ASHA & SLP News
Live updates on ASHA regulations, conventions & conferences, state licensure changes, federal laws, billing rules, and SLP advocacy — refreshed daily.
200 articles
CMS Revises Definition of SLP for Part B Services
CMS updated the definition of a qualified speech-language pathologist for outpatient (Part B) services within the Medicare Benefit Policy Manual. This change has significant implications for the billing and practice status of provisional licensees, including those in their clinical fellowship year.
Call for Peer Review of Proposed Revisions to ASHA's Speech-Language Pathology Certification Standards
The Council for Clinical Certification in Audiology and Speech-Language Pathology (CFCC) initiated a peer review process for proposed updates to the CCC-SLP certification standards. These standards are designed to ensure that certified speech-language pathologists maintain the necessary entry-level knowledge and professional expertise.
CMS Expands Patient Consent Policy for Caregiver Training
The Centers for Medicare & Medicaid Services (CMS) updated its policy to allow clinicians to obtain verbal consent from patients or their representatives for caregiver training sessions conducted without the patient present. This consent must be documented in the medical record to ensure compliance with Medicare billing requirements.
AMA Releases 2026 CPT Codebook With New Hearing Device Services Codes
The American Medical Association released the 2026 CPT codebook, which includes new codes for hearing device services. These updates are part of the ongoing evolution of billing and reimbursement standards for audiology and speech-language pathology services.
ASHA Support to Virginia Regarding HB 2040 SLPAs
ASHA expressed formal support for Virginia HB 2040, which authorizes the licensure of speech-language pathology assistants. ASHA recommended that supervision ratios and requirements be clearly defined via regulation to ensure appropriate practice standards.
CMS Finalizes Policy Updates for the 2026 Medicare Advantage Contract Year
CMS issued a final rule updating policy requirements for Medicare Advantage plans for the 2026 contract year. The rule, which took effect January 1, 2026, did not address many of ASHA's concerns regarding unreasonable utilization management techniques like prior authorization.
CMS Proposes FY 2027 Payment Policies for Acute and Post-Acute Care Settings
The Centers for Medicare & Medicaid Services (CMS) released proposed payment policies for fiscal year 2027 regarding acute and post-acute care settings. ASHA continues to monitor these developments to assess the potential impact on speech-language pathology reimbursement.
Idaho Governor Proposes 2027 Medicaid Budget Cuts
In early 2026, ASHA reported that Idaho Governor Brad Little proposed a 2027 Medicaid budget that would eliminate coverage for adult audiology and all speech therapy services. ASHA is actively engaged in advocacy efforts to oppose these potential cuts and protect patient access to care.
President Signs Major Health and Education Law With Sweeping Changes
In July 2025, the President signed the One Big Beautiful Bill Act (OBBBA) into law, which introduces significant changes to federal programs like Medicaid and the Affordable Care Act. While the law includes deep cuts to some programs, it also provides a one-year 2.5% increase in Medicare payment rates for 2026.
ASHA Support Letter to Georgia on Medicaid
ASHA submitted a formal request to Georgia state officials to increase the Medicaid reimbursement rate for CPT code 92507. The proposal seeks to align state rates with the 2025 Medicare Atlanta market rate to ensure sustainable access to services.
CY 2026 Therapy Services Updates
CMS released updates for the 2026 calendar year, including a new KX modifier threshold of $2,480 and the addition of three new remote therapeutic monitoring (RTM) codes. The update also reflects legislative extensions for PT, OT, and SLP telehealth services under the Consolidated Appropriations Act, 2026.
ASHA to Congress: Eliminate Outdated Payment Policy That Hurts Patients and Providers
ASHA and a coalition of therapy providers are urging Congress to end the Multiple Procedure Payment Reduction (MPPR) policy. This policy currently applies a 50% reduction to the practice expense of second and subsequent CPT codes for therapy services provided on the same day under Medicare Part B.
2025–2026 ASHA Public Policy Agenda
ASHA released its 2025–2026 Public Policy Agenda, which outlines strategic priorities for the profession including payment and coverage, service delivery access, and workforce development. The agenda focuses on protecting payment rates, expanding telehealth coverage, and navigating complex billing and coding challenges.
2026 ASHA Convention: Envisioning Possibilities
The 2026 ASHA Convention is scheduled for November 19–21 at the Indiana Convention Center in Indianapolis. The event serves as a major professional development summit, featuring the Opening General Session and various sessions focused on the future of the speech, language, and hearing professions.
ASHA Support Letter to Rhode Island on SB 471, SLPAs
ASHA provided comments regarding Rhode Island Senate Bill 471, which proposes the registration of speech-language pathology assistants. The bill also seeks to remove the ASHA Certificate of Clinical Competence (CCC) as a requirement for license renewal.
Interstate Compact Begins Issuing Compact Privileges
The Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC) Commission officially launched the CompactConnect data system. Louisiana and West Virginia became the first states to begin issuing practice privileges to eligible audiologists and speech-language pathologists.
2026 ASHA Convention Location and Dates
The 2026 ASHA Convention is scheduled to take place from November 19–21, 2026. The event will be held at the Indiana Convention Center in Indianapolis, Indiana.
ASHA Support Letter to Kansas on Licensing SLPAs (HB 2761)
ASHA issued a formal letter of support for Kansas House Bill 2761, which seeks to establish licensure for speech-language pathology assistants (SLPAs). The bill includes provisions for recognizing the ASHA C-SLPA certification as a standard for practice.
ASHA Letter to Kaiser Permanente on Access to Medically Necessary Services
ASHA addressed concerns regarding limited access to in-network pediatric speech-language pathology services for Kaiser Permanente beneficiaries in California. The letter highlights that waitlists and authorization limitations prevent patients from receiving timely, medically necessary care.
Speech-Language Pathology CPT and HCPCS Code Changes for 2025
New Medicare-specific G-codes for caregiver training services were introduced effective January 1, 2025. Additionally, CMS expanded policy to allow clinicians to obtain verbal consent from patients or representatives for caregiver training sessions conducted without the patient present.
ASHA Support Letter to Arizona Regarding SLPA Regulations
ASHA submitted a formal letter to the Arizona Department of Health Services supporting proposed regulations for speech-language pathology assistants (SLPAs). The recommendations include utilizing ASHA certification as a licensure pathway and clarifying supervision requirements.
Virginia Regulatory Reduction: Removal of ASHA CCC Requirement
The Virginia Board of Audiology & Speech-Language Pathology reviewed proposals to remove the requirement for state-licensed SLPs to hold the ASHA Certificate of Clinical Competence (CCC). Public comments reflected a debate regarding whether the CCC should remain a mandatory component for state licensure.
CMS Reaffirms and Clarifies Speech Therapist Qualifications to Furnish Medicare Part B Services
The Centers for Medicare and Medicaid Services (CMS) issued a clarification regarding the qualification requirements for SLPs providing outpatient therapy under Medicare Part B. This update resolves confusion stemming from previous technical changes to Medicare Benefit Policy language.
ASHA Opposes Utah Plan to Replace Licensure With Certification
Utah's Office of Professional Licensure Review has proposed a plan to downgrade the regulation of speech-language pathologists and audiologists. ASHA has formally expressed opposition to this plan, which would replace state licensure with a certification model.
Louisiana and West Virginia Become First States to Issue Interstate Compact Privileges
The Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC) Commission officially launched its CompactConnect data system. Louisiana and West Virginia became the first states to begin issuing practice privileges to eligible speech-language pathologists and audiologists.
The Latest on Licensure: Federal & State Cross-State Telehealth Policies
A November 2025 report highlights the ongoing challenges of cross-state telehealth licensure for healthcare providers. While state-level regulation remains the standard, there is growing discussion regarding a national approach to licensure to reduce variance in telehealth allowances.
2026 Notice of Proposed Rule Change – Supervision of SLP-Assistants
The North Carolina Board of Examiners for Speech-Language Pathologists and Audiologists issued proposed rule changes in 2026 regarding the supervision of speech-language pathology assistants. These updates follow ongoing advocacy efforts to address staffing shortages and demand for services in the state.
Congress Extends Medicare Telehealth Authority Through September
In March 2025, Congress passed the Full-Year Continuing Appropriations and Extensions Act, which extended the authority for audiologists and speech-language pathologists to provide telehealth services to Medicare beneficiaries through September 30, 2025. ASHA continues to advocate for permanent Medicare telehealth authority for these providers.
CMS Reverses Its Interpretation of a Qualified SLP: Clinical Fellows Cleared to Bill Medicare
The Illinois Speech-Language-Hearing Association reported a significant policy shift regarding Medicare billing. Clinical Fellows are now cleared to bill Medicare, marking a major update in insurance and billing regulations for early-career professionals.
