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As someone who is a recent new grad, I was beginning a full time SNF job in less than 2 weeks. Since the news they have had to cut me to part time and I had to find another CF site in order to stay on track of receiving my C’s in 9 months. As well as, to finically live! These new set of rules are just another unnecessary barrier for new graduates to jump through. I have never felt more devastated of the hard work I just put in for the last 6 years to be so easily diminished in less than 3 days. More IMPORTANTLY, SNF thrive off of CF and the new guidelines eliminate high chances of new grads conducting their CF in this setting. Ultimately, decreasing the amount of SLPs able to provide important, necessary, often urgent care to patients. This will lead decreasing patient outcomes. Absolutely heartbreaking.
Claire supported: Reinstate the ability of CF-SLPs to provide services to Medicare beneficiariesAs a soon-to-be new grad SLP, this change is terrifying. There is already such a shortage of SLPs resulting in so many patients not getting vital therapy they need! As a CF-SLP, I hold the same education as an SLP who holds their CCC certification. I have literally even passed the same national exam required for that certification. SLP graduate programs require 375 hours of direct therapy services provided over the course of our education. The CF year is meant to be about mentorship. It is NOT saying I am less qualified to provide services or that I will provide substandard services to these clients. This decision is just medicare attempting to give yet another excuse for not covering vital therapeutic services to individuals. Communication is a core and essential need for us as human beings living in a society - why are you trying to stop people from receiving services that provide a basic human need over a 36-week mentorship program.
Alexis supported: Reinstate the ability of CF-SLPs to provide services to Medicare beneficiariesI just graduated from my master’s program in speech-language pathology and am beginning my Clinical Fellowship in acute care at a hospital that serves a diverse and high-needs population. I’ve worked incredibly hard to get to this point—completing over 375 hours of supervised clinical training, passing the national Praxis exam, and preparing to deliver critical services to patients who need them most.
This Medicare policy change is not only disheartening, it’s dangerous. It implies that CF-SLPs like myself are somehow unqualified to help patients, when in reality we are highly trained and actively supervised. This hurts hospitals, especially those already struggling with staffing shortages, and even more importantly, it hurts patients—many of whom rely on Medicare and can’t afford to lose access to essential care.
The CF year is about mentorship, not incompetence. We are ready, capable, and eager to provide services. This decision is a step backward, and it jeopardizes the future of care for so many vulnerable populations.
Kendall supported: Reinstate the ability of CF-SLPs to provide services to Medicare beneficiariesAs a student studying Speech-Language Pathology, this directly impacts my future. We need more SLPs, and this change not only threatens the future of our profession, but also denies access to care for those who need it most.
Shannen supported: Reinstate the ability of CF-SLPs to provide services to Medicare beneficiariesThis sudden change is drastic and unfair to all and recent the SLP graduates who have been working hard to make themselves employable. This should be re-evaluated and implemented ONLY with a planned support strategy to ensure licensing is in place at the time of or shortly thereafter a SLP received their graduate diploma. Making a change like this without a plan is irresponsible and unfair to the patients and families that need their services. They provide a valuable outcome to those in need.
Chris supported: Reinstate the ability of CF-SLPs to provide services to Medicare beneficiariesNot an SLP but I have SLP friends in my life this affects. I work with children who have speech issues as an educator and without access these students cannot improve their speech quality. This matters for those who aren’t SLPs too.
Delaney supported: Reinstate the ability of CF-SLPs to provide services to Medicare beneficiariesAs someone who just completed their CFY at the beginning of April in a multi-level living facility (SNF, LTC, Memory Care, Geri-Psych, ALF, ILF), I cannot emphasize enough how detrimental this policy change is for the most vulnerable people in our society. Clinical Fellows have completed six years of schooling, logged 400+ supervised hours of direct therapy, and hold a master’s degree in their area of expertise. The concept of a provisional or temporary license exists in many other fields for the first year(s) of employment, including education, medicine, social work, and more. Are first-year teachers not allowed to teach classes unsupervised? Does a first-year social worker need an evaluator sitting on the couch next to their client? CF-SLPs are competent, fully-licensed professionals. The only reason they are viewed as anything but is the advocacy work of a non-mandatory professional organization, membership of which is NOT a national requirement for licensure. I’m horrified by the consistent devaluing of the work SLPs do for one of the most vulnerable populations in our nation.
Katelyn supported: Reinstate the ability of CF-SLPs to provide services to Medicare beneficiariesThis ruling puts pressure on already overworked and overburdened CF supervisors to restructure entire caseloads. This is simply not ethical for patient care, as it takes away trained and licensed professionals (CFs, who HAVE completed grad school, the praxis, gotten approved for provisional licenses, and sometimes even more in state specific requirements) from patient care when the field as a whole is already understaffed for patient need.
Madison supported: Reinstate the ability of CF-SLPs to provide services to Medicare beneficiariesI am currently in a rural town with a dire need for speech language pathology services. The news of this policy change broke my heart as I have already gotten to know many of the patients there. The majority of the patients at my hospital utilize Medicare for the outpatient speech therapy services, so this majorly affects my small town. This new policy will make it that much more harder to provide quality speech therapy services to a small town that has been in need of a full time speech therapist for a long time. The reversal of this policy will allow for small towns such as the one I work in to better be able to provide quality speech therapy services.
Brianna supported: Reinstate the ability of CF-SLPs to provide services to Medicare beneficiariesYou’re not alone — a community of supporters is ready to back you.
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