States with Exemption-Free (Universal Licensure) Relative to the Employment of Speech-Language Pathologists and/or Audiologist

(Note:  Most states exempt physicians, students, nurses, and hearing aid fitters.  The following is a list of states that require licensure for speech-language pathologists and/or audiologists regardless of job setting.)

• Arizona
• Connecticut
• Delaware
• Hawaii
• Illinois
• Indiana
• Kansas
• Louisiana
• Maryland
• Massachusetts
• Michigan*
• Minnesota
• Montana
• New Hampshire (Audiology Only)
• New Mexico
• North Carolina (Effective July 1, 2011)
• Ohio
• South Dakota (Regulates Audiology Only)
• Texas
• Vermont

*Michigan requires an audiology license for school-based practice but exempts individuals in the Office of Community Health as well as those involved in teaching and research.

Note:  Oklahoma does not require licensure for school-based practice unless billing for Medicaid.