Highlights from the 2025 ASHA Convention: Envisioning the Next 100 Years
The 2025 ASHA Convention featured leadership development and strategic discussions, including the Council of State Association Presidents (CSAP) meeting. The event focused on future innovations in the field and recognized outstanding contributions through the Honors of the Association awards.
2025 Call for Peer Review of Proposed Revisions to ASHA's Speech-Language Pathology Certification Standards
The Council for Clinical Certification in Audiology and Speech-Language Pathology (CFCC) initiated a widespread peer review process for proposed revisions to the CCC-SLP certification standards. The review aimed to ensure that certification requirements continue to reflect the necessary entry-level knowledge and skills for quality service delivery.
Interstate Compact Releases Draft Implementation Rules
The Audiology & Speech-Language Pathology Interstate Compact Commission (ASLP-ICC) has released proposed rules for public comment to clarify and support consistent administration of the compact. Licensed professionals are invited to submit feedback by June 9, 2026, as the compact continues to expand licensure portability across 37 jurisdictions.
CMS Reverses Interpretation of Qualified SLP for Medicare Billing
The Centers for Medicare & Medicaid Services (CMS) has reversed its previous interpretation, now allowing Clinical Fellows to bill for Medicare services. This update represents a significant shift in billing policy for early-career speech-language pathologists.
ASHA Support Letter for Kansas HB 2761 Regarding SLPA Licensing
ASHA submitted a formal letter of support for Kansas House Bill 2761, which seeks to establish licensure for speech-language pathology assistants (SLPAs). The bill includes provisions for recognizing the ASHA C-SLPA certification as a standard for professional practice in the state.
ASHA 2025-2026 Public Policy Agenda
ASHA has released its 2025-2026 Public Policy Agenda, which focuses on securing comprehensive insurance coverage and expanding telehealth services. The agenda aims to address billing, coding, and practice management challenges while advocating for payment parity for SLP services.
2026 ASHA Convention Dates and Location
The 2026 ASHA Convention is scheduled to take place from November 19–21, 2026. The event will be held at the Indiana Convention Center in Indianapolis, Indiana.
Florida Senate Bill 922 Proposes Expanded Telehealth Coverage for Speech Therapy
Florida Senate Bill 922, filed for the 2026 legislative session, seeks to explicitly authorize habilitative and rehabilitative speech therapy services to be rendered via telehealth. The bill aims to clarify that these services are equivalent to in-person care for insurance and regulatory purposes within the state.
Louisiana Becomes Operational Under ASLP-IC for Telepractice
Louisiana officially became operational under the Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) on October 28, 2025. This allows licensed SLPs in the state to obtain a privilege to practice in other member states, facilitating easier cross-state telepractice and reducing administrative burdens.
CMS Excludes Clinical Fellows From Medicare Part B Provider Definition
The Centers for Medicare & Medicaid Services (CMS) updated the Medicare Benefit Policy Manual to redefine qualified Speech-Language Pathologists, excluding those with provisional licensure. This change prevents Clinical Fellows (CFYs) and those in their Required Professional Experience (RPE) period from being recognized as qualified Medicare Part B providers.
Medicare Telehealth Flexibilities Extended Through 2027 for SLPs
Federal legislation has authorized an extension of Medicare telehealth flexibilities, allowing speech-language pathologists to continue providing and billing for remote services through December 31, 2027. This extension prevents a policy cliff that would have otherwise restricted access to virtual care for Medicare beneficiaries.
Texas Proposes Rule Changes for Speech-Language Pathology Assistant Supervision
The Texas Department of Licensing and Regulation proposed rule changes in May 2025 to update supervision requirements for speech-language pathology assistants. The proposal includes the repeal of the Clinical Deficiency Plan to clarify and streamline the path for assistants practicing in the state.
California SB 1368 Proposes Revisions to Continuing Education Provider Requirements
California Senate Bill 1368, introduced for the 2025-2026 session, proposes revisions to the list of authorized continuing education providers for speech-language pathologists. The bill would expand recognized providers to include the California Speech-Language-Hearing Association and the American Medical Association.
CMS Reverses Interpretation to Allow Clinical Fellows to Bill Medicare Part B
The Centers for Medicare & Medicaid Services (CMS) reversed its interpretation of the term "licensed" to include provisional and temporary licensees. This advocacy win allows Clinical Fellows (CFs) to be recognized as qualified Medicare providers and bill for Part B outpatient services.
Minnesota Implements Mandatory State Licensure for Speech-Language Pathology Assistants
Effective July 1, 2025, the Minnesota Department of Health implemented mandatory state licensure for all Speech-Language Pathology Assistants (SLPAs). This regulatory change requires all current and prospective SLPAs to obtain licensure to practice legally under the supervision of licensed SLPs.
Region 4 Speech-Language Pathology Conference 2026
The Region 4 Education Service Center will host a one-day speech-language pathology conference on November 6, 2026, in McKinney, Texas. The event focuses on practical strategies and evidence-based practices for professionals supporting school-aged students.
Arizona Speech-Language-Hearing Association 2026 Convention
The Arizona Speech-Language-Hearing Association (ArSHA) has scheduled its annual convention for March 27–28, 2026. The event provides a platform for SLPs, assistants, and students to engage in professional learning and networking within the state.
Medicare Telehealth Flexibilities for Speech Therapy Extended
Medicare telehealth flexibilities for speech-language pathology services have been officially extended through January 30, 2026. This regulatory update ensures continued access to remote care options for patients receiving speech therapy services.
2026 ASHA Convention Details for Indianapolis
The American Speech-Language-Hearing Association has officially scheduled its 2026 annual convention for November 19–21 at the Indiana Convention Center. This event serves as a major gathering for communication sciences and disorders professionals, with registration expected to open in August 2026.
California Enacts AB 45 to Protect Health Data Privacy
Governor Newsom signed AB 45 into law, establishing new privacy protections for personal health data and geolocation information. The California Speech-Language Pathology and Audiology Board is monitoring the implementation of these regulations for the 2025-2026 session.
Arizona Speech-Language-Hearing Association Sets 2025 Convention Dates
The Arizona Speech-Language-Hearing Association (ArSHA) will hold its annual convention on April 11–12, 2025, in Tempe. The event focuses on professional learning and recruitment, connecting hundreds of SLPs and students with state-level clinical updates.
New 2026 CPT Codes to Expand Remote Therapeutic Monitoring for SLPs
Starting January 1, 2026, updated CPT codes will officially expand access to Remote Therapeutic Monitoring (RTM) for speech-language pathology services. This change allows clinicians to bill for digital health services that monitor patient respiratory and musculoskeletal status related to therapy.
ASHA Announces 2026 Convention Dates for Indianapolis
The American Speech-Language-Hearing Association has officially scheduled its 2026 Convention for November 19–21 at the Indiana Convention Center. This premier event will bring together thousands of professionals for education and networking, with registration opening in August 2026.
California Implements New Hearing Aid Advertising Regulations for 2025
Effective April 1, 2025, the California Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board requires all licensees to comply with updated regulations regarding advertising for the practice of fitting hearing aids. These changes are part of the 2025-2026 legislative cycle aimed at improving consumer transparency.
Medicare Updates Definition of Speech-Language Pathologist to Include Clinical Fellows
Following extensive advocacy by ASHA, the Centers for Medicare & Medicaid Services (CMS) reversed a policy in July 2025 that previously excluded provisional licensees from being recognized as qualified providers. This update ensures that clinical fellows (CFs) are recognized as qualified Medicare providers for Part B outpatient services.
Indianapolis to Host 2026 ASHA Annual Convention
The Indiana Convention Center will host the 2026 ASHA Convention from November 19–21, 2026, in Indianapolis. The event is expected to draw approximately 15,000 attendees and feature over 2,500 sessions covering the latest research and clinical techniques in speech-language pathology.
2025 ASHA Convention: Envisioning the Next 100 Years in Washington, D.C.
The 2025 ASHA Convention is scheduled for November 20–22 at the Walter E. Washington Convention Center in Washington, D.C. This centennial event marks 100 years of the association's work in championing the science and practice of communication disorders.
ASHA Advocate: Act Now as Budget Battle Shifts Into Senate
ASHA mobilized members to advocate against harmful provisions in federal legislation that threatened funding for Medicare and Medicaid programs. The association emphasized the need to protect access to audiology and speech-language pathology services during ongoing budget negotiations.
Current Legislative Updates and Board Legislative Positions
The California Speech–Language Pathology and Audiology and Hearing Aid Dispensers Board tracked various legislative items during the 2025–2026 session. This included the approval of AB 45, which addresses privacy and health data protections for individuals at specific locations.
The Telehealth Policy Cliff: Preparing for October 1, 2025
As of late 2025, providers faced a significant 'policy cliff' regarding the expiration of pandemic-era telehealth flexibilities. The uncertainty surrounding these federal authorizations prompted intense advocacy from organizations like ASHA to ensure continued access to remote speech-language pathology services.
