700 Summer St NE, Suite 320

WHO:

Health Licensing Office

Respiratory Therapist and Polysomnographic Technologist Licensing Board

WHEN:

August 1, 2014

WHERE:

Health Licensing Office

Rhoades Conference Room

700 Summer St NE, Suite 320

Salem, Oregon 97301-1287

What is the purpose of the meeting?

The purpose of the meeting is to conduct board business. Please use appropriate language, manners

and protocols when conducting board business. A working lunch may be served for board members and

designated staff in attendance. A copy of the agenda is printed with this notice. Please visit

http://www.oregon.gov/OHLA/RTPT/Pages/meetings.aspx

for current meeting information.

May the public attend the meeting?

Yes. Members of the public are invited and encouraged to be in attendance at all board/council meetings.

All public audience members are asked to sign-in on the attendance roster prior to the meeting.

Comments may be heard under public comment at the end of the meeting. Please wait to be recognized

by the Chairperson prior to commenting.

May the public attend a teleconference meeting?

Yes. Members of the public may attend a teleconference board meeting at the Health Licensing Office

located at 700 Summer ST NE, Suite 320, Salem, OR.

What if the board/council enters into executive session?

Prior to entering executive session the board/council Chairperson will announce the nature of and the

authority for holding executive session, at which time all audience members are asked to leave the room

with the exception of news media and designated staff. Executive session would be held according to

ORS 192.660.

No final actions or final decisions will be made in executive session. The board/council will return to open

session before taking any final action or making any final decisions.

Who do I contact if I have questions or need special accommodations?

The meeting location is accessible to persons with disabilities. A request for accommodations for persons

with disabilities should be made at least 48 hours before a meeting. For questions or requests contact a

board specialist at (503)373-2049.

All board members are asked to please give at least 24-hour notice if they are unable to attend the

meeting so arrangements may be made.

HEALTH LICENSING OFFICE

700 Summer St NE, Suite 320

Salem, OR 97301-1287

Phone: (503)378-8667

Fax: (503)585-9114

http://www.oregon.gov/OHLA/Pages/index.aspx

Health Licensing Office

Respiratory Therapist and Polysomnographic Technologist Licensing Board

♦♦♦

9am, Friday, August 1, 2014

700 Summer St NE, Suite 320

Salem, OR

Call to Order

1. Items for Board Action

♦

Approval of Agenda

♦

Approval of Minutes

−

May 9, 2014

♦

Administrative Rule Petition

−

Opportunity for public comment

−

Review written public comment received

−

Determine whether to begin rulemaking process or deny petition

2. Other Board Business

Agenda is subject to change.

Issue Statement

HEALTH LICENSING OFFICE

BACKGROUND:

During the 2011 Legislative Session Senate Bill 723 passed creating mandatory licensure for

polysomnographic technologists in Oregon. The bill included a one-year timeframe (grandfathering)

from January 1, 2012 to January 1, 2013 which allowed individuals with

18 months of on the job training

,

and passage of an approved examination to qualify for licensure. After January 1, 2013 individuals

were required to obtain

formal education

and on the job training under an approved supervisor. This

forced many individuals with years of experience in polysomnography, who did not meet the

one-year grandfathering timeframe, to obtain certain education requirements and work under supervision

for 18 months. The Respiratory Therapist and Polysomnographic Technologist Board (Board)

requested a legislative change be made to accept education, training or a combination of education

and training for initial polysomnography licensure.

During the 2013 Legislative Session Senate Bill 107 was passed to add training as a requirement to

licensure in lieu of education if deemed appropriate by the Board. The amendment added flexibility

for individuals to become licensed within the newly regulated profession of polysomnography.

Following the 2013 Legislative Session the Board entered into rulemaking to amend the

requirements to qualify for a

polysomnographic technologist temporary direct supervision license

but elected to

maintain the current application requirements for permanent licensure despite consideration of

public comment received asking the Board to expand application requirements for applications from

states where there is no licensing for polysomnography.

