Legislature approves telehealth compact for audiologists and speech-language pathologists

The Oregon State Legislature convened on February 18, 2025, to introduce House Bill 2357, a significant piece of legislation aimed at enhancing the practice of audiology and speech-language pathology across state lines. The bill seeks to establish a compact that allows licensed professionals in these fields to practice in multiple member states without the need for additional licenses, thereby streamlining the process and expanding access to care.

Key provisions of HB 2357 include the recognition of licenses issued by a home state, which would authorize audiologists and speech-language pathologists to practice in any member state under a privilege to practice. The bill mandates that states implement procedures for conducting criminal background checks on applicants, ensuring that public safety is prioritized in the licensing process. This includes the submission of fingerprints to the Federal Bureau of Investigation for comprehensive background checks.

The introduction of this bill has sparked notable discussions among legislators and stakeholders. Proponents argue that the compact will facilitate greater access to audiology and speech-language pathology services, particularly in rural areas where such professionals may be scarce. They emphasize the importance of telehealth services, which are defined in the bill as the use of telecommunications technology to deliver care remotely, thus broadening the reach of these essential services.

However, the bill has faced some opposition, primarily concerning the implications of interstate licensing and the potential for varying standards across states. Critics express concerns that differing state regulations could undermine the quality of care and complicate the enforcement of professional standards. Amendments to address these concerns are anticipated as the bill progresses through the legislative process.

The economic implications of HB 2357 are significant, as it could potentially reduce barriers to practice and increase the availability of services, leading to improved health outcomes and reduced healthcare costs in the long run. Socially, the bill aims to enhance the quality of life for individuals requiring audiology and speech-language pathology services, particularly those in underserved communities.

As the legislative session continues, the future of House Bill 2357 remains uncertain, with ongoing debates expected to shape its final form. Stakeholders are closely monitoring developments, as the bill could set a precedent for similar compacts in other healthcare professions, ultimately transforming the landscape of healthcare delivery in Oregon and beyond.