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The U.S. Senate narrowly passed H.R. 1, commonly referred to as the \u201cOne Big Beautiful Bill Act\u201d (OBBBA), which makes significant changes to many federal programs in order to pay for the Administration\u2019s domestic policy priorities. OBBBA includes many provisions that ASHA strongly opposes and has worked to remove or revise because they would hinder audiologists\u2019 and SLPs\u2019 ability to provide services to their patients, clients, and students. Although the House previously passed this bill, changes made by the Senate must be approved by the House before it can be enacted into law.

This bill cuts Medicaid funding by more than $700 billion and makes changes to the program that will reduce enrollment and limit access to services, including those provided by audiologists and SLPs. The legislation also makes Medicare changes that could result in across-the-board spending cuts in reimbursement in subsequent years, while not extending the authority of audiologists and SLPs to provide telehealth services to Medicare beneficiaries beyond September 30.

Learn more about provisions in H.R. 1.

The House will likely consider H.R. 1 within days, so the time to act is NOW!

Use this form to contact your member of Congress to tell them to protect important programs like Medicare and Medicaid and preserve access to services audiologists and SLPs provide to individuals of all ages.

Want to expand your impact? You can also write to your members of Congress asking them to:

Questions? Contact Jerry White, ASHA\u2019s senior director of federal and political affairs, at jwhite@asha.org.

Thank you for being an ASHA Advocate!

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It\u2019s been over 20 years since Medicaid raised reimbursement rates for speech-language pathologists (SLPs) in North Carolina. Rates today are an alarming 12% lower than they were in 2003. So, the North Carolina Speech, Hearing & Language Association (NCSHLA) and ASHA are requesting a 30% raise!

Over the past several years, NCSHLA has worked with the Department of Health and Human Services, the governor's office, and key legislators in the state Appropriations and Health Care Committees to secure a commitment for the increase, and we need your help to tell them to make it happen!

This is your chance to make your voice heard.

Please fill out this form to urge your representatives to appropriate funding for this long overdue rate increase.

Questions? Reach out to info@ncshla.org.

Thank you for being an ASHA Advocate!

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Health insurers, including many Medicare Advantage plans, sometimes require providers to obtain prior authorization for certain health care services before they can provide care to their patients. Prior authorization is intended to ensure clinically appropriate treatments, but inappropriate use of prior authorization as a utilization management tool creates undue administrative burdens for providers and erects barriers for patients to access necessary care.

The Improving Seniors\u2019 Timely Access to Care Act (S. 1816) would reduce administrative burden and maximize the time audiologists and speech-language pathologists spend caring for their patients. The bill focuses on enhancing transparency and oversight, improving communication, and streamlining administrative processes for prior authorization that would help ensure Medicare Advantage beneficiaries have timely access to audiology and speech-language pathology services.

Please complete the form to email your Senators and ask them to support S. 1816.

Download the Issue Brief [PDF] to learn more.

Questions? Contact Josh Krantz, ASHA\u2019s director of federal affairs, health care, at jkrantz@asha.org.

Thank you for being an ASHA Advocate!

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The Medicare Audiology Access Improvement Act (H.R. 2757/S. 1996) would give seniors more timely and robust access to the full range of services audiologists are expertly educated and uniquely qualified to provide. Currently, Medicare only covers diagnostic tests performed by audiologists to assess hearing and balance when ordered by a physician, and vestibular and audiologic treatment (which are within an audiologist's scope of practice under state law) are only covered when provided by other practitioners. These unnecessary limitations delay access to care and impose high out-of-pocket costs on seniors.

The Medicare Audiology Access Improvement Act fixes these problems by

expanding coverage to include all Medicare covered diagnostic and treatment services,
streamlining access to audiology services by removing language that requires a physician referral, and
reclassifying audiologists from \u201csupplier\u201d to \u201cpractitioner\u201d under the Medicare statute, which would enable audiologists to permanently provide services via telehealth.

Download the Issue Brief [PDF] to learn more.

Please complete the form to email your U.S. Representative and Senators and urge them to support the Medicare Audiology Access Improvement Act (H.R. 2757/S. 1996).\u00a0

Questions? Please contact Josh Krantz, ASHA's director of federal affairs, health care, at jkrantz@asha.org.

