The MEGA Facts Spreadsheet

	A	B	C	D	E	F	G	H	I	J	K	L	M	N	O	P	Q	R	S
1		This data was compiled by the team at www.fixslp.com		If you find errors, please email the regulations to team@fixslp.com and we will be happy to review and update as appropriate.										Find us on IG: @fix.slp
2	State	Interesting notes	Requires a criminal background check	Is the CCC required to obtain a state license?	Is the CCC required to bill Medicare?	Is the CCC required to bill Medicaid?	Per the state license, is the CCC required to supervise SLPAs?	Per the state license, is the CCC required to supervise SLPs during their initial professional experience?	Does the state license require a masters degree from an accredited or board approved university?	Does the state require an SLP to pass an exam (e.g., the Praxis)?	Does the state require a period of supervision on the first job? (Goes by many names, commonly referred to as the CFY)	Does the state offer a provisional license during the supervision period of the first job?	Does the state require continuing education each year?	Does the state require DEI CEUs?	Does the state require ethics CEUs?	Does the department of education require a state license? Note that all of this can be district specific if the district isn't under the regulation of the department of education.	Does the department of education require their own certificate or license? Note that this may also be district specific.	Per the department of education regulations, is the CCC required to supervise SLPAs? (May be district specific)	If the department of ed requires an education certification, does the SLP need the CCC to obtain the certification? (Can also be district specific)
3	Compare to the CCC		No	N/A	FEDERAL regulation: NO	FEDERAL regulation: NO	N/A	CCC is required to supervise those who will purchse the CCC	Yes	Yes	Yes	Clinical Fellowship	30 PDH every 3 years	2 hours every 3 years	1 hour every three years

4			Note that this is in perpetual draft mode and will be updated as more information is made clear and as regulations are updated. Double check all facts presented here with the following links:
5			State licensing information: https://docs.google.com/spreadsheets/d/1mkzO3aNR5TvAJo_axomX6P_GROOMZ3J8HcY7JdXRtg4/edit?usp=sharing
6			Continuing education requirements: https://docs.google.com/spreadsheets/d/1Oxoy_vceisqL_jD1eBh13oH8iAYs0fv_yiIXbR2B514/edit?usp=sharing
7			Medicaid regulations by state: https://docs.google.com/spreadsheets/d/1c2YM6BLQA8cI4yR8X5tWpXgZ3ix5UjUGUCInkC4Un5Q/edit?usp=sharing
8			Department of education rules by state: https://docs.google.com/spreadsheets/d/10ZAVQhVF6bhignfFh8tHL1__eX0UUXKc8uXSb8hR-fc/edit?usp=sharing
9	Alabama	Alabama law restricts classroom discussion by individuals providing classroom instruction on sexual orientation or gender identity to students in kindergarten through the fifth grade at a public K-12 school that is not age appropriate or developmentally appropriate for students in accordance with state standards. Reference: HB 322 (2022)	Unable to locate this information- likely that this must be passed if Alabama is going to be part of the ASLP interstate compact.	No	No	No	No	No	Yes	Yes	Yes. 30 hours or more per week for 9 months (part-time completion also an option)	Yes	12 hours/year	No	No	Yes, but could also be district specific	Yes. Speech-Language Pathology Professional Educator Certificate (SLPEC)	No	No
10	Alaska		Yes	No	No	No	No	No	Yes	Yes	Yes (asks for the equivalent of the CCC)	Yes	15 hours/2 years	No	No	No, but could also be district specific	Yes. Type C Special Services Certificate		No
11	Arizona		Proposed in HB 2796	No	No	No, unless supervising	No	No	Yes	Yes	Yes. Completion of a clinical practicum, as required in A.R.S. § 36-1940.01(A)(2)(b).	Yes	20 hours/2 years	No	No	Yes. They classify school-based SLPs under their limited license, so they are only allowed to practice in the schools. Could also be district specific.	Yes	No. A state license is required.	Yes
