# Title 11 — Audiology and Speech-Language Pathology, Board of Examiners on

## Article 11-02 — Audiologist and Speech-Language Pathologist Licensure

## Chapter 11-02-01 — Initial Licensure and Renewals

### § 11-02-01-01. Licensure application.

An application for a license to practice audiology or speech-language pathology shall be made to
the state board of examiners of audiology and speech-language pathology on forms provided by the
board upon request. The application shall contain such information as the board may reasonably
require.
1. Each application for a license shall be accompanied by:
a. A prescribed fee.
b. An official transcript verifying completion of undergraduate and graduate degrees.
c. An official or authenticated copy of a passing score, as established by the American
speech-language-hearing association, on the Praxis II specialty examination in the area
of audiology or speech-language pathology, or another examination approved by the
board.
2. All applications shall be signed by the applicant and notarized.
3. The board may request such additional information or clarification of information provided in
the application as it deems reasonably necessary.
4. If the board so directs, an applicant shall personally appear before the board concerning the
application.
5. The board may grant licensure to an applicant who holds a current license in good standing to
practice as an audiologist, speech-language pathologist, or speech-language pathology
licensed assistant in another state or jurisdiction if that other state or jurisdiction imposes at
least substantially the same standards that are imposed under this chapter.
History: Amended effective May 1, 1984; June 1, 1990; April 1, 2016; April 1, 2018.
General Authority: NDCC 43-37-06
Law Implemented: NDCC 43-37-06, 43-37-09

### § 11-02-01-02. Licensure without examination.

Repealed effective May 1, 1984.
### § 11-02-01-03. Licensure with examination.

Repealed effective May 1, 1984.
### § 11-02-01-04. Renewal of licensure and relicensure.

1. Applications for the renewal of license are due by the first date of each year.
2. At least two months before the first date of each year, the board shall notify the licensee of the
requirement for renewal. The notice must be made to the address last provided to the board
by the licensee and must encourage applicants to submit applications for renewal upon
receiving that notice.
3. A license must be renewed by the board if, on or before the thirty-first day of January of each
year, the licensee meets all of the following requirements:
a. The licensee filed a complete application for renewal form provided by the board.
b. The licensee paid the renewal fee.
c. The licensee provided proof of completion of the continuing education required by
section 11-02-01-06.
d. Grounds for denial of the application under North Dakota Century Code section 43-37-13
do not exist.
e. Supervision requirements completed in accordance with section 11-02-01-08.
4. If the completed application for renewal, renewal fee, and proof of completion of continuing
education are not filed before the first day of each year, the licensee shall pay the late fee
associated with the license.
5. If the completed application for renewal, renewal fee, proof of completion of continuing
education, and late fee is not filed before the last day of January, the license expires and the
individual may not practice until the board renews the license or grants relicensure.
6. The board may extend the expiration date and the deadlines for filing the application for
renewal, renewal fee, proof of completion of continuing education, and late fee upon proof of
medical or other hardship preventing the individual from meeting the deadlines.
7. If an individual is unlicensed for a period less than five calendar years, the individual must be
granted relicensure upon the filing of a completed application for license, the licensing fee, a
two hundred fifty dollar relicensure fee, and proof of completion of ten clock hours of
continuing education for each calendar year for which the individual was unlicensed.
8. If an individual is unlicensed for a period of five or more calendar years, the individual may be
required by the board to retake and pass the Praxis II specialty examination or another
examination approved by the board, and shall be required to file a completed application for a
license, the licensing fee, a two hundred fifty dollar relicensure fee, and proof of completion of
ten clock hours of continuing education for each calendar year for which the individual was
unlicensed in order to be considered for relicensure.
9. An individual may be granted a relicensure only once in a five-year period.

History: Amended effective May 1, 1984; October 1, 1989; June 1,1990; April 1, 2016; April 1, 2018.
General Authority: NDCC 43-37-06
Law Implemented: NDCC 43-37-06
### § 11-02-01-05. Fees.

The following fees shall be paid in connection with audiologist, speech-language pathologist, and
speech-language pathology licensed assistant applications, examinations, renewals, and penalties:
1. Application fee for an audiologist license, speech-language pathologist license, and speech-
language pathology licensed assistant license: one hundred dollars.
2. Renewal fee for an audiologist license, speech-language pathologist license, and speech-
language pathology license assistant: seventy-five dollars.
3. Relicensure fee: two hundred fifty dollars.
History: Amended effective May 1, 1984; June 1, 1990; February 1, 2001; April 1, 2016; April 1, 2018.
General Authority: NDCC 43-37-06
Law Implemented: NDCC 43-37-06
### § 11-02-01-06. Continuing education.

1. Continuing education is defined as courses or workshops that contribute to professional
development and lead to acquiring and enhancing skills and knowledge required for
professional practice that are either approved by the board or certified by the American
speech-language-hearing association, the American academy of audiology, or the
international hearing association or another organization approved by the board.
2. Licensees are required to complete ten clock hours of continuing education during each
calendar year.
3. Continued practice in violation of the continuing education requirements as outlined in this
section subjects a licensee to disciplinary action as outlined in North Dakota Century Code
section 43-37-13.
History: Amended effective May 1, 1984; August 1, 1986; June 1, 1990; April 1, 2016.
General Authority: NDCC 43-37-06
Law Implemented: NDCC 43-37-06
### § 11-02-01-07. Passing score.

