SB 905

Overall Vote Recommendation
Vote Yes; Amend
Principle Criteria
negative
Free Enterprise
neutral
Property Rights
positive
Personal Responsibility
positive
Limited Government
positive
Individual Liberty
Digest
SB 905 proposes targeted amendments to the Texas Occupations Code relating to the licensing and regulation of speech-language pathologists and audiologists, particularly concerning the sale of hearing instruments. The bill directs the Texas Commission of Licensing and Regulation, with advisory board input, to adopt clearer, uniform rules that govern consumer transactions for hearing instruments under both Chapters 401 and 402 of the Occupations Code. These rules must include requirements for written contracts, record retention, and a standardized 30-day trial period during which consumers may cancel their purchase. The bill emphasizes that all consumer-facing documentation must be written in plain language to ensure readability and accessibility.

The bill also eliminates the current provisional licensing pathway for out-of-state practitioners seeking licensure in Texas. Previously, applicants from states with substantially similar licensing standards could practice temporarily under a provisional license while pursuing permanent certification. SB 905 replaces this process by allowing a licensure waiver only for individuals who hold a Certificate of Clinical Competence issued by the American Speech-Language-Hearing Association (ASHA), thereby narrowing the path to licensure for out-of-state professionals.

In addition, the bill modifies provisions concerning the sale of hearing instruments to minors. Under the revised statute, audiologists must ensure that a minor under the age of 18 presents a written statement from a licensed physician confirming that the child’s hearing loss was evaluated within the previous six months and that they are a suitable candidate for hearing aids. The amendment removes the previous requirement that the physician specialize in ear-related diseases, thus expanding the range of physicians authorized to provide such certification.

Overall, SB 905 is a regulatory modernization effort that seeks to improve consumer protection, streamline rules, and adjust licensure criteria, though it simultaneously tightens professional entry points into Texas' healthcare market.

The originally filed version of SB 905 and the Committee Substitute version share the same fundamental objectives: modernizing the licensing and regulation of audiologists and speech-language pathologists, enhancing consumer protections in the sale of hearing instruments, and revising licensure requirements for out-of-state practitioners. However, the committee substitute introduces several substantive refinements and adjustments worth highlighting.

One key difference lies in the removal of dual advisory board involvement in rulemaking for hearing instruments. The original filed version proposed stripping both the Speech-Language Pathologists and Audiologists Advisory Board and the Hearing Instrument Fitters and Dispensers Advisory Board from their consultative roles in Chapter 401 and Chapter 402 rulemaking. The Committee Substitute version maintains the advisory input of at least one board (depending on the chapter), clarifying that the relevant advisory board—rather than both—is to be consulted. This change better reflects practical governance by aligning each advisory board with its respective professional scope.

Another major change relates to the repeal of the provisional license process. The original bill entirely removes the existing path for provisional licensure of out-of-state professionals whose credentials closely match Texas requirements. In its place, both versions allow for a waiver of the examination requirement for applicants holding a Certificate of Clinical Competence from the American Speech-Language-Hearing Association (ASHA). However, the committee substitute streamlines this section further by eliminating outdated procedural language, simplifying the waiver clause to focus solely on the ASHA credential as a path to licensure. This reflects a policy decision to consolidate licensure reciprocity around national certification rather than individual state equivalency assessments.

Finally, there is a minor but meaningful revision regarding hearing instrument sales to minors. The originally filed bill expands the pool of qualified physicians who may approve hearing instrument purchases for individuals under 18, removing the prior requirement that the physician specialize in ear diseases. This provision remains intact in the committee substitute but with adjusted language to emphasize that any licensed physician, not just an otolaryngologist, may provide the required evaluation. This change increases accessibility to care for minors while still ensuring medical oversight.

Overall, the Committee Substitute version of SB 905 preserves the core reforms from the original filing but introduces cleaner language, narrows advisory roles appropriately, and further refines licensure criteria and administrative clarity.
Author (1)
Judith Zaffirini
Sponsor (1)
Charles Cunningham
Fiscal Notes

According to the Legislative Budget Board (LBB), the fiscal implications of SB 905 are minimal. The bill does not impose a significant fiscal burden on the state government. The Texas Department of Licensing and Regulation (TDLR), the agency responsible for implementing the proposed regulatory changes, is expected to absorb any costs within its current operational budget and resources.

This fiscal neutrality is likely due to the nature of the bill's provisions, which mainly involve administrative updates, rule changes, and licensing modifications rather than new programs or large-scale enforcement mechanisms. For example, while the bill eliminates the provisional licensing pathway and adjusts regulatory requirements for hearing instrument sales, these changes streamline existing processes rather than introduce new ones requiring expanded funding or staffing.

Similarly, the bill is not expected to result in any significant fiscal impact on local governments. Its provisions apply primarily to state-level regulatory frameworks and licensed professionals rather than imposing mandates or funding obligations on cities or counties.

In summary, SB 905 achieves its regulatory goals without generating new fiscal pressure on the state budget or local entities, allowing the Department of Licensing and Regulation to implement its provisions within existing financial and operational parameters.

Vote Recommendation Notes

SB 905 seeks to modernize and streamline aspects of the licensing and regulation of speech-language pathologists and audiologists in Texas. At its core, the bill aligns with several key liberty principles—such as limited government, personal responsibility, and individual liberty—by simplifying bureaucratic procedures, updating outdated requirements, and making professional transactions more accessible and consumer-friendly.

