IHS Hearing Aid Dispensing Laws and Regulations

Question 1

Under FDA regulations, which of the following is required before dispensing a hearing aid to an adult patient?

Accepted Answer

A medical evaluation by a licensed physician or a signed waiver

Answer

FDA regulations require that adults receive a medical evaluation by a licensed physician within six months prior to purchasing a hearing aid, OR sign a written waiver indicating they are aware of this recommendation but choose to waive the medical examination. Adults (18+) may waive this; the waiver option does not apply to children under 18.

Question 2

According to FTC regulations, what is the MINIMUM trial period a hearing aid dispenser must offer to consumers?

Accepted Answer

30 days

Answer

The FTC's Cooling-Off Rule, as applied to hearing aid sales, and many state laws require a minimum 30-day trial (return) period. During this period, consumers may return the hearing aid for a refund, though dispensers may deduct a specified restocking or fitting fee.

Question 3

The FDA classifies hearing aids as which type of medical device?

Accepted Answer

Class II (Special Controls)

Answer

Hearing aids are FDA Class II medical devices, subject to Special Controls including performance standards and labeling requirements. They require 510(k) premarket notification (demonstrating substantial equivalence to a predicate device) but not the more stringent Premarket Approval (PMA) required for Class III devices.

Question 4

Which of the following statements about over-the-counter (OTC) hearing aids, established under the 2022 FDA rule, is CORRECT?

Accepted Answer

OTC hearing aids are intended for adults with perceived mild-to-moderate hearing loss and can be purchased without a professional fitting

Answer

The 2022 FDA OTC hearing aid rule created a new regulatory category allowing adults 18+ with perceived mild-to-moderate hearing loss to purchase hearing aids directly without a prescription, exam, or professional fitting. They are Class II devices. They are NOT intended for severe or profound loss, and they are not suitable for children.

Question 5

A hearing instrument specialist is required to keep patient records for a minimum period under most state laws. Which record is MOST critical to retain in the patient file?

Accepted Answer

A copy of the signed medical waiver or physician's clearance

Answer

A signed medical waiver (or documentation of physician clearance) is a regulatory requirement under FDA rules and is the most legally critical document in the patient file. Without it, dispensing a hearing aid to an adult who did not receive a medical evaluation constitutes a violation of federal law.

IHS - International Hearing Society Practice Test

IHS - International Hearing Society Practice Test

IHS Hearing Aid Dispensing Laws and Regulations