As a bilingual speech-language pathologist, Latina immigrant, and private practice owner in Virginia, I strongly support eliminating the requirement in 18VAC30-21-60(A)(2)(c) that ties licensure to holding the ASHA Certificate of Clinical Competence (CCC). While the CCC is one valuable pathway, it should not be the only one.

Many highly skilled and qualified clinicians—especially those from underrepresented, immigrant, bilingual, and internationally trained backgrounds—face systemic barriers to obtaining the CCC. These barriers are often financial, institutional, or related to accreditation access, not reflective of clinical competence or commitment to ethical, high-quality care.

The additional licensure pathway established by the Board earlier this year opens the door for these professionals to serve communities that are often overlooked, including families who need services in languages other than English or who seek therapists who reflect their cultural values and communication styles. Removing this requirement would increase access to care, support the growing demand for speech therapy across Virginia, and foster a more inclusive, culturally responsive workforce.

As someone who works directly with families who struggle to find providers who understand both language development and cultural nuance, I believe this policy change is essential. It upholds high standards while expanding access, without compromising the quality of services provided.

I urge the Board to consider the broader implications of workforce equity, client access, and community representation, and to allow this more flexible licensure pathway to remain in place.