Thank you for being an ASHA Advocate!

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The federal government provides grant funding and technical support to help states administer newborn hearing screening programs. These programs have proven to be extraordinarily effective. Between the years of 2018 and 2022, over 320,000 children received diagnostic hearing services after failing an initial newborn screening; and over 19,000 children were successfully enrolled in early intervention services. Despite the success of the program, states do not have sufficient resources to ensure that all newborns who fail hearing screenings receive a timely diagnosis and appropriate early intervention without the support and funding provided by the federal agencies.

Congress renewed the law that provides federal funding and support for state newborn hearing screening programs in 2022, and has subsequently provided funding for the two federal agencies\u2014the Centers for Disease Control and Prevention (CDC) and the Health Resources and Services Administration (HRSA)\u2014that provide such support.

However, recent reductions in the CDC support will significantly impact the states as they attempt to administer the EHDI program at the local level. Additionally, cuts to the grant funding HRSA provides to help states implement newborn hearing screening programs would negatively impact these state level programs.

The costs associated with hearing loss can vary across the lifespan. A child with severe to profound hearing loss has a lifetime cost of $100,000 more than children whose hearing loss has been treated. The cost of medical care as an adult, for those adults with untreated hearing loss, is 46% higher than adults without hearing loss. Early Hearing Detection and Intervention programs provide a reduction in lifetime costs, in addition to helping children achieve better educational and vocational outcomes during their lifetime. Reducing or eliminating federal support for state newborn hearing screening programs will decrease access to services and increase these health care costs for families of children who are deaf or hard of hearing and require substantial investment of taxpayer resources to address their needs the longer hearing loss goes undiagnosed and/or untreated.

Please complete the form to email your members of Congress urging them to protect newborn hearing screening programs!

Questions? Contact Josh Krantz, ASHA's director of federal affairs, health care, at jkrantz@asha.org.

Thank you for being an ASHA Advocate!

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Medicaid policy changes at both the federal and state level can impact you. Your real-life stories can support ASHA's efforts to advocate for improved access to audiology and speech-language pathology services for Medicaid beneficiaries as well as better payment rates for providers.

We are looking for stories to share with elected officials and policymakers to demonstrate the ways proposed changes to the funding of the Medicaid program could limit access to the critical services audiologists and speech-language pathologists provide. By sharing your stories in our meetings, we show them how their decisions directly impact real people.

Whether your story is positive or negative, it could make a difference. Please use this form to share your story with us.

Here are some things to consider:

What would happen to you if access to Medicaid was restricted?
How has a Medicaid rate or access increase helped you?
How has limited access to care impacted you?

Audiologists and SLPs with questions about Medicaid should contact reimbursement@asha.org.

You can also share your story directly with your legislators by sending a letter or making a call.

Thank you for sharing your story!

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Medicare coverage for audiology and speech-language pathology services delivered via telehealth should remain protected. On March 14, Congress passed, and the President signed, a law that provides a short-term extension of authority for audiologists and SLPs to bill telehealth services under Medicare Part B through September 30, 2025. Without further congressional action by the end of September, Medicare beneficiaries will no longer be covered for audiology and SLP telehealth services. It\u2019s critical that Congress act to ensure patients maintain access to the same level of telehealth services they have had since 2020.

The Centers for Medicare & Medicaid Services (CMS) used this authority provided by Congress to cover key audiology and speech-language pathology telehealth services during the COVID-19 public health emergency, and beyond.

Ongoing coverage of telehealth services will continue to enhance access to hearing, balance, speech, language, swallowing, and cognition related health care services for those in rural and medically underserved areas.

Please complete the form to email your elected officials and ask them to ensure Medicare beneficiaries retain access to critical telehealth services.

Questions?\u00a0Contact Josh Krantz, ASHA's director of federal affairs, health care, at\u00a0jkrantz@asha.org. \u00a0

Thank you for being an ASHA Advocate!

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The Trump Administration has taken several actions, such as issuing executive orders and restructuring the U.S. Department of Health and Human Services, that have stopped or constrained access to funding for research supported by the National Institutes of Health (NIH). NIH aims to gain knowledge to help prevent, detect, diagnose, and treat diseases and disabilities, which will ultimately help Americans live longer and healthier lives.

