HEARING AID SPECIALISTS

chapter 121	licensure of hearing aid specialists	
chapter 122	continuing education for hearing aid specialists	
chapter 123	practice of hearing aid dispensing	
chapter 124	discipline for hearing aid specialists	
CHAPTER 121
LICENSURE OF HEARING AID SPECIALISTS
[Prior to 5/29/02, see 645—120.2(154A) to 120.6(154A) and 120.10(154A)]
645—121.1(154A) Definitions. For purposes of these rules, the following definitions apply:
“Active license” means a license that is current and has not expired.
“Board” means the board of hearing aid specialists.
“Dispense” or “sell” means a transfer of title or of the right to use by lease, bailment, or any other means, but excludes a wholesale transaction with a distributor or hearing aid specialist, and excludes the temporary, charitable loan or educational loan of a hearing aid without remuneration.
“Grace period” means the 30-day period following expiration of a license when the license is still considered to be active.
“Hearing aid specialist” means any person engaged in the fitting, dispensing and sale of hearing aids and providing hearing aid services or maintenance by means of procedures stipulated by Iowa Code chapter 154A or the board. These rules are not intended to regulate unlicensed people who sell, dispense, market, use, distribute, or provide customer support to over-the-counter hearing aids, as regulated by the U.S. food and drug administration.
“Inactive license” means a license that has expired because it was not renewed by the end of the grace period.
“License” means a license issued by the state to a hearing aid specialist.
“Licensee” means any person licensed to practice as a hearing aid specialist in the state of Iowa.
“Licensure by endorsement” means the issuance of an Iowa license to practice as a hearing aid specialist to an applicant who is or has been licensed in another state.
“National examination” means the standardized licensing examination of the International Hearing Society (IHS) or its successor organization.
“Reactivate” or “reactivation” means the process as outlined in rule 645—121.14(17A,147,272C) by which an inactive license is restored to active status.
“Reinstatement” means the process as outlined in rule 645—11.31(272C). Once the license is reinstated, the licensee may apply for active status.
“Temporary permit” means a permit issued while the applicant is in training to become a licensed hearing aid specialist.
“Trainee” means the holder of a temporary permit.
[ARC 7817C, IAB 4/17/24, effective 5/22/24]
645—121.2(154A) Temporary permits.
	121.2(1) The applicant will submit a completed online application and pay the nonrefundable licensure fee specified in rule 645—5.7(147,154A). The application will be accompanied by a statement from the employer, which includes the following information:
	a. 	The type of supervision to be provided to the trainee;
	b. 	A list of the subjects to be covered;
	c. 	The books and other training materials to be used for training; and
	d. 	An outline of the training program to prepare the trainee for examination.
	121.2(2) A temporary permit is valid for one year and shall not be renewable.
	121.2(3) The board reserves the right to deny an application for a temporary permit or rescind a temporary permit once issued.
[ARC 7817C, IAB 4/17/24, effective 5/22/24]
645—121.3(154A) Supervision requirements.
	121.3(1) The supervisor(s) of temporary permit holders will:
	a. 	Have a current hearing aid specialist license valid for the preceding 24 months;
	b. 	Have two years of actual experience in testing, fitting, and dispensing of hearing aids;
	c. 	Supervise no more than three trainees at the same time;
	d. 	Be responsible for training the temporary permit holder;
	e. 	For the first 90 days, provide a minimum of 20 hours of direct supervision;
	f. 	Provide direct supervision for any client activity that would require dispensing of hearing aids, including evaluation, selection, fitting or selling of hearing aids in the first 90 days;
	g. 	Evaluate the audiograms and determine which hearing aid and ear mold will best compensate for hearing loss;
	h. 	Cosign all audiometric evaluations and contracts processed by the trainee for the duration of the temporary permit;
	i. 	Submit, on a board-approved form, a supervision report for trainees prior to taking the board-approved examination. A supervision report is required each time the temporary permit holder submits a request to take the examination; and
	j. 	Notify the board within 15 days of the termination of the holder of a temporary permit.
