S.B. No. 2017

	AN ACT
	relating to the regulation of hearing aids and the practices of
	audiology and the fitting and dispensing of hearing instruments.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1.  Section 401.001(4-b), Occupations Code, is
	amended to read as follows:
	(4-b) "Fitting and dispensing hearing instruments,"
	"hearing instrument," "over-the-counter hearing aid," and "sale"
	have the meanings ["Hearing instrument" has the meaning] assigned
	to those terms by Section 402.001.
	SECTION 2.  Section 401.058(a), Occupations Code, is amended
	to read as follows:
	(a)  This chapter does not prohibit, prevent, or restrict a
	person licensed under Chapter 402 from engaging in the practice of
	fitting and dispensing hearing instruments.
	SECTION 3.  Subchapter B, Chapter 401, Occupations Code, is
	amended by adding Section 401.061 to read as follows:
	Sec. 401.061.  OVER-THE-COUNTER HEARING AIDS.  (a)  Except
	as provided by this section, this chapter does not apply to
	servicing, marketing, selling, dispensing, providing customer
	support for, acquiring, or distributing over-the-counter hearing
	aids, regardless of whether the transaction occurs in person,
	online, or through other means.
	(b)  A person is not required to obtain a license under this
	chapter or Chapter 402 to engage in an activity described by
	Subsection (a).
	(c)  A person may not use the title "licensed dispenser" or
	"licensed seller" with respect to over-the-counter hearing aids or
	otherwise represent that the person holds a license to sell or
	dispense over-the-counter hearing aids unless the person is
	licensed as an audiologist or audiologist intern under this chapter
	or as a hearing instrument fitter and dispenser under Chapter 402.
	(d)  The supervision, prescription, order, involvement, or
	intervention of a person licensed in this state is not required
	under this chapter for a consumer to access over-the-counter
	hearing aids.
	(e)  A person licensed under this chapter may service,
	market, sell, dispense, provide customer support for, or distribute
	over-the-counter hearing aids.  These activities do not exempt a
	person licensed under this chapter from any applicable provision of
	this chapter or Chapter 402.
	SECTION 4.  Section 401.403(b), Occupations Code, is amended
	to read as follows:
	(b)  A person who holds a license as an audiologist or
	audiologist intern and who fits and dispenses hearing instruments
	must:
	(1)  comply with rules adopted under this chapter
	related to fitting and dispensing hearing instruments;
	(2)  comply with the federal Food and Drug
	Administration rules and guidelines for fitting and dispensing
	hearing instruments;
	(3)  when providing services in this state, use a
	written contract that contains the information prescribed by
	commission rule [the department's name, mailing address, telephone
	number, and Internet website address]; and
	(4)  follow the guidelines adopted by commission rule
	for a 30-day trial period on every hearing instrument purchased.
	SECTION 5.  Section 402.001, Occupations Code, is amended by
	amending Subdivisions (4), (5), and (7) and adding Subdivisions
	(4-a) and (6-a) to read as follows:
	(4)  "Fitting and dispensing hearing instruments"
	means the measurement of human hearing by the use of an audiometer
	or other means to make selections, adaptations, or sales of hearing
	instruments. The term includes prescribing, ordering, or
	authorizing the use of hearing instruments, the making of
	impressions for earmolds to be used as a part of the hearing
	instruments, and providing any necessary postfitting counseling
	for the purpose of fitting and dispensing hearing instruments.
	(4-a)  "Hearing aid" means any wearable device designed
	for, offered for the purpose of, or represented as aiding persons
	with or compensating for impaired hearing.  The term includes
	hearing instruments and over-the-counter hearing aids.
	(5)  "Hearing instrument" means a prescription hearing
	aid as that term is defined by 21 C.F.R. Section 800.30 [any
	wearable instrument or device designed for, or represented as,
	aiding, improving, or correcting defective human hearing.  The term
	includes the instrument's parts and any attachment, including an
	earmold, or accessory to the instrument. The term does not include
	a battery or cord].
	(6-a)  "Over-the-counter hearing aid" has the meaning
	assigned by 21 C.F.R. Section 800.30.
	(7)  "Sale" includes a lease, rental, or any other
	purchase or exchange for value [transfer of title or of the right to
	use by lease, bailment, or other contract]. The term does not
	include a sale at wholesale by a manufacturer to a person licensed
	under this chapter or to a distributor for distribution and sale to
	a person licensed under this chapter.