Medicare Telehealth Flexibilities for Physical, Occupational, and Speech Therapy
The U.S. House and Senate passed HR 7148, which extends temporary Medicare telehealth flexibilities for speech-language pathologists and other therapists through December 31, 2027. This legislation ensures that clinicians can continue to provide services via telehealth in all areas of the country.
2026 State Legislative Update: Mid-Year Highlights for ASHA Members
ASHA's State Affairs team provided a mid-year overview of 2026 legislative activity across the country. The report highlights key policy developments, regulatory changes, and their potential impacts on the speech-language pathology profession.
ASHA Comments to North Carolina on SLPA Regulations
ASHA submitted formal comments regarding proposed North Carolina regulations for speech-language pathology assistants (SLPAs). The association recommended moving from a registration model to a formal licensure model to align with standards in many other states.
Commission Adopts Rules for Texas Speech-Language Pathologists and Audiologists
The Texas Commission of Licensing and Regulation adopted amendments to existing rules under the Texas Administrative Code, Chapter 111. These changes impact various subchapters governing the practice of speech-language pathology and audiology in the state.
Navigating 2025: Roadmap for Speech-Language Pathology Coding and Billing Success
ASHA’s Health Care Economics Committee has released updated guidance for SLPs to navigate the 2025 landscape of ICD-10 and CPT coding. The roadmap addresses key issues in reimbursement, private practice management, and Medicare compliance to ensure clinicians are prepared for billing changes.
California Board Announces Regulatory Changes to License Processing Times for 2026
The California Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board will move application processing time disclosures from formal regulations to its official website starting January 1, 2026. This shift aims to provide more dynamic updates to applicants while the board also monitors new 2025 legislation impacting the profession.
Medicare Updates Definition of Speech-Language Pathologist in Benefit Policy Manual
The Centers for Medicare and Medicaid Services (CMS) has updated the official definition of a speech-language pathologist within its Benefit Policy Manual following advocacy efforts. This change follows a reversal of previous language and involves ongoing meetings between ASHA and CMS staff to ensure accurate professional representation.
Advocacy Recap: 2025 Review and 2026 Outlook
ASHA provided a summary of its 2025 advocacy efforts, highlighting the extension of Medicare telehealth authority and ongoing work regarding student loan definitions for professional degrees. The organization continues to monitor federal and state policy implementation to protect access to speech-language pathology services in 2026.
Summary of Proposed Rule Changes for Speech-Language Pathology Assistants
The Texas Department of Licensing and Regulation proposed rule changes to repeal the Clinical Deficiency Plan for speech-language pathology assistants. The update aims to clarify and streamline supervision requirements for assistants practicing in the state.
SB 1368: Speech-language pathologists, audiologists, and hearing aid dispensers
This California legislative bill for the 2025-2026 session includes provisions for the issuance of a retired license for speech-language pathologists upon payment of a $75 fee. The bill is part of ongoing state-level regulatory updates affecting professional licensure requirements.
Medicare Updates Definition of Speech-Language Pathologist in Its Benefit Policy Manual
The Centers for Medicare & Medicaid Services (CMS) updated the Medicare Benefit Policy Manual to revise the definition of a qualified speech-language pathologist for Part B services. Following ASHA advocacy, CMS reversed an interpretation that would have excluded provisional licensees and clinical fellows from being recognized as qualified Medicare providers.
Arizona Becomes 35th State to Adopt Audiology and SLP Interstate Compact
Governor Katie Hobbs signed SB 1075 into law, officially adopting the Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) in Arizona. This move facilitates license portability and increases access to care by allowing SLPs to practice across state lines in participating jurisdictions.
Advocacy Win: Utah Professional Licensure Protected for SLPs
ASHA successfully advocated against proposed Utah legislation that would have replaced professional licensure with a mandatory state certification program. Following written comments and member action, the draft bill was amended in November 2025 to remove speech-language pathologists and audiologists from the proposed changes.
CMS Reverses Interpretation to Allow Clinical Fellows to Bill Medicare
Following advocacy efforts by ASHA and state associations, the Centers for Medicare & Medicaid Services (CMS) updated its policy to recognize provisional state licenses. This change allows Clinical Fellows (CFs) to provide care to Medicare beneficiaries and bill for services, aligning federal policy with state licensing requirements.
Telehealth Modernization Act Introduced to Extend Medicare Coverage for SLPs
Representatives Buddy Carter and Debbie Dingell introduced H.R. 5081, the Telehealth Modernization Act, to provide a two-year extension of Medicare telehealth authority. This legislation is critical to ensuring that speech-language pathologists can continue providing services to Medicare beneficiaries via telehealth beyond the September 2025 expiration.
California Speech-Language Pathology Board Issues 2026 Legislative Updates
The California Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board released its 2025-2026 legislative updates as of July 17, 2026. The report outlines the board's positions on active state bills and regulatory changes impacting the scope of practice for SLPs in California.
Arizona Speech-Language-Hearing Association 2025 Convention Focuses on Recruitment
The Arizona Speech-Language-Hearing Association (ArSHA) will hold its annual convention on April 11–12, 2025, in Tempe, Arizona. The event features a major recruitment initiative by the Arizona Department of Education to fill speech-language pathology positions across the state's school districts.
Bernadette Mayfield-Clarke Takes Office as 2025 ASHA President During Centennial Year
Bernadette Mayfield-Clarke has begun her term as the 2025 President of ASHA, coinciding with the association's 100th anniversary celebration. Her leadership agenda focuses on transformative changes in technology and automation while fostering collaborative, diverse workplace communities for speech and hearing professionals.
Arizona Becomes 35th State to Adopt Audiology & Speech-Language Pathology Interstate Compact
Governor Katie Hobbs signed SB 1075 into law, officially making Arizona a member of the Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC). This legislation facilitates multistate practice for SLPs and audiologists, significantly improving professional mobility and patient access to telepractice services.
CMS Reverses Interpretation to Include Provisional Licensees as Medicare Providers
Following extensive advocacy by ASHA and its members, the Centers for Medicare & Medicaid Services (CMS) reversed a policy that would have excluded clinical fellows and provisional licensees from being recognized as qualified Medicare providers. This update ensures that SLPs in their clinical fellowship year remain eligible to provide services under Medicare Part B.
ASHA Announces Dates and Locations for 2025 and 2026 Annual Conventions
The 2025 ASHA Convention is scheduled for November 20–23 in Washington, D.C., at the Walter E. Washington Convention Center. The 2026 event will follow in Indianapolis, Indiana, from November 19–21 at the Indiana Convention Center, continuing the tradition of providing over 2,500 educational sessions for SLPs and audiologists.
California SLP Board Implements New Continuing Education and Supervision Rules for 2025-2026
Effective January 1, 2025, the California Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board has doubled the allowable self-study hours for license renewal, now permitting SLPs to complete 12 of their 24 required units via non-live recorded coursework. Legislative changes for 2026 also clarify supervised clinical experience requirements and prohibit the use of graduate-level master's coursework to satisfy continuing professional development requirements for assistants.
2026 Medicare Physician Fee Schedule Final Rule Introduces Productivity Cuts to SLP Evaluations
The Centers for Medicare & Medicaid Services (CMS) finalized the 2026 Physician Fee Schedule (PFS), which includes a new permanent -2.5% "efficiency adjustment" to work relative value units (RVUs) for non-time-based services, such as initial speech-language evaluations. While a temporary 2.5% payment boost from Congress helped mitigate immediate conversion factor drops, SLPs face ongoing downward pressure on reimbursement and must await further legislative action for permanent telehealth reimbursement authority.
TDLR Proposes Rule Changes for Speech-Language Pathologists and Assistants
The Texas Department of Licensing and Regulation (TDLR) has proposed significant rule updates for 2026, including the elimination of the requirement for SLP assistant applicants to submit clinical hour verification directly to the state board; instead, verification must be provided to the supervisor after the license is issued. Additionally, the department is repealing the "Provisional Licensee" category and mandating human trafficking prevention training for all SLP and audiology renewals starting in late 2025.
Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) Moves to Active Implementation
As of mid-2026, the ASLP-IC has officially transitioned from a legislative effort to an operational tool, with states including Ohio, Louisiana, West Virginia, and Tennessee actively issuing "privileges to practice." The CompactConnect data system, which launched in late 2025, now allows eligible SLPs in participating states to apply for multi-state practice authority for a $50 fee per state, significantly reducing the administrative burden for travel therapists and telepractitioners.
