700 Summer St NE, Suite 320

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1 HEALTH LICENSING OFFICE WHO: John A. Kitzhaber, M.D., Governor 700 Summer St NE, Suite 320 Salem, OR Phone: (503) Fax: (503) 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 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 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 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) 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.

2 Health Licensing Office Respiratory Therapist and Polysomnographic Technologist Licensing Board 9am, Friday, August 1, 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. For the most current information visit

3 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 oneyear 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 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 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. 1

4 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, 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 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 samie.patnode@state.or.us. Work: (503) DRAFT 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

5 Providence Health & Services 4400 N.E. Halsey St., Building 2 Suite 599 Portland, OR July 10, 2014 Samie Patnode Policy Analyst Health Licensing Office Oregon Health Authority 700 Summer St. NE, Ste 320 Salem, OR 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 , 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 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.

6 June 4, 2014 Re: Polysomnographic Technologist licensing rules Page 2 (C) Submit satisfactory evidence of passage of a Board approved examination listed under OAR (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 Providence Health & Services Oregon

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9 0 Salem Health Salem Health P.O. Box Salem, Oregon salemhealth.org July 23, 2013 Holly Mercer Director Oregon Health Authority 700 Summer St NE, Ste 320 Salem, OR 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 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 , 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 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 (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.

10 0 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

11 July 31, 2014 Submitted Electronically Samie Patnode, Policy Analyst Health Licensing Office, Oregon Health Authority 700 Summer Street NE, Suite 320 Salem, OR RE: Proposed Administrative Rule Change to 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

12 July 31, 2014 School of Medicine Psychiatry Sleep Disorders Program Mail code CR S.W. Sam Jackson Park Road Portland, OR tel fax Chad Hagen, MD Medical Director James Blevins, RPSGT Program Director Holly Mercer, Director Respiratory Therapists and Polysomnographic Technologists Licensing Board Oregon Health Licensing Agency 700 Summer Street, Suite 320 Salem, Oregon 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 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-ofstate Polysomnographic Technologists who have the appropriate training, Page 1 of 2

13 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 Page 2 of 2

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15 Public Comment on Petition to Amend Administrative Rule OAR 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 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.

16 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. Joe Dwan, MS Ed, RRT-SDS, RPSGT

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21 Date: July 2, 2014 Health Licensing Office 700 Summer St. NE, Suite 320 Salem, Oregon Telephone (503) FAX (503) Web Site: To: From: Polysomnography Stakeholders Samie Patnode, Policy Analyst Subject: Petition to Amend Administrative Rule OAR 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 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 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 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, 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 Phone: (503) Fax: (503) Samie.patnode@state.or.us 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.

22 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 ) 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 , 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 , 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 , 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 FOR PUBLIC COMMENT 1

23 WRITTEN COMMENTS: This public comment period is open for written comments until 5 pm, July 31, Written public comments should be addressed to: Samie Patnode Health Licensing Office 700 Summer St. NE, Ste 320 Salem, OR Samie.patnode@state.or.us Dated this 2 nd day, of July, 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 FOR PUBLIC COMMENT 2

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26 PROPOSED AMENDMENT TO OAR OAR 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 and accompanied by payment of the required fees; (c) Submit fingerprint-based national criminal background check pursuant to OAR ; (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 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 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 (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 (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: 1 PROPOSED AMENDMENT TO OAR

27 (A) Submit documentation showing completion of 18 months of training and work experience pursuant to OAR , obtained under polysomnographic technologist temporary-ds licensure (See ) and temporary-is licensure (See ), including verification by an approved supervisor pursuant to , 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 (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 (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 , 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 (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 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 (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: 2 PROPOSED AMENDMENT TO OAR

28 (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 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 (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. 3 PROPOSED AMENDMENT TO OAR

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