State Licensure Trends and Quarterly Updates

ASHA tracks trends in the states related to audiology and speech-language pathology.  Following is a list of the most common trends we see in the states. To see where your state stands on these trends, please view the trend chart. This chart is updated at the end of each year.

State-by-State Comprehensive Trends Chart

Quarterly Report Updates

  • Trend Chart [PDF] (As of 7/2009) This chart provides an overall view of trends tracked for each state.

Provide updates on pending legislation and regulatory actions related to various issues, including: autism, telemedicine, Medicaid, and hearing aid coverage.

Description of Trends Tracked

  1. States that regulate the practices of speech-language pathology and audiology, unless noted audiology only. (As of 7/2009: 47 state regulate both; 2 states regulate audiology only)
  2. State with doctoral degree requirements for initial licensure in audiology. (As of 7/2009: 20 states require doctoral degrees)
  3. State that accept masters or doctoral degree in audiology. (As of 7/2009: 18 states, plus DC)
  4. State that still require a master's degree for audiology and have not updated their audiology requirements. (As of 7/2009: 12 states)
  5. States that allow dispensing hearing aids under and audiology license. No separate license needed to dispense hearing aids. (As of 7/2009: 32 states)
  6. States that require and audiology and hearing aid dealers license to dispense. (As of 7/2009: 18 states, plus DC
  7. States permitting endoscopy and swallowing. Procedure noted in scope of practice or board policy. (As of 7/2009: 14 states)
  8. States without clinical fellowship licensure status; clinical fellowship does not require a license. (As of 7/2009: 10 states, Virginia audiology only)
  9. Amounts of continuing education required; listed in hours per year. (As of 7/2009: 45 states with requirements)
  10. States with telepractice provisions; telepractice is noted in some form in the laws and regulations. (As of 7/2009: 10 states)
  11. States that license support personnel. (As of 7/2009: 13 states)
  12. State that register support personnel. (As of 7/2009: 19 states)
  13. State that certify support personnel. (As of 7/2009: 3 states)
  14. States that do not regulate support personnel. (As of 7/2009: 10 state, plus)
    *Minimum qualifications, licensee keeps plan)
  15. Bachelor's degree required for support personnel. (As of 7/2009: 16 states)
  16. Bachelor's degree plus graduate hours required. (As of 7/2009: 3 states)
  17. Associates degree required for support personnel. (As of 7/2009: 17 states; some states appear more than once as it may be associates degree or bachelors)
  18. High school diploma required for support personnel.
  19. Non-conforming educational requirements.


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