Expansion of Medicare Caregiver Training Services (CTS) Codes for SLPs
Starting in 2025 and reinforced in the 2026 billing guidelines, SLPs can now bill for Caregiver Training Services (CTS) using HCPCS codes G0541, G0542, and G0543 without the patient present. CMS updated its policy to allow for verbal consent from the patient or their representative (documented in the medical record) and clarified that these codes are "sometimes therapy" codes when provided under a speech-language pathology plan of care.
North Carolina Medicaid Restores Speech Therapy Rates for 2026
The North Carolina Department of Health and Human Services (NCDHHS) officially reversed a series of Medicaid reimbursement rate reductions that had previously cut SLP payments by 3% to 10%. Effective January 2026, the state restored fee schedules to their higher 2025 levels and implemented a systematic claim reprocessing plan to compensate providers who were underpaid during the transition period in late 2025.
CMS Finalizes 2026 Medicare Physician Fee Schedule and Conversion Factor Increase
The Centers for Medicare & Medicaid Services (CMS) finalized the 2026 Medicare Physician Fee Schedule (PFS), setting the conversion factor at approximately $33.42—an estimated 3.3% increase from the 2025 rate of $32.35. Additionally, the rule maintains the 2026 KX modifier threshold at $2,480 for combined physical therapy and speech-language pathology services, with a targeted medical review threshold locked at $3,000.
ASHA Transitions to Two-Year Public Policy Agenda to Align with 119th Congress
In a significant shift in advocacy strategy, ASHA has moved from an annual to a biennial Public Policy Agenda (PPA) for the 2025–2026 cycle. This new framework prioritizes long-term legislative goals, including securing permanent Medicare telehealth reimbursement and advocating for the "One License" model to streamline practice across all settings (schools, hospitals, and private practice).
Virginia Board of Audiology and SLP to Adopt New SLPA Regulations by July 2026
Following the passage of House Bill 2040 in 2025, the Virginia Board of Audiology and Speech-Language Pathology is finalizing the adoption of formal regulations for Speech-Language Pathology Assistants (SLPAs) by the July 1, 2026 deadline. This legislation creates a state-recognized licensure path, defines a specific scope of practice, and establishes supervision requirements intended to address the state's school-based provider shortage.
California AB 45 Implementation: New Privacy Protections Against Geofencing for Health Care Facilities
California Assembly Bill 45, signed into law in late 2025, officially took effect on January 1, 2026, prohibiting the use of geofencing technology around in-person health care facilities, including SLP clinics. The law prevents third parties from tracking or identifying patients and staff for the purposes of collecting personal information or sending targeted advertisements, with violators facing civil penalties up to $25,000.
ASLP-IC Operationalizes: Tennessee and Ohio Begin Issuing Multi-State Privileges in 2026
Following the official launch of the CompactConnect data system in late 2025, the Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) has successfully transitioned to its operational phase. As of May 28, 2026, practitioners in Tennessee and Ohio have joined Louisiana and West Virginia in issuing compact privileges, allowing eligible SLPs to practice across state lines without obtaining additional full licenses.
New Virginia Law Requires Insurance Coverage for Stuttering Therapy
Beginning January 1, 2026, a new Virginia state mandate requires health insurance carriers to provide comprehensive coverage for habilitative and rehabilitative speech therapy specifically for the treatment of stuttering. The law prohibits insurers from imposing annual visit limits or requiring prior authorization, ensuring that patients have consistent access to fluency specialists without the common barriers of "medical necessity" denials.
Ohio and Tennessee Begin Issuing ASLP-IC Compact Privileges
Following the October 2025 launch of the Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) data system, Ohio officially began processing compact privilege applications on February 9, 2026, followed shortly by Tennessee. This allows SLPs licensed in other member states to practice in these jurisdictions without obtaining a full secondary license, significantly expanding telepractice and travel therapy opportunities.
Minnesota Department of Health Implements Mandatory SLPA Licensure
Effective July 1, 2025, Minnesota officially transitioned from a voluntary registration system to a mandatory state licensure requirement for all Speech-Language Pathology Assistants (SLPAs). This new law establishes "SLPA" as a protected professional title across all practice settings, including medical and school environments, and requires practitioners to complete 100+ hours of supervised fieldwork for eligibility.
Florida’s 'Cleared to Care' Act Requires Background Checks for 2025 SLP Renewals
Under the "Cleared to Care" Act effective July 1, 2025, all Florida-licensed speech-language pathologists must undergo a mandatory level 2 criminal background screening as a condition of license renewal. Failure to comply with the new screening requirement during the 2025 renewal cycle will result in immediate licensing delays or expiration of the practitioner’s authority to practice.
California Implements Licensing Reform and New IEP Service Standards for 2026
Effective January 1, 2026, California has updated Title 16 regulations to remove specific application processing times from the law, instead requiring the Board to post real-time updates online to improve transparency. Furthermore, Assembly Bill 784 now clarifies that Individualized Education Programs (IEPs) may include specialized deaf and hard-of-hearing services as the sole service provided.
ASLP-IC Begins Issuing Multi-State Practice Privileges Following Data System Launch
The Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) officially began issuing practice privileges in late 2025. By early 2026, operational states—including Ohio, Louisiana, and West Virginia—have started processing applications, allowing clinicians to practice across state lines without obtaining separate full licenses in each jurisdiction.
Texas Department of Licensing and Regulation Implements New Renewal Requirements for 2025
Starting December 2025, all speech-language pathologists and audiologists in Texas must complete an approved human trafficking prevention training course to renew their licenses. Additionally, the state now mandates a minimum of two clock hours in ethics as part of the 20-hour continuing education requirement for each two-year renewal term.
2026 Medicare Physician Fee Schedule Finalized with Permanent Telehealth Codes
The finalized 2026 Medicare Physician Fee Schedule (MPFS) permanently includes SLP CPT codes on the Medicare Telehealth Services List, ensuring continued remote service delivery. However, the rule also implements a projected 4% reimbursement cut across the board, prompting ASHA to launch new legislative initiatives to mitigate these financial impacts on SLP practices.
Utah Licensure Standards Preserved After Successful ASHA Member Mobilization
In a significant win for professional standards, advocates in Utah successfully defeated a legislative proposal that would have replaced professional licensure for SLPs with a state-mandated certification program. The draft legislation was amended to exclude speech-language pathologists and audiologists, ensuring that high-level licensure requirements remain the standard for practice in the state.
ASHA and Therapy Coalition Urge Congress to End MPPR Policy
ASHA has joined a major coalition of therapy provider organizations to lobby Congress for the repeal of the Multiple Procedure Payment Reduction (MPPR) policy. The advocacy group argues that the policy, which cuts reimbursement for secondary therapy services by 50% on the same day, is outdated and inappropriately reduces payment for essential speech therapy services, jeopardizing patient access to care.
Clinical Fellows Cleared to Bill Medicare Part B
Following a massive advocacy campaign involving nearly 20,000 members, the Centers for Medicare & Medicaid Services (CMS) reversed its interpretation of the term “licensed.” This change officially allows Speech-Language Pathology Clinical Fellows (CFs) to be recognized as qualified Medicare providers and bill for Part B services, provided they hold valid state provisional licensure.
2025 Medicare Physician Fee Schedule Implements Conversion Factor Reduction
The Centers for Medicare & Medicaid Services (CMS) finalized a 2.83% cut to the conversion factor for the 2025 Physician Fee Schedule (PFS), directly impacting SLP reimbursement rates. While the American Relief Act of 2025 temporarily extended certain telehealth flexibilities through early 2025, the new rule emphasizes ongoing shifts toward the Merit-Based Incentive Payment System (MIPS) and stricter supervision definitions.
Centennial ASHA Convention Concludes in Washington, D.C. with Focus on Future Innovation
The 2025 ASHA Convention, held November 20–22, marked the association’s 100th anniversary with the theme "Envisioning Possibilities for the Future." The event featured a major retrospective on the profession's history while launching new initiatives for AI integration in therapy and expanded virtual networking for global practitioners.
ASLP-IC Interstate Compact Becomes Operational with CompactConnect Data Launch
The Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) officially launched its CompactConnect data system in late 2025, marking the transition to full operational status. As of early 2026, initial member states including Louisiana, West Virginia, and Ohio have begun issuing practice privileges, allowing SLPs to work across state lines without seeking separate individual licenses.
ASHA Submits Formal Advocacy Regarding West Virginia Assistant Scope of Practice
In July 2026, regulatory updates were proposed in West Virginia to further define the supervision and scope of practice for audiology and speech-language pathology assistants (SLPAs). ASHA issued formal comments supporting these changes, which aim to clarify supervisory ratios and ensure that assistant-level providers are utilized effectively across school and clinical settings.
New Ethics and Cultural Identity Requirements for ASHA Certification Maintenance
Effective January 1, 2026, ASHA-certified professionals (CCC-SLP) are required to complete at least one professional development hour (PDH) in ethics and two PDHs in the newly titled "Culture, Language, and Identity" category (formerly DEI) per three-year interval. These standards emphasize the importance of lifelong learning in providing services that align with the unique cultural and linguistic backgrounds of clients and families.
