DE SB141

Establishes detailed scope of practice standards for hearing aid dispensers, limiting their work to prescription hearing aids only and explicitly prohibiting cerumen management (wax removal), tinnitus treatment, and making audiologic or medical diagnoses

Creates new definition for "over-the-counter hearing aids" as devices for adults 18+ with mild to moderate hearing impairment that can be purchased without professional supervision, distinguishing them from regulated "prescription hearing aids"

Requires hearing aid dispensers to refer prospective users to a physician when certain conditions are present, including visible ear deformity, recent drainage, sudden hearing loss, dizziness, tinnitus as a primary symptom, or ear pain

Clarifies audiologist licensure requirements: doctoral degree and national examination, with exemption from doctoral requirement for those licensed in Delaware before July 10, 2009 who maintain continuous licensure

Increases maximum monetary penalty for violations from $500 to $1,000 per violation and removes definitions for audiology aides and speech pathology aides since the Board does not license these positions