HB 4509 — Health occupations: audiologists; audiologist and speech language pathologist licensure compact; provide for. Amends secs. 16801 & 17601 of 1978 PA 368 (MCL 333.16801 & 333.17601) & adds secs. 16187, 16804 & 17603a.

HB-4509, As Passed House, October 28, 2025 SUBSTITUTE FOR HOUSE BILL NO.

PURPOSE The purpose of this compact is to facilitate interstate practice of audiology and speech-language pathology with the goal EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 of improving public access to audiology and speech-language pathology services.

"Active duty military" means full-time duty status in the EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 active uniformed service of the United States, including members of the National Guard and Reserve on active duty orders pursuant to 10 U.S.C.

"Compact privilege" means the authorization granted by a remote state to allow a licensee from another member state to EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 practice as an audiologist or speech-language pathologist in the remote state under its laws and rules.

"Licensee" means an individual who currently holds an authorization from the state licensing board to practice as an EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 audiologist or speech-language pathologist.

"Telehealth" means the application of telecommunication technology to deliver audiology or speech-language pathology EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 services at a distance for assessment, intervention and/or consultation.

Upon application for a privilege to practice, the licensing EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 board in the issuing remote state shall ascertain, through the data system, whether the applicant has ever held, or is the holder of, a license issued by any other state, whether there are any encumbrances on any license or privilege to practice held by the applicant, whether any adverse action has been taken against any license or privilege to practice held by the applicant.

Has graduated from an audiology program that is housed in an institution of higher education outside of the United States (a) EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 for which the program and institution have been approved by the authorized accrediting body in the applicable country and (b) the degree program has been verified by an independent credentials review agency to be comparable to a state licensing board-approved program.

Has graduated from a speech-language pathology program that is housed in an institution of higher education outside of the United States (a) for which the program and institution have been approved by the authorized accrediting body in the applicable country and (b) the degree program has been verified by an independent credentials review agency to be comparable to a state EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 licensing board-approved program.

EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 I.

Report to the commission adverse action taken by any non- member state within 30 days from the date the adverse action is EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 taken.

A licensee providing audiology or speech-language pathology services in a remote state under the compact privilege shall EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 function within the laws and regulations of the remote state.

ACTIVE DUTY MILITARY PERSONNEL OR THEIR SPOUSES Active duty military personnel, or their spouse, shall designate a home state where the individual has a current license EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 in good standing.

For purposes of taking adverse action, the home state shall give the same priority and effect to reported conduct received from a member state as it would if the conduct had occurred within the EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 home state.

If adverse action is taken by the home state against an audiologist's or speech-language pathologist's license, the EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 audiologist's or speech-language pathologist's privilege to practice in all other member states shall be deactivated until all encumbrances have been removed from the state license.

EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 B.

EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 4.

provided that at all times the commission shall EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 avoid any appearance of impropriety;

EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 E.

EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 b.

The commission shall keep minutes that fully and clearly describe all matters discussed in a meeting and shall provide a full and accurate summary of actions taken, and the reasons EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 therefore, including a description of the views expressed.

The receipts and disbursements of the commission shall be subject to the audit and accounting procedures EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 established under its bylaws.

and provided further, that the actual or alleged act, error, or omission did not result from that person's intentional or EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 willful or wanton misconduct.

Other information that may facilitate the administration of EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 this compact, as determined by the rules of the commission.

Prior to promulgation and adoption of a final rule or rules by the commission, and at least thirty (30) days in advance of the EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 meeting at which the rule shall be considered and voted upon, the commission shall file a notice of proposed rulemaking:

If a hearing is held on the proposed rule or amendment, the commission shall publish the place, time, and date of the scheduled EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 public hearing.

Upon determination that an emergency exists, the commission may consider and adopt an emergency rule without prior notice, EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 opportunity for comment, or hearing, provided that the usual rulemaking procedures provided in the compact and in this section shall be retroactively applied to the rule as soon as reasonably possible, in no event later than ninety (90) days after the effective date of the rule.

EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 2.

Any state that joins the compact subsequent to the EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 commission's initial adoption of the rules shall be subject to the rules as they exist on the date on which the compact becomes law in that state.

The provisions of this compact shall be severable and if any phrase, clause, sentence or provision of this compact is declared to be contrary to the constitution of any member state or of the United States or the applicability thereof EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 to any government, agency, person or circumstance is held invalid, the validity of the remainder of this compact and the applicability thereof to any government, agency, person or circumstance shall not be affected thereby.

EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 (b) "Practice of audiology" means the nonmedical and nonsurgical application of principles, methods, and procedures related to disorders of hearing, including all of the following:

EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 (3) In addition to the definitions in this part, article 1 contains general definitions and principles of construction applicable to all articles in this code and part 161 contains definitions applicable to this part.

EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 (iv) Assessing, selecting, and developing augmentative and alternative communication systems and providing training in their use.

(1) An individual who holds a compact privilege to practice speech-language pathology as a speech-language EMR H02761'25 (H-1)(H-1)_HB4509_APH_1 ctmgy14p9o12 1 pathologist under the audiology and speech-language pathology interstate compact is authorized to engage in the practice of speech-language pathology under this article.

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This amendatory act takes effect 1 year after the date it is enacted into law.

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