Medicare Coverage Document National Benefit Category Analyses View Public Comments

Speech Generating Devices

Public Comments

Commenter Comment Information
A, D Date: 12/05/2014
Comment:

There are three fundamental points with regard to Medicare coverage of SGDs we bring to your attention:

1. Every American has a right to enjoy the freedoms of life, liberty and the pursuit of happiness, a constitutional affirmation reinforced by the Americans with Disabilities Act. To limit disabled persons’ access to communication on the basis that non-disabled persons could use the same devices or software is a denial of that right. Concerns about unintended or fraudulent use

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A, C Date: 12/04/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

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Abramowicz, Pazit Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

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abramson, jennifer Date: 05/28/2015
Comment:

To Whom it May Concern:

I request that you QUICKLY approve the proposed restoration the scope of SGD coverage that had existed from 2001-2013, both in regard to the types of devices that can be used as SGDs – both computers and purpose built devices; and in regard to the capabilities or features of SGDs.

Also, please support funding of eye-tracking access AND repeal of the capped rental regulation that could put some people at risk of losing their system if they had

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Abramson, Jennifer Date: 12/01/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

Abruscato, Antonella Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

More

Acosta, Mary Date: 12/03/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

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adams, kelly Date: 12/05/2014
Comment:
Please do not restrict the internet from speech/generating assistance devices for the disabled
Adams, Debi Date: 05/21/2015
Comment:
Just imagine a family member of yours not having the ability to communicate.
Adams, Susan Date: 12/05/2014
Comment:
Those with ALS need to be able to communicate and have the same access the rest of us have! No one should lose this right! The internet is a household norm in 2014, most everything can be done online and I strongly believe we need to preserve this ability for patients with ALS.
Adams, Lori Date: 12/04/2014
Comment:

December 4, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

Adams, CL Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

More

Adams, Rosemma Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

More

Adams, Amy Date: 12/03/2014
Comment:

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result o

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Adams, Rebecca Date: 12/03/2014
Comment:

December 3, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

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Agin, Rhoda Title: Director
Organization: Communication Association
Date: 12/06/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

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Agiovlasitis, Tracy Title: NM Technical Assistance Program Coordinator
Organization: Governor's Commission on Disability
Date: 12/06/2014
Comment:
In review of updating guidelines for SGD (speech generating devices)through Medicare, it is vital to note that communication in today's society is more intricate and wireless access universally used by everyone. Please ensure that no functions are "locked" in CMS purchased devices that greatly limit communication and that "off the shelf" devices/software can be utilized to meet these needs. Systems must be portable and in the home with wireless capabilities, include additional equipment to

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Agnew, Andi Date: 12/05/2014
Comment:
I think Speech Devices should definitely be covered by Medicare/Medicaid, and internet access should not be restricted. The internet is probably the #1 tool a person with a disability has to access and communicate with the outside world. Restricting access would be extremely detrimental to people with disabilities.
Agostinelli, Karen Date: 05/20/2015
Comment:

[PHI Redacted] has ALS. Daily life is a struggle. [PHI Redacted] His quality of life and independence is essential to his well being. The only way he is able to have either is through his speech generated devise. Please do not take this one and only means of communication away.

Aguilar, Marcus Title: President
Organization: S&A Fire and Safety
Date: 12/03/2014
Comment:
as a result of the development of connected data processing devices (internet of things / smartphones / cloud based as well as local software solutions), it may be that a solution providing speech generation may also be able to monitor and control healthcare related variables for an individual as part of evolving integrated care solutions. I would advocate for reimbursement inclusion of such solutions under the medicare program, due to their ability to reduce care costs, as well as for their

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Ahmad, Beth Date: 12/04/2014
Comment:
Communication goes beyond words that are spoken. It is a CONNECTION that is made between people - the give/take of ideas, the sharing of experiences, and the passing of knowledge. CONNECTION is what every person DESIRES; it's what every person DESERVES. Without communication, connection is only a dream. Today, communication goes beyond face-to-face conversation. We communicate and connect with our families and friends and even healthcare professionals via telephone, texting, emails,

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Ahmad, Huma Date: 12/04/2014
Comment:

A group that included policy experts from ASHA, the Amyotrophic Lateral Sclerosis Association (ALSA,) and representatives from SGD manufacturers has discussed and agreed on edits to the NCD 50.1 to submit to CMS as a united stakeholder group. The recommended edits are the result of several meetings, revisions, and discussions and include:

No changes to the definition of SGD
Deletion of any disqualifying characteristics
Inclusion of device access technology, such as

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Ahrens, Kristin Title: Policy Director
Organization: Institute on Disabilities, Temple University
Date: 12/05/2014
Comment:

On behalf of the Institute on Disabilities at Temple University, we thank you for this opportunity to comment on Medicare's (CMS) reconsideration of its National Coverage Decision (NCD) for Speech Generating Devices (SGDs). For more than 40 years, the Institute on Disabilities at Temple University has served as Pennsylvania’s University Center for Excellence in Developmental Disabilities (UCEDD) Education, Research, and Service, established under the federal Developmental Disabilities

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Akiki, Traci Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Alban Havens, Laurie Date: 12/02/2014
Comment:

Dear Subash Duggirala,

As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

More

Albin, Catherine Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

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Albrecht, Dana Organization: ACTS, San Jose State University
Date: 05/28/2015
Comment:

As an AAC specialist, I provide people without speech a “voice.” Communication is imperative to social and medical well-being. I want to thank Medicare for addressing key concerns which were in the 2014 proposed Medicare National Coverage determination for Speech Generating Devices. Most of us use electronic devices to communicate via text such as text messages and e-mail and most people have access to a phone. Allowing people with speech disabilities to access the same means of

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Aleguire, Rosellen Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

More

Allchin, Joel Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Alleman, Ashley Title: Graduate Student Speech Language Pathology
Organization: LSUHSC
Date: 12/04/2014
Comment:
To Whom It May Concern: I am writing to you today on behalf of people with ALS and others who may need to use an SGD as their means of communication. Texting, emailing, and calling are incredibly important means of communication for all members of society and those with disabilities should not be denied this right. This denial of such a widely used form of communication goes against our civil rights as citizens of the United States of America. This denial will not only have negative

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Allen, Debra Date: 12/03/2014
Comment:
laptop
Allen, Anna Title: Speech-Language Pathologist
Organization: MGH Institute of Health Professions
Date: 12/03/2014
Comment:

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

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Allen, Jane Date: 12/03/2014
Comment:

I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

ALS is a fatal

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Allison, Jo Ann Date: 12/06/2014
Comment:

December 6, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

Alper, Taryn Title: Speech-Language Pathologist
Organization: New York City Department of Education
Date: 12/04/2014
Comment:
Access to communication is a right for all!
Alpern, Deborah Date: 12/05/2014
Comment:
You MUST include internet access! The outside world is difficult enough for patients to remain connected to, without forcing them to rely on others for tasks they could do themselves.
Altermatt, John Date: 12/03/2014
Comment:

I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

ALS is a fatal

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Althoff, Tammy Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

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Altschuler, Tami Title: Speech-Language Pathologist
Organization: New York University Langone Medical Center
Date: 12/02/2014
Comment:

I am writing to urge you to keep coverage of eye tracking accessories for speech generating devices.

Eye tracking technologies have been available since before the 2001 NCD was written, and have been covered uniformly from 2001 when the NCD went into effect until late 2013. Since then Medicare decision makers have been denying eye tracking accessory claims, stating they are not covered.

Eye tracking technologies should not be considered different from other accessories

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alvarez, Rebecca Date: 05/21/2015
Comment:

[PHI Redacted] has this device and it is the only voice my kids know from him. If he didn't have it the would not be able to get to know the man i know. He would be a memory before he even is dead. It has also been the only way he can communicate his needs. Without the device [PHI Redacted] has to say each letter of the alphabet and wait till [PHI Redacted] blinks to acknowledge the letter he is thinkibg. Imagine doing that for 30 minutes

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Amend, Shelley Title: Clinical Services Manager
Organization: PROVAIL
Date: 12/03/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

Amico, Angela Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Amidei, Alyssa Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Amidon, Rebecca Date: 12/03/2014
Comment:
It is very important to continue to fund speech generating devices including technological advances that are arising on a frequent basis. These devices are a matter of survival for people who are unable to speak. Thank you, Rebecca Amidon
Andersen, Janice Date: 12/05/2014
Comment:

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

More

Anderson, Lisa Date: 12/05/2014
Comment:
Honest to goodness. Why would the question about whether the disabled "need access to the internet" even arise in 2014? Access to the web, is a "normal" part of functional life in America, period. It's technology. It's not 1955 anymore. It's not even 2005 anymore. The internet allows the disabled to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy. Without these tools (that every functional American uses!) the disabled are at higher health

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Anderson, Nancy Title: Speech Language Pathologist
Organization: Advocate BroMenn Outpatient Center
Date: 12/05/2014
Comment:

I have worked as a speech language pathologist in a medical setting for 36 years with consumers who have lost their ability to talk. Only paper and pencil or cardboard pages were used as compensations for loss of speech. Through the years, technology has exploded to restore talking skills for these consumers through the invention & evolution of Speech Generating Devices (SGD). SGD’s are a vital means of communication for individuals with speech and language impairments, often with

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Anderson, Taylor Date: 12/04/2014
Comment:
Communicating is a basic human right, especially for those who are struggling with horrific disease. Anything that can be done for people with ALS to ease their path is worth paying for. It is critical both for the afflicted, and for the family.
Anderson, Hilary Date: 12/04/2014
Comment:

1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

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Andrade, Torre Date: 12/05/2014
Comment:
Should absolutely have all tools unlocked to provide the highest degree of access to the user. In the year 2014 it should be more then clear that internet access is an important means of communicating, researching, socializing,and participating in the world. Why you would ever consider denying this to people that need it even more than the non-disabled frankly makes no sense.
Andrews, Meredith Date: 12/05/2014
Comment:
We often take for granted our ability to communicate with those around us. It's easy for the average person to send a text, pick up the phone, or post a comment to Facebook. But when you have ALS, you are robbed of the basic human right to communicate. The internet is the only thing that allows a person with ALS to live some semblance of the live they had prior to diagnosis. Please don't take away this human right for ALS patients to communicate with the world.
Andriola, Yvette Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

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Antol, Julie Title: Assistive Technology representative
Organization: Douglas County School District
Date: 12/04/2014
Comment:

Please continue funding speech generated devices:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important

More

Antonios, Charbel Date: 12/05/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

Arant, Mae Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Arberg, Corbin Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Arbogast, Lisa Date: 12/04/2014
Comment:

I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

ALS is a fatal

More

Arce, Katherine Date: 11/24/2014
Comment:
For patients who are nonverbal, or unable to communicate in other ways, these speech generating devices are crucial for communication with their care givers, doctors and any sort of emergency responders. Please insure that these people can continue to use their speech generating devices for as long as they require them.
Arden, Kathleen Title: Local Asstive Technology Specialist (LATS)
Date: 12/03/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

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Arden, Margaret Date: 11/21/2014
Comment:
Please let it happen for patients who need speech generating devices. They need internet connection right out of the box ...to help them communicate their most basic needs and communicate with their network!
Armanas, Donna Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Armstrong, Donna Date: 05/21/2015
Comment:

[PHI Redacted] needs to have a Speech Generated Device. Hes a 62 year old man that has lost everything to ALS. He needs to be able to continue to communicate. That is so important. Please help him be able to continue to be independent in this way.

Armstrong, Patrick Title: Mr. Patrick Armstrong
Organization: Active, engaged citizen and voter.
Date: 12/05/2014
Comment:

Good morning. I am writing this comment to you on the internet, participating in a public policy discussion over medical issues based on communications I received through social media from individuals involved with caring for ALS sufferers. They've let me know that your recent policy changes with regard to speech generating & communication technology would take away the ability of individuals in advanced stages of ALS to communicate in the way I am communicating right now, as well as with

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Armstrong, Wendy Date: 12/05/2014
Comment:
I have met people that use these laptops to communicate with others. This machine is their only means of interacting with their children, caregivers, friends and medical associates. These diseases are terrible enough. It is like putting someone in solitary confinement for the rest of their life however long that may be. If a small bit of technology can help them; they should have access to that technology. America does a lot of things for a lot of people worldwide; if we cannot help our

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Armstrong, Brittany Date: 12/03/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). I am currently a Masters student in Speech-Language Pathology at Boston University and will be graduating in May 2015. I hope to work with individuals with complex communication needs, such as those who may require the use of SGDs as their primary mode of communication, and I find the potential for future lack of coverage troubling.

SGDs are a vital means of communication

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Armstrong, Kevin Date: 12/03/2014
Comment:

I have met a person who uses eye-gaze technology as his only means of communication and I have spoken with several people who support others who are in the same position.

Such speech-generating devices, and the ability to use such devices through the Internet, are essential to such persons' standard of living and essential for that person health.

They are essential for communicating with health professionals and essential for informing others about their symptoms and

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Artrip, Jean Date: 12/04/2014
Comment:

I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

ALS is a fatal

More

asch, steven Date: 12/05/2014
Comment:

I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

ALS is a fatal

More

Ashby, Patricia Date: 12/03/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

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Ashton, Julie Date: 12/05/2014
Comment:
technology is of utmost importance to the disabled. do not cut this funding.
assefa, henock Date: 12/06/2014
Comment:

The use of communication technology is becoming more and more intimate with all members of society. Nowhere is this more evident than within communities of individuals who use this technology to share and connect with the rest of the world. The devices human beings use to communicate, when other avenues are lost, must have the ability to be tailored to their specific needs.

The terms of the capped rental category put the individual at risk of losing his or her method of

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Aswege, Katelyn Date: 12/04/2014
Comment:

December 4, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

Atabek, Paris Date: 12/06/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

More

Atherton, Tina Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Attri, Dua Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Aubrey, Joe Date: 12/04/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

More

Aubrey II, Joseph Date: 12/04/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

More

Audia, Erin Date: 05/28/2015
Comment:
I can think of few scenarios more terrifying, heartbreaking, and unbearably cruel than to deny access to speech generating devices to those who have lost their ability to speak independently. SGDs are hardly luxury items; for those who suffer from ALS and other debilitating illnesses, SCGs are a lifeline, a connection to emergency and medical services when needed, a means of voicing pain and discomfort to caregivers, a promise of independence, a tool for remaining productive, and a last

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Austin, Ellen Title: Administrative Assistant
Date: 05/21/2015
Comment:

There are many ugly diseases out there but 1 main one that has affected both [PHI Redacted] is ALS. Their ONLY form of communication was through the devices that help them to communicate. It should be a vital part of their life and "necessary" so they can maintain communication with their family members not only as a means of telling them their wishes or thoughts, but telling them necessary vital information about thier physical needs as well. It's their only form of

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Austin, Emily Date: 12/05/2014
Comment:
I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms. ALS is a fatal neurodegenerative disease

More

Austin de Castro, Kerri-Ann Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Auxier, Allycia Date: 12/03/2014
Comment:
ALS is a horrific disease. Medicare policies should not make it worse. I urge CMS to establish an SGD coverage policy that provides people the option of accessing additional SGD communications and non-communications functions, including while they are renting devices. I also urge CMS to establish policies that provide coverage for access technologies such as eye tracking. In doing so, Medicare can help improve the health and lives of the people that the program was created to serve.
Avelis, Karen Date: 12/05/2014
Comment:
It is absolutely vital that the disabled have access to the internet. This lets them pay bills, talk to doctors, keep up with research and, most importantly, become part of the human community. To exchange ideas, express opinions, and participate in society is what it means to be human.By not giving them access to the internet the rest of us become the real losers, deprived of their thoughts and experiences.
Awad, Angela Date: 12/05/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

More

Azzara, Marie Title: Speech-Language Pathologist
Organization: The Speech Clinic, Inc.
Date: 12/06/2014
Comment:
Thank you considering revisions to your policy to allow coverage for Speech Generating Devices with COMPLETE communication functions such as computer and phone access; as well as access to environmental controls. And thank you for the opportunity to comment on this very important issue. Communication is not limited to face-to-face verbal exchanges, especially in our technology savvy world. If I could not use a computer to write to you in this forum today, I would not be able to make my own

More

Babcock, MJ Date: 05/21/2015
Comment:
Speech Generating Devices need to be approved/allowed for all forms of communication. Limiting people with ALS by not allowing text, email and other forms of communication with the SGD is wrong.
Babul, Michael Date: 12/02/2014
Comment:

I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

ALS is a fatal

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Bader, Shellie Title: State Advocate for Reimbursement
Organization: California Speech Language and Hearing Association
Date: 12/04/2014
Comment:
It is imperative that CMS accept ASHA’s proposed revisions to the National Coverage Determination 50.1: Speech-Generating Devices so that people with communication disorders are able to express their wants and needs in all communication contexts. If these recommendations are not implemented, thousands of people will be unable to communicate and will place a bigger burden on caretakers, and ultimately public monies.
Badgero, Colleen Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Bageant, Kathryn Date: 12/02/2014
Comment:

Dear Subash Duggirala,

As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

More

Baker, Bruce Title: CEO/President
Organization: Semantic Compaction Systems, Inc.
Date: 12/04/2014
Comment:

I have been working in the field of augmentative and alternative communication for more than thirty years. When I heard about Capped Rental, I suspected that it was likely to have significant impact on the field. When I learned some of the details, I was confused, surprised, and then worried. I am going to discuss only one of its provisions: the withdrawal of equipment during hospital or rehabilitation center stays.

Communication disabilities, in many ways, are like sensory

More

Baker, Melissa Date: 12/03/2014
Comment:

December 3, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

Bakken, David Title: Advisor, WSU Team Gleason
Organization: Washington State University
Date: 12/06/2014
Comment:

ALS patients cannot communicate except with their eyes after not that long. When this happens, studies show that they often enter a downward spiral that leads to death fairly soon. I mean, how would you handle it if you had a perfectly good mind trapped inside a failing body that could not communicate with the outside world?

This dilemma is inevitable, however. ALS patients can still use their eyes for a long time after they can't use their voice or control a keyboard or

More

Balan, Andrea Date: 12/04/2014
Comment:

PROPOSED COMMENTS

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With

More

Balch, Pamela Date: 05/22/2015
Comment:

[PHI Redacted] passed away from ALS in September of 2012, and speech generating devices are imperative for communication between the patient and their caregivers. Imagine yourself being locked into your body, but your mind fully active and you need to tell someone that you need your arm moved because it is throbbing in pain and you cannot communicate your need. No one would ever know if these patients need medical attention without this device. Please, please, please

More

Baldwin, Sandy Date: 12/05/2014
Comment:
First of all let me thank CMS for allowing comments on this important topic.
I have several friends, with multiple disabilities that I talk with over the phone or communicate with by email, through their communication device (SGD), without their device, these individuals would not have a way to be a part of the world outside out of their environment. The SGD allows them to be employed, seek higher education, live more independent and fulfilled lives.
It's important that SGDs be

More

Ball, Laura Date: 12/04/2014
Comment:

The current situation, created by CMS in the Spring of 2014, is causing real and serious harm to Medicare beneficiaries with severe communication disabilities. The combination of changing to the 13 month rental system adding to the pressure on SGD vendors (resulting from the coverage "reminder") has led to a situation where beneficiaries have been renting speech-only devices that cannot be upgraded. Clear and poignant evidence of the harmful effect that CMS is currently causing on

More

Balson, Anne Date: 05/20/2015
Comment:
These devices are vital to those who cannot speak. They represent a chance for some semblance of a normal life. Until cures can be found/speech restored, it seems beyond cruel to deny these devices to the (relative) few who need them so much. Thank you for your consideration.
Banajee, Meher Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Banas, Patricia Date: 05/27/2015
Comment:
PROPOSED COMMENTS
Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect

More

Banister, Traci Date: 12/04/2014
Comment:

Medicare (CMS) currently is reconsidering its National Coverage Decision (NCD) for Speech Generating Devices (SGDs). As part of that process, CMS will allow interested members of the public to submit comments about future Medicare SGD coverage until December 6, 2014. The information that follows was prepared by the Medicare Implementation Team, an ad hoc group of AAC clinicians, researchers, advocates, educators, manufacturers, etc., many of whom worked on the 2001 NCD.

FOLLOW

More

Barbour, Jenne Date: 12/04/2014
Comment:

Please continue to support speech-generating devices (SGDs) as a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage Decision (NCD), CMS should:

1. Continue to

More

Bardach, Lisa Date: 12/03/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

Bardes, Sandra Date: 12/05/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech generating devices (SGD’s).

We have not only witnessed changes in technology itself, but also in how technology has molded and changed our everyday lives, but has become integral to it. The internet and access to it is no exception .Nearly every business has a web address, every person, including the homeless have an e-mail address. Banking, now rarely done in person, is now handled on-line, via the

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Barnes, Robin Date: 05/26/2015
Comment:
Speech Generating Devices are essential for those who cannot communicate in other ways, there is no doubt. However, as a caregiver for a man with advanced ALS, I know first hand how essential it is for those devices to not only assist in communication, but also to access the internet. Many people who require speech generation technology are partially or completely home bound, bed bound, or in a facility, and their only access to the outside world is often through their computers. These

More

Barrett, Tyler Date: 12/03/2014
Comment:
I fully support computers as communication devices. Communication is MORE than text to speech.
Barry, Julia Date: 12/04/2014
Comment:

Thank you for the chance to contribute to the discussion of Medicare policy governing Speech Generating Device (SGD) funding.

SGDs are a means of communication for individuals with complex communication needs (CCN). Because of hereditary or acquired disability their natural speech does not meet their communication needs and they require augmentative or alternative communication (an SGD) to facilitate personal safety and independence, and participation in family, social,

More

Bartalini, Francesca Date: 12/02/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

Bartholomew, Patrick Title: DIrector, Communication Supports and Services
Organization: J. Iverson Riddle Developmental Center
Date: 12/05/2014
Comment:

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

More

Basford, Louise Date: 12/04/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

Basham, Brent Date: 12/05/2014
Comment:
Access to the internet is absolutely essential for people with disabilities
Batchelor, Abby Date: 12/04/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

Bates Chaffin, Beth Title: Accounts Payable
Organization: Prentke Romich Company
Date: 12/04/2014
Comment:
I have worked for an AAC device manufacturing company for 25 years, behind the scenes. I am not in contact with the clients we serve, I do however pay attention to the industry. It has been so wonderful to see the advances in this field and the technology that can and has helped our clients live better and fuller lives. I am amazed every time I read a letter, see an email, or get a call from someone using AAC. My hope is that anyone involved in making decisions for people using SGD's is

More

Batiste, jessica Title: social worker
Date: 11/25/2014
Comment:
Without a voice one with ALS can not be heard.
Baumgartner, Pam Date: 12/06/2014
Comment:
I urge the CMS to establish an SGD coverage policy that provides people the option of accessing additional SGD communications and non-communications functions, including while they are renting devices. I also urge CMS to establish policies that provide coverage for access technologies such as eye tracking.
Bautista, Renee Date: 12/05/2014
Comment:
Please allow internet access to the devices provided for speech generation. Enabling individuals will help protect their rights, give them access to emergency services, even help them to maintain their independence-think of it as cost saving in the long term!
Baxter, Albert Title: President
Organization: RM Speech
Date: 12/01/2014
Comment:

On behalf of Reliance Mobility LLC DBA RM Speech, thank you for the opportunity to submit comments regarding the reconsideration of the CMS benefit category National Coverage Decision (NCD) for Speech Generating Devices (SGDs) currently described in section 50.1 of the Medicare NCD Manual (Pub. No. 100-3, Ch. 1, Part 1) and Section 1861(n) of the Social Security Act.

As is noted in the CMS Issue statement, SGDs and other related technologies that assist individuals to meet their

More

Bayless, Elizabeth Date: 12/03/2014
Comment:

December 3, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

Beaird, Renee Organization: 1968
Date: 12/03/2014
Comment:

Renee Beaird
1849 CR 322
De Berry, TX 75639

December 3, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used

More

Beatty, Christine Date: 12/02/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

Beck, Ann Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Becker, Toni Date: 12/05/2014
Comment:
Of course Medicare should reconsider their decision of not allowing internet to be used on speech generating devices. The purpose of these devices is to allow ALS patients to have a voice - which must be used in multiple modalities, not just speech. Our society has become reliant on the internet to voice ourselves - whether emailing friends or family, communicating with doctors and other professionals, and completing regular, every day activities. Part of giving this voice back to the

More

Beckman, Abby Date: 12/02/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

More

Bedford, Bambie Title: LVN
Organization: Magnolia Hospice
Date: 12/04/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

More

Bedrick, Steven Title: Assistant Professor
Organization: Oregon Health & Science University
Date: 12/02/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

Beeson, Regina Date: 12/05/2014
Comment:
Access to the Internet is a normal part of functional life in America. It is essential for all people, especially the handicapped/disabled.
Begley, Eileen Date: 12/04/2014
Comment:
The rule for disallowing internet access for speech generating devices must have been originally implemented before the internet as we know it. Internet access is a necessity of basic communication, even more than the telephone. The cost of access is little to nil, especially since modern laptops can now integrate with SGDs, rather than SGDs needing to be separate devices as it used to be. Internet access is the standard, not the exception, in modern communication. Not allowing disabled

More

Behrend, Rebekkah Date: 11/24/2014
Comment:
Taking away the ability of people with ALS to communicate - at the hospital, with their utility company via a chat room, etc is crazy!
BELCASTRO, SUE Title: RN
Date: 12/03/2014
Comment:
communication is more than face to face. All patients have the right to call their doctor, to call 911 or communicate with others who are not physically in the room
Belford, Kelsey Title: Speech-Language Pathology Graduate Student
Organization: University of Pittsburgh
Date: 12/06/2014
Comment:
Thank you for this opportunity to comment on the CMS funding issue related to speech generating devices (SGDs). I am a speech-language pathology graduate student at the University of Pittsburgh and plan to work with individuals who have multiples disabilities and cannot rely on verbal speech to communicate. Throughout the course of my studies, I have become familiarized with the multi-faceted nature of many of these individuals’ disabilities. No one person is alike, therefore his/her SGD must

More

Bell, Deborah Title: Licensed Speech Pathologist
Organization: Private Practice
Date: 12/01/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

More

Bennett, Robert Organization: 1962
Date: 12/05/2014
Comment:
A speech generating device should be allowed to access the internet since that is a normal way of life for most people in the US now and, in addition, allows people with disabilities to interact with a lot of different and vital services.
Bensman, Harriet Title: Speech Language Pathologist
Organization: ASHA
Date: 12/03/2014
Comment:
Effective January 1, 2001, speech generating devices are considered to fall within the durable medical equipment (DME) benefit category defined in section 1861(n) of the Social Security Act (the Act). Speech generating devices are covered if the patient suffers from severe speech impairment and the medical condition warrants the use of a device. Speech generating devices are defined for Medicare coverage purposes to include dedicated speech devices used solely by the individual who has

More

Bentrum, Sheila Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Bercot, Heather Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

BERGANCIA, JASON Date: 12/04/2014
Comment:

December 4, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

Berger, Krista Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Berggren, Kiera Title: Speech-language pathologist
Date: 12/05/2014
Comment:

I am a speech-language pathologist who works in a multidisciplinary ALS clinic where a majority of our patients develop communication difficulties over the course of the disease and many lose all ability to communicate. Concomitant with changes in communication most of our patients also lose the ability to move volitionally. There are many SGDs available at this time that are of great benefit to communicate and additionally to control the user's environment allowing for some maintenance of

More

Bernard, Danisha Date: 12/06/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

Berndtson, Deborah Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Bernstein, Hali Date: 12/06/2014
Comment:

December 8, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

bertagnolli, david Date: 12/06/2014
Comment:

I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

ALS is a fatal

More

Bertrand, Jennifer Title: NH CDD Policy Chairperson
Organization: New Hampshire Council on Developmental Disabilities
Date: 05/27/2015
Comment:

To: Laurence Wilson
Director, Chronic Care Policy Group

Joel Kaiser
Director, Division of DMEPOS Policy

Subash Duggirala, MD
Lead Medical Officer

[PHI Redacted] who experiences a profound developmental disability and cannot speak verbally, [PHI Redacted] access to a speech generating device that allows for remote speech in the form of both audible and written communications is the essence to human life regardless of the

More

Bewley, Carey Date: 05/20/2015
Comment:

I request you to kindly reconsider limiting the use of SGD's for our disabled community. Sit down on a chair for 10 minutes in total silence unable to move one inch. Not able to talk, move your head, or move any limbs. Now imagine someone asks you if you are in pain and where. How would you respond? For many people suffering from debilitating diseases such as ALS and Cerebal Palsy these speech generating devices are the only way to communicate a person's basic, human needs. Just try it for

More

Bewley, Rachel Date: 12/05/2014
Comment:
Communication is essential. It allows individuals to build relationships, feel social closeness, and signify basic wants and needs. It opens up the world for people to have independence and make choices about their daily lives. The ability to communicate is imperative for the maintenance of one's well-being. For these reasons and more, I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to

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Bidstrup, Kara Date: 05/29/2015
Comment:
Thank you so much for including communication by texting, e-mail and phone in the newest definition of SGD. People with significant disabilities will gain incredible independence because of this. It is essential that Medicare adopt a final revised NCD for SGDs as soon as possible. Although Medicare did not address ‘capped rental' or ‘eye tracking accessories' in the draft revised NCD, it is essential that both topics be resolved as soon as possible. Thank you again for listening to

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Bidstrup, Kara Date: 12/02/2014
Comment:
People who use SGDs are a small and specific population. SGDs allow people with multiple disabilities to communicate, access higher education, be employed, email doctors, text transportation arrangements, communicate over the phone and lead productive, healthy and happier lives. They have the right to benefit from technological advances and should not be kept in the 1980s. The equipment should be FDA regulated, durable, well supported and customizable. A population at great risk of being

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Biesecker, Angela Date: 05/15/2015
Comment:
I want the policy to include anyone with a disability that has a need want or desire to use an ipad with an application to communicate using text, email, or speech output Including individuals who are deaf. [PHI Redacted] is profoundly deaf AND autistic He lives and works in a hearing world.
Bilger, Kollie Date: 12/06/2014
Comment:

To Whom It May Concern:

Good Morning! You just woke up to the sound of beeping machines, and tubes covering your body. You don’t know it yet, but last night you were in a horrific car accident that severely impacts your ability to function and care for yourself. I can say “good morning” to you, but you will never speak those words again. In fact, without a Speech Generating Device, you will never communicate again.
As a current graduate student in Speech-Language Pathology

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Billings, Mary Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Bing, Mary Date: 12/03/2014
Comment:

How many ways do you communicate with others in one day? Talking, lecturing (if you have a teenager), texting, email, facebook, twitter, web blogging, web comments, instant messages, Skype, telephone and writing are ways in which we communicate with others. Now imagine that you have a significant disability that affects your ability to speak, type or write. A speech generating device that is limited to speech output (it speaks) is only addressing on component of communication. How would

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Bingham, Chad Title: Speech Language Pathologist
Organization: Utah State University
Date: 12/03/2014
Comment:
Please do the right thing with this. People with disabilities need access to all forms of communication; including Social Networking, email, text messaging, and cellular phones, in addition to speech generation from their devices. Please make all forms of communication available to all persons!!!
Birchfield, Joan Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

More

Birmingham, Julia Title: Speech-language pathologist
Organization: Penn State University
Date: 12/04/2014
Comment:

Speech generating devices (SGDs) provide individuals with complex communication needs (CCN) because of developmental disabilities, acquired neurological disabilities, and degenerative neurological disabilities access to home, school, work, and community.

Please authorize manufacturers to unlock SGDs and allow upgrades to provide access to nonspeech functions. Medicare should allow users to unlock an SGD to allow access to non-speech capabilities, such as email and web browsing.

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Birr, Tricia Date: 12/05/2014
Comment:
Until we've walked in these patients shoes, who are we to decide that internet access is not necessary. This is a tool that we expect our youngest students to be utilizing and for a person in need of the speech generating devices, this is essential to be able to fully utilize such services as contacting 911 and communicating with doctors and/or other patients going through the same experience just to name a few. They deserve to live life as fully as possible until the very end, just like

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Birtwell, Dawn Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Birzon, Kathryn Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Bischof-Rosario, Janet Title: OTR/L, Manager Technology Center
Organization: RIC
Date: 12/04/2014
Comment:
As an occupational therapist that works w/adults that require use of an augmentative communication system, I want to comment on the capped rental program. Capped rental hurts those individuals that may go into hospice, or into the hospital for an extended stay. At this time, hospice and hospitals, nursing homes do not have the capability nor the knowledge to provide these devices for individuals. In the city of Chgo, there are very few professionals that are trained to do evaluations for

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black, robbie Title: rehabilitation admissions coordinator
Organization: cedars sinai medical center
Date: 12/05/2014
Comment:

Speech-generating devices (SGDs) are a vital means of communication for patients with speech and language impairments. These individuals almost always have co-occurring severe physical impairments related to their ALS. SGDs enable these individuals with complex communication needs to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

With respect to the National Coverage Decision (NCD),

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Blackstone, Sarah Title: President
Organization: Augmentative Communication, Inc.
Date: 05/28/2015
Comment:

I submit this comment on behalf of Amanda Hynan, PhD. Senior Lecturer, Speech and Language Therapy, Leeds Beckett University, United Kingdom. It’s gratifying to the community that people around the globe are engaged in this effort. Dr. Hynan is, of course, quite accurate in detailing the value of video as an method of distance communication. And, I think we all can agree it too should be available to people who use SGDs. Indeed, her research and so many others have shown that critical

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Blackstone, Sarah Title: President
Organization: Augmentative Communication, Inc.
Date: 05/28/2015
Comment:

This comment includes a specific request that arises from the agency’s use of terminology.

The community appreciates the NCDs focus on function rather than features of hardware or software, which we know will continue to change. The draft refers to “functional speaking needs” and “functional speaking communication needs” in the same paragraph.

Inconsistent use of terminology leads some to paranoia and others to confusion. In any case, the term “functional

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Blackstone, Sarah Title: President
Organization: Augmentative Communication Inc.
Date: 05/28/2015
Comment:
I would like to recognize and sincerely thank the CMS staff for the draft NCD for SGDs. The document recognizes the needs of people who are unable to communicate effectively using natural speech because of illness or chronic conditions that significantly impact their health, independence, relationships, participation in their communities, employment and so on. Without an ability to communicate anytime and anywhere with anyone, their very lives are at risk. Finally, the agency has acknowledged

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Blackstone, Sarah Title: Speech-language pathologist/President
Organization: Au
Date: 12/06/2014
Comment:

Reduce Proposed Timeline for Issuance of new NCD on SGDs

There are many stories (told and untold) about why and how the NCD Reminder (issued by CMS in April 2014 and rescinded in November 2014) has negatively impacted Medicare beneficiaries in 2014. Denials, uncertainty, lack of access to critical communication options, a new “capped rental” policy, and so on….each edict managed to create confusion, anger, and bewilderment. Each has resulted in real harm to people who are severely

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Blackstone, Sarah Title: Speech-Language Pathologist
Organization: Augmentative Communication, Inc.
Date: 12/05/2014
Comment:

Access to phone, environmental control and functions that enable SGDs to be used should continue to be allowed.
Functions and features currently available to people who use SGDs since 2001 should continue to be available. The ability to use a phone, use environmental controls in one’s home/office, access information and support services through the internet are essential to individuals who require SGDs and should NOT be excluded from coverage. When drafting a “new” NCD for SGDs, these

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Blackstone, Sarah Title: Speech-language pathologist
Organization: Augmentative Communication, Inc.
Date: 12/05/2014
Comment:

As noted on the CMS website, “…changes in technology and use of devices that generate speech” has changed significantly since 2001….generating a reconsideration of this NCD to address coverage of devices that generate speech as well as other forms of communication.”

The Joint Commission defines effective communication as "Effective communication is the successful joint establishment of meaning wherein patients and health care providers exchange information, enabling patients to

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Blackstone, Sarah Title: President
Organization: Augmentative Communication, Inc.
Date: 12/05/2014
Comment:

In this comment, I would like to draw CMS staff’s attention to the materials posted at the www.patientprovidercommunication.org website.

This information is pertinent to your consideration of a NCD on SGDs. Developed by the currently active Medicare Implementation Team, an ad hoc group of stakeholders, these materials will also supplement the longer document you will receive from our group.

I ask that you consider the examples and data sources when reviewing the NCD on

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Blackstone, Sarah Title: President
Organization: Augmentative Communication Inc.
Date: 12/04/2014
Comment:

I am a speech-language pathologist who has worked in the area of augmentative communication for more than 40 years. I was a member of the Rehabilitation Engineering Research Center (AAC-RERC) for the past 12 years and was also part of the group working with Medicare staff to develop the 2001 NCD on SGDs during 1999-2001.

Most recently, I have edited/authored a book entitled “Patient-Provider Communication: Roles for Speech-Language Pathologists and Other Health Professionals” with

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Blackstone, Ph.D. CCC-SP, Sarah Title: Speech-Language Pathologist
Organization: a
Date: 12/05/2014
Comment:

SGD manufacturers need to be able to use off-the-shelf technology as SGD hardware for multiple reasons.

Personal computers and computer-based devices can be modified to function as dedicated speech devices. Mainstream technology will continue to change, becoming more available, more powerful, and containing some build-in features that may benefit people who require SGDs.

Why would Medicare restrict the use of these devices as long as the devices meet the other

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Blake, Bailey Date: 12/05/2014
Comment:
If funding is cut for SGD, the people who use them will lose their means of communication. Not only do AAC devices give them communication, but it also helps them live more independently and have the ability to call for help when needed. These devices do so much more than communication and if funding is cut, you will be cutting thousands of people off from the world.
Blakeslee, Lydia Organization: 1952
Date: 12/05/2014
Comment:
Please help the speechless be heard by the their loved ones.
Blanke, Ainslie Date: 05/29/2015
Comment:

Capped rental takes away a person’s ability to communicate – to say I love you – to say good bye – to express pain or even an itch.
The person has no internet access, therefore no way to contact 911, no emergency alert system, no method of staying in touch with family members or the community in which they live. The person has no method of being in charge of their own medical appointments – no staying up to date on world events.

In addition – they can’t comment on the very

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Blankmeyer, Ilga Date: 12/02/2014
Comment:

Please ensure coverage of SGD's and eye tracking devices. When ALS locks up all other capabilities, these devices are the only way to do maintain contact without someone else's intervention—for example, emailing to a grandchild.

Thank you.
Blaylock, Chris Date: 12/05/2014
Comment:
Please allow for internet access on these devices. It is critical.
Blenke, Anita Title: Physician Assistant
Date: 12/03/2014
Comment:

I am writing to urge CMS to establish a coverage policy that ensures people with ALS and other Motor Neuron Diseases (MND) have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

More

bliss, thomas Date: 05/22/2015
Comment:
For those who can no longer speak, being able to communicate in any form is precious, and essential to life. Please allow access to social media for communication devices.
Blizzard, Jessica Date: 12/04/2014
Comment:
Please continue to fully cover SGDs.
The ability to speak is crucial to human well-being and health. The ability to verbalize pain, discomfort, and needs is imperative to physiological health. The ability to verbalize emotions, thoughts, and wants is imperative to mental health.
Blume, Gina Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Bluto, Crystal Date: 12/05/2014
Comment:

December 5, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

Boada, Kathy Date: 12/03/2014
Comment:

Kathy Boada
12278 E LaSalle Pl
Aurora, CO 80014

December 3, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by

More

Boada, Kathy Date: 11/25/2014
Comment:
Please allow speech generating devices to no longer be rentals but to be purchased items for patients.
Please allow the coverage of medically necessary accessories for access including but not limited to eye technology.
Please allow the ability to use functions such as email and text messaging for individuals with that need.
Bobich, Tom Date: 12/05/2014
Comment:
Neither I nor any immediate family member currently suffers from any condition that would require use of a speech-generating device. However, I have friends that could be affected, and respect others who I do not know that cling to their ability to communicate through disease. It seems timely and consistent with advances in technology to extend Medicare coverage to technologies that are not solely used for speech generation. Not only are relatively few technologies dedicated to a single

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Bocchino, Carmella Organization: America's Health Insurance Plans (AHIP)
Date: 05/26/2015
Comment:
Thank you for the opportunity to provide comments to the Centers for Medicare and Medicaid Services (CMS) regarding the proposed decision memo on Speech Generating Devices. America’s Health Insurance Plans (AHIP) is the national association for the health insurance industry. Our members provide coverage to more than 200 million Americans, offering a broad range of health insurance products in the commercial market and demonstrating a strong commitment to participation in public programs. AHIP

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Bocchino, Carmella Organization: America's Health Insurance Plans (AHIP)
Date: 12/05/2014
Comment:

Thank you for the opportunity to provide comments to the Centers for Medicare and Medicaid Services (CMS) regarding the benefit category determination for Speech Generating Devices. America’s Health Insurance Plans (AHIP) is the national association for the health insurance industry. Our members provide coverage to more than 200 million Americans, offering a broad range of health insurance products in the commercial market and demonstrating a strong commitment to participation in public

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Bodine, Cathy Title: Associate Professor
Organization: University of Colorado, Anschutz Medical Campus
Date: 12/06/2014
Comment:

To whom it May Concern,

Thank you for the opportunity to provide comments on the Medicare policy regarding speech generating devices. As an agency that provides Augmentative Alternative Communication (AAC) devices and services to individuals with disabilities, we see first-hand the challenges these individuals face every day. Speech Generating Devices (SGDs) provide an essential method of communication for individuals with speech language disabilities. Regarding the National

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Bogard, Dena Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Boggs, Paula Date: 12/04/2014
Comment:

December 4, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

Bogues, Catherine Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Bohlen, Angie Date: 12/02/2014
Comment:

I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

ALS is a fatal

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BOLAND, JAMES Organization: 1939
Date: 12/03/2014
Comment:
PLEASE PROVIDE COCVERAGE TO ALS PATIENTS FOR MEDICAL DEVICES THAT ARE REQUIRED FOR THEM TO BE AS FUNCTIONAL AS POSSIBLE.
Bonsen, Corey Date: 12/05/2014
Comment:
Access to the web, is a "normal" part of functional life in America today! By not allowing access to the web, or social media, you are keeping people with disabilities limited, and keeping them from functioning as close to "normal" as possible. Almost any job these days requires access to the web, and most communication happens that way as well. You are doing the country a disservice by not allowing access to the web for those that could benefit from it the most.
Booth, Bridget Date: 12/04/2014
Comment:

December 4, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

Borie, Ted Date: 12/05/2014
Comment:
Communication is a vital part of the human existence. But it is not (and has never been) limited to spoken word. Now, especially, communication exploded with new Internet technologies. I urge you to include internet access for people with ALS and similar illnesses. Thank you.
Bouchard, Laurie Title: Assistive Technology Specialist
Organization: WSWHE BOCES
Date: 12/06/2014
Comment:

I appreciate the opportunity to provide input on Medicare policy regarding speech-generating devices. I have been a Special Education Teacher working with multiply handicapped children for the past 31 years. For the past 12 years I have worked as an Assistive Technology Specialist. I have also had experiences with individuals with ALS and PSP in my personal life.

