Examiners of Speech-Language Pathology and Audiology, Board of

Examiners of Speech-Language Pathology and Audiology

Chapter 11: Practice of Speech-Language Pathology and Audiology

Effective Date: 01/07/2026 to Current

Rule Type: Current Rules & Regulations

Reference Number: 058.0001.11.01072026

Chapter 11

Practice of Speech-Language Pathology and Audiology

Section 1. Statement of Purpose. These Board Rules are adopted to implement the Board's authority to regulate the practice of speech-language pathology and audiology in Wyoming.

Section 2. Dual Licensure.

(a) To practice in both areas of licensure, speech-language pathology and audiology, a licensee shall obtain licensure as a speech-language pathologist and audiologist.

(b) A speech-language pathologist may perform non-diagnostic audiometric screening either for the purposes of performing a speech and language evaluation or for initial identification of individuals with other communicative disorders.

(c) An audiologist may perform non-diagnostic speech and language screening either for purposes of performing an audiologic evaluation or for initial identification of individuals with other communicative disorders.

(d) Any licensee may provide aural habilitation, aural rehabilitation services, and auditory processing services, for which they have been properly trained.

Section 3. Practice of Speech-Language Pathology and Audiology.

(a) Each licensee shall comply with the provisions of AAA, ABA, and ASHA's Codes of Ethics as referenced in Chapter 1.

(b) For a speech-language pathologist, the development and disorders of speech, voice, language or swallowing includes, but is not limited to:

(i) Screening, identifying, assessing and interpreting, diagnosing, habilitating, rehabilitating, and preventing disorders of speech such as

1. (A) Articulation;
2. (B) Pragmatics;
3. (C) Literacy;
4. (D) Phonology;

5. (E) Fluency;

6. (F) Voice, resonance and nasal airflow;

7. (G) Oral motor speech and orofacial myofunctional function;
8. (H) Oral-pharyngeal function, such as swallowing/dysphagia and related disorders;
9. (I) Language to include verbal and written and related non-oral/nonverbal forms;
10. (J) Cognitive/communication disorders;
11. (K) Memory and comprehension; and
12. (L) Auditory processing.
13. (ii) Assessing, selecting and developing augmentative and alternative communication systems and providing training in their use;
14. (iii) Providing aural habilitation or rehabilitation and related training and instructional services;
15. (iv) Enhancing speech-language proficiency and communication effectiveness, such as accent reduction; and
16. (c) For an audiologist, practice includes, but is not limited to,
17. (i) Facilitating where applicable the conservation of auditory system function;
18. (ii) Developing and implementing environmental and occupational hearing conservation programs;
19. (iii) Cerumen management;
20. (iv) Screening, identifying, assessing and interpreting, diagnosing, preventing, and rehabilitating peripheral and central auditory system dysfunction;
21. (v) Providing and interpreting behavioral and electro-physiological measurements of auditory and vestibular functions, such as:
    1. (A) Auditory evoked potential assessment;
    2. (B) Neurophysiologic intraoperative monitoring; or
    3. (C) Balance system assessment.

(vi) Providing aural habilitation or rehabilitation and related training and instructional services to individuals with hearing loss and their families; and

(d) The practice of speech-language pathology and audiology occurs where the patient is located or receives services.

(e) All licensees shall report to the Board known or suspected violations of the laws and regulations governing the practice of speech-language pathology and audiology.

Section 4. Principles of Supervision of Provisional License Holders, Audiometric Technicians and Aides.

(a) Eligibility for Supervision.

(i) A licensee who has practiced for three (3) years may supervise audiometric technicians or speech-language pathology aides within the same professional setting. Time with a Provisional License does not count towards the (3) year requirement.

(ii) A licensee who has practiced for three (3) years may supervise a provisional license holder. Time with a Provisional License does not count towards the (3) year requirement.

(b) Accountability. The licensee shall be responsible for the activities of the provisional license holder, audiometric technicians and speech-language pathology aides under their supervision. Licensee may be subject to disciplinary action for failure to adequately supervise provisional license holders, speech-language pathology aides, and audiometric technicians.

Section 5. Supervision of Aides and Audiometric Technicians.

(a) Limitation on Number of Supervisees. A licensee shall not supervise more than three (3) audiometric technicians or speech-language pathology aides combined, at one time. The licensee may apply for an exception to this requirement by submitting a written request to the Board demonstrating just cause for the exception.

(b) Renewal of Aides and Audiometric Technicians. In order to renew the aide's or audiometric technician's registration, the supervising licensee shall submit an annual competency evaluation for any speech-language pathology aides or audiometric technicians practicing under the licensee's supervision.

(c) Delegable Duties. A Speech Pathology Aide may assume the following duties under direct supervision of the licensee:

(i) Assist with informal documentation such as tallying notes, preparing materials, and assisting with other clerical duties;

(ii) Perform simple checks and maintenance of equipment;

(iii) Participate with the licensee in research projects, in-service training and public relations programs; and

(iv) May conduct hearing screenings (without interpretation) if trained.

(v) An aide may serve as a translator when working with clients with limited English proficiency and may assist the licensee during test administration.

(d) Audiometric Technicians may:

(i) Conduct fixed intensity hearing screening, without interpretation following specified screening protocols developed by the licensee;

(ii) Perform automatic type tympanometry screening procedures following the specified screening protocols developed by the licensee. The audiometric technician may not interpret tympanometry results;

(iii) Carry out prescriptive aural habilitation and rehabilitation programming;

(iv) Perform checks on hearing aids and other assistive listening devices. Conduct routine trouble-shooting activities designed to assist the licensee in the determination and resolution of malfunctions with hearing aids and assistive listening devices;

(v) Clean hearing aids;

(vi) Instruct clients in the use of hearing aids and assistive listening devices;

and

(vii) Assist the licensee in taking earmold impressions.

(e) Non-delegable Duties. The Speech-language Pathology Aide or Audiometric Technician shall not perform any of the following actions:

(i) Any activity that violates AAA, ABA, or ASHA's Codes of Ethics as referenced in Chapter 1;

(ii) Participate in parent conferences, case conferences, or any interdisciplinary team without the presence of the licensee;

(iii) Client or family counseling;

(iv) Write, develop or modify a client's treatment plan in any way without the recommendation, guidance and approval of the licensee;

(v) Select clients for or discharge clients from services;

(vi) Make referrals for additional services; or

(vii) Disclose clinical or confidential information either orally or in writing to anyone not designated by the licensee;

(f) Speech-language pathology aides shall not:

(i) Administer tests, interpret test results; perform diagnostic speech-language evaluations or treatment.

(ii) Conduct hearing screenings unless specially trained.

(g) Audiometric Technicians shall not:

(i) Administer tests, interpret test results or perform diagnostic auditory or vestibular evaluations. An audiometric technician may serve as a translator when working with clients with limited English proficiency and may assist the licensee during test administration;

(ii) Conduct language screenings unless specially trained;

(iii) Discuss confidential information or test results, with the exception of indicating the data simply reveals normal or less than normal hearing sensitivity; or

(iv) Select, recommend, or dispense a hearing aid or other assistive listening device.