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<regulation prefix="Regulation" num=".06" citation="COMAR 10.41.03.06" title_num="10" subtitle_num="41" chapter_num="03" heading="Continuing Education.">
  <paragraph num="A.">
    <text>Required Continuing Education Units.</text>
    <paragraph num="(1)">
      <text>Within the 2-year renewal period immediately preceding the licensee's application for renewal, the licensee shall earn 30 continuing education units (CEUs) as follows:</text>
      <paragraph num="(a)">
        <text>A minimum of 20 CEUs in the area of licensure that includes a minimum of 1 CEU in each of the following areas:</text>
        <paragraph num="(i)">
          <text>Cultural competency; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Ethics;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>No more than 10 CEUs in areas related to speech-language pathology or audiology or both, including practice management, that includes:</text>
        <paragraph num="(i)">
          <text>Supervision;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Billing; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Interdisciplinary collaboration; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Related training that does not include annual training requirements for:</text>
        <paragraph num="(i)">
          <text>Job orientation;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Job maintenance; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Other general training or information related to human health.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>It is recommended that a licensee applying for the renewal of a license successfully complete, within the 2-year licensing period as a part of the required 30 hours of Board-approved continuing education programs, a minimum of 2 CEUs in the area of supervision.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Within the 2-year renewal period immediately preceding the licensee's application for renewal, an individual licensed as both an audiologist and a speech-language pathologist shall earn 40 CEUs as follows:</text>
      <paragraph num="(a)">
        <text>A minimum of 15 CEUs in each area of licensure that includes a minimum of 1 CEU in each of the following areas:</text>
        <paragraph num="(i)">
          <text>Cultural competency; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Ethics;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>No more than 10 CEUs in areas related to speech-language pathology and audiology, including practice management, that includes:</text>
        <paragraph num="(i)">
          <text>Supervision;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Billing; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Interdisciplinary collaboration; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Related training that does not include annual training requirements for:</text>
        <paragraph num="(i)">
          <text>Job orientation;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Job maintenance; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Other general training or information related to human health.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>It is recommended that a licensee applying for the renewal of a license successfully complete, within the 2-year licensing period as a part of the required 30 hours of Board-approved continuing education programs, a minimum of 2 CEUs in the area of supervision.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The Board shall notify the licensee 60 days before the date the license expires.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Time Period for CEUs.</text>
    <paragraph num="(1)">
      <text>An audiologist licensee shall complete the required CEUs within the 2-year renewal period.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A speech-language pathologist licensee shall complete the required CEUs within the 2-year period immediately preceding the license expiration.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An individual licensed as both an audiologist and a speech-language pathologist shall complete the required CEUs within the 2-year period immediately preceding the license expiration.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Continuing education units may not be carried over from one renewal period to the next.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>If the licensee presents evidence that failure to obtain the required CEUs was due to circumstances beyond the licensee's control, the Board may grant an extension of time to obtain the required CEUs.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>If the Board grants an extension of time to obtain the required CEUs, the Board may require the licensee to obtain, as additional CEUs, not more than twice the number of missing credits in order to renew the license.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>The Board may reduce or waive the continuing education requirements for an individual under extenuating circumstances.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>The Board shall waive all continuing education requirements for a speech-language pathologist or audiologist obtaining full licensure within 6 months of the renewal cycle. This includes newly licensed individuals, reinstatements, and transfers from other states.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Continuing education units shall be prorated for licensees holding a full license for at least 6 months but less than 2 years during the renewal cycle. This includes newly licensed individuals, reinstatements, and transfers from other states.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Approval of Continuing Education Programs.</text>
    <paragraph num="(1)">
      <text>The Board shall establish a committee to evaluate and approve continuing education programs.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Providers of continuing education shall give a participant a certificate of completion which includes the following information:</text>
      <paragraph num="(a)">
        <text>Date of completion;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Course title;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Name of participant;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Name of provider; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Number of hours.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Not later than 30 days before a program, a provider of continuing education shall submit to the Board a:</text>
      <paragraph num="(a)">
        <text>Request for approval of the program, using the form available on the Board’s website; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Biography for each course presenter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Individual Approval of Program.</text>
      <paragraph num="(a)">
        <text>If a provider has not requested prior approval of a program, a licensee may apply to the Board for approval of continuing education units for the program, using the approved form available on the Board’s website.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Not later than 30 days after a program, the licensee shall submit to the Board a request for approval of continuing education units for individual participation, using the approved form available on the Board’s website.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>If the activity directly concerns the practice of speech-language pathology or audiology, the licensee is not required to submit a request for approval of the program to the Board.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>The following are examples of areas in which CEUs may be earned in activities concerning speech-language pathology and audiology:</text>
      <paragraph num="(a)">
        <text>Academic course work in areas of speech-language pathology or audiology, or both, or related disciplines, taken at accredited colleges or universities where, along with the submission of an unofficial transcript and course description:</text>
        <paragraph num="(i)">
          <text>15 CEU credit hours will be awarded for each 3 credit course earned;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>10 CEU credit hours will be awarded for each 2 credit course earned; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>5 CEU credit hours will be awarded for each 1 credit course earned;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Lectures and scheduled courses or workshops at local, regional, national, or international conferences concerning speech-language pathology or audiology, or both;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Attendance at lectures, workshops, or in-service programs;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Other professional activities such as presentations, books, papers, or publications, where:</text>