The National Institute on Deafness and Other Communication Disorders (NIDCD) is one of the institutes and centers that comprise NIH. NIDCD conducts and supports research that helps improve the understanding of and treatments for hearing, balance, speech, and language disorders.

Unfortunately, funding for many of these efforts has stopped and communication about future work has ceased. This is not because of a mandate from Congress, which oversees NIH, but because Administration officials\u2014including from the Department of Government Efficiency\u2014have unilaterally and arbitrarily determined that such funding is unnecessary, unwarranted, and inappropriate.

These misguided actions threaten the progress of ongoing and future work to help people with communication disorders. Research funding cuts also threaten the future preparation of scientists, especially for PhD students, which is essential for supporting future medical and public health breakthroughs, including those related to human communication and communication sciences and disorders (CSD). During academic year 2023-2024, 277 (91.4%) of CSD PhD students were admitted with funding. Research funding makes it possible for these students to complete needed advanced doctoral education.

Download the Issue Brief [PDF] to learn more about this legislation.

Please complete the form (and add an example about how these actions have impacted your work) to email your members of Congress and ask them to protect funding for this critical health research.\u00a0

Thank you for being an ASHA Advocate!

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The Centers for Medicare & Medicaid Services (CMS) finalized a 2.8% cut to the Medicare Physician Fee Schedule (MPFS) Conversion Factor (CF) for 2025, which took effect on January 1, 2025 in the absence of congressional action. This cut impacts payment rates for all physician and nonphysician services reimbursed under Medicare Part B.

Audiologists and SLPs are facing unsustainable declines in Medicare Part B payment rates due to several arbitrary cuts that Congress and regulators have put into place over the years. The cumulative impact of multiple reductions to Medicare provider payments\u2014stemming from a budget neutrality requirement in the MPFS, congressionally-implemented budget control mechanisms, and a lack of inflationary updates\u2014 creates unsustainably low payment rates for clinicians and limits access for beneficiaries, ultimately resulting in higher health care costs. \u00a0

Congress must act to eliminate these payment cuts for the remainder of 2025, provide relief from inflationary pressure on the cost of providing care, and continue to work toward long term, sustainable Medicare payment policy.

Congress must protect beneficiary access to essential audiology and speech-language pathology services by passing H.R. 879, the Medicare Patient Access and Practice Stabilization Act of 2025.

Download the Issue Brief [PDF] to learn more about this legislation.

Please complete the form to email your members of Congress and ask them to protect access to audiology and speech-language pathology services.

Learn more about the final rule and ASHA\u2019s continued advocacy efforts to stop Medicare cuts.

Thank you for being an ASHA Advocate!

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President Trump has issued an executive order directing the closure of the U.S. Department of Education (ED), and the department has already eliminated nearly half of its employees and canceled contracts necessary to fulfill its legal role.

Proposals to close ED would transfer responsibility for many of its programs to other agencies, such as moving administration of the Individuals with Disabilities Education Act to the Department of Health & Human Services, or federal student lending to the Department of the Treasury. Other programs would be eliminated entirely.\u00a0\u00a0

It\u2019s imperative for ED to remain a single cabinet-level agency to ensure that programs providing all students access to the services and supports that educational audiologists and school-based speech-language pathologists provide are overseen and implemented by those with the experience and expertise to ensure their success.\u00a0\u00a0

Use this form to contact your U.S. Senators and Representative to tell them about the important role that ED plays in supporting school-based SLPs and educational audiologists and urge them to preserve the role of the department in ensuring student success. We encourage you to personalize the message to let them know directly how this would impact you and your community, their constituents.\u00a0

Thank you for being an ASHA Advocate!

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A lawsuit filed by 17 states against the U.S. government argues that Section 504 of the Rehabilitation Act of 1973 is unconstitutional based on updated regulations that bolstered nondiscrimination protections for people with disabilities. At its core, Section 504 requires all programs or activities that receive any federal funding not to discriminate against people based on their disability(ies).