	SECTION 6.  Subchapter A, Chapter 402, Occupations Code, is
	amended by adding Section 402.004 to read as follows:
	Sec. 402.004.  OVER-THE-COUNTER HEARING AIDS.  (a)  Except
	as provided by this section, this chapter does not apply to
	servicing, marketing, selling, dispensing, providing customer
	support for, acquiring, or distributing over-the-counter hearing
	aids, regardless of whether the transaction occurs in person,
	online, or through other means.
	(b)  A person is not required to obtain a license under this
	chapter or Chapter 401 to engage in an activity described by
	Subsection (a).
	(c)  A person may not use the title "licensed dispenser" or
	"licensed seller" with respect to over-the-counter hearing aids or
	otherwise represent that the person holds a license to sell or
	dispense over-the-counter hearing aids unless the person is
	licensed as a hearing instrument fitter and dispenser under this
	chapter or as an audiologist or audiologist intern under Chapter
	401.
	(d)  The supervision, prescription, order, involvement, or
	intervention of a person licensed in this state is not required
	under this chapter for a consumer to access over-the-counter
	hearing aids.
	(e)  A person licensed under this chapter may service,
	market, sell, dispense, provide customer support for, or distribute
	over-the-counter hearing aids.  These activities do not exempt a
	person licensed under this chapter from any applicable provision of
	this chapter or Chapter 401.
	SECTION 7.  Section 402.152, Occupations Code, is amended to
	read as follows:
	Sec. 402.152.  COMPLAINTS. (a)  Each license or permit
	holder under this chapter shall at all times prominently display in
	the person's place of business a sign containing information about
	filing a complaint as prescribed by commission rule[:
	[(1)  the name, mailing address, e-mail address, and
	telephone number of the department; and
	[(2)  a statement informing consumers that a complaint
	against a license or permit holder may be directed to the
	department].
	(b)  Each written contract for services in this state of a
	license holder must contain the information prescribed by
	commission rule [the department's name, mailing address, e-mail
	address, and telephone number].
	SECTION 8.  Section 402.403, Occupations Code, is amended to
	read as follows:
	Sec. 402.403.  WRITTEN CONTRACT.  The owner of a hearing
	instrument fitting and dispensing practice shall ensure that each
	client receives a written contract at the time of purchase of a
	hearing instrument that contains the information prescribed by
	commission rule[:
	[(1)  the signature of the license holder who dispensed
	the hearing instrument;
	[(2)  the printed name of the license holder who
	dispensed the hearing instrument;
	[(3)  the address of the principal office of the
	license holder who dispensed the hearing instrument;
	[(4)  the license number of the license holder who
	dispensed the hearing instrument;
	[(5)  a description of the make and model of the hearing
	instrument;
	[(6)  the amount charged for the hearing instrument;
	[(7)  a statement of whether the hearing instrument is
	new, used, or rebuilt;
	[(8)  notice of the 30-day trial period under Section
	402.401; and
	[(9)  the name, mailing address, e-mail address, and
	telephone number of the department].
	SECTION 9.  Section 401.058(b), Occupations Code, is
	repealed.
	SECTION 10.  Not later than December 1, 2023, the Texas
	Commission of Licensing and Regulation shall adopt rules
	prescribing the information required to be included:
	(1)  in a contract, as required by Sections 401.403(b),
	402.152(b), and 402.403, Occupations Code, as amended by this Act;
	and
	(2)  on a sign, as required by Section 402.152(a),
	Occupations Code, as amended by this Act.
	SECTION 11.  (a)  The changes in law made by this Act apply
	only to a contract provided to a patient on or after December 1,
	2023.
	(b)  The changes in law made by this Act apply only to a sign
	displayed on or after December 1, 2023.
	SECTION 12.  This Act takes effect immediately if it
	receives a vote of two-thirds of all the members elected to each
	house, as provided by Section 39, Article III, Texas Constitution.
	If this Act does not receive the vote necessary for immediate
	effect, this Act takes effect September 1, 2023.
	______________________________	______________________________
	President of the Senate	Speaker of the House
	I hereby certify that S.B. No. 2017 passed the Senate on
	April 27, 2023, by the following vote:  Yeas 30, Nays 1.
	______________________________
	Secretary of the Senate
	I hereby certify that S.B. No. 2017 passed the House on
	May 19, 2023, by the following vote:  Yeas 128, Nays 15, two
	present not voting.
	______________________________
	Chief Clerk of the House
	Approved:
	______________________________
	Date
	______________________________
	Governor