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squiggle.gif (79 bytes) CSHA Licensure Committee

CSHA Licensure Committee Update

May 8, 2012

Today, the last day of the session, the House approved the Senate changes to our bill. Our state licensure bill has passed the Colorado State Legislature. On to the Governor's desk!!


March 1, 2012

Draft Text of HB 12-1303

A BILL FOR AN ACT
CONCERNING THE REGULATION OF SPEECH-LANGUAGE PATHOLOGISTS
BY THE DEPARTMENT OF REGULATORY AGENCIES.

Passed Committee in the Colorado House
Tuesday, February 28, 2012

Our bill passed out of committee on a "YES" vote of 11-2! Much better than expected. Now it's on to the Finance & Appropriations committees before it makes its way to the House floor for a vote.

 

September 2011

Help us document why regulation of SLPs is important!! - Can anyone do what you do? Why is it in the best interest of the consumer that only qualified individuals provide speech-language pathology services?

Can YOU provide us with documentation of a concern regarding the practice of speech-language pathology in the state of Colorado?

Download Consumer Harm Form

Issues we have heard about, but need more documentation:

  • Unqualified providers representing themselves as Speech-Language Pathologists
  • Individuals providing speech and language services outside of their scope of practice
  • Questionable billing practices or ethical practices (but since there is no regulatory board, there is no one to report these concerns to…)
  • Insurance reimbursement problems because of lack of licensure (unable to get on provider rolls, difficulty submitting claims or having claims rejected)
  • Safety issues (such as with the provision of feeding/swallowing therapy by untrained providers, thermal/electrical stimulation etc.),
  • Loss of time or money or delay in appropriate treatment due to incompetent evaluation or therapy provision
  • speech-language pathology assistants were asked to provide services beyond their scope or training
  • inadequate supervision of speech-language assistants
  • instances where services were provided by unqualified individuals, etc.

A form to assist you in collecting this information can be downloaded HERE (pdf) or in the August-September CSHA Newsletter. These forms can be sent to your contacts or you can ask them to write a letter. Remember: Identifying information related to the person or practice about whom the concern is written is NOT needed. HOWEVER, we do need the name & contact information of the person submitting the information.

Please send all documentation to Kathy Boada, Co-Chair, at boada.katheryn@tchden.org

January 17, 2011

Status: We are not going to be able to run a regulatory bill for SLPs in 2010.

Despite much good faith effort, we simply ran out of time (our deadline was Jan 31) to craft a bill that would protect patients and the profession without negatively impacting the ability of schools to bill Medicaid for SLP services. School billing for Medicaid services represents an increasingly important source of revenue for school special education services – which are federally mandated but not federally funded. In the current budget climate, the schools have seen significant cuts and they are not in a position to absorb additional reductions.

Successes, Next Steps & Actions Planned: Representative Sue Shafer remains committed to the issue and is willing to take a leadership role in ensuring that discussions continue. Additionally, the school community, and in particular the Consortium of Special Education Directors, is committed to working with us and other interested parties to craft a solution.

While it is disappointing that we will not be able to move forward with legislation in 2011, we have had some successes:

  • We have a legislator committed to the issue.
  • We have established direct relationship for CSHA with school groups and can have a meaningful conversation with them moving forward.
  • We have identified the key issues and the complexities that are specific to Colorado .

It is important to note that most other states have had to engage in a multi-year effort to achieve licensure. We will use the next year to strengthen our position by continuing to build a grassroots network (with the goal of having direct SLP to legislator contact over the summer and fall) and continue to identify examples of consumer harm.

How can you help if:

You have NO time to give: JOIN CSHA!!! If you are active in no other way, please know that your membership in CSHA has helped us have a voice on Capitol Hill!! Priceless!

You have A LITTLE time:

  • HELP US DOCUMENT WHY REGULATION OF SLPs IS IMPORTANT!!
  • BECOME A CALL CAPTAIN!