12	Arkansas	Arkansas law prohibits public school teachers from providing classroom instruction before fifth grade on gender identity and sexual orientation. Reference: SB 294 (2023)	Yes	No	No	No	No	No	Yes	Yes	Yes	Yes	10 hours/year	No	No	Yes. Could also be district specific	Yes. It's called an Ancillary License	Unclear- I have emailed this person: https://dese.ade.arkansas.gov/Offices/special-education/technical-assistance-providers/speech-language-pathology-assistantaide-program	No
13	California		Yes	No	No	No	No	No	Yes	Yes	Yes. They call it Required Professional Experience (RPE).	Yes	24 hours/2 years	No	No	Probably? Seems to be district specific	Yes	No	No
14	Colorado		Yes	No	No	No	The Colorado state licensing board does not currently regulate SLPAs	No	Yes	Yes	Yes. Must complete a CFY through ASHA.	Yes	10 hours/year	No	No	No. Could also be district specific	Yes	Yes	No
15	Connecticut		No	No	No	No	No	No	Yes	Yes	Yes. They call it Supervised Professional Experience (SPE).	Yes	10 hours/year	No	No	No. Could also be district specific	Yes	No	No
16	Delaware		Yes	Yes	No	No	The Delaware state licensing board does not currently regulate SLPAs	Yes	Yes	Yes	Must meet requirements of CFY.	Yes	15 per year (30 biennially)	No	d beginning August 1, 2025 and ending July 31, 2027, all licensees must complete 2 hours of credits in the subject matter of ethics.	Yes. Could also be district specific
17	D.C.		Yes	No	No	Yes	No	No	Yes	Yes	Yes	No, meaning that SLPs completing their period of supervision cannot bill insurance.	20 hours every 2 years	Yes, 2 hours of LGBTQ CEUs every 2 years	Yes, 1 hour of ethics CEUs every two years	Yes	Yes, does not require a CFY	The D.C. Department of Education does not currently regulate SLPAs.
18	Florida	Florida Florida law restricts classroom instruction by school personnel or third parties on sexual orientation or gender identity in kindergarten through third grade or in a manner that is not age-appropriate or developmentally appropriate for students under state standards. Reference: HB 1557 (2022) Florida rules restrict classroom instruction to students in grades 4 through 12 on sexual orientation or gender identity unless it is expressly required by state academic standards or is part of a reproductive health course or lesson that parents have an option to have their student not attend. Reference: State Board of Education Rules 6A-10.081	Yes	No	No	No	No	No	Yes	Yes	Yes. It's called the Professional Employment Experience (PEE)	Yes	20 hours every 2 years	No	No	No. Could also be district specific	Yes	The Florida Department of Education does not currently regulate SLPAs.	No
19	Georgia		Yes	No	No	No	No	No	Yes	Yes	Yes. It's called the Paid Clinical Experience (PCE)	Yes	20 hours every 2 years	No	No	No. Could also be district specific	Yes	The Georgia Department of Education does not fully regulate SLPAs.	No
20	Hawaii		Only if application indicates a self-disclosed criminal conviction.	No	No	No	The Hawaii state licensing board does not currently regulate SLPAs	No	Yes	Yes	Must meet requirements of CFY.	Yes. Must be supervised by a licensed SLP who pays for the CCC.	No	No	No
21	Idaho		Rule proposed as part of ASLP Interstate Compact	No	No	Yes	No	No	Yes	Yes	Yes	Yes	10 hours/year	No	No	No. Could also be district specific	Yes, only requires a bachelor's degree	The Idaho Department of Education does not fully regulate SLPAs.	No
22	Illinois	Illinois explicitly outlines what criminal charges will prevent someone from becoming licensed. Other states should do this.	Only if application indicates a self-disclosed criminal conviction.	No	No	No	No	No	Yes	Yes	Yes	Yes	20 hours/2 years	No	1 hour every 2 years	Yes. Could also be district specific	Yes	No	No
