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HB 138

An Act relating to an audiology and speech-language interstate compact; relating to the practice of audiology and the practice of speech-language pathology; and providing for an effective date.

33rd Legislature (2023-2024) Introduced by Dan Ortiz and 2 co-sponsors

HB 138 creates an interstate compact allowing audiologists and speech-language pathologists to practice across state lines with reduced licensing barriers, improving healthcare access in underserved areas.

(H) COSPONSOR(S): PRAX
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Bill Summary · HB 138

Legislative bill overview

HB 138 establishes an interstate compact allowing audiologists and speech-language pathologists to practice across state lines more easily, similar to compacts that exist for nurses and other healthcare professions. The bill streamlines licensing reciprocity by allowing these professionals to obtain multistate licenses without separate licensing applications in each state.

Why is this important

Healthcare professional shortages in rural and remote areas like Alaska can be partially addressed by enabling practitioners licensed in one state to serve patients in others. This increases access to audiology and speech-language pathology services, particularly benefiting underserved communities that struggle to recruit and retain specialists.

Potential points of contention

  • State regulatory control: Some view interstate compacts as reducing individual state autonomy over professional licensing standards and disciplinary procedures
  • Varying standards across states: States have different education, testing, and continuing education requirements—the compact must determine which standards apply and how to handle inconsistencies
  • Professional reciprocity mechanics: Concerns about whether the compact adequately protects consumer safety while avoiding bureaucratic delays that defeat the purpose of streamlined licensing

Compiled from official sources — confirm details with the bill’s official record.

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