Relating to: the practice of audiology, licensure of audiologists, the composition of the Hearing and Speec...
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SB 860 — Relating to: the practice of audiology, licensure of audiologists, the composition of the Hearing and Speech Examining Board, and repealing an administrative rule related to the practical examination of audiologists. (FE)
Last action — Failed to pass pursuant to Senate Joint Resolution 1
No card. One bill, free forever — alerts when it moves.
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1Introduced
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2In Committee
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3Passed Senate
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4Passed Assembly
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5To Executive
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6Enacted
This bill has been introduced in the Senate. Introduced January 23, 2026. It must pass committee before a floor vote.
Next likely step: a committee referral and hearing.
Prognosis
Where this bill stands today.
Odds of enactment
LowHow often bills like it became law.
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Introduced
Current position in the legislative process.
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18 sponsors
1 primary, 17 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (1 R · 1 D) — cross-party backing.
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Cleared a recorded vote
Passed 2 recorded votes so far.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Summary
An Act to repeal 459.24 (3) (em), 459.26 (2) (b), 459.26 (2) (c) and 459.26 (3); to renumber and amend 459.20 (2); to amend 15.405 (6m) (a), 15.405 (6m) (e), 459.24 (6) (b) 1. and (c) and 459.28 (1) (b) 1.; to create 459.20 (3o) (a) 2. a., b. and c. and 459.20 (3o) (b) and (c) of the statutes;
Bill Text
What changed in the latest version
160 added · 124 removedPlain-language change summary
The latest version of SB 860 has removed proposed changes that would have adjusted the membership of the Hearing and Speech Examining Board and clarified the practice of audiology. Notably, it also eliminated the ability for audiologists to order prescription medications as part of their practice. These changes matter because they maintain the current structure of the examining board and define audiology more narrowly, potentially affecting the scope of practice for audiologists and the services they can provide.
- 2026 LEGISLATURE LRBs0325/1LRB-5700/1 MED:cjsJPC&MED:cdc&skw SENATE SUBSTITUTE AMENDMENT 1, TO SENATE BILL 860 January 29,23, 2026 - OfferedIntroduced by SenatorSenators C ABRALABRAL-GUEVARA -Gand UEVARAR .ATCLIFF, cosponsored by Representatives D UCHOW , SUBECK , BILLINGS, D ESMIDT, DITTRICH, DONOVAN , OYLE , OEBEN , GOODWIN , IRSCH , NODL , O'ONNOR , PALMERI, SINICK, TUBBS and U DELL.
Referred to Committee on Health.
to amend 459.2015.405 (3g),(6m) (a), 15.405 (6m) (e), 459.24 (6) (b) 1.
and (c),(c) and 459.28 (1) (b) 1.1.;
and 459.34 (2) (ce);
the practice of audiology, licensure of audiologists, the composition of the Hearing and Speech Examining Board, and repealing an administrative rule related to the practical examination of audiologists.
ThisAnalysis substituteby amendmentthe differsLegislative fromReference 2025Bureau SenateUnder Billcurrent 860law, no person may engage in the followingpractice ways:of audiology unless the person holds a current audiologist license granted by the Hearing and Speech Examining Board.
1.“Audiology” is defined under current law to mean applying principles, methods or procedures of prevention, identification, evaluation, consultation, intervention, instruction or research related to hearing, vestibular function, or any abnormal condition related to tinnitus, auditory sensitivity, acuity, function or processing, speech, language or other aberrant behavior resulting from hearing loss.
Removes“Audiology” changesalso toincludes engaging in the compositionpractice of theordering, Hearingfitting, and Speechdealing Examiningin Board.hearing aids.
Under- 2026 Legislature - 2 - LRB-5700/1 JPC&MED:cdc&skw SENATE BILL 860 SECTION 1 To be granted an audiologist license, under current law, an individual must satisfy certain criteria including 1) submitting evidence that he or she has completed a supervised clinical practicum, 2) submitting evidence that he or she has passed examinations selected or approved by the substituteboard amendment,or has completed education or training that the compositionboard determines is substantially equivalent, 3) passing an examination administered by the board that consists of practical tests of proficiency in certain techniques that pertain to the fitting of hearing aids, and 4) submitting evidence that he or she has completed a postgraduate clinical fellowship in audiology approved by the board remainsor ashas itcompleted iseducation underor currenttraining law.that the board determines is substantially equivalent.
2.Currently, the board consists of 10 members appointed for four-year terms:
Removesthree thelicensed orderinghearing ofinstrument prescriptionspecialists, medicationsone fromotolaryngologist, thetwo definitionlicensed ofaudiologists, thetwo practicespeech-language pathologists, and two public members, one of audiology.which must be a hearing aid user.
3.This bill makes several changes to the definition of the practice of audiology, the requirements for licensure as an audiologist, and the composition of the board.