ISSUE:

On June 6, 2014 the Health Licensing Office (HLO) formerly the Oregon Health Licensing Agency

received a Petition to Amend an Administrative Rule from Legacy Health. According to ORS

183.390 HLO and Board are required, within 90 days of the receipt of a

Petition for Rulemaking

, to

either begin the rulemaking process or deny the petition request. HLO and the Board must also first

invite public comment

pursuant to ORS 183.390 and obtain information on any of the following

factors:

•

Whether options exist for achieving the rule’s substantive goals in a way that reduces the

negative impact on businesses;

•

The continued need for the rule;

•

The nature of complaints or comments received concerning the rule;

•

The complexity of the rule;

•

The extent to which the rule overlaps, duplicates or conflicts with other state rules of federal

regulations and, to the extent feasible, with local government regulations; and

•

The degree to which technology, economic conditions or other factors have changed in the

subject area affected by the rule, and the statutory citation or legal basis for the rule

.

RECOMMENDATION:

Determine whether to deny petition or enter into the rulemaking process. A draft rulemaking

schedule is attached.

Administrative Rule Schedule

HEALTH LICENSING OFFICE

Respiratory Therapist & Polysomnographic Technologist

Licensing Board

Date

Action

Time

June 6, 2014

Receive administrative rule petition

July 1 to August 1

Invite and obtain public comment regarding petition

September 4, 2014

90 days deadline to deny petition or begin

administrative rulemaking process

August 1 , 2014

Board meeting to deny petition or begin

administrative rulemaking process and consider a

temporary rule for immediate action.

August 15, 2014

File Temporary Rule

October 17, 2014

Approve proposed rule

9 am

December 1, 2014

Notice of proposed rules –Oregon Bulletin

December 29, 2014

Public rule hearing

9 am

December 29, 2014

Last day for public comment

5 pm

January 12, 2015

Board recommend permanent rules to Agency

9 am

February 1, 2015

Permanent rules effective

February 11, 2015

Temporary rule expires

Under ORS 676.615 Health Licensing Office has final rulemaking authority. All

comments will be considered by the Health Licensing Office and the Respiratory

Therapist and Polysomnographic Technologist Licensing Board.

Please send all public comment to:

Samie Patnode, Policy Analyst

700 Summer St NE, Suite 320, Salem, OR 97301-1287

[email protected]

.

Work: (503) 373-1917

All meetings are held at the Health Licensing Office, Rhoades Conference Room, 700

Summer St, Suite 320, Salem, OR 97301, unless otherwise specified. Members of the

public are invited and encouraged to attend all board and committee meetings.

However, audience members will not be allowed to participate.

Invited technical experts may be invited to participate in meetings regarding their

knowledge and expertise in specific areas.

For current information regarding administrative rules or the rulemaking process visit the

Web at

http://www.oregon.gov/OHLA/RT/RTlaws_rules.shtml

Providence Health & Services

4400 N.E. Halsey St., Building 2 Suite 599 Portland, OR 97213 www.providence.org/oregon

July

10,

2014

Samie

Patnode

Policy

Analyst

–

Health

Licensing

Office

Oregon

Health

Authority

700

Summer

St.

NE,

Ste

320

Salem,

OR

97301

‐

1287

Re:

Polysomnographic

Technologist

licensing

rules

Dear

Ms.

Mercer:

Providence

Health

&

Services

is

a

not

‐

for

‐

profit

Catholic

health

care

ministry

committed

to

providing

for

the

needs

of

the

communities

it

serves

–

especially

for

those

who

are

poor

and

vulnerable.

The

system’s

combined

scope

of

services

includes

hospitals,

physician

clinics,

senior

services,

supportive

housing

and

many

other

health

and

educational

ministries

across

Alaska,

California,

Montana,

Oregon

and

Washington.

Providence

has

over

25

years

of

experience

diagnosing

and

treating

individuals

that

struggle

with

sleep

disorders

in

Oregon.

Our

five

sleep

disorder

programs

are

managed

by

multifunctional

teams

of

sleep

specialists,

including

the

valuable

expertise

of

our

25

Polysomnographic

Technologists.

When

proposed

rules

were

released

in

November

2013

Providence

and

Legacy

Health

expressed

concern

about

the

current

Polysomnographic

Technologists

work

force

and

suggested

an

additional

licensing

pathway

allowing

experienced

technologists

from

out

of

state

to

become

licensed.