While this lawsuit is specifically based on the U.S. Department of Health and Human Services' final rule on Nondiscrimination on the Basis of Disability in Programs or Activities Receiving Federal Financial Assistance and would thus seem to be confined to health care services, it\u2019s almost certain the claim that \u201cSection 504 is unconstitutional\u201d would have implications for education settings as well. These efforts to undermine Section 504 are dangerous because of the potential sweeping impact for people with disabilities in health and educational settings, including nondiscrimination protections for individuals with gender dysphoria and communication access protections.

Please complete this form to send a message to your state\u2019s attorney general (AG) and consider adding your own examples of how Section 504 protections have positively impacted your clients/students/patients into the middle section of this letter. Examples of this could include how:

Your patients\u2019 experiences and outcomes are improved when they have access to appropriate auxiliary aids and services to ensure effective communication with people with disabilities in health care settings. This could include interpreters, assistive listening devices, captioning, and speech-to-text services
A 504 Plan allows your students to fully participate in school.
A reasonable accommodation helped you or your client, patient, or student gain or maintain employment
Collaborating with an interpreter supported interaction between the client/patient/student and provider.

Including any personal or professional experience can help strengthen your message.

Some ASHA members have reported that when contacting their attorneys general, they are told there is no intent to eliminate the entire Section 504 from the law. However, ASHA is still concerned about the scope of the lawsuit because the text of the complaint specifically asks the court to \"declare 504 unconstitutional.\u201d It will be critical for a judge to weigh in and determine the scope and breadth of the lawsuit's impact.

Please note, if you are in one of the 17 states that are part of this lawsuit, your form template should default to a letter with language urging your AG to withdraw from the lawsuit. If you are in the other 33 states, your letter template should default to thanking your AG for not taking part in the lawsuit and encouraging them to continue defending people with disabilities.

Questions?\u202fContact reimbursement@asha.org.

Thank you for being an ASHA Advocate!

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The States Handling Access to Reciprocity for Employment (SHARE) Act (H.R. 2332/S. 1101) would address an inconsistent interpretation by the Federal Bureau of Investigation about whether interstate licensing statutes comply with federal law that permits state licensing agencies to receive criminal history background check information on licensees who wish to use an interstate compact.

ASHA strongly supports the implementation of the Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC), which will allow licensed audiologists and speech-language pathologists (SLPs) to obtain a privilege to practice across state lines in other ASLP-IC member states without having to obtain additional state licenses.

The ASLP-IC Commission is currently implementing a data system that will begin accepting applications for compact privileges in 2025. Passage of the SHARE Act will ensure that state licensing authorities that are members of the ASLP-IC can receive confirmation that a background check has been completed and whether the background check was satisfactory so that practice privileges can be issued.

Please complete the form to contact your representative and senators and ask them to cosponsor H.R. 2332/S. 1101.

Download the Issue Brief [PDF] to learn more about this legislation.

Please complete the form to contact your representative and senators and ask them to cosponsor H.R. 2332/S. 1101.

Questions?\u202fContact Eric Masten, ASHA's director of federal affairs for education, at emasten@asha.org.

Thank you for being an ASHA Advocate!

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When Congress passed the Individuals with Disabilities Education Act (IDEA) 50 years ago, it committed to covering 40% of the average per-pupil expenditure for special education. Federal funds currently cover less than 15% of those costs. The IDEA Full Funding Act (H.R. 2598/S. 1277) would make funding for IDEA mandatory and put it on a 10-year path to finally cover 40% of the average per-pupil expenditure for special education.

Schools across the nation are addressing the unique needs of students with disabilities in response to the COVID-19 pandemic, and it is vital to ensure they continue to receive the free appropriate public education they are entitled to under law. Congress must act to ensure that schools have the funding they need to support students with disabilities in achieving the goals outlined in their Individualized Education Programs and Individualized Family Service Plans as best as possible.

Download the Issue Brief [PDF] to learn more about this legislation.

Please complete the form to contact your representative and senators and ask them to cosponsor H.R. 2598/S. 1277.

Questions?\u202fContact Eric Masten, ASHA's director of federal affairs for education, at emasten@asha.org.

Thank you for being an ASHA Advocate!