        <paragraph num="(i)">
          <text>1 hour of CEU credit may be earned by the presenter for each hour of presentation of a program, with a maximum of 3 CEUs;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>10 hours of CEU credit may be earned for a professional or scientific paper prepared by the licensee or certificate holder, with a maximum per paper of 10 CEUs for the first author, 8 CEUs for the second author, 6 CEUs for the third author, and 4 CEUs for all other authors;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Authoring of a book chapter may earn a maximum of 10 CEUs, only in the year of publication; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Editing or reviewing of a scientific or professional journal recognized by the Board, with a maximum of 8 CEUs for each year of service; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(e)">
        <text>Attendance at regularly scheduled Board meetings where:</text>
        <paragraph num="(i)">
          <text>1 hour of an open session of a Board meeting equals 1 hour of continuing education credit; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Not more than 5 hours of continuing education credit may be earned in a single continuing education cycle.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>Independent Study Activities.</text>
      <paragraph num="(a)">
        <text>CEUs may be earned through independent study activities including:</text>
        <paragraph num="(i)">
          <text>Professional journals which include post-tests to document completion;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Audio or video tapes of programs approved by the Board for continuing education credit with a post-test;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Internet programs approved by the Board for continuing education credit with a post-test; or</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other independent study activities approved by the Board.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>The licensee shall complete the post-test successfully for CEUs to be granted.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>If proof of passing the post-test is obtained, there is no limit on the number of credit hours that may be earned through independent study activities.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>Pro Bono Work.</text>
      <paragraph num="(a)">
        <text>CEUs may be earned for pro bono work performed outside of a place of employment at the rate of 1 Maryland CEU  per hour of Board-approved CEU activity, up to a maximum of 10 CEU credits in any single 2-year period.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The licensee shall obtain approval from the Board for all pro bono work.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The licensee shall provide the Board a written description of the proposed work not later than 60 days before beginning pro bono work. The description shall include:</text>
        <paragraph num="(i)">
          <text>The place where the pro bono work will take place;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The type of work to be performed;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>The number of hours of actual work to be performed for which the licensee desires CEU credit;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>A description of how the work will enhance the licensee's ongoing education; and</text>
        </paragraph>
        <paragraph num="(v)">
          <text>A statement guaranteeing that the licensee will not receive any financial gain from the work provided.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>The licensee shall submit a written statement to the Board from the facility verifying the number of pro bono work hours completed.</text>
      </paragraph>
      <paragraph num="(e)">
        <text>CEU credit may not be granted for work that did not receive prior approval from the Board.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Documentation of CEUs.</text>
    <paragraph num="(1)">
      <text>A licensee shall submit a signed form to the Board via mail or by electronic means attesting to the licensee’s completion of the required CEUs at the time of license renewal.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A licensee shall retain supporting documents for inspection by the Board for 4 years after the date of renewal.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>If a licensee submits the renewal form after the expiration date, the Board shall assess a late fee and may audit the licensee.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Failure to meet continuing education requirements or failure to substantiate CEUs submitted upon request of the Board may result in suspension, revocation, or denial of licensure or other disciplinary action by the Board.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Continuing Education Audit Procedures.</text>
    <paragraph num="(1)">
      <text>At each renewal period, the Board shall audit 10 percent of the renewal applications.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Board members shall be audited for the required CEUs.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The Board shall send notification of audit to licensees to be audited.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The licensee being audited shall submit to the Board official certificates or transcripts via mail or by electronic means showing evidence of the continuing education hours required for renewal by the date indicated on the audit notification.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The Board may take formal disciplinary action against the licensee, if the licensee:</text>
      <paragraph num="(a)">
        <text>Submits a false statement of continuing education; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Fails to submit the required documents by the date indicated on an audit notification.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Reactivation.</text>
    <paragraph num="(1)">
      <text>If a license has been in an inactive status for no more than three 2-year renewal cycles of inactivity, the licensee may apply for reactivation of the inactive license.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Board shall reactivate the license if the speech-pathologist or audiologist:</text>
      <paragraph num="(a)">
        <text>Submits to the Board satisfactory proof of completion of at least 30 hours of CEU activity for every 2-year cycle of inactivity; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Pays to the Board the renewal fee and the reactivation fee set by the Board.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>Reinstatement Requirement.</text>
    <paragraph num="(1)">
      <text>If a license has been expired for 5 years or less, a speech-language pathologist or audiologist may apply for reinstatement of the expired license.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Board shall reinstate the license if the speech-language pathologist or audiologist:</text>
      <paragraph num="(a)">
        <text>Submits to the Board satisfactory proof of completion of at least 30 hours of CEU activity for every 2-year cycle of inactivity; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Pays to the Board the renewal fee and the reinstatement fee set by the Board.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>Reapplication Requirement.</text>
    <paragraph num="(1)">
      <text>The Board may not reinstate the license of a speech-language pathologist or audiologist who fails to apply for reinstatement of the license within 5 years after the license expires.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The speech-language pathologist or audiologist whose license has been expired for more than 5 years may become licensed if the speech-language pathologist or audiologist:</text>
      <paragraph num="(a)">
        <text>Meets the current requirements for obtaining a license;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Submits to the Board satisfactory proof of completion of  at least 30 hours of CEU activity for every 2-year cycle of inactivity, not to exceed 100 hours; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Pays to the Board the application fee set by the Board.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>