Providence

was

disappointed

to

see

that

the

OHLA

decided

not

to

adopt

this

recommendation

in

rules

and

respectfully

request

that

additional

consideration

be

given

to

adopting

the

following

combined

work

experience/education

pathway.

(A)

Submit

documentation

showing

completion

of

three

years

of

training

and

work

experience

pursuant

to

OAR

‐

331

‐

710

‐

0110,

which

was

obtained

within

the

last

five

years,

including

verification

by

a

supervisor.

(B)

Submit

a

certificate

of

completion

for

the

AASM

A

‐

STEP

Self

Study

Modules,

or

official

transcripts

defined

under

OAR

331

‐

705

‐

0050

showing

successful

completion

of

an

Associate’s

degree

in

polysomnography,

polysomnographic

technology,

or

sleep

technology

from

an

accredited

community

college,

college

or

university,

or

successful

completion

of

a

polysomnography

course

of

study

from

a

CAAHEP

accredited

institution.

June

4,

2014

Re:

Polysomnographic

Technologist

licensing

rules

Page

2

(C)

Submit

satisfactory

evidence

of

passage

of

a

Board

approved

examination

listed

under

OAR

331

‐

712

‐

0010(1)

or

(2).

Examination

results

and

credential

verification

statement

must

be

submitted

to

the

Agency

directly

from

the

examination

provider;

examination

results

or

other

documentation

provided

directly

by

the

applicant

are

not

acceptable.

Thank

you

for

giving

additional

consideration

to

the

licensure

requirements

for

Polysomnographic

Technologists

rules.

Please

contact

me

if

you

require

additional

clarification

on

a

specific

issue

or

want

to

discuss

the

content

of

this

letter.

Sincerely,

Jessica

Adamson

Director

of

Government

Relations

0

Salem Health

July 23, 2013

Holly Mercer

Director

Oregon Health Authority

700 Summer St NE, Ste 320

Salem, OR 97301-1287

Re: Polysomnographic Technologist licensing rules

Dear Ms. Mercer:

Salem Health is comprised of Salem Hospital, West Valley Hospital, Willamette Health

Partners and other affiliated health care organizations offering exceptional care to

people in and around Oregon's mid-Willamette Valley since 1896. Salem Hospital is one

of the largest of Oregon's 59 acute care hospitals and operates the busiest emergency

department in Oregon. It is a not-for-profit hospital, licensed for 454 acute-care beds.

Salem Health respectfully requests OHLA to consider adopting the following combined

work experience/education pathway to avoid burdensome licensure requirements that

could potentially lead to a shortage of this expertise in the state. Other hospitals across

the state have already experienced this shortage, and it is something that should be

considered.

(A) Submit documentation showing completion of three years of training and

work experience pursuant to OAR-331-710-0110, which was obtained within the

last five years, including verification by a supervisor.

(B) Submit a certificate of completion for the AASM A-STEP Self Study Modules, or

official transcripts defined under OAR 331-705-0050 showing successful

completion of an Associate's degree in polysomnography, polysomnographic

technology, or sleep technology from an accredited community college, college or

university, or successful completion of a polysomnography course of study from a

CAAHEP accredited institution.

(C) Submit satisfactory evidence of passage of a Board approved examination

listed under OAR 331-712-0010(1) or (2). Examination results and credential

verification statement must be submitted

to the Agency directly from the

examination provider; examination results or other documentation provided

directly by the applicant are not acceptable.

Thank you for giving additional consideration to the licensure requirements for

Polysomnographic Technologists rules. Please contact me if you require additional

clarification on a specific issue or want to discuss the content of this letter.

Sincerely,

Norman F. Gruber

President and CEO

503-561-5219

July 31, 2014

Submitted Electronically

Samie Patnode, Policy Analyst

Health Licensing Office, Oregon Health Authority

700 Summer Street NE, Suite 320

Salem, OR 97301-1287

RE:

Proposed Administrative Rule Change to 331-710-0050 Polysomnographic

Technologist Licensing

Dear Ms. Patnode:

On behalf of Oregon’s 62 acute care hospitals, eight health systems, and the patients they serve, the

Oregon Association of Hospitals and Health Systems (OAHHS) appreciates the opportunity to

comment on the proposed changes to administrative rules regarding polysomnographic

technologist licensing.

