Notice of Intended Action

Issue 21
Volume XLIII
Published April 7, 2021
Rule Type
Proposed Rule
Issuing Body
Professional Licensure Division

Notice Text

ARC 5556C PROFESSIONAL LICENSURE DIVISION[645] Notice of Intended Action Proposing rule making related to telehealth and providing an opportunity for public comment The Board of Speech Pathology and Audiology hereby proposes to adopt new Chapter 301, “Practice of Speech Pathologists and Audiologists,” Iowa Administrative Code. Legal Authority for Rule Making This rule making is proposed under the authority provided in Iowa Code section 147.76. State or Federal Law Implemented This rule making implements, in whole or in part, Iowa Code chapter 154F. Purpose and Summary This proposed rule making provides the minimum standards of care for speech pathologists and audiologists when they are providing services during a telehealth appointment. This proposed rule making adds a new Chapter 301, “Practice of Speech Pathologists and Audiologists,” and instructs that when a speech pathologist or audiologist provides services to a patient remotely, the services must be provided in accordance with the new chapter in order to adequately inform and protect the patient during the telehealth appointment. Fiscal Impact This rule making has no fiscal impact to the State of Iowa. Jobs Impact After analysis and review of this rule making, no impact on jobs has been found. Waivers Any person who believes that the application of the discretionary provisions of this rule making would result in hardship or injustice to that person may petition the Board for a waiver of the discretionary provisions, if any, pursuant to 645—Chapter 18. Public Comment Any interested person may submit written or oral comments concerning this proposed rule making. Written or oral comments in response to this rule making must be received by the Board no later than 4:30 p.m. on April 28, 2021. Comments should be directed to: Venus Vendoures Walsh Professional Licensure Division Iowa Department of Public Health Lucas State Office Building 321 East 12th Street Des Moines, Iowa 50319 Phone: 515.281.0254 Fax: 515.281.3121 Email: Public Hearing A public hearing at which persons may present their views orally or in writing will be held as follows:
April 28, 2021 Option 2: Join by video system:
9 to 9:30 a.m.
Option 1: Join Webex hearing on Option 3: Join by phone +1 408.418.9388 (toll), click “JOIN,” then Access code: 187 354 7720
enter the following hearing information:
Meeting ID Number: 1873547720
Password: aVDQuj@4
Persons who wish to make oral comments at the public hearing may be asked to state their names for the record and to confine their remarks to the subject of this proposed rule making. In an effort to ensure accuracy in memorializing a person’s comments, a person may provide written comments in addition to or in lieu of oral comments at the hearing. Any persons who intend to attend the public hearing and have special requirements, such as those related to hearing or mobility impairments, should contact the Board and advise of specific needs. Review by Administrative Rules Review Committee The Administrative Rules Review Committee, a bipartisan legislative committee which oversees rule making by executive branch agencies, may, on its own motion or on written request by any individual or group, review this rule making at its regular monthly meeting or at a special meeting. The Committee’s meetings are open to the public, and interested persons may be heard as provided in Iowa Code section 17A.8(6).
The following rule-making action is proposed: Adopt the following new 645—Chapter 301: CHAPTER 301 PRACTICE OF SPEECH PATHOLOGISTS AND AUDIOLOGISTS 645—301.1(147) Telehealth visits. A licensee may provide speech pathology or audiology services to a patient utilizing a telehealth visit if the services are provided in accordance with the following: 301.1(1) “Telehealth visit” means the provision of speech pathology or audiology services by a licensee to a patient using technology where the licensee and the patient are not at the same physical location during the appointment. 301.1(2) A licensee engaged in a telehealth visit shall utilize technology that is secure and HIPAA-compliant and that includes, at a minimum, audio and video equipment that allows two-way real-time interactive communication between the licensee and the patient. A licensee may use non-real-time technologies to prepare for an appointment or to communicate with a patient between appointments. 301.1(3) A licensee engaged in a telehealth visit shall be held to the same standard of care as a licensee who provides in-person speech pathology or audiology services. A licensee shall not utilize a telehealth visit if the standard of care for the particular speech pathology or audiology service cannot be met using technology. 301.1(4) Prior to the first telehealth visit, a licensee shall obtain informed consent from the patient specific to the services that will be provided in a telehealth visit. At a minimum, the informed consent shall specifically inform the patient of the following: a. The risks and limitations of the use of technology to provide speech pathology or audiology services; b. The potential for unauthorized access to protected health information; and c. The potential for disruption of technology during a telehealth visit. 301.1(5) A licensee shall only provide speech pathology or audiology services using a telehealth visit in the areas of competence wherein proficiency in providing the particular service using technology has been gained through education, training, and experience. 301.1(6) A licensee shall identify in the clinical record when speech pathology or audiology services are provided utilizing a telehealth visit. This rule is intended to implement Iowa Code chapters 147 and 154F.