This article examines the relationship and predictive power of the Early Language Milestone Scale-2 (ELM-2) and the Bayley Scales of Infant Development-II (BSID-II). Both scales were administered to 90 infants who were referred to a neonatal developmental follow-up clinic due to prematurity and low birth weight, physical conditions that placed them at risk for developmental delay, or both. Results of the ELM-2 correlated with BSID-II scores of infants 12 months of age. Implications are discussed regarding use of the ELM-2 for infants and toddlers who are not considered at risk.