OAHHS is supportive of the addition of a fifth pathway for the licensure of experienced

polysomnographic technologists. Limitations in the current four pathways such as the recency of

CAAHEP accredited programs (Pathway One), supervision requirements when trying to staff a sole

technologist site (Pathway Two), limited opportunities for state-to-state reciprocity (Pathway

Three), and the inability for career polysomnographic technologists to leverage endorsement

(Pathway Four) can leave highly qualified technologists unable to work at the level of their

experience in Oregon.

The proposed new pathway fills this gap by recognizing that a defined combination of work

experience and education are sufficient to demonstrate expertise in this field. The addition of

Pathway Five will allow Oregon providers to better recruit qualified technologists that would

otherwise have limited opportunities in the state as well as preserve smaller sleep centers which

require only a single, experienced polysomnographic technologist to operate.

We appreciate the opportunity to comment on the proposed change.

Sincerely,

/s/

LeeAnn Hastings, Director of Public Policy

Oregon Association of Hospitals and Health Systems

4000 Kruse Way Place

Building 2, Suite 100

Lake Oswego, OR 97035

July 31, 2014

Holly Mercer, Director

Respiratory Therapists and Polysomnographic Technologists Licensing Board

Oregon Health Licensing Agency

700 Summer Street, Suite 320

Salem, Oregon 97301

Re: Polysomnographic Technologist Licensing rules

Dear Ms. Mercer and Members of the Board,

Oregon Health & Science University is a nationally prominent research

university and Oregon’s only public academic health center. OHSU educates

health professionals and scientists and provides leading-edge patient care,

community service and biomedical research.

OHSU’s sleep disorders lab serves over 2,000 patients per year and is

managed by a multi-disciplinary team of technologists, clinic staff and board

certified physicians. These teams provide consultation services in

pulmonology, neurology, cardiology, otolaryngology, pediatrics, and

psychiatry working together to diagnose and treat a variety of sleep disorders

to help Oregonians to live healthier and happier lives. The valuable skills and

knowledge of our 10 Polysomnographic Technologists are imperative to the

success of this program. OHSU has had significant difficulty recruiting

qualified and licensed technologists for the past year despite receiving

applications from qualified technologists that were not eligible for licensure

in Oregon.

OHSU is concerned about the lack of a current appropriate pathway for

experienced Polysomnographic Technologists practicing in other states to be

licensed and work in Oregon. We believe that it is imperative that the

licensure requirements include sufficient education, training and work

experience to provide for protection of the public. However, the current

licensure rules have limited our ability recruit the best Polysomnographic

Technologists to OHSU. We support the Petition to Oregon Administrative

Rule 331-710-0050 put forth by Legacy Health in order to “allow licensure of

trained persons from other states who have the experience to be the sole

technologist in a smaller sleep lab, practicing without supervision”.

We ask that the Health Licensing Agency and The Respiratory Therapists and

Polysomnographic Technologist Licensing Board strongly consider amending

the rule to include the proposed addition of a licensing pathway for

out-of-state Polysomnographic Technologists who have the appropriate training,

School of Medicine Psychiatry

Sleep Disorders Program

Mail code CR139

3181 S.W. Sam Jackson Park Road Portland, OR 97239-3098 tel 503 494-0154 fax 503 346-6843 www.ohsu.edu/ Chad Hagen, MD Medical Director [email protected] James Blevins, RPSGT Program Director [email protected] Page 1 of 2

national certification and 3-5 years of recent work experience. These proposed changes will help bring of

the best, most experienced Polysomnographic Technologists to Oregon raising the profession which still

protecting the public with strong education and experience requirements.

Thank you for giving additional consideration to the licensure requirements for Polysomnographic

Technologists rules. Please contact me if you require additional clarification on a specific issue or would

like to discuss the content of this letter.

Sincerely,

James Blevins

Program Director

Public Comment on Petition to Amend Administrative Rule OAR

331-710-0050

As a credentialed polysomnograph technician (RPSGT, SDS) and a respiratory therapist (RRT) and a

former sleep lab manager, I oppose this amendment to the Administrative Rules governing

polysomnography. It just doesn’t make sense. It also takes jobs away from licensure eligible Oregonians

who are actively seeking work.