Ohio Officially Begins Issuing Privileges via Audiology and Speech-Language Pathology Compact
On February 9, 2026, Ohio officially became one of the first states to fully operationalize the ASLP-IC, allowing licensed SLPs to apply for compact privileges to practice in the state. Ohio joins West Virginia and Louisiana in the active privilege-issuing phase, significantly reducing administrative barriers for telehealth and travel therapists.
Mandatory Cultural Competency and Ethics Hours Take Effect for ASHA Certification
Effective January 1, 2026, all ASHA-certified professionals must adhere to updated maintenance standards requiring 30 professional development hours (PDH) per cycle. The new requirements specifically mandate at least one hour in ethics and two hours in topics related to cultural competency, humility, or diversity, equity, and inclusion (DEI).
Congress Extends Medicare Telehealth Flexibilities for SLPs Through December 2027
Following the expiration of previous waivers, the Consolidated Appropriations Act of 2026 was signed into law, extending Medicare telehealth authority for SLPs and other non-physician providers through December 31, 2027. This critical extension ensures that beneficiaries can continue to receive speech-language pathology services in their homes regardless of geographic location while permanent legislation is debated.
H.R. 5081 Introduced to Permanently Add SLPs as Authorized Medicare Telehealth Providers
Bipartisan legislation known as the Telehealth Modernization Act of 2025 (H.R. 5081) was introduced in the House to permanently include speech-language pathologists as authorized distant-site providers under Medicare. The bill seeks to transition away from temporary extensions and provide permanent regulatory certainty for SLPs providing remote therapy to rural and underserved populations.
CMS Finalizes 2025 Physician Fee Schedule (MPFS) with New Signature Flexibilities
The 2025 Medicare Physician Fee Schedule (MPFS) final rule implemented a significant policy change to reduce administrative burden for SLPs by relaxing signature requirements for initial therapy plans of care. Under the new rule, a physician or non-physician practitioner (NPP) signature is no longer strictly required for initial certification if a written order is on file and the SLP transmits the plan of care within 30 days.
Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) Operationalizes Privilege Issuance
The ASLP-IC officially launched its national data system, "CompactConnect," in late 2025, marking the full operational phase of the interstate compact. This system allows SLPs in over 37 participating jurisdictions to apply for and receive "compact privileges," enabling them to practice across state lines via telepractice or in-person without obtaining separate individual state licenses.
Arizona Becomes 36th Jurisdiction to Enact SLP Compact Law
Governor Katie Hobbs signed Arizona’s compact legislation into law on May 13, 2025, officially making it the 36th jurisdiction to adopt the ASLP-IC. The state is currently working with the Commission to complete the technical onboarding required to begin issuing and accepting compact privileges.
ASLP-IC Commission Adopts New Rules for Compact Governance
During a special commission meeting on June 29, 2026, the ASLP-IC Commission unanimously adopted new rules addressing dispute resolution, joint investigations, and military identification standards. These administrative rules are designed to ensure consistent enforcement and background check protocols as more states onboard into the active system.
Pennsylvania House Bill 80 Progresses to Authorize Joining ASLP-IC
During the 2025–2026 legislative session, Pennsylvania advanced House Bill 80 to join the Audiology and Speech-Language Pathology Interstate Compact. The bill was reported as amended in the Senate on February 4, 2026, following its successful passage in the House in late 2025, bringing the state closer to full compact membership.
Interstate Compact Begins Issuing Compact Privileges via CompactConnect
On October 28, 2025, the ASLP-IC officially operationalized its data system, CompactConnect, allowing the first set of practitioners to apply for interstate privileges. Louisiana and West Virginia served as the inaugural states to issue these privileges, marking a major milestone in professional mobility for SLPs.
WSHA 2026 Fall Schools Conference: Best Practices for School-Based Clinicians
On October 16, 2026, the Wisconsin Speech-Language Pathology and Audiology Association will host its Fall Schools Conference at the University of Wisconsin - Stevens Point. Titled "On Point," the summit targets elementary through high school practitioners, addressing the latest trends in neurodiversity-affirming care and state advocacy for manageable caseloads.
CSHA Releases Formal Position Statement on SLPA Supervision Standards
The California Speech-Language-Hearing Association issued a critical position statement clarifying the supervision requirements for Speech-Language Pathology Assistants (SLPAs) within the state’s school systems. The document addresses ethical boundaries and regulatory compliance to ensure that the growing SLPA workforce is supported by appropriate clinical oversight.
2026 FLASHA School Conference Focuses on Florida Education Initiatives
Scheduled for October 17, 2026, this conference is specifically designed for SLPs and audiologists serving Florida’s school districts. The program highlights evidence-based sessions and updates on state-specific education mandates, focusing on strategies to improve student outcomes in diverse classroom environments.
2026 MSHA Annual Conference: Empowering Mississippi’s Practitioners
The Mississippi Speech-Language-Hearing Association will hold its annual continuing education conference from September 16–18, 2026, at the Sheraton Refuge Hotel. The event focuses on clinical innovations in both pediatric and adult populations, providing a hub for state-level networking and the acquisition of essential CEUs for licensure maintenance.
Texas Speech-Language-Hearing Association Sets 2025 Advocacy Priorities for 89th Session
For the 2025 Texas Legislative Session, TSHA has prioritized the passage of the ASLP-IC interstate compact bill to improve workforce mobility and consumer access. Their advocacy agenda also includes securing permanent telehealth billing authority and pushing for Medicaid reimbursement rate increases to address critical staffing shortages and manageable workload standards in schools and medical settings.
California Implements Mandatory Biennial Rate Reviews for Early Intervention SLPs
Effective July 1, 2025, Assembly Bill 2423 requires the California Department of Developmental Services to review and update rate models for service providers every two years. This policy update is designed to ensure that funding for Early Start speech-language pathology services remains aligned with current economic costs, addressing long-standing reimbursement stagnancy in the state’s early intervention system.
ASLP-IC CompactConnect System Operationalizes Interstate Practice Privileges
The Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) reached a major milestone in late 2025 with the official launch of the CompactConnect data system. This platform allows licensed SLPs in member states, starting with pioneers like Louisiana and West Virginia, to purchase practice privileges and provide services across state lines without seeking additional individual state licenses.
California Implements Licensing Reform and New IEP Service Standards
Effective January 1, 2026, California has updated Title 16 regulations to streamline licensing processing times and clarify supervised clinical experience requirements. Additionally, the enactment of Assembly Bill 784 now permits Individualized Education Programs (IEPs) to include specialized deaf and hard-of-hearing services as the sole service provided.
ASLP-IC Launches CompactConnect System for Multi-State Practice Privileges
Following the 2025 launch of the CompactConnect data system, the Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) began issuing practice privileges in early 2026. Initial participating states, including Ohio, Louisiana, and West Virginia, are now fully operational, allowing SLPs to practice across state lines via a streamlined application process.
California Speech-Language-Hearing Association Announces Convergence 2025 Annual Convention in Pasadena
The CSHA Convergence 2025 annual convention is scheduled for March 13–16, 2025, at the Pasadena Convention Center. The event will host nearly 2,500 professionals and students, focusing on innovative therapy approaches, stroboscopy updates for SLPs, and advocacy for communication rights.
Consolidated Appropriations Act, 2026 Secures Telehealth Extensions for SLPs
Signed into law in early 2026, this federal legislation extends Medicare telehealth authority for speech-language pathologists and audiologists through December 31, 2027. The bill also includes critical funding for the Individuals with Disabilities Education Act (IDEA) and newborn hearing screening grants.
Utah Legislature Rejects Proposal to Downgrade SLP Licensure Following Advocacy Campaign
On November 19, 2025, the Utah Legislature’s Business and Labor Interim Committee voted to preserve state licensure for SLPs, rejecting a proposal to downgrade the profession to "mandatory certification." The decision followed a grassroots advocacy campaign that mobilized over 500 professionals to protect professional standards and patient safety.
ASHA Annual Conventions 2025–2026: Locations and Centennial Milestone
The 2025 ASHA Convention in Washington, D.C., marks the association's 100th anniversary with the theme "Envisioning Possibilities for the Future." The 2026 convention is scheduled for November 19–21 at the Indiana Convention Center in Indianapolis, focusing on the continued integration of digital tools and clinical innovation.
Florida Introduces Legislation to Address SLP Staffing Through Statewide Strategic Plan
In November 2025, Florida lawmakers introduced legislation requiring the Department of Education to create a comprehensive strategic plan for the recruitment and retention of speech-language pathologists. Supported by ASHA and FLASHA, the bill focuses on addressing high caseloads and professional staffing shortages within Florida’s school districts.
