Notice of Proposed Rule

DEPARTMENT OF HEALTH
Board of Hearing Aid Specialists
RULE NO: RULE TITLE
64B6-8.003: Trainee Stages, Minimum Training Requirements, and Training Program
PURPOSE AND EFFECT: The amendments make it clear that Stage 1 needs to be completed before Stage 2 and adds responsibilities for sponsors to report at any time the program is terminated.
SUMMARY: To clarify that Stage 1 should be completed before moving to any other stages and to require training sponsors to complete a form if the program is terminated at any time.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: No Statement of Estimated Regulatory Cost was prepared. The Board determined that small businesses would not be affected by this rule.
Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.
SPECIFIC AUTHORITY: 484.044, 484.0445(1) FS.
LAW IMPLEMENTED: 484.0445, 484.045 FS.
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN FAW.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Sue Foster, Executive Director, Board of Hearing Aid Specialists, 4052 Bald Cypress Way, Bin # C08, Tallahassee, Florida 32399-3258

THE FULL TEXT OF THE PROPOSED RULE IS:

64B6-8.003 Trainee Stages, Minimum Training Requirements, and Training Programs.

(1) A training program shall be a minimum of six months in length and shall be divided into four stages. Following the completion of Stage I, the The trainee shall be in a training for the dispensing of hearing aids program for a minimum of twenty (20) hours each week, and shall be under the direct supervision of the sponsor at all times when performing the functions of a hearing aid specialist. The training program shall be divided into four (4) stages:

(a) Stage I: During this Stage, the trainee shall complete the International Hearing Society Home Study Course and shall submit proof of passing the home study course final examination. If the trainee passes the home study course final examination but fails the licensure examination, he or she will not have to repeat the home study course prior to the next available licensure examination.

(b) Stage II – 1 month: During this Stage, the trainee may perform audiometric tests, and make ear mold impressions and modifications, but the sponsor or hearing aid specialist designated by the sponsor shall be physically present, in the same room at all times when the trainee is performing these functions. The trainee may not recommend the selection of a hearing aid, dispense a hearing aid, or counsel a client.

(c) Stage III – 2 months: During this Stage the trainee may perform all tasks in Stage II, recommend the selection of a hearing aid, and counsel a client, but the trainee shall be under the direct supervision of the sponsor or hearing aid specialist designated by the sponsor. The trainee may not deliver a hearing aid.

(d) Stage IV – 3 months: During this Stage the trainee may perform all the tasks in Stages II and III and deliver hearing aids, but the sponsor or hearing aid specialist designated by the sponsor shall be physically present in the same room at the time a hearing aid is delivered to the client, and the receipt required by Section 484.051, F.S., must have the signature and license number of the sponsor or hearing aid specialist designated by the sponsor.

(2) It shall be the responsibility of the sponsor to provide instruction and guidance, in order to adequately prepare trainees for practice as a hearing aid specialist. Training received by a trainee during the training program must consist of training in the following subject areas:

(a) Part II, Chapter 484, Florida Statutes, and Rule Chapter 64B6, F.A.C.

(b) Physics of Sound.

(c) Anatomy of the Outer, Middle and Inner Ear.

(d) Hearing Disorders:

1. Conductive Hearing Loss: Diseases of the Ear.

2. Sensori-Neural Hearing Loss.

3. Mixed Hearing Loss.

4. Central Deafness Hearing Loss.

5. Psychological Hearing Loss.

(e) Criteria for Medical Referral.

(f) Pure Tone Audiometry.

(g) Masking and its Application when utilized with Pure Tone Audiometry: Rationals; Methods; Techniques.

(h) Speech Audiometry.

(i) Masking and its Application when utilized with Speech Audiometry.

(j) Sound Field Testing.

(k) Audiogram Analysis and Interpretation.

(l) Proper Ear/Ears Selection; Hearing Instrument Selection: (Evaluating Fitting Criteria).

(m) Cros/Bi-Cros: Rationale and its Application.

(n) Hearing Aid Measurements.

(o) Interpretation of Hearing Instruments Specification Data.

(p) Impression Technique.

(q) Earmolds; Shell Design; and their Effect on Frequency Response.

(r) Types of Hearing Instruments; Major Components; Function.

(s) Clients Counseling and Delivery as it pertains to Hearing Aid usage and care for optimum performance.

(3) The sponsor shall file a complete Training Program Sponsor Rreport with the Board at the end of each trainee’s training program; this report shall be filed no later than 30 days after the completion termination of the program or termination of the sponsorship, whichever occurs first. The report shall set forth the number of hours of training in each subject which has been provided. The report must also set forth the educational and training objectives and hours set by the sponsor for the trainees. The report shall be made on the Training Program Sponsor Report Form, Form 1159 (revised 4/09), hereby adopted and incorporated by reference, and can be obtained from the Board of Hearing Aid Specialists’ website at http://www.doh.state.fl.us/mqa/HearingAid/. Failure to comply with the requirements of this rule may subject the sponsor to discipline.

(4) The training program shall begin at the date of Department certification, unless the Board certifies another date.

(5) Upon completion of the training program, the trainee shall take the first available licensure examination. A trainee may continue to function as a trainee until she or he has received the results of the licensure examination, provided that failure of the sponsor to file the complete report required herein will preclude the trainee from engaging in acts which constitute hearing aid dispensing until such time as the complete report is filed. Until the complete report is filed, the trainee is not eligible to complete the first available licensure examination. Upon receipt of the examination results a trainee that passes the examination may continue in Stage IV under the direct supervision of his or her sponsor until they have applied and received their license or up to ninety (90) days whichever comes first, pursuant to subsection 64B6-3.001(2), F.A.C. Payment of the fee and all other licensing requirements required by this rule shall be met within ninety (90) days of notification of licensure eligibility, or the eligibility certification becomes null and void and the person must reapply for licensure.

(6) A trainee who fails the licensure examination must immediately stop functioning as a trainee upon receipt of the examination results. However, a trainee may continue one time in Stage IV of the training program by submitting to the Board within 10 days of receiving the examination results a Training Program Continuation Request (Form DH-MQA 1160, Revised 10/08) and hereby adopted and incorporated by reference, and can be obtained from the Board of Hearing Aid Specialists’ website at http://www.doh.state.fl.us/mqa/HearingAid/) and taking the next available examination. A trainee who fails the licensure examination and does not submit a Training Program Continuation Request to the Board within 10 days of receiving the examination results may repeat the training program one time by meeting the criteria in Rule 64B6-8.002, F.A.C., and taking the next available examination.

(7) Failure to sit for or receive a passing score on the next scheduled licensure examination for which he or she qualifies will result in termination of trainee status and the ability to further perform services as a trainee within seven days of the posting mailing of the examination results, but does not preclude submitting another application for examination as provided in Rules 64B6-2.003 and 64B6-2.005, F.A.C.

Rulemaking Authority 484.044, 484.0445(1) FS. Law Implemented 484.0445, 484.045 FS. History–New 2-12-84, Formerly 21JJ-8.03, Amended 8-12-87, 10-1-90, 1-28-91, 4-23-91, 8-19-91, Amended 3-18-93, Formerly 21JJ-8.003, Amended 4-21-94, Formerly 61G9-8.003, Amended 7-11-02, 2-19-03, 8-31-06, 6-11-09,_______.


NAME OF PERSON ORIGINATING PROPOSED RULE: Board of Hearing Aid Specialists
NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Board of Hearing Aid Specialists
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: November 13, 2009
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: October 30, 2009