PDF Copy of this Update

Licensure Survey

In response to Colorado SLPs’ request for licensure for speech-language pathologists, CSHA submitted a sunrise application to the Department of Regulatory Agencies (DORA) proposing that speech-language pathologists be regulated throughout the State of Colorado. DORA decided to pass the petition through to legislature without reviewing it because 48 other states already regulate speech-language pathologists. The next step is to draft legislation and introduce it during the 2011 Legislative Session.

The CSHA Licensure Committee requested input in drafting the licensure law language. The survey conducted to obtain this input is now closed. Results will be available soon.

 

MISSION STATEMENT

The Colorado Speech-Language-Hearing Association has made a commitment to pursue the process of state licensure for Speech-Language Pathologists in Colorado.

View the Committee's January 22, 2010 Metro presentation HERE (PDF)

Read Michigan & Minnesota's Licensure Requirements HERE


Licensure NEWS

July 16, 2010 - The sunrise application proposing that Speech Language Pathologists be regulated throughout the State of Colorado was submitted to the Department of Regulatory Agencies (DORA)

August 11, 2010 – DORA declined to conduct a sunset review based on the fact that the majority of states already regulate speech-language pathologists. This means they will neither support nor oppose a legislative proposal for licensing.

Next Steps:

  • CSHA Licensure Committee Chairs will begin meetings with CDE to develop consensus on licensure language for proposed legislation.

  • CSHA Licensure Committee will send out an email blast and post updates on the CSHA website.

  • CSHA Licensure Committee will solicit participation from all interested SLPs to assist committee in drafting the licensure language. (Look for email blast asking for participation)

  • Current committee includes representation from a wide range of practice settings (schools, private practice, health care settings, university and CDE SLP representatives).

  • CSHA Licensure Committee will reach out to all Colorado SLPs via a confidential survey (Survey Monkey) to determine their opinion on key components of licensure legislation to help inform the committee as the proposed law is drafted and to educate the membership about the legislative process.

  • Licensure Public Forum to be held at CSHA Convention, October 16, 2010.

Licensure Committee Reports: January 2010 | May 2010 | January 2011

Licensure Information Gathering Survey Results

CSHA members & non-members alike responded to our 2009 licensure survey.

Overwhelmingly, Speech-Language Pathologists expressed a strong desire (85%) for CSHA to pursue a state-wide licensure.

Survey Breakdown

(Total of 500 respondents)

85% of SLPs in Colorado favor licensure

  • 65% of school based respondents

  • 90% of healthcare based respondents

  • 95% of private practice respondents

13% are opposed to licensure

2% are undecided

80% of those in favor of licensure held licenses in other states

Key Points: Pursuing Licensure for Colorado SLPs

Consumer Protection…Colorado Currently a “Buyer Beware State”

  • Skills & training to meet treatment plan

  • Potential harm (FEES, MBS, NMES, loss of money & time)

  • Documented evidence-based practice or practice-based evidence required (outcomes)

  • State database of qualified professionals

Degree/Title/Scope of Practice Protection

  • Many of ethics violations presented to CSHA over the years have to do with concerns of individual calling themselves SLPs without holding a masters degree

  • Without a state licensure law to clearly define and protect our scope practice, we are vulnerable to other powerful organizations defining it for us

    • E.g. See 2010 AMA Draft Scope of Practice for Audiologists (stated drafts in works other allied health professions – such as: SLP, OT, PT, Psychologists)

Help with SLP Shortages

  • portability across settings (schools, clinics, medical facilities & private practice)

  • reciprocity with other states (allows easy movement between states)

Legal Recourse

  • Adds teeth to CDE guidelines

  • ASHA can censor within own membership but has no legal authority within states

SLPA, support personnel

  • protection for qualifications

  • supervision enforcement

Last state w/o licensure – magnet for those who cannot practice in other states;
(other states also have shortages; having licensure does not add to shortages problem, but may help)

Reimbursement from third party insurance is easier
(insurers require state licensure)

Standardizes continuing education requirements across settings



 

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