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Ask your state legislators to support the Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC). The ASLP-IC will allow licensed audiologists and speech-language pathologists to obtain a privilege to practice across state lines without becoming licensed in additional ASLP-IC member states. This allows you to provide services to underserved or geographically isolated populations either in person or through telepractice more easily and helps facilitate continuity of care when patients, clients, and/or students relocate or travel to another compact state.\u00a0

The ASLP-IC has been adopted in the following states: AK, AL, AR, AZ, CO, DE, FL, GA, IA, IN, ID, KS, KY, LA, ME, MD, MN, MO, MS, MT, NE, NH, NC, NV, OH, OK, RI, SC, TN, UT, VA, VT, WA, WI, WV, WY.

Learn more about ASHA\u2019s advocacy efforts on the ASLP-IC.

Please complete the form to email your state elected officials and ask them to support the ASLP-IC.

Thank you for being an ASHA Advocate!

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New York\u2019s Early Intervention (EI) program, EI-Hub, has been extremely challenging for enrolled speech-language pathologists (SLPs) to navigate. From the transition to a new EI-Hub in October to reimbursement rates not being commensurate with the importance of the critical services children in New York need. This has caused delays in vital services being provided to children and significant issues for providers.

Use this form to urge your Governor to support Early Intervention providers in New York. SLPs need to be able to navigate their EI portal and be paid appropriately for the critical services they provide!

Thank you for being an ASHA Advocate!

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Good news! Tennessee legislators are considering SB 231/HB 296, which requires health plans to cover habilitative and rehabilitative speech therapy as a treatment for stuttering. This legislation will increase access to stuttering therapy services by removing barriers such as:\u00a0

Maximum annual benefit or visit limits\u00a0

Limitations based on the cause of stuttering\u00a0

Unnecessary utilization management or prior authorization requirements \u00a0

Additionally, this legislation would support coverage of speech therapy services provided via telehealth, ensuring better access to Tennesseans who seek these services.\u00a0

Please complete the form to email your elected officials asking them to ensure access to medically necessary speech therapy services provided by speech-language pathologists. \u00a0\u00a0

Questions?\u202fContact Doanne Ward-Williams, ASHA\u2019s senior director of state affairs, at dwardwilliams@asha.org.\u00a0\u00a0

Thank you for being an ASHA Advocate!

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Washington state legislators have introduced HB 1589, which aims to level the playing field for health care providers to negotiate fair contracts with health insurers. This bill is a key step to ensure that patients can access speech and hearing services from independent private practices. HB 1589 will be heard in the Senate Health & Long-Term Care Committee soon! Your senator sits on this committee.\u00a0

Use this form to contact your senator and urge them to support HB 1589!\u00a0

Thank you for being an ASHA Advocate!

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"registration_field_type": 100}], "pre_text": "", "post_text": "", "post_submission_action_type": 1, "submit_button_text": "Submit", "thank_you_text": "Thank you for participating!\u00a0", "redirect_url": "", "custom_javascript": "", "custom_after_registration_javascript": "", "custom_css": "", "should_allow_partial_address": false}, {"id": 9782, "form_fields": [{"order": 0, "registration_field_type": 1}, {"order": 1, "registration_field_type": 2}, {"order": 2, "registration_field_type": 5}, {"order": 3, "props": {"id": null, "optional_field": false, "required_value": null}, "registration_field_type": 4}, {"order": 4, "props": {"id": 74980, "label": "Email Subscription Opt-Out", "optional_field": true}, "registration_field_type": 100}, {"order": 5, "props": {"id": null, "label": "Cell Phone Number", "optional_field": true}, "registration_field_type": 3}, {"order": 6, "props": {"id": null, "default_value": true, "optional_field": true}, "registration_field_type": 10}, {"order": 7, 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Thank you for registering with ASHA Advocacy's Take Action Center!

Your voice is an essential element of advocacy. By interacting with your elected officials, you are spreading awareness of the needs of audiologists, speech-language pathologists, audiology and speech-language pathology assistants, and the people you serve.

Visit asha.org/advocacy for more information on federal affairs, state affairs, ASHA-PAC, and more. Plus, sign up for the ASHA Advocate to receive advocacy updates in your inbox every couple weeks.

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Sign ASHA Advocacy's Petition

*required field

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Share your stories with ASHA Advocacy

*required field

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