which the member was appointed expires. The first
public member appointed pursuant to this subsection shall be appointed
for a two-year term and the one additional member appointed pursuant to
this subsection shall be appointed for a full three-year term. No person
shall be eligible for reappointment who has served as a member of the
advisory commission for speech pathologists and audiologists or as a
member of the commission as established on August 28, 1995, for a total
of six years. The membership of the commission shall reflect the
differences in levels of education, work experience and geographic
residence. For a licensed speech-language pathologist member, the
president of the Missouri Speech-Language-Hearing Association in office
at the time, and for a licensed audiologist member, the president of the
Missouri Academy of Audiologists in office at the time, in consultation
with the president of the Missouri Speech-Language- Hearing Association,
shall, at least ninety days prior to the expiration of a term of a
commission member, other than the public member, or as soon as feasible
after a vacancy on the commission otherwise occurs, submit to the
director of the division of professional registration a list of five
persons qualified and willing to fill the vacancy in question, with the
request and recommendation that the board of registration for the healing
arts appoint one of the five persons so listed, and with the list so
submitted, the president of the Missouri Speech-Language-Hearing
Association or the president of the Missouri Academy of Audiologists in
office at the time shall include in his or her letter of transmittal a
description of the method by which the names were chosen by that
association.

3. Notwithstanding any other provision of law to the contrary, any
appointed member of the commission shall receive as compensation an
amount established by the director of the division of professional
registration not to exceed seventy dollars per day for commission
business plus actual and necessary expenses. The director of the division
of professional registration shall establish by rule guidelines for
payment. All staff for the commission shall be provided by the board of
registration for the healing arts.

4. The commission shall hold an annual meeting at which it shall elect
from its membership a chairman and secretary. The commission may hold
such additional meetings as may be required in the performance of its
duties, provided that notice of every meeting shall be given to each
member at least ten days prior to the date of the meeting. A quorum of
the commission shall consist of a majority of its members.

5. The board of registration for the healing arts may remove a commission
member for misconduct, incompetency or neglect of the member's official
duties after giving the member written notice of the charges against such
member and an opportunity to be heard thereon. (L. 1986 H.B. 1242, A.L.
1995 S.B. 69, et al., A.L. 1998 H.B. 1601, et al., A.L. 1999 H.B. 343,
A.L. 2001 H.B. 567, A.L. 2005 S.B. 100)

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