Speech Pathology Australia: A 7th year of frozen NDIS prices means less access for participants

Media statement

Speech Pathology Australia says the NDIA's recommendation to freeze speech pathology price limits for a 7th consecutive year fails to address the growing gap between the cost of delivering services and what the NDIS pays, and compounds the impact of sweeping structural reforms already reshaping the scheme. 

The pricing schedule arrives as participants also face a proposed 10% reduction to Capacity Building budgets from October 2026 – the primary source of funding for most NDIS therapy. 

Together, these changes create a double impact on access: the NDIS price freeze for a 7th year makes services increasingly unsustainable to deliver, while reduced budgets limit what participants can afford to purchase. In practice, this means fewer available providers, fewer therapy sessions, and longer delays for participants who rely on speech pathology. 

Once again, cost containment is being prioritised over participants’ access to vital speech pathology supports that are critical to communication, development, participation and safety. 

Pricing and reforms that erode access to essential supports are fundamentally at odds with the purpose of the NDIS: enabling people with disability to participate in everyday life, exercise choice and control and achieve their goals. 

Speech Pathology Australia's member data shows 76% of respondents already reporting that current NDIS pricing does not cover the cost of delivering services. When pricing falls below the cost of service provision, providers are forced to reduce services, limit intake or withdraw from the NDIS altogether, and it is participants who bear the consequences. 

Speech Pathology Australia recognises the need for the NDIS to be financially sustainable, but frozen pricing that undermines a sustainable provider market risks higher costs in the long term by reducing timely access to supports. 

Speech Pathology Australia is calling for urgent reconsideration of the pricing recommendation to prevent market failure and protect participant access.

 

Quotes attributed to Speech Pathology Australia Immediate Past President Kathryn McKinley: 

“A price freeze is a real-world price cut. As service costs rise, providers cannot absorb the gap. That means fewer services, fewer providers and reduced access for NDIS participants.  

"Seventy-six per cent of members who responded to our survey say current NDIS pricing doesn't cover the cost of delivering services. Freezing prices for a 7th year fundamentally undermines access to services. 

"NDIS pricing must support access. We will continue to advocate strongly for a sustainable system that enables speech pathologists to deliver the services participants need." 

 

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About Speech Pathology Australia

Speech Pathology Australia is Australia’s peak body for speech pathologists, representing over 16,000 members. Our purpose is to empower speech pathologists and strengthen access to speech pathology for people with communication and swallowing needs.  

Speech pathologists are university qualified allied health professionals who support people across the lifespan with communication and swallowing needs, including speaking, understanding language, reading, writing, and safe eating, drinking and swallowing. They work across hospitals, early childhood education and care, schools, disability and aged care services, and in the community.