40 polysomnography technician graduates each year

The underlying issue in the proposal is a staffing shortage at one healthcare system, so they want to

recruit out-of state, ‘On The Job (OJT)’ trained polysomnography (sleep) techs. However, there are on

average 40 formally trained polysomnography technicians that graduate each year from Oregon and

Washington colleges (Linn-Benton, Oregon Institute of Technology and Highline Community College).

These 40 PSG grads are eligible for PSG licensure in Oregon. I understand that Linn-Benton sleep

students do clinical rotations through the requesting healthcare system, so their sleep labs have access

to recruit these PSG students. The real question that begs to be answered is ‘why can’t they recruit

from these 40 PSG graduates to meet their staffing needs?” (there are approx 60 sleep labs in the state

The State of Oregon should not be in the business of fixing one healthcare systems failures.

60-100 respiratory therapists available and actively looking to work

Additionally, there is a large pool of formally trained and unemployed respiratory therapists in the

Portland and surrounding communities. Best estimates show there are 150 graduates from Respiratory

Therapist programs in Oregon who meet licensure requirements in Oregon. These Oregon licensed

respiratory therapists already have been formally trained and are knowledgeable for 80% of tasks

required to perform sleep studies. These unemployed or per diem respiratory therapists are, under the

licensure act, eligible to work in sleep labs. There are at least 60, up to 100, formally trained and Oregon

licensed respiratory therapists anxious to work. Perhaps the requesting healthcare system is unaware

they could provide training to these unemployed RTs so they could meet their staffing needs. Their

approach is to recruit the unacceptable OJTs from out of state rather than commit to Oregonians in

need of jobs.

Cross Training Respiratory Therapists to work in Sleep Lab

As a former sleep lab manager, we trained respiratory therapists to perform diagnostic testing and

treatments (also known as titrations) in my sleep lab. For this letter, I interviewed a respiratory

therapist who was cross trained to work in a sleep lab this summer. Here are his thoughts on a RT cross

training to work in sleep lab.

“It’s been pretty easy for me (as a respiratory therapist) to make the transition (from RT to sleep tech).”

The diagnostic testing required new skill development such as EEG interpretation, software operation

and documentation.

“EEG interpretation was a little harder but it’s all just pattern recognition.”

“My understanding of respiratory disease in chart review has been helpful (in my training).”

“I would say my communication skills are the most important.” “Interacting with patients, so it’s the

soft skills that I developed as an RT that have been most helpful.”

Training included 2 weeks of EEG waveform pattern recognition plus 6 shifts with a lead sleep tech

caring for patients on night shift followed by 3 night shifts of testing only one patient (half a workload).

After this short training period, the respiratory therapist was performing sleep testing of a full workload.

In conclusion, this Rules Amendment should be denied because recruiting OJTs (on the job trained)

from out of state defeats the intent of the polysomnography licensure Act which was to prevent

inconsistently trained and often poorly trained sleep techs by upgrading the quality of the

polysomnography technicians by requiring formal education coupled with national credentialing. By

increasing the education requirements for polysomnography technicians the public is protected from

poorly trained and possibly dangerous sleep techs.

Date:

July 2, 2014

To:

Polysomnography Stakeholders

From:

Samie Patnode, Policy Analyst

Subject:

Petition to Amend Administrative Rule – OAR 331-710-0050

On June 6, 2014 the Health Licensing Office (HLO), on behalf of the Respiratory Therapist and

Polysomnographic Technologist Licensing Board, received a

Petition to Amend an Administrative Rule.

The

petition requests that HLO and the Board add a pathway five to OAR 331-710-0050 which would “

allow

licensure of trained persons from other states who have the experience to be the sole technologist in a

smaller sleep labs, practicing without supervision.”