	121.3(2) A trainee with a temporary permit will notify the board in writing within ten days of an interruption of training due to loss of supervision and within 30 days, obtain a replacement supervisor for continuance of the training period. A statement will be signed by each supervisor.
	121.3(3) If a statement by the replacement supervisor is not submitted, the trainee will revert to new trainee status.
[ARC 7817C, IAB 4/17/24, effective 5/22/24]
645—121.4(154A) Requirements for initial licensure. The following criteria applies to licensure:
	121.4(1) The applicant will submit a completed online application and pay the nonrefundable licensure fee specified in rule 645—5.7(147,154A).
	121.4(2) The applicant will provide verification of passing one of the following examinations:
	a. 	The national examination through the International Hearing Society. The applicant may not take the national test through IHS more than six times without board approval.
	b. 	The Praxis Examination in audiology through the Educational Testing Service.
	121.4(3) Applicants who hold a temporary permit are required to submit a supervisory report in accordance with paragraph 121.3(1)“i.”
	121.4(4) An applicant who has been licensed in another state will provide verification of license from the jurisdiction in which the applicant has most recently been licensed, sent directly from the jurisdiction to the board office. The applicant must also disclose any public or pending complaints against the applicant in any other jurisdiction. Web-based verification may be substituted for verification direct from the jurisdiction’s board office if the verification provides:
	a. 	Licensee’s name;
	b. 	Date of initial licensure;
	c. 	Current licensure status; and
	d. 	Any disciplinary action taken against the license.
	121.4(5) An applicant who has relocated to Iowa from a state that did not require licensure to practice the profession may submit proof of work experience in lieu of educational and training requirements, if eligible, in accordance with rule 645—19.2(272C).
	121.4(6) Incomplete applications that have been on file in the board office for more than two years will be considered invalid and destroyed unless requested in writing by the candidate.
[ARC 7817C, IAB 4/17/24, effective 5/22/24]
645—121.5(154A) Licensure by endorsement.
	121.5(1) Applicants who have been a licensed hearing aid specialist under the laws of another jurisdiction may apply for licensure by endorsement by submitting the following:
	a. 	Verification the applicant meets the requirements of rule 645—121.4(154A);
	b. 	Evidence of licensure requirements that are similar to those required in Iowa;
	c. 	Official verification of one of the following:
	(1)	A passing score on the national examination determined by the International Hearing Society;
	(2)	A passing score on an examination that the board determines is equivalent to the national examination; or
	(3)	Current certification from the National Board for Certification in Hearing Instrument Sciences; and
	d. 	Evidence of:
	(1)	Completing a minimum of 32 continuing education hours within the 24 months prior to application; or
	(2)	Continuing education certificates that verify that the minimum hours of continuing education required by a state(s) in which the licensee is currently licensed have been met.
	121.5(2) A person who is licensed in another jurisdiction but who is unable to satisfy the requirements for licensure by endorsement may apply for licensure by verification, if eligible, in accordance with rule 645—19.1(272C).
[ARC 7817C, IAB 4/17/24, effective 5/22/24]
645—121.6(154A) Display of license. Hearing aid specialists will display their original licenses in a conspicuous public place at the primary site of practice.
[ARC 7817C, IAB 4/17/24, effective 5/22/24]
645—121.7(154A) License renewal.
	121.7(1) The biennial license renewal period for a hearing aid specialist license will begin on January 1 of each odd-numbered year and end on December 31 of the next even-numbered year. The licensee is responsible for renewing the license prior to its expiration.
	121.7(2) A licensee applying for renewal will:
	a. 	Meet the continuing education requirements of rule 645—122.2(154A) and the mandatory reporting requirements of subrule 121.9(4). A licensee whose license was reactivated during the current renewal compliance period may use continuing education credit earned during the compliance period for the first renewal following reactivation; and
	b. 	Submit the completed renewal application and renewal fee before the license expiration date.
An individual who was issued a license within six months of the license renewal date will not be required to renew the license until the next renewal two years later.
	121.7(3) Late renewal. The license will become late when the license has not been renewed by the expiration date on the renewal. The licensee will be assessed a late fee as specified in 645—subrule 5.7(5). To renew a late license, the licensee will complete the renewal requirements and submit the late fee within the grace period.
	121.7(4) Mandatory reporter training requirements.
	a. 	A licensee who examines, attends, counsels, or treats children, dependent adults or both in the scope of the licensee’s professional practice will complete the applicable department of health and human services training relating to the identification reporting of child abuse, dependent adult abuse, or both. Written documentation of training completion should be maintained for three years. The training is not required if the licensee is engaged in active duty military service or holds a waiver demonstrating a hardship in complying with these training requirements.
	b. 	The board may select licensees for audit of compliance with the requirements in rule 645—122.2(154A).
	121.7(5) A two-year license will be issued after the requirements of the rule are met. If the board receives adverse information on the renewal application, the board will issue the renewal license but may refer the adverse information for further consideration or disciplinary investigation.
	121.7(6) Inactive license. A licensee whose license is inactive continues to hold the privilege of licensure in Iowa, but may not practice until the license is reactivated.
[ARC 7817C, IAB 4/17/24, effective 5/22/24]
645—121.8(17A,147,272C) License reactivation. To apply for reactivation of an inactive license, a licensee will:
	121.8(1) Submit a completed online reactivation application and payment of the nonrefundable application fee.
	121.8(2) Provide verification of current competence to practice as a hearing aid specialist by satisfying one of the following criteria:
	a. 	If the license has been on inactive status for five years or less, an applicant will provide the following:
	(1)	Verification of the license(s) from the jurisdiction in which the applicant has most recently been licensed showing the licensee’s name, date of initial licensure, current licensure status and any disciplinary action taken against the license; and
	(2)	Verification of completion of 24 hours of continuing education within two years of application for reactivation.
	b. 	If the license has been on inactive status for more than five years, an applicant must provide the following:
	(1)	Verification of the license(s) from the jurisdiction in which the applicant has most recently been licensed showing the licensee’s name, date of initial licensure, current licensure status and any disciplinary action taken against the license; and
	(2)	Verification of completion of 48 hours of continuing education within two years of application for reactivation.
[ARC 7817C, IAB 4/17/24, effective 5/22/24]
645—121.9(17A,147,272C) License reinstatement. A licensee whose license has been revoked, suspended, or voluntarily surrendered must apply for and receive board-approved reinstatement of the license and must apply for and be granted reactivation of the license prior to practicing as a hearing aid specialist in this state.
[ARC 7817C, IAB 4/17/24, effective 5/22/24]
These rules are intended to implement Iowa Code chapters 17A, 147, 154A and 272C.
[Filed 5/8/02, Notice 3/6/02—published 5/29/02, effective 7/3/02]
[Filed 8/14/03, Notice 5/28/03—published 9/3/03, effective 10/8/03]
[Filed 8/5/05, Notice 5/25/05—published 8/31/05, effective 10/5/05]◊
[Filed 12/11/08, Notice 9/24/08—published 1/14/09, effective 2/18/09]
[Filed ARC 9424B (Notice ARC 9317B, IAB 12/29/10), IAB 3/9/11, effective 4/13/11]
[Filed ARC 1005C (Notice ARC 0792C, IAB 6/12/13), IAB 9/4/13, effective 10/9/13]
[Filed ARC 2151C (Notice ARC 2044C, IAB 6/24/15), IAB 9/16/15, effective 10/21/15]
[Filed ARC 3559C (Notice ARC 3409C, IAB 10/25/17), IAB 1/3/18, effective 2/7/18]
[Filed ARC 5069C (Notice ARC 4786C, IAB 12/4/19), IAB 7/1/20, effective 8/5/20]
[Filed ARC 5756C (Notice ARC 5445C, IAB 2/24/21), IAB 7/14/21, effective 8/18/21]
[Filed ARC 6998C (Notice ARC 6649C, IAB 11/16/22), IAB 4/19/23, effective 5/24/23]
[Filed ARC 7817C (Notice ARC 7483C, IAB 1/10/24), IAB 4/17/24, effective 5/22/24]
◊	Two or more ARCs