4 CCR 748-1.20 - EXPANDED SCOPE OF PRACTICE FOR SPEECH-LANGUAGE PATHOLOGISTS PURSUANT TO THE GOVERNOR'S EXECUTIVE ORDER D 2023 001

A. Basis. Through Executive Order D 2023 001, amending and extending Executive Orders D 2021 122, D 2021 124, D 2021 125, D 2021 129, D 2021 132, D 2021 136, D 2021 139, D 2021 141, D 2022 003, D 2022 010, D 2022 013, D 2022 017, D 2022 020, D 2022 028, D 2022 035, D 2022 037, D 2022 038, D 2022 040, D 2022 043, D 2022 044 and D 2022 045, Governor Jared Polis directed the Executive Director of DORA, through the Director of the Division of Professions and Occupations (Division Director), to promulgate and issue temporary emergency rules consistent with the Executive Order. The basis for these emergency rules is Executive Order D 2023 001 issued by Governor Jared Polis pursuant to the Colorado COVID-19 Disaster Recovery Order and Article IV, Section 2 of the Colorado Constitution, and the Colorado Disaster Emergency Act, sections 24-33.5-701, et. seq., C.R.S.

B. These Emergency Rules are adopted by the Director of the Division of Professions and Occupations (Director) to effectuate Executive Order D 2023 001, amending and extending Executive Orders D 2021 122, D 2021 124, D 2021 125, D 2021 129, D 2021 132, D 2021 136, D 2021 139, D 2021 141, D 2022 003, D 2022 010, D 2022 013, D 2022 017, D 2022 020, D 2022 028, D 2022 035, D 2022 037, D 2022 038, D 2022 040, D 2022 043, D 2022 044 and D 2022 045, and directing the immediate expansion of the workforce of trained medical personnel available to provide healthcare services within inpatient facilities due to the coronavirus disease 2019 (COVID-19) pandemic in Colorado.

C. Expanded Scope of Practice. Speech-language pathologists may perform services while working in a hospital or inpatient facility as delegated by physicians, physician assistants, advanced practice registered nurses, certified registered nurse anesthetists, professional nurses and respiratory therapists.

1. Speech-language pathologists are authorized to perform delegated services upon adequate cross-training as determined necessary by the hospital or inpatient facility.

2. Speech-language pathologists shall not accept delegation of a service for which the licensee does not possess the knowledge, skill or training to perform.

3. Speech-language pathologists shall not perform a delegated service for which the licensee does not possess the knowledge, skill or training to perform.

4. Delegated services shall not be re-delegated to another person or licensee by the delegatee.

5. Speech-language pathologists shall not prescribe or select medications, perform surgical or other invasive procedures or perform anesthesia services regardless of delegation.

Notes

4 CCR 748-1.20

37 CR 21, November 10,2014, effective 11/30/2014 38 CR 15, August 10, 2015, effective 8/30/2015 43 CR 03, February 10, 2020, effective 1/1/2020 43 CR 07, April 10, 2020, effective 4/30/2020 43 CR 19, October 10, 2020, effective 8/30/2020 43 CR 19, October 10, 2020, effective 9/9/2020 43 CR 22, November 25, 2020, effective 12/15/2020 44 CR 09, May 10, 2021, effective 5/30/2021 45 CR 17, September 10, 2022, effective 8/15/2022 45 CR 16, August 25, 2022, effective 9/14/2022 45 CR 22, November 25, 2022, effective 10/26/2022 45 CR 23, December 10, 2022, effective 11/11/2022 45 CR 21, November 10, 2022, effective 11/30/2022 46 CR 02, January 25, 2022, effective 1/9/2023