2025 has been a notable year for disability rights policy in the United States. Several legislative and regulatory developments have direct implications for people who rely on AAC devices โ from expanded Medicaid coverage pathways to new protections for workplace accommodations. Here is what you need to know.
Medicaid AAC Coverage Updates
Historically, getting an AAC device funded through Medicaid required extensive documentation and, often, multiple rounds of appeals. Recent CMS guidance has clarified that AAC devices meeting medical necessity criteria should be covered under the Durable Medical Equipment (DME) benefit category. This does not mean the process is simple, but it does give advocates and SLPs clearer ground to stand on when submitting evaluations.
The IDEA Reauthorization Discussions
The Individuals with Disabilities Education Act has not been formally reauthorized in years, and Congressional discussions are ongoing. Key advocacy groups are pushing for explicit language around AAC device provision in school settings โ including requirements that IEP teams consider AAC as part of every student’s communication plan, not only as a last resort. We will continue to track this closely.
What Advocates Are Saying
Organizations like ASHA, ISAAC, and TASH have been vocal about the need for funding parity between AAC devices and other medical technologies. The argument is straightforward: denying funding for AAC is denying someone a voice. Momentum is building, and families who have fought the system for years are finally finding allies at the policy level.
What This Means for You
If you have previously been denied coverage for an AAC device, now is a good time to revisit your appeal. Document medical necessity carefully with your SLP, reference updated CMS guidance, and do not hesitate to contact your state’s assistive technology program for support. Our team at EyeTech is also happy to provide documentation support for insurance and Medicaid submissions.
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