1. A. In this chapter, the following terms have the meanings indicated.

2. B. Terms Defined.

   1. (1) “Audiology assistant” means an individual who:

      1. (a) Meets the minimum qualifications established under:

         1. (i) Health Occupations Article, Title 2, Subtitle 3A, Annotated Code of Maryland; and
         2. (ii) This chapter;
      2. (b) Does not work independently; and
      3. (c) Works under the general supervision of an audiologist licensed under Health Occupations Article, Title 2, Annotated Code of Maryland.
   2. (2) “Board” means the State Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech-Language Pathologists and Music Therapists.
   3. (3) “Continuing education unit (CEU)” means 1 hour of attendance at a Board-approved program as described in COMAR 10.41.03.06.
   4. (4) “Credit hour” means 1 academic credit hour of an academic course conducted by an accredited academic institution.
   5. (5) “Delegation agreement” means an agreement between a speech-language pathology assistant or an audiology assistant and a supervising speech-language pathologist or audiologist which identifies the supervising speech-language pathologist or audiologist and the facility at which the speech-language pathology assistant or the audiology assistant will be practicing.

   6. (6) Direct supervision

      1. (a) “Direct supervision” means on-site, in-view, observation and guidance by a supervising speech-language pathologist or audiologist while on an assigned activity.
      2. (b) “Direct supervision” includes the supervising audiologist viewing and communicating with the speech-language pathology assistant or audiology assistant via telecommunication technology to provide clinical services.
      3. (c) “Direct supervision” does not include reviewing a recorded session at a later time.
   7. (7) “General supervision” means the supervision of a licensed speech-language pathology assistant or audiology assistant by a licensed speech-language pathologist or audiologist who may or may not be present when the licensed speech-language pathology assistant or audiology assistant assists in the practice of speech-language pathology or audiology.

   8. (8) “Indirect supervision” means those activities other than direct observation and guidance conducted by a supervising speech-language pathologist or audiologist including, but not limited to:

      1. (a) Review of charts and records;
      2. (b) Attendance at meetings; or
      3. (c) Phone contact.

   9. (9) “Speech-language pathology assistant” means an individual who:

      1. (a) Assists the supervising speech-language pathologist clinically in the implementation of treatment and other defined activities; and
      2. (b) Meets the minimum requirements set forth in this chapter.

   10. (10) “Supervising speech-language pathologist” means an individual who meets all requirements set forth in this chapter and who:

       1. (a) Is licensed by the Board; or
       2. (b) In exempt settings, holds the Certificate of Clinical Competence (CCC) in Speech-Language Pathology from the American Speech-Language Hearing Association (ASHA).
   11. (11) “Supervision” means both direct and indirect supervision.

Authority: Health Occupations Article, §§2-205, 2-308, 2-311(c), 2-312(b), 2-314(10) and (11), and 2-319, Annotated Code of Maryland

Effective date: April 1, 2002 (29:6 Md. R. 567)

Regulation .02 amended effective February 27, 2017 (44:4 Md. R. 255)

Regulation .02A amended as an emergency provision effective January 11, 2008 (35:3 Md. R. 286); amended permanently effective May 19, 2008 (35:10 Md. R. 972)

Regulation .03 amended as an emergency provision effective January 11, 2008 (35:3 Md. R. 286); amended permanently effective May 19, 2008 (35:10 Md. R. 972)

Regulation .03A amended effective June 20, 2016 (43:12 Md. R. 667)

Regulation .04A amended as an emergency provision effective January 11, 2008 (35:3 Md. R. 286); amended permanently effective May 19, 2008 (35:10 Md. R. 972)

Regulation .05A amended as an emergency provision effective January 11, 2008 (35:3 Md. R. 286); amended permanently effective May 19, 2008 (35:10 Md. R. 972)

Regulation .06D amended as an emergency provision effective January 11, 2008 (35:3 Md. R. 286); amended permanently effective May 19, 2008 (35:10 Md. R. 972)

Regulation .07D amended as an emergency provision effective January 11, 2008 (35:3 Md. R. 286); amended permanently effective May 19, 2008 (35:10 Md. R. 972)

Regulation .08F, G adopted effective June 8, 2015 (42:11 Md. R. 725)

Regulation .09E amended as an emergency provision effective January 11, 2008 (35:3 Md. R. 286); amended permanently effective May 19, 2008 (35:10 Md. R. 972)

Regulation .10 adopted effective June 20, 2016 (43:12 Md. R. 667)