NE LB154

Expands the scope of practice for licensed hearing instrument specialists to include cerumen (earwax) removal for patients 18 and older, requiring completion of an approved 6-hour training course, professional liability insurance, and an arrangement with a medical liaison (otolaryngologist or physician)

Establishes detailed hearing assessment requirements including pure-tone air and bone conduction testing at specific frequencies, speech testing, and requires face-to-face assessments valid for six months before fitting hearing instruments

Creates multiple pathways to licensure eligibility including completing practicum hours, obtaining a two-year degree in hearing instrument sciences, holding a master's/doctoral degree in audiology, having 12 months of out-of-state licensure, or obtaining national certification

Requires annual calibration of audiometric equipment per American National Standards Institute standards, with calibration records maintained for 10 years and available for department inspection

Mandates detailed recordkeeping for seven years including test results, written contracts, and medical evaluation waivers, and requires written sales contracts and itemized receipts showing hearing instrument specifications and guarantee terms