23	Indiana	Indiana requires additional testing in order to treat oro-pharyngeal dysphagia. Indiana law restricts instruction by school employees, staff members or third parties on human sexuality in kindergarten through third grade if not part of academic standards developed by the state. The bill does not prevent a school employee or a school staff member from responding to a question from a student regarding the topic of human sexuality. Reference: HB 1608 (2023)	Yes	No	No	No	Yes - unless a life license was awarded prior to 1990	No	Must be approved by the board	Yes	Yes	Yes	36 hours/2 years	No	No	Yes. Could also be district specific	No	No
24	Iowa	Iowa law prevents a school district from providing any program, curriculum, test, survey, questionnaire, promotion, or instruction relating to gender identity or sexual orientation to students in kindergarten through grade six. Reference: SF 496	Yes	No	No	No	Iowa does not fully regulate SLPAs.	No	Yes	Yes	Yes	Yes	30 hours/2 years	No	No	Depends on the district.	The department of education offers the Professional Services license for SLPs working in the schools- only requires a masters degree in the area of specialty.	Iowa does not fully regulate SLPAs.	No
25	Kansas		Rule proposed as part of ASLP Interstate Compact	No	No	Yes	No	No	Yes	Yes, the scoring is outdated (currently impossible to meet their score requirement of 600)	Yes	Yes	20 hours/2 years	No	No	Yes. Could also be district specific	No	No
26	Kentucky	(1) Children in grade five and below do not receive any instruction on human sexuality or sexually transmitted diseases; or (2) Any child, regardless of grade level, enrolled in the district does not receive any instruction or presentation that has a goal or purpose of students studying or exploring gender identity, gender expression, or sexual orientation. Reference: SB 150 (2023)	Implied with the adoption of the ASLP Interstate Compact, though legislation not explicitly defined.	No	No	No	No. SLPAs can only work in the schools.	No	Yes	Yes	Yes	Yes	30 hours/2 years	No	2 every 2 years	Yes. Could also be district specific	No	No
27	Louisiana		Yes	No	No	No	No	No	Yes	Yes	Yes	Yes	10 hours/year	No	No	Yes. Could also be district specific	No	No
28	Maine		Yes	No	No	No	No	No	Yes	Yes	Yes	Yes	25 hours/2 years	No	No	No, and department of ed requirements are significantly less than license (BA degree only required, no exam, no practicum)	Yes	No	No
29	Maryland	Maryland requires 60 hours of undergrad education in English and requires an English proficiency test.	Yes	No	No	No	No	No	Yes	Yes	Yes	Yes	30 hours/2 years	No	No	Yes. Could also be district specific	No
30	Massachusetts	Policy No. 15-002 requires special training for MBSS.	No	No	No	No	No	No	Yes	Yes	Yes	Yes	20 hours/2 years	No	No	Yes	Yes	The Massachusetts Department of Education does not currently regulate SLPAs.	No
31	Michigan	Michigan requires a one-time requirement for SLPs to complete human trafficking training as well as 1 hour of pain and symptom management per 2-year renewal period.	Yes	No	No	No	No	No	Yes	Yes	Yes. It is called the supervised postgraduate clinical experience.	Yes	20 hours/2 years	Yes, 1 hour of implicit bias training for each year of the renewal cycle.	No	Yes. There is a grandfathering system for SLPs who had a teaching certificate on or before January 12, 2009. Since then, all SLPs are required to have a state license regardless of setting.	No	N/A	N/A
32	Minnesota		Yes	No	No	Yes	No	No	Yes	Yes	Yes	Yes	30 hours/2 years	No	No	Requires either a state license or the CCC.	Yes. Tier 1 SLP license only requires a bachelor's degree. Districts can hire a Tier 1 SLP if/when more qualified SLPs are not available.	Yes	No. Either a state license of the CCC.