SGDs are very important and life changing for so many individuals. They provide a vital means of communication for

More

Bouchard, Sara Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Bowen, Melanie Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Bowman, Lauren Organization: Team Gleason
Date: 05/27/2015
Comment:
First, it is un-American that the people who this is affecting cannot even get on this website to comment about it. Next, an ALS patient who has a device that has been "locked" cannot chat/text with their children that live in a different state is something that is ok? Seriously? There is a perfectly capable piece of technology sitting in front of them, but they cannot use it to talk to their loved ones? What's the point. Not much that's confusing about this.
Bowman, Lauren Organization: Team Gleason
Date: 12/03/2014
Comment:

Until a few years ago, I had no idea what a Speech Generating Device was. I suppose when I saw images of renowned Physicist, Stephen Hawking, I never considered his computer tablet mounted on his chair enabled him to not only speak to people in his presence, but was the conduit for him to challenge the world of science.

Now that my life has been profoundly affected by far too many people with ALS, I am more than aware of the need for Speech Generating Devices and for them to be

More

Boyd, Kathryn Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Boyle, Carolyn Title: Assistive Technology Specialist
Organization: Superior Alliance for Independent Living
Date: 05/27/2015
Comment:
I appreciate that this medical necessity is finally being addressed by Medicaid and Medicare. Speech generating devices can be very costly. What I have found to be easiest to transport, update and use in more than just the home, are tablets with applications for text to speech added to the device. Such a device is versatile and has the ability to be updated by deleting older applications and downloading newer ones. If needs change or independence decreases, the user can adjust the device to

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Boyle, Lakshmi Title: Speech-Language Pathologist and Supervisor
Organization: University of Vermont Medical Center
Date: 12/05/2014
Comment:
Patients need access to the internet when they have a speech-generating device for multiple reasons.
1) They need to be able to download updates to their device
2)They need to be able to access technical support when they have a glitch, etc.
3) They need access to on-line manuals to help troubleshoot.
4) They need to be able to communicate with tech support via email in order to be able to fix the glitch.
5) Tech support needs to be able to remotely access the

More

Bracey, Kisa Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Braddock, Barbara Title: Assistant Professor
Organization: Saint Louis University
Date: 12/02/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

Bradley, Amber Date: 12/02/2014
Comment:

Dear Subash Duggirala,

As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

More

Brady, Dorothea Date: 12/04/2014
Comment:

I have personal experience with the problems of inadequate devices being available for patients I knew in the 1980s who were no longer able to speak or write because of ALS. The tragedy of this disease is often that the mind stays acutely aware of its inability to communicate adding additional stress and frustration of being trapped in a useless body and utterly alone with one's thoughts. I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to

More

Brammer, Charde Date: 12/05/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

More

Brandle, Tim Date: 12/05/2014
Comment:

I firmly believe that speech generating devices must be equipped with internet capabilities. The internet has become the most important communication medium the world has ever seen. Individuals with disabilities must be afforded the same tools that all Americans have (and take for granted).

Please equip all speech generating devices with internet capabilities.

Sincerely,

Tim Brandle
brannigan, Kathy Date: 12/04/2014
Comment:
It's shameful that a federally funded resource would cut off such a crucial device for a DYING patient.
Brannigan, Peggy Date: 12/03/2014
Comment:
The policy should be updated to allow for patients to use new technology, which is less expensive and more effective, for speech generation. That would include iPads and other devices.
Brannon, Melissa Date: 12/05/2014
Comment:
Accessibility to the internet (web) is a "normal" part of functunal life in America. #1 example: Medicare going paperless. Without the internet what would we do as Americans?
Braxton, Edna Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Bray, Hannibal Date: 12/05/2014
Comment:

Communication is MORE THAN SPEECH and a computer is MORE THAN A SPEECH GENERATING DEVICE! Communication comes in many forms, texting, emails, etc. and the spoken word wether by a person or a device is NOT the only form of communication.

COMMUNICATION is a right & NOT a privilege. The ability to communicate SIGNIFICANTLY improves the quality of life not only for the person affected, but their family and caregivers as well.

However, this right is being threatened by the

More

Breidbord, Jessica Date: 12/02/2014
Comment:

Dear Subash Duggirala,

As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

More

Breitenbucher, Teresa Title: Medical Equipment Billing Clerk
Organization: Prentke Romich Company
Date: 12/05/2014
Comment:
I hope that the Center for Medicare and Medicaid Services will reconsider the ruling on SGD devices.
This is not only a VERY important way to communicate it is a way that the individual can be more independent. Allowing features that permit communication beyond one-on-one speech allows the individual to do things others take for granite. They can email, turn things on and off, dial a phone, listen to music, take pictures of places they have been to share. SGD devices need to be offered

More

Bresko, Warren Date: 12/05/2014
Comment:
Access to the web is a 'normal' part of functional life in America. I believe the disabled should have access to the internet to help assist them in their daily needs. Please support this very important issue. Thank you.
Brett, Mary Organization: Concerned Citizens Advocating for Those who can no longer speak.
Date: 12/04/2014
Comment:
If you cannot speak, why do you need the Speech Generatiing Device LESS when you are in assisted living? You still cannot tell the aide that you have a headache.
Please do not limit the machine to those who need it the very most !!
Brewer, Connie Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Brightman, Cindy Date: 05/29/2015
Comment:
Please allow access to the internet and online communication for those who can no longer move or speak. ALS devastates entire families who need to connect with their loved ones, especially when they are not in the same room!
Brignac, Eric Date: 12/05/2014
Comment:
The covered DME technology should include internet capable devices.
Brill, Karen Date: 12/05/2014
Comment:
Communication devices are essential to the quality of life for many, many persons who are unable to speak. It reinforces the reality that just because they cannot speak doesn't mean they have nothing to say! It also provides independence, self-esteem and self-worth --not to mention the ability to express the unique individuals that they are.
Brinkman Theimer, Kayla Date: 12/02/2014
Comment:

Dear Subash Duggirala,

As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

More

Brinkmann, Robert Date: 12/05/2014
Comment:
Access to the internet for disabled people is a lifeline that needs to be supported. I urge all to consider supporting access to the internet as a basic right and need to those who are suffering.
Thank you.
Bristow, Kimberly Date: 12/04/2014
Comment:

December 4, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

Brockhoeft, Cindy Date: 12/05/2014
Comment:
Access to the web is a "normal" part of functional life in America.
Broehl, Margo Date: 12/01/2014
Comment:

As a young college student in the 1960’s I visited what was then called a hospital for the retarded. Over 3000 people lived in that facility. Some were chained to the cement floor. Others lived in crib wards their entire lives. As a society, we decided that we could do better for these vulnerable people and that facility is long gone. By looking at the needs of each patient, it was discovered that many people in the facility had no cognitive issues at all. In the process, we also

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Bronstein, Erica Date: 12/04/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

More

Broumley, Kellie Date: 12/02/2014
Comment:

Dear Subash Duggirala,

As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

More

Broussard, Rochelle Title: Billing/Accts Receivable
Organization: Medical Practice
Date: 12/04/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

More

Brown, Leslie Date: 12/05/2014
Comment:
Thank you for the opporuntiy to comment on this topic. I can not express how important speech generating devices are to those that no longer can communicate with their voice. Not only is it important for them to be able to communicate but to also function in society as best possible. This includes the ability to use the internet, texting, email, and other things that most of the country does on a daily basis. I urge you to make sure that this continues to be included in the speech generating

More

Brown, Bridget Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Brown, Eileen Date: 11/07/2014
Comment:
Thank you for considering this change in policy. It is good to know that sometimes big government does listen to the needs of the people, especially those most in need of help. Because this is so important, please make this a high priority.
Browne, Michelle Date: 12/06/2014
Comment:
I appreciate any help that can be given to sufferers of ALS and their families by allowing them to communicate with their caregivers electronically.
Please let this go through.
Bruce, Joy Date: 12/05/2014
Comment:
This is incredibly important - please cover this basic need, access to communicate via the internet. THANK YOU.
Bruening, Lisa Date: 12/01/2014
Comment:

I am writing to provide public comment regarding the SGD NCD and proposed revisions. In addition, I will address changes in SGD funding that have been implemented since April 2014.

I have been a practicing SLP since 1993, which was prior to the SGD NCD implemented in 2001. The implementation of the SGD NCD was a significant improvement to the treatment options for those with severe, irreversible speech impairment and motor neuron disease. Prior to the rule, medically

More

Bruner, Elon Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Bryans, Linda Date: 12/01/2014
Comment:

PROPOSED COMMENTS

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

More

Buckerfield, Brian Date: 12/05/2014
Comment:
It is completely essential that these devices have access to the internet. The people that use these devices need access to the outside world! Uninhibited and uncensured access.
Buffa, Frank Date: 12/06/2014
Comment:
Good morning. I feel that restrictions on Internet use and other communication features on tablets being used as SGDs is potentially dangerous to the disabled as it would restrict a possibly important link to help. Also it would allow in some forms for the disabled to not only have useful and meaningful communication with others, they could also use it to start projects or ideas and contribute socially and economically. It's just wrong to shut them out and in essence that's what you would be

More

Burgan, Janie Date: 12/02/2014
Comment:
  1. Users of SGDs have multiple disabilities.
  2. People who use devices need to communicate with different communication partners, in different settings, and use many ways to do that!
  3. The communication device should:
    • Be compliant with the FDA regulations for safety and effectiveness
    • Be durable enough to last for 5 year
    • Be supported with effective communication training as part of the purchase

      More

Burgard, Suzanne Date: 12/05/2014
Comment:
I am in favor of persons eligible for devices to be used for communication purposes, to have access to the internet. I use the internet on a regular basis to communicate with my healthcare professionals, pharmacy, etc.
Burgess, Joanna Title: Speech-Language Pathologist
Organization: UC San Diego Health System
Date: 11/24/2014
Comment:
As a Speech-Language Pathologist, my goal with every client is to facilitate COMMUNICATION in any way possible. I would strongly recommend revisiting the policy change for speech generating devices. In a world where everything is fast paced and immediate, the lack of access to communicate via internet is sometimes even more isolating than having a communication deficit. I personally have seen how access to email and internet have allowed my patients who are non-verbal and paralyzed communicate

More

Burke, Elizabeth Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Burke, Stephanie Date: 12/02/2014
Comment:

Dear Subash Duggirala,

As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

More

Burns-Trogdon, Clara Title: Speech-Language Pathologist
Organization: Columbus County Schools
Date: 11/11/2014
Comment:
Communication devices need to do more than just generate speech for individuals. In today's world no one communicates by speech only but by text or emails. Taking away these two other communication means of communication means that individuals would only be able to communicate with individuals present. They would be unable to interact with their caregivers when they were not at the home or with others not present. It would be cruel and possibly dangerous to limit individuals using a SGD to

More

Burrow, Valerie Date: 12/05/2014
Comment:
I think access to the Web is an integral part of participating fully in society-- allowing all of us, in this case the disabled in particular, access to vital tasks, such as communicating with doctors, researching treatments, connecting with others with a similar diagnosis,and overall, being valuable members of society. Allowing Web access for the disabled helps set a fair standard for all to participate in society, which raises the collective impact and caliber of society. Many issues, such

More

Burstein, Susan Title: Executive Director
Organization: ALS of Michigan - Lou Gehrig's Disease
Date: 12/01/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

Burt, Julie Date: 05/22/2015
Comment:
communicating beyond speech is paramount to living a productive and healthy life!!!!!!!!!!!!!
Burtness, Mary Title: AAC Specialist
Organization: Fairbanks North Star Borough School District
Date: 11/10/2014
Comment:

I strongly agree with the reconsideration of this NCD to look at the devices that are more than just speech generating. Our older students depend on the multi-faceted use of their devices to communicate their needs past the person who is within ear shot of their device. These devices become very individualized and should be dedicated to the person who is setting up and using their device for all aspects of communication in this day and age of technology/communication.

Approval

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Busch, Audrey Organization: CCD Technology and Telecommunications Task Force
Date: 05/29/2015
Comment:

May 29, 2015

The Consortium for Citizens with Disabilities Technology and Telecommunications Task Force is pleased to provide the following comments to the Centers for Medicaid and Medicare Services (CMS) regarding speech generating devices (SGD). The Consortium for Citizens with Disabilities is a coalition of more than 100 national disability organizations working together to advocate for national public policy that ensures the self-determination, independence, empowerment,

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Busch, Audrey Organization: Association of Assistive Technology Act Programs
Date: 05/20/2015
Comment:

May 28, 2015

Comments on Speech Generating Devices

The Association of Assistive Technology Act Programs (ATAP) is pleased to provide the following comments to the Centers for Medicaid and Medicare Services (CMS) regarding speech generating devices (SGD). The Association of Assistive Technology Act Programs (ATAP) is a national, member-based organization, comprised of 54 state Assistive Technology Act Programs funded under the Assistive Technology Act (AT Act). ATAP was

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Busch, Audrey Date: 12/05/2014
Comment:

December 5, 2014

SUBMITTED ELECTRONICALLY via CAGinquiries@cms.hhs.gov

Laurence Wilson
Director of the Chronic Care Policy Group
Centers for Medicare and Medicaid Services
U.S. Department of Health and Human Services
Attention: NCD 50.1: Speech-Generating Devices
P.O. Box 8016
Baltimore, MD 21244

RE: Joint DME MAC Coverage Reminder for Speech Generating Devices

Dear Mr. Wilson:

On behalf of the undersigned

More

Busch, Audrey Organization: Assosication of Assistive Technology Act Programs
Date: 12/02/2014
Comment:

December 2, 2014

Comments on Joint DME MAC Coverage Reminder for Speech Generating Devices

The Association of Assistive Technology Act Programs (ATAP) is pleased to provide the following comments to CMS regarding the National Coverage Determination (NCD) 50.1: Speech-Generating Devices. We appreciate the opportunity to provide comments. ATAP represents 54 state Assistive Technology Programs funded under the Assistive Technology (AT) Act of 2004. Assistive Technology Act

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butler, judith v Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Butler, Lisa Title: Program Coordinator
Organization: United Cerebral Palsy Independent Living Technology
Date: 05/27/2015
Comment:
Thankfully technology has broadened the choices for speech output. We need to be move forward thinking and realistic when it comes to technology and be wary of creating more obstacles for people with disabilities. We constantly set guidelines for other equipment that can be assessed by the public, we could certainly do the same here and still allow the use of such devices.
Butler-Trump, Lindsay Date: 12/06/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

Butters, Andrew Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Buzolich, Marilyn Date: 12/04/2014
Comment:

December 4, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

Buzolich, Ph.D., Marilyn J Title: Speech/Language Pathologist, Founder/Director ACTS
Organization: ACTS
Date: 05/26/2015
Comment:

First of all thank you CMS for restoring the scope of SGD coverage that existed between 2001 and 2013. Thank you for expanding your definition of “speech” to include speech, texting, email, and telephone as standard functional communication features.

I still have concerns that capped rentals and the eye gaze accessory has not been addressed in this draft NCD for SGDs. The Capped Rental payment practice will put individuals who are about to receive care in a nursing facility at risk

More

Buzolich, Ph.D., Marilyn J Organization: ACTS
Date: 12/05/2014
Comment:

Marilyn Buzolich
350 Santa Ana Avenue
San Francisco, CA 94127

December 4, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating

More

Buzolich, Ph.D., Marilyn J Title: Founder /Director, Speech and Language Pathologist
Organization: ACTS
Date: 12/01/2014
Comment:

1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

More

Byrde, Elizabeth Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

C, Jennifer Date: 11/29/2014
Comment:

Please do not implement this rule that takes away internet access for those who rely on SGD technology. Without internet access there is no way to contact medical providers as one can not call text or email. There is also no way to contact friends or family or to research one's illness or treatment options.

Imagine being paralyzed and homebound without these things. Other things one needs internet for: downloading ebooks ( can not hold or turn pages on a paper book the only way to

More

Caire, Benjamin Date: 12/05/2014
Comment:
Access to the web is a "normal" part of functional life in America and is essential to a productive individual in today's society.
caldwell, susan Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Caldwell, Diana Title: VP Quality and Strategic Advancement
Organization: Wendell Foster's Campus for Developmental Disabilities
Date: 12/06/2014
Comment:
Thank you for the opportunity to provide the following comments on Medicare's coverage of speech generating devices:
1. Please allow SGD rentals to be utilized by a person when transferring between settings (i.e. home and hospital, nursing home, or hospice care).
2. Please reconsider the stipulation that devices be dedicated exclusively to speech generation and allow people who use SGD to optionally upgrade the device to access additional functionality.
3. When eye gaze

More

Cale, Cordelia Date: 11/26/2014
Comment:
If we can help the speechless speak with technology then that technology should be made available.
Thank you and let's get moving on this, please. There are a lot "I love yous" out there that need to be said.
Calvert, Lisa Date: 12/05/2014
Comment:
Internet access is a normal part in functional life in US.
Cameron, Linda Date: 12/03/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. Please recognize SGDs are so

More

Campbell, Lauralee Title: Speech Language Pathologist
Organization:
Date: 12/06/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Campbell, Casey Date: 12/05/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

More

Campbell, Richard Date: 12/05/2014
Comment:

Please ensure that the definition of speech communication device allows access to include non-verbal communication such as texts, email, and Internet web access for those with ALS and Parkinson's so that those suffering can communicate in multiple forms with doctors, family, and caregivers.

Best regards.

Campbell, Lois Title: Speech-Language Pathologist / AT Specialist
Organization: State of TN - DIDD
Date: 12/02/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

More

Canfield, Colleen Date: 12/04/2014
Comment:
I support speech generating devices that access the internet. The internet and email is a valuable communication tool that should not be kept from our ALS inflicted loved-ones. Let's embrace technology!
Cannady, Kelsey Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Cannon, Barbara Date: 11/11/2014
Comment:

I am an assistive technology specialist serving non-verbal students in a public school district in Virginia. I applaud your efforts to fully understand the needs of those who are without natural speech. IT is a very isolating disability and one that makes learning and using language difficult and time consuming. The students I serve need all the tools at their disposal in order to be part of the world at large. Because they are often slow at generating messages, potential communication

More

Canty, Alison Title: Advisory Council Chair
Organization: Minnesota STAR Program
Date: 12/05/2014
Comment:

Imagine you aren’t able to speak but need to talk to your doctor, family member or care provider about your medical needs. What if you had a speech generating device (SGD) but found it useless because you couldn’t access the device using an alternative method such as eye gaze. Or perhaps you’re at home and need to email or text your health care provider but can’t because your SGD doesn’t support this type of communication. How would you feel if you couldn’t turn on the air conditioning,

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Caporale, Betsy Title: Speech-Language Pathologist, AAC/AT Specialist
Organization: California Department of Education, No. Calif. Diagnostic Center
Date: 12/05/2014
Comment:
I have been working with individuals who require augmentative and alternative communication (AAC) for over 20 years, and have witnessed an explosion in the number of individuals with complex communication needs who are now able to access AAC thanks to recent advances in technology. Since the debut of the iPad in April of 2010, the AAC market has changed dramatically. Consumers now have the option of downloading an AAC app on their iPad or tablet computer to create a highly personalized SGD

More

Cappocchi, Gina Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Capps, Michele Title: person who cares
Date: 12/05/2014
Comment:

I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

ALS is a fatal

More

Capra, Angela Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Caputo, Susan Date: 12/05/2014
Comment:
I encourage those in charge to please consider covering speech devices, such as iPads and tablets, and to allow those devices to be able to connect with the internet. Providing the ability to communicate via the internet is crucial for those suffering from debilitating diseases. They often are unable to socialize in typical settings or to manage basic aspects of their lives. Socialization is very important for good mental health. Also, internet access would allow a patient to manage their

More

Carbone, Alison Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Cardinale, Matt Date: 12/05/2014
Comment:
It is absurd to think that Speech Generating Devices should not have access to the internet. Everyone has the right to access the internet, and those with disabilities are no different. The Internet is a normal part of a massive amount of the population. It is second nature. We take for granted how easy it is for us to access infinite amounts of information. There is no reason why someone with a speaking disability should not have access to this. Do the right thing.
Carey, Kelley Date: 12/03/2014
Comment:

"Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking needs. Speech-generating devices are characterized by:
Being a device that produces speech by translating the user's input into device-generated speech;
Being a device used solely by the individual who has severe speech impairment;
May have digitized speech output, using prerecorded messages, less than or equal

More

Caron, Jessica Date: 05/29/2015
Comment:

Thank you Medicare staff for addressing the most important concerns that had arisen in 2014 regarding Medicare SGD coverage.

The expanded of the definition of “speech” to include communication by texting, e-mail and phone is a very positive development. This is so critical, as one participant in a study I just completed stated:

"One of the first abilities I began to lose with ALS was speech. Social events became more uncomfortable the worse my speech became. For me, in

More

Caron, Jessica Date: 12/04/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

More

Carosi, Megan Date: 12/05/2014
Comment:
The internet allows disabled to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy. Without these tools (that every functional American uses!) the disabled are at higher health risk in emergency, & told they're not useful.
Carr, Kate Organization: Ms.
Date: 12/01/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

CARRIER, CINDEE Date: 12/05/2014
Comment:

Dear CMS,

Access to the web is a "normal" part of functional life in America.

Carroll, Kent Organization: FAAST, (Florida Alliance for Assistive Services and Technology)
Date: 12/04/2014
Comment:

My name is Kent Carroll. I am a member of the Board of Directors of FAAST, Inc. (Florida Alliance for Assistive Services and Technology). We are an organization developed by the Assistive Technology Act of 2004 whose mission is to improve the quality of life for all Floridians with disabilities though advocacy and awareness activities that increase access to and acquisition of assistive services and technology. Our mission makes us keenly aware of the necessity of Speech Generating Devices

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Carroll-Alfano, Miriam Date: 12/02/2014
Comment:

Dear Subash Duggirala,

As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

More

Carson, Patricia Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Cartwright-Smith M.S. CCC-SLP, Janet Title: Speech Language Pathologist M.S. CCC-SLP
Date: 11/13/2014
Comment:
Communication for individuals is not limited to only speaking. People use facial expressions, gestures, and are able to change intonation to change meaning. Since communication devices cannot do these things, anyone using an AAC device is automatically at a disadvantage. So, why are you limiting communication further? We should be fostering communication in anyway possible - email, text, phone calls, etc. Taking away these things as well as environmental controls, such as operating a

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Casale, Joe Date: 12/05/2014
Comment:
Open, unfettered Internet access shouldn't be optional. It's essential for those to feel connected and be functional. I don't even know why this is in question. It's obvious to everyone.
Casey, Susan Title: Operations Review Specialist
Organization: Florida Department of Health
Date: 12/04/2014
Comment:

My name is Susan Casey and I am on the Board of Directors of FAAST,Inc. (Florida Alliance for Assistive Services and Technology). We are an organization developed by the Assistive Technology Act of 2004 whose mission is to improve the quality of life for all Floridians with disabilities though advocacy and awareness activities that increase access to and acquisition of assistive services and technology. Our mission makes us keenly aware of the necessity of Speech Generating Devices (SGD),

More

Casper, Mary Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Castaneda, Sandra Date: 12/05/2014
Comment:
Access to the Web is a "normal" part of functional life in America. Today!!!
Caster, Jeffrey Date: 12/05/2014
Comment:
Absolutely essential. Put yourself in that situation... I don't understand why this is debatable. If you or a family member needed these services, you would fight for it. Just because it doesn't affect you currently, doesn't mean others don't need them in their daily lives. Let's use a little common sense here. Thank you for the opportunity to comment.
JC
Castro, Danniela Date: 12/05/2014
Comment:
Although I do not personally suffer from ALS, this awful disease has affected people in my life who I love very much. Therefore, there are three fundamental points with regard to Medicare coverage of SGDs we bring to your attention:
1. Every American has a right to enjoy the freedoms of life, liberty and the pursuit of happiness, a constitutional affirmation reinforced by the Americans with Disabilities Act. To limit disabled persons’ access to communication on the basis that

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Cates, Linda Date: 12/02/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). I am a physical therapist with over 25 years working with people with complex communication needs. I have covered the Duke ALS clinic since its inception in 2000. I have personally seen how Medicare funded SGDs enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal

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Cathcart, Audi Title: Clinical Consultant/Speech-Language Pathologist
Organization: Lingraphica
Date: 05/29/2015
Comment:

Hurray for CMS - and that you acknowledge that communication is more than just "speech". Today we are fortunate to have more than one method of communication - and technology allows us to communicate in ways than never before.

It is important that a patient with aphasia, for example, have methods of communication that keeps him/her connected with medical and safety personnel, as well as social contacts. Allowing speech generating devices to access communication platforms such as

More

Catley, Sarah Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Cavanaugh, Stacy Date: 12/03/2014
Comment:

December 3, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

caves, kevin Date: 12/04/2014
Comment:
I write to encourage CMS to move towards a resolution of the SGD issue as rapidly as possible, and not drag its heels until its self-created deadline of July 31, 2015. The current situation is causing direct harm to Medicare beneficiaries who cannot obtain the devices that they need. As a provider of SGD recommendations, I have had several patients end up without equipment due to the manufacturers drawing out approvals for devices due to the uncertainty surrounding Medicare funding. I work

More

caves, kevin Date: 12/04/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). I am a rehabilitation engineer with over 25 years working with people with complex communication needs and was part of the team that worked with CMS on the original 2001 NCD. I have personally seen how Medicare funded SGDs enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate

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Caves, Kevin Date: 05/28/2015
Comment:

First, I would like to thank CMS for their consideration of this important issue. As an assistive technology professional and friend and colleague to people who use SGD, the expansion of the definition of “speech” to include communication by texting, e-mail and phone is a very positive development. Ironically, individuals most impacted by this issue are barred from providing comments due to the restrictions on email communication.

The clarification that SGDs' non-communication

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Cawthern, Jayne Date: 12/05/2014
Comment:
As a volunteer advocate for the ALS Association, I have many friends who struggle with the ability to communicate, as a result of the devastating effects of this disease. Speech Generating Devices are often their only way to express their needs and maintain a connection with medical personnel, family members, and friends. SGDs are not "wish list" items for them; they are critical to maintaining the ability to function.
Cembor, Andrew Date: 12/03/2014
Comment:
The importance of speech generating devices and the ability to upgrade those devices with new technology cannot be overestimated to the community of people who have lost the ability to speak. I urge you to continue to provide coverage for these devices and any upgrades that will provide a better standard of not just surviving, but LIVING life to the fullest degree possible.
Cempa-Danziger, Donna Title: Full Time Professor
Date: 12/02/2014
Comment:

1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

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Centanni, Laura Date: 12/06/2014
Comment:
The internet was created to make life for the majority of the world EASIER. I use it for FILLING OUT GOVERNMENT FORMS, paying my taxes for my property, paying my energy bills, paying my cable bills, paying my child support, keeping in touch with my family via social media AND using "Skype" (I have a sister that travels the world for work and we cannot afford to visit her in Guyana this year), learning about any of a number of peoples, places and things. And that is just to name a few reasons

More

Cerrito, Peggy Date: 12/05/2014
Comment:
Please fund SGDs for these very deserving families.
Cervantes, David Date: 05/21/2015
Comment:
We live in a high tech world and Speech Generating Devices allow those who can't communicate due to a medical condition to do so. Therefore it would only seem logical that this technology be available to those who would benefit from this technology and the cost be covered by Medicare/Medicaid.
Chadis, Lucy Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Chadwick, Laurie Date: 12/02/2014
Comment:

I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices, including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

Please do not take away their only

More

Chancey, Amber Date: 12/04/2014
Comment:

PROPOSED COMMENTS

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

More

Chandler, Robert Date: 05/21/2015
Comment:
Communication is more than just the spoken word. For those trapped inside of bodies ravaged by disease, communication through social media and the internet may be their only escape. Otherwise healthy minds restrained only by the bodies inability to communicate is a fate impossible to imagine for those who are healthy. Granting unfettered access to multiple forms of communication is a mercy that should not be denied.
Chandler, Alysa Date: 12/05/2014
Comment:
It is absolutely necessary that patients requiring a Speech Generating Device have access to the internet and all of it's applications. Many of them utilize the internet to communicate with their doctors, emergency services, and family and friends. This should not be considered a luxury, but a basic necessity. By not allowing access you are essentially preventing them from having a meaningful, quality life. Human beings must be able to communicate to live. It's essential to our mental,

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Chaney, Matthew Date: 12/02/2014
Comment:

I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

ALS is a fatal

More

Chapin, Jennifer Title: Speech Language Pathologist and PhD Student
Organization: University of South Florida
Date: 12/06/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Chapoton, Elizabeth Date: 05/27/2015
Comment:
how do people who are most directly effected by this ruling get to participate in the conversation if they aren't allowed to use the internet?
Chapoton, Liz Date: 05/26/2015
Comment:
This is such a cruel discussion - I am out of things to say. People who need this level of assistive technology to connect with other human beings - why would that be limited? How can they call for help? How can the read the paper and connect with the outside world? I do not understand restricting access to the internet - the very thing I am using right now to express myself.
Capped rental - to take the machine away entirely - when a person goes into hospice - or a care facility -

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Chapoton, Liz Title: human
Organization: Team Gleason
Date: 12/06/2014
Comment:
The use of communication technology is becoming more and more intimate with all members of society. Nowhere is this more evident than within communities of individuals who use this technology to share and connect with the rest of the world. The devices human beings use to communicate, when other avenues are lost, must have the ability to be tailored to their specific needs. The terms of the capped rental category put the individual at risk of losing his or her method of communication at the

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Chapoton, Liz Date: 12/03/2014
Comment:
The person who uses an SGD needs immediate means to call (send information) for medical emergencies, personal safety, and in case of disaster. Recipients of these devices need to be able to manage communication about health care appointments. An unlocked device allows a user to receive information about disasters and emergency actions and respond to those alerts. A device that does not have the ability to be unlocked isolates and endangers the user who is clearly already in a vulnerable

More

Chapoton, Elizabeth Date: 12/03/2014
Comment:
SGD devices with the potential to be unlocked allow users to participate in discussions that deeply affect their lives - like this one. Medicare recipients use unlocked devices to schedule and cancel medical appointments, communicate with healthcare providers, receive care through telemedicine when travel is impossible. Unlocked devices allow users to call to a caregiver who is not in the room - call 911 should an emergency present. Unlocked devices allow for the participation in on line

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Chappell, Robert Title: President
Organization: EyeTech Digital Systems
Date: 12/04/2014
Comment:

Advancements in computer technology over the past few decades have been a huge benefit for the severely disabled. They can now communicate with people both nearby and around the globe using relatively inexpensive and common computer-based hardware.

I would recommend that the rules defining acceptable SGDs be broad enough to include common computer hardware and operating systems. Also, "speech" could also include email, texting, cell phone calls, and writing activities. There could

More

Charbonneau, Sebastian Date: 12/04/2014
Comment:

December 4, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

Charlton, Treg Title: Mr
Date: 12/02/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

Cheak, Erin Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Cheek, Jason Date: 12/05/2014
Comment:
Please continue funding of communication devices for those afflicted with ALS. It is absolutely essential that ALS patients have access to this technology. Thank you.
Chin, Scott Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Chobor, Michelle Date: 12/05/2014
Comment:

PROPOSED COMMENTS

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

More

Chouinard, Mikleane Date: 12/05/2014
Comment:
Please understand that the internet is a normal part of functional life in the United States. The internet allows disabled to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy.
Chouinard, Lynda Date: 12/03/2014
Comment:

December 3, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

Christian, Lance Title: Executive Director
Organization: The ALS Association, Oregon & SW WA Chapter
Date: 12/02/2014
Comment:

I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

ALS is a fatal

More

Chrzanowski, Thomas Date: 12/05/2014
Comment:
These devices are a great asset to those who are unable to communicate normally. These devices should include the ability to communicate through the Internet just as any of us do as part of our daily routine.
Chung, Wai Date: 12/05/2014
Comment:
It is vital and necessary for people especially with ALS have Speech Generating Devices! How else can they communicate when they are unable to talk? Being diagnosed with ALS or any dehabilitating disease is bad enough. Let's make life better and worse for people that need speech generating devices. Thank you.
Church, Kerry Date: 12/03/2014
Comment:

December 3, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

Clabaugh, Lauren Title: Speech-Language Pathologist
Organization: Overland High School
Date: 12/02/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

More

Clark, Judy Title: n/a
Organization: n/a
Date: 12/05/2014
Comment:
Just a clarification on my comment from 5 minutes ago :
When referring to SGD's, I meant the ability for these patients to have full Internet access. In this day & age, it is vital to have the ability to correspond with others, do necessary research, & stay in touch with the outside world. I am sure patients feel extremely isolated, and anything that can be done for them should be.
Again, thank you.
Clark, Judy Title: n/a
Organization: n/a
Date: 12/05/2014
Comment:
I have recently learned a great deal about ALS, & what a devastating disease it is. The Ice Bucket Challenge has certainly raised awareness, & I have a friend who is living through the debilitating effects of this illness.
I do sincerely hope that Medicare will reconsider its current stance on providing speech generating devices to patients of ALS, stroke,etc. To be deprived of the very basic human need to communicate seems unreasonable and cruel. It is my fervent wish that Medicare

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Clark, Chelsie Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Clark, Samantha Date: 11/11/2014
Comment:
Removing environmental controls, email, etc.. severely limits the communication possibilities for a patient needing to communicate. In today's society, email and word processing are how we communicate. If it were not for internet and word processing, I myself would not be communicating my opinions on this matter. Also, if I was limited in writing, I would not even be able to mail a letter stating my thoughts. If I could not use my device to control a telephone or the lights, I would be sitting

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Clarkin, William Title: Owner
Organization: ReplaceSmart Windows
Date: 12/02/2014
Comment:
Please establish coverage policy that allows people with ALS access to speech generating devices. Also include upgrades such as email, internet access as well as eye tacking.
Thank you so much.
Clary, RN, MHS, CCM, Peggy Title: Care Services Coordinator
Organization: The ALS Association Central & Southern Ohio Chaper
Date: 12/03/2014
Comment:

As a nurse who works with this population of patients, I daily see the devastation of Amyotrophic Sclerosis (ALS). Denying these individuals the opportunity to maintain their dignity in the way of communication, environmental control, and independence is a hardship that no one should have to endure in addition to dealing with the losses associated with ALS. It is important for patients to be appropriately fitted with devices that can adapt to the increasing disabilities of ALS. Making it

More

Clazie, Karyn Date: 12/06/2014
Comment:

I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

ALS is a fatal neurodegenerative

More

Cleaver, Richard Date: 12/05/2014
Comment:
The use of speech generating devices is basic to allowing people with disabling conditions to communicate with other members of our society--a basic right and one that the Federal government, and thus Federal programs such as Medicate and Medicaid, must protect for all citizens, not only the able-bodied and healthy. Furthermore, any technological extensions that facilitate normal communication, such as access to email and social media which are embedded in our social interactions and have

More

Clement, Lynn Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Cleveland, Nancy Title: RN, BSN
Date: 11/26/2014
Comment:

I don't understand why CMS would even consider not covering speech generating devices. The very basis for a person to be able to communicate their physical needs is the ability to speak, even if it's electronic. How is a caregiver supposed to know if their patient is in pain if they have no way to communicate? Eliminating SGD coverage would, at the very least, be cruel. At the very worst it would increase the cost of healthcare. If a patient can't tell you he's sick by the time a

More

Clevenger, Drew Date: 12/05/2014
Comment:

It is good that speech generating devices are covered. However, it is mind blowing to me that the internet and other communication devices are locked when these are provided.

It is 2014, being able to use the internet and communicate through technology is a normal and crucial part of everyday life. This should and must be allowed on tablets etc that are covered by CMS

Clingman, James Date: 12/03/2014
Comment:

I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

ALS is a fatal

More

Cluck, Jennifer Title: speech pathologist
Organization: American Speech-Language and Hearing Association
Date: 12/03/2014
Comment:

As a speech pathologist, I am concerned about access to speech generating devices for anyone who has difficulty communicating with other methods, including those on Medicare. Please allow inclusion of device access technology (such as eye-tracking and infrared pointers) for patients with limited or no mobility and allow upgrades to include other forms of communication (such as e-mail) for patients with severe neurogenic conditions. These upgrades are important for our Medicare

More

Clumpner, Tina Date: 12/05/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

More

coad, k Date: 12/05/2014
Comment:

I support the removal of the following language:

"Devices that are not considered speech generating devices include devices that are not dedicated speech devices, or devices that are capable of running software for purposes other than for speech generation."

Communication is much more than just face-to-face speech. Devices that can facilitate communication in other ways are crucial to modern life. I am opposed to limiting the definition of a speech device to one with

More

Cofer, Blue Date: 12/05/2014
Comment:
Please revise the requirements for SGDs to allow the devices to perform multiple tasks, including access to the Internet. SGDs can be integrated with other software to provide more functionality for the users. The limitations on the the uses of an SGD simultaneously limit the abilitys of the user.
Cogswell, Corey Date: 12/05/2014
Comment:
Internet access is a vital part of everyone's life including the disabled. Please allow internet access on tablets for the disabled.
Cohen, Lorraine Title: Assistive Technology Specialist
Organization: AHRC New York City
Date: 05/15/2015
Comment:

As a speech language pathologist working with adults with intellectual and developmental disabilities, I believe the proposed changes to revise the current scope of benefit national coverage determination (NCD) for speech generating devices at § 50.1 of Chapter 1, Part 1 of the Medicare National Coverage Determinations Manual, is sound and informed policy. These changes will great benefit a most fragile and vulnerable population, i.e,. those who have no voice to speak for themselves.

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Cohen, Alicia Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Cohen, Norman Date: 11/15/2014
Comment:

I urge adoption of the expanded policy definition of 'speech generating devices (SPGs)' to include nonverbal communication devices, including email and texting among other technologies.

Presumably, the original intent of the inclusion of SPGs as 'durable medical equipment (DME)' covered by Medicare was to enable persons unable to communicate with others due to a medical condition to do so verbally. Now that communication devices have been developed and refined to afford nonverbal

More

Colberg, Karri Date: 12/04/2014
Comment:

PROPOSED COMMENTS

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With

More

Cole, Therese Date: 12/04/2014
Comment:

December 4, 2014

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

More

Cole, Amy Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Cole Wilson, Donna Date: 12/02/2014
Comment:

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

More

Coleman, Nancy Title: Speech Language Pathologist
Organization: Children's Hospital of the King's Daughters
Date: 12/03/2014
Comment:

PROPOSED COMMENTS

Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, actively participate in management of their own health care, and

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Coleman, Cardin Date: 12/02/2014
Comment:

Dear Subash Duggirala,

As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

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Coles, Corey Date: 12/05/2014
Comment:
In today's world, the internet is a vital tool in the lives of everyone, especially those who depend on it for their main source of communication.
Collet, M C Date: 05/21/2015
Comment:
Only in America... We are to communicate with the government via the internet to explain to the government that speech isn't the only way to communicate.
Collier, Ben Date: 05/21/2015
Comment:
Communication means so many things and nonverbal communication is sometimes the loudest. I am sure you are receiving thousands of responses from this and rightfully so, through the internet. we must speak up for those who cannot be heard, but with a keyboard all people can communicate.
collins, william Title: public policy chair
Organization: orange county als chapter
Date: 12/02/2014
Comment:
medicare should cover speech generating devices for patients with als. these sgds need internet and other enablers
Colton, Tamara Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

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Comeaux, Alison Date: 12/05/2014
Comment:
Access to the web, is a "normal" part of functional life in America!!!!
Comerford, Patricia Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

More

Commiskey, Kaitlin Date: 12/03/2014
Comment:

Dear Subash Duggirala,

As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

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Comrie, Don Date: 05/29/2015
Comment:

To whom it may concern:

People with neurodegenerative disorders require Speech Generating Devices to fully take advantage of medical support while maintaining their basic human dignity.

I have little doubt that on a benefit cost basis this technology provides of positive return as the denial of basic communications increases the cost of care.

There is no basis for failing to provide such useful and cost-effective technology to such an impaired population.

Comrie, Don Organization: PanMedix Inc.
Date: 12/05/2014
Comment:

SGDs should be provided by CMS. In furtherance of integrating the disabled as active and productive members of society, these devices should be unlocked.

Technology evolves far more rapidly than government regulation. Clearly maximizing the degrees of freedom afforded to valued but silent members of nation so they can enjoy a life scientific and technical advances can afford them.

There seems to be little opportunity for abuse so the benefits are almost certain to

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Conant, Penny Date: 05/21/2015
Comment:

for those who can no longer speak, communicating beyond speech is paramount to reach loved ones, to remain productive, for safety and create a level of independence. I know this personally due to [PHI Redacted] suffering from ALS.

Connell, Nora Title: Assistive Technology Consultant
Organization: Delaware County Intermediate Unit
Date: 12/05/2014
Comment:
A group that included policy experts from ASHA, the Amyotrophic Lateral Sclerosis Association (ALSA,) and representatives from SGD manufacturers has discussed and agreed on edits to the NCD 50.1 to submit to CMS as a united stakeholder group. The recommended edits are the result of several meetings, revisions, and discussions and include:
  • No changes to the definition of SGD
  • Deletion of any disqualifying characteristics
  • Inclusion of device access technology, such as

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  • Connelly, Charlene Date: 12/06/2014
    Comment:
    Kenny needs to be able to use his device to email,text and Internet . This is what gives some sense of independence and ability to take care of himself. Though he does have to rely on family and friends for some things - this should certainly not be among them.
    Connelly, Charlene Date: 12/05/2014
    Comment:
    Kenny needs to be able to use his device to email,text and Internet . This is what gives some sense of independence and ability to take care of himself. Though he does have to rely on family and friends for some things - this should certainly not be among them.
    Conner, Deb Date: 12/06/2014
    Comment:

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage Decision (NCD), CMS should:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as

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    Connolly, Melissa Title: CCC-SLP
    Date: 12/04/2014
    Comment:
    Imagine not being able to communicate your simplest needs for a week let alone the rest of your life.... Please allow these people to have a voice!!!!
    Conover, Ellen Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Contaxis, Leah Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Conti, Robert Title: Secretary/Treasurer
    Organization: SHOUT
    Date: 12/04/2014
    Comment:

    Prior to working in the field AAC, I was a Court Stenographer. I have worked in the field of AAC for the past 30 years designing language systems, contributing time, money, and energy to non-profits such as SHOUT and USSAAC. Through SHOUT, I helped to co-sponsor the ISAAC Conference in 2010 here in Pittsburgh and the AAC Camp. Recently, the University of Pittsburgh Katz' College of Business Administration, Master's Program in Leadership and Ethics, Class of 2016 took on a project they

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    Conway, Amanda Date: 05/21/2015
    Comment:

    [PHI Redacted] recently passed away from complications of ALS. For the last two years of his life, his only want to communicate beyond speech was with an eye gaze computer. It was an absolute life line to him. He eventually needed it for speech communication too. He would have been absolutely miserable without it, as I was literally the only thing he could do for himself. Please make sure people aren't left in silence without these devices

    Cook, Nadine Date: 05/29/2015
    Comment:

    To take these devices away from patients with diseases like ALS is taking away their livelihood and their only ability to communicate. [PHI Redacted] died from ALS in [PHI Redacted]. If it were not for his SGD he would have he would have had NO WAY to tell us his hurts, pains, and needs. This device was a lifesaver on many occasions. I BEG you to reconsider this. I work in the health industry and see many other areas that money can be saved.....but this is

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    Cook, Kenneth Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

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    Cook, Alex Date: 12/01/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

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    Cooke, Michelle Title: Assistive Technology Consultant
    Organization: Prince George's County Public Schools
    Date: 12/05/2014
    Comment:
    As a special educator and assistive technology consultant for a large school district I have had the opportunity to work with individuals who access speech generating devices on a daily basis. The wonder of witnessing the power of communication and access to the school curriculum a student experiences is undeniable. SGD is not a convenience or a privilege for a student but a daily humanitarian need. The functions that todays technology offers, including SGDs allows students to be able to

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    Cooper, Shannen Date: 12/05/2014
    Comment:
    "To Whom It May Concern: I am writing to you today on behalf of people with ALS and others who may need to use an SGD as their means of communication. Texting, emailing, and calling are incredibly important means of communication for all members of society. We conduct business meetings via conference calls or the internet (ie, email). We set up lunches with friends and loved ones via text. We keep in touch with peers and family members who have moved far away through all of these mediums, and

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    Cooper, Carolyn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Cope, Elizabeth Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Copeland, Elizabeth Date: 05/26/2015
    Comment:
    The social isolation that comes from not being able to communicate with ALS is heartbreaking. Please allow people to not be so isolated. It's so frustrating on the person with ALS as well as friends and family to not be able to communcate.
    Copley, Ashley Date: 12/04/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

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    Corbett, Kathleen Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Cormier, Julie Date: 12/05/2014
    Comment:
    ALS patients depend on Speech Generating Devices...they need them to keep connected. Please do not have them removed!
    Cornelius, Chuck Date: 12/05/2014
    Comment:
    Medicare should allow speech generating devices including access to the Internet
    Cosgrove, Rebecca Date: 12/05/2014
    Comment:
    Access to the internet is an essential component of everyday life and a necessity to connect individuals with disabilities to a productive and fulfilling life.
    Costanza-Smith, Amy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    costello, john Date: 12/05/2014
    Comment:
    As an augmentative communication specialist for the past 30 years, who currently works with people who are severely limited in function due to the ‘limbo status’ they find themselves experiencing due to current status, I urge you to continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware. The size, weight, shape and access method are all important factors in the evaluation process for an SGD and off-the-shelf technologies provide additional options. SGD coverage

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    Costello, John Title: SLP, Director of Augmentative Comm Program
    Organization: Boston Children's Hosptial
    Date: 05/28/2015
    Comment:

    Thank you for proposing to restore the scope of SGD coverage that had existed from 2001-2013, in regard to the types of devices that can be used as SGDs.

