On March 17, 2025, the Maryland Legislature introduced Senate Bill 919, a significant piece of legislation aimed at redefining the scope of practice for audiologists in the state. This bill seeks to clarify and expand the responsibilities and capabilities of licensed audiologists, addressing the growing need for comprehensive auditory and vestibular care.

The primary purpose of Senate Bill 919 is to formalize the definition of "practice audiology," which encompasses a range of activities including the evaluation, diagnosis, management, and treatment of auditory or vestibular conditions. Notably, the bill allows audiologists to prescribe, order, sell, dispense, and fit hearing aids, sound processors for osseo-integrated devices, and cochlear implants. Additionally, it includes provisions for conducting health screenings related to auditory conditions, removing foreign bodies from the ear canal, and ordering necessary diagnostic tests.

One of the key debates surrounding the bill has been the extent of the audiologists' authority, particularly regarding the removal of foreign bodies and cerumen from the ear canal. While proponents argue that these measures will enhance patient care and accessibility to services, opponents express concerns about the potential for overreach and the need for surgical intervention in more complex cases. The bill explicitly states that audiologists will not be permitted to perform surgical procedures, which aims to address these concerns while still expanding their practice capabilities.

The implications of Senate Bill 919 are multifaceted. Economically, the bill could lead to increased access to audiological services, potentially reducing healthcare costs associated with referrals to specialists. Socially, it may improve the quality of life for individuals with hearing impairments by streamlining access to necessary treatments. Politically, the bill reflects a broader trend towards recognizing the essential role of audiologists in the healthcare system, particularly as the population ages and the demand for hearing-related services grows.

As the legislative process unfolds, stakeholders from various sectors, including healthcare providers, patient advocacy groups, and policymakers, will be closely monitoring the bill's progress. Experts suggest that if passed, Senate Bill 919 could set a precedent for similar legislative efforts in other states, further shaping the future of audiology practice across the nation. The next steps will involve committee reviews and potential amendments, as lawmakers seek to balance the interests of audiologists with the need for patient safety and care quality.