As a concerned stakeholder in the field of speech-language pathology, I oppose the proposed removal of Clinical Fellowship (CF) licensure requirements for SLPs in Virginia. While recent Medicare changes have prompted discussion, dismantling CF licensure would have far-reaching and potentially harmful consequences for our profession, our clients, and our state.

1. Threat to Virginia’s Participation in the ASLP-IC (Interstate Compact):
Virginia is a member of the Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC). Removing CF licensure might jeopardize our compliance with compact requirements. This change could isolate Virginia SLPs from national opportunities and reduce access to services for clients in underserved areas.  Therefore, more information is needed to determine what, if any impact, there might be on VA's participation in the ASLP-IC. 

2. Medicare Changes Affect a Small Subset of SLPs:
The recent Medicare policy shift impacts only a limited number of SLPs.  It is disproportionate and shortsighted to overhaul licensure requirements for all SLPs based on a federal billing issue that affects a minority.

3. Ongoing Advocacy and Adaptation Are Already Underway:
Organizations like ASHA, private practices, and healthcare systems are actively working to address the Medicare changes through supervision models and policy advocacy. These efforts demonstrate that we can adapt without dismantling the CF licensure structure that ensures professional accountability and public protection.

4. Long-Term Risks to Workforce Development and Education:
Eliminating CF licensure introduces significant uncertainty into the professional pipeline. It could disrupt graduate program curricula, deter students from enrolling in Virginia programs, and create confusion in the job market. Most importantly, it risks undermining the quality and readiness of new SLPs entering the field, which could ultimately harm the clients we serve.

In conclusion, while we must respond thoughtfully to federal policy changes, removing CF licensure is not the solution. I urge policymakers to preserve this critical step in professional development and maintain Virginia’s commitment to high standards, workforce stability, and interstate collaboration.