    PLEASE confirm this change and enact it as soon as possible. As a speech-language pathologist who works with many people with complex communication needs, I have seen enormous harm done to people who are extremely vulnerable due to the current lack of access to effective communication. We have depleted our clinics ability to

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    Coulter, Rabecca Title: Care Services Coordinator
    Organization: The ALS Association Upstate New York Chapter
    Date: 12/04/2014
    Comment:
    ALS is a fatal neurological disease that robs people of the ability to control their muscles. This horrific disease robs people of so many of the things that the rest of us take for granted each day. Think about all that muscles control. Feet. Legs. Arms. Hands. Torso. Lungs. Neck. Tongue. Think about all the daily actions that require muscle control. Persons with ALS often lose the ability to speak and therefore rely on SGDs to communicate. They may have lost their physical

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    Couse, Melissa Date: 05/26/2015
    Comment:
    Please make this device available to all individuals who have ALS to allow for adequate communication.
    Couture, Ashley Title: Clinical Lead, Speech Language Pathologist
    Organization: University of Vermont Medical Center
    Date: 12/06/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    I can say from personal professional experience assisting patients with severe communication impairments that SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important

    More

    Covert, Lyn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Cox, Steve Date: 12/05/2014
    Comment:
    My friend has ALS. before he lost the ability to speak and type and use a computer mouse his job was video editing and graphic design. He needed to use the internet everyday to provide for his family. he has been helped through his ALS journey through connecting with his friends and family on facebook and by writing his blog. this day and age in America every person deserves the right to communication...with disabilities or not...and this includes communicating through the internet.
    Coyle, Susan Date: 12/05/2014
    Comment:
    Speech Generating Devices are necessary for the disabled to function in daily life as well as in an emergency. Access to the 'web' is a part of normal life in this world today, and the disabled should not be restricted from it's use. It's a necessity!
    Crabtree, Rev R.Edwin Date: 12/06/2014
    Comment:
    I'm commenting on the absolute value and cost saving, and benefit to society of modern day SGDs, speech generating devices. The best example I can give is Stephen Hawking. Without such a device, one of the world's greatest minds would have been lost to society. He and others with similar illnesses, would be relegated to a nursing home to essentially rot because they could not communicate. Instead, he and similar people with such diseases as ALS, contribute to life in productive and

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    Craft, Katie Title: Speech Language Pathologist
    Organization: Erickson Living
    Date: 12/04/2014
    Comment:

    Dear [Recipients],

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Cramer, Dawna Title: Speech Language Pathologist
    Date: 12/03/2014
    Comment:
    In my career as a Speech Language Pathologist, I have worked with multiple patients whose communication skills have been significantly impaired due to various medical events. It is vitally important for people to be able to communicate basic wants and needs as well as to be able to participate in social interactions. Imagine going even a day without the ability to request help, comment, chat with a friend or family member, or ask a question. Communication is vitally important to a person's

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    Crandall, Paco Title: President
    Organization: Diamond Athletic Booster Club
    Date: 12/05/2014
    Comment:
    Access to the web is a normal part of functional life in America. For disabled technology and communication is their cure! Please make any effort needed to get this right!
    Crane, Samantha Title: Legal Director, Director of Public Policy
    Organization: Autistic Self Advocacy Network
    Date: 05/29/2015
    Comment:

    Dear Sir or Madam:

    The Autistic Self-Advocacy Network (ASAN) appreciates the opportunity to submit the following comments on the Centers for Medicaid Services’ Proposed Decision Memorandum regarding Medicare’s coverage of speech generating devices. ASAN is the leading nationwide organization run for and by autistic people and the intellectual and developmental disability as a whole.

    The proposed scope of coverage is a significant improvement compared to past policy

    More

    Cranston, Cathi Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Crawford, Stephanie Date: 12/06/2014
    Comment:

    I have worked as a speech language pathologist for the past 10 years, and have specifically focused on helping people for whom speech is not a viable communication option. Some of my clients have been unable to speak due to degenerative illnesses such as ALS, strokes, or cerebral palsy. For many of these clients, a speech-generating device (SGD) has been a lifeline, allowing them to communicate with family and friends, assuring they can can get their needs met in an emergency, and helping

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    Crenshaw, Brooke Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Crews, Michael Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Crislip, Deb Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Crosby, Kirkland Date: 12/06/2014
    Comment:
    Speech generating devices are vital to the speech-impaired, and so are the other features - such as texting, email and internet access - that are already available on these devices but blocked for coverage under Medicare. The CMS should provide coverage for all features of these devices. I know, from personal experience, how important this is to ALS patients. I'm sure it is as important to victims of other speech-impairing illnesses.
    Cuesta, Ross Date: 12/05/2014
    Comment:
    Internet access to the web is a necessary and essential part of functional life for somebody who is a wheelchair especially in a condition unable to walk and talk like a normal human. Internet access is part of functional life for EVERYBODY
    Culbertson, Karla Organization: 1999
    Date: 12/06/2014
    Comment:
    Internet access is vital to the disabled commuity! Please consider covering all devices needed so that we may function!
    Culbertson, James Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Cummings, Matthew Date: 12/05/2014
    Comment:
    The internet is absolutely essential for people with communication disorders. It's inconceivable to think otherwise.
    Cunniffe, Melissa Date: 12/05/2014
    Comment:
    Your question is insulting. It's a matter of basic human rights and the ability to recognize the worth of a disabled citizen in our society, that many continue working, coaching sports teams, managing their financial affairs (like stocks and bank accounts), or needing a lifeline for feelings of comfort or in case of emergency.
    Cunningham, Louise Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Curiel, Jaclyn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Currall, Jessica Organization: The Pennsylvania State University
    Date: 05/28/2015
    Comment:

    As a speech-language pathologist who works with persons with complex communication needs, I wanted to take the opportunity to provide a comment regarding the CMS proposed National Coverage Decision (NCD) for speech generating devices (SGDs).

    • First, the draft NCD is very good and I want to thank Medicare staff for addressing the most important concerns that had arisen in 2014 regarding Medicare SGD coverage;
    • The expansion of the definition of "speech" to include

      More

    Currall, Jessica Organization: The Pennsylvania State University
    Date: 12/04/2014
    Comment:

    Jessica Currall, MS/CCC-SLP
    AAC Research and Outreach Coordinator
    PSU Department of Communication Sciences and Disorders
    308 Ford Building
    University Park, PA 16801

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted

    More

    Currall, Jessica Title: Speech-language Pathologist
    Organization: The Pennsylvania State University
    Date: 12/02/2014
    Comment:

    As a speech-language pathologist, I have worked in elementary and middle schools (2002 - 2009), and at a University clinic as part of a graduate program for communication sciences and disorders. My area of focus has been for persons with complex communication needs (CCNs) who cannot rely on speech to meet their full needs, and require augmentative and alternative communication (AAC). Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices

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    curtis, Ellen Date: 05/21/2015
    Comment:

    [PHI Redacted] was diagnosed on [PHI Redacted]. He can still speak clearly, but we know that will begin to change. He is an attorney with a thriving law practice. When his muscles no longer work, he will still be able to if he is able to communicate beyond speech. He can still contribute to his career and be a vital and active part of our family if we can hear him and communicate with him. Denying technology is denying life for ALS patients.

    Curtis, Chris Date: 12/05/2014
    Comment:
    SGD's without internet access is absurd. No productive member of society lives one day without it. Please help those of us who cannot communicate without SGD's live a normal and productive life. It is so easy for you to do with this legislation. Thank you .
    Custer, Tracy Title: SLP
    Organization: PRC
    Date: 12/03/2014
    Comment:
    I am a Speech Pathologist that works in the field of Augmentative and Alternative Communication. On a regular basis, I see individuals that are non-speaking that need and would benefit from technology. Without this technology their lives would have such a different quality. Everyone deserves that basic right to communicate. Imagine each of us that has a voice not being able to speak, not being able to pick up the phone, not being able to text or email our loved ones. Our quality of life

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    Cutler, Douglas Date: 12/03/2014
    Comment:
    p>Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    D'Wynter, Lydia Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    D’Amato, Steven Organization: Association of Community Cancer Centers
    Date: 05/26/2015
    Comment:

    Dear Dr. Duggirala:

    On behalf of the Association of Community Cancer Centers (ACCC), we appreciate this opportunity to comment on the Centers for Medicare & Medicaid Services’ (CMS) proposed decision memorandum regarding coverage of speech generating devices.

    ACCC represents more than 20,000 cancer care professionals from approximately 1,100 hospitals and more than 1,000 private practices nationwide. These include Cancer Program Members, Individual Members, and members

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    Dailey, Kenneth Title: n/a
    Organization: n/a
    Date: 11/28/2014
    Comment:
    Please do not take this device away from persons suffering with ALS, depriving them of communication with the outside world when they need it most. Let them have the chance to stay close to freinds and family sustaining everyday life for as long as possible. Communication is all they have left once they have lost their bodily functions that are used to communicate with others. Let them have some dignity at the end of their lives; they deserve that much.What does it hurt the government to let

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    Dalmasso, Julia Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Daly, Alyssa Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    daniel, deborah Date: 12/04/2014
    Comment:

    Thanks to previous action by ASHA members, the Centers for Medicare & Medicaid Services (CMS) halted the implementation of restrictions on SGDs that would have fundamentally eliminated access to SGDs for Medicare beneficiaries. In order to ensure continued access to SGDs equipped with current technology, including e-mails, Internet, and eye-tracking or infrared pointers (for patients with limited or no mobility), CMS is accepting public comment for revisions to the National Coverage

    More

    Daniels, Michael Title: Executive Director
    Organization: FAAST
    Date: 05/21/2015
    Comment:

    I am the Executive Director of the assistive technology program in the state of Florida. The proposed added features (email generation, text messaging, and telephone capability) are a positive step. As indicated in a video that was submitted during the last public comment period from an individual in Tampa, Florida, his preferred mode of communication with his medical team is text messaging. With these proposed changes, he will now have access to SGDs in the future. By having these

    More

    Daniels, Elizabeth Date: 12/05/2014
    Comment:

    Thank you for allowing us the opportunity to provide input on the new Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often co-occurring with severe physical impairments. They enable people with complex communication needs (CCN) to live with more safety and independence, help to maintain important societal and family roles, and communicate important personal and medical decisions.

    More

    Daniels, Michael Title: Executive Director
    Organization: FAAST
    Date: 12/03/2014
    Comment:

    My name is Michael Daniels and I am Executive Director of FAAST,Inc. (Florida Alliance for Assistive Services and Technology). We are an organization developed by the Assistive Technology Act of 2004 whose mission is to improve the quality of life for all Floridians with disabilities though advocacy and awareness activities that increase access to and acquisition of assistive services and technology. Our mission makes us keenly aware of the necessity of Speech Generating Devices (SGD), and

    More

    Darr, Laura Organization: Lee County School District
    Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Daughenbaugh, Carrie Date: 12/05/2014
    Comment:
    Our friend has been diagnosed with ALS. He has a wife and 5 children. Please allow Medicare to provide services to those that will solely rely on the use of technology to communicate with their families. Not only on a personal level but as a necessity for adequate care. This is extremely important in the lives of so many. Imagine not being able to communicate and being locked in your own body and mind.
    Davenport, Cherri Title: Speech-Language Pathologist
    Date: 11/12/2014
    Comment:
    I was so relieved to read that this devastating policy is under further review and that funding will once again be available. It is literally a life and death decision for persons who need technology to navigate their world. This is not an area that should be considered for cuts! Devices that give people the most basic ability to communicate and interact with loved ones, direct their medical care and indicate preferences and concerns are vital to maintaining their basic human rights.

    More

    Davidson, Christina Organization: PROVAIL
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Davidson, Krista Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. I am a speech-language

    More

    Davies, Nell Title: Maine Care Services Coordinator
    Organization: ALS Association Northern New England Chapter
    Date: 12/05/2014
    Comment:

    December 5, 2014

    RE: Ruling on SGDs

    I have been the Care Services Coordinator for Maine for the ALS Assoc. for the past nine years and so have worked with several hundred people suffering from ALS. I also worked for a number of years doing home care for patients who were on ventilators due to spinal cord injuries or other diseases which caused the need for life support.
    A very frequent symptom of ALS is the loss of speech and people with spinal cord injuries

    More

    Davillier, Amber Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Davis, Jennifer Date: 05/28/2015
    Comment:
    Thank you for addressing some of the concerns that were expressed with the previous version of the Medicare policy. As a researcher and speech-language pathologist, I appreciate the recognition of acts outside of speech (e.g., texting) as communication as well as allowing speech devices to have these capabilities.
    Davis, Jenna Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Davis, Jenna Title: Doctoral Candidate
    Organization: Penn State Univ
    Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Davis, Jan Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Davis, Russell Date: 12/04/2014
    Comment:
    Touch talk
    Davis, Adrienne Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Davis, Brenda Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Davis, Kindra Title: Speech Language Pathologist, AAC Specialist
    Organization: Lifespan Therapy Services
    Date: 11/10/2014
    Comment:
    First and foremost....THANK YOU for your reconsideration of this decision to address forms of communication other than speech.
    I am a Speech-Language Pathologist that specializes in feeding and Augmentative and Alternative Communication (including SGDs). I see many children and young adults throughout rural Northern New Mexico. Many of the patients I see use their SGDs for communication in many ways including email, text, phone conversations, and access using wireless or Bluetooth

    More

    Dawson, Brittany Date: 12/04/2014
    Comment:

    Thank you for allowing us the opportunity to provide input on the new Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often co-occurring with severe physical impairments. They enable people with complex communication needs (CCN) to live with more safety and independence, help to maintain important societal and family roles, and communicate important personal and medical

    More

    Dawson, Jerry Title: President
    Organization: The ALS Association’s Jim “Catfish” Hunter Chapter
    Date: 12/03/2014
    Comment:

    My name is Jerry Dawson and I am the President of The ALS Association’s Jim “Catfish” Hunter Chapter with over 15 years working with this vulnerable population. Communication is everything and CMS should not take away that God given right for an arbitrary rule. Put yourself in the shoes of those who have lost all movement and their ability to communicate with healthcare providers and their families. Please find the compassion to provide this basic quality of life access to these people.

    More

    de Domingo, Kathy Title: Director of Operations
    Organization: Progressive Rehabilitation Associates, LLC
    Date: 11/10/2014
    Comment:

    When it comes to communication, able bodied persons have access to all means and connections, whether it be face-to-face, by phone or electronic. In the present day, all of the avenues are available to communicate with our health care providers. For the basic sake of medical safety, why is it appropriate to deny access to someone to a means of communication simply because the device can perform more than one function? On the greater quality of life question, the same question bears

    More

    de los Santos, Kristina Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Dealy, Jane Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Decker, Lynn Organization: New York City Family Advocacy and Information Resource
    Date: 05/26/2015
    Comment:

    I support all the concerns voiced by the ALS user community, but would like to encourage CMS to also revisit a particularly short-sighted element of its regultion the requirement that broader functionalities of the base technology be restricted to qualify for funding.

    Restrictions on the functionality of speech-generating devices are no longer defensible in the present age of consumer electronics that address a wide variety of impairments.

    At this point, imposing the

    More

    Decker, Curt Title: Executive Director
    Organization: National Disability Rights Network
    Date: 12/05/2014
    Comment:

    December 5, 2014
    Laurence Wilson
    Director of the Chronic Care Policy Group
    Centers for Medicare and Medicaid Services
    U.S. Department of Health and Human Services
    Attention: NCD 50.1: Speech Generating Devices
    P.O. Box 8016
    Baltimore, MD 21244

    RE: Joint DME MAC Coverage Reminder for Speech Generating Devices

    Dear Mr. Wilson:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs) on behalf

    More

    Dedmon, Karen Organization: Cleveland County Schools
    Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Dee-McCullough, Connie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    DeFusco, Elizabeth Title: Speech Pathologist
    Date: 11/25/2014
    Comment:
    It is appalling to think that Medicare will limit the uses for SGD's in this day and age. Individuals who require these systems - need it, it is not a luxury item but a necessity! To insure that they can communicate by any means possible, limiting their use for internet and the like is ridiculous!
    degenova, Tom Date: 12/05/2014
    Comment:
    Please allow these speech devices to access the internet. They are mandatory, in my opinion for anyone who needs them to have access to all of the powers that they provide.
    DeGrand, Annye Date: 12/05/2014
    Comment:
    I believe that access to the Internet is essential for people with disabilities.
    DeGreve, Dawn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    DeJong, Lynn Date: 12/03/2014
    Comment:
    I think it is beyond cruel to take away a device that allows someone to communicate with the outside world, especially when it is the only way that person can communicate!! ALS patients use their eyes and a special tracking program that allows them to communicate like a normal person even with such a debilitating disease. We need to be doing more to help these people, not taking things away from them that allow them to continue to contribute to society and to communicate the love and care

    More

    Dell, Erin Title: SLP/Assistive Technology Specialist
    Organization: Douglas County School District
    Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    DeLuca, Erin Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Delyon, Natalie Date: 12/06/2014
    Comment:

    "Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking needs. Speech-generating devices are characterized by:

    Being a device that produces speech by translating the user's input into device-generated speech;
    Being a device used solely by the individual who has severe speech impairment;
    May have digitized speech output, using prerecorded messages, less

    More

    Denning, Dave Date: 12/05/2014
    Comment:
    Not allowing internet access on speech generating devices is like not providing them at all. You are depriving human beings of basic services that we should all have rights too. Please do not allow this to happen to people who have already enough taken away from them.
    Denton, Karen Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    DePascale, Stephen Organization: Mr.
    Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    DePriest, Caroll Date: 12/04/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Derrington, Eli Date: 12/05/2014
    Comment:
    People with disabilities need to be able to communicate. Of all communication systems the world has seen, the internet is easily the greatest. People all over the world can communicate and share ideas, allowing disabled people to research potential treatments, consult with doctors to whom they cannot otherwise talk, and do other tasks necessary to living. The internet is a staple of everyday life. It enables everyone to be more productive. Without the ability to connect to the internet,

    More

    DeVetsco, Daphne Date: 05/22/2015
    Comment:
    You are silencing people and denying them a means to communicate, express, create. Why suppress these voices? Your reasoning is not valid.
    Devlin, Courtney Date: 12/04/2014
    Comment:

    Dear [Recipients],

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    DeVuyst, Anita Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Diamond, Shari Date: 12/04/2014
    Comment:

    As an ALS nurse who works with patients who are eventually unable to move or speak without assistance- I can tell you that denying access to speech generating devices is cruel and inhumane! Throughout the course of their disease, ALS patients and their families experience unrelenting physical, emotional and financial burdens and loss that are beyond devastating and unimaginable to anyone who is not fully aware of this horrific disease. Imagine for one minute being unable to tell your

    More

    Diamond, Jennifer Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Diaz, Bianca Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Diaz-Moreno, Elizabeth Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Dibb, Dawn Date: 12/05/2014
    Comment:
    There is no doubt updated communication technology with internet access to ALS patients is a must! With internet access becoming a need in our society today, to even healthy individuals, it is absurd to take that away from those stricken by a devastating disease such as ALS. They have already lost the ability to move, talk and breathe on their own, why would you take away their ability to communicate with those other than an individual standing in front of them? It is medically necessary! If

    More

    Diblin, Kathleen Title: Director, Speech-Language Pathology
    Organization: Bacharach Institute for Rehabilitation
    Date: 11/17/2014
    Comment:
    I am very pleased to see that CMS is taking a holistic view of the communication impaired population. Throughout the past decade we have witnessed an enormous shift in how we communicate and live as social beings. If a SGC has been deemed appropriate for a person who suffers from severe communication impairments, their communication device should not be limiting them into further isolation, especially at the hands of funding.
    Didio, Andy Date: 12/05/2014
    Comment:
    Access to the web, is a normal part of functional life in America. access to the Internet is essential for people with disabilities
    Diehr, Daniel Date: 12/04/2014
    Comment:
    I support coverage of SGDs that also have internet access and I support coverage of eye-gaze interfaces to SGDs is all that is needed. For a PALS, the loss of communication is the hardest thing to handle. Speaking by using a SGD and communicating via email are pretty much the only avenues of communication left to them!
    Diener, Bethany Date: 12/05/2014
    Comment:

    Our health (physical and emotional) is dependent on our ability to communicate with others (family member, friends, medical personnel, people around us in every situation). Talking in person as well as talking on the phone, texting and reading/responding to email (all on the same device) allows us to interact with those around us in person and far away to maintain our health and well-being by allowing us to request help, food and medical attention, report medical and emotional problems,

    More

    Dietz, Aimee Organization: University of Cincinnati
    Date: 12/03/2014
    Comment:

    Aimee Dietz
    3202 Eden Avenue
    Cincinnati, OH 45267

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by

    More

    Dietz, Linda Date: 12/02/2014
    Comment:
    Please do not prohibit a person with ALS or another physically debilitating disease from having access to their doctors, emergency help, family, teachers, caregivers, pharmacy, etc. People who use these communication devices shouldn't be prohibited from the technology the devices were built for. Thank you.
    Diges, Autumn Title: Speech-Language Pathologist
    Organization: Children's Hospital Colorado
    Date: 11/25/2014
    Comment:
    Please allow speech generating devices to no longer be rentals but to be purchased items for patients.
    Please allow the coverage of medically necessary accessories for access including but not limited to eye technology.
    Please allow the ability to use functions such as email and text messaging for individuals with that need.
    DiGilio, Kelsey Date: 12/06/2014
    Comment:
    My name is Kelsey DiGilio and I am currently a second year Speech-Language Pathology (SLP) graduate student at the University of Pittsburgh. As a second year SLP graduate student, I am preparing to work with people who cannot communicate verbally as you and I can. They require a Speech Generating Device (SGD) so that they can say exactly what they want to say, when they want to say it. As a student who is currently enrolled in an Augmentative and Alternative Communication (AAC) class and a

    More

    Dimatteo, Megan Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Dimery, Katherine Title: Clinical Fellow, Speech-Language Pathologist
    Organization: Boston Children's Hospital
    Date: 05/28/2015
    Comment:

    Thank you, CMS, for constructing this proposed NCD which broadens the current speech-generating device coverage from proximity-based, audible speech communications to speech-generating devices which also allow for remote-communication forms (email, text messages, telephone interfaces). We appreciate and whole-heartedly agree with this broader and much more current definition of functional communication needs to include speaking, text, email, and phone.

    This proposed NCD also

    More

    Dimery, Kaytie Date: 12/06/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    I STRONGLY support the following information prepared by the Medicare Implementation Team, an ad hoc group of AAC clinicians, researchers, advocates, educators, manufacturers, etc., who have been meeting weekly since February 2014 in an ongoing effort to address Medicare policy and regulation changes that have so negatively affected access to SGDs for many of the people who

    More

    Dinkins, Diane Date: 12/05/2014
    Comment:
    The ability to talk through Speech Generating Devices is huge. However the internet, the ability to go online is just as huge. Many ALS patients are housebound with family and friends scattered all over the country.The ability to go online to maintain social contacts, deal with health issues, etc, is necessary for quality of life. Access to the web is a normal part of functional life in America and should be viewed as essential for those stricken with this disease.
    Disbrow, DeAnna Date: 12/04/2014
    Comment:

    Authorize manufacturers to unlock SGDs: Allow upgrades to provide access to non-speech functions.

    Medicare should allow users to unlock an SGD to allow access to non-speech capabilities, such as email and web browsing. Unlocking is consistent with the 2001 NCD. From 2001 – 2014 unlocking was allowed because the devices were client-owned equipment and Medicare policy allows modifications to client-owned equipment as the client chooses. Because of the payment rule change to capped

    More

    Dively, Barbara Title: Executive Director
    Organization: Acquired Brain Injury Network of Pennsylvania
    Date: 11/07/2014
    Comment:
    Individuals with brain injury rely on electronic communication in many forms including email, text, and artificial speech generators. The policy should be updated to incorporate existing and future technology that will promote communication, rehabilitation, and independent living.
    Dixon, Sheri Date: 12/05/2014
    Comment:
    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms. ALS is a fatal neurodegenerative disease

    More

    DIXON, DEBORAH Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    dobbins, jeff Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Dodez, Amy Date: 12/03/2014
    Comment:
    Users of SGDs have multiple disabilities and use communication devices in different settings and communicate in a variety of ways. In recent years, the technology of devices that generate speech and the ways in which these devices are used by patients to meet their needs has changed significantly. For example, patients now use speech devices to generate text and email messages for the purpose of communicating with their caregivers, physicians, and significant others. Our clients need to be

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    Doiron, Jennifer Title: Occupational Therapist
    Date: 12/05/2014
    Comment:
    Please Please Please understand that the Internet is ESSENTIAL for people with disabilities. As you and I are using the internet at this very moment, those with disabilities deserve the same opportunity! The internet connects us to the world around us, to each other, to the news, to medical access, to music, work, leisure and community related activities. The internet can simply occupy the mind of an individual who's disability has taken away so much, providing much needed mental wellness

    More

    Dominguez-Gasson, Linda Title: Mgr: Speech Pathology, Audiology, Neurodiagnostic
    Organization: Providence/Swedish Health and Services
    Date: 12/03/2014
    Comment:

    To:
    Center for Medicare and Medicaid Services (CMS)

    Regarding:
    Public Comments regarding the technology and usage of Speech-Generating Devices (SGD)

    From:
    We are the Speech-Language Pathologists from Providence Health and Services and Swedish Health and Services and are located in Alaska, Washington, Montana, Oregon, and California. We are the third largest not-for-profit health system in the United States and are committed to providing compassionate care

    More

    Dominique, Patricia Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Domire, Sarah Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Donahue, Danielle Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Doneski-Nicol, Janis Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Donnelly, Bob Date: 11/26/2014
    Comment:
    For the life of me I can't imagine a reason that one of these devices shouldn't be unlocked. This is 2014 and the world is operating via the web and email. The amount of independence that would be available to these folks is unlimited when unlocked. Why should they be limited at all?
    Donovan, Melissa Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Dosch, Erin Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Dougherty, Denise Organization: ASHA; American Academy of Private Practice in Speech Pathology
    Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Downing, Elizabeth Date: 12/02/2014
    Comment:
    I cannot imagine being paralyzed and not having access to the one thing that allows me to connect to the outside world. Technology can open up the world for someone who cannot leave their home. Please do not take this important link away from them!
    Doyle, Mary Date: 05/28/2015
    Comment:
    Thank you for revising the National Coverage Decision (NCD) for SGDs. Please make the draft decision final so our patients can obtain the devices they need for functional communication. Please finalize the NCD as soon as possible to avoid further harm for beneficiaries with severe communication impairments. Thank you.
    Doyle, April Date: 12/06/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Doyle, Pat Date: 12/05/2014
    Comment:

    I had a family member diagnosed with ALS. Anything that can be done to improve the quality of life for a ALS suffer should be done.

    Keep them connected with the world because their time may be short.

    Doyle, Jane Title: RN, CCM
    Date: 11/26/2014
    Comment:
    These devices are essential for facilitating communication between nonverbal citizens and their caregivers.
    Dozier, Desmond Date: 12/05/2014
    Comment:
    Access to the web is a normal, functional part of life in our society today. Everyone deserves it.
    Drager, Kathryn Organization: Penn State University
    Date: 12/01/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Drahota, Paige Date: 12/06/2014
    Comment:

    December 6, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Drakulic, Diane Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Driks, Rommy Organization: Mrs.
    Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    DuBois, Donna Date: 05/20/2015
    Comment:
    People with disabilities who can no longer speak, that communicating beyond speech is paramount to reach loved ones, to remain productive, for safety and create a level of independence. We need to be able to communicate using text, email, or speech output & including individuals who are deaf. We need all of the Speech Generating Devices that are available. Please do this for us, for our very lives could depend on it. Thank you.
    Dubov, Alex Date: 12/05/2014
    Comment:
    Access to Internet and other communication tools is a basic right that should be afforded to all human beings, including the disabled. It's outrageous that in 2014, this is even up for debate. Please do not lock these essential tools on devices provided for the disabled.
    Dubovsky, Teresa Title: SLP
    Date: 12/04/2014
    Comment:
    The parents of a 5 year old child with numerous medical and motor issues are told that their daughter is the mental age of a 6 month old. At age 11, this same child is on grade level. What happened? She learned to use a speech generating device which allowed her to show how smart she was. With her “talker” she is able to tell about her numerous medical needs, talk and play with her peers, complete her school work, participate in her own care, and most importantly to speak her mind. These

    More

    Dubrow, Sarah Date: 12/04/2014
    Comment:

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage Decision (NCD), CMS should:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as

    More

    Ducharme, Kathy Organization: 1957
    Date: 12/03/2014
    Comment:
    Please pass this for all those who need it.
    Dufner, Stephanie Date: 12/04/2014
    Comment:
    ALS is a horrible disease that impacts a person's ability to eat, breathe, and speak. Medicare policies should not make it worse. I again urge CMS to establish an SGD coverage policy that provides people the option of accessing additional SGD communications and non-communications functions, including while they are renting devices. I also urge CMS to establish policies that provide coverage for access technologies such as eye tracking. In doing so, Medicare can help improve the health and

    More

    Dugan, Amanda Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Duggan, Marie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Duhon, Gerald Date: 05/27/2015
    Comment:

    I urge you to return SGDs to the routine purchase category allowing those in most need - especially patients with ALS - full use of this critical technology.

    With the current capped rental restriction, patients no longer have the ability to communicate at all: To say "I love you" or to say "good bye." They can't express pain or even an itch.

    Furthermore, these patients have no internet – no 911, no emergency alert system, no method of staying in touch with family

    More

    Duhon, Gerald Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Dukes, Nicole Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Dumstorf, James Date: 12/05/2014
    Comment:
    Today's society has become very efficient in technological communication and it is imperative that these communication options be afforded to ALS patients as a means to assist in their communication as the need arises in the advanced stages of the disease.
    Dumstorf, Heather Date: 12/05/2014
    Comment:
    Today's society requires that all people have access to the internet and text messaging. It is ludacris to think otherwise.
    Dunlap, Mary Elizabeth Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Dunne, Shane Date: 12/05/2014
    Comment:
    Internet is an important part of normal life for all.
    Dupont, Joanna Date: 12/05/2014
    Comment:
    The provision of speech generating devices is critical for patients suffering from those disorders which prevent speech, such as neurological disorders and cancers of the head and neck. However, they should not be "locked" out of internet access! A tablet, cell phone or other hand held device should be an all in one device for such a disabled person so that all needs for communication are compact. They should not be encumbered by a critical device (speech generation) that then also cannot

    More

    Dupre, Nicole Date: 12/05/2014
    Comment:

    Hello,
    Thank you for allowing for the opportunity to comment on this policy that affects the most essential element a person has in life- their ability to communicate with their environment. Without communication, we have no independence. Therefore, I request that you seriously consider everything you read from all who comment and speak for those who have lost their ability to comment due to this policy.

    I have worked with individuals who use speech generating devices (SGD)

    More

    Dupree, Michele Date: 05/26/2015
    Comment:
    On behalf of the 600+ people who currently cannot access the Internet to leave a comment on this traumatic reconcideration, the time is now, CMS, to stop hurting people in one of the worst ways possible. Taking away access to communication from people with terminal or paralyzing diseases is unfathomable.
    Let this be the last open comments period on this subject and do what is right and necessary.
    People have died without being able to ask for help, without being able to express

    More

    Dupree, Michele Date: 11/26/2014
    Comment:

    Thank you CMS for reconsidering the NCD on speech generating devices and for recognizing that technology has changed in huge ways since 2001.

    Losing your ability to move your arms, your legs and your voice has to be one of the scariest and worst things to afflict a human being. Technology has given those who have lost all of their body movements the ability to continue

    being an active and important member of society, of their family and of their own healthcare.

    Without

    More

    DuPuis, Joy Date: 12/04/2014
    Comment:
    The issue over the speech devices is not about humanity but money - let's keep them alive as long as possible and make money off them - milk them for all they are worth and then send the bill when they die.
    People with severe disabilities who need the speech devices should have access and should be covered with access to the internet, to tech help, telephone and whatever else is available.
    Duran, Maria Date: 12/04/2014
    Comment:

    PROPOSED COMMENTS

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With

    More

    Durrett, Clare Organization: Team Gleason
    Date: 05/28/2015
    Comment:
    In consideration that people with the greatest disabilities are choosing to live and/or be productive, despite their illness or physical impairment, it's completely negligent that the very organization created to insure and protect, is the one causing harm or potential harm. By denying access to all forms of communication, you have not only denied them access to your own portal, you have also denied them the ability to communicate on every level beyond earshot of another human. As we all

    More

    Durrett, Clare Title: Associate Executive Director
    Organization: Team Gleason
    Date: 11/26/2014
    Comment:

    Until a few years ago, I had no idea what a Speech Generating Device was. I suppose when I saw images of renowned Physicist, Stephen Hawking, I never considered his computer tablet mounted on his chair enabled him to not only speak to people in his presence, but was the conduit for him to challenge the world of science.

    Now that my life has been profoundly affected by far too many people with ALS, I am more than aware of the need for Speech Generating Devices and for them to be

    More

    Duss, Petra Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Earls, Kathryn Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Early, Cherryl Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Easley, Heather Date: 12/05/2014
    Comment:
    I implore you to allow internet on Speech Generating Devices.
    Ebiner, Lori Date: 12/05/2014
    Comment:

    PLEASE COVER SGD'S. Even the thought of this device not being covered is scary and heartbreaking at the same time!

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain

    More

    Edmister, Evette Title: Speech Language Pathologist
    Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). I too am in agreement with individuals using SGDs, other professionals, and family members supporting individuals using SGDs, who have also written expressing their concern. SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring impairments (i.e. severe physical, visual, or hearing). They enable people with complex

    More

    Edmonds, Curtis Title: Managing Attorney
    Organization: Disability Rights New Jersey
    Date: 12/05/2014
    Comment:

    December 5, 2014

    Dr. Subash Duggirala
    Centers for Medicare & Medicaid Services
    Department of Health and Human Services
    P.O. Box 8017
    Baltimore, MD 21244–8017

    SUBMITTED VIA CMS WEBSITE

    Re: Speech Generating Devices

    Dear Dr. Duggirala:

    The following comments on the Department of Health and Human Services’ internal reconsideration concerning Medicare coverage of speech generating devices are submitted by Disability Rights New Jersey, the

    More

    Edwards, Laurie Title: Speech Language Pathologist
    Organization: Duke University Health System
    Date: 12/05/2014
    Comment:
    I am a speech pathologist at Duke Medical Center. I work with various patient populations within the inpatient and outpatient medical settings that require use of speech generating devices to be able to communicate. I regularly evaluate patients that cannot verbally communicate to determine candidacy for speech generating devices. As caregivers, we often rely on these devices to allow patient to participate in their medical care, indicate their level of pain or physical discomfort, indicate

    More

    Effinger, John Date: 05/27/2015
    Comment:
    Please resolve eye tracking reimbursement. Is this a covered item? Individuals with ALS rely on eye tracking for access and covering it will allow manufactures the ability to continue to provide it.
    Effinger, John Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Eggers, Margaret Date: 12/04/2014
    Comment:
    I strongly support coverage of SGDs that also have internet access and coverage of eye-gaze interfaces to SGDs. A long time colleague is suffering from ALS, he is a retired Professor of geology, and the loss of communication is the hardest part of this. Speaking by using a SGD and communicating via email are pretty much the only avenues of communication left to him and thousands of other PALS.
    Eggleston, Linda Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Ehlebracht, Beverly Date: 12/04/2014
    Comment:
    Please continue to include coverage for speech generating devices for those who suffer from debilitating diseases that inhibits their ability to connect to loved ones around them. This also needs to allow them to have internet access as this is a commonplace technology allowed by all individuals!! Thank You for keeping this alive!
    Ehrhart, Amy Organization: Cedars-Sinai Medical Center
    Date: 12/06/2014
    Comment:

    Speech-generating devices (SGDs) are a vital means of communication for patients with speech and language impairments. These individuals almost always have co-occurring severe physical impairments related to their ALS. SGDs enable these individuals with complex communication needs to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

    With respect to the National Coverage Decision (NCD), CMS

    More

    Eichmeyer, Anne Title: Care Services Director
    Organization: ALS Association Evergreen Chapter
    Date: 12/02/2014
    Comment:

    I have been working with patients with ALS for over three years and am genuinely amazed at the strength of my patients as they manage to overcome so many barriers to be able to communicate. Imagine first getting diagnosed with a progressive and always-terminal disease. Then imagine losing your ability to talk to your loved ones. Maybe you can type for a little while, but the disease progresses to your hands and that is no longer a possibility. You can't walk, you can't talk, you can't

    More

    Ekstam, Andrea Title: Speech-Language Pathologist
    Organization: Shriner's Hospital for Children - Portland
    Date: 12/02/2014
    Comment:

    My name is Andrea Ekstam, and I am a speech-language pathologist that specialized is augmentative/alternative communication. My focus is providing people with a means to communicate when speech is not enough. I believe the points listed below, clearly outline areas that need to be addressed by CMS in regards to speech generating devices. Please read with care and consideration as millions of people's ability to interact with the world will be greatly impacted by your decision.

    More

    Elam, Deborah Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for so many with speech and language impairments, Including the mom of a dear friend of mine. With respect to the National Coverage Decision (NCD), CMS should:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    As required, these devices have been modified to meet Medicare

    More

    Elam, Lynette Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Eldridge, Steve Date: 12/05/2014
    Comment:
    Web access is a critical element of daily living. Web-accessible devices should be covered as speech generating devices.
    Elledge, Deborah Title: Assistant Professor
    Organization: University of Wisconsin- Eau Claire
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Ellenson, Richard Organization: Cerebral Palsy International Research Foundation
    Date: 12/04/2014
    Comment:

    The Cerebral Palsy International Research Foundation (CPIRF) is a not for profit 501(c)3 organization dedicated to funding research and educational activities directly relevant to discovering the cause, cure and evidence based care for those with cerebral palsy and related developmental disabilities. CPIRF was founded in 1955 and in its 50-plus year history has been the nation's principal non-government agency sponsoring research for cerebral palsy. The Foundation has provided guidance,

    More

    Elliott, Gary Title: Newspaper Editor
    Organization: Lee Publications
    Date: 05/28/2015
    Comment:
    All persons with ALS should be able to have access to Speech Generating Devices. The devices provide patients with ALS who have lost their ability to communicate verbally to have a method of speech communication. Give ALS patients their voices back!
    Elliott, Denise Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Ellis, Pat Organization: Ms.
    Date: 12/05/2014
    Comment:
    Please allow people with ALS and other disabled people to be able to live a productive life by getting onto the Internet to do searches, doctor research, paying bills, writing letters to family and friends. Don't cut them out of being productive by not allowing them to use the Internet. What a car, but not engine? It's a means of communicating with the world! Thanks.
    Ellis, Claudia Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    ellsworth, morgan Date: 12/05/2014
    Comment:
    Access to the web is a normal and essential part of everyday life. Taking that away from disabled people is a gross violation of what should be a basic right.
    Ellsworth, Janice Title: Teacher of Speech Improvement
    Organization: DOE
    Date: 12/03/2014
    Comment:

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain injury, or stroke. For Medicare

    More

    Ely, Allison Date: 05/27/2015
    Comment:
    SGDs are essential to quality of life for those who cannot speak. Anyone with a disability that causes a speech impairment has a right to a device that allows their needs to be heard. For many individuals access to these devices is the only way that their families and caregivers know if they are in need of something as important and simple as a glass of water. It is significantly less expensive to purchase something like an iPad with an app like Proloquo2Go than to spend thousands on a

    More

    Emerson, Ben Date: 12/05/2014
    Comment:
    Internet should be mandatory. Think about the logistical relief it empowers individuals to have.
    English, Judy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Enslow, Lisa Date: 12/05/2014
    Comment:
    I support coverage of SGDs that also have internet access and I support coverage of eye-gaze interfaces to SGDs .
    Ercolino, Alyssa Date: 12/06/2014
    Comment:

    December 6, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Erez, Ophir and Melody Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Ericson, Tandra Title: Assistive Technology Specialist
    Organization: Mt. Diablo Unified School District
    Date: 11/12/2014
    Comment:
    As an Assistive Technology Specialist for a public school district, I would work with a number of students with Complex Communication Needs. I think the need to open up SGD to allow for use of electronic communication can not be made any clearer just in the fact that if an SGD user wanted to make a comment on this particular issue using his/her device to CMS.gov, the current proposed regulations would not allow him or her access. As pointed out in other posts, SGD users typically need

    More

    Erlbaum, Sheila Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Ernst, Karin Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Erwin, Judith Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Esbenshade, Maggie Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Esler, Alanna Date: 12/04/2014
    Comment:
    Taking away coverage of these devices would be devastating to those who have limited or no ability to communicate otherwise. I have a friend with ALS who depends on this technology. Without it, he would have no way to communicate with anyone aside from his wife who has learned to read his lips. He wouldn't be able to navigate and communicate online. He would be even more isolated that he already is. Please don't hurt those people like this.
    Esmay, Sylvia Date: 12/02/2014
    Comment:

    PROPOSED COMMENTS

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

    More

    Esmond, Gary Title: SFC-E7
    Organization: Retired
    Date: 12/05/2014
    Comment:
    As a lay person I would strongly disagree with any changes in the policy which would limit the use of technology by disabled persons in communication via any means possible to include the internet and or LAN's or WAN's.
    Esparzaz, Christina Date: 05/29/2015
    Comment:

    Please widen the scope of speech generating devices that fall within the DME benefit category established by § 1861(n) of the Social Security Act for Fathers/Mothers/Sons/Daughters/Soulmates/Best Friends/Leaders/Loved ones who suffer from a severe speech impairment and have a medical condition that necessitates the use of such devices. Please help make speech generating devices more widely available so that patients who are brilliant in mind, don't feel trapped inside of their

    More

    Espinoza, Leia Date: 12/04/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Esposito, Curtis Date: 12/05/2014
    Comment:
    Eliminating the essential (mechanical) speech devices seems heartless as these very unfortunate individuals - two of whom I know personally - have so little left in life to keep from falling into a complete state of non-communication ... while I do not know the magnitude of the cost nor the number of individuals, no one's life should be needlessly deprived ... thank you, Curt Esposito
    Estabrook, Drew Date: 12/05/2014
    Comment:

    PROPOSED COMMENTS

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

    More

    Estrada, Regina Date: 12/05/2014
    Comment:
    It's only logical that Medicare should cover the use of speech generations devices for patients who can no longer use their own voices to speak due to an illness such as ALS. This is a fatal disease that slowly robs people of ability not only to speak, but to walk, stand, hug their loved ones, kiss their kids good night! These are all activities the rest of us take for granted, and for Medicare to deny them the use of their SGD at the time they need it the most is unthinkable! These people

    More

    Eubanks, Christine Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Euler, Amanda Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Evans, Blane Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Ezell, Chelsea Date: 11/28/2014
    Comment:
    I have seen lives of the user and communication partners be completely changed by giving a voice to the voiceless. Without an AAC device my friend would have been required to live with someone who could communicate for him, provide daily necessities and transport him. Now, this gentleman lives independently, shops independently, flies, takes taxis, makes phone calls, text messages and sends email just like I do. Please don't take this freedom away!
    Faal, Abdoulie Title: Program Manager
    Organization: PROVAIL
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Fabriczi, Kristen Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    fackenthal, kathleen Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Faes, Eve Title: OTR/L
    Organization: Special Education District of McHenry County
    Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Fagan, Kelly Organization: Contract- Independent Provider
    Date: 11/12/2014
    Comment:
    This summer people all around the US joined in the "Ice Bucket challenge" to show support for people affected by ALS. Those who lose the ability to communicate due to ALS and other diseases or injuries need the ability to communicate their health needs to their doctors and their basic wants/needs to their loved ones. Speech generating devices are essential for these patients who are trapped in their own body not being able to communicate. New technologies have brought the ability to have

    More

    Fahey, Kathleen Title: Professor
    Organization: University of Northern Colorado
    Date: 12/04/2014
    Comment:

    Dear Policy Maker,
    I am a speech-language pathologist with 36 years of experience working with individuals who have communication disorders. It is vital that all individuals have the human right of communication. Please accept the following provisions regarding speech generating devices. It is the right thing to do!