The successful completion of a Praxis II specialty examination in audiology or speech-language
pathology or another examination approved by the board means: obtaining a score equal to or greater
than the passing score established by the American speech-language-hearing association or another
organization approved by the board, and in effect at the time of administration of the test.
History: Effective May 1, 1984; amended effective June 1, 1990; April 1, 2016.
General Authority: NDCC 43-37-09
Law Implemented: NDCC 43-37-06
### § 11-02-01-08. Speech-language pathology licensed assistants.

1. Definitions.
a. "Direct supervision" means face-to-face contact that occurs either in-person or through
video conferencing. Activities that occur during direct supervision include observation,
modeling, cotreatment, discussions, and teaching.

b. "Indirect supervision" means other than face-to-face contact. Activities that occur during
indirect supervision include telephone conversations, written correspondence, electronic
exchanges, or other methods using secure telecommunication technology.
2. Minimum qualifications for a speech-language pathology licensed assistant. A bachelor's
degree in speech-language pathology or communication disorders as approved by the board
that includes a minimum of six semester credit-hours in disordered communication, a
minimum of three semester credit-hours in clinical techniques, and successful completion of
an internship requiring a minimum of one hundred hours of clinical experience overseen by a
supervising speech-language pathologist.
3. Scope of practice.
a. Provide speech-language pathology services only in settings in which direct and indirect
supervision are provided on a regular and systematic basis by a supervising speech-
language pathologist.
b. Self identify as a speech-language pathology licensed assistant to consumers.
c. Perform only those tasks prescribed by the supervising speech-language pathologist.
d. Tasks that a supervising speech pathologist may delegate to a speech-language
pathology assistant are limited to the following:
(1) Assist with speech, language, and hearing screenings without clinical interpretation
as developed and directed by the supervising speech-language pathologist.
(2) Assist during assessment as developed and directed by the supervising speech-
language pathologist. In carrying out assessments, a speech-language pathology
licensed assistant may not provide a clinical interpretation.
(3) Deliver services set forth in treatment plans or protocols developed and directed by
supervising speech-language pathologist.
(4) Document consumer performance and report this information to the supervising
speech-language pathologist.
(5) Program and provide instruction in the use of augmentative and alternative
communication devices as developed and directed by the supervising speech-
language pathologist.
(6) Demonstrate to and share information with consumers regarding feeding and
swallowing strategies developed and directed by the supervising speech-language
pathologist.
(7) Participate in formal parent or guardian conferences, case conferences, or an
interdisciplinary team with the presence of the supervising speech-language
pathologist.
4. Supervision.
a. A speech-language pathology licensed assistant must be supervised by a licensed
speech-language pathologist who has been actively practicing for a minimum of three of
the last five years.
b. A supervising speech-language pathologist is responsible for the extent, kind, and quality
of the service provided by the speech-language pathology licensed assistant, consistent
with the standards and requirements approved by the board.

c. A speech-language pathologist may be the supervisor of record for no more than two
speech-language pathology licensed assistants at the same time.
d. The supervising speech-language pathologist is responsible for the professional services
provided by the speech-language pathology licensed assistant.
e. A supervising speech-language pathologist must provide direct and indirect supervision
as determined by the supervising speech-language pathologist's assessment of the
competence of the speech-language pathology licensed assistant and within the scope of
the rules adopted by the board. In determining the methods, frequency, and content of
supervision, a supervising speech-language pathologist shall consider:
(1) The complexity of clients' needs;
(2) The number and diversity of clients;
(3) The knowledge, competence, and skills of the speech-language pathology licensed
assistant;
(4) The type of practice setting;
(5) Any requirements particular to the practice setting; and
(6) Other regulatory requirements.
f. A supervising speech-language pathologist and a supervised speech-language pathology
licensed assistant shall make a written supervision plan that must be in effect for the
duration of the supervision, that may be requested by the board at any time, and that
includes the following:
(1) Periodic evaluation and documentation reflecting the speech-language pathology
licensed assistant's competence to perform the services prescribed.
(2) Periodic documentation of the frequency, methods, and content of the supervision.
g. A supervising speech-language pathologist shall provide direct and indirect supervision
that meets the following guidelines:
(1) During the first ninety days, a supervising speech-language pathologist shall provide
direct supervision for at least twenty percent of the client contact hours worked each
week by the speech-language pathology licensed assistant, and indirect supervision
for at least ten percent of the client contact hours worked by the speech-language
pathology licensed assistant.
(2) After the initial ninety workdays are complete, the supervising speech-language
pathologist shall provide direct supervision for at least ten percent of the client
contact hours worked each week by the speech-language pathology licensed
assistant and indirect supervision for at least ten percent of the client contact hours
worked by the speech-language pathology licensed assistant.
(3) The board may request supervision records at any time.
History: Effective April 1, 2018.
General Authority: NDCC 43-37-06
Law Implemented: NDCC 43-06-04.2
