Unlicensed, Unclear, and Untamed: The SLPA Regulation Mess

Fix SLP: Advocacy & Accountability in Speech-Language Pathology

SLPAs are everywhere, but are states ready for them? From total chaos to silent overreach, this episode examines the regulatory mess that’s leaving clinicians confused and patients at risk. Dr. Jeanette Benigas, SLP, and Elizabeth Nielsen, MA/SLP, question the shocking inconsistencies in SLPA and SLP aide requirements across the U.S.—from untrained aides treating medically fragile patients to CCC-tethered supervision rules that sneak ASHA back into the mix.

We’re talking state policy, gatekeeping, and what happens when no one’s steering the ship. Whether you're supervising, working alongside, or are an SLPA, this episode pulls back the curtain on what’s broken—and what Fix SLP suggests doing about it. You’ll also hear about our 50-state SLPA regulation spreadsheet and how you can help shape what’s next.

This is the episode your licensing board hopes you never hear.

Visit fixslp.com to access the SLPA regulation spreadsheet, or record your own Minivan Meltdown.

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Want to lead or join your state team? Email your name and state to [email protected].
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