ASLP-IC Launches CompactConnect Data System, Issuing First Privileges in Louisiana and West Virginia
The Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC) officially launched its data system, CompactConnect, on October 28, 2025. Louisiana and West Virginia became the first member states to begin issuing compact privileges, allowing eligible SLPs to practice across state lines with significantly reduced administrative barriers.
California Assembly Bill 45 to Restrict Geofencing at Healthcare Facilities
Effective January 1, 2026, California Assembly Bill 45 prohibits entities from using geofencing to collect or share personal health information of individuals at in-person healthcare facilities. This law impacts SLPs practicing in California by requiring them to designate non-public treatment areas to protect patient privacy and health data.
CompactConnect Data System Launches to Facilitate Multi-State SLP Practice
The Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) launched its "CompactConnect" data system on September 30, 2025, and began issuing compact privileges in October 2025. As of early 2026, 37 jurisdictions have enacted the legislation, allowing licensed SLPs to practice across member state lines via a streamlined $50 privilege fee per state.
Dates and Locations Announced for 2025 and 2026 ASHA Conventions
The American Speech-Language-Hearing Association (ASHA) has confirmed that the 2025 convention will be held in Washington, D.C., from November 20–22. The 2026 convention is scheduled for November 19–21 at the Indiana Convention Center in Indianapolis, Indiana, with registration for the 2026 event set to open in August 2026.
Revised CPT Codes for Remote Therapeutic Monitoring (RTM) Set to Take Effect in 2026
The American Medical Association (AMA) has finalized revisions to the RTM code set (98974–98986) to provide SLPs with greater flexibility in monitoring digital treatments. Starting January 1, 2026, new device supply codes will allow for shorter monitoring periods (2–15 days) and lower thresholds for clinician-patient interaction, better reflecting the shorter intervention cycles common in speech therapy.
Utah Legislature Amends Bill to Remove SLP and Audiology from Proposed Certification Downgrade
Following a grassroots campaign that mobilized over 500 local professionals, the Utah Business and Labor Interim Committee voted to preserve state licensure for SLPs and audiologists. The committee removed these professions from a draft bill that originally proposed "mandatory certification" instead of licensure, a move that advocates successfully argued would have weakened consumer protections and clinical standards.
ASLP-IC Commission Officially Launches CompactConnect Data System for Interstate Practice
The Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) reached a major milestone with the launch of its "CompactConnect" platform, enabling member states to verify and issue privileges to practice across state lines. Louisiana and West Virginia became the first states to officially issue privileges through the system in late 2025, with more of the 37+ member states expected to join the rollout throughout 2026.
CMS Reverses Interpretation of "Licensed" to Include Provisional SLP Licensees and Clinical Fellows
Following intensive advocacy by ASHA and state associations, the Centers for Medicare & Medicaid Services (CMS) reversed an update to the Medicare Benefit Policy Manual that had previously excluded clinical fellows (CFs) from being recognized as qualified providers. The reversal ensures that provisionally licensed SLPs can continue to provide and bill for services to Medicare Part B beneficiaries, preventing a massive disruption in the therapist-to-patient pipeline.
Pennsylvania Board Mandates New FBI Background Checks for 2025 License Applicants
Starting July 7, 2025, the Pennsylvania State Board of Examiners in Speech-Language Pathology and Audiology requires all new applicants for healthcare practitioner licenses to obtain a fingerprint-based FBI background check. This requirement is part of a broader state initiative to enhance public safety and streamline the verification process for initial licensure applications.
Utah Preserves SLP Licensure Following Opposition to Certification Downgrade
In late 2025, a proposal by Utah's Office of Professional Licensure Review to downgrade SLP regulation from state licensure to "mandatory certification" was successfully defeated. Following an extensive advocacy campaign by ASHA and state members, the legislative committee amended the draft bill in November 2025 to remove SLPs from the proposal, effectively maintaining the state's existing licensure safeguards.
Louisiana and West Virginia Begin Issuing First Interstate Compact Privileges
On October 28, 2025, Louisiana and West Virginia became the first states to officially issue practice privileges under the Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC). This milestone was made possible by the launch of the CompactConnect data system, which allows clinicians in member states to obtain a "privilege to practice" across state lines without seeking full secondary licensure.
California Implements New Licensing and SLPA Supervision Regulations for 2026
Effective January 1, 2026, California has updated Title 16 regulations to streamline licensing processing times and codify supervised clinical experience requirements. The updates also make videoconference supervision for Speech-Language Pathology Assistants (SLPAs) permanent and establish stricter title protection for assistants across the state.
ASHA 2025-2026 Public Policy Agenda Targets Workforce Shortages and Loan Limits
ASHA’s biennial public policy agenda, which entered its implementation phase in 2025, prioritizes federal advocacy to classify Communication Sciences and Disorders (CSD) degrees as "professional" degrees to reduce student loan barriers. The agenda also focuses on securing payment parity for telehealth services and addressing the national SLP shortage by advocating for reduced productivity standards in both medical and school settings.
2026 Medicare Fee Schedule: Permanent Coding for Tele-SLP Services Finalized
In the 2026 Medicare Physician Fee Schedule, the Centers for Medicare & Medicaid Services (CMS) officially added all speech-language pathology CPT codes previously covered under temporary waivers to the "Permanent" Medicare Telehealth Services List. While the legal authority to bill for these services still requires periodic congressional extensions, the permanent inclusion of these codes simplifies long-term billing procedures and clarifies documentation requirements for synchronous remote therapy.
ASLP-IC Milestone: Ohio and Tennessee Begin Issuing Interstate Privileges
The Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) significantly expanded its reach in early 2026 as Ohio and Tennessee officially began processing practice privileges through the CompactConnect data system. As of mid-2026, 37 jurisdictions have enacted the compact, allowing licensed SLPs in participating states to practice across state lines via telepractice or in-person without the burden of multiple individual state licenses.
Milestone Legislative Victory: Medicare Telehealth Authority for SLPs Extended Through 2027
Following sustained advocacy by the speech and hearing community, the Consolidated Appropriations Act, 2026 (H.R. 7148) was signed into law, extending the authority for SLPs to provide services to Medicare Part B beneficiaries via telehealth. This legislation prevents a "telehealth cliff" that would have otherwise ended reimbursement for remote therapy services at the start of 2026, providing stability for providers and patients through December 31, 2027.
Congress Passes Government Funding Law Extending Medicare Telehealth for SLPs
In February 2026, federal legislation was signed into law extending Medicare telehealth authority for speech-language pathologists through December 31, 2027. This extension prevents a "telehealth cliff" for beneficiaries and provides a longer window for advocates to push for permanent telehealth reimbursement parity.
Virginia Board of Audiology and Speech-Language Pathology Establishes SLPA Licensure
Under House Bill 2040, the Virginia Board is directed to finalize and promulgate regulations for the licensure of speech-language pathology assistants by July 1, 2026. The new law establishes specific qualifications, scope of practice, and supervision requirements for SLPAs, who must be licensed to practice in the state starting in 2026.
CMS Clears Clinical Fellows to Bill Medicare Following ASHA Advocacy
The Centers for Medicare & Medicaid Services (CMS) officially reversed its interpretation of a "qualified SLP," allowing Clinical Fellows (CFs) to bill for Medicare services effective January 2026. This change addresses significant workforce barriers by ensuring that new graduates can generate revenue and maintain service delivery levels during their fellowship year.
Ohio and Tennessee Become Fully Operational Member States of ASLP-IC
Following the 2025 launch of the CompactConnect data system, Ohio (February 2026) and Tennessee (May 2026) have officially begun issuing compact privileges to practicing SLPs. This allows licensed practitioners in these states to obtain legal authorization to practice in other participating member states without applying for additional full state licenses.
CMS Accepts 10 New Speech-Language Pathology Treatment Codes to Replace 92507
CMS has accepted ASHA’s recommendations to replace the general treatment code 92507 with 10 new, more specific CPT codes starting January 1, 2027. The 2026 proposed rule updates included the finalized RVUs for these codes, which are designed to better distinguish between various clinical services such as cognitive-communication, voice, and speech sound treatments.
Washington State Removes Proposed Cuts to Outpatient Adult Speech Therapy Services
Following intensive state-level advocacy, Washington successfully blocked proposed budget cuts that would have eliminated Medicaid coverage for adult outpatient speech therapy. The state confirmed it will maintain current coverage levels and updated its fee schedule effective April 2026 to ensure continued provider participation and patient access.
CMS Reverses Interpretation of Qualified SLP: Clinical Fellows Cleared to Bill Medicare
In a significant regulatory shift, CMS updated its interpretation of "qualified" speech-language pathologists to explicitly include Clinical Fellows (CFs). This change allows CFs to bill Medicare for services under the oversight of a certified SLP, addressing long-standing workforce barriers and improving beneficiary access to rehabilitative care.