    No changes to the definition of SGD
    Deletion of any disqualifying characteristics
    Inclusion of device access technology, such as eye-tracking and

    More

    Fahey, Colleen Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Falcone, Barbara Title: Dirctor Edcuation Services
    Organization: United Cerebral Palsy of NYC
    Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Fanning, Barbara Title: Occupational Therapist Registered
    Date: 12/05/2014
    Comment:

    Keep access to capabilities, features and functions that support device function as an SGD.

    Medicare covered SGDs: dedicated speech devices, used solely by individuals with severe speech impairment, require several capabilities, features, and functions to operate effectively and efficiently as SGDs. The 2001 NCD did not restrict any of these operational characteristics of SGDs, including

    Enabling the SGD manufacturers to connect wirelessly to devices to provide

    More

    Fanning, Barbara Title: Occupational Therapist Registered
    Date: 12/03/2014
    Comment:

    Keep coverage of eye tracking accessories.

    Eye tracking technologies have been available since before the 2001 NCD was written, and have been covered uniformly from 2001 when the NCD went into effect until late 2013. Since then Medicare decision makers have been denying eye tracking accessory claims, stating they are not covered.

    Eye tracking technologies should not be considered different from other accessories needed by people with physical limitations. Eye tracking

    More

    Farquharson, Kelly Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Farr, Sandra Michelle Title: MS.
    Organization: PRIVATE CITIZEN
    Date: 11/27/2014
    Comment:

    Thank you for extending the period for comment about speech generating devices.

    The last decade has seen an incredible advance in technology and technological integration. Powerful tools already incorporate Internet accessibility, presence, instant messaging, video conferencing, data sharing and voice communications. These advances not only assist in caregiving, they also help keep the disabled in touch with their doctors via new and advancing telemedicine and other healthcare

    More

    Feder, Ryan Date: 12/05/2014
    Comment:

    This is an absolute must. I encourage the CMS to establish a plan that gives those with ALS and others with trouble speaking the opportunity to function within the same mediums as everyone else including the internet and email.

    thank you
    Fein, Adam Date: 12/05/2014
    Comment:
    The internet is essential for pepople with disabilities!!!
    Feldman, Sara Title: DPT, ATP
    Organization: MDA/ALS Center of Hope
    Date: 05/28/2015
    Comment:

    Thank you for addressing many of the concerns expressed in the last public comment period in regards to speech generating devices. We urge you to adopt these changes as soon as possible because people using these devices, or trying to get these devices right now, are being negatively impacted by the recent policy changes. There are people right now who have a device, but they are unable to communicate with anyone outside of their home, such as their spouse while they are at work or children

    More

    Feldman, Sara Title: Physical Therapist and ATP
    Organization: ALS Hope Foundation; MDA/ALS Center of Hope
    Date: 12/05/2014
    Comment:
    Dear CMS,
    Thank you for reconsidering the Speech Generating Device (SGD) coverage and what it means to have a fully functioning SGD. A person’s ability to communicate should not be taken away or denied just because the device they need is computer based. If you only have eye movement and will only be able to use an eye tracking system, then a computer is required for independent communication. There is no other option.
    In addition, the capped rental designation that took place

    More

    Feldman, Sara Title: Physical Therapist and ATP
    Organization: ALS Hope Foundation; MDA/ALS Center of Hope
    Date: 12/05/2014
    Comment:
    Dear CMS,
    Thank you for reconsidering the Speech Generating Device (SGD) coverage and what it means to have a fully functioning SGD. A person’s ability to communicate should not be taken away or denied just because the device they need is computer based. If you only have eye movement and will only be able to use an eye tracking system, then a computer is required for independent communication. There is no other option.
    In addition, the capped rental designation that took place

    More

    Felix, Natalie Title: Speech Language Pathologist
    Organization: Public School District & Skilled Nursing Facility
    Date: 12/05/2014
    Comment:

    Speech-generating devices are speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking needs. Having NCD regulate this is not appropriate.

    Speech-generating devices are characterized by:
    Being a device that produces speech by translating the user's input into device-generated speech;
    Being a device used solely by the individual who has severe speech impairment;
    May have digitized speech output, using

    More

    Feller, Ross Date: 12/06/2014
    Comment:

    Thanks for the opportunity to comment on the policy regarding speech generating devices. I'd strongly urge you to reconsider the policy on locking internet capabilities of SGDs. So much of our communication in the present age is via email, text or instant message, facebook, twitter, etc. With patients speech ability impaired and use of traditional SGDs, phone communication becomes much more difficult than online, text-based communication. Further, communicating via online channels puts

    More

    Felt, Deborah Title: Dr.
    Organization: Gulbranson & Felt Consulting
    Date: 12/03/2014
    Comment:
    Please, Please, Please fund these devices. Nothing is more important to self-esteem and well being then being able to express one's self. Without self expression we are left with alienation and depression which leads to stress and other related conditions. I know how difficult it is to be without speech. These devices are not optional. They are required to live a quality life. They are required to live a healthy life. They are required to live a fully social life. Please, there is no

    More

    Feragen, Amanda Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Ferguson, Faye Date: 12/05/2014
    Comment:
    Please don't do away with speech generatin devices for people that need them. Their quality of life is unlike anyone elses and they need these devices.
    Ferguson, Patrick Date: 12/05/2014
    Comment:
    PLEASE allow full access to the internet for Speech Generating devices. These people are relying on access to communicate with physicians, get help when need and just to live their lives in a productive way. Their lives are difficult enough without making things more difficult for them!
    fern, robin Title: board member and family member of als patient
    Organization: les turner als foundation
    Date: 12/05/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Fetterman, Ashley Date: 12/05/2014
    Comment:

    Speech-generating devices (SGDs) are a vital means of communication for the patients with speech and language impairments that I see in our clinic. These individuals almost always have co-occurring severe physical impairments related to their ALS. SGDs enable these individuals with complex communication needs to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

    With respect to the National

    More

    Figueroa, Rosario Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Fink, Traci Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Fintz, D. Date: 12/05/2014
    Comment:
    I believe these devices are absolutely essential to disabled inviduals.
    Fisch, Amy Date: 05/21/2015
    Comment:

    [PHI Redacted] a communication device is fundamental for him. Restrictions on the functionality of speech-generating devices are no longer defensible in the present age of consumer electronics that address a wide variety of impairments.

    At this point, imposing the additional cost of programming to accommodate restricted functionality on manufacturers is bad policy and leaves Medicaid eligible users at a disadvantage in terms of choice of product and competitive

    More

    Fishkin, Elyse Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Fishkin, Elyse Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Fitch, Daniel Date: 11/14/2014
    Comment:
    As a SLP, I see the need for speech generating devices on a daily basis. I think CMS needs to pay for these devices which are so necessary for some people. The gift of communication that these devices provide help to give people with speech/language disabilities a voice. These people deserve to communicate as much as anyone else. Thank you for your consideration.
    Fitzhugh, Mary Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Fitzpatrick, John Title: Attorney At Law
    Date: 12/05/2014
    Comment:
    I understand that the government is seeking to place a limit on the search capabilities of tablets and computers used by ALS patients. This is unconscionable. ALS patients (human beings, by the way) use the internet to connect with society in the same manner that all Americans connect with society: to research medicines, contact physicians, seek out information, dial 911, check the weather...I hope you get the picture. Please reconsider by allowing FULL internet access to all ALS patients

    More

    Flagg, Jennifer Organization: Center on KT4TT
    Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Flahive, Lynn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Flanagan, Kevin Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Flatt, Kellie Date: 05/20/2015
    Comment:
    For those who can no longer speak, communicating beyond speech is paramount to reach loved ones, to remain productive, for safety and create a level of independence. Please don't silence them.
    Fleischaker, Greg Date: 12/05/2014
    Comment:
    It is essential that all devices that assist, in any way, with speech generation, be covered by Medicare. In the current environment, phones, laptops and tablets are all capable of helping severely disabled people communicate with families and medical teams dedicated to their assistance. Without this coverage, many patients may be unable to speak to their loved ones, or even communicate with their doctors and care givers. Instead of finding reasons to drop devices, my belief is that

    More

    Flemming, S Date: 12/01/2014
    Comment:
    I agree with the postings from the speech pathologists and many who have experienced a loved one with ALS depending on SGDs to remain a part of our technological world. These devices usually require professional assistance to set up, so they are part of the medical care for these patients. It is not right to rob them of more of their lives when the technology is available. I support the continued coverage of SGDs and extended technology.
    fligger, patty Date: 05/26/2015
    Comment:
    Please allow people to keep using these!
    Flinner, Joan Date: 12/02/2014
    Comment:
    Users of SGDs have multiple disabilities.
    People who use devices need to communicate with different communication partners, in different settings, and use many ways to do that!
    The communication device should:
    Be compliant with the FDA regulations for safety and effectiveness
    Be durable enough to last for 5 year
    Be supported with effective communication training as part of the purchase price
    Contain outcome monitoring tools
    Give these people a chance to live

    More

    Fogel, Beryl Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Fogle, Carla Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Fogle, Thomas Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Foley, Beth Title: Dean, College of Education and Human Services
    Organization: Utah State University
    Date: 12/01/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

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    Fontana, Noreen Organization: Please Select a Prefix
    Date: 12/05/2014
    Comment:
    Please allow and expand coverage for these critically important devices. As technology grows, so does our need to use whatever means available to assist our people with the basic need to communicate their needs. The ability to communicate is such a basic human right, I hope you consider this in your evaluation. Thank you.
    Foreman, Kerry Date: 05/20/2015
    Comment:
    As an educator, I see daily how communication is SO much more than speech. We have devices that enable us to communicate with nonverbal students allowing us to guide instruction that would be impossible without. Why would you think any differently of an ALS patients?! Whether it's Autism or ALS, every individual has a need to communicate. Verbal response is not needed! Please don't take their "voice" away! Its the most beautiful silence ever heard! ??
    Fossen, Beth Date: 12/05/2014
    Comment:
    I have been informed that CMS.gov is asking "is access to the internet essential?" for these speech generating devices. Access to the web, is a normal part of functional life in America. Internet access allows the disabled to understand symptoms and treatments, consult with doctors, call 911, and be productive in today's economy. I hope you will rescind your decision to lock useful tools such as the internet on these devices.
    Foster, Brandy Date: 05/19/2015
    Comment:

    I would like to add my voice in support of Medicare covering devices with the capability of internet connectivity, texting and phone connectivity. It is absurd to disable a device in a way that limits it's user's ability to interact with family, friends, caregiver's and emergency service. It is also shortsighted and dangerous. If a person has the ability to reach outside help, it is probable that more independence will be possible and less hands-on, costly care-giving will be needed.

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    Fowler, Andrew Organization: Center for Spoken Language Understanding
    Date: 12/01/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Fox, Tracey Date: 12/05/2014
    Comment:
    A speech generating device can be the very last connection a patient has with a caregiver to state their condition. Typically by the time they are at the point of needing this device, such as an ALS patient, they have exhausted the funds to cover it. It would only make sense that if we are providing government funds for their care, we would need to know what that care is they need. They need a voice to tell us. Therefore this device should be covered by Medicare.
    Fox, Lynn Title: Associate Professor Emerita
    Organization: Portland State University
    Date: 12/05/2014
    Comment:

    Thank you for taking comments on this critical issue. I am a professor of speech & hearing sciences and a speech-language pathologist who has worked with many SGD users, including those in acute care hospitals, skilled nursing facilities, as well as homes and other residential environments. Regardless of the setting a person resides in, communication is essential for medical care to succeed, for meaningful life participation, and for psychosocial well being.

    With respect to the

    More

    Frank, Rebecca Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Frank, Sharon Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Frankfurth, Christy Organization: Greene County Primary School
    Date: 11/12/2014
    Comment:
    Thank you for this reconsideration. I am a speech-language pathologist working with school-age children. It is so important for these individuals to have devices that are functional according to their needs and can grow with them. Individuals may begin with only requiring a SGD, but as they grow so do their communication needs. They need access to email, texting, and methods of socializing with peers and adults. It benefits the individual to have a device that can grow with them and not have

    More

    Fredman, Charlene Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Freeland, Hope Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Freeman, Tanya Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Frelix, Joe Date: 12/05/2014
    Comment:
    Access to the internet is a functional part of life in America.
    French, Scott Date: 12/05/2014
    Comment:
    For the love of God, you must allow these people complete access. Just put yourselves in their situation for 1 minute.
    Frey, Mary Beth Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Friberg, Jennifer Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Fried, Eric Date: 12/05/2014
    Comment:
    I urge CMS to establish a coverage policy that ensures people with ALS (pALS) have access to speech generating devices (SGDs), including the ability to upgrade devices and access "normal" functions such as email and internet. I also urge CMS to ensure coverage for access technologies, e.g., eye tracking. These technologies are essential to patients who will ultimately lose mobility in their arms and legs.
    Fried-Oken, Melanie Date: 05/28/2015
    Comment:

    As an augmentative and alternative communication (AAC) specialist, and advocate for people with complex communication impairments who cannot speak up for themselves, I thank you for the attention that you paid to the reconsideration process and the scope of Medicare SGD coverage. The details and new coverage that is added will help Americans who can not rely on speech for communication. A few points need to be made:

    1. terminology: Please use the term 'functional communication

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    Fried-Oken, Melanie Title: Professor & Speech-Language Pathologist
    Organization: Oregon Health & Science University
    Date: 12/05/2014
    Comment:

    I have spent much of my 30 year career helping people with severe communication impairments maintain their family, work and community roles, and manage their medical conditions by using speech generating devices. The 2014 NCD would devastate a portion of Americans who rely on these devices for vital interaction and communication.

    The changes that you proposed are not based on abuse by a population of disabled people, and will not save Medicare of the US any money. About 2,000

    More

    Fried-Oken, Melanie Title: Professor and Speech-Language Pathologist
    Organization: Oregon Health & Science University
    Date: 12/04/2014
    Comment:

    I have spent much of my career helping people with severe communication impairments maintain their family, work and community roles, and manage their medical conditions by using speech generating devices. The 2014 NCD would devastate a portion of Americans who rely on these devices for vital interaction and communication.

    The changes that you proposed are not based on Medicare funding abuse by a population of disabled people, and will not save Medicare or the US government any

    More

    Fried-Oken, Melanie Date: 12/03/2014
    Comment:

    As an augmentative communication specialist for the past 35 years, I take this opportunity to urge you to continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware. The size, weight, shape and access method are all important factors in the evaluation process for an SGD and off-the-shelf technologies provide additional options. SGD coverage should continue to extend to devices that are computer based, including those that rely on off-the-shelf hardware and

    More

    Friedman, Carol Smulevitz Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Friedman, Lois Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Friedrich, Kira Date: 12/02/2014
    Comment:
    Please do not restrict people from being able to use their devices to contact caregivers, emergency services, family, and the outside world. People who use these communication devices shouldn't be prohibited from the technology the devices were built for. It is critical that we allow these devices to be used to their fullest potential and for users to have FULL access to communication.
    Frierdich, Briana Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Frierson, Shakira Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Fritz, Michelle Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Fritz, Ann Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Frtischi, Dana Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Fuchs, Sheryl Date: 12/03/2014
    Comment:
    Speech Generating Devices are a necessary part of rehabilitation for patients recovery from illness or injury. Please consider this important issue.
    Fujita, Scott Date: 12/05/2014
    Comment:
    Obviously use of the Internet is critical for any American hoping to stay in touch with fellow Anericans. And I would argue that it's even MORE critical for those who suffer from disabilities that prevent the ability to communicate the old-fashioned way: ie. through their mouths (something most able-bodied Americans no longer do anyway). I have a number of friends/family who are afflicted with such disabilities, namely ALS. To deny them the right to communicate electronically with the same

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    Fulford, Elizabeth Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Fulton, Tanya Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Furlong, Danielle Date: 12/03/2014
    Comment:
    ALS is a fatal neurodegenerative disease that robs people of the ability to walk, stand, move their arms and even wink an eyelid -- to do the everyday things most Americans take for granted. For many people, ALS also takes away their ability to speak; to even say "hello" or "I love you." It does NOT rob them of their intelligence, personality or ability to think! SGDs provide people with ALS a voice. Many of the SGDs needed by people with ALS also have features that enable people with ALS to

    More

    Fustine, Annette Title: RN, BSN
    Organization: Duke Health Center Morreene Road Neurological Disorders Clinic
    Date: 12/03/2014
    Comment:
    As an RN working with neurological disorder patients for close to a year, I have witnessed great benefits for patients utilizing speech generating devices. It has given them the ability to communicate with family, care givers and providers in much more efficient manner,giving patients more independence. Please review your policies and provide these devices for which patients greatly benefit.
    Fylan, Malcolm Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Gabos, Lynn Title: Speech Language Pathologist
    Date: 04/30/2015
    Comment:

    Hello CMS,

    I am a certified Speech/Language Pathologist (SLP) and work with both children and adults, many whom desperately need a SGD. The protocol for access to trial and obtain these devices is a slow and tedious process for all patients, families, and SLPs. I have had great success with patients using their personal or my personal iPad for SGD purposes. Effective and reliable software for this purpose is available but costly. Surely our technological advances in computers

    More

    Gabrielse, Patricia Date: 12/04/2014
    Comment:
    Please support the measures to retain access to Speech Generating Devices for persons with communication disorders, I have personally seen what a difference they can make to persons who need them. The customizing that is usually needed to make the device work for individual persons needs make rental difficult, Thank you
    Gaebler, Carol Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Gaertner, Jennifer Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Gaffen, Bonny Title: Mrs.
    Organization: Les Turner ALS Foundation, Board of Director
    Date: 12/04/2014
    Comment:

    I urge CMS to establish policy that would ensure people that have ALS access to speech generating devices (SGDs)and include their ability to upgrade devices and have ability to access additional functionality like internet access, email, facebook and environmental controls which are so important to ALS patients. Many ALS patients lose ability in their hands, arms and legs so I also urge CMS to ensure coverage for access technologies such as eye tracking. This is their link to the world.

    More

    Gage, Elizabeth Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Gagnon, Mark Date: 12/05/2014
    Comment:
    Kenny needs to be able to use his device to email,text and Internet . This is what makes him independent and fulfilled. He does not want to have to rely on family and friends for everything.
    Gagnon, Nancy Date: 12/05/2014
    Comment:
    Kenny needs to be able to use his device to email,text and Internet . This is what makes him independent and fulfilled. He does not want to have to rely on family and friends for everything.
    Galbraith, Anne Date: 11/26/2014
    Comment:
    Since speech and other forms of communication are so critical to all people, it is especially important for folks with ALS and Parkinson's Disease to be able to communicate their needs via new technology. Please do all you can to allow these folks access to the communication devices that allow them to express themselves to caregivers and family utilizing all available devices. Thank you.
    Gallagher, Meghan Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Gallagher IV, Frank Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Gallenstein, LeRoy Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Gallenstein III, MD, G. LeRoy Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Gardner, Rita Date: 12/02/2014
    Comment:
    I believe and feel with all my heart that society has a moral obligation to do everything possible to enhance in every way the lives of individuals living with any form of locked in syndrome. These people DESERVE to have a voice!!!
    Garland, Renee Date: 05/21/2015
    Comment:
    Living in New Orleans, I have supported Team Gleason over the years. Doing so, I have read and seen how important specialized devices are for patients to communicate with the world and live their lives the best they can. Communication is so important and each and everyone of us is entitled to be supported in this cause. Please vote and make it happen for all concerned. Thank you.
    Garland, Julie Organization: ALS Association
    Date: 12/04/2014
    Comment:
    I am writing to urge CMS to establish a coverage policy ensuring that people with ALS have access to SGD's, including, access to all functions such as email, internet and environmental controls. I am additionally urging CMS to ensure coverage for eye tracking, which is invaluable to many living with ALS. As ALS patients loose their ability to move or to speak, this eye tracking may be their only means of communicating, having a voice and remaining connected with the world around them

    More

    Garner, Sheri Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Garrett, Lisa Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Gastiger, Monica Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    gatto, Marion Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Gatto, Kristie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Gay, Mary Date: 05/29/2015
    Comment:

    " please allow access to the Internet and online communication for those who can no longer move or speak" I've lost [PHI Redacted] that both needed these

    Gearheart, Jordan Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Geist, Lori Title: Speech-language Pathologist
    Organization: UNC at Chapel Hill
    Date: 12/03/2014
    Comment:

    PROPOSED COMMENTS

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

    More

    Geller, Nancy Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    genovese, Sarah Date: 12/05/2014
    Comment:
    access to the web is a "normal" and necessary part of functional life in America!
    George, Nicole Title: Speech and Language Pathologist
    Organization: Clinton Massie Local School District
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Georges, Katie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Gerle, Lacey Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Germany-Greer, Nena Date: 12/01/2014
    Comment:
    December 1, 2014
    Dear CMS/Medicare:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical

    More

    Gertner, Jody Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Gervais, Cindy Date: 05/20/2015
    Comment:
    Communication is an important part of life. When communication becomes a challenge life begins to lose its quality. As Americans, we are guaranteed the freedom of speech, it is the most basic of rights. How would you feel if you couldn't tell your kid you love them or couldn't order a meal at your favorite restaurant? It is that basic, that simple. It is important to give people ways to communicate when their natural capability is taken. I urge you to allow those with this type of disability

    More

    Giacone, Marlisa Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Giambalvo, Felicia Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Giampola, Stephanie Date: 12/04/2014
    Comment:

    To Whom It May Concern:

    I am writing to you today on behalf of people with ALS and others who may need to use an SGD as their means of communication. Texting, emailing, and calling are incredibly important means of communication for all members of society. We conduct business meetings via conference calls or the internet (ie, email). We set up lunches with friends and loved ones via text. We keep in touch with peers and family members who have moved far away through all of

    More

    Gibbons, Jane Date: 12/04/2014
    Comment:

    My name is Jane Gibbons. I am a retired registered nurse who continues to be an advocate for patients and their families. Thank you for allowing me the opportunity to provide input on the new Medicare policy regarding speech-generating devices (SGDs). I personally know of a man who would not be able to communicate without his SGD. he would literally be living in a world were he would have NO WAY OF COMMUNICATING with the world. Imagine living in that world.

    SGDs are a vital

    More

    Gibbons, Christopher Date: 12/03/2014
    Comment:

    Comment Reviewers,

    First I want to thank you for providing an opportunity to comment on the upcoming National Coverage Decision for SGDs.

    As a Speech-Language Pathologist who has specialized in augmentative communication since 1995, and as someone who has worked exclusively with people who benefit from SGDs as a clinician, researcher, educator, and advocate, the following 8 points sum up what I have found to be most important to Medicare beneficiaries requiring an

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    Gibbs, Whitney Date: 12/05/2014
    Comment:
    Internet is vital to disabled people and the rest of the world. Please don't lock these devices.
    Gibson, Steve Organization: The ALS Association
    Date: 05/29/2015
    Comment:

    May 29, 2015

    VIA ELECTRONIC DELIVERY: CAGinquiries@cms.hhs.gov

    Dr. Subash Duggirala
    Centers for Medicare & Medicaid Services
    Department of Health and Human Services
    Attention: CMS-1614-P
    P.O. Box 8016
    Baltimore, MD 21244

    Re: National Coverage Determination on Speech Generating Devices Comments on Proposed Decision Memorandum

    Dear Dr. Duggirala:

    The Amyotrophic Lateral Sclerosis (ALS) Association is

    More

    Gibson, Kristy Title: Speech Language Pathologist
    Date: 12/04/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and concerned citizen concerned I urge you to consider access for speech generating devices for Medicare beneficiaries. I request that you accept the proposed revisions submitted by ASHA to the National Coverage Determination 50.1: Speech-Generating Devices. Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Gibson, Shanun Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Gier, Janene Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Giess, SallyAnn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Giewont, Lindsay Date: 12/06/2014
    Comment:

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association, I urge you to address a long-term solution for the Medicare outpatient therapy cap as you consider repeal of the Sustainable Growth Rate (SGR) before the end of the 113th Congress. Over the past year, Congress has invested substantial effort in crafting a bipartisan, bicameral agreement on reform of the SGR. In addition, the committees of jurisdiction have drafted provisions to repeal the

    More

    Gilbertson, Anne Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Gilfoy, Diane Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Gillette, Yvonne Title: Professor Emeritus
    Organization: The University of Akron
    Date: 12/06/2014
    Comment:

    Thank you for providing this comment period on Medicare policy regarding speech-generating devices (SGDs).Such opportunities are important in keeping a democracy.

    I am writing as a speech-language pathologist and professor and have worked extensively with SGDs and related funding issues.

    What I feel is needed is less restrictions and rules on coverage and more flexibility. It is unclear to me why the funding rules are so exclusionary.

    The population requiring

    More

    Gilroy, Jimi Date: 12/05/2014
    Comment:

    To whom it may concern:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical

    More

    Ginsberg, Josh Date: 12/01/2014
    Comment:

    PROPOSED COMMENTS

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

    More

    Giuliano, Lynne Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Gizzi, Nancy Title: Speech-Language Pathologist
    Organization: Lee Memorial Health System
    Date: 12/06/2014
    Comment:

    12/5/2014

    I work with many folks with ALS, all of whom need Speech Generating Devices (SGD), and all of whom need to communicate by multiple means. At the very least, these folks need to communicate with speech output for face to face communication and by phone. Just like most of the rest of us, most of them have been used to communicating via text and via e-mail.

    The folks, PALS, I see either have no speech or poorly intelligible speech. Additionally, they either have

    More

    Glanz, Traci Date: 12/03/2014
    Comment:
    I believe that what is covered should only be limited by what technology is available
    Glaze, Donna Date: 12/05/2014
    Comment:
    Should these devices allow access to the Internet? Back in 1992, after setting up a computer lab with Internet access, we wondered who should be allowed to use it. A wise person said to ask the question again, substituting the word "library" for the word "Internet." Thinking "who should be allowed to use the library?" makes coming up with the answer very easy.
    Gleason, Steve Date: 05/29/2015
    Comment:

    By denying ubiquitous communication ability like texting or using the internet, CMS is telling people, [PHI Redacted] that that they can no longer be productive or purposeful - that they should fade quietly and die. This is not ok.
    Additionally, denying full functionality of SGDs to patients who are in need is dangerous. Not having the ability to communicate with anyone beyond face to face communication is dangerous. Remote communication allows disabled to consult

    More

    Gleason, Steve Date: 12/05/2014
    Comment:
    I applaud you for reinstating policy to provide SGDs to the disabled. However, the fact that you are considering locking the devices, is not only a health risk, it is economically inefficient. Without the ability to access the internet and other normal function on an SGD, disabled cannot consult with doctors, call 911, or contact caregivers out of earshot. This is dangerous, and deleterious to the service you claim to provide.
    Additionally, locking these devices send the message that

    More

    Gleason, Beth Date: 12/05/2014
    Comment:

    It is my understanding that the CMS is willing to allow the use of tablets but does not plan to allow the use of the internet, text, etc. In essence the CMS is willing to provide an e-reader. I respectfully request that individuals utilizing speech generating devices also be granted access to internet, text and other means of useful communication that have become necessary to function.
    The internet, email and the various search engines have become integral aspects of functioning in

    More

    Gleason, Page Title: Executive Director
    Organization: ProGeorgia
    Date: 12/05/2014
    Comment:
    I support ensuring that the NCD for speech generating devices keep up with modern technology and means of communication by expanding its definition to cover not only devices that generate speech, but other forms of communication, as well.
    Glista, Sandra Date: 12/04/2014
    Comment:

    I support the revised draft policy describing the coverage for speech generating devices.

    A group that included policy experts from ASHA, the Amyotrophic Lateral Sclerosis Association (ALSA,) and representatives from SGD manufacturers has discussed and agreed on edits to the NCD 50.1 to submit to CMS as a united stakeholder group. The recommended edits are the result of several meetings, revisions, and discussions and include:

    No

    More

    Glowacki, Catherine Title: licensed Clinical Social Worker
    Organization: The Children's Hospital Colorado
    Date: 11/26/2014
    Comment:
    Imagine a world you can see, but not interact with. Imagine your child in that world. Imagine not being able to share your concerns with others. Imagine your child locked in their silence not because they have no thoughts, but because they have no access. Allowing children to interact in their world by using speech generating devices should be a right for all children, but especially in our technologically advanced United States. You would want that for your child. Please continue to

    More

    Goad, Gayle Title: Person with a heart!
    Date: 12/05/2014
    Comment:
    Could you imagine a world were the only thing you had left of your body was your mind and no way to express or communicate your thoughts. Try and image it of a loved one...and then tell them that they will never be able to communicate with you. ALS has a mind...please give them a life!! Allow technology to help them pay bills, call for help, visit with friends and love one. In this day and age we can not live without our technology, why should they??
    Goebel, Lora Title: Speech Therapist, MS, CCC-SLP
    Organization: Dreamweavers Unlimited
    Date: 12/04/2014
    Comment:
    Need for these devices are extremely important for individuals with no ability to communicate. It allows them freedom and also provides them stability and a voice. It also promotes verbal output that corresponds with the visual/verbal prompts from the devices.
    Gokcen, Jeanne Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Gokhfeld, Valerie Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Goldberg, Judith Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Goldberg, Andrea Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Golden, Abby Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Golding, Amy Date: 12/06/2014
    Comment:

    I support the recommendations of the American Speech Language Hearing Association (ASHA) and Amyotrophic Lateral Sclerosis (ALS) Association with regard to the CMS coverage of speech generating devices under DME. Communication is a basic human right, and it is essential that speech generating devices be covered just as other basic healthcare needs are covered by Medicare.

    As a speech language pathologist (SLP), I work on a daily basis with individuals with significant

    More

    Goldman, Amy Title: Co-Executive Director
    Organization: Institute on Disabilities at Temple University
    Date: 05/27/2015
    Comment:
    Your consideration of the input received regarding coverage of SGDs during the 2014 NCD public comment period is evident in the published draft and sincerely appreciated by all stakeholders. In particular, the expanded definition of "speech" is key to guaranteeing access to communication for individuals with the most significant communication disabilities. I am gratified that CMS has recognized the need to have access to a variety of technologies that will facilitate communication

    More

    Goldman, Amy Title: Speech-Language Pathologist
    Organization: Temple University
    Date: 12/06/2014
    Comment:

    Thank you for the opportunity to provide input regarding speech-generating devices (SGDs) coverage under Medicare. As a speech-language pathologist whose practice for the last four decades has focused on augmentative and alternative communication (AAC), I have first-hand experience in appreciating the differences SGDs make in the lives of people with complex communication needs, whether those needs arise from developmental or acquired conditions of varying etiologies. Since the 2001

    More

    Golinker, Lewis Title: Director
    Organization: Assistive Technology Law Center
    Date: 05/29/2015
    Comment:

    Assistive Technology Law Center
    300 Gateway Center, 401 East State Street, Suite 300, Ithaca, New York 14850
    Voice: 607-277-7286; Fax: 607-277-5239

    May 29, 2015

    VIA ELECTRONIC DELIVERY

    Centers for Medicare & Medicaid Services
    U.S. department of Health & Human Services
    7500 Security Boulevard
    Attn: CMS-1614-P
    Baltimore, Maryland 21244

    RE: National Coverage Determination 50.1: Speech Generating Devices
    Comments to

    More

    Golinker, Lewis Title: Director
    Organization: Assistive Technology Law Center
    Date: 12/06/2014
    Comment:
    Download comment.
    Gomory, Andrew Title: Chief Executive Office
    Organization: Lingraphicare America, Inc.
    Date: 05/29/2015
    Comment:

    Submitted electronically to CAGinquiries@cms.hhs.gov

    Dr. Subash Ouggirala
    Centers for Medicare & Medicaid Services
    Department of Health and Human Services
    Attention: CMS-1614-P
    P.O. Box 8016
    Baltimore, MD 21244

    May 29, 2015

    RE: National Coverage Determination 50.1: Speech-Generating Devices (SGDs)

    Dear Dr. Duggirala:

    I am Andrew Gomory, Chief Executive Officer of Lingraphicare America, Inc. For the past 25 years, we have pursued

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    Gomory, Andrew Title: Chief Executive Officer
    Organization: Lingraphicare America, Inc
    Date: 12/05/2014
    Comment:

    December 5, 2014

    VIA EMAIL
    CAGinquiries@cms.hhs.gov

    Dr. Subash Duggirala
    Lead Medical Officer
    Centers for Medicare & Medicaid Services
    7500 Security Blvd.
    Mail Stop C5-02-23
    Baltimore, MD 21244

    Re: National Coverage Determination on Speech Generating Devices
    Comments on Benefit Category Determination NCD

    Dear Dr. Duggirala:

    My name is Andrew Gomory, Chief Executive Officer of Lingraphicare America Inc. Thank you for the

    More

    gonsoulin, paul Date: 05/29/2015
    Comment:
    Provide communication SGDs
    GONZALES, MONA Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Gonzalez, Deborah Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Goodard, Jan Title: RN BSN
    Organization: Conemaugh Health Systems
    Date: 12/02/2014
    Comment:

    Although what follows is borrowed, I am very aware of what SGD s mean to a person with ALS. I have facilitated an ALS support group for 11 years and have served as an ALS clinic nurse for 10 years.
    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to

    More

    Gooden, Cheryl Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Gordon, Ann Date: 05/21/2015
    Comment:
    It is imperative to include coverage for eye-tracking technology, vitally important for ALS and other patients who cannot physically use devices. Without this, the SGDs are useless. In addition, the SGDs must be covered for use in hospitals and other care settings, where it is MOST important that patients are able to communicate. Thank you.
    Gordon, Lisa Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Gorman, Brenda Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Gorman, Kyle Title: Assistant Professor
    Organization: Oregon Health & Science University
    Date: 12/01/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Goss, Leslie Title: Speech Language Pathologist
    Date: 12/04/2014
    Comment:
    Please imagine for just a moment that you are unable to communicate your most basic wants and needs to others. That you are helpless to let others know you are in pain, or are thirsty, or simply want to watch the television. The people who rely on these devices are those people. These devices are their only way to express these needs and wants. Please don't take away their only voice.
    Gottfred, Catherine Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    gough, renee Date: 05/20/2015
    Comment:

    People with communication deficits deserve to have access to programs that we with no disabilities take for granted. [PHI Redacted] has cerebral palsy and uses Facebook to keep in touch with family and friends, to post her crafts for sell, to post events and invites. It is an important tool for her social life, her sself esteem, her feeling of belonging. Without it she would be unable to keep in touch as she does as it takes her so long to type messages. She contact all of

    More

    Gower, Matthew Title: Membership Development Representative
    Organization: The Greater Sarasota Chamber of Commerce
    Date: 12/05/2014
    Comment:
    Internet is truly essential for persons with disabilities! communication is key and that technology is imperative for them to communicate!!!! Please make sure they are getting internet!
    Grabinski, Amal Organization: PROVAIL
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Graff, Nancy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Graham, Kaitlyn Date: 12/04/2014
    Comment:
    ALS is a fatal neurodegenerative disease that robs people of the ability to walk, stand, move their arms and even wink an eyelid -- to do the everyday things most Americans take for granted. For many people, ALS also takes away their ability to speak. To even say hello or I love you. However, SGDs provide people with ALS a voice. Many of the SGDs needed by people with ALS also have features that enable people with ALS to communicate in other ways, such as through email, texting and online

    More

    Graham, Sandra Title: Assistive Technology Advocate
    Organization: Disability Resource Agency for Independent Living (DRAIL)
    Date: 11/17/2014
    Comment:
    It is a positive move forward for inclusion of devices that are needed to assist people with various disabilities in achieving increased independence. As many commenters have already mentioned, verbal speech isn't the only method people use for communication. It is very important to understand that the emerging technology, while able to do many other tasks not relating to disabilities, is a viable tool that can make a significant impact on ones quality of life. Being able to tell someone you

    More

    Grasso, Brianna Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Grater, Melissa Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Grau, Nadia Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Gray, Denise Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Grech, Allyson Date: 12/06/2014
    Comment:
    It would also cause individuals to use their own funds to support their SGD and SGD software, which would take away from their day to day living expenses. SGDs have had the capability to enable users to operate external systems that help day to day living. It can control lights, appliances, door openers, and home electronic devices, and access external alarm systems since before the 2001 NCD was developed and have continued to include these capabilities.
    Greek, Jean Date: 11/30/2014
    Comment:
    Patients with diseases such as ALS require SGD to communicate with medical providers. It is the only way many have of communicating with friends and family. Please don't take away their ability to communicate.
    Green, Rhonda Date: 12/05/2014
    Comment:
    Thank you for considering making changes to allow people access to speech devices that will connect to the internet and new technology.
    Greenspan, Wendy Date: 11/23/2014
    Comment:
    I am very pleased to hear that CMS is considering coverage for speech generating devices (SGSs) that allow communication in a in a variety of forms. Face to face communication is only one way we as a society connect with others. We also text, email, tweet, etc., etc. Allowing people with severe speech impairments to have the opportunity to communicate with a wide variety of methods on their SGDs makes sense. It is an easy and efficient way for them to expand their ability to interact with

    More

    Greer, Claire Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Greer, Katelyn Date: 12/05/2014
    Comment:
    As a social media expert, it is clear that our kids, schools, community members, and future lies online and with the Internet. I'm shocked that in this day in age restricting access to the Internet to ANYONE - especially those who need it most, like patience using Speech Generating Devices, doing WONDERFUL things to stop the progression of the diseases that make it necessary to have these in the first place - would ever be restricted. I feel almost silly writing this comment, as it shouldn't

    More

    Greer, Anita Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Gregg, Valerie Date: 05/21/2015
    Comment:

    [PHI Redacted] suffered from ALS for 11 years. He passed in 2003 and did not have the benefit of a speech generating device. He had a wife and four young children (and extended family) that he had a difficult time communicating with the last couple years. He was a smart and very funny man - always had a quick-witted comment or observation. He was a prisoner in his own body. How wonderful it would have been if he could have continued to communicate with everyone fully.

    More

    Grey, Monica Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Griffin, Ruth Date: 05/26/2015
    Comment:

    [PHI Redacted] is losing his ability to speak, due to ALS. This loss of the ability to communicate is worse, WORSE!, to him than the complete loss of all other physical abilities. Imagine, just imagine, a fully functioning mind in a body that is wasting away to paralysis, and the patient's total lack of ability to express a single need or discomfort, or feelings of thirst or hunger or pain. Communication is their link to care and comfort, and a means to minimize suffering.

    More

    Griffin, Mary Date: 12/04/2014
    Comment:
    To Whom It May Concern: I am writing to you today on behalf of people with ALS and others who may need to use an SGD as their means of communication. Texting, emailing, and calling are incredibly important means of communication for all members of society. We conduct business meetings via conference calls or the internet (ie, email). We set up lunches with friends and loved ones via text. We keep in touch with peers and family members who have moved far away through all of these mediums, and

    More

    Griffin, Betty-Lou Title: SLP
    Date: 12/03/2014
    Comment:

    The ability to communicate is a defining characteristic of being human, and should be a fundamental right. Please accept the proposed revisions submitted by ASHA to make speech generating devices accessible to those who need this to communicate. Thank you, from a retired Speech-Language Pathologist and Medicare beneficiary.

    I urge you to accept ASHA’s proposed revisions to the National Coverage Determination 50.1: Speech-Generating Devices. Doing so will ensure Medicare

    More

    Griffin, Patty Date: 12/02/2014
    Comment:

    Please do not let this dreadful disease silence the people with ALS. For many of them their only form of communication is thru SDGs.

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking,

    More

    Griffith, Colleen Date: 05/21/2015
    Comment:
    SGDs are an essential part of daily living for so many living with ALS...the only way to tell a caregiver their needs, to maintain any sense of independence, to interact with the outside world. Please, be reasonable, and give those living with ALS and all those robbed of their ability to communicate, access to SGDs. Imagine yourself in their shoes...
    Griffith, Annette Date: 12/06/2014
    Comment:

    Having a loved one whom is in their 5th year with ALS on a ventilator and being taken care of at home who's ONLY mode of communication and family interaction is with a gaze controlled speaking computer.
    She can still interact with her young grandchildren with this speaking device, still be a part of our very tight knit family.

