The Individuals with Disabilities Education Act (IDEA) officially defines speech and language impairments as “a communication disorder such as stuttering, impaired articulation, a language impairment, or a voice impairment that adversely affects a child's educational performance.”
if your telling a 8 year old in depth detail about substance abuse it would most likely go through one ear and out the other because they wouldnt understand.
All of the above I suppose. You forgot to add loss of treatment to those who need it. You haven’t specified which services are being limited but presumably something is lost when we limit offerings.