As a speech-language pathologist serving children and families in Virginia, I strongly support the proposal to eliminate the six-month wait period for obtaining a full, unrestricted license after graduation and passing the Praxis. This unnecessary delay creates significant barriers that negatively impact patient care. Families already face long waitlists for speech therapy, and requiring an additional six-month restriction prolongs access during critical developmental windows, especially for infants and toddlers who need early intervention. 

The impact is even greater in rural and underserved areas, such as the Northern Neck, where SLP shortages are already a challenge. This rule discourages new graduates from accepting positions in these communities, further limiting access to essential services. Additionally, the policy places speech-language pathologists at a disadvantage compared to other rehabilitation professionals, such as occupational and physical therapists, who do not face a similar barrier. It also creates a financial burden for families and providers when insurance cannot be billed for CF-SLP services, leaving families to pay out of pocket or forgo therapy altogether.

Removing the six-month waiting period ensures that patients across Virginia receive timely, uninterrupted care from qualified professionals. I urge the Virginia Board to approve this proposal in the best interest of the patients and families we serve.

Sincerely, 

Madeline Appleyard, M.S., CCC-SLP