The bill makes three primary policy changes. First, it reduces regulatory redundancy by requiring the Texas Commission of Licensing and Regulation (TCLR) to consult only the advisory board relevant to the profession at issue—either the Speech-Language Pathologists and Audiologists Advisory Board or the Hearing Instrument Fitters and Dispensers Advisory Board—when adopting rules. This reflects a move toward more efficient and limited government by removing duplicative oversight that no longer serves a necessary function.

Second, it removes the provisional licensing process for out-of-state practitioners. This is based on the fact that the jurisprudence exam, which once justified temporary licensure, is now readily available at any time. In its place, the bill allows a waiver of the exam requirement only for individuals holding a Certificate of Clinical Competence (CCC) from the American Speech-Language-Hearing Association (ASHA). While this creates a streamlined path for a subset of highly credentialed professionals, it simultaneously imposes a new barrier for other qualified practitioners—those who are licensed in good standing in another state but do not hold the ASHA certification. This change introduces a mild but notable concern under the principles of free enterprise and equal access to opportunity.

By conditioning licensure on a private, non-governmental certification body, the bill effectively installs ASHA as a gatekeeper, potentially excluding professionals who are otherwise competent and experienced. This private certification requirement is not imposed by all states, and its inclusion here could limit workforce mobility and reduce professional competition in Texas. While this does not amount to a substantial violation of liberty principles, it does reflect a narrow favoritism that could and should be corrected with a strengthening amendment.

The third major reform increases access to hearing instruments for minors by allowing any licensed physician—not just ear specialists—to certify the medical need for a hearing aid. This update aligns Texas statute with federal standards and removes a bottleneck that previously made it harder for families, particularly in rural areas, to obtain timely care. This change clearly advances individual liberty and parental autonomy in healthcare decisions.

The bill also improves consumer protections by requiring that hearing instrument sales contracts and trial-period information be written in plain language. This promotes transparency and informed decision-making, reinforcing the principle of personal responsibility by enabling consumers to fully understand their rights and obligations.

From a fiscal perspective, SB 905 does not impose new costs on the state or taxpayers. The LBB has confirmed that any administrative costs can be absorbed within existing resources. Therefore, the bill does not expand the size or cost of government.

In conclusion, while the bill introduces a narrow restriction on professional licensure pathways that merits correction, the overall legislation reflects thoughtful reforms that align with liberty principles. A strengthening amendment to broaden licensure reciprocity or reinstate a limited provisional license would resolve the primary concern. However, our support for the bill is not contingent on that amendment being adopted. For these reasons, Texas Policy Research recommends that lawmakers vote YES; Amend on SB 905.

  • Individual Liberty: The bill promotes Individual Liberty by increasing access to hearing aids for minors. It removes the requirement that only a specialist in ear diseases (an otolaryngologist) may authorize the sale of a hearing aid to a person under 18. Under SB 905, any licensed physician may provide that certification, making it easier for families—particularly in rural or underserved communities—to obtain necessary care. This expands personal freedom and parental autonomy in healthcare decision-making. Additionally, the requirement that hearing instrument sales contracts and trial-period documents be written in plain language empowers consumers to make informed choices without relying on legal or technical expertise. This respects individuals’ capacity to act in their own best interest when given accessible information.
  • Personal Responsibility: By mandating transparency in contracts and return policies related to hearing aid sales, the bill encourages personal responsibility. Consumers will have a clearer understanding of their rights, risks, and recourse options, reducing reliance on state intervention for transactional disputes. This change affirms the idea that when individuals are provided with straightforward, accessible information, they can and should be trusted to manage their own affairs—particularly in health-related purchases.
  • Free Enterprise: SB 905 has a mixed effect on Free Enterprise. On one hand, it streamlines rulemaking for businesses by allowing the Texas Commission of Licensing and Regulation (TCLR) to consult only the relevant advisory board when adopting rules. This simplification may reduce delays and unnecessary bureaucratic oversight for businesses selling hearing instruments. On the other hand, the bill limits market access by eliminating the provisional license pathway for speech-language pathologists and audiologists from other states. Instead of allowing qualified out-of-state professionals to work temporarily while completing Texas requirements, the bill restricts reciprocity to individuals who hold the Certificate of Clinical Competence from a single private entity: the American Speech-Language-Hearing Association (ASHA). This creates a new, artificial barrier to entry for otherwise competent and licensed professionals, giving one private certification body outsized influence over the Texas labor market. While not a total closure of the market, this introduces unnecessary professional protectionism, which runs counter to open competition and entrepreneurial freedom.
  • Private Property Rights: The bill has no direct effect on property rights in the traditional sense. However, it indirectly supports Private Property Rights by ensuring that hearing aid transactions are governed by clear, enforceable, and understandable contracts. This reduces ambiguity and risk in consumer transactions, which is a foundational element of voluntary exchange and property ownership.
  • Limited Government: SB 905 is solidly aligned with the principle of Limited Government. It reduces the regulatory footprint by: Repealing outdated provisional license procedures that no longer serve a practical purpose, Consolidating rulemaking authority by removing the requirement to consult multiple advisory boards, Aligning state rules with current federal standards on physician authorization for minors. Furthermore, the bill imposes no new costs on taxpayers or state agencies. The LBB confirms that all implementation costs can be absorbed within existing resources, meaning the bill does not grow government spending or staff.
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