RevisesFirst, onethe ofbill amends the groundsdefinition forof disciplineaudiology to referenceprovide that the practice of audiology insteadalso ofincludes the practicediagnosis, ofmanagement, ordering,and fitting,treatment andof dealingauditory inor hearingvestibular aids.conditions.
4.The bill further provides that the practice of audiology includes engaging in prescribing, ordering, selling, dispensing, and externally fitting hearing aids, sound processors, and cochlear implants.
MakesThe otherbill clarificationsexcludes tofrom definitions, including that the practice of -audiology 2026certain Legislaturepractices -including 2surgery -that LRBs0325/1uses MED:cjsan SECTIONinstrument, 1including audiologya doeslaser, notscalpel, includeneedle, usingcautery, cryoprobe, or interpretingsuture laboratoryin testswhich orhuman radiographictissue imagingis andcut, thatburned, osseo-integratedvaporized, devicesremoved, andor cochlearotherwise implantspermanently arealtered notby consideredmechanical hearingmeans, aids.laser, ionization, radiation, ultrasound, or other means.
Second, the bill eliminates the requirement that an individual applying for a license as an audiologist complete an examination that consists of practical tests of proficiency in techniques that pertain to the fitting of hearing aids but maintains all other requirements for licensure under current law.
Third, the bill repeals a provision permitting rules promulgated by the board to designate that a temporary license to practice audiology terminates if an applicant fails to take an examination required for initial licensure under current law.
Finally, the bill reduces the membership on the board from 10 members to nine members by reducing the number of positions provided for licensed hearing instrument specialists from three to two.
The bill also provides that of the two public members on the board, one of which must be either a hearing aid user, an osseo-integrated device user, or a cochlear implant user.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
SSECTION ECTION 1.
15.405 (6m) (a) of the statutes is amended to read:
- 2026 Legislature - 3 - LRB-5700/1 JPC&MED:cdc&skw SENATE BILL 860 SECTION 1 15.405 (6m) (a) Three Two hearing instrument specialists licensed under subch.
I of ch.
459.
S ECTION 2.
15.405 (6m) (e) of the statutes is amended to read:
15.405 (6m) (e) Two public members.
One of the public members shall be a hearing aid user, an osseo-integrated device user, or a cochlear implant user.
S ECTION 3.
459.20 (3o) (a) “Audiology” “Practice of audiology” or “audiology” means all of the following:
Engaging in the practice of Prescribing,prescribing, ordering, selling, dispensing, or externally fitting, and dealing in hearing aids.
S ECTION 2.4.
459.20 (3g) of the statutes is amended to read:
459.20 (3g) “Hearing aid” means any wearable or implantable instrument or device designed for or offered for the purpose of aiding or compensating for impaired human hearing and any parts, attachments or accessories of such an instrument or device, except batteries and cords, but does not include instruments or devices described in sub.
(3o) (a) 2.
b.
or c.
S ECTION 3.
Show all 83 changed lines (43 more)
- 2026 Legislature - 3 - LRBs0325/1 MED:cjs SECTION 3 459.20 (3o) (a) 2.
S ECTION 4.5.
- 2026 Legislature - 4 - LRB-5700/1 JPC&MED:cdc&skw SENATE BILL 860 SECTION 5 459.20 (3o) (b) “Practice of audiology” or “audiology” includes all of the following:
Conducting health screeningsscreenings. related to hearing, balance, and related systems.
RemovingRemoval of cerumen from the external auditory canal that is not impacted to the point that removal requires anesthesia.
RemovingRemoval of a foreign body from the external auditory canal that is not impacted to the point that removal requires anesthesia.
Ordering,Ordering butof notcultures interpreting, laboratory tests, including cultures, bloodwork, and geneticblood testing,work regardlesstesting of specimen type, solely as relatedit relates to the auditory or vestibular conditions.conditions in the human ear.
Ordering and performing of in-office, nonradiographic scanning or imaging of the external auditory canal.canal and the ordering of radiographic imaging for auditory or vestibular conditions in the human ear.
Ordering,Ordering butof notgenetic interpreting,testing radiographicfor imaging solely as related to auditory or vestibular conditions.
(c)7. “Practice of audiology” and “audiology” do not include any of the following:
Ordering of prescription medication for the treatment of conditions of the external ear or the external auditory canal.
(c) “Practice of audiology” does not include any of the following:
PerformingSurgery surgery using an instrument, including a laser, scalpel, needle, - 2026 Legislature - 4 - LRBs0325/1 MED:cjs SECTION 4 cautery, cryoprobe, or suture in which human tissue is cut, burned, vaporized, removed, or otherwise permanently altered by mechanical means, laser, ionization, radiation, ultrasound, or other means.
PerformingOsseo-integrated osseo-integrated device surgery.
PerformingCochlear cochlear implant surgery.
Preparing,Preparation, operating,operation, performance, or performinginterpretation of radiographic imaging.
5.
Interpreting radiographic imaging.
6.
Using or interpreting laboratory testing, including cultures, bloodwork, and genetic testing, to diagnose or treat a condition.
S ECTION 5.