Medicare Finalizes 2026 Fee Schedule: Conversion Factor Set at $33.40
The Centers for Medicare & Medicaid Services (CMS) finalized the 2026 Physician Fee Schedule, establishing a conversion factor of $33.40 for most SLPs. While this reflects a statutory increase from 2025, the rule introduces a permanent -2.5% "efficiency adjustment" to the work relative value units (RVUs) for non-timed services, such as evaluations, which ASHA continues to oppose.
Idaho SLPs Mobilize Against Proposed 2027 Medicaid Budget Cuts to Adult Speech Services
The Idaho Speech-Language-Hearing Association and ASHA have launched a joint advocacy campaign to oppose a 2027 state budget proposal that would eliminate all Medicaid coverage for adult speech therapy. The proposal also introduces a restrictive prior authorization requirement for pediatric therapy services after the 20th session, prompting concerns regarding clinical autonomy and continuity of care.
Medicare Telehealth Authority for SLPs Extended Through Early 2026; Advocacy Continues for 2027
Federal funding packages have successfully preserved the ability of SLPs to bill Medicare for telehealth services through January 30, 2026. ASHA is currently lobbying Congress to include a further extension through December 31, 2027, in the upcoming federal budget to ensure consistent access for rural beneficiaries and maintain the telepractice infrastructure built since 2020.
CMS Finalizes FY 2027 Payment Increases for Skilled Nursing and Inpatient Rehab Facilities
The Centers for Medicare & Medicaid Services (CMS) has finalized a 2.4% increase in prospective payment system rates for Skilled Nursing Facilities (SNFs) for the 2027 fiscal year, effective October 1, 2026. The update includes new ICD-10 mappings for speech-language pathology comorbidities—such as specific oral phase dysphagia codes—under the Patient Driven Payment Model (PDPM).
Registration Opens for ASHA 2026 Convention in Indianapolis Following Washington D.C. 2025 Event
Official registration has opened for the 2026 ASHA Convention, which will be held November 19–21, 2026, at the Indiana Convention Center in Indianapolis. This follows the 2025 ASHA Convention scheduled for November 20–22, 2025, at the Walter E. Washington Convention Center in Washington, D.C. Both events feature a hybrid model, integrating in-person sessions with a virtual platform for on-demand technical sessions.
Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) Expands to 37 Jurisdictions
As of late 2025, the ASLP-IC has grown to include 37 jurisdictions (36 states and the U.S. Virgin Islands), facilitating easier multi-state practice for SLPs. Implementation is ongoing, with more states actively issuing "privileges to practice" that streamline telepractice across member state lines.
ASHA Launches 2025–2026 Public Policy Agenda Targeting Workforce and Payment Parity
ASHA has released its biennial Public Policy Agenda (PPA), identifying payment and coverage, service delivery access, and workforce stability as the top three priorities for the next two years. Key initiatives include addressing high workloads in schools and advocating for the LEAP Act to ensure loan parity for advanced CSD degrees.
Consolidated Appropriations Act, 2026 Extends Medicare Telehealth Authority
Federal legislation passed in early 2026 has officially extended Medicare telehealth authority for speech-language pathologists and audiologists through December 31, 2027. This extension prevents a lapse in coverage for virtual services while ASHA continues to lobby for permanent telehealth status for the professions.
ASHA Annual Conventions 2025 and 2026: Dates and Locations Announced
The 2025 ASHA Convention is scheduled for November 20–22 in Washington, D.C., at the Walter E. Washington Convention Center, featuring a centennial celebration of the association. The 2026 Convention will follow from November 19–21 at the Indiana Convention Center in Indianapolis, Indiana.
Federal Extension of Medicare Telehealth Authority
Federal advocacy efforts successfully secured an extension of Medicare telehealth authority for speech-language pathologists through January 30, 2026. ASHA continues to monitor ongoing legislative negotiations to make these telehealth flexibilities permanent for rural and underserved communities.
CMS Finalizes FY 2027 Payment Policy Increases for SNFs and Inpatient Rehab Facilities
The Centers for Medicare & Medicaid Services (CMS) finalized a 2.4% rate increase for Skilled Nursing Facilities (SNFs) and updated per diem rates for speech-language pathology services. These changes, which include updated ICD-10 mappings for dysphagia, go into effect on October 1, 2026.
Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC) Launches Compact Privileges
Following the launch of the CompactConnect system in late 2025, participating states began issuing "privileges to practice" in Summer 2025 and throughout 2026. This allows SLPs in over 37 member jurisdictions to practice across state lines and provide telepractice services more efficiently.
ASHA Announces 100th Anniversary Convention in D.C. and 2026 Dates for Indianapolis
The 2025 ASHA Convention, themed "Envisioning Possibilities for the Future," celebrates the association's 100th anniversary in Washington, D.C. The 2026 event will shift to Indianapolis to continue professional development and networking for communication science professionals.
Legislative Push to Classify SLP Degrees as "Professional Degrees" for Federal Loan Limits
In early 2026, federal advocacy efforts intensified to pass legislation that would officially classify speech-language pathology and audiology graduate degrees as "professional degrees." This classification is intended to grant CSD students access to higher federal student loan limits, addressing the financial barriers currently faced by graduate students compared to other healthcare professions.
Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) Begins Issuing Multi-State Privileges
Following the 2025 launch of the "CompactConnect" data system, several states including Ohio, Louisiana, West Virginia, and Tennessee have officially begun issuing compact privileges as of mid-2026. This allows licensed SLPs in these member states to practice both in-person and via telepractice across state lines without obtaining additional full state licenses.
Revised ASHA Maintenance Standards for CCC-SLP and CCC-A Now in Effect
Effective January 1, 2026, ASHA implemented updated certification maintenance standards requiring all Certificate of Clinical Competence (CCC) holders to complete specific professional development. The new 30-hour requirement for the three-year interval must now include at least one hour in ethics and two hours in topics related to cultural humility, equity, and inclusion (DEI).
CMS Proposed 2027 Rule Announces Replacement of CPT 92507 with Ten New Codes
In July 2026, the Centers for Medicare & Medicaid Services (CMS) released the proposed 2027 Medicare Physician Fee Schedule, which outlines the sunsetting of the traditional treatment code 92507. ASHA has been working with CMS to transition to ten new, more specific codes that better reflect the complexity and duration of modern speech-language pathology services, with an expected implementation date of January 1, 2027.
ASHA Rallies Against Proposed Federal Rule Change to "Professional Degree" Classification
ASHA is spearheading a national campaign to prevent the Department of Education from excluding Communication Sciences and Disorders (CSD) degrees from the "professional degree" classification. If enacted, this rule could lower federal student loan limits for SLP and audiology graduate students, potentially increasing financial barriers and worsening the existing provider shortage in schools and healthcare facilities.
Idaho Medicaid Introduces Prior Authorization for Therapy Services and Proposes 2027 Adult Coverage Elimination
Idaho has introduced a new mandate requiring prior authorization for speech, occupational, and physical therapy services after the first 20 sessions. Furthermore, the state’s proposed 2027 budget includes provisions to entirely eliminate Medicaid coverage for adult speech therapy services, prompting an urgent advocacy response from national and state professional associations.
CMS Finalizes Permanent Medicare Telehealth List for Speech-Language Pathology Services
Effective January 1, 2026, the Centers for Medicare & Medicaid Services (CMS) finalized a policy that adds all speech-language pathology and audiology services previously covered under temporary pandemic waivers to the permanent Medicare Telehealth Services List. This ensures that these specific clinical services are recognized as appropriate for telehealth delivery regardless of future temporary practitioner authority changes.
President Signs Consolidated Appropriations Act, 2026, Extending Medicare Telehealth Through 2027
President Trump signed H.R. 7148 into law, securing a critical two-year extension for speech-language pathologists and audiologists to provide telehealth services to Medicare beneficiaries. The law prevents a lapse in coverage that was threatened by government shutdowns and extends flexibilities, such as the elimination of geographic restrictions and originating site requirements, through December 31, 2027.
Pennsylvania Moves to Join Audiology and SLP Interstate Compact
In the 2025-2026 legislative session, Pennsylvania introduced House Bill 80 to authorize the Commonwealth to join the Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC). If passed, this would allow Pennsylvania-licensed SLPs to obtain a privilege to practice in other compact member states without maintaining multiple individual licenses.
ASHA and ISHA Rally Against Proposed Idaho Medicaid Cuts
ASHA joined the Idaho Speech, Language, Hearing Association (ISHA) to formally oppose state budget proposals that would eliminate adult speech therapy and audiology coverage for 2027. Advocacy efforts are also targeting new "session caps" and prior authorization requirements that hinder access to care for Medicaid beneficiaries in the state.