According to ORS 183.390 HLO and Board are required, within 90 days of the receipt of the petition, to

either begin the rulemaking process or deny the petition request. However HLO and the Board must first

invite public comment

pursuant to ORS 183.390 and obtain information on any of the following factors:

•

Whether options exist for achieving the rule’s substantive goals in a way that reduces the negative

impact on businesses;

•

The continued need for the rule;

•

The nature of complaints or comments received concerning the rule;

•

The complexity of the rule;

•

The extent to which the rule overlaps, duplicates or conflicts with other state rules of federal

regulations and, to the extent feasible, with local government regulations; and

•

The degree to which technology, economic conditions or other factors have changed in the subject

area affected by the rule, and the statutory citation or legal basis for the rule

The public comment period will be open from July 2, 2014 through July 31, 2014. Comments received prior

to July 2 will not be considered by the Board and must be re-submitted. All comments can be submitted to:

Samie Patnode

Policy Analyst – Health Licensing Office

Oregon Health Authority

700 Summer St. NE, Ste 320

Salem, OR 97301-1287

Phone: (503) 373-1917

Fax: (503) 585-9114

[email protected]

After receiving public comment, the Board will decide whether to initiate rulemaking proceedings or deny

the petition. A meeting will be scheduled following the public comment period and appropriate notice will

be given to interested parties. If you have any question please let me know.

Health Licensing Office

700 Summer St. NE, Suite 320 Salem, Oregon 97301-1287 Telephone (503) 378-8667 FAX (503) 585-9114 E-Mail: [email protected] Web Site: www.Oregon.gov/OHLA

State of Oregon

Oregon Health Authority

Health Licensing Office

Respiratory Therapist and Polysomnographic Technologist Licensing Board

PETITION TO AMEND

ADMINISTRATIVE RULE

IN THE MATTER OF AMENDMENT

)

OF OAR 331-710-0050

)

NOTICE AND

)

INVITATION FOR

)

PUBLIC COMMENT

The Health Licensing Office (HLO) and Respiratory Therapist and Polysomnographic

Technologist Licensing Board (Board) received a Petition to Amend Administrative Rule

(attached as Exhibit A). In accordance with ORS 183.390, HLO and the Board invite public

comment on the rule.

Public comment is also invited on the proposed rule amendment and the information provided in

the Petition.

In accordance with ORS 183.390, the HLO and the Board specifically request public comment

on whether options exist for achieving the rule’s substantive goals in a way that reduces the

negative economic impact on businesses.

In reviewing this Petition in accordance with ORS 183.390, the Board will also consider the

following factors. HLO and the Board invite public comment on any of the following statutory

factors for its consideration:

(a) The continued need for the rule;

(b) The nature of complaints or comments received concerning the rule;

(c) The complexity of the rule;

(d) The extent to which the rule overlaps, duplicates or conflicts with other state rules or

federal regulations and, to the extent feasible, with local government regulations;

(e) The degree to which technology, economic conditions or other factors have changed

in the subject area affected by the rule; and

(f) The statutory citation or legal basis for the rule.

After receiving public comments, the Board will decide whether to initiate rulemaking

proceedings or deny the petition.

OHA NOTICE AND INVITATION

WRITTEN COMMENTS: This public comment period is open for written comments until 5

pm, July 31, 2014. Written public comments should be addressed to:

Samie Patnode

Health Licensing Office

700 Summer St. NE, Ste 320

Salem, OR 97301-1287

[email protected]

Dated this 2

_{day, of July, 2014.}

Signature on file with HLO

Holly Mercer

Director – Health Licensing Office

Respiratory Therapist and

Polysomnographic Technologist

Licensing Board

Oregon Health Authority

OHA NOTICE AND INVITATION

PROPOSED AMENDMENT TO OAR 331-710-0050

OAR 331-710-0050 is amended to read [new material in bold and underlined]:

Application Requirements for Polysomnographic Technologist License

(1) An individual applying for licensure to practice polysomnography must: (a) Meet the requirements of OAR chapter 331 division 30;

(b) Submit a completed application form prescribed by the Agency, containing the information listed in OAR 331-030-0000 and accompanied by payment of the required fees;

(c) Submit fingerprint-based national criminal background check pursuant to OAR 331-030-0004;

(d) Be at least 18 years of age, and must provide documentation, confirming date of birth, such as a copy of the birth certificate, driver's license or passport;

(e) Submit proof of having a high school diploma or equivalent;

(f) Submit current certification in cardiopulmonary resuscitation by an Agency approved provider; and (2) Submit documentation of qualification through one of the following pathways:

(a) License Pathway One Academic Degree: — An applicant under pathway one must:

