Missouri Board sets new licensure requirements for speech-language pathologists

On March 25, 2025, the Missouri State Legislature introduced House Bill 765, a significant piece of legislation aimed at reforming the licensure requirements for speech-language pathologists and audiologists in the state. This bill seeks to enhance the standards for professional practice in these fields, addressing ongoing concerns about the quality of care provided to individuals with communication disorders.

The primary provisions of House Bill 765 include a mandate for applicants to hold a master's or doctoral degree from an accredited program recognized by the Council on Academic Accreditation of the American Speech-Language-Hearing Association or another approved accrediting agency. Additionally, candidates must submit official transcripts demonstrating the completion of required coursework and clinical practicum, as well as provide written evidence of a clinical fellowship supervised by a licensed speech-language pathologist. Notably, those with a clinical doctoral degree in audiology are exempt from the clinical fellowship requirement. Finally, applicants must pass an examination approved by the board, which will determine the subject and scope of the test.

The introduction of this bill has sparked notable discussions among stakeholders in the field. Proponents argue that these enhanced requirements will ensure a higher standard of care and better prepare professionals to meet the needs of their clients. Critics, however, express concerns about the potential barriers to entry for new practitioners, particularly in rural areas where access to accredited programs may be limited. This debate highlights the ongoing tension between maintaining high professional standards and ensuring accessibility to essential services.

The implications of House Bill 765 extend beyond licensure requirements. By raising the bar for entry into the profession, the bill could lead to a more competent workforce, ultimately benefiting patients who rely on speech and hearing services. However, it may also exacerbate existing workforce shortages in underserved regions, where fewer professionals are available to provide necessary care.

As the bill moves through the legislative process, its future remains uncertain. Stakeholders are closely monitoring discussions and potential amendments that could address concerns about accessibility while still upholding professional standards. The outcome of House Bill 765 could have lasting effects on the landscape of speech-language pathology and audiology in Missouri, shaping the quality of care for years to come.