CMS Reverses Policy to Allow Clinical Fellows to Bill Medicare Part B
Following a massive advocacy campaign involving nearly 20,000 members, the Centers for Medicare & Medicaid Services (CMS) reversed a restrictive interpretation of "licensed" practitioners. Clinical Fellows (CFs) are now recognized as qualified providers and are permitted to bill Medicare Part B for outpatient services, provided they hold the appropriate state provisional license.
Government Funding Law Extends Medicare Telehealth Through 2027
The Consolidated Appropriations Act, 2026, was signed into law, extending the authority for audiologists and SLPs to provide Medicare telehealth services through December 31, 2027. This major legislative victory prevents a lapse in services for seniors and includes vital funding for the Individuals with Disabilities Education Act (IDEA) and newborn hearing screenings.
Idaho Advocates Push Back Against Proposed Medicaid Speech Therapy Cuts
Following a January 2026 announcement, ASHA and the Idaho Speech-Language-Hearing Association are advocating against a new 20-session prior authorization limit and proposed 2027 budget cuts. The proposal threatens to eliminate all adult speech therapy coverage under Idaho Medicaid, prompting a call for nationwide support to prevent similar state-level rollbacks.
Audiology and Speech-Language Pathology Interstate Compact Becomes Operational in Ohio and Tennessee
The ASLP-IC reached a critical implementation milestone in early 2026 as Ohio and Tennessee joined Louisiana and West Virginia in actively issuing compact privileges. This allows SLPs residing in these operational states to practice across state lines in other member states via a streamlined privilege system, significantly reducing the administrative burden for telepractice.
CMS Finalizes 2026 Medicare Physician Fee Schedule with Permanent Telehealth Designations
Effective January 1, 2026, the Centers for Medicare & Medicaid Services (CMS) officially moved many speech-language pathology CPT codes (including 92507) to the permanent Medicare Telehealth Services List. This transition provides long-term regulatory stability for providers, although SLPs are cautioned to monitor the annual conversion factor which continues to face downward pressure.
Congress Passes Consolidated Appropriations Act, 2026 to Extend Medicare Telehealth
This major federal legislation extends Medicare telehealth authority for speech-language pathologists (SLPs) and audiologists through December 31, 2027. The law ensures that Medicare Part B beneficiaries can continue to receive virtual speech and swallowing services without the originating-site restrictions that existed prior to the pandemic.
Idaho Medicaid Announces New Prior Authorization Mandates for Speech Therapy
Effective April 2026, Idaho Medicaid has introduced a new prior authorization policy requiring clinical justification for speech therapy services exceeding 20 sessions per year. State advocacy groups are currently challenging these changes, alongside proposed 2027 budget cuts that threaten to eliminate adult speech therapy coverage entirely.
Virginia General Assembly Passes HB 2040 Standardizing SLPA Licensure
Virginia has enacted new legislation (HB 2040) that officially establishes the licensure, qualifications, and scope of practice for Speech-Language Pathology Assistants (SLPAs) within the Commonwealth. The law requires applicants to complete at least 100 hours of clinical fieldwork and meet specific continuing education requirements to maintain their license.
Consolidated Appropriations Act, 2026 Extends Medicare Telehealth Through 2027
Following intense advocacy from ASHA and its members, the federal government passed the Consolidated Appropriations Act, 2026, which extends the authority for SLPs and audiologists to provide and bill for Medicare services via telehealth through December 31, 2027. This move prevents a critical lapse in service access for seniors while advocacy for permanent telehealth authority continues in Congress.
ASLP Interstate Compact Launches Multi-State Privilege Applications
The Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) officially began issuing practice privileges in late 2025, with several states like Ohio, Tennessee, and West Virginia becoming fully operational by early 2026. This system allows eligible SLPs to practice across state lines (both in-person and via telepractice) for a significantly lower cost than individual state licenses.
California Enacts Licensing Reforms and New Deaf Service IEP Requirements
Effective January 1, 2026, California has updated Title 16 regulations to streamline licensing processing times and clarify supervised clinical experience. Furthermore, under Assembly Bill 784, Individualized Education Programs (IEPs) are now permitted to include specialized deaf and hard-of-hearing services as the sole service provided to a student, expanding the clinical flexibility of SLPs in schools.
2026 Medicare Physician Fee Schedule Finalizes Flexible Remote Monitoring Codes
Effective January 1, 2026, new CPT codes for Remote Therapeutic Monitoring (RTM) will allow SLPs to bill for shorter data transmission periods (2–15 days) and briefer clinician-patient interactions. These changes, advocated for by ASHA, aim to better reflect how digital tools are used for short-term home programs and follow-up care.
Advocacy Surge Against Proposed Medicaid Speech Therapy Cuts in Idaho
In early 2026, ASHA and state associations mobilized to oppose an Idaho executive budget proposal for 2027 that would eliminate Medicaid coverage for all adult speech therapy services. The proposal also introduced restrictive prior authorization requirements for pediatric sessions, threatening access to teletherapy for thousands of underserved families in rural areas.
ASLP-IC Interstate Compact Officially Begins Issuing Multi-State Practice Privileges
The Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) fully operationalized its secure data system, CompactConnect, in late 2025. This milestone allows licensed SLPs in 37 participating jurisdictions to apply for practice privileges in other member states for a streamlined $50 fee, significantly reducing barriers for teletherapy and mobile providers.
CMS Finalizes Permanent Virtual Direct Supervision in CY 2026 Fee Schedule
The Centers for Medicare & Medicaid Services (CMS) finalized the Calendar Year 2026 Medicare Physician Fee Schedule, which officially made virtual direct supervision a permanent policy. This update allows SLPs to supervise clinical fellows and assistants via real-time audio and video technology, removing the previous requirement for physical on-site presence during therapy sessions.
ASLP-IC Interstate Compact Moves to Operational Status for Multi-State Practice
As of June 2026, the Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) transitioned from legislation to a functional reality, with states like Ohio and Tennessee joining Louisiana and West Virginia in issuing privileges to practice. This allows SLPs to provide telepractice services across 37 participating jurisdictions using the new CompactConnect data system without needing full licenses in every state.
ASHA Advocacy Win: CMS Recognizes Provisional Licensees as Qualified Medicare Providers
Following an intensive advocacy campaign by ASHA and over 20,000 members, the Centers for Medicare & Medicaid Services (CMS) reversed a policy that previously excluded provisional licensees (including Clinical Fellows) from Medicare Part B reimbursement. CMS has updated the Medicare Benefit Policy Manual to clarify that state provisional licensure meets the definition of a qualified speech-language pathologist.
Nevada Updates SLP Scope of Practice to Include Stroboscopy and Endoscopy
Nevada passed significant updates to its licensing law, officially expanding the SLP scope of practice to include stroboscopy and nasal endoscopy. The legislation also updated the licensing framework for speech-language pathology assistants (SLPAs) to improve service delivery flexibility across the state.
2026 CPT Code Updates for Remote Therapeutic Monitoring (RTM)
Effective January 1, 2026, new RTM codes (98979, 98984-98986) provide SLPs with expanded flexibility by allowing billing for shorter monitoring periods (2–15 days) rather than the previous 16-day minimum. The update also introduces a code for briefer clinician-patient interactions of 10–19 minutes per month.
Legislation Introduced to Secure Student Loan Parity for CSD Professionals
Congressman Tim Kennedy introduced legislation to classify audiology and speech-language pathology degrees as “professional degrees” under federal law. This change allows graduate students in these fields to access higher federal loan limits, reducing financial barriers to entry for the profession.
Georgia Enacts House Bill 579 to Streamline SLP Licensure and Reduce Workforce Delays
Signed into law in May 2025 and set to take full effect in July 2026, HB 579 allows the Georgia Professional Licensing Boards Division to issue SLP licenses directly to qualified applicants without waiting for full board meetings. The reform is designed to eliminate bureaucratic bottlenecks and expedite the entry of new speech-language pathologists into the state's healthcare and school workforces.
ASLP-IC Launches CompactConnect Data System for Multi-State Practice Privileges
Following the late 2025 launch of the CompactConnect data system, the Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) has officially begun issuing practice privileges across member states. As of early 2026, states including Louisiana, West Virginia, and Ohio are fully operational, allowing licensed SLPs to practice across state lines without obtaining additional individual state licenses.
CMS Updates Medicare Benefit Policy Manual to Exclude Provisional Licensees from Part B Enrollment
The Centers for Medicare & Medicaid Services (CMS) has revised the definition of a qualified speech-language pathologist to require full state licensure, effectively barring Clinical Fellows (provisional licensees) from enrolling as Medicare Part B providers. This shift means that services provided by CFs to outpatient Medicare beneficiaries can no longer be billed directly under Medicare Part B, requiring these patients to be treated by fully licensed SLPs.