    She can tell them she loves them, or needs a hug. Which they quickly respond. Taking this LAST source of communication away from her could take away her

    More

    Griggs, Laura Date: 12/05/2014
    Comment:
    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms. ALS is a fatal neurodegenerative disease

    More

    Grillo, Amy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Grimm, Scott Date: 11/20/2014
    Comment:
    I urge adoption of the expanded policy definition of 'speech generating devices (SPGs)' to include nonverbal communication devices, including email and texting among other communication technologies.
    This is a health and wellness issue. These nonverbal communication devices will go a long way to mitigating additional mental health costs associated with depression that comes with conditions that hinder the ability for verbal communication. It will save money in the long run as well as

    More

    Grinvalds, Lolita Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Grisales, Anitra Date: 12/05/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Groszyk, Linda Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    groth, cathy Date: 05/21/2015
    Comment:
    For those who can no longer speak, communicating beyond speech is paramount to reach loved ones, to remain productive, for safety and create a level of independence. Please help to make is possible!
    Groves, Emily Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Gruendler, Hope Date: 12/05/2014
    Comment:

    Speech-generating devices (SGDs) are a vital means of communication for the patients with speech and language impairments that I see in our clinic. These individuals almost always have co-occurring severe physical impairments related to their ALS. SGDs enable these individuals with complex communication needs to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

    With respect to the National

    More

    Grulke, Amy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Guardino, Patti Date: 12/05/2014
    Comment:
    Speech Generating Devices should of course include internet access! These devices should be covered for all people in need of them. Internet access is also a part of a person's ability to participate in our global experience. Please, do not omit their voices just because they aren't expressed like yours or mine. Thank you.
    Gude, Steve Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Guel, Kristie Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Guendert, Daniel Date: 12/06/2014
    Comment:
    Internet access is a vital communication tool for those with speech generating devices, and must be included for those people and covered by Medicare.
    Guidry, Alex Date: 12/05/2014
    Comment:
    Access to the web is a "normal" part of functional life in America.
    Gulens, Maija Date: 11/25/2014
    Comment:

    I have worked as a specialist providing speech generating devices for patients in a healthcare setting for over 10 years, and have seen countless lives changed because of improved access to communication. As a best practice in the field, we strive to ensure that speech generativing devices are carefully selected to optimize each person's ability to live as independently as possible, at home, school, or in community-based housing when needed. The ability to lend their own voices via SGD to

    More

    Gureghian, Steve Date: 12/05/2014
    Comment:
    Please continue to fund speech generating devices including technological advances that are arising on a frequent basis. Technology is not just a fun privilege, but a basic component of daily life. Technology provides a method of continued communication for those who would otherwise be "locked in" their own bodies and minds. These devices are a matter of survival for people who are unable to speak. Thank you.
    Gurin, David Date: 11/12/2014
    Comment:
    I support CMS paying for augmented communication devices that are needed by patients.
    Gustavson, M.A. CCC-SLP, Amy Date: 12/01/2014
    Comment:
    Speech-Language Pathologists who work daily with clients who need/rely on Speech Generating Devices report that their clients need access to speech as well as other communication functions now…they want things to “work” the way they always have. This means we need a National Coverage Decision that (1) allows unlocking of SGDs, (2) allows beneficiaries to be able to unlock devices as soon as they are delivered, and (3) allows them to pay for upgrades that enable them to access the Internet,

    More

    Gutierez, Andrew Date: 12/05/2014
    Comment:

    I believe that people with disabilities should have access to any useful tools such as the internet, text, etc. I do believe the internet allows disabled to consult with doctors, call 911, research treatment, be productive, and interact with others across the globe. Access to the web is a normal part of functional life in the United States.

    Thank you
    Gutsmiedl, Julie Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Haarlow, William Date: 12/04/2014
    Comment:
    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.
    SGDs are so critical to living with

    More

    Haas, Lisa Date: 12/05/2014
    Comment:
    The internet should be a resource available on the tablets used for speech generating devices.
    Haddix, Vicki Title: Assistive Technology Coordinator and SLP
    Organization: Boston Public Schools
    Date: 12/04/2014
    Comment:

    I want to tell you about one of my students that I will call J. I first met him shortly before he turned three, and although he was in a wheelchair without much controllable movement, he was able to speak. However, J has a rare condition that has lead him to have minimal independent mobility and an uncontrollable urge to hurt himself. He has consequently bitten off much of his lips and some of his tongue as he has grown older. This means that J's speech is not really understood anymore, and

    More

    Haftings, Joyce Date: 12/02/2014
    Comment:
    My wonderful son Craig passed away at age 54 as a result of suffering from ALS. He recieved comfort using an electronic communications aid.
    Hagee, Mary Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Hagler, Carla Date: 12/04/2014
    Comment:
    Doesn't Medicare/ Medicaid realise how important SGDs are for people with certain types of neurodegenerative disease? The answer is an obvious "NO", if you're going to take this (SGDs) away. I speak - through the internet....by the way - to you, stating my extreme displeasure at the removal of such SGDs from approved DME. Their use is often a person's only way of communicating with others & the outside world.
    Haight, Rebecca Date: 12/05/2014
    Comment:
    Access to the internet and other tools for ALS related patients is essential. Access to the web, is a "normal" part of functional life in America, regardless of a person's ability status. I have been inspired and awestruck by some of the faces of ALS and what they have been accomplishing in gaining awareness for this disease. Their efforts would be significantly hindered without the access to the tools and internet mentioned previously.
    hakanson, peggy Date: 05/15/2015
    Comment:

    Of all people who could benefit most from augmentative communications devices, it is those who are living with a disability that keeps them from being able to communicate with others and those who, through no fault of their own, are left in a position of not being able to access avenues of communication and information of all kinds, such as on the Internet.

    It is paternalistic and discriminatory of the federal government to limit the ability of said persons to be included with the

    More

    hale, gloria Date: 05/27/2015
    Comment:

    [PHI Redacted] not only surviving, but thriving. i want that for all speechless, motionless patients. only you have the power of the purse and pen to make this happen. we are counting on you. thank you from a very small, but heart-y community. respectfully, gloria hale

    Haley, Bridget Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Hall, Dianne Date: 12/05/2014
    Comment:
    Access to the web is a "normal" part of life in the world today. Please make the change to help all the people suffering with ALS.
    Hall, Kelsey Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Hallett, Malinda Date: 12/05/2014
    Comment:
    It is imperative that CMS understand how vital the need is for access to the internet for people with disabilities. The internet allows disabled to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy
    Without these tools (that every functional American uses!) the disabled are at higher health risk in emergency, & marginalized. Please consider that this is a need that should be provided for under CMS. Thanks you.
    Hamill, Peter Date: 12/05/2014
    Comment:
    Web access and is a normal and essential part of functional life in America today!
    Hamilton, C Beth Date: 12/05/2014
    Comment:
    Please continue to allow access online for folks who need alternatives to access its services, such as folks afflicted with ALS or a stroke, to name a couple of reasons. If you deny access this way, you will effectively remove the one way folks with disabilities and limited incomes are able to communicate with the world, their friends and family. Please consider the impact banning these types of internet access devices will have on our most vulnerable and chronically disabled population.
    Hamilton, Linda Date: 12/05/2014
    Comment:

    I support a girl suffering from Rett Syndrome, a neurological disorder that has left her trapped in her body unable to speak verbally or via sign language, like those with ALS. She relies on her eyes to communicate with the world around her. A high-tech speech-generating device controlled by eye gaze is her only hope for communication. Please do not allow Medicare Reform to silence her.

    I urge you to stand up for the hundreds of thousands of girls with Rett Syndrome (along with

    More

    Hamilton, Carol Date: 12/03/2014
    Comment:
    I welcome and am grateful for the opportunity to comment. Thank you.
    I fully expect that the U.S. government will not be the ones who choose to limit the rights of those that are suffering, for those are the ones that the government is here to protect. There is no downside to allowing people with horrific diseases like ALS to communicate with family and fellow citizens, participate in their own care, and/or reach out for help in times of danger. No downside at all. Please be sure to

    More

    Hamilton, Robert Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Hammond, Stephanie Title: Speech-Language Pathologist
    Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a speech-language pathologist who deals with clients with communication disorders requiring assistive listening devices, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Hanberry, Charis Date: 12/05/2014
    Comment:
    The internet allows the disabled to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy. Withholding access to a tool that virtually EVERY OTHER American has access too is discrimination, pure and simple. Medicare needs to cover this tool, and the methods used to access it. By denying this access, you are basically telling citizens stricken with ALS and other neuro/muscular diseases that they don't matter! Do the right thing!
    Hanberry, Shannon Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Hanchey, Tammi Date: 05/21/2015
    Comment:

    Please approve this. [PHI Redacted] had a stroke 5 years ago and the hardest thing for us is trying to figure out what type of pain he is in. If he had this he could tell us without trying to guess what is going on with him. Not only would it be nice to visit with him but medically it could be so powerful.

    Handon, Amber Date: 11/12/2014
    Comment:
    Thank you for reconsidering the policies regarding speech-generating devices. All people need to be able to have access to various modes of communication in order to be an effective communicator with those around them.
    Haney, Jacqueline Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    hanks, marie Date: 11/27/2014
    Comment:
    SGDs are very inportant for the health and safety of many individuals. Please continue to cover these devices for those who need them.
    Hanks, Julie Date: 12/05/2014
    Comment:

    Access to the web, is a "normal" part of functional life in America. It is necessary for people living with ALS!

    No White Flags!

    Hannah, Karan Date: 05/20/2015
    Comment:
    Communication is vital to quality of life for all pts and its so much more than just speech. The very process of submitting this to you exemplifies this...I'm letting you know my thoughts and ideas via text and email. Please revise the Mediate policy on speech generating devices.
    Hanono, Mazal Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Hansen, Diane Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Hanson, Elizabeth Title: Associate Professor, Speech-Language Pathology
    Organization: University of South Dakota
    Date: 12/06/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Harbick, Shiree Title: Speech-Language Pathologist
    Organization: The Speech and Language Center
    Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Hardin, Matthew Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Hardin, William Date: 12/03/2014
    Comment:

    Please establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal neurodegenerative disease that robs

    More

    HARDING, CINDY Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Hardwick, Hilary Title: SLP-CCC
    Organization: AKSHA
    Date: 12/01/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    HARLAN, RHONDA Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Harlow, Melinda Date: 12/05/2014
    Comment:
    If a SGD device is not able to be connected to the internet how do you expect individuals that rely on such devices for their communication to communicate? These individuals would be locked from the world and prevented from contributing to society. It is absolutely critical that paitents have access to doctors, care givers, support groups. Individuals have already had their voices taken away, dont take away their human right to the internet. The internet is only going to expand and become

    More

    Harmon, Ashley Title: Speech language pathologist
    Date: 12/04/2014
    Comment:

    Speech- generating devices play a vital role in my current caseload as a speech pathologist working exclusively with children with complex medical needs including autism. Any changes to NCD 50.1 will greatly impact their ability to access much-needed equipment. Thus in turn will impact their ability to successfully communicate and be contributing members of society. I urge you to consider the changes and recommendations made by ASHA, which include the following:

  • No changes to the

    More

  • Harmon, Michelle Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    harned, chad Date: 12/05/2014
    Comment:
    Communication devices with access to the internet are essential for persons with disabilities. As a medical student who will be a physician in May, I have seen the need for these devices for patients to be able to interact with their environment, make calls to medical professionals, participate in support groups, and participate in normal daily activities. Please reconsider your position on these devices."
    Harper, Lacey Date: 12/05/2014
    Comment:
    I cannot stress enough the importance of allowing ALS patients to have updated forms of communication, including access to the internet, throughout their entire struggle with ALS. A lot of the time, this is the only form of communication one has. The only form of communication to tell how one is feeling, express concerns, express things to their children and/or loved ones. To feel like they are not completely shut out and isolated, which is very important. ALS takes everything else from

    More

    Harris, Susan Date: 05/27/2015
    Comment:

    [PHI Redacted] requires a speech generating device. At this time she can only say a couple words and requires a walker to walk. She functions well but with full assistance. She has used an electronic communication device for 5+ years (with varying complexity). Her device helps her access an education and communicate with the outside world. At this time she does not need to text or e-mail but I really hope someday she will. For better or worse text and e-mail are essential

    More

    Harris, Danny Date: 12/05/2014
    Comment:
    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms. What would you do if you couldn't talk?
    Harris, MIke Title: Program Director
    Organization: UW-River Falls, Dept. of Communication Sciences and Disorders
    Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage

    More

    Hartness, Rebecca Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Harvey, Leigh Ann Date: 05/26/2015
    Comment:
    This bill assumes that a person who cannot speak does have full use of his or her hands for using a telephone, sending email messages, etc. There are many people who cannot use their hands to communicate through keyboard-devices -- those with ALS, Parkinson's and paralysis, to name just a few. Sometimes it is easier and more efficient to send your doctor or pharmacy an email or to refill prescriptions and make appointments online, research new treatments and therapies or to simply type the

    More

    Harvey, Jeff Date: 12/05/2014
    Comment:
    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.
    Hass, Chris Title: Professor
    Date: 12/05/2014
    Comment:
    Internet access on these devices is essential.
    Hassler, Holly Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Hastings, Mike Date: 12/05/2014
    Comment:
    I am a family member of young man who has ALS. This young man has no intention of sitting on the sidelines while battling ALS. As a family we want him to continue being a full participant in life. Why would you put such a road block up for those who need it most. I can’t imagine we would participate in taking away a critical means to communicate to the world. I am a fully functioning human being who access to the internet from practically anywhere, but you are considering further limiting

    More

    Hatch, Lynsey Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Hatch, Penelope Title: Research Assistant Professor
    Organization: Center for Literacy & Disability Studies, UNC at Chapel Hill
    Date: 12/03/2014
    Comment:

    PROPOSED COMMENTS

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With

    More

    Hatfield, Christa Date: 12/05/2014
    Comment:
    We do not completely understand what some has to go through with having a voice until we ourselves in that position. If we take the time to understand the disabilities of others before assuming that we know, we gain knowledge of what is truly happening.
    Hathaway, Jean Date: 12/05/2014
    Comment:
    Please make sure that Medicare covers SPGs. Imagine what it is like to retain all of your cognitive skills yet be unable to communicate with those you love or with your care-givers. The fear and frustration in this situation is devastating. When technology can provide some relief, it is inhumane that it would not be available to sufferers of diseases such as ALS. Thank you for your consideration.
    Haug, Chelsea Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Hauge, Shirley Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage

    More

    Hawes, COL(R) Thomas Title: COL(R)
    Organization: U.S.Army
    Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Hawk, Robert Date: 12/04/2014
    Comment:
    I support continued coverage of speech devices which also connect to the internet. Email, skype, and social media is an important avenue of communication for shut-ins, and stand-alone devices are increasingly rare: Added internet capability is not a significant cost. Please cover these devices for these individuals who have lost their ability to speak. thank you
    Hawkins, Valerie Date: 12/06/2014
    Comment:

    December 6, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Hawkins, Mary Title: Speech and Language Pathologist
    Organization: Kenosha Unified School District
    Date: 12/03/2014
    Comment:

    Mary Hawkins
    2330 Brookside Avenue
    Waukegan, IL 60085

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used

    More

    Hawks, Jill Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    hawxhurst, karen Date: 12/05/2014
    Comment:
    it is imperative for people with als to be able to communicate with others via the Internet etc...if you limit the function of their tablets, what use will it be...they need to have access just like everyone else...why deny them their basic rights that everyone has access too in the world...enough taxes are taken out of our paychecks already...why not move funds to help them out...they deserve internet access...basic rights...how would you function without it?
    Hayes, Jana and Gary Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Haynes, Lisa Title: SLP
    Date: 12/04/2014
    Comment:

    Please add the following to the NCD:

    *Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking needs.
    Speech-generating devices are characterized by:
    Being a device that produces speech by translating the user's input into device-generated speech;
    Being a device used solely by the individual who has severe speech impairment;
    May have digitized speech output,

    More

    Hazlett, Lisa Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Heator, Erin Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Heffernan, Kevin Date: 12/05/2014
    Comment:
    Access to the web, is a "normal" part of functional life in America. Please consider not restricting it.
    Heilman, Andrea Title: Speech Language Pathologist
    Organization: Sunshine Communities
    Date: 12/03/2014
    Comment:
    The policy changes also have affected funding for SGD repairs.
    Heinz-Unger, Patricia Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Heinzen, Barbara Date: 12/04/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    HeinzUnger, Patricia Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Heitmann, Jeanette Title: Independent Living Specialist and Systems Change
    Organization: Service center for independent life
    Date: 11/10/2014
    Comment:
    The importance of any device to assist In The full integration and participation in the community cannot be understated as an Independent Living specialist I see the need for these devices on a daily basis . Effective communication Is a right that we all should have .And in dealing with PWD's It shoul be considered as such
    Helfrich, Donna Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Hellen, Lisa Title: Speech-Language Pathologist
    Organization: New London/Waterford Public Schools
    Date: 12/06/2014
    Comment:

    Thank you for the opportunity to give feedback about the Medicare policy regarding speech-generating devices (SGDs).

    I work with people every day who use technology to communicate and can’t imagine what life would be like for them without that assistance. Communication is a basic human right. Technology is a part of our lives. We need to be responsible and fair in how it is provided to those in need. Now is not the time to ignore that responsibility.

    SGDs are a vital

    More

    Hempel, Kathy Date: 05/16/2015
    Comment:
    You have no idea the importance of communication, it's more important than anything in the quality of life with those with disabilities. I know [PHI Redacted] of given a choice would rather be able to communicate than walk.
    Hendrickson, Brianna Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Hennig, Shannon Title: Speeech-Language Pathologist
    Date: 12/05/2014
    Comment:

    I am so grateful that you are reviewing this policy. Communication is not only a human right, but it is vital for people living with complex communication needs.

    In this modern world, people need access to voice output as well as a means to engage with social media, write emails, access online learning environments etc.

    Independence for many means being able to text a friend for help, organize personal care attendants via the internet, access government websites to

    More

    Hentz, Brecken Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). I am a speech pathologist who works at a major medical center who serves patients with a lot of complex communication needs. SGDs provide many people with increased independence, quality of life, and safety. They provide a person a way to communicate and do other things that the rest of us take for granted everyday.

    With respect to the National Coverage Decision (NCD), CMS

    More

    hercher, laura Organization: sarah lawrence college human genetics program
    Date: 12/05/2014
    Comment:
    Please heap disabled individuals maintain contact with the internet. As a genetic counselor I am aware of the essential nature of this contact for medical purposes and for quality of life.
    Heritier, David Date: 05/26/2015
    Comment:
    I don't understand why you can leave out certain people and/or their disease. What are the criteria on which you base who can and cannot use this technology? This is very discouraging and frustrating. Please include everyone who can use this technology to get well or make life easier for them and their caretakers.
    Herman, Natalie Date: 12/05/2014
    Comment:
    Allowing patients SGD with locks on them preventing them from accessing the Internet is equivalent to providing patients with wheelchairs without any wheels. The device is only truly useful as a communication device if it can be used to communicate with people who aren't in a vocal-range vicinity. Please don't further imprison ALS patients by disallowing them access to the Internet.
    Herman, Joyce Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Hernandez, Robert Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Herren, Lisa Date: 05/29/2015
    Comment:

    I am [PHI Redacted] with cerebral palsy who has used an SGD for most of her life. She is a very capable young woman who lives in a physical body with extreme limitations.

    I want to thank the Medicare staff for addressing the expansion of the definition of “speech” to include electronic and written communication, as these are critical components of her communication to keep herself safe and healthy, and even moreso as she moves into adult settings where more

    More

    herrera, candace Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Herrera, Laura Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Herrick, Mary Date: 12/04/2014
    Comment:
    Give these people the voices they deserve! Please!!
    Hersey, Diane Date: 05/21/2015
    Comment:
    These devices are crucial for those who can no longer speak, communicating beyond speech is paramount to reach loved ones, to remain productive, for safety and create a level of independence. these devices need to be made accessible to those that cannot speak for themselves anymore. Please do not deny them this.
    Heryanto, Cynthia Title: Regional Consultant, Speech Language Pathologist
    Organization: Prentke Romich Company
    Date: 12/06/2014
    Comment:

    To whom it may concern:

    My name is Cynthia Heryanto. I am a speech language pathologist who has specialized in working with individuals, children through adults, who are unable to use their natural voice to communicate for various reasons, requiring them to rely on computerized augmentative and alternative communication (AAC) systems to communicate. Right before I sat down to gather my thoughts to put this statement together, I looked at my Facebook page and then sent an e-mail

    More

    Heseltine, Cindy Organization: 771
    Date: 12/05/2014
    Comment:
    ALS is a horrific disease. Medicare policies should not make it worse. I urge CMS to establish an SGD coverage policy that provides people the option of accessing additional SGD communications and non-communications functions, including while they are renting devices. I also urge CMS to establish policies that provide coverage for access technologies such as eye tracking. In doing so, Medicare can help improve the health and lives of the people that the program was created to serve.
    Heseman, Autumn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Hibbs, Karen Title: Speech Language Pathologist
    Organization: Small Talk Speech & Language Services Meridian Idaho
    Date: 05/20/2015
    Comment:
    This is an essential part of life for those who are unable to use words for communication. A speech generating device gives a person the 'voice' inside and allows them to communicate with family, friends and beyond! Without a speech generating device you are trapping a humans soul, thoughts and ideas inside a body which no longer or has not allowed them to converse with others. These devices are expensive but well worth giving a human being the "voice" they never had or lost due to an

    More

    Hickey, Nancy Date: 12/04/2014
    Comment:

    SUBMIT YOUR COMMENTS TO CMS BY THIS SATURDAY

    Good afternoon,

    During the past few months you may have heard about proposed changes to coverage rules for speech-generating devices (SGDs). The Centers for Medicare & Medicaid Services (CMS) opened a 30-day window for comments pertaining to a new National Coverage Determination (NCD) for SGDs.

    An NCD is essentially a policy document that outlines what guidelines CMS will follow in determining what products and services

    More

    Hicks, Todd Date: 12/05/2014
    Comment:
    "My friend has ALS. before he lost the ability to speak and type and use a computer mouse his job was video editing and graphic design. He needed to use the internet everyday to provide for his family. he has been helped through his ALS journey through connecting with his friends and family on facebook and by writing his blog. this day and age in America every person deserves the right to communication...with disabilities or not...and this includes communicating through the internet."
    Highsmith, Michael Date: 12/05/2014
    Comment:
    I want to state my strong support for the disabled to have access to the outside world, including the internet, with the use of their SGD's. Please do not put limitations on these folks, give them access and let them live a better life as a result. PLEASE, it's the right thing to do!
    Hilbrecht, Catherine Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Hildebrandt, Colleen Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Hill, Samuel Date: 12/05/2014
    Comment:
    As a healthy adult, Internet access is absolutely a necessary part of everyday life, communication and productivity for me. I can only imagine that this is even more true for those with function limiting disabilities.
    Hill, Ben Date: 12/05/2014
    Comment:
    to speak, to communicate, in any and all manners is the only thing that separates humans from animals and should never be denied.
    Hill, Steve Date: 12/05/2014
    Comment:
    Internet access on speech generating devices is a crucial element that should be covered by Medicare and other programs. Patients can use the internet to communicate with others, views medical records and histories, and altogether just bring a greater sense of normalcy to their lives. Please reconsider the current movement to restrict coverage of internet access on these devices, and allow patients to use the internet on their speech generating devices. Thank you.
    Hill, Debra Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Hill, Angela Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Hinton, Bridget Date: 12/05/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Hirsch, Lisa Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Hirschberg, Sue Date: 12/02/2014
    Comment:

    I would just like to give some insight to the madness of Medicare/Medicaid rejecting internet access to speech generated devices.

    I have been working in facilities for over 30 years and within the past 5 or 6 years clients are thrilled to have such access. Without the internet not only have they limited communication they also limit those of us who program these devices. Here are just a few reasons why we all need to have access….

    More

    Hitchcock, Ed Title: Occupational Therapist
    Organization: Rehabilitation Institute of Chicago
    Date: 12/05/2014
    Comment:

    SGDs are a significant boon to the quality of life for people with disability. Research has shown that people with intact social networks have better quality of life as well as better outcomes. Communication is obviously paramount to engaging and being a part of a social network.

    With the use of the internet, social network opportunities for People with voice disability has expanded tremendously.

    Arbitrary "Locking" of SGD to prevent access to email and internet

    More

    Hively, Ashley Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    hodges, Laura Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Hodges, Lindsey Date: 12/04/2014
    Comment:
    Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.Everyone deserves the right to be able to speak whether it be naturally or with assistance of a speech enabling device. Imagine how horrible it would be to be trapped inside a failing body unable to move or speak but your brain is completely intact and working fine... wouldn't you want to be able to have access to an SGD?
    Keep access to capabilities, features and functions that support device function as

    More

    Hodgson, Raina Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Hoenike, Christian Date: 12/05/2014
    Comment:
    Yes!! Access to the internet is a normal part of functional daily life and absolutely should be included in assistive technology devices to enable communication for people with disabilities. Please cover this when deciding what communication devices and services you will cover.
    Hoey, Bro. Timothy Organization: Xaverian Brothers
    Date: 12/04/2014
    Comment:

    I am a caretaker for one of my confreres in a religious community who has been stricken with ALS. This is a terrible disease that slowly robs its victims of the ability to carry on their lives and that ultimately kills them.

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and

    More

    Hofbauer, Carol Title: VP of Rehab Services
    Organization: Laurel Health Care Company
    Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Hoff, Samantha Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Hoffmann, Brenda Date: 12/06/2014
    Comment:
    Please Accept Revisions to Speech-Generating Device Policy. I am an in home speech therapist and I have 9 clients who have speech generating devices and 4 more who are waiting on them. If they did not have these devices, their ability to communicate with their families, peers and the community would be severely restricted. Please allow them the same basic rights the verbal population has.
    Hoffmann, Melissa Title: Speech-Laguage Pathologist
    Date: 12/05/2014
    Comment:

    Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking needs. Speech-generating devices are characterized by:

  • Being a device that produces speech by translating the user's input into device-generated speech;
  • Being a device used solely by the individual who has severe speech impairment;
  • May have digitized speech output, using prerecorded messages, less than or equal

    More

  • Hofstetter, Sarah Date: 11/26/2014
    Comment:
    Communication isn't just speech. Technology has advanced a tremendous amount and people with ALS need to be able to communicate in all way that computer technology will allow. That means email, skype, Facebook, etc.
    Hogan, Ashley Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Hoggard, Stevie Title: Graduate Student
    Organization: LSUHSC New Orleans
    Date: 12/05/2014
    Comment:
    To Whom It May Concern: I am writing to you today on behalf of people with ALS and others who may need to use an SGD as their means of communication. Texting, emailing, and calling are incredibly important means of communication for all members of society. We conduct business meetings via conference calls or the internet (ie, email). We set up lunches with friends and loved ones via text. We keep in touch with peers and family members who have moved far away through all of these mediums, and

    More

    holland, diane Title: Special educator- AT Specialist
    Organization: PGCPS- AT
    Date: 12/05/2014
    Comment:
    Action must be taken to change the capped rental. If capped rental remains in place, Medicare beneficiaries will not own their SGDs for a minimum of 13 months and will, therefore, not have the option to unlock these devices for 13 months. Individuals in facilities or receiving hospice care beyond 59 days will continue to be denied coverage, and those who need eye-tracking to access an SGD have no assurance of coverage
    Changes must be made that offer immediate relief for those who need

    More

    Holman, Jim Date: 12/05/2014
    Comment:
    Please allow handicapped people to use the internet. it is a part of everyday life, and the internet must be accessed in order to be a productive member of society.
    Holmes, James Date: 12/05/2014
    Comment:

    Thank you for considering my input.

    Please make sure that full access to the internet is included in the capability of these devices. Internet access is a normal and vital part of modern life and a right of all US citizens.

    Thank you!

    Holt, Kathleen Title: Associate Director
    Organization: Center for Medicare Advocacy
    Date: 05/29/2015
    Comment:

    May 29, 2015

    Laurence D. Wilson
    Director, Chronic Care Policy Group
    Center for Medicare
    Centers for Medicare & Medicaid Services
    7500 Security Boulevard
    Baltimore, Maryland 21244-1850

    Submitted Electronically to: http://www.cms.gov/medicare-coverage-database/details/submit-public-comment.aspx?DocID=26&DocType=mcd&DocName=&MCDId=26&bc =AAAAAAAAACAAAA%3d%3d&

    Re: Speech Generating Devices – Comments on the Proposed Decision

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    Holt, Kathleen Title: Associate Director-Attorney
    Organization: Center for Medicare Advocacy
    Date: 12/05/2014
    Comment:
    CENTER FOR MEDICARE ADVOCACY, INC.
    P.O. Box 350
    Willimantic, Connecticut 06226
    (860) 456-7790 (800) 262-4414
    FAX (860) 456-2614
    www.medicareadvocacy.org

    December 5, 2014

    Laurence D. Wilson
    Director, Chronic Care Policy Group
    Center for Medicare
    Centers for Medicare & Medicaid Services
    7500 Security Boulevard
    Baltimore, Maryland 21244-1850

    Submitted Electronically

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    Holtkamp, Leslie Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Hoodwin, Marcia Date: 12/03/2014
    Comment:
    Please take ASHA's recommendations for these devices to help people who need these devices so badly.
    Thank you!
    Hooper, Steve Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Hopping, Bryan Date: 12/05/2014
    Comment:
    I am submitting this comment on behalf of those individuals who may have disabilities who wish to have access to the internet via devices provided by cms in 2014 (and beyond) America. Access to the internet allows several individuals to communicate with their peers, a source of entertainment, and assist with a myriad of other activities in ones day to day life and I can only shine how important access to this technology would benefit an individual who was experiencing a significant hardship

    More

    Horn, Laura Date: 12/03/2014
    Comment:
    p>Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Horowitz, Ellen Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Hoskins, Lisa Title: MSW
    Organization: The Jim "Catfish" Hunter Chapter of the ALS Association
    Date: 12/02/2014
    Comment:

    The recent changes in Speech Generating Devices (SGDs) negatively impacts those with ALS, reducing their voice and means of communicating and interacting with the larger world. Please see the below recommendations from experts in the field on how this situation can be remedied. Thank you for your time.

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly

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    Houle, Anne Date: 11/25/2014
    Comment:
    Please reconsider your narrow classification of "speech generating devises". In this era of digital communications, verbal speech is just one of many ways to communicate. Use of these devices for non-verbal communication, via the Internet, is critical for those suffering from life-changing diseases such as ALS. Please recognize that constantly evolving technology is tremendously aiding the lives of those with serious illnesses. Thank you for your consideration.
    House, Cynthia Title: Speech/Language Pathologist
    Organization: Westborough Public Schools
    Date: 12/05/2014
    Comment:

    I work at an elementary school with a specialized program for students with significant needs. There are 34 students in this program, many of whom are on the Autism Spectrum and require an SGD to get essential needs met. PLEASE consider the following 4 requests.

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware. The size, weight, shape and access method are all important factors in the evaluation process for an SGD and off-the-shelf

    More

    Householder, Samuel Date: 12/05/2014
    Comment:
    These devices deserve and need access to the internet. It is essential for people using the devices to have Internet access so that they will be able to better communicate with doctors, emergency services and other life-saving and care-taking groups.
    Howells, Ben Organization: Home use
    Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Hoyle, Pam Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Hudson, Chaniqua Date: 12/03/2014
    Comment:
    Please review your decision in order to allow everyone to have a voice.
    Huerter, Andrew and Julie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    huffman, claudia Date: 05/21/2015
    Comment:
    a VERY important piece of equipment for any person without the ability to communicate- please
    huffman, claudia Date: 12/05/2014
    Comment:
    a very vital piece of equipment for people with ALS. Having no other way to communicate, this needs to be made avaiable.
    Hughes, Dana Date: 12/06/2014
    Comment:
    I am a graduate student in the school for health and rehabilitative sciences at the University of Pittsburgh. I will graduate with my Masters in speech-language pathology in May. I am currently taking an augmentative and alternative communication course taught by Dr. Katya Hill. I have learned a lot about speech generating devices and the patients that use these devices. One of the most important things that I have learned in this class is the goal of augmentative and alternative

    More

    Hughes, Jan Date: 12/03/2014
    Comment:
    When determining what a SGD can and cannot do, please consider what you, as an able bodied person, would feel the need to be able to do. People with disabilities want to be treated as regular people, and because of their disabilities it can even be detrimental to their well-being if they can't call some one, or use any form of communication that you have the access to. It is VERY important that they can communicate using various forms of media - texting, internet, social media, such as

    More

    Hughes, Jessica Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Hunt, Margaret Date: 12/05/2014
    Comment:
    Speech Generating Devices which include the ability to access the Internet, email, etc should be allowed for Medicare patients. Access to the web is a normal means of communication. It would shortsighted and foolish to close this door to so many.
    Huntley, Barbra Date: 12/05/2014
    Comment:
    I would have the people that need that computer have that computer. It helps them so much. There is know other one that does. And most of all they need your help to get and keep one.
    Hurd, Kelli Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Hurt, Amelia Date: 12/05/2014
    Comment:
    access to the Internet is essential for people with disabilities
    Hurtig, Richard Title: Professor
    Organization: The University of Iowa
    Date: 12/04/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). As the Director of the University of Iowa’s Assistive Devices Laboratory, I have worked with hundreds of patients and their clinicians to find solutions to allow individuals who are unable to use normal oral and written modes of communication. For the vast majority of the patients finding a solution also involved solving physical access issues and SGD mounting issues. Given the wide

    More

    Hurwitz, Andie Date: 12/05/2014
    Comment:
    SGDs have had the capability to enable users to operate external systems that can control lights, appliances, door openers, and home electronic devices, and access external alarm systems since before the 2001 NCD was developed and have continued to include these capabilities. These capabilities are generally referred to as “environmental control” or "electronic aids to daily living". The 2001 NCD does not restrict these environmental control capabilities that do not affect the primary or

    More

    Hutton, Deborah Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Hylton, Dan Date: 12/05/2014
    Comment:
    This is my remark in favor of retaining benefits ofr SGD coverage on behalf of a Rhett Syndrom sufferer I know, as well as countless other individual whom I don't.
    Ihler, Ashley Date: 12/05/2014
    Comment:
    While I am thrilled that some wonderful technology has been approved, unless the disabled have access to the internet, these tools are basically useless. While it may seem a luxury, it is actually a basic need for those disabled persons hoping to live a full and fulfilling life. It gives a cess to basic services like accessing 911 and communicating with their doctors, allowing them to be an active participant in their treatment, rather than a passive bystander. With compassion, I ask you to

    More

    Inman, Deborah Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Introna, Kelsey Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    ireland, marie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    IRIS, Molly Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Iseley, Sarah Date: 12/05/2014
    Comment:
    Internet use is a normal, often mandatory, part of every day life for all people. Disabled persons often need access even more so, so that they can research new or improved details on a specific illness or condition.
    Iseman, Michael Date: 12/05/2014
    Comment:
    Today, the internet is a critical means for communicating. It is used for daily interaction and information exchange, including communicating with government and private organizations covering a wide variety of subjects, including but not limited to, finances, education, retirement, credit usage, taxes, and medical supplies, services, and transportation. Speech recognition devices and software are now becoming the gateway for accessing the internet, both now and in the future. Without

    More

    Isenberg, Allison Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Ivans, William Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Iwanczyk, Rebecca Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    J., Erica Date: 11/26/2014
    Comment:
    Thank you for accepting comments and reconsidering how SGD's are funded. Many people don't know what it looks like to have ALS or another degenerative disease that leaves you ultimately "locked-in". These people are fully cognitive, but often cannot move any part of their body, except their eyes. They cannot tell anyone if they are in pain, are in an uncomfortable position, their ventilator is not working correctly, or that they've had a scratch on their nose for the last hour! Equally

    More

    Jabaay Abbott, Julie Title: Speech-Language Pathologist
    Organization: Falcon School District #49
    Date: 12/03/2014
    Comment:

    I am on an Assistive Technology team in a school district in Colorado and have seen many children and adults over my 25-year career assisted by Speech-Generating Devices (SGDs). They are essential for people with disabilities. Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They

    More

    Jackiewicz, Paul Date: 12/05/2014
    Comment:
    Please give disabled the opportunity to use the internet with their speech generating devices. It is vital for them to be able to communicate with the police, fire and rescue if an emergency occurs.
    Jackman, Deborah Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Jackson, James Date: 12/06/2014
    Comment:
    The use of communication technology is becoming more and more intimate with all members of society. Nowhere is this more evident than within communities of individuals who use this technology to share and connect with the rest of the world. The devices human beings use to communicate, when other avenues are lost, must have the ability to be tailored to their specific needs.
    The terms of the capped rental category put the individual at risk of losing his or her method of communication at

    More

    Jackson, Michelle Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Jackson, Laura Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Jackson, Robert Organization: ALSA member
    Date: 12/03/2014
    Comment:

    We need your help TODAY to ensure people with ALS continue to have access to speech generating devices (SGDs). Please use the sample language and instructions at the end of this alert to contact the Centers for Medicare and Medicaid Services - let them know that Medicare must ensure access to SGDs!

    Background
    In November, the Centers for Medicare and Medicaid Services (CMS) announced that they rescinded the "coverage reminder" that was issued last February that would have

    More

    Jackson, Susan Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Jacobs, Sarah Date: 12/06/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    jacobson, carla Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Jacobson, Barbara Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Jacques-Twichell, Kathy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Jandreau, Dayna Title: Communications Specialist
    Organization: FAAST
    Date: 12/05/2014
    Comment:

    My name is Dayna Jandreau and I am the Communications Specialist of FAAST,Inc. (Florida Alliance for Assistive Services and Technology). We are an organization developed by the Assistive Technology Act of 2004 whose mission is to improve the quality of life for all Floridians with disabilities though advocacy and awareness activities that increase access to and acquisition of assistive services and technology. Our mission makes us keenly aware of the necessity of Speech Generating Devices

    More

    Jarrosak, Nancy Title: Speech-Language Pathologist
    Organization: Clarendon Elementary School
    Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Jarvis, Jacquelin Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Jayachandran, Ashitha Date: 12/04/2014
    Comment:
    Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware. Authorize manufacturers to unlock SGDs: Allow upgrades to provide access to non-speech functions. Keep the option for coverage of either a dedicated SGD or for SGD software. Keep coverage of eye tracking accessories.
    Jaynes, Shelley Date: 12/06/2014
    Comment:
    Granting internet access for speech generating devices allows patients not only a means of communication with caregivers and doctors, but also access to 911 for emergency medical services, the ability to manage finances and research treatment and overall participation in today's society. We are built on the foundation of information, please allow those who need these devices access to it.
    jean, andrea Date: 12/05/2014
    Comment:
    Disabled persons need access to the Internet, just as anybody else does. They are still active members of our society and restricting them from anything makes them seem less than, or like they do not matter. Do you not want all people to have an equal chance, and be able to have access to all information available that can help them? This is a basic right and necessity for all people!
    Jeng, Heather Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Jennings, Jannie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Jinks, Andrew Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    John, Maura Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Johnsen, Kelli Date: 05/21/2015
    Comment:
    In the cases of people who have illnesses which affect the neuromuscular systems but do not affect cognition ,alternative forms of communication become critical to quality of life .Communication is not only verbal but is nonverbal as well .SGDs that offer text to speech apapplications are critical .Those that offer email ,internet access and other basic computer programs are vital to taking part in today's society .These devices even allow patients to communicate directly with their heal

    More

    Johnsen, Kelli Date: 12/02/2014
    Comment:
    When someone has lost the use of their arms and their voice it's critical to find a way to communicate with doctors ,caregivers and loved ones .An unlocked SGD with eyegaze capability is a good answer this horrible challenge and can prevent someone from becoming locked in .Please make these wonderful devices available to your beneficiaries from the time they are medically necessary .A thirteen month rental period in which devices must be locked is simply sending someone further into silence

    More

    Johnson, Jeanne Title: Professor & Speech-Language Pathologist
    Date: 05/27/2015
    Comment:

    This comment is in response to the draft of the revised National Coverage Decision for Speech Generating Devices (SGDs). I am a certified and licensed Speech-Language Pathologist who has worked with over 250 Medicare clients who need SGDs. I am also a tenured, full professor in a speech-language pathology program, teaching ~ 40 Master’s students about SGDs each spring semester. I keep up on practice as well as research in this area.

    First, let me say that the NCD draft is very

    More

    Johnson, Jennifer Title: Independent Living Specialist
    Organization: Center for Accessible Living
    Date: 05/27/2015
    Comment:

    The draft NCD is very good and we want to thank Medicare staff for addressing the most important concerns that had arisen in 2014 regarding Medicare SGD coverage;

    The expansion of the definition of "speech" to include communication by texting, e-mail and phone is a very positive development;

    The recognition that SGDs’ non-communication capabilities and features can be made available, even though non-covered by Medicare, is a very positive development, and the procedure

    More

    Johnson, Laurie Date: 05/20/2015
    Comment:

    [PHI Redacted] was diagnosed with ALS at age 65 in late 2010. By Feb. 2011 she could no longer speak so she used an iPad to communicate for a time, until she could no longer use her arms/hands. She was then blessed with a computer that she could control with her eyes. The special device allowed her to "speak" by typing (with her eyes) her needs and wishes and it would talk for her. She was also able to type letters and send email to keep in touch with family and friends

    More

    Johnson, Pete Date: 12/05/2014
    Comment:

    From the text of the statement, this says it all: "For example, patients now use speech devices to generate text and email messages for the purpose of communicating with their caregivers and physicians."

    This technology has become a vital part of every persons life who has physical limitations that otherwise limit their use of the Internet. Without it, their lives are literally at risk and supporting the use of these devices is crucial.

    Johnson, Rebecca Date: 12/05/2014
    Comment:
    SAVE THE INTERNET!
    Internet use is "normal" for Americans. Those with disabilities lose this "normal" ability to communicate, turn on/off their lights, watch TV, etc. Simple, normal things that others take for granted. Read any page of this site, but especially this one, to see technology in use at the highest level to benefit disabled Americans. http://www.teamgleason.org/team-gleason-house/
    Johnson, Carmen Date: 12/05/2014
    Comment:

    Most importantly, please allow SGDs to be "opened", or used with bluetooth, facebook, phone, remote controls, etc. so that the user who has difficulty controlling these devices can do so via SGD. This is especially important for individuals with eye gaze systems who may have paralysis, and be unable tocall family members without an "open" device.

    Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet

    More

    Johnson, Caroline Date: 12/05/2014
    Comment:
    Speech generating devices need to be "open" to all access so that any person with a communication disorder can live a more normal life in this modern age. Occluding their access to things like e-mail and chatting on the phone with their device is unfair. Communication, in whatever form it takes, is essential to a person's quality of life. Do not take that away from them.
    Johnson, Jessica Date: 12/05/2014
    Comment:
    By restricting the abilities of an SGD to only 'speech', I feel you are exempting an entire population of people from one of the main communication modes we as a society use everyday. What makes email, social media and the Internet itself any less of a communication tool than our voices. Please review and consider what we as a 21st century society use as a communication device, we are no longer just a face to face chatting group of people. Please do not limit the modes of communication based

    More

    Johnson, Rob Date: 12/05/2014
    Comment:
    Access to the internet is an essential and normal part of functional life in America.
    Johnson, Michael Date: 12/05/2014
    Comment:
    Access to the internet is a required and normal part of a functional life in today's society.
    Johnson, Gennith Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Johnson, Ken and Annette Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Johnson, Patricia Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Johnson, Charley and Amber Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Johnson, Cassie Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Johnson, Maria Title: Inpatient Supervisor UCSD Rehab, OTR/L
    Organization: UCSD Health System
    Date: 11/24/2014
    Comment:
    Please reconsider your decision in regards to paying for assistive technology to help individuals that have no physical voice that relay on utilizing this technology. We want to empower patients and give them opportunities to be engaged and participate in our society, but this policy would limit this ability to interact, advocate for themselves, as well as, have community interaction among peers and family. I work closely with the ALS population, and have seen that this technology gives

    More

    johnston, charlotte Date: 05/21/2015
    Comment:
    this is a no-brainer; it is imperative that we provide help to those patients who can no longer speak vocally due to health issues.
    Please provide coverage for speech generating devices.
    Thank you!
    Jolly-Lassiter, Stacey Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    jones, raymond Date: 12/03/2014
    Comment:
    TALK in development by Arsh Shah Dilbagi of India is promising, this device is needed. I have the article and will forward it.
    Jones, Cory Date: 12/05/2014
    Comment:
    The use of the internet is normal in American homes today. The use of the internet is essential for people with disabilities
    Jones, Nay Date: 12/04/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Jones, Sharilyn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Jones, Meagan Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Jones-McNamara, Sally Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    jordan, Sarah Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Jordan, Kristina Date: 05/20/2015
    Comment:

    I am a member of a family which has lost over 30 members in five generations to ALS. In 2009 I helped care for [PHI Redacted] who was afflicted with the disease and as the disease progressed, he lost his ability to communicate verbally with his loved ones and caretakers. He was not able to afford a communication device, nor would his insurance pay for one. We were left to desperately try to understand his eye movements in response to questions we would ask, hoping to meet

    More

    Jordan, Katie Date: 05/20/2015
    Comment:
    Communication is more than just speech. Do the right thing. #nowhiteflags
    Jordan, Lyn Date: 12/05/2014
    Comment:
    It needs to happen for patients who need speech generating devices. They need internet connection right out of the box ...to help them communicate their most basic needs and communicate with their network!
    Jordan, Christina Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Joseph, Julie Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Jost, Kelly Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Joyce, Meghan Date: 12/04/2014
    Comment:
    My name is Meghan Joyce and I am a graduate student who is preparing to enter the field of speech-language pathology. Throughout my studies, I have learned a great deal about the many interventions and strategies I can provide to my future patients to treat their specific disorder and improve their quality of life. Of all of the different topics I have been taught, the most inspiring intervention to me thus far has been the topic of augmentative and alternative communication and SGDs. SGDs

    More

    Judge, Lynnette Date: 12/05/2014
    Comment:
    I am writing in support of allowing internet access, texting, emailing, calling and other means of communication through an SGD by people with ALS and others who may need to use an SGD as their means of communication. All members of society require communication, and those with disabilities should not be denied this right. Internet access has become an intrinsic part of life and communication for everyone, and particularly those who do not have the physical ability to speak with their own

    More

    Juge, Andrew Date: 12/05/2014
    Comment:
    With respect to Steve Gleason, I believe that internet access with a tablet is essential to experiencing the health benefits it affords. Without web access the value of these tablets to general health of the disables is immensely compromised.
    Juliano, Mimi Title: SLP
    Organization: VNS of Suffolk/Private Practice
    Date: 12/05/2014
    Comment:

    As a Speech pathologist who is currently working with 2patients who need to evaluations for SGDs, I emplore you to accept ASHA's proposals. One of my patients is a 47 yr old Speech therapist and the other is a 55 year old ex State employee. These 2 women want nothing more to be able to communicate with their families as they have been suddenly stricken with neurological disorders severely affecting their speech.

    The revisions and recommendations submitted by ASHA include:
  • No

    More

  • Juliano, Janice Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Jungers, Jackie Date: 05/21/2015
    Comment:
    It is very important that anyone that has lost their voice be given the ability to be heard and that is often only done through the aid of Speech Generating Devices. I feel it very important that this is something that Medicare covers.
    Kadinoff, Danielle Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kahn, Erin Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Kain, Kristen Date: 12/05/2014
    Comment:

    Access to the internet is an essential part of everyday life...hello, it is 2014!

    Denying this access to the very people who need it most is absurd.

    And if the devise can run speech generating software and internet that seems like a win win.

    kajzer, alisha Date: 05/21/2015
    Comment:
    I can speak, very clearly. However, there are many in this country who cannot. They also deserve a voice. My tax dollars and their tax dollars should fund the devices that give them that voice that they either long to have, or to keep.
    Kalette, Michael Date: 12/06/2014
    Comment:
    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms
    Kaminsky, Dana Date: 12/05/2014
    Comment:
    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.
    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Kammeyer, Rachel Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kane, Carrie Title: Speech Pathologist, Certified AT Professional
    Organization: Good Shepherd Home
    Date: 12/05/2014
    Comment:

    I am a Speech-Language Pathologist and have worked with people with complex communication needs for 17 years. People who are non-verbal and need speech generating devices are at high risk of isolation and poor psychosocial status without full access to SGDs. Communication through electronic means is not a luxury, it is part of our culture. To deny access to this for people who use SGDs is denying them a viable and socially acceptable mode of communcation. This puts the most vulnerable of

    More

    Kane, Melissa Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kanoff, Kristen Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kantor, Christine Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kappel, Timothy Date: 12/05/2014
    Comment:
    I strongly suppuort allowing speech generating devices covered by Medicare to be internet accessible. I understand there may be some small potential for abuse. However, the risk of such abuse is far, far outweighed by the benefits such technology provides to those persons who utlize speech generating devices (such as those disabled by ALS). Moreover, to craft a rule based on a perceived risk of abuse that entirely undermines the effectiveness of the device in question, and therefore hinders

    More

    Karol, Milan Date: 12/04/2014
    Comment:

    Thank you for the opportunity to comment. My comments will be brief.

    I work for an ALS research organization in the role of fundraiser, and through that have had the privilege of working with individuals and families as some consider the role that philanthropy might play in their response to a terrible disease. While there are as yet no treatments for ALS, for some people the act of creating a philanthropic legacy so that in the future lives can be spared is in itself somewhat

    More

    Kassab, Manal Date: 11/14/2014
    Comment:
    I am an occupational therapist with over 25 years of experience working with children and adolescents with minimal to severe physical impairments. Many of these children have needed some type of a speech generating device in order to communicate their most basic needs or wants. I agree that with the new technology available today, it is necessary for us to revisit the current guidelines for SGDs. Having access to portable systems that allow texting/emailing/etc… but also offer the

    More

    Katz, Tammy Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Kearney, Kimberli Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Keating, Kari Date: 05/27/2015
    Comment:

    Thank you for the recent draft on improvements regarding speech generating device (SGD) coverage. It is the first of its kind to acknowledge that communication in our world is not just spoken voice, face-to-face but includes all methods of communicating including text, phone calls, and email. I am a SLP working with children who are nonverbal and the use of SGDs including those accessed via eye gaze have opened up a world of purpose and autonomy for them. The SGDs are vital in giving

    More

    Keen, Mark Date: 12/05/2014
    Comment:
    To whom it may concern:
    It is utterly unacceptable to limit those with disabilities from internet access. Maybe they could live without it in 1995, but in this day and age, how are you supposed to be able to live normally without it? So much of our society is computer-derived, from the television to your phone in your pocket to the computer you probably use on a daily basis. How else would I be able to express my opinion, if it weren't for the internet? You think mailing is an option

    More

    Kehres, Stephanie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Keith, Kevin Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Keller, Gail Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Kelley, Ashley Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kelley, Carrie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kelly, Cheri Date: 12/06/2014
    Comment:

    December 6, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Kelly, paige Date: 12/05/2014
    Comment:
    people with disabilities ABSOLUTELY need internet access with their devices. It helps them call for help, speak to other essential people like doctors and health aid workers, and also their families. Please give them the access they need to function.
    Kelly, Roseanne Date: 12/05/2014
    Comment:
    Please do not take there only means of communication away.
    Kemp, Patricia Organization: Pat Kemp for Hillsborough County Commission Countywide
    Date: 12/04/2014
    Comment:
    CMS needs to cover speech generating devices. It's critical.
    Kennard, Bernadette Title: AAC Consultant
    Organization: Trivinity Consulting
    Date: 12/04/2014
    Comment:

    Dr. Duggiraila,

    I had to take a moment to address the ongoing litigation surround M & M policy regarding coverage of Speech Generating Devices. The issue is so important. I would like to strongly encourage you to continue to maintain the current ASHA recommendations. The lives of so many AAC consumer, their support teams and families are greatly impacted by these decisions. As an AAC Consultant I understand and see the avalanche size effect to what may appear to be a slight

    More

    Kennedy, Catherine A Title: M.S., CCC-SLP
    Date: 12/06/2014
    Comment:

    PROPOSED COMMENTS

    I appreciate the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage Decision (NCD), CMS should:

    1. Continue to allow SGD

    More

    Kennedy, William Organization: Team Gleason
    Date: 12/05/2014
    Comment:
    Technolgy and Internet access needs to be availble for the disabled. These are things that those of us without dabilitating disease's or injuried take for granted and have access to so why should they not?
    Kennedy, Jeff Date: 12/03/2014
    Comment:
    ALS is a horrific disease. Medicare policies should not make it worse. I again urge CMS to establish an SGD coverage policy that provides people the option of accessing additional SGD communications and non-communications functions, including while they are renting devices. I also urge CMS to establish policies that provide coverage for access technologies such as eye tracking. In doing so, Medicare can help improve the health and lives of the people that the program was created to serve.

    More

    Kennedy, Colleen Title: Annual Campaign Manager
    Organization: PROVAIL
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Kent-Walsh, Jennifer Date: 12/06/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Kenzhebayev, Sarah Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Kerner, Debra Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kerney, Kim Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kerr, Jennifer Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Kertis, Nichole Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Kessel, Laura Date: 12/01/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Kettler, Thomas Title: President Board of Directors
    Organization: ALS Association Wisconsin Chapter
    Date: 12/05/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Khachadurian, Kyle Organization: Cerebral Palsy International Research Foundation
    Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Kickham, Sarah Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kidd, Amy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kiger, Angela Date: 12/05/2014
    Comment:
    To Whom It May Concern: I am writing to you today on behalf of people with ALS and others who may need to use an SGD as their means of communication. Texting, emailing, and calling are incredibly important means of communication for all members of society. We conduct business meetings via conference calls or the internet (ie, email). We set up lunches with friends and loved ones via text. We keep in touch with peers and family members who have moved far away through all of these mediums, and

    More

    Kimbar, Dana Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Kimmel, Barbara Title: Speech-Language Pathologist
    Organization: William Beaumont Hospital
    Date: 12/04/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    King, Paula Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    King, Jillian Title: Augmentative Alternative Communication Specialsit
    Organization: Private Practice
    Date: 12/01/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Kinjerski, Marissa Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Kinsler, Emily Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kirk, Steve Date: 12/06/2014
    Comment:

    Access to the web (internet), is a "normal" part of functional life in America today!
    Unless the disabled have access to the internet, these tools are basically useless.

    With Respect,

    Steve Kirk
    Kirk, Tracy Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Kirsch, Staci Date: 12/05/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Klassman, Ben Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Klaus, Tara Date: 12/05/2014
    Comment:
    Locking down this technology for the disabled takes away what should an opportunity to help them overcome obstacles that they cannot control. Access to this technology provides them the ability to call 911, contact doctors and caregivers and communicate with family that does not live in the same household. Failure to provide these methods of communication is irresponsible. These tools have become a staple of communication for our country and the disabled should have the same opportunity as

    More

    Klaus, Michael Date: 12/05/2014
    Comment:
    Internet access is a normal part of everyday life in America. Not only is it necessary, it is crucial for those that have I other means of communication. It allows them to communicate with family across the country. It allows them to communicate with their doctors. It allows them to research treatment and have access to health resources they would otherwise be without. It would be a travesty for our disabled communities to be denied these opportunities that the "normal" everyday person in our

    More

    Kleinert, Jane Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Knapp, Janece Date: 12/06/2014
    Comment:

    December 6, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Knoche, Cynthia Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy ensuring people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal disease,robbing

    More

    Knott, Robert Organization: Mr.
    Date: 12/06/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Knowles, Matthew Date: 12/05/2014
    Comment:

    Just like I am required to submit an email address to comment, it should be required that tablets for the disabled can access the internet.

    This is a normal functioning part of society, and I fear locking anyone that is disabled out from the internet can only do harm. It is essentially telling them they're not as important as others.

    But they are.

    Don't send that message.

    Knudsen, Kristi Date: 12/05/2014
    Comment:

    December 5, 2014

    Dr. Subash Duggirala
    Centers for Medicare and Medicaid Services
    1406 Woodwe11 Road
    Silver Springs, Maryland 20906

    RE: Speech Generating Devices and National Coverage Detem1ination

    Dear Dr. Duggirala,

    Thank you for the opportunity to provide public comment on Medicare coverage of speech generating devices.

    The Washington State Department of Social and Health Services (DSHS), Aging and Long-Term Support

    More

    Knuth, Amy Title: Speech Language Pathologist
    Organization: Sheboygan Area School District
    Date: 12/02/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Koehler, Natalie Title: Supervisor, Communicative Disorders Department
    Organization: Louisiana Special Education Center
    Date: 12/02/2014
    Comment:
    "Not being able to speak is not the same as not having anything to say."
    Rosemary Crossley
    Koelling, Robert Date: 12/05/2014
    Comment:

    I urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices and technologies like eye tracking. I have a loved one with ALS, and I am painfully familiar with the consequences of this disease. You know as well as I there is no cure; the most we can do for those who suffer from this illness is to support their efforts to remain as functional as possible for as long as possible. We can't help them get well, but we can help them maintain their

    More

    Kogel, Erica Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Kohlschmidt, Brenda Date: 12/05/2014
    Comment:

    Please don't deny these claims!! This is their only way to communicate!!

    6. Keep coverage of eye tracking accessories.

    Eye tracking technologies have been available since before the 2001 NCD was written, and have been covered uniformly from 2001 when the NCD went into effect until late 2013. Since then Medicare decision makers have been denying eye tracking accessory claims, stating they are not covered.

    Eye tracking technologies should not be considered

    More

    Kohn, Brittney Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kolarczyk, Valori Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Koller, Alex Date: 12/06/2014
    Comment:

    To Whom It May Concern:

    My name is Alex Koller and I am a graduate student at the University of Pittsburgh in the Speech Language Pathology Program. I am writing to you regarding the upcoming decision about funding for Speech Generating Devices (SGD). As a future Speech Language Pathologist, I am concerned about the potential effects this decision will have on current and future patients, as well as my career.

    In class I have learned about the wide variety of

    More

    Konikoff, Naomi Date: 12/03/2014
    Comment:
    As a Speech Language Pathologist working with students with severe disabilities in the public schools, I rely on the flexibility of coverage in order to get my students what they need to communicate. These students' classroom access, communication, and social interaction would all be negatively impacted if ASHA's revisions and recommendations are not accepted.
    Koos, Ken Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Koplin, Rhonda Date: 05/29/2015
    Comment:

    These devices are SO important to not only the patient, but also the caregivers/family. It's the last bit of independence left. My dear friend [PHI Redacted] would have "gone out" with a bit more dignity if she had lived long enough to use one. I am pursuing this for [PHI Redacted], who has Parkinsons.

    Koss, Lynn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kovacs, Thomas Title: Graduate Student Assistant/PhD Student
    Organization: Dept. Communication Sci. & Disorders, University of Pittsburgh
    Date: 12/06/2014
    Comment:

    The proposed CMS capped rental rule and revised policy for funding speech generating devices (SGDs) creates a clear discrepancy in clinical services that are available for Veterans and civilians with amyotrophic lateral sclerosis (ALS). This raises deep concerns because any American can acquire ALS and the devastating, progressive disabilities brought on by this degenerative disease. If a person develops ALS, he will be unable to communicate his medical needs to family members, doctors, or

    More

    Kozlosky, Kenneth Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kraatz, Mary Lou Title: Senior Care Services Coordinator
    Organization: The ALS Association Alabama Chapter
    Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Krajcir, Ellen Date: 12/04/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Kramer, Marion Date: 12/05/2014
    Comment:
    It is imperative that our healthcare services for the disabled of our nation provide the necessary and essential coverage to allow FULL AND COMPLETE access of every communications avenue available to the rest of us. The limitations of coverage concerning speech generating devices is totally ridiculous!!
    Kranz, Catherine Title: Speech Language Pathologist
    Organization: CREC
    Date: 12/05/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Kravitz, Ellen Title: Augmentative Communication Specialist
    Organization: Easter Seals Massachusetts
    Date: 05/29/2015
    Comment:

    Thank you for the many positive changes included in the draft NCD for SGDs. I urge you to implement the new NCD as soon as possible, especially for those with locked systems awaiting a means to communicate with the outside world.

    Also, please reconsider your unwillingness to cover eye-tracking accessories. For many people, the slowness/difficulty of other means of access (e.g., single switch scanning) makes their SGD non-functional in the vast majority of

    More

    Kravitz, Ellen Date: 12/05/2014
    Comment:

    I wish to comment on Medicare policy regarding speech-generating devices (SGD's). I am a speech-language pathologist who has been an augmentative communication specialist for 35 years.

    Most SGD users have severe disabilities that make life extraordinarily difficult. I have never seen anyone go through the long and arduous procedure to procure an SGD (usually a multi-visit evaluation, trials with multiple devices, an extensive report from a speech-language pathologist as well as

    More

    Krieger Cohen, Alana Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Kroeker, Makenna Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Kronoveter, Jaime Date: 05/21/2015
    Comment:
    communicating beyond speech is paramount to reach loved ones, to remain productive, for safety and create a level of independence. Please cover speech generating devices for those who need it!
    Krueger, Celeste Title: Speech-Language Pathologist
    Organization: Anaheim Union High School District
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). As a speech-language pathologist, I work with many people who are unable to communicate without the use of a speech generating device. One of the biggest thrills of my career was to watch a 16 year old male with severe physical disabilities, no volitional movement, and no intelligible speech, control a communication device using eye gaze. For the first time in his life, he could

    More

    Krumbein, Mara Date: 12/02/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Kruse, Amy Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Kubitskey, Katie Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Kummer, Ann Title: Senior Director, Division of Speech-Language Path
    Organization: Cincinnati Children's Hospital Medical Center
    Date: 12/03/2014
    Comment:
    This is very important for children with significant communication difficulties. Please, please support this.
    Kurcz, Karen Title: Speech-Language Pathologist
    Organization: University of Michigan Hospitals and Health System
    Date: 11/21/2014
    Comment:
    Please focus on appropriate patient care. For those who cannot speak, having access to a device that will provide communication via a variety of methods, is critical to their well-being. Thus, devices that allow for speech generation when face to face, access to texting, email, social media, just as all other Americans have access, is crucial. Many cannot access these devices with hand function, thus, access via Head Mouse/Head Tracker or Eye Gaze technology is absolutely necessary as part of

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    Kurlander, Stuart S. Organization: LATHAM & WATKINS LLP
    Date: 05/29/2015
    Comment:

    May 29, 2015

    VIA EMAIL
    CAGinquiries@cms.hhs.gov

    Dr. Subash Duggirala
    Lead Medical Officer
    Centers for Medicare & Medicaid Services
    7500 Security Blvd.
    Mail Stop C5-02-23
    Baltimore, MD 21244

    Re: National Coverage Determination on Speech Generating Devices
    Comments on Proposed Decision Memorandum

    Dear Dr. Duggirala:

    Thank you for the opportunity to submit comments to the proposed Decision Memorandum and

    More

    Kurlander, Stuart Title: Partner
    Organization: Latham & Watkins LLP
    Date: 12/04/2014
    Comment:

    December 4, 2014

    VIA EMAIL
    CAGinquiries@cms.hhs.gov

    Dr. Subash Duggirala
    Lead Medical Officer
    Centers for Medicare & Medicaid Services
    7500 Security Blvd.
    Mail Stop C5-02-23
    Baltimore, MD 21244

    Re: National Coverage Determination on Speech Generating Devices Comments on Benefit Category Determination NCD

    Dear Dr. Duggirala:

    Thank you for the opportunity to address the internally-generated reconsideration

    More

    Kutys, Christine Organization: The Pennsylvania State University
    Date: 12/04/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Kyriakides, LeeAnn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    L, M Date: 12/05/2014
    Comment:
    Internet access is a normal part of functional life!
    Lackey, Lynn Title: Mother
    Date: 05/20/2015
    Comment:

    [PHI Redacted] has had ALS for 7 years and is "locked in". Prior to being locked in he communicated with Eye Gaze and Tobi Communicator with his family, friends and care-givers. In the last few months, he can barely blink his eyes and therefore cannot communicate even his basic needs. We are devastated. There is hope with a new system that uses brain-wave technology that hopefully can give him back the ability to communicate. However, the cost is $17,000. There's no way he

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    LaCour, Leslee Date: 05/20/2015
    Comment:
    This device is not a luxury for ALS patients. It is a necessity. Please allow patients coverage. It's the least our government can do.
    Thank you
    Lacourciere, Renee Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Laden, Sondrah Title: Creative Developer
    Organization: Grace Hill, LLC
    Date: 12/05/2014
    Comment:
    The ability to communicate is a vital part of being human and having the technology that can allow this for people struggling deeply to maintain their dignity and humanity should be a covered medical expense. Individuals struggling with diseases such as ALS who often rely on these devices as their only form of communication should not need to struggle further with insurance or medicade to have these medical devices at their disposal and covered.
    Laffy, Glenn Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    LaFlamme, Laurel Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Lahey, Kathy Title: Exec Dir
    Organization: The ALS Assoc. Upstate NY Chap
    Date: 12/02/2014
    Comment:

    For the past 3 years I have been working with people diagnosed with ALS (pALS). It is a gratifying moment when we are able to help those unable to speak or move their arms and upper body by connecting them with a speech device or support for one.

    Ben would email our office to ask for support of some kind, make a suggestion or provide us with information that was pertinent to others living with ALS. He could only do this through his speech generating device. Eventually Ben was

    More

    Laigo, Gabriel Title: Certified Occupational Therapy Assistant
    Organization: PROVAIL
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Lamping, Chelsea Date: 12/05/2014
    Comment:
    I am writing to urge CMS to expand this coverage policy ensuring that people with ALS have access to SGD's, including, access to all functions such as email, internet and environmental controls. Communication is not simply limited to verbal speech. Today's interactive technology allows us to interact, to communicate, with our fellow humans through text, email, and video technologies. Daily life is surrounded by the requirement to 'log-on' in order to connect with others. Just this week, I

    More

    Lancaster, Charlotte Date: 05/21/2015
    Comment:
    We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness. I do not have ALS or any other debilitating disease. No one in my family, none of my close friends, has ALS or any debilitating disease. That doesn't mean I don't recognize the fact that these diseases, as well as other physical circumstances that severely limit a person's ability to

    More

    Landberg, Jordyn Organization: Les Turner ALS Foundation
    Date: 12/05/2014
    Comment:

    I work in the marketing department of an ALS organization in Chicago. I have seen firsthand what a difference access to the Internet on speech generating devices make for the PALS we work with. I am able to communicate via email with our PALS who can no longer verbally communicate or use their hands to write.

    Our PALS are able to use the internet to access social media and share updates on their health and lives. They are able to access news and the latest research about the

    More

    Landreth, Aaron Date: 12/05/2014
    Comment:
    Access to the internet is essential and should not be taken away from people with disabilities!
    Lang, Lindsey Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Lange, Michelle Organization: Access to Independence
    Date: 05/27/2015
    Comment:
    I support the draft NCD and the expansion of the definition of "speech". I support non-communication capabilities and features being made available. Please adopt the NCD for SGDs as soon as possible to ensure that client's needs are met.
    Lange, Adrienne Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    LaPointe, David Date: 12/05/2014
    Comment:
    Access to the internet is normal part of having a functional & productive life in America. Taking that away from those that have already had so much of their lives stolen from them is unthinkable. The ability to communicate with doctors, manage finances, research treatment and call 911 is a necessity for these Americans. Please know that not allowing access to the internet takes away a disabled persons one real desire...being a productive member of their family and overall society.
    LaPorte, Anita Title: Speech Language Pathologist
    Organization: New Jersey Speech and Hearing Association member
    Date: 11/15/2014
    Comment:
    Please include the latest technological advances when covering speech generating devices as part of durable medical equipment. Thanks.
    Lappala, Kim Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Larkin, Patricia Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Larsen, Sue Title: Augmentative Communication Specialist
    Date: 12/04/2014
    Comment:

    Medicare should allow users to unlock an SGD to allow access to non-speech capabilities, such as email and web browsing. Unlocking is consistent with the 2001 NCD. From 2001 – 2014 unlocking was allowed because the devices were client-owned equipment and Medicare policy allows modifications to client-owned equipment as the client chooses. Because of the payment rule change to capped rental, effective April 1, 2014, access to unlocking must now be based on other authority, such as DME

    More

    Larsen, Sue Title: Augmentative Communication Specialist
    Organization: Campbell County School District
    Date: 12/04/2014
    Comment:

    In the 2001 NCD, Medicare recognized that both a dedicated SGD and SGD software that would be loaded onto a device the client already owned were appropriate for coverage. These choices must be maintained.

    For some clients, SGD software, not a fully dedicated built-for-purpose SGD, satisfies a person’s communication needs. The SGD software may run on existing consumer computing products that a Medicare beneficiary already owns, allowing for unique customization and resource

    More

    Larsen, Judi Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Lary, Andrea Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    lasdon, gary Date: 05/26/2015
    Comment:
    these devices are able to assist als patients to speak ALL PEOPLE with these disabilities deserve the right to be able to speak this is humane and very needed
    Lasker, Joanne Title: Associate Professor
    Organization: Emerson College
    Date: 12/04/2014
    Comment:
    I work with people who are nonverbal -- adults who have lost the ability to communicate and participate fully in their lives due to stroke, injury, or degenerative disease. SGDs are essential tools for these individuals and their families Please protect the acquisition and funding process for these tools. Imagine how you would feel if you lost the ability to say "I love you" or "I'm in pain" or "How is college going?" -- in person, face-to-face conversations or over Skype or via email. Please

    More

    Lasker, Joanne Title: Associate Professor
    Organization: Emerson College
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Laster, Jan Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Lathrop, Shawn Title: SLP Graduate Student
    Organization: The University of Virginia
    Date: 11/12/2014
    Comment:
    Thank you for considering changing the decision about funding of SGD's with email, texting, etc capabilities. Individuals who use an SGD to communicate also need to be able to use these other forms of communication that speakers who do not use an SGD have access to. These other avenues of communication help them to communicate with friends and family members who are not present and help them further their communication abilities.
    Latta, Maria Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Laub, Curtis Date: 12/05/2014
    Comment:
    Internet access is absolutely essential for people with disabilities. I can hardly think of a greater tool that can improve their well being and productivity.
    Laurent, Denise Date: 12/05/2014
    Comment:
    The internet allows the disabled to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy.
    Without these tools (that every functional American uses!) the disabled are at higher health risk in an emergency, & told they're not useful.
    Do not "lock" any useful tools - internet, text, etc.
    Please allow the internet to be a part of their daily lives!!
    Lavergne, Theodore Date: 12/05/2014
    Comment:
    Internet access is a normal part of functional life in the United States.
    Lawson, Rita Title: Speech/Language Clinician
    Organization: St. Charles Public Schools ISD #858
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Lawson, M.A., CCC-SLP, Carol Title: Speech-Language Pathologist
    Organization: self-employed
    Date: 11/11/2014
    Comment:

    As a speech language pathologist, I am deeply concerned by our government's position regarding the necessity for assistive communication devices. To put it as simply as possible, the safety, health and well being of any patient is directly dependent upon their ability to communicate to medical personnel and caretakers, as well as family, as clearly and efficiently as possible their internal state, and condition. To deny this access as a part of medical treatment, ongoing, is to make all

    More

    Le, Christine Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Leahy, Jen Date: 12/05/2014
    Comment:
    Access to the internet is essential for Americans requiring the use of speech generating devices. I am asking able-bodied policymakers to show common sense and compassion for our fellow citizens who are seeking to be independent, productive members of society, despite their disabilities. Let's not make their journey more difficult than it already is. I implore you to ensure internet access is part of covered services for speech generating devices. Thank you.
    Lebenberg, Michelle Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    LeBlanc, Gary Organization: Dementia Mentors
    Date: 12/03/2014
    Comment:
    SGD's is a necessity for those with dementia and truly needs to be covered
    Lee, Joey Date: 12/05/2014
    Comment:

    I cannot believe that excluding internet access on these devices is even an option. In today's society, the internet is critical to accomplish a multitude of tasks. I cannot and do not support your stance against the use of this amenity. I do not understand how anyone can argue against the importance of internet, especially in this time of vast technological advancement.

    I do not agree with the removal of internet access on speech generating devices. I wholeheartedly believe that

    More

    Lee, Kim Date: 12/05/2014
    Comment:
    Allow use of the internet for communication, commerce, and allowing for the continued productivity of people who require these devices.
    lees, bob Date: 12/06/2014
    Comment:
    the problem is medicare is run by bureaucratic morons who care only about their paychecks...and only listen when they think those paychecks may be in danger...they have no clue about the real world.
    leewens, patrick Date: 12/05/2014
    Comment:
    Access to the internet is necessary for persons with speech generating devices to communicate effectively and therefore to remain a valuable and contributing member of our society. All Americans now need access to the internet due to how our society is evolving technologically. Those relying on speech generating devices are no exception, and it is even more critical for them to have internet access for communication, research, and productive work. It would be a significant help for

    More

    LeGath, Jon Date: 12/06/2014
    Comment:
    can you imagine not being able to tell your caretaker your in pain, skype with your gran kids, e-mail them how your doing. If the technology is there during the hardest time in your life why would you take that away?
    Leiderman, Alison Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Lemieux, Sharon Title: Director of Nursing
    Organization: Vital Link, A Home Care Company
    Date: 12/05/2014
    Comment:
    It is imperative that all speech generating devices provide internet access to its' users. To deny this access is like giving someone in need a new car without an engine.....makes no sense at all. While it may look pretty and new, it is essentially useless for its' intended purpose. Please do no deny the handicapped internet access. This is the only opportunity many of our handicapped have to communicate effectively with their medical team, family and the outside world - please remember,

    More

    lemon, matt Date: 12/05/2014
    Comment:
    Internet access is absolutely necessary for people with disabilities.
    Lennon, Suzanne Title: Speech-Language Pathologist
    Date: 11/18/2014
    Comment:
    Please consider allowing funding for devices that have additional capabilities besides speech output. Communication is not defined by speech. Communication is "the imparting or exchanging of information or news," and "means of connection between people and places." Communication has a life way beyond that of speech output. Please think on how many ways of communicating we use each day, including texting, emailing, phone conversations, writing, listening to others, listening to news,

    More

    Lenzen, Barbara Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Leonard, Elaine Date: 12/05/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Leonard, Barbara Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Lesh, Susan Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage

    More

    Leslie, Sarah Title: Speech Language Pathologist AAC Specialist
    Date: 05/29/2015
    Comment:
    I want to share my support in the newly revised Medicare guidelines for the National Coverage for Speech Generating Devices. By including the ability for SGD’s to send e-mail and text messages as a method of communication is so important in this day in age where access to technology is part of everyone’s daily life. Thank for taking our concerns into consideration and revising your previous guidelines. These changes are moving in the right direction, however I still have concerns that have

    More

    Leslie, Sarah Title: Speech Language Pathologist AAC Specialist
    Date: 12/01/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    leung, richard Date: 12/05/2014
    Comment:

    Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking needs. Speech-generating devices are characterized by:
    Being a device that produces speech by translating the user's input into device-generated speech;
    Being a device used solely by the individual who has severe speech impairment;
    May have digitized speech output, using prerecorded messages, less than or equal to

    More

    Levell, Marilyn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Levinson, Erica Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Levy, Lori Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Lewandowski, Kristen Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Lewin, Larry Date: 12/03/2014
    Comment:
    ALS is a horrific disease. Medicare policies should not make it worse. I urge CMS to establish an SGD coverage policy that provides people the option of accessing additional SGD communications and non-communications functions, including while they are renting devices. I also urge CMS to establish policies that provide coverage for access technologies such as eye tracking. In doing so, Medicare can help improve the health and lives of the people that the program was created to serve.
    Lewis, Tara Date: 05/26/2015
    Comment:
    In what way is it not necessary AND imperative for ALS patients to have speech generating devices? That is literally their ONLY way to communicate. How dare anyone say what is or isn't medically necessary for some LITERALLY trapped inside their own body with no way to communicate to those around them, especially their care takers! It makes me physically sick to hear about this recent decision and makes me wonder how some people sleep at night. Disgraceful.
    Lewis, Clare Organization: Mrs.
    Date: 05/21/2015
    Comment:
    Communication goes way beyond spoken speech. People with ALS need to communicate with caregivers, and texts and emails are increasingly common and important for that purpose. They also need to have the ability to use their SGDs in the hospital, in a nursing home, or in hospice. It boggles my mind that under the current "capped rental" system, the devices are not covered when a Person with ALS is in such a situation, a time when they MOST need to communicate.
    Please don't trap people with

    More

    Lewis, Andrea Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Lichtenwalner, Molly Date: 12/05/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Liff, Timothy Date: 12/06/2014
    Comment:

    PROPOSED COMMENTS

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

    More

    Light, Janice Title: Professor of Communication Sciences and Disorders
    Organization: Penn State University
    Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). As a researcher, university faculty, and clinician with more than 30 years of experience, I can attest to the incredible importance of SGDs in the lives of those who have significant speech and language impairments. Our research has demonstrated repeatedly that SGDs enhance the communication of individuals with significant disabilities, ensure their medical well being and care and

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    Lima Ortiz, Elvia Date: 05/21/2015
    Comment:
    Communication is paramount in human relationships. A person that has an illness that prevents them from speaking should not be deprived from other forms of communication since doing this would take away the warm connection that exists with people around them. Not communicating, would subdue the suffering person to give in to the illness. We must empower them by allowing them to have the devises needed to make their life a little easier by leting them express/communicate their needs/feelings.

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    Lin, Ann Title: Professor
    Organization: University of Michigan
    Date: 12/06/2014
    Comment:
    My close friend's child is a paraplegic, with no ability to vocalize, who uses a tablet to communicate. Constant internet access allows him to notify his mother, in another room, when he needs her. It gives him the possibility of leaving notes for his health care aides or doctors to better manage his health care needs, so that he can be more responsible for himself. It makes it possible for him to use images and text from the web to have conversations that speech-to-text technology would

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    Linder, Scott Date: 12/06/2014
    Comment:

    Any medical device that aids is bettering the lives of those who need it should be covered in some way in almost all medical plans. The fact that people with terrible conditions who need these devices can't have access due to financial strain put on them by the medical community and insurance providers is unacceptable.

    This should be something that we look at it, realize it's inappropriatness quickly and change it.

    Lineback, Anna Organization: Wake County Public School System
    Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Linsey, Casey Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    lipari, charles Organization: patient
    Date: 12/03/2014
    Comment:
    ALS is a fatal neurodegenerative disease that robs people of the ability to walk, stand, move their arms and even wink an eyelid -- to do the everyday things most Americans take for granted. For many people, ALS also takes away their ability to speak. To even say hello or I love you. However, SGDs provide people with ALS a voice. Many of the SGDs needed by people with ALS also have features that enable people with ALS to communicate in other ways, such as through email, texting and online

    More

    Lipka, Dan Title: Licensed Occupational Therapist
    Date: 12/06/2014
    Comment:

    I am an occupational therapist with over 30 years of experience in assistive technology, much of it involving speech generating devices. I am writing in support of revisions to CMS policy regarding Speech Generating Devices or SGD’s.

    Using an SGD for only face to face communication is overly restrictive, unnecessary and makes very little sense. Electronic communications with medical professionals, care givers, friends, family, and even public policy officials is every bit as

    More

    Little, Corina Date: 12/05/2014
    Comment:
    I would like you to know how crucial & important the speech generating devices are for ALS patients! As important as face to face communication is, all communication is equally as important. To have the ability to have self expression online gives the ALS patient an opportunity to be among his or her peers, update his or her friends and family, have emergency contact and most of all keep an essential freedom.
    Little Soldier, Patricia Title: Speech-Language Pathologist
    Organization: Greenville Speech and Language Therapy, PLLC
    Date: 12/03/2014
    Comment:
    Thank you for your support of revisions for Medicare coverage of speech generating devices necessary for functional communication. I appreciate your continued concern.
    Livingston, Cheryl Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Lockwood, Erin Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Loisel, Paul Date: 12/05/2014
    Comment:

    It is my opinion that access to the internet is an essential tool for all disabled people, particularly those with advanced ALS. Without connectivity, they stand at risk of losing their voice, their safety and their productivity.

    This is an ESSENTIAL part of their lives and should be provided as part of Their necessary care. Not providing connectivity is equal to taking away a disabled person's voice and ability to act for their own benefit.

    Lombardi, Ethan Date: 05/18/2015
    Comment:
    I am a speech therapist who works with children diagnosed with autism, cerebral palsy, and other developmental disorders that have a severe to profound effect on their ability to communicate. Speech generating devices are an essential means of communication for these individuals, and having access to them both as tools for learning to communicate, learning in academic and social contexts, and communicating with peers and caretakers throughout their lifetime should be considered part of their

    More

    Long, Michael Date: 05/28/2015
    Comment:

    It is very important for people who are disabled to be able to communicate for many reasons. If not they will suffer and no one will know. If not they can't give consent for treatment or care.

    Beyond that it is the only compassionate way to treat patients in such a situation. Especially at the end if life.

    Long, Matt Date: 05/26/2015
    Comment:
    These devices extend the life of individuals by giving them an outlet that their medical condition has taken away, communication. I know of a few people who are a live due to the happiness of being able to communicate with a Tobi when their body no longer allows normal speech communication. These devices can be reused making them a vital device but also high returns due to the recycling once someone loses their particular battle.
    Long, Timothy Date: 12/05/2014
    Comment:
    Access to the Internet is a fundamental right that everyone in this country should have access to. Taking away this right, especially from the disabled, takes away their life. Please do not take this away.
    Lonsky, Melissa Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Lopez, Laura Date: 05/26/2015
    Comment:
    This is completely unfair and not right!
    Lorenzi, Brittany Date: 12/05/2014
    Comment:
    Thank you for the opportunity to comment on this policy. I would encourage CMS to reconsider changing their policy to cover SGD's. There are many people afflicted with horrible diseases and disabities that already suffer enough. Taking away the ability for them to communicate with loved ones, care givers and medical providers seems like an unnecessary hardship for them to have to endure. Please reconsider changing your policy to allow them this peace of mind.
    Loughran, Barbara Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Lovely, Lisa Date: 12/01/2014
    Comment:
    As a nurse I have had patients use SGD's that were vital to their lives. Who can imagine what it is like not to say I Love You to a spouse or child? I am hurting/sad/depressed? Call an ambulance? Everyone should have a right to make their needs known. Please do not put a cap on SGR's or take away what all of us need.... a voice. Thank you
    Lovering, Nancy Date: 12/06/2014
    Comment:

    December 6, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Lovett, Janet Organization: Saint Mary's College
    Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Loyd, Lindsay Date: 12/05/2014
    Comment:
    Speech generating devices should have access to the internet and texting. Access to the web is an essential part of a normal, fully functional life in America today.
    Lubenow, Carolyn Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Lucatorto, Erin Date: 12/06/2014
    Comment:
    As a graduate student who will soon be a practicing clinician in the field of speech-language pathology, I am quite concerned about the impending restrictions to be placed on availability of SGDs and their use. We have spent a great deal of our education learning about the importance of our clients and patients being able to communicate in all modalities and across the life span. The ability to communicate is a basic human right, and it is not limited to a small set of disorders or

    More

    Lucchesi, Maria Date: 12/05/2014
    Comment:
    Internet allows disabled to consult with doctors, call 911, manage finances, research treatment, and much more-please don't restrict this critical communication tool.
    Lulai, Rebecca Date: 05/28/2015
    Comment:
    This draft is a huge step for those that deal with communication impairments from ALS or many other debilitating neurological conditions. Please make this draft the official NCD as soon as possible! The inclusion of other text-based and phone communications in the definition of "speech" is recognition of our societies many, many forms of communication that should be available to all, not just those with the ability to speak verbally. The acceptance of the ability to access other features of

    More

    Lulai, Rebecca Title: Speech Language Pathologist
    Organization: University of Minnesota
    Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Lumley, Rosemary Title: Speech Pathologist
    Organization: UAMS
    Date: 12/04/2014
    Comment:

    As a Speech Pathologist I am VERY concerned about the Speech Generating Device policy. Users of SGDs have multiple disabilities and these people who use devices need to communicate with different communication partners, in different settings, and use many ways to do that!

    The communication device should: be compliant with the FDA regulations for safety and effectiveness, be durable enough to last for 5 years, be supported with effective communication training as part of the

    More

    Lund, Shelley Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Lustig, Amy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Lydum, Chip Date: 12/05/2014
    Comment:

    Extending coverage to include speech generating devices is essential and in my mind, not even debatable for affected persons to function at a base level in society.

    I had an extended experience assisting a co-worker living with ALS back in the late 1980s. The technology now available today would have remarkably allowed him to overcome limitations that dictated his ability to perform even the most base life functions.

    Please see to it that America does the right thing

    More

    Lyon, Nicholas Date: 12/05/2014
    Comment:
    The internet is an integral part of everyday life for everyone. It should be able to be accessed by all.
    Lyons, Molly Title: Artistic Director
    Organization: Green Wood Studios
    Date: 12/05/2014
    Comment:
    I don't understand how this can even come into question, that disabled persons should need to communicate, but:
    — The internet allows disable to communicate socially, to read, to research, to do anything an able bodied person would do on the internet.
    — The internet allows disabled to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy
    — Without these tools (that every functional American uses!) the disabled

    More

    M, T Date: 12/05/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage

    More

    M, Tom Date: 12/05/2014
    Comment:
    These speech generating devices NEED to have internet enabled. It allows the disabled to be productive and function just like the non-disabled. Every functional American uses the Internet and the disabled should have access to it as well.
    Maas, Dallas Date: 12/03/2014
    Comment:
    I am a speech language pathologist and some patients greatly benefit from speech generating devices to express their thoughts, ideas, feelings, wants/needs. Please continue to cover these quality of life improving devices! Imagine how it would be if you could not talk at all; how would you communicate? I hope you never have need of one, but sadly there are some people who do, please keep them available.
    Maciejewski, Robyn Date: 12/03/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    MacKay, Angie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    MacPherson, Kathleen Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Madison, Betsy Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Madura, Christine Date: 12/04/2014
    Comment:
    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.
    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Maenius, Leah Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Magee, Lauren Date: 12/02/2014
    Comment:
    A person who has ALS or another physically debilitating disease still needs access to their doctors, emergency help, family, teachers, caregivers, pharmacy, etc. People who use these communication devices shouldn't be prohibited from the technology the devices were built for.
    Maghathe, Noel Date: 05/27/2015
    Comment:

    [PHI Redacted] was struck with this awful disease and it makes absolutely zero for fellow PALS should not be able to have the freedom to go online and have internet connection. This is some peoples only way of communicating and moving at all and so what if they want to actually enjoy things they weren't capable of doing on their own. This shouldn't even be a question. This is a terrible, terrible disease why is internet even an issue...