33	Mississippi		Yes	No	No	No	No	No	Yes	Yes	Yes. It's called the Supervised Professional Employment Plan.	Yes	20 hours/2 years	No	No	No	Yes. Class AA 215 license, which does not require clinical supervision post-graduation, nor does it require the CCC. Only requires 5 hours of CE per year to renew.	No	No. Either a mater's degree + Praxis or CCC.
34	Missouri	Missouri school SLPs switched from being regulated by the department of ed to state licensing board in 2019. For states wanting to make this switch, Missouri may be a good resource.		No	No	No	No	No	Yes	Yes	Yes. They call it the supervised postgraduate experience period.	Yes	30 hours/2 years	No	No	Yes	No	No
35	Montana		Yes	No	No	No	No	No	Yes	Yes	Yes	Yes	10 hours/year	No	No	Yes	No
36	Nebraska		Yes	No	No	Yes	No	No	Yes	Yes	Yes	Yes	20 hours/2 years	No	No	Yes	No
37	Nevada		No	Yes, for initial licensure only.	No	No	Nevada does not currently regulate SLPAs.	Not explicitly stated. Implied since the CCC is required to obtain licensure in Nevada.	Yes	Yes	CFY required	Yes	10 hours/year	At least 1 of the 10 hours must relate to any of the following: ethics, cultural competence, cultural humility, culturally responsive practices or diversity, equity and inclusion	At least 1 of the 10 hours must relate to any of the following: ethics, cultural competence, cultural humility, culturally responsive practices or diversity, equity and inclusion	No	Yes. October of 2026, graduates of specific programs can apply for the education license with a bachelor's degree. They can only work in the schools.	Nevada does not currently regulate SLPAs.	No
38	New Hampshire	State license for school SLPs became a requirement in 2022.	Yes	No	No	No	No	No	Yes	Yes	Yes. They call it the Post-Graduate Professional Experience.	Yes	30/2 years	No	No	Yes	Yes. Master's degree is the only requirement.	No	No
39	New Jersey		Yes	No	No	No	New Jersey does not currently allow SLPAs to work in the state.	No	Yes	Yes	Yes	Yes, available to people with bachelor's degrees.	20 hours/2 years	No	NO	Not totally clear. Seems to be no, unless billing Medicaid?	Yes. Only a degree is required.	New Jersey does not currently allow SLPAs to work in the state.	No. Only a degree is required.
40	New Mexico	New Mexico offers a a bilingual-multicultural endorsement.	Yes	No	No	Yes	No	No	Language used: "official transcripts verifying at least a master's degree in speech-language pathology, speechlanguage and hearing science, communication disorders or equivalent degree regardless of degree name;"	Yes	Yes	Yes	20 hours/2 years	No	No	Yes	No
41	New York		No	No	No	No	New York does not currently regulate SLPAs. The state explicitly does not allow the use of the term.	CCC is not required, but is an option per Form 4A for the SLP CFY: "Credentials Supervision must be provided by a New York State licensed Speech-Language Pathologist or Audiologist except experience gained outside New York State or in an exempt setting may be provided by a person with the ASHA Certificate of Clinical Competence."	Yes	Yes	Yes	Yes	30 hours/3 years	No	No	Yes (licensing for all SLPs is actually through NYS Department of Education Office of the Professions)	Yes, TSSLD	New York does not currently regulate SLPAs. The state explicitly does not allow the use of the term.	No
42	North Carolina	Ethics rules are written as "he." As in: "He must abide by..."	No	No	No	Yes		No	Yes	Yes	Yes	Yes	30 hours/3 years	No	No	Yes	Yes, a special service personnel certificate	No	No
43	North Dakota	North Dakota law prohibits an institution under control of the state board of higher education from conducting mandatory training of a student or employee, or use a training program, if the program includes a divisive concept. Reference: SB 2247 (2023)	Yes	No	No	No	No	No because North Dakota doesn't require any post-graduate clinical supervision.	Language: "An official transcript verifying completion of undergraduate and graduate degrees."	Yes	No	No because North Dakota doesn't require any post-graduate clinical supervision.	10 hours/year	No	No	Yes	Yes	No	No
44	Ohio		Yes	No	No	No	No	No	Yes	Yes	Yes	Yes	20 hours/2 years	No	2 hours/2 years in ethics	Yes- it is optional	Yes- Pupil Services Registrations (5-Year) - optional	No	No
45	Oklahoma	Oklahoma requires 6 hours of training related to supervision before supervising CFs or SLPAs	Yes	No	No	No	No	No	Yes	Yes	Yes	Yes	20 hours/2 years	No	No	Yes, but may depend on district	Yes- SLPs are required to have a general teacher certification, which has zero requirements that are directly related to SLP training or expertise.	No	No
46	Oregon		Yes	No	No	No	No	Yes	Yes	Yes	Yes	Yes	20 hours/2 years	Yes, 1 hour every 2 years	No	Yes	No (SLPs licesned by the department of education before July 2016 are grandfathered in).
