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.

Want to earn some PDHs or CEUs?

• Get affordable, expert-led continuing education with Med SLP Gap! Use code FixSLP for 10% off every course—every time.
• Use code FIXSLP10 for a $10 discount coupon off the Professional level subscription at Speech Therapy PD (and set up a FREE account to begin using the CU tracker while you are there).
• Learn from Jeanette on Medbridge and use code BENIGAS to get over $100 off.

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