    Mahdavi, Arezou Date: 12/05/2014
    Comment:
    Access to the web, is a "normal" part of functional life in America. Please allow patients who do not have a voice, to use the internet to communicate. Thank you for the opportunity to comment.
    Maher, Justin Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Mahon, Julia Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Mahoney, Travis Date: 12/05/2014
    Comment:
    TravisMahoney@isp.com
    Speech Generating Devices are absolutely essential for daily life functions.. Just because a person has a disablity doesn't mean they can't lead productive lives..
    Maidment, Karen Date: 05/13/2015
    Comment:
    While I think it's great to enable the SGD's to those who are renting these devices, I feel it's a great disservice not to expand it so that there is a cost attached to the additional uses. And to not have video capabilities included is cruel. [PHI Redacted] is bedridden and must have this capability if she is to continue having her video support groups. Right now, someone must be there with her while she is attending the support group on line to assist her. She does not

    More

    Maidment, Karen Date: 12/03/2014
    Comment:
    ALS is a horrific disease. Medicare policies should not make it worse. I again urge CMS to establish an SGD coverage policy that provides people the option of accessing additional SGD communications and non-communications functions, including while they are renting devices. I also urge CMS to establish policies that provide coverage for access technologies such as eye tracking. In doing so, Medicare can help improve the health and lives of the people that the program was created to serve.
    Maidment, David Organization: The Rubberhouse, LLC
    Date: 12/03/2014
    Comment:

    Good morning,

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGC's), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize and SGD if they have lost mobility in their hands and arms.

    ALS

    More

    Maile, Donna Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Malam, Naomi Organization: University of Massachusetts Medical School, School of Medicine
    Date: 12/05/2014
    Comment:
    Internet is absolutely essential for people with such disabilities to be functional and contributing members of society as well as for their own personal health maintenance. As a medical student who will soon be in the field of health care, it is appalling to me that aspects that make up every day life for most Americans would be denied to others based on their health status.
    Malani, Melissa Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Males, CJ Date: 12/05/2014
    Comment:
    I applaud you for reinstating policy to provide SGDs to the disabled. However, the fact that you are considering locking the devices, is not only a health risk, it is economically inefficient, abhorrent and inhumane. Without the ability to access the internet and other normal function on an SGD, disabled cannot consult with doctors, call 911, or contact caregivers out of earshot. This is dangerous, and deleterious to the service you claim to provide. Additionally, locking these devices send

    More

    Malloy, Susan Title: SLP/ Augmentative Alternative Communication Consul
    Organization: Easter Seals Massachusetts
    Date: 05/28/2015
    Comment:

    I am an SLP who has worked in the field of AAC for 15 years. Thank you for recognizing the communication needs of people with severe speech and physical impairments. I urge the issuance of a final, revised NCD as soon as possible so that the important and positive changes in this draft can be implemented. The expansion of the definition of speech to include written communication (e-mail, texting) is very important. I have an adult client with cerebral palsy who communicates with his

    More

    Malloy, Susan Title: CCC/SLP, Augmentative Communication Consultant
    Organization: Easter Seals Massachusetts
    Date: 12/02/2014
    Comment:

    Thank you for this opportunity to comment on the proposed changes to Medicare policy as it affects access to speech generating devices (SGDs) I am a speech-language pathologist who works primarily with people who use Augmentative and Alternative Communication, including SGDs. My clients are school aged children and adults with complex communication needs (CCN) due to cerebral palsy, Rett Syndrome, Angelman Syndrome and other disorders. Having access to SGDs has enabled my clients to live

    More

    Malone, Shannon Date: 12/05/2014
    Comment:
    This is something all disabled persons should be given access to the Internet and any and all equipment that assists them to accomplish this.
    Malone, Alison Date: 12/05/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Malone, Ehren Date: 12/04/2014
    Comment:

    Dear Congress and the Center for Medicare Services,
    Thank you for allowing this opportunity for the public to comment on this issue. I have worked with families affected by ALS and have seen the devastating effects of these guideline changes. I strongly urge you to reconsider the Medicare Guidelines for people who use Speech Generating Devices. These devices have two purposes: (1) to allow them to communicate with people in the same room (2) to allow them a modest attempt at a higher

    More

    Malone, Ehren Date: 12/04/2014
    Comment:

    Dear Congress and the Center for Medicare Services,
    Thank you for allowing this opportunity for the public to comment on this issue. I have worked with families affected by ALS and have seen the devastating effects of these guideline changes. I strongly urge you to reconsider the Medicare Guidelines for people who use Speech Generating Devices. These devices have two purposes: (1) to allow them to communicate with people in the same room (2) to allow them a modest attempt at a higher

    More

    mandina, vicky Date: 12/04/2014
    Comment:

    thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Manes, Cynthia Organization: Dynamic Moment
    Date: 05/17/2015
    Comment:
    People with disabilities require access to devices that can manipulate databases in order to be productive in college and the workplace. They also should have access to all communication through technology that accesses Facebook and other electronic/wi-first communities for psychological support and information access. Technology that uses eye movements for control is important for people with many disabilities like ALS, MS, and SCI.
    Mangat, Mona Date: 12/04/2014
    Comment:

    Thank you for allowing me the opportunity to provide input on the new Medicare policy regarding speech generating devices (SGDs). I am a physician that practices in Florida. SGDs are a vital means of communication for individuals with speech and language impairments,often co-occurring with severe physical impairments. They enable people with complex communication needs(CCN) to live with more safety andindependence,help to maintain important societal and family roles, and communicate

    More

    Manly, Carol Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Mann, Stephanie Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Mann, Leigh Title: Owner, Speech-Language Pathologist
    Organization: Sound Effects Speech Therapy, LLC
    Date: 11/13/2014
    Comment:
    It is time that funding catch up to the communication demands of our clients. Denying access to integrated devices results in increased dependence on caregivers and family members, reduced quality of life and limited communication with medical providers and all other aspects of the client's life. There could be no more valuable cause than enabling a person to communicate effectively and with dignity.
    Mannix-Richards, Michelle Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Maples, Doug Organization: Mr.
    Date: 12/05/2014
    Comment:

    Please give this great consideration.

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and

    More

    Maples, Doug Organization: Mr.
    Date: 12/02/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Maples, Valerie Date: 12/02/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. I speak as someone who has had four children used an SGD and now a husband on a ventilator in need of one. SGDs enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and

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    Marable, Amanda Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Marchal, Lois Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Marica, Kelly Date: 12/06/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Marin, Erika Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Mark, Marie Title: SLP
    Date: 12/05/2014
    Comment:
    Many children in need of speech generating devices including those with cerebral palsy and Retts Syndrome and adults with acquired disabilities including disabled vets and those with ALSrequire access to more than speech output. They need access to the range of modes of communication available to you and I that include email and texting to keep in touch with both medical personnel and caregivers. We have HIPPA laws that allow us to have private conversations with our doctors. People wit

    More

    Marks, Katherine Date: 05/28/2015
    Comment:

    I am writing to ask that the proposed changes to funding of speech-generating devices be approved to promote increased access to communication across contexts, including the ability to communicate with others across a distance (e.g., send e-mails and text messages, make phone calls, etc.), which would allow individuals with complex communication needs to participate more effectively in personal and professional settings. In addition, I am writing to request that funding be extended to

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    Marks, Susan Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Marlowe, Jennifer Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Marmozewicz, Kerry Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Marra, Elizabeth Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Marrella, Ashleigh Date: 12/05/2014
    Comment:
    Imagine yourself not being able to communicate to other people. Imagine that the only communication you have is to blink your eye for “yes” or “no”. Picture yourself in a room with other people who you wish to talk to, such as your significant other, child, friend, doctor, anyone. How would you feel if you were unable to tell them anything; if you suddenly had no way to tell your loved one how much they mean to you. You want to express yourself, but you do not have the capability to do

    More

    Marshall, Lori Date: 12/05/2014
    Comment:
    Internet access on speech-generating devices is critical in order for the disabled to be able to call for emergency services and to live as productive citizens our country.
    Marshall, Kadee Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Marston, Joyce Date: 12/06/2014
    Comment:

    December 6, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Martin, William Title: Speech Language Pathology Graduate Student
    Organization: University of Pittsburgh
    Date: 12/06/2014
    Comment:

    My name is Will Martin and I am a Speech Language Pathology graduate student at the University of Pittsburgh. As I receive my training to become a Speech Language Pathologist, I have the opportunity to work with individuals with complex communication abilities across the lifespan. These include individuals who are unable to communicate using speech thus must rely on augmentative or alternative forms of communication.

    Since working with these individuals, I have been able to see

    More

    Martin, Lisa Title: AAC Program Coordinator
    Organization: Children's Hospital Colorado
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Martinez, Felix Date: 12/04/2014
    Comment:

    "Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking needs. Speech-generating devices are characterized by:

    Being a device that produces speech by translating the user's input into device-generated speech;
    Being a device used solely by the individual who has severe speech impairment;
    May have digitized speech output, using

    More

    Marucci, Lauren Date: 12/03/2014
    Comment:
    SGDs give those who cannot communicate in any other way a chance to express themselves to the world. No one should be denied their right to communicate. It is an innate act of the human race and those deprived of it become isolated from society.
    Mashburn, Jennifer Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Mason, Tiffany Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Massey, Sharon Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Mastorio, Samantha Date: 12/04/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

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    Mathison, Kate Date: 12/05/2014
    Comment:

    The definition of speech generating devices should be expanded to include other technology that allows for verbal and written communication across many different media. As a friend of a person with ALS, I understand how important it is for an individual with limited speech to have access to email, text messaging, and social media. Not only is he able to communicate with his doctors, caretakers and family for his medical needs on many different platforms, he is emotionally enriched by

    More

    Mathy, Pamela Title: Speech Language Pathologist
    Date: 12/06/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Mayer, Eve Date: 12/05/2014
    Comment:

    I do not think it is right to limit the capabilities of speech generating devices when they have the technical capability to allow the people that are dependent upon them for communication to use them for other forms of communication.

    The ability to communicate with others via email or social media is of critical importance to people who already face challenges in communication.

    Rather than limit the capabilities of devices we should embrace and research other ways

    More

    Mayer, Beth Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Mazzetti, Joy Date: 05/26/2015
    Comment:

    [PHI Redacted] was diagnosed with Bulbar ALS which affected her speech long before her body failed.

    We spent too long not being able to communicate with each other. Her mind was intact to the end, but she could not express herself freely.

    There are many afflictions aside from ALS that leave a person trapped within their own mind. Imagine the horror of not being able to communicate with your loved ones and medical staff.

    Speech generating

    More

    Mbangamoh, Erica Date: 05/27/2015
    Comment:

    I would suggest clarification of terms "Functional Speaking Needs" and "Functional Communication Speaking Needs"

    Otherwise I'd like to see this policy put into place. I wish it addressed the capped rental and eye gaze aspects but at this point in time, I'm happy that it will give my clients the ability to communicate with their health care providers via email or by telephone again.

    McAdam, Cathy Title: AT project coordinator
    Organization: MDRC
    Date: 05/27/2015
    Comment:

  • The draft NCD is very good and thank you for addressing the most important concerns that had arisen in 2014 regarding Medicare SGD coverage;

  • The expansion of the definition of “speech” to include communication by texting, e-mail and phone is a very positive development;

  • The term "functional communication needs would more accurately reflects the proposal's re-definition of "speech" to include SGD features that will enable face-to-face communication and remote

    More

  • MCADAMS-MELTON, LISA Date: 12/05/2014
    Comment:

    Absolutely necessary for anyone facing or caring for someone witbout the ability to communicate otherwise.

    Where has the common sense gone?

    McAfee, Mary Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    McAlpin, Tina Title: Speech/Language Pathologist
    Organization: MDCPS, Nova Southeastern University
    Date: 12/05/2014
    Comment:
    Communication is a fundamental human right that is sometimes affected by injury or illness. Speech Generating Devices (SGDs) allow people with speech and language disabilities to communicate or learn to communicate again effectively in person, on the phone, and in written form. Without access to these valuable devices, people with ALS, some forms of aphasia, TBI, progressive neurological disorders, and physical injuries affecting the speech mechanism will, once again, need to search for

    More

    McBride, Debra Organization: AAC TechConnect
    Date: 12/06/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). I would like to share the story of one of my patients who is currently being impacted by the recent rulings on the communication tools that are available to him and with the limitations currently are adversely affecting his life.

    John is a 68 year male with ALS residing in Boulder, Colorado. His ALS has progressed to the point that he is unable to use speech to

    More

    McCaffrey, Julia Title: speech-language pathologist
    Organization: Cedars Sinai Medical Center
    Date: 12/05/2014
    Comment:

    My name is Julia McCaffrey, and I am a speech therapist in the ALS Clinic at Cedars Sinai Medical Center.

    Speech-generating devices (SGDs) are a vital means of communication for the patients with speech and language impairments that I see in our clinic. These individuals almost always have co-occurring severe physical impairments related to their ALS. SGDs enable these individuals with complex communication needs to live more safely and independently, maintain important societal

    More

    McCarron, Maureen Title: Speech-Language Pathologist
    Organization: Freedom Therapy, Rochester, NY
    Date: 12/03/2014
    Comment:

    Since 1975 I have practiced as a speech-language pathologist treating persons with severe disabilities impairing their communication. The single most significant reason such persons are unable to access speech-generating devices has been lack of funds, and most often, lack of coverage under CMS.

    As ASHA has written "Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking

    More

    McCarthy, Rebecca Date: 05/29/2015
    Comment:

    To Whom It May Concern:

    I am a speech language pathologist who directly and frequently works with individuals with conditions such as ALS, that rob them of the ability to communicate. Time is critical for these patients and their loved ones. Please, quickly approve the proposed restoration the scope of SGD coverage that had existed from 2001-2013, both in regard to the types of devices that can be used as SGDs – both computers and purpose built devices; and in regard to the

    More

    McCarthy, Casey Date: 05/28/2015
    Comment:

    Good Evening,

    I am writing to request that the proposed changes with regard to funding of speech-generating devices be approved. People with complex communication needs have a right to access the same types of technology as everyone else, and integrated devices have the capacity to support individuals' communication needs for not only face to face communication, but also for the types of long-distance communication required for participation in most professional settings and to

    More

    McCarthy, Rebecca Date: 12/02/2014
    Comment:

    Please see the following comments related to Medicare’s SGD ruling, parts of which CRITICALLY impact the patients whom I serve.
    - Continue to allow SGD manufacturers to provide phone control as an SGD feature.
    A number of SGDs have the capability of connecting to telephone systems so that voice and text messages can be sent and received automatically through SGDs. Access to this capability enables telephone use by individuals who cannot place, answer or end calls physically or by

    More

    McCarthy, John Title: Associate Director of CSD
    Organization: Ohio University
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    I am an Associate Professor and the Associate Director of Communication Sciences and Disorders at Ohio University. I also have over 15 years of clinical experience with speech-generating devices. I have personally seen the life changing effects of speech generating devices on patients and their families and cannot stress enough the need for legislation to match the

    More

    McCarthy Maeder, Jillian Title: Assistant Professor
    Organization: University of Tennessee Health Science Center
    Date: 05/28/2015
    Comment:

    To Whom It May Concern,

    The draft NCD is very well written, and thank you to the Medicare staff for addressing the most important concerns that had arisen in 2014 regarding Medicare SGD coverage.

    Just a few comments regarding the policy. First, the expansion of the definition of "speech" to include communication by texting, email and phone is a positive development. Second, the recognition that SGDs’ noncommunication capabilities and features can be made available,

    More

    McCaslin, Ann Date: 05/20/2015
    Comment:
    Please do not take any action or make any policies that limit the ability of people to communicate with others. The resulting isolation would add to an already difficult burden.
    McCauley, Rebecca Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    McClung, William Date: 12/06/2014
    Comment:
    Medicare Pay for the internet access for the disabled.
    McConville, Katherine Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Mccormack, Patrick Date: 05/20/2015
    Comment:
    Help the basic need for humans to communicate.
    Mccormack, Deborah Date: 05/20/2015
    Comment:
    There is no way to adequately explain that communicating be regarded as a necessity, not a just a right. There is no reason for this to be fought for through years of red tape. Get this done for all those who need and deserve the right to "speak" and be heard!
    McCormack, Ryan Date: 05/20/2015
    Comment:
    Help those suffering the indignity of ALS and other afflictions by allowing them the dignity of communication
    McCormack, Ryan Date: 05/20/2015
    Comment:
    Help those suffering the indignity of ALS and other afflictions by allowing them the dignity of communication
    McCormack, Morgan Date: 05/20/2015
    Comment:
    All people have the right to talk to each other. To express their wants, needs, desires etc...
    Don't make it difficult for those already suffering. Allow all humans to communicate with each other through whatever means possible.
    McCormick, Heather Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    McCoy, Michelle Organization: Center for Disability Services
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input regarding Medicare policy specific to speech-generating devices (SGDs).

    As you are fully aware, SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live as safely and independently as possible, maintain important societal and family roles, and communicate vital personal information

    More

    McCullough, Donna Date: 05/26/2015
    Comment:
    It is important that ALS patients receive access to the eye gazers tobii devices. I have seen patients quality of life improve greatly with this communication device. Ever paralyzed person should get one covered.
    McCullough, Stephanie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    McDell, Jay Date: 12/06/2014
    Comment:
    Internet access is not a luxury, it is a basic human right in our society.
    McDermott, Kara Title: Speech-Language Pathologist
    Date: 12/03/2014
    Comment:

    Kara McDermott
    236 S East Ave
    Oak Park, IL 60302

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by

    More

    McDonald, Judy Date: 05/29/2015
    Comment:

    The draft NCD is very good my thanks to the Medicare staff for addressing the most important concerns that have arisen in 2014 regarding Medicare SGD coverage, namely:

    * The expansion of the definition of "speech" to include communication by texting, e-mail and phone is very positive all these means are necessary today to communicate with health car providers;

    * The recognition that SGDs’ non-communication capabilities and features can be made available, even though

    More

    McDowell, William Title: Board Member
    Organization: SHOUT
    Date: 12/01/2014
    Comment:
    CMS needs to rescind its current coverage policy of not allowing augmentative, alternative communication users to get upgrades to their devices that would otherwise be purchased by CMS. Communicating is basic every day function. To not allow it to someone who needs AAC, by refusing to pay for communication devices simply because one wants an upgrade is so unimaginable, and wrong, especially in this day and age of technology. Thank You
    McFadden, MichaelJ Date: 11/16/2014
    Comment:

    Why should Medicare be prohibiting ALS victims from improving their lives by using their own money and means to make their medical devices work more efficiently? This negative behavior seems completely inexplicable. It's as if Medicare said, "We won't cover wheelchairs if we discover that arthritic patients are buying "gripping gloves" to make turning the wheels possible. They should just accept their immobility."

    Anyone who knows anything about ALS or Lou Gehrig's type conditions

    More

    McGlasson, Julie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    McGoey-Radshaw, Virginia Organization: Connecticut Children's Medical Center
    Date: 11/20/2014
    Comment:
    As your second paragraph in the issue description states, technological advances have resulted in many devices serving multiple purposes. People with communication disorders need access to devices that increase their options for communication, not ones that limit them. Moreover, people with communication disorders should have a device that is easily integrated into their daily life and used for a multitiude of activities of daily living, in which being engaged, enhances their human interaction

    More

    McGowan, Stephanie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    McGowen, Michele Organization: Disability Network Southwest Michigan
    Date: 12/05/2014
    Comment:
    Medicare should cover speech generating devices deemed medically necessary by a physician or speech pathologist, whether or not the SGD also performs other functions (such as email, text messaging, etc). Young and old people with significant disabilities relay on SGD to communicate effectively with health care providers, emergency responders, family members, friends, loved ones, employers, etc. Access to a full range of modern SGD is a civil right. Thank you.
    McGuinness, Marilyn Date: 12/05/2014
    Comment:
    I agree with Steve Gleason, access to the internet is not a luxury for physically challenged humans, it's a necessity. Please think what you would want if you had the same illness or challenge.
    McIlvaine, Jennifer Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    McIlwain, Cheryl Date: 11/30/2014
    Comment:
    No one should be left without the ability to communicate when technology exists to permit it. For many people, such as those with ALS, I believe it is a medical necessity to them for the purpose of communicating with their health care providers. How much better to prevent severe problems by giving them the ability to communicate rather than removing the basic human need to communicate and not allowing them to let others know when there is a problem before it has a chance to become severe.
    mcinnis, Jaclyn Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    McIntosh, Gary Date: 12/05/2014
    Comment:
    Access to the web, is a "normal" part of functional life in America.
    McIntosh, Cheryl Organization: University of Arizona College of Medicine
    Date: 12/05/2014
    Comment:
    Communication devices with access to the internet are essential for persons with disabilities. As a medical student who will be a physician in May, I have seen the need for these devices for patients to be able to interact with their environment, make calls to medical professionals, participate in support groups, and participate in normal daily activities. Please reconsider your position on these devices.
    McKelvey, Miechelle Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    McKown, Louise Title: Public Awareness and Systems Change Coordinator
    Organization: East Tennessee Technology Access Center
    Date: 11/20/2014
    Comment:
    I work for a nonprofit agency that receives some funding for advocacy efforts from the US Technology Act through the Tennessee Technology Access Program. We have a room full of communication devices to show and work with people with speech disabilities. The need for communication on all levels is extremely important to them, especially when they are in the hospital or nursing home. Not having access to SGD that will work for them in all situations is like saying they are not free to express

    More

    McLaughlin, Erin Date: 12/03/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    McMahon, Sarah Date: 12/05/2014
    Comment:
    My friends brother has ALS, and allowing his SGD to connect to the internet has greatly improved his communication abilities. While ALS may take away all of one's physical abilities, access to the Internet with an SGD allows patients to communicate with the world and live a productive life. Preventing patients from accessing the Internet on SGDs is analogous to locking them up from the world around them at a time in life when free communication is ABSOLUTELY CRITICAL. With the Internet,

    More

    McManus, Natalie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    McMillan, Susan Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    McNally, James Date: 12/03/2014
    Comment:
    people with speech disabilities cannot communicate without the ability to access the Internet. As a world involves and communication facilities change is ever important that people with ALS have the ability to communicate with nurses, doctors, the government family and friends.
    McNamara, Kevin Title: Clinical Director
    Organization: Center for Communication Disorders, Southern Connecticut State U
    Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a member of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    McNaughton, Mary Kate Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage

    More

    McNeal, Joyce Date: 05/20/2015
    Comment:

    Please expedite Speech Generating Devices
    [PHI Redacted]
    How would you like to be in a body , mind in tact , waiting on a speech generating device ?
    Thank you

    McNeice, David Title: Sergeant
    Organization: East Windsor Police Department
    Date: 12/05/2014
    Comment:
    ALS Patients need access to the internet. It allows them contact with the world. They can continue to be productive people in society through the Internet. It also allows for a form of human contact that they miss out on due to their disabilities.
    McPartlin, Shaun Date: 12/05/2014
    Comment:
    Please do not take this right away from those who need it more than most
    McVade, Stephanie Date: 12/05/2014
    Comment:

    2. Keep access to capabilities, features and functions that support device function as an SGD.

    Medicare covered SGDs: dedicated speech devices, used solely by individuals with severe speech impairment, require several capabilities, features, and functions to operate effectively and efficiently as SGDs. The 2001 NCD did not restrict any of these operational characteristics of SGDs, including

    Enabling the SGD manufacturers to connect

    More

    McWeeney, Lee Ann Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Meadows, Kristin Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Mealer, Tony Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Mecham, Hillary Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Meehan, Stephanie Organization: University of Kansas
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Meeks, Matt Date: 12/05/2014
    Comment:
    Persons with disabilities need access to the internet in their speech generating devices to be normal, functioning members of society and to go about the daily lives. Internet allows them to schedule visits with doctors, call 911, manage their finances, research treatment and and to be productive in our economy. Taking away their internet access will essentially cut these individuals off from the rest of society.
    Meersand, Emily Date: 12/05/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Meersand, Emily Date: 12/05/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Meglio, Rita Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Meigh, Kimberly Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Meintel, Mary Kay Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Mejia, Rhonda Date: 12/05/2014
    Comment:
    So wonderful that this technology has been approved but unless there is access to the internet, these tools are not being used to their full potential. It gives access to basic services like 911, communicating with their doctors and family, allows research as well as fostering a sense of community. Just the fact that I am submitting this form online is a clear indicator of the need and how the internet is such a valuable tool for all of us.
    Melaragni, Alyssa Date: 12/05/2014
    Comment:

    PROPOSED COMMENTS

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

    More

    Melchert, Amber Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Mele-McCarthy, Joan Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    MERKEL-WALSH, ROBYN Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Merlin, Amanda Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Merrell, Larry Date: 12/06/2014
    Comment:
    These speech generating devices absolutely require full internet/text access just as are allowed every other citizen without the limitations. Anything less is next to useless. PLEASE help these unfortunate few have a chance to live a somewhat normal life. PLEASE!
    Merritt, Margaret Title: Speech Pathologist
    Organization: Virginia Beach City Public Schools
    Date: 11/12/2014
    Comment:
    I agree with Eric Salter's comments on the importance of speech generating devices with full communication capabilities. Why give someone a communication device and then limit its scope? I appreciate the committee's reconsideration of this recommendation.
    Mesavage, Linda Title: Assistive Technology Specialist
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). As an Assistive Technology Specialist I regularly work with individuals with speech and language impairments, often with co-occurring severe physical impairments. SGDs are a vital means of communication. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and

    More

    mestas, yolanda Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Meusel, Kelli Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Meyer, Jessica Date: 05/25/2015
    Comment:
    As a healthcare professional and a family member of a person that in empowered by a Speech Generating Device I am asking that you reconsider your stance on this DME. These devices give people a voice! People with disabilities such as ALS are unable to communicate with written or spoken words.. this device allows them to communicate with family members, friends, and gives them the chance to advocate for themselves!! Recall the Steve Gleason commercial at the Superbowl.. these devices allow

    More

    Meyer, James Date: 12/05/2014
    Comment:
    Steve Gleason said it better than I could, but it seems like common sense to me. Don't block the devices.
    Mezzomo, Helen Angela Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    MIchaelsen, Elisabet Title: Speech-Language Pathologist
    Organization: Lighthouse Healthcare Inc., Springfield VA
    Date: 12/03/2014
    Comment:

    Dear Dr. Subash Duggirala:
    I am a practicing Speech-Language Pathologist and it falls on me to assess and recommend speech-generating assistive technology to my ALS patients that I come across in my capacity as home health therapist. I most often work with these patients when they are in their most vulnerable end stage of the illness and they need to communicate to diminish anxiety in the family and in themselves. They also want to keep in touch with out of town family and friends. The

    More

    Michels, Ronda Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Mickler, Monica Date: 12/05/2014
    Comment:
    The Internet is very important on a daily basis. You can communicate with your doctor, schedule appointments, pay bills, talk to friends, pay taxes, etc.
    Miller, Jean Date: 12/06/2014
    Comment:

    I am writing because of the experience of someone I know with ALS who had rapid progression of loss of speech and motor function. He is unable to move any muscles except his eyes and unable to make any sounds. All of his family lives out of state. His only way to communicate any thoughts or needs to his caregivers is through his speech generating device (a Tobii) and his only way to communicate with his family and friends is through the SGD and internet and Facebook access. To deprive him

    More

    Miller, Brian Date: 12/06/2014
    Comment:
    Internet access has become a normal part of life and is essential for patients to be able to intereact with doctors and others who can not be in the room. Please to not take that away.
    Miller, Allison Date: 12/05/2014
    Comment:

    "Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking needs. Speech-generating devices are characterized by:
    Being a device that produces speech by translating the user's input into device-generated speech;
    Being a device used solely by the individual who has severe speech impairment;
    May have digitized speech output, using prerecorded messages, less than or equal

    More

    Miller, Brianne Date: 12/05/2014
    Comment:
    It is vitally important for those with disabilities to be able to communicate on tablet style devices with internet capabilities. If you take this away you are taking away their right to speak and be heard. It's essential for them to be able to feel some sense of normalcy and do some things on their own while many other things are done for them. Please do not take away this function on speech generating devices.
    Miller, Roberta Title: Medical Director, and Homecare Provider
    Organization: St. Peter's ALS Regional Center, Homedical Administrative Asso
    Date: 12/05/2014
    Comment:

    As the Medical Director of an MDA ALS Regional Center and Primary Care Home Care Physician, I have had the privilege of caring for people with many different levels of ability. I wish to encourage CMS to consider the negative impact of some of the proposed regulations regarding Speech Generating Devices and encourage CMS to give heed to comments of the users, prescribers, and recipients of SGD generated speech
    The current regulations deprive people of their rights to free speech.

    More

    Miller, Rebecca Date: 12/04/2014
    Comment:
    To whom it may concern,
    I am writing as a concerned master’s student in Speech Language Pathology. As part of my studies, I am training to work with individuals who cannot make use of verbal speech, therefore relying on a speech generating device (SGD). Although young in the field, I am cognizant of how beneficial and life changing technology can be, especially in those who depend on an SGD. I am also aware that a person may suffer an injury at any point in their lives, leading to a

    More

    Miller, Timothy Date: 12/04/2014
    Comment:
    Special devices should not be taken away simply because someone has entered specialized care.
    Miller, Julie Title: Speech-Language Pathologist
    Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Miller, Marcie Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Miller, Kelsie Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    MILLER, ED Date: 12/05/2014
    Comment:
    I've had the opportunity to visit with people that use Speech Generating Devices and am always amazed how the devices allow them to interact with family, friends, classmates, etc., in a way that would not have been possible otherwise.
    Not only are SGDs used for verbal speech, but also used for email and other forms of electronic communication made possible with the tablets currently being used as platforms for SGDs. As you review your criteria on what qualifies as an SGD and what

    More

    Minor, MaShylli Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Mitchell, Lisa Date: 12/05/2014
    Comment:
    As a clinic administrator, I had the arduous task of explaining to a patient with ALS that he cannot use his speech generating device for internet communications or any of his ICONS that are shown. He and his family were very excited when the company representative came to the home to set up his device. They explained the rule of renting the device for 13 months prior to any of the ICONS "going live". ALS is a heart-wrenching disease in which the member is trapped in their body with the

    More

    Mitchell, Jerriann Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Moak, Christian Date: 12/05/2014
    Comment:

    "For example, patients now use speech devices to generate text and email messages for the purpose of communicating with their caregivers and physicians. Therefore, in light of the changes in technology and use of devices that generate speech, we are internally generating a reconsideration of this NCD to address coverage of devices that generate speech as well as other forms of communication."

    How could you reasonably conclude that because a device has become more useful to a

    More

    Modzelewski, Maciej Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Moeller, Brian Date: 12/05/2014
    Comment:
    The access to technology is not just a fun privilege, but a basic component of daily life. Technology provides a method of continued communication for those who would otherwise be "locked in" their own bodies and minds. The access to these devices must be kept available to those in need.
    Moeskau, Jeannie Date: 12/03/2014
    Comment:
    Being a device that produces speech by translating the user's input into device-generated speech;
    Being a device used solely by the individual who has severe speech impairment;
    May have digitized speech output, using prerecorded messages, less than or equal to 8 minutes recording time;
    May have digitized speech output, using prerecorded messages, greater than 8 minutes recording time;
    May have synthesized speech output which requires message formulation by spelling and

    More

    Moffatt, David L. Title: President/Chief Executive Officer
    Organization: Prentke Romich Company
    Date: 05/28/2015
    Comment:

    Submitted electronically to CAGinquiries@cms.hhs.gov

    Dr. Subash Duggirala
    Centers for Medicare & Medicaid Services
    Department of Health and Human Services
    Attention: CMS-1614-P
    P.O. Box 8016
    Baltimore, MD 21244

    RE: National Coverage Determination 50.1: Speech-Generating Devices (SGDs)

    Dear Dr. Duggirala:

    On behalf of the employee owners of Prentke Romich Company and the individuals we serve I want to extend our appreciation for the draft

    More

    Molina Rivera, Effie Title: Universityu of Puerto Rico
    Organization: Assitive Technology Program
    Date: 12/02/2014
    Comment:
    From: Puerto Rico Assistive Technology Program (PRATP)
    To: CMS
    Date: December 2, 2014
    Subject: Speech Generating Devices (SGD) – Public Comment Period
    ===========================================================
    Recently Medicare policies have changed the provision process of SGDs in three significant aspects: a) restricting the “unlocking” of SGDs for other functions, b) introducing a capped rental system, and c) frequent coverage denial for eye tracking

    More

    Mollerud, Jennifer Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Molloy, Andrea Title: Speech Language Pathologist
    Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Mondz-Kleinman, Julie Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Monken, Delsie Date: 12/03/2014
    Comment:
    The current Medicare policy on speech therapy discriminates against all stroke survivors. The monetary cap is way too low. This forces stroke patients to seek help from suppliers of therapy devices and speech therapy programs. Medicare must cover unlimited amounts of coverage for these patients. We paid into Medicare since the beginning and now that we need the benefit we are told only for a short time and only a very limited amount of coverage. Stroke survivors can recover, it sometimes

    More

    montgomery, michael Date: 12/05/2014
    Comment:
    Please allow me to voice my support for making speech generating devices available to people who require them. Staying connected to the world is vital, and I support helping ALS patients and others who this. Thank You
    Montgomery, Tommy Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage

    More

    Montufar, Deana Title: Speech Therapist, AAC Consultant
    Organization: Bancroft
    Date: 11/26/2014
    Comment:
    Communication is a human right that should not be denied. Quite literally, by denying claims for Speech Generating Devices, you will be doing just that! As individuals who serve people with disabilities, we have a responsibility to not only ensure that their wants and needs are being met, but that we are fostering their independence. How are we to do this if we simply do everything for them, and assume what they want and how they wish to live their life? Not to mention that 90% of individuals

    More

    Moon, Nathan Title: Chair, Government Affairs Committee
    Organization: RESNA, The Rehabilitation Engineering and Assistive Technology S
    Date: 05/29/2015
    Comment:

    May 29, 2015

    VIA ELECTRONIC DELIVERY

    Centers for Medicare & Medicaid Services
    Department of Health and Human Services
    Attention: CMS-1526-P
    P.O. Box 8010
    Baltimore, MD 21244-8010

    Re: Proposed Decision Memorandum, Proposed Scope of Benefit NCD: Speech Generating Devices

    RESNA, the Rehabilitation Engineering and Assistive Technology Society of North America, is the premier professional organization dedicated to promoting

    More

    Mooney, Aimee Organization: Oregon Health and Sciences University
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Moore, Kerry Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Moore, Mallory Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Moragues, Maria Date: 12/06/2014
    Comment:

    December 6, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Morales, Kristin Date: 12/02/2014
    Comment:

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage Decision (NCD), CMS should:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as

    More

    Morano, Amanda Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Morano-Villhauer, Amanda Title: Speech Language Pathologist
    Date: 12/03/2014
    Comment:
    As a medical professional working with patients who desperately need a method of communication, I ask you to consider these recommendations. I frequently work with patient's who lose the ability to communicate verbally, whose lives are dramatically improved by having a speech generating device. With a communication device, these clients can participate in life as you and I do. They can express basic needs, pain, they can participate in medical discussions and decisions about their own care,

    More

    Morford, Megumi Date: 12/05/2014
    Comment:
    Thank you for reinstating policy to provide speech generating devices to the disabled. I understand, however, that you are considering locking the devices and not providing Internet. The Internet allows disabled to perform critical tasks and also allows them to be purposeful and productive in our economy. Please include Internet access with speech generating devices for the speech impaired.
    Morgan, Candice Date: 12/06/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Morgan, Kathleen Date: 12/06/2014
    Comment:
    Please update the Medicare Reimbursement Code to include the new technology related to speech - Speech Generating Devices. With technology now offering the opportunity for people to continue to communicate with speech as a result of a debilitating medical issue, it is an expectation of the people that government social services keep pace and approve these items for reimbursement. Thank you.
    Morgan, Susan Title: Speech-Language Pathologist
    Organization: center for pediatric therapies
    Date: 12/03/2014
    Comment:

    Imagine you are the parent of a child who is not able to communicate verbally. You have already mourned the loss of your healthy child you hoped for, now you have to mourn the loss of this integral part of our species. You want for your child to excel beyond you, to do better than previous generations and create their own independence. However, how are they to do this when attempts to communicate fail and lead to isolation?

    Then you find SGDs through your network of supportive

    More

    Morgan, Melanie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Morley, Elizabeth Title: SLP
    Organization: SCEC
    Date: 12/06/2014
    Comment:

    Dear Friends, I have been working with clients using speech generating devices for more than 30 years. All of my clients have this in common: they all surprise me and those closest to them with their spontaneous thoughts, feelings, emotions and ideas with their devices. Listeners view their loved ones differently and with new respect. Clients are empowered with their new voices to self advocate for their pain management, health, relationships and recreation. Speech generating devices

    More

    Mornout, Claudia Title: Clinical Professor, Director of Clinical Education
    Organization: Purdue University/ASHA
    Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Morrell, Susie Date: 11/24/2014
    Comment:

    To Whom This May Concern,

    I'm a RN coordinator for UCSD ALS Clinic. I can not tell you how many times the Speech Generating Device has help and aided our patients. Making them to keep their independence. Please I ask you not to take it away from them-since this is the sometimes the only way to communicate. Tears of gratitude from our patients is worth it all. If you have any questions, please do not hesitate to contact me

    Sincerely,

    Susie Morrell

    Morris, Susan Date: 12/05/2014
    Comment:
    Speech generating devices improve both the function and quality of life for many seriously disabled individuals suffering from ALS and other similar diseases. In addition, these individuals and devices must have full internet access in order achieve maximum function, safety and interaction with other family and friends.
    Morris, Charles Title: Mr
    Date: 12/05/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Morris, Connie Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    morrison, katie Date: 12/05/2014
    Comment:
    It is a disservice to Americans who rely on technology to communicate and effectively and productively function in daily life to "lock" their communication devices from accessing text messaging and the internet. Onesmall example of the importance of the internet for those with disabilities: one might not be able to independently get to the bank due to a disability, but could independently coordinate their own finances using the internet. I support and advocate for these communication devices

    More

    Morrison, Lauren Title: Speech Language Pathologist
    Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Morrison, Susan Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Morse, Diane Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Morse, Kathy Date: 11/25/2014
    Comment:
    Assistive technology devices are a crucial component in many peoples' ability to communicate. Imagine the frustration of not being able to make your needs known. For those who were unable to speak before, the world was opened up because of these devices. Allowing a wider range of devices to be utilized would open up the world even more, greatly increasing the benefits assistive technology devices can offer. Please consider adding a wider variety of devices to be covered by the policy, thus

    More

    Mosely, Sarah Title: Speech Language Pathologist
    Organization: Shepherd Center
    Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Motherway, Tom Date: 12/05/2014
    Comment:
    Isn't the fact that the CMS is taking comments on the internet sufficient proof that SGDs without internet access are woefully inadequate? Imagine soliciting comments on a policy affecting, say, ALS patients and then denying those same patients the ability to comment. We use the internet to shop, bank, communicate and navigate through health insurance issues. Denying those necessities as well as the ability to participate in the democratic process seems unreasonably harsh.
    Mount, Branden Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Moynihan, Janelle Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Mueller, Wendy Date: 12/06/2014
    Comment:

    The use of communication technology is becoming more and more intimate with all members of society. Nowhere is this more evident than within communities of individuals who use this technology to share and connect with the rest of the world. The devices human beings use to communicate, when other avenues are lost, must have the ability to be tailored to their specific needs.

    The terms of the capped rental category put the individual at risk of losing his or her method of

    More

    Muiznieks, Amy Date: 05/28/2015
    Comment:

    Please for [PHI Redacted] and other ALS patients don't take the only thing they have away. The only way they can say ANYTHING!!!! They can't move or speak so how do they tell someone what is wrong or what they need?!?!?

    Muiznieks, Amy Date: 05/21/2015
    Comment:
    How do you expect anyone who cannot talk or move their limbs to communicate what they need or want? All they can do is move their eyes. Someone just give me a solution to that problem if communication devices are not provided for ALS patients. Just try to think of yourself in this horrible state of health. I don't want my mom to NOT have access to this device. What about your mom???!!!???
    Mullaney, Christine Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Mullaney, Micaela Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    munite, tony Date: 12/02/2014
    Comment:

    A close friend of mine was diagnosed with ALS in 2014. His speech was affected first. He is losing the ability to speak more and more as every day passes.

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies

    More

    Munoz, Erick Title: Attorney
    Organization: Solo Practitioner
    Date: 12/05/2014
    Comment:
    The fact that this public comment is being made through an internet connection should be the end of the discussion. These definitions should be expanded and construed broadly to include any and all devices including internet enabled phones, tablets, and PC's to communicate without restriction.
    To do otherwise is to lose contributions from valued citizens and is simply a self destructive policy.
    Murashima, Cindy Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    murphy, cheryle Date: 12/05/2014
    Comment:

    Absolutely offer a Speech Generating Device to all individuals who need one.

    On a personal level I am appalled and disheartened that this is even a discussion.

    First part of my plan:
    If Medicare must save money, offer it free to the clients who can not afford it.

    Here's why: They will never be able to afford it. Nobody will come to their rescue.
    It's up to gov't agencies to help the weakest of our society. That is why we originally created these

    More

    Murphy, Thomas Organization: Mr.
    Date: 05/26/2015
    Comment:

    Speech Generating Devices need to be approved/allowed for all forms of communication. Limiting people with ALS by not allowing text, email and other forms of Internet-based communication with the SGD is wrongon so many fronts.

    [PHI Redacted]
    Murphy, Eric Date: 12/05/2014
    Comment:
    I feel strongly that it is important for individuals requiring support equipment also have access to the internet. Given our societies dependence on the Internet to maintain and lead productive lives please consider this as a very valuable necessary item. Thank you.
    Murphy, Katie Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage

    More

    Murphy, Todd Date: 12/05/2014
    Comment:
    SGD's are about more than communicating with a doctor or another person in the room. These devices are the lifelines to the world for people with disabilities. Modern technology can enable people to continue to be active and productive members of society. This is essential not only to their physical health, but their mental health as well. Internet access is crucial to these individuals. It gives them the ability to research treatment opportunities and consult with physicians around the

    More

    Murray, Lisa Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Murray-Branch, Jamie Title: Clinical Professor Emerita
    Organization: University of Wisconsin and Enhancing Communication Services
    Date: 12/04/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    murtagh, patrick Organization: 1979
    Date: 12/05/2014
    Comment:
    If the only way for people with ALS to communicate with others is through the computer, internet access and a computer, then it should be covered under medicare.
    Musa, Carla Date: 12/05/2014
    Comment:
    Just put yourself in the shoes of the people living with diseases like ALS - and those of their families. How on earth can you take away what is a FUNDAMENTAL right? The freedom of speech cannot be limited to what the "average" citizen is capable of speaking.
    Musheno, Kim Title: Director of Public Policy
    Organization: Association of University Centers on Disabilities (AUCD)
    Date: 05/29/2015
    Comment:

    The Association of University Centers on Disabilities (AUCD) is pleased to comment on the recently released draft National Coverage Determination (NCD) on speech generating devices (SGDs). AUCD is a non-profit national organization representing over 100 university centers that conduct research, provide interdisciplinary training and education, and provide direct services for and with people with developmental and other disabilities.

