While I can understand that a price increase is necessary, as $20 to renew each year is somewhat low, an increase to $115 is a bit extreme.  It's as if the Board is trying to make up for lost time in one fell swoop.  Requiring a license to dispense hearing aids is a fantastic way for the Commonwealth to make money, don't get me wrong.  And, after all, all the states are doing it (well, most of them)!  But to require people to pay 475% more?  C'mon guys, don't you have other specialties that require state licenses that can pick up the slack?