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Temporary Rule

April 14, 2020

The Board of Examiners for Speech and Language Pathologists and Audiologists filed temporary rule 21 NCAC 64 .0219. The Board held a Public Hearing on Friday, April 10, 2020 at 9:00 a.m. and we are now open to public comment. This rule remains open for public comment until April 17, 2020. The notice for the proposed temporary rulemaking is posted on the OAH website: https://files.nc.gov/ncoah/documents/Rules/21-NCAC-64-.0219-proposed-temporary-rule.pdf

Reason for Action:  In accordance with Executive Order No. 116 and in order to alleviate access to health care concerns during the COVID-19 outbreak and for the purpose of public safety of both patients and licensed practitioners, relaxation of telepractice rules are required in order to allow Speech and Language Pathology-Assistants to safely provide help with Speech and Language Pathologists’ caseloads from a distance, while still under the supervision of the Speech and Language Pathologist.


21 NCAC 64 .0219       TELEPRACTICE

(a)  The Board shall temporarily waive the requirement for licensure for telepractice in order to allow speech and language pathologists to delegate telepractice to speech and language pathology-assistants under the same level of direct supervision as required by 21 NCAC 64 .1003(e)(1)(2) and (6). This temporary waiver of licensure shall apply only to speech and language pathology-assistants and shall continue for the duration of the declared emergency as set forth in Executive Order No. 116 issued March 10, 2020.

(a)(b)  For purposes of this Rule the following words shall have the following meanings:

(1)        “Patient site” means the patient’s physical location at the time of the receipt of the telepractice services.

(2)        “Provider” means a licensed speech and language pathologist or audiologist who provides telepractice services.

(3)        “Provider site” means the licensee’s physical location at the time of the provision of the telepractice services.

(4)        “Telepractice” means the use of telecommunications and information technologies for the exchange of encrypted patient data, obtained through real-time interaction, from patient site to provider site for the provision of speech and language pathology and audiology services to patients through hardwire or internet connection. Telepractice also includes the interpretation of patient information provided to the licensee via store and forward techniques.

(b)(c)  Telepractice shall be obtained in real time and in a manner sufficient to ensure patient confidentiality.

(c)(d)  Telepractice is subject to the same standard of practice stated in Rules .0205 and .0216 of this Chapter as if the person being treated were physically present with the licensee. Telepractice is the responsibility of the licensee and shall not be delegated.

(d)(e)  Providers must hold a license in the state of the provider site and shall be in compliance with the statutory and regulatory requirements of the patient site.

(e)(f)  Licensees and staff involved in telepractice must be trained in the use of telepractice equipment.

(f)(g)  Notification of telepractice services shall be provided to the patient and guardian if the patient is a minor. The notification shall include the right to refuse telepractice services and options for alternate service delivery.

(g)(h)  Telepractice constitutes the practice of Speech and Language Pathology and Audiology in both the patient site and provider site.

History note:       Authority G.S. 90-304(a)(3);

Eff. July 1, 2010;

Amended Eff. March 1, 2014;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. October 4, 2016;