    AUCD commends CMS for responding to the concerns

    More

    Musheno, Kim Title: Director of Public Policy
    Organization: Association of University Centers on Disabilities
    Date: 12/05/2014
    Comment:

    December 6, 2014

    SUBMITTED ELECTRONICALLY via CAGinquiries@cms.hhs.gov

    Laurence Wilson
    Director of the Chronic Care Policy Group
    Centers for Medicare and Medicaid Services
    U.S. Department of Health and Human Services
    Attention: NCD 50.1: Speech-Generating Devices
    P.O. Box 8016

    Baltimore, MD 21244

    Dear Mr. Wilson,

    On behalf of the Association of University Centers on Disabilities (AUCD), I would like to thank you for allowing me to

    More

    Muslar, Elena Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Musoni, Lynnette Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Musto, David Date: 12/05/2014
    Comment:
    Medicare's proposed limitations on coverage for Speech Generating Devices, SGDs, is in total disregard of anybody having a speech deficiency. Whomever is responsible for determining these restrictions for a person to communicate, with the technology that is available today, is acting with a narrow-minded perspective. Please consider the quality of life deserved by all persons in your decision to expand Medicare coverage to SGDs with applications that would allow patients to access the

    More

    Musto, Amanda Title: Resident Physician
    Date: 12/05/2014
    Comment:
    I greatly appreciate the opportunity for the public, including myself, to share our perspective on Medicare's proposed limitations on coverage for speech generating devices. Someone close to me has been diagnosed with ALS, predominantly affecting his ability to speak. Speech, language is one of the most distinguishing factors that makes us human. Patients with ALS do not lose the ability to develop and understand language from a cognitive standpoint, but lose the motor capabilities to express

    More

    Mutch, P. Jane Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Muttiah, Nimisha Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Muttillo, Emily Title: Project Coordinator, Aging and Disability Resource
    Organization: City of Cleveland Department of Aging
    Date: 11/20/2014
    Comment:
    Speech generating devices are often the only means of communication for individuals living with disability and disorder that limit the ability to speak. Without these devices the health of such an individual suffers as they are unable to fully communicate their health concerns. Having these devices be covered by Medicare would serve as a preventative health benefit and ultimately reduce health care costs for speech impaired beneficiaries.
    Myer, Lindsey Date: 12/05/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Myers, Cathy Title: Registered Nurse
    Organization: UMMS
    Date: 05/21/2015
    Comment:
    This is about Freedom of Speech! A right not a privilege! Do not take away freedom of speech devices away from those without a voice!
    Myers, Bridget Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Myers, William Date: 12/03/2014
    Comment:

    "Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking needs. Speech-generating devices are characterized by:

    Being a device that produces speech by translating the user's input into device-generated speech;
    Being a device used solely by the individual who has severe speech impairment;
    May have digitized speech output,

    More

    Mysinger, Kellie Date: 12/05/2014
    Comment:
    Since the technology that encompasses Speech Generating Devices has advanced well beyond that available in 2001 when the initial definitions were created, a change to bring the definition - and therefore the coverage - current so that those who benefit from these devices can continue to function and communicate not only with someone in the same room but with their caregivers, medical providers, and others through electronic means. This should result in better care provided, less chance that

    More

    Na, Ji Young Title: Doctoral student
    Organization: Pennsylvania State University
    Date: 05/26/2015
    Comment:
    - The draft NCD is very good and we want to thank Medicare staff for addressing the most important concerns that had arisen in 2014 regarding Medicare SGD coverage;
    - The expansion of the definition of “speech” to include communication by texting, e-mail and phone is a very positive development;
    - The recognition that SGDs' non-communication capabilities and features can be made available, even though non-covered by Medicare, is a very positive development, and the procedure to -

    More

    Na, Ji Young Organization: The Pennsylvania State University
    Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Nadeau, Paul Date: 12/05/2014
    Comment:
    Access to the internet is a normal and essential part of all of our lives. It is imperative that every American has access especially the disabled.
    Nagy, Steve Title: Healthcare Management Consultant
    Date: 12/05/2014
    Comment:
    A majority of the U.S. citizens are connected to the internet almost 24/7 via their computers, phones or tablet devices. As medical technology progresses, those devices are becoming more dependant on internet connectivity. Allowing medicare to pay for internet connectivity so individuals using these devices can stay connected for medical and personal reasons is a logical decision our country should undertake for those qualified individuals.
    Nanof, Tim Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Nanstiel, Norman Organization: Aurora Symbols LLC
    Date: 12/04/2014
    Comment:
    Today iPads, Android tablets and many other devices are capable of running speech or Augmentative & Alternative Communication software, making speech aid available to millions of families that otherwise could not afford to help their children and loved ones express themselves. The ability to communicate is a vital component in the treatment of nonverbal individuals. Without it life can be like being dropped into a foreign land where no one understands you. This is frustrating and

    More

    Narlock, Melanie Date: 12/05/2014
    Comment:
    "My friend has ALS. Before he lost the ability to speak and type and use a computer mouse his job was video editing and graphic design. He needed to use the internet everyday to provide for his family. He has been helped through his ALS journey by connecting with his friends and family on Facebook and by writing his blog. In this day and age in America every person deserves the right to communication...with disabilities or not...and this includes communicating through the internet."
    Nathan, Janice Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Neely, Kimberly Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Negron, Marilyn Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    neher, john Organization: tax payers against gift takers
    Date: 12/06/2014
    Comment:
    people deserve all of the help needed to make life as easy as possible. mist of these people have paid taxes all there life. we need to stop giving to foreign countries and illegals and take care of the people that paid in.
    Neher, Donna Date: 12/06/2014
    Comment:
    Please continue funding for SGD's for ALS patients as well as allowing for internet access for the devices. This technology allows the patient access to communicating with families, physicians and the world in general.
    Neighbors, Judy Title: Registered Nurse
    Date: 12/05/2014
    Comment:
    Please provide communication device, i.e. internet service for ALS individuals.
    Nelms, Annette Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Nelson, Christina Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Nettles, Tiffany Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Nettles, Lori Date: 12/02/2014
    Comment:
    Please do not restrict people from being able to use their devices to contact caregivers, emergency services, family, and the outside world. People who use these communication devices shouldn't be prohibited from the technology the devices were built for. It is critical that we allow these devices to be used to their fullest potential and for users to have FULL access to communication.
    Neu, Anne Date: 05/22/2015
    Comment:

    Almost 2 years ago, [PHI Redacted] was diagnosed with ALS at just 40 years old. [PHI Redacted] He has lost the use of his arms and legs, can no longer hold his own head up for more than a few seconds, can't feed himself, and relies almost entirely on our family to do everything for him. Right now, due to speaking being very difficult, most of our communication is through texting and email. His SGD with eye gaze technology has been ordered because he is

    More

    Neville, Rebecca Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Newroe, Bill Organization: Access rep
    Date: 12/06/2014
    Comment:
    Regarding restrictions to universally accessible and usable PDAs, like iPads and Droids, as SGDs, rather than, say dedicated AAC computer touch tablets like Dynavox is frankly more expensive. Keeping COVERAGE to only dedicated AAC touch tablet devices has of course become expensive for CMS, and rental options for coverage is a likely alternative. Why not cover and purchase a much more inexpensive smart tablet (everyone understands and uses) than A very expensive dedicated system that hardly

    More

    Nichols, Shanna Date: 12/05/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Nichols, Courtney Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Nicholson, Lisa Date: 12/05/2014
    Comment:
    Please consider broadening your definition of devices to include tablets and other computer devices that support speech generating software. Also, please include integrated functionality features to allow interaction by the user/patients with the Internet, email, and other programs that simplify communication with caregivers, family, medical staff, etc.
    Niemiec, Kristen Title: Speech-Language Pathologist
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Nightingale, Melissa Date: 05/29/2015
    Comment:

    I think this is a complete misuse of your power. Do you realize that a person with ALS loses their complete ability to communicate and a lot of people with ALS can only communicate via a speech generated device. Also, most pALS end up completely paralyzed and home-bound, they can't get out of their house and having support of family, friends and other people with ALS can be just a click away via the INTERNET and if you block that feature, the feature that keeps the device from connecting to

    More

    Nimmo, Michelle Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Ninnemann, Billye Date: 12/04/2014
    Comment:

    Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    Keep access to capabilities, features and functions that support device function as an SGD.

    Continue to allow SGD manufacturers to include environmental control capability.

    Continue to allow SGD manufacturers to provide phone control as an SGD feature.

    Authorize manufacturers to unlock SGDs: Allow upgrades to provide access to non-speech functions.

    Keep

    More

    Nobriga, Christina Date: 12/03/2014
    Comment:

    Christina Nobriga
    11970 Pinon Ct.
    Yucaipa, CA 92399

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by

    More

    Noel, Julie Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Noesen, Morgan Date: 12/05/2014
    Comment:
    Access to technology for communication is a basic part of everyday life in America and the pathetic part of this discussion is that those who are most impacted by this are unable to comment here due to this very policy. The simple fact is that access to the internet is not a "fun privilege" any longer, it is a norm in society that can additionally provide a desperately needed improvement in the ability to communicate for those who would not otherwise be able. Spend five minutes with a patient

    More

    Nogle, Jenny Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Norblom, Shari Date: 05/21/2015
    Comment:
    Please see that there is an absolute need for people who've lost their ability to speak to communicate using devices like Steve Gleason has. Not being able to communicate is devastating and if something can be done, it should be done to help.
    Norris, Alice Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Norwell, William Date: 12/06/2014
    Comment:
    All humans have the right to communicate including those who need existing practically costed faciliators.
    NORWELL, SUSAN Title: Educational Specialist/Rett Syndrome
    Organization: Focused Learning Solutions
    Date: 12/04/2014
    Comment:
    The right to free speech is an ideal our country was founded on and yet we are debating the right (for a protected class) to have that right. SGD are not FRINGE services, unless the readers of this statement would be willing to give up their ability to express themselves with their peers and their families. I would challenge those in decision making capacity to interact with their families and friends for 24 hours WITHOUT talking. And you cannot cheat by writing as most individuals that

    More

    Nuss, Josh Title: Executive Director
    Organization: The ALS Association, Iowa Chapter
    Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Nye, Meredith Title: speech-language pathologist
    Organization: Duke ALS Clinic..
    Date: 12/05/2014
    Comment:

    I am a speech-language pathologist, and I work with adults with communication disorders. I am also a member of the Duke ALS Clinic team. I am writing to urge you to please read the comments posted below and to consider the impact that some of the proposed changes will have on our patients. I work with patients on a weekly basis that rely on speech generating devices for all of their communication needs including not only face to face interactions, but also correspondence over text, email,

    More

    Nygard, Joni Title: Director Speech & Language Product Development
    Organization: Attainment Company
    Date: 12/06/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). As an SLP who specializes in augmentative alternative communication, I strongly believe that I must speak out for those who are unable to speak. In so many situations it has been critical for my clients to access features of SGDs that are identified within my comments below. I have had many persons who have contacted me and asked who do they talk to about Medicare Funding. Thank

    More

    O'Brien, Robert Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    O'Brien, Beth Date: 12/02/2014
    Comment:

    December 2, 2014

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative

    More

    O'Connell, Eileen Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    O'Grady, Gwendolyn Title: Assistant Professor
    Organization: Duke University Medical Center
    Date: 12/05/2014
    Comment:
    I welcome this opportunity to express my opinions and to provide input on Medicare policy regarding speech-generating devices (SGDs). I am a clinical director (Speech Pathology and Audiology) in a large tertiary care hospital and have worked with communicatively impaired individuals for nearly 35 years. The patients that we have cared for and transitioned from inpatient to outpatient services have been successful due to the use of SGDs. The Medicare funded SGDs enable people with complex

    More

    O'Hara, Bridget Date: 12/06/2014
    Comment:
    I strongly believe that the decrease in funding to individuals who require AAC devices would be detrimental for both those who need the device along with the companies that they work for. This is because the individuals themselves would have to provide these devices, causing them to spend money that they do not have. As for the companies and businesses involved, they are going to lose employees that are no longer able to communicate because they cannot receive the funds that they need to make

    More

    O'Mara, Kevin Date: 12/05/2014
    Comment:
    Access to the internet is absolutely essential. Without access the disabled can't consult with doctors, manage finances, research treatment, etc. Access to the internet is normal and necessary part of everyday life, even moreso for the disabled.
    O'Neill, Briana Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Oatis, Amy Date: 12/02/2014
    Comment:
    Please do not discontinue coverage for speech generating / communication devices that connect to the internet or other forms of computer technology. In this rapidly changing world, all forms of connectivity to ensure that patients have voices must be supported, please. A person who has ALS or another physically debilitating disease still needs access to doctors, emergency help, family, teachers, caregivers, pharmacy, etc. People who use these communication devices shouldn't be prohibited from

    More

    OBrien, Meghan Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Ochis-O'Neil, Hannah Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Olavarrieta, Rachel Date: 12/05/2014
    Comment:
    Access to the web, is a "normal" part of functional life in America. The internet allows disabled to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy without these tools (that every functional American uses!) the disabled are at higher health risk in emergency, & told they're not useful
    oliveri, brittany Date: 12/05/2014
    Comment:
    Please allow people who have these types of needs to be able to have tablets/use of internet/speech software in order for them to be able to communicate, see their doctors, etc. It is essential for them to be able to have internet access in this day and age.
    Olsen, Scott Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Opich, Nick Date: 12/05/2014
    Comment:
    Internet is essential for people with disabilities the same way it is essential for everyone. Do not discriminate.
    Orr, Ann Date: 12/06/2014
    Comment:
    Please do not lock out AAC users from essential communication and Internet capabilities. This is so unjust and illogical. Please do the right thing and make sure all features are available to all AAC users.
    Ortega, Victoria Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Oseguera, Jessica Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Ouimette, Laura Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Overton, Linnet Organization: Disability Rights Tennessee
    Date: 12/05/2014
    Comment:
    Disability Rights Tennessee (DRT) is a private, nonprofit agency which works to end discrimination and protect the civil rights of people with disabilities. DRT is Tennessee’s federally mandated Protection & Advocacy System and administers the Protection & Advocacy for Assistive Technology program. Our agency has significant experience advocating on behalf of and protecting the legal rights of persons with disabilities who utilize assistive technology. DRT has engaged in these efforts through

    More

    p., a. Date: 12/05/2014
    Comment:
    Patients with ALS and other debilitating diseases must have access to the Internet, Texting, and other communication devices. To expect them to do with out is to ask them to suffer. They deserve the same basic utilities we all have. They must have access to these tools in order to thrive despite their conditions. Withholding funding for these fundamental, necessary tools is inhumane. Please act as soon as possible.
    Pacheco, Anastasia Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Pagano, Anne Date: 12/05/2014
    Comment:
    Love it or hate it, technology is a part of our society and, in many ways, a necessity. While I do not know firsthand the physical limitations that keep some people from leaving their homes and interacting with others, I do remember feeling isolated when I had young children and lived in new town. I used the internet for staying in touch with the outside world, news, communicating with family and friends and "escaping" through movies/shows/etc. This was a short time of my life and it was hard

    More

    Page, Raymond Date: 12/06/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Page, Anne Date: 12/05/2014
    Comment:

    I support this : a group that included policy experts from ASHA, the Amyotrophic Lateral Sclerosis Association (ALSA,) and representatives from SGD manufacturers has discussed and agreed on edits to the NCD 50.1 to submit to CMS as a united stakeholder group. The recommended edits are the result of several meetings, revisions, and discussions and include:

    No changes to the definition of SGD
    Deletion of any disqualifying characteristics
    Inclusion of device access technology,

    More

    Page, Jodel Organization: St. Cloud State University
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Page, PhD, CCC-SLP, Judith L. Title: 2015 President
    Organization: ASHA
    Date: 05/29/2015
    Comment:

    May 29, 2015

    Dr. Subash Duggirala
    Centers for Medicare & Medicaid Services
    Department of Health and Human Services
    Attention: CMS-1614-P
    P.O. Box 8016
    Baltimore, MD 21244

    RE: National Coverage Determination 50.1: Speech-Generating Devices (SGDs)

    Dear Dr. Duggirala:

    The American Speech-Language-Hearing Association (ASHA) is the national professional, scientific, and credentialing association for 182,000 members and affiliates

    More

    Palma, Erin Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Palmer, Derek Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Palmer-Flory, Charice Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Palumbo, Lauren Date: 05/29/2015
    Comment:

    I would like to begin by stating that the draft NCD is very good and to thank Medicare staff for addressing important concerns regarding Medicare SGD coverage that arose in 2014. However, Medicare needs to adopt a final revised NCD for SGDs as soon as possible. The positive changes in the draft will not be implemented until this is done. Confusion and harm to beneficiaries will continue to occur from the policy changes made in 2014. In addition, Medicare did not address 'capped rental' or

    More

    Panatier, Megan Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Panatier, Megan Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Panebianco, Marcia Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Pappas, Christina Organization: Muscular Dystrophy Association
    Date: 11/25/2014
    Comment:
    Please consider speech generating devices to no longer be rentals but patients will result in more benefits if they can purchase the device.
    Please allow the coverage of medically necessary accessories for access including but not limited to eye technology.
    Patients with thrive with the ability to use functions such as email and text messaging so they can stay connected to others and not be isolated by their condition.
    Paratore, Renee Date: 12/05/2014
    Comment:
    I work with kids and adults who are non-verbal for a variety of health reasons. these individuals need a way to communicate, to express their feelings, wants, needs, etc...it is imperative that a SGD be covered with their Medicare insurance which would allow these folks to have an opportunity in life to be a apart of our society...like any one else.
    Parker, Melissa Date: 05/28/2015
    Comment:
    Please, please, please allow all those w ALS to be able to communicate.
    Parker, Liz Date: 12/05/2014
    Comment:
    Access to the internet is essential and a normal part of functional life in America.
    Parker, Christina Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Parks, Jen Date: 12/05/2014
    Comment:
    Please keep access to ALL.
    Parra-Gruendel, Elizabeth Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Pascavage, Emily Date: 12/03/2014
    Comment:
    When they no longer have a voice, it is crucial for ALS patients to have access to speech generating devices in order to communicate with the world around them. Imagine what not having an important means of communication would be like for you! When patients with ALS can't move, smile, or breath independently, they need a way to "speak" to the world around them. We may not have found a way to bring the other things back to the patient, but we have found a way to let their voice be heard- now we

    More

    Paszkowski, Kimberley Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Patel, Lana Date: 12/05/2014
    Comment:
    Imagine not being able to speak or sign, but your mind is fully competent and aware. If this device was your only option to communicate anything, would you want to be denied of it? Let's do the right thing here. Make this available for those who really need it.
    Patel, Dave Date: 12/04/2014
    Comment:
    I support coverage of SGDs that also have internet access and I support coverage of eye-gaze interfaces to SGD's.
    Patrick, Emma Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Patten, Iomi Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Patterson, Glenda Date: 12/05/2014
    Comment:
    I have witnessed first hand the benefit of Speech Generating Devices in the lives of those with ALS. I watched someone I love fight to communicate his wishes for his family, his needs from the professional health care providers as well as his daily personal needs. These are things those of us with the ability to speak and access readily available technology take for granted. Without this the ability to email, access online medical communication, research disease progression and possibly

    More

    Payne, Lauren Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Payne, Bob Date: 12/05/2014
    Comment:
    The internet is essential for those with disabilities!
    Payton, Christa Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    pearson, sibylle Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Peavey, Judith Date: 12/06/2014
    Comment:

    December 6, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such

    More

    Peckett, Donna Date: 11/12/2014
    Comment:
    I support CMS paying for augmented communication devices that are needed by patients.
    Peek, Leon Date: 12/05/2014
    Comment:
    A SGD is all people with ALS have left - to talk to family members and the World .
    Peek, Leon Date: 11/21/2014
    Comment:
    Speech Generated Devices are a real concern to people with ALS. A voice is something know one should be without.
    Peltier, Hannah Title: Communications Associate
    Organization: Les Turner ALS Foundation
    Date: 12/05/2014
    Comment:
    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.
    ALS is a fatal neurodegenerative

    More

    Pendergrass, Carla Date: 05/21/2015
    Comment:
    Today's communication is more than just speech. Facebook, social media, email, text messages, etc., are all common ways of communicating beyond speech. There is no common sense in the Medicare rules denying access to these and other forms of communication on the Medicare approved communication devices (aka Speech Generating Devices). Please, change these rules sooner, rather than later.
    Peng, Kevin Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Pennington, Terry Date: 12/06/2014
    Comment:
    Lingraphica Touch Talk Tablet
    Peplinski, Traci Title: SLP
    Organization: Integrated Therapy Services
    Date: 05/29/2015
    Comment:

    To whom it may concern

    I would like to make comments on the proposed revised national coverage determination for SGDs.

    I want at to start by saying thank you for addressing the major concerns of the AAC community about SGD coverage that came about in 2014. As we know communication includes far more than just speech. We all communicate in many ways using technology on a daily basis. I’m communicating with you right now via email. So the expansion of the definition of

    More

    Perdue, Miriam Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Peretti, Francesca Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Perez, Sarah Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Perez, Amy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    perkins, melanie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Perry, Melville Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Peters, Betts Title: Speech-Language Pathologist
    Date: 05/27/2015
    Comment:

    Thank you very much for addressing most of the concerns raised by stakeholders regarding the 2014 SGD 'coverage reminder'. The draft NCD includes several important changes that will positively impact the lives of Medicare beneficiaries with speech impairments, and help them access appropriate and necessary SGD technology. In particular,
    - The expansion of the definition of “speech” to include communication by texting, e-mail and phone is a very positive development;
    - The

    More

    Peters, Betts Date: 12/05/2014
    Comment:

    As a speech-language pathologist and augmentative and alternative communication specialist, and have seen firsthand how important speech-generating devices (SGDs) are to people with disabilities, and to their family and friends.

    Since the 2001 NCD, Medicare has covered SGDs for beneficiaries with severe speech impairments. These devices, when purchased, were dedicated and could not access the internet or other computer functions outside of the communication software. Medicare

    More

    Peters, Betts Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). As a speech-language pathologist specializing in augmentative and alternative communication (AAC), I am extremely concerned about this issue. For several years, I worked for the local chapter of The ALS Association, providing AAC services to people with ALS. The majority of my clients with ALS were Medicare beneficiaries, so I have extensive experience helping clients obtain and use

    More

    Peterson, Kirsten Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Peterson, Michael Title: Speech-Language Pathologist
    Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Peterson, Diane Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Peterson, Michael Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Peterson, Michael Title: Speech-Language Pathologist
    Date: 11/06/2014
    Comment:

    I am a speech-language pathologist who has worked for a number of years with a very large number of individuals who rely on SGD every day to meet their communication needs. I welcome the decision by CMS for reconsideration of this NCD to address forms of communication other than speech. In this increasingly connected world, medically necessary communication has increasingly included electronic forms of communication. This includes, but is not limited to email, text messaging, and even phone

    More

    Petrulsky, Maura Date: 12/05/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Pettersen, Jennifer Date: 12/05/2014
    Comment:
    Stop marginalizing the segment of our population that requires speech generating devices to communicate. They are as dependent on access to the Internet as anyone else. Is this a funding issue?
    Pevsner, Janet Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Phillips, Sally Title: President
    Organization: Florida GLBT Democratic Caucus
    Date: 12/04/2014
    Comment:
    Speech Generating Devices (SGDs) gives those who cannot otherwise communicate the ability to do so despite the failure of their own body to support vocalizing thoughts, feelings and comments. The ability to communicate to treating physicians has had an immeasurably positive impact upon the health of all people who's cognition is intact, but unable to communicate due to physical impairments. The health care of a patient should not depend on functional vocal chords, but with out them, the

    More

    Phipps, Kelsey Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Pickett, Courtney Date: 12/05/2014
    Comment:
    Considering ALS has no cure, as one example of a population that uses SGDs, the primary treatment for a person with ALS (PALS) is to maximize their quality of life. With ALS, a person still remains cognitively intact. In a study by Young and McNicoll (1998), it was shown that factors that contribute to a more positive quality of life in PALS are communication with loved ones and intellectual stimulation. The only way most PALS can effectively communicate with those outside of their immediate

    More

    Pierce, Kelli Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    pierson, Katie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Pinciotti, Jim Title: Executive Director
    Organization: The ALS Association
    Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    Having worked with people

    More

    Pipkin, Kristina Date: 11/25/2014
    Comment:
    Please allow speech generating devices to no longer be rentals but to be purchased items for patients.
    Please allow the coverage of medically necessary accessories for access including but not limited to eye technology.
    Please allow the ability to use functions such as email and text messaging for individuals with that need.
    Pisciotto, Nancy Date: 12/05/2014
    Comment:
    Computers, tablets, and ipods are very effective communication devices for individuals with autism. Communication is MORE THAN text to speech.
    Pittmann, Rachel Date: 12/04/2014
    Comment:
    Make good on your promises to patients. Don't remove benefits that they are entitled to!!
    Pitts, Geraldine Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Pizzolato, Gene Title: Speech/ Language Pathologist
    Date: 12/02/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.
    Plakke, Bruce Title: Department of Communication Sciences and Disorders
    Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Pleasant, Jill Title: Program Director
    Organization: NAU- Arizona Technology Access Program
    Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). As an occupational therapist and assistive technology specialist, it is of critical importance to the individuals we serve that CMS carefully considers the following information:

    SGDs are a vital (and often the only effective) means of communication for individuals with speech and language impairments, who frequently have co-occurring severe physical impairments. They

    More

    Pletka, Farinam Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Poelchau, Julia Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Pohlpeter, Kathryn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Polangin, Arlene Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Polesky, Ronda Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Politano, Patricia Title: Clinical Assistant Professor
    Organization: UIC Assistive Technology Unit
    Date: 12/04/2014
    Comment:
    Thank you for seeking public comment on NCD for SGDs. I am a speech-language pathologist who has worked with individuals with augmentative communication needs for over 25 years.
    Of greatest concern to me is the need for individuals to be able to upgrade their devices for access to the computer functions of their SGD, specifically access to the control panel and Internet.
    * Access to the Control Panel*
    Access to the control panel, is needed by patients who need to be able to use

    More

    Pollens, Robin Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Pollock, Marion Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Pond, Alexa Date: 12/05/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Poon, Fiona Date: 12/06/2014
    Comment:

    December 6, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Popadic, Stephanie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Pope, Tonya Date: 12/05/2014
    Comment:
    While I realize the original intent of the current language of the SSA regarding Speech Generating Devices was an attempt to minimize abuse of the benefit, the changes in technology have made the language onerously restrictive. It also unnecessarily increases costs by requiring dedicated devices. I strongly support modifications to the Speech Generating Devices definition as it pertains to coverage determinations that reflect the advances in technology and changes in methods of communication.
    Popp, Jessica Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Portell, Christina Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Post, Michelle Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Powell, Robert Date: 05/26/2015
    Comment:
    Please help people with ALS and other debilitating illnesses to be able to interact like the rest of the country. There is no reason whatsoever to take away a person's right to communicate.
    Powell, Kathryn Organization: Ms.
    Date: 05/21/2015
    Comment:
    I support the recommendation to expand the DME benefit category to include speech generating devices for patients who suffer from a severe speech impairment and have a medical condition that warrants the use of a device based on the following definitions. Those patients include those who suffer from late stage ALS. These devices enable the patient to communicate with medical providers, caregivers and family members.
    Powell, Kim Date: 05/20/2015
    Comment:
    For those who can no longer speak, communicating beyond speech is paramount to reaching loved ones, to remaining productive, for safety, and for creating a level of independence. Please include such communication devices as Speech Generating Devices on the Medicare approved communication devices. These are so important and necessary for those battling ALS and other diseases. Please don't forget them.
    Powell, Kimberly Date: 12/04/2014
    Comment:
    I have seen the benefit of communication devices within the acute and outpatient setting. These devices not only enhance patient quality of life and patient ability to participate in medical decision making.
    Powell, Kimberly Date: 12/04/2014
    Comment:
    Speech-Language Pathologist
    Powell, Rachel Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Powell, Cheryl Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Power-deFur, Lissa Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Powers, Lisa Date: 05/21/2015
    Comment:
    For those who can no longer speak, communicating beyond speech is paramount to reach loved ones, to remain productive, for safety and create a level of independence.
    Powers, Cara Date: 12/05/2014
    Comment:
    Please add this benefit for patients who are at risk of losing their ability to communicate with their family and friends. This is a basic tenet of healthcare and should be a covered device or product. ALS patients, in particular, are an at-risk population who deserve this benefit.
    Prasad, Ravishankar Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Pressman, Harvey Date: 12/06/2014
    Comment:

    CMS needs to recognize, and to stop misrepresenting, the present situation. Officials at CMS have bee asserting to congressional staffers, to reporters and other media representatives, and to the general public that the new, and more stringent limitations that they imposed on anybody who got a Medicare supported speech generating device early in April 2014 have actually not yet gone into effect. They may actually believe this, but nothing could be further from the truth.

    The best

    More

    Pressman, Harvey Date: 12/06/2014
    Comment:

    The switch to capped rental in April of 2014 is a major present barrier to medically necessary patient access to SGDs and communication devices. Capped rental causes significant problems relating to device upgrades and access to necessary features, even those at the beneficiary’s own expense.

    The inclusion of SGDs as capped rental devices is inconsistent with recent references and decisions made by CMS.Because of the payment rule change to capped rental, access to unlocking must

    More

    Pressman, Harvey Date: 12/06/2014
    Comment:

    Communication beyond face-to-face speech is becoming increasingly essential to the health and safety of Medicare SGD beneficiaries. We know that under the 2001 national coverage decision, the need to be able to speak is considered sufficient justification for medical need, but it is important to note that today, and probably even more so in the future, communication beyond face-to -face speech is becoming more and more important to a patient’s safety as well as the filing of their medical

    More

    Pressman, Harvey Date: 12/04/2014
    Comment:

    CMS should move towards a resolution of the SGD issue as rapidly as possible, and not drag its heels until its self-created deadline of July 31, 2015. There are several reasons why this is imperative:

    1. The current situation, which was created by CMS in the Spring of 2014, is causing real and sometimes serious harm to Medicare beneficiaries with severe disabilities. It is simply not true, as Medicare spokespeople have claimed, that since the very real proposed changes were

    More

    Pressman, Harvey Date: 11/28/2014
    Comment:

    In its important document informing hospitals on ways to "advance effective communication" in order to meet its new communication standard (Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals. Oakbrook Terrace, IL: The Joint Commission, 2010.), The Joint Commission went out of its way to spell out for hospitals that they needed to (1) "Make sure that appropriate auxiliary aids and services are available during treatment

    More

    Pressman, Harvey Date: 11/28/2014
    Comment:

    Regardless of whether the Medicare beneficiary pays extra for it or not, beneficiaries must be able, in the interest of patient safety and more favorable health outcomes, to have the capacity to communicate successfully with their health care providers. This requires, in the words of The Joint Commission, that the individual be able to participate in the “joint establishment of meaning during communication interactions involving health issues.” Health communication interactions

    More

    Presutti, Salvatore Title: Caregiver of Aphasia stricken spouse
    Date: 12/05/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    2. Keep access to capabilities, features and functions that support device function as an SGD.

    3. Continue to allow SGD manufacturers to include environmental control capability.

    4. Continue to allow SGD manufacturers to provide phone control as an SGD feature.

    5. Authorize manufacturers to unlock SGDs: Allow upgrades to provide access to non-speech

    More

    Prevost, Benjamin Date: 12/05/2014
    Comment:
    These devices should be covered, without a doubt! #NoWhiteFlags Team Gleason
    Price, Cheryl Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Prichard, Nathan Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Pruitt, Pamela Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Pryor, Rebecca Date: 12/04/2014
    Comment:

    As a graduate student clinician in speech-language pathology, I have worked with a number of individuals with complex communication needs, including many who use speech-generating devices. With respect to the National Coverage Decision, CMS should do the following:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as

    More

    Puckett, Kathy Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Pugliese, Madalaine Title: Assistive Tech Grad Program Director
    Organization: Simmons College
    Date: 12/04/2014
    Comment:
    Communication is the essence of life. It is inhumane to provide anything less that full and expanding support for alternative and augmentative communication devices and tools. Please do not take away individual rights to free and appropriate speech and participation.
    Pulliam, Wendy Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Pulver, Barry Date: 12/04/2014
    Comment:
    I support coverage of SGDs that also have internet access and support coverage of eye-gaze interfaces to SGDs.
    Purcell Verdun, Laura Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Purtee, Mary Organization: Muskegon Area Intermediate School District
    Date: 05/29/2015
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). SGDs allow individuals, who would otherwise be unable to communicate effectively, to be able to say what they want and need to say to whomever they need to say it, whenever they need to say it, as independently and efficiently as possible. The ability to communicate independently for individuals with complex communication and other needs allows them to live and function with

    More

    Purtee, Mary Title: Teacher Consultant
    Organization: Muskegon Area Intermediate Sch
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    pyle, regina Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Quach, Wendy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Quarles, Jane Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Quarles, Jane Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Quiel, Darlene Date: 12/02/2014
    Comment:

    My friend is living with ALS and I want to show my support for coverage of Speech Generating Devices. I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to

    More

    Quinn, Emily Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Quinton, Melanie Title: New Horizon Loan Program Director
    Organization: FAAST, Inc.
    Date: 12/04/2014
    Comment:
    My name is Melanie Quinton and I am the New Horizon Loan Program Director of FAAST,Inc. (Florida Alliance for Assistive Services and Technology). We are an organization developed by the Assistive Technology Act of 2004 whose mission is to improve the quality of life for all Floridians with disabilities though advocacy and awareness activities that increase access to and acquisition of assistive services and technology. Our mission makes us keenly aware of the necessity of Speech Generating

    More

    Quitto, Takisha Date: 12/05/2014
    Comment:
    stop restricting communication for people with speech generating devices. People with disabilities need to communicate through the Internet too. "
    Rabaza-Saunders, Miriam Title: Senior Speech Language Pathologist
    Organization: Sensory Solutions 4 Kids
    Date: 12/03/2014
    Comment:

    Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking needs.
    Speech-generating devices are characterized by:
    Being a device that produces speech by translating the user's input into device-generated speech;
    Being a device used solely by the individual who has severe speech impairment;
    May have digitized speech output, using prerecorded messages, less than or

    More

    Race, Cassie Date: 12/04/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Radel, LeAnn Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Radice, Elisa Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Ragland, Jacquelyn Date: 12/06/2014
    Comment:

    December 6, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Ragsdale, Jamie Date: 12/02/2014
    Comment:

    December 2, 2014

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative

    More

    Rang, Mariesa Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Rasmussen, abbe Date: 12/04/2014
    Comment:

    Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Ratliff, Kyle Date: 12/02/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Rattner, Kate Date: 12/05/2014
    Comment:

    Kate Rattner 5007 Marchant Dr Nashville, TN 37211

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients

    More

    Raupp, Skye Date: 12/06/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments. They allow individuals with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage Decision (NCD), CMS should:

    1.

    More

    Raymaker, Roberta Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Redd, Shelly Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Redner, Sharon Organization: Ventura County SELPA
    Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Redwine, Rebecca Organization: Besser Brand Group, Inc.
    Date: 12/05/2014
    Comment:
    Please implement these devices into standardized health care. They are so important for the individuals and their families that are so affected by these debilitating diseases.
    Reed, Susanne Date: 12/06/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Reed, Erica Title: Personal Assistant
    Date: 12/04/2014
    Comment:

    Communication is a right and definitely not a luxury. Please consider all of the people who can't do what you & I take for granted daily- verbally speak.

    Not only is it a medical necessity to communicate in urgent life or death situations but it is a matter of quality of life! Please do the right thing and stand up for those who can't.

    Reed, April Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Reed, William Date: 12/03/2014
    Comment:
    Speech generating devices are critical for ALS patients in the later stages of the disease. Communication is a basic human need, and after seeing several family members die of Familial ALS, it is clear to me that Speech Generating Devices are a most important medical device for any patient who is unable to speak, especially to communicate with health care workers regarding treatment options and in emergencies.
    Reed, Teresa Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Reese, Brent Date: 12/06/2014
    Comment:
    I believe that everything should be covered for these speech generating devices in all aspects. Communication is all an ALS patient has left as a life line to let people know what they are thinking and what they are feeling. If any of you that have the power to push this through have any compassion for people that have this terrible disease this should be a no brainer for you. Do what's right!!
    Regan, Darcy Title: Speech-Language Pathologist
    Date: 05/27/2015
    Comment:
    I am writing to urge Medicare to adopt the final revised NCD for speech-generating devices right away. Without this final rule, the already positive changes in the draft will impose negative effects on the individuals who requires speech-generating devices and their families. Please address “capped rental” so that the beneficiary does not have to wait 13-months to own a device. It is also essential that CMS consider lifting the restriction off eye tracking accessories as for many users of

    More

    Regan, Darcy Title: SLP
    Organization: Wyoming Institute for Disabilities
    Date: 12/01/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Reichert, Marianne Date: 12/03/2014
    Comment:
    x

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Reid, Amanda Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Rein, Judy Title: Assistive Technology Instructional Specialist
    Organization: Prince George's County Public Schools
    Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Reisman, Catherine Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Reps, Dana Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Retsema, Thomas Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Rettinger, William Title: President
    Organization: Democratic Disability Caucus of Florida
    Date: 12/03/2014
    Comment:
    I support computers as communication devices. Communication is MORE THAN text to speech.
    Retzlaff, Michelle Date: 12/03/2014
    Comment:

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage Decision (NCD), CMS should:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology

    More

    Reuland, Nickolas Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Revette, Marie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Reycraft, Nancy Date: 11/21/2014
    Comment:
    We have a member of our family who currently communicates best with eye-generated computer work. We fear that this may become her only way to communicate. This device is essential to her humanity. Indeed, to deny her this device would be the equivalent of cutting out her tongue. Thank you for considering the essential importance of speech generating devices for ALS and other patients.
    Reyes, Noe Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Ribeiro, Olga Date: 11/25/2014
    Comment:
    Hello,I support a young man who uses a communication device and it has helped him a great deal with communication. The communication device is his voice he needs it to communicate with his family friends and in the community. I couldn't imagine not being able to speak and Medicare not funding my only way to communicate. Please consider the people who can't speak and know that they need their communication devices to be fully founded by Medicare. Thank you.
    Ricardi, Megan Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Ricardo, Alex Date: 12/04/2014
    Comment:

    Medicare covered SGDs: dedicated speech devices, used solely by individuals with severe speech impairment, require several capabilities, features, and functions to operate effectively and efficiently as SGDs. The 2001 NCD did not restrict any of these operational characteristics of SGDs, including

    Enabling the SGD manufacturers to connect wirelessly to devices to provide technical support, troubleshooting, and software corrections and upgrades (independent of

    More

    Rice, Geraldine Lynn Title: RN
    Organization: Cedars Sinai
    Date: 12/05/2014
    Comment:

    Speech-generating devices (SGDs) are a vital means of communication for the patients with speech and language impairments that I see in our clinic. These individuals almost always have co-occurring severe physical impairments related to their ALS. SGDs enable these individuals with complex communication needs to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

    With respect to the National

    More

    Rich, Laureen Date: 12/03/2014
    Comment:
    ALS is a horrific disease. Medicare policies should not make it worse. I again urge CMS to establish an SGD coverage policy that provides people the option of accessing additional SGD communications and non-communications functions, including while they are renting devices. I also urge CMS to establish policies that provide coverage for access technologies such as eye tracking. In doing so, Medicare can help improve the health and lives of the people that the program was create

    More

    Richard, Theresa Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Riche, Jamie Date: 05/20/2015
    Comment:
    Of course we communicate in many ways, and when our bodies no longer work in the typical way, then we should have equal access to the assistive devices necessary to enable ongoing communication. This is truly a basic need and it should not be reserved solely for those wealthy enough to pay out of pocket.
    Richman, Judy Title: Patient/Family Advocate
    Organization: Les Turner ALS Foundation
    Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGD), including the ability to upgrade devices and access additional functions such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies such as eye tracking, which is needed in ALS in order to utilize a SGD if they have lost the ability to move their hands/arm. I would also implore you to remove the

    More

    Richmond, George Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Rider, Creighton Date: 05/28/2015
    Comment:

    Communications have changed vastly over the past 20 years. New technology has enabled interactions that were previously unimaginable. Innovations continue with hardware and software and infrastructure (Internet, Wi-Fi, Bluetooth) that open new doors to us, while the cost of all this technology actually decreases.Todays personal communication devices (laptops, smartphones, etc.) are much cheaper and more powerful than many of the single function DME that is available.

    Please ensure

    More

    Riekena, Gayle Date: 12/05/2014
    Comment:

    Communication is an essential life function and the idea that communication is only done in a verbal context is unbelievably ignorant. I can only imagine the struggle an individual diagnosed with ALS must go through to survive and adapt as their body shuts down. Who are we as compassionate human beings to decide how much communication they are permitted to have? More than anything, we should be doing everything in our power to embrace new technologies that allow them to the thrive and

    More

    Ries, Sarah Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Riggers, Tamara Date: 05/20/2015
    Comment:
    It is imperative that speech generating devices, as well as anything that helps those who cannot speak to communicate, be covered by Medicare. Please choose to help those without a voice!
    Riggle, Andrew Title: Public Policy Advocate
    Organization: Disability Law Center
    Date: 12/05/2014
    Comment:

    December 5, 2014

    Laurence Wilson
    Director of the Chronic Care Policy Group
    Centers for Medicare and Medicaid Services
    U.S. Department of Health and Human Services
    Attention: NCD 50.1: Speech Generating Devices
    P.O. Box 8016
    Baltimore, MD 21244

    Dear Mr. Wilson:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs) on behalf of the Disability Law Center (DLC). The DLC is a private non-profit

    More

    Riggs, Amanda Title: SAHM
    Organization: Fighter for life!
    Date: 12/04/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Rimmel, Michele Title: Funding Manager
    Organization: AbleNet Inc
    Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Rinehart, Debra Date: 05/15/2015
    Comment:

    [PHI Redacted] has spastic quadriplegic cerebral palsy and can not talk so he has to use a computer or speech device to communicate. We live in a rural area where we would have to travel hundreds of miles to get an evaluation for a speech device, spend several nights in motels, and take off work to go get one which would negate the cost of obtaining a proper device for him so we just bought a small laptop computer or tablet and are trying to have him use it with a wooden

    More

    Rinehart, Kelly Date: 12/01/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Rios, Mary Date: 12/01/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Ritchey, Jamie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Riter, Karissa Title: M.S., CCC/SLP, ATP
    Organization: Wendell Foster's Campus for Developmental Disabilities
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Ritter, Amanda Date: 12/04/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Rizzo, Karen Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Roberts, Ashley Date: 05/24/2015
    Comment:

    He needs this device to be able to communicate. He is a very caring person who has lost everything to ALS, his ability to hold his grandkids, kiss his children, hug his wife. Be able to care for himself, he has lost everything, being able to communicate with his friends and family is everything to uim, and it's everything to his family to be able to continue to communicate with him.

    He needs this device.

    Roberts, Leeann Date: 12/04/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Roberts, Anne Marie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Robinson, Ellen Date: 12/06/2014
    Comment:
    Internet access should be included in the policy !!
    Robinson, Joe Date: 12/06/2014
    Comment:
    Please please make internet accessibility part of the policy - let's use common sense in this regard. A car without an engine will not work
    Robuck, Elizabeth Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Rockafellow, Susan Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Rockwell, Kimberly Date: 12/05/2014
    Comment:
    In support of a friend and all of those fighting ALS, I support coverage of SGDs that also have internet access and I support coverage of eye-gaze interfaces to SGDs is all that is needed.
    Rodgers, Heather Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Rodgers Jr, Leslie Date: 12/05/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Rodrigues, Joseph Title: Chair, Federal Policy Committee
    Organization: National Association of State Long-Term Care Ombudsman Programs
    Date: 12/05/2014
    Comment:
    The National Association of State Long-Term Care Ombudsman Programