For parents in California and Texas

Speech therapy for kids, close to home.

Is your child talking less than other kids their age?

In California and Texas, the first speech evaluation is free. If your child is under 3, call your state’s early intervention program: Early Start in California or ECI in Texas. From age 3, ask your public school district. Choose your city to see who to call and what happens next.

A child plays with colorful shapes and the Speech Blubs mascot.
California and Texas, United StatesOfficial sources
Is my child on track?

Signs to look for, by age.

If something on this list worries you, you don’t need to wait and see. You can ask for a free evaluation right away.

By 18 months
Tries to say at least 3 words besides “mama” or “dada.”
By 2 years
Puts two words together, like “more milk.”
By 3 years
Has a short back-and-forth conversation with you.
At any age
Stops saying words they used to say.
Free and paid help in California and Texas

Where to get help, by age.

An evaluation is a check of how your child talks and understands words. It usually happens through play, often with a speech therapist.

Under 3 · free evaluation

Early Start in California

Early Start is California’s early intervention program for babies and toddlers up to 36 months. Regional centers run it, and yours depends on where you live.

You don’t need a doctor’s note to call. If your child needs therapy, it may be billed to Medi-Cal or your insurance first.
Find your regional center
Under 3 · free evaluation

ECI in Texas

ECI (Early Childhood Intervention) is Texas’s early intervention program for babies and toddlers up to 36 months. You can call ECI yourself, without a doctor’s referral.

If your child needs therapy, the cost depends on your family’s size and income. No family is turned away because they can’t pay.
Find ECI by ZIP code
Age 3 and up · free evaluation

Your public school district

From age 3, your public school district evaluates children for free, even before kindergarten. Ask in writing for a speech and language evaluation.

School speech services are free if your child qualifies. Your school district depends on your home address.
See your city’s school district

These services are run independently of Speech Blubs.

Questions parents ask in California and Texas.

Short answers about free help, costs and the app.

Is speech therapy free in California and Texas?

The evaluation is free: through Early Start or ECI under age 3, or your public school district from age 3. School speech services are free if your child qualifies. In California, Early Start therapy may be billed to Medi-Cal or your insurance. In Texas, ECI therapy costs depend on family size and income. Find free help.

Does Medicaid or insurance cover speech therapy?

Medicaid covers speech therapy for children when it’s medically necessary. In California, Medicaid is called Medi-Cal. Private plans differ, so call the number on your insurance card and ask about pediatric speech therapy. Find free help.

Do I need a doctor’s referral?

Not for Early Start, ECI or the school district: you can contact them yourself. Medicaid and many insurance plans may ask for a referral from your child’s doctor. Find free help.

My 2-year-old only says a few words. Should I worry about a speech delay?

Many 2-year-olds put two words together, like “more milk.” If your child doesn’t yet, it’s a good time to ask for a free evaluation. You don’t need to wait and see. Find free help.

Does Speech Blubs replace a speech therapist?

No. Speech Blubs is an app with short activities to practice together at home. A speech therapist evaluates your child and plans the therapy.