(A) Submit official transcripts defined under OAR 331-705-0050 showing successful completion of an Associate’s degree in polysomnography, polysomnographic technology, or sleep technology from an accredited community college, college or university, or successful completion of a polysomnography course of study from a CAAHEP accredited institution. In addition to an official transcript defined under 331-705-0050 an applicant who has obtained education through a CAAHEP accredited institution must submit a statement, signed by the Registrar or a Dean of a college or university and sent directly to the Agency from that college or university, verifying the applicant has successfully completed a polysomnography course of study;

(B) Submit satisfactory evidence of passage a Board approved examination listed under OAR 331-712-0010(1) within two years before the date of application. Examination results must be submitted to the Agency directly from the examination provider; examination results or other documentation provided directly by the applicant are not acceptable;

(C) Submit examination fees;

(D) Submit satisfactory evidence of having passed the Board approved examination listed under OAR 331-712-0010(3) within two years before the date of application; and

(E) Submit licensing fees.

(b) License Pathway Two Polysomnographic Technologist Temporary Licensee: — An applicant under pathway two must applying for permanent licensure must:

(A) Submit documentation showing completion of 18 months of training and work experience pursuant to OAR 331-710-0110, obtained under polysomnographic technologist temporary-DS licensure (See 331-710-0060) and temporary-IS licensure (See 0080), including verification by an approved supervisor pursuant to 331-710-0100, and certification of successful completion and satisfactory performance of such experience by a qualified medical director for polysomnography, all on forms provided by the Agency;

(B) Submit satisfactory evidence of passage of a Board approved examination listed under OAR 331-712-0010(1) or (2) within two years before the date of application. Examination results must be submitted to the Agency directly from the examination provider; examination results or other documentation provided directly by the applicant are not acceptable;

(C) Submit examination fees;

(D) Submit satisfactory evidence of having passed the Board approved examination listed under OAR 331-712-0010(3) within two years before the date of application; and

(E) Submit licensing fees.

(c) License Pathway Three Reciprocity: — An applicant under pathway three must:

(A) Submit an affidavit of licensure pursuant to OAR 331-030-0040, from every state where the applicant has been licensed as a polysomnographic technologist, including an affidavit of licensure demonstrating proof of a current polysomnographic technologist license from another state, obtained through qualifications substantially equivalent to Oregon’s requirements. At least one of the applicant’s out-of-state licenses must be active and all of the applicant’s out-of-state licenses must not be subject to current or pending disciplinary action, and must be free from disciplinary history for three years before the date of application for Oregon polysomnographic licensure;

(B) Submit satisfactory evidence of having passed the Board approved examination listed under OAR 331-712-0010(3) within two years before the date of application; and

(C) Submit licensing fees.

(d) License Pathway Four Endorsement: An applicant may qualify for licensure by endorsement if the applicant holds a qualifying professional credential in another field. An applicant under pathway four must:

(A) Submit an affidavit of licensure pursuant to OAR 331-030-0040 demonstrating proof of a current license, which is active with no current or pending disciplinary action, and no disciplinary history for the three years before the date of application for Oregon polysomnographic licensure, as a:

(B) Physician (Doctor of Medicine or Doctor of Osteopathy) licensed under ORS Chapter 677;

(C) Respiratory therapist licensed under ORS chapter 688 with the RPSGT credential from the BRPT; or (D) CRT or RRT who holds a Sleep Disorder Specialty credential through NBRC;

(E) Submit examination fees;

(F) Submit satisfactory evidence of having passed the Board approved examination listed under OAR 331-712-0010(3) within two years before the date of application; and

(G) Submit licensing fees.

(e) License Pathway Five Experience and Training: To qualify for licensure by experience and training an applicant must:

(A) Submit documentation showing three years of work experience within the previous five years as a polysomnographic technologist;

(B) Submit a certificate of completion for the AASM A-STEP Self Study Modules, or official transcripts defined under OAR 331-705-0050 showing successful completion of an Associate’s degree in

polysomnography, polysomnographic technology, or sleep technology from an accredited community college, college or university, or successful completion of a polysomnography course of study from a CAAHEP accredited institution.

(C) Submit satisfactory evidence of passage a Board approved examination listed under OAR 331-712-0010(1). Examination results must be submitted to the Agency directly from the examination provider; examination results or other documentation provided directly by the applicant are not acceptable; and

(D) Submit licensing fees.