459.24 (3) (em) of the statutes is repealed.
459.24 (3) (em) of the statutes is repealed.
- 2026 Legislature - 5 - LRB-5700/1 JPC&MED:cdc&skw SENATE BILL 860 SECTION 7 S ECTION 7.
(b) may be renewed - 2026 Legislature - 5 - LRBs0325/1 MED:cjs SECTION 6 once by the examining board if the applicant fails an examination for audiologist licensure under s.
S ECTION 7.
459.26 (2) (b) of the statutes is repealed.
459.26 (2) (c)(b) of the statutes is repealed.
459.26 (3)(2) (c) of the statutes is repealed.
459.26 (3) of the statutes is repealed.
S ECTION 11.
The requirements for licensure in the other state or territory - 2026 Legislature - 6 - LRB-5700/1 JPC&MED:cdc&skw SENATE BILL 860 S ECTION 11 are substantially equivalent to the requirements under s.
S ECTION 11.
459.34 (2) (ce) of the statutes is amended to read:
459.34 (2) (ce) Violated any federal or state statute, rule or regulation that relates to the practice of ordering, fitting, and dealing in hearing aids audiology.
This paragraph does not apply to speech-language pathologists.
Initial applicability.
(1) The treatment of s.
15.405 (6m) (a) first applies on the date on which the term of any of the members appointed to the hearing and speech examining board under s.
15.405 (6m) (a) expires.
S ECTION 14.
(1) NotwithstandingThis s.act takes effect on the first day of the 7th month beginning after publication.
227.265, this act takes effect on the first day of the 7th month beginning after publication.
Show all 83 changed rows (43 more)
View plain text versions (2)
- Bill Text View text pdf
- Substitute Senate Substitute Amendment 1 Current pdf
Action History
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Failed to pass pursuant to Senate Joint Resolution 1
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Representative J. Jacobson added as a cosponsor
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Available for scheduling
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Report passage as amended recommended by Committee on Health, Ayes 3, Noes 2
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Report adoption of Senate Substitute Amendment 1 recommended by Committee on Health, Ayes 3, Noes 2
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Executive action taken
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Senate Substitute Amendment 1 offered by Senator Cabral-Guevara
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Public hearing held
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Representative Anderson added as a cosponsor
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Read first time and referred to Committee on Health
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Introduced by Senators Cabral-Guevara and Ratcliff; cosponsored by Representatives Duchow, Subeck, Billings, DeSmidt, Dittrich, Donovan, Doyle, Goeben, Goodwin, Kirsch, Knodl, O'Connor, Palmeri, Sinicki, Stubbs and Udell
Sponsors
- Duchow · Cosponsor
- Subeck · Cosponsor
- Billings · Cosponsor
- DeSmidt · Cosponsor
- Dittrich · Cosponsor
- Donovan · Cosponsor
- Doyle · Cosponsor
- Goeben · Cosponsor
- Goodwin · Cosponsor
- Kirsch · Cosponsor
- Knodl · Cosponsor
- O'Connor · Cosponsor
- Palmeri · Cosponsor
- Sinicki · Cosponsor
- Stubbs · Cosponsor
- Udell · Cosponsor
- Rachael Cabral-Guevara · Primary
- Melissa Ratcliff · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 17 co-sponsors · 114 not signed on
Sponsors (1)
- Cabral-Guevara, Rachael Republican
Co-sponsors (17)
- Duchow
- Subeck
- Billings
- DeSmidt
- Dittrich
- Donovan
- Doyle
- Goeben
- Goodwin
- Kirsch
- Knodl
- O'Connor
- Palmeri
- Sinicki
- Stubbs
- Udell
- Ratcliff, Melissa Democrat
Not signed on (114)
114 members have not signed on to this bill.
Show all 114 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
Roll call published as PDF — view source.
Roll call published as PDF — view source.
Subjects
Frequently asked questions
- What does SB 860 do?
- An Act to repeal 459.24 (3) (em), 459.26 (2) (b), 459.26 (2) (c) and 459.26 (3); to renumber and amend 459.20 (2); to amend 15.405 (6m) (a), 15.405 (6m) (e), 459.24 (6) (b) 1. and (c) and 459.28 (1) (b) 1.; to create 459.20 (3o) (a) 2. a., b. and c. and 459.20 (3o) (b) and (c) of the statutes;
- Who sponsors SB 860?
- SB 860 is sponsored by Duchow, Subeck, Billings, DeSmidt, Dittrich, Donovan, Doyle, Goeben, Goodwin, Kirsch, Knodl, O'Connor, Palmeri, Sinicki, Stubbs, Udell, Cabral-Guevara, Rachael (Republican), and Ratcliff, Melissa (Democrat).
- What is the current status of SB 860?
- This bill has been introduced in the Senate. Introduced January 23, 2026. It must pass committee before a floor vote.
- Where can I track SB 860?
- Track SB 860 free on One Click Politics — get push/email alerts when it moves.
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