47	Pennsylvania	A "teacher of esophageal speech" is not required to hold a state license	No	No	No	No	No	Yes- CCC "or equivalent" language, so CFY is required	Yes	Yes	Yes	Yes	20 hours/2 years	No	No	No. Pennsylvania has multiple very confusing tiers of teacing certificates for SLPs. Certificate holders are required to hold either the CCC or a state license in some instsances but not all.	Yes. There is a very confusing tiered system that fits into the teacher pay scale in various ways.	The Pennsylvania Department of Education does not regulate SLPAs.	Either the CCC or a state license.
48	Puerto Rico	Act No. 79 of June 28, 1978 requires a year of public health services.	Yes	No	No	??	No	??	Yes	Yes	No	No- they offer a provisional license until the exam results, but not for supervised work experience reasons	? hours/3 years	??	??	Yes	No
49	Rhode Island		No	No for those outside of medical practice Yes for DOH license application, which is required for medical practice	No	No	No	No	Yes	Yes	Yes	Yes	20 hours/2 years	No	No	No	Yes	The Rhode Island Department of Education does not fully regulate SLPAs- the state licensing board does.	No- only the equivalent of the CCC.
50	South Carolina		No	No	No	No	No	No	Yes	Yes	Yes. It's called Supervised Professional Employment (SPE)	Yes	16 hours/2 years	No	No	Yes	Yes	The South Carolina Department of Education does not fully regulate SLPAs- the state licensing board does.	No
51	South Dakota		No	No	No	No		No	Yes	Yes	Yes	Yes	20 hours/2 years	No	No	Yes	No
52	Tennessee	Tennessee law prohibits a local education agency or public charter school from requiring an educator or other employee from participating in implicit bias training. This includes the completion of this training a requirement for licensure or professional development. This law also prohibits public institutions of higher education from requiring a faculty member or employee from participating in implicit bias training. Reference: SB 102 (2023)	Yes	No	No	No	No	No	Yes	Yes	Yes	Yes	10 hours/year	No	No	Yes or hold an advanced degree in speech-language pathology and hold a full and valid out-of-state initial level speech-language pathology license from a state that is a partner in the NASDTEC interstate agreement (so no, does not guarantee holding SLPs to the same standard as the licensing board).	Yes, a school services personnel license	No	No
53	Texas	Texas law prohibits the use of state funds for the design, implementation or administration of diversity, equity, and inclusion practices or programs, including mandatory or recommended training or programmed activities. Reference: HB 1 (2023) [PDF] Texas law prohibits the governing board of public institutions of higher education from maintaining a diversity, equity, and inclusion office, hiring a third party to fulfill the duties of a DEI office, require a DEI statement for employment, or require DEI training. Reference: SB 17 (2023)	Yes	No	No	No	No	No	Yes	Yes	Yes. They call it the supervised professional experience.	Yes	20 hours/2 years	No	2 hours/2 years	Yes	No. The Texas Education Agency (TEA) no longer issues certificates in speech-language therapy, but individuals who hold a lifetime TEA certificate in speech and hearing therapy or speech-language therapy may practice in public schools without a license.
54	Utah		Utah is aware that they need to pass a law requiring background checks in order to comply with ASLP Interstate Compact, but has yet to do so.	No	No	No	No	No	Yes	Yes	Yes, however there is a typo in the regulation. Under 58-41-5,4(d), it should reference section 1(d), however it references section 1(b), so technically, a period of supervision isn't required, but you can tell by the way the law is worded ("supervision and attestation requirement shall be from a licensed speech-language pathologist rather than a licensed audiologist") that it was intended to be required, it just referenced the wrong section from the audiology section (pertaining to the degree rather than the supervised work period requirement).	Yes	20 hours/2 years	No	No	No	Yes. Must possess an educator license and special education eligibility evaluator (SPED-EE) endorsement. Utah also allows SLTs, which are only required to have a bachelor's degree.	No	No
55	Vermont	Vermont has not yet defined the rules of the board. This means that the statutes are in place, but the actual definitions have yet to be written. Per communication with the board, they require proof of the CCC and 20 hours of continuing education to renew a license.	No	No, but since the rules aren't written, the board is requiring the CCC without actual legislation written to do so.	No, but since the rules aren't written, the board is requiring the CCC without actual legislation written to do so.	No, but since the rules aren't written, the board is requiring the CCC without actual legislation written to do so.	No, but since the rules aren't written, the board is requiring the CCC without actual legislation written to do so.	No, but since the rules aren't written, the board is requiring the CCC without actual legislation written to do so.	The board has yet to write the rules that define the degree requirements.	The board has yet to write the rules that define the exam requirements.	The board has yet to write the rules that define the period of supervision in the first year of practice.	No, meaning until SLPs complete the clinical practicum experience (poorly defined in the regulations), they cannot bill insurance.	Per communication with the board, they require 20 years per renewal, but because the board hasn't written the rules for the board, this isn't actually a law.	Rules are not written yet.	Rules are not written yet.	Yes	Must meet the educational speech language pathologist endorsement competencies.
56	Virginia		No	Yes- only for initial licensure and only for SLPs not working in the schools.	No	No	Only for the first year of licensure. Note that Virginia defines an SLPA in their regulations, but does not license them.	No	Yes	Yes	Yes	Yes	10 hours/year	No	No	Yes	No, so it's especially ridiculous for the licensing board to require the CCC only for SLPs who don't work in the schools.
57	Washington		Yes	No	No	No	No	No	Yes	Yes	Yes	Yes	30 hours/3 years	Sort of. Must complete a minimum of two hours in health equity. (Unrelated to DEI, At least one hour of the continuing education must be on infection control.)	No	No	Yes. Only a master's degree is required- no clinical supervision after graduation.	The Washington Department of Education does not fully regulate SLPAs- the state licensing board does.	No
58	West Virginia		Rule in progress	No	No	No	No	Yes	Yes	Yes	Yes. They call it the post-graduate professional experience (PPE).	Yes	20 hours/2 years	No	1 hour every year (2 per 2 years)	Yes	Yes- Professional Student Support Certificate	No	No
59	Wisconsin		No	No	No	No	The Wisconsin state licensing board does not currently regulate SLPAs.	No	Yes	Yes	Yes	Yes	20 hours/2 years	No	2/2 years	No	Yes	No	No, but the application requires CCC number for initial license (not renewal), which does not match the regulations.
60	Wyoming	This page indicates that ASHA hasn't udpated their state regulation pages in almost 4 years.	Yes	No	No	No	No	No	Yes	Yes	Yes	Yes	10 hours/year	10 hours/year	No	Yes. The Board of Examiners of Speech-Language Pathology & Audiology (SLP Board) became the only licensing body for SLPs and Audiologists effective July 1, 2020, due to the passage of the interstate compact. All SLP licensed through PTSB became null and void on July 1, 2020, regardless of the current validity dates of the PTSB license.	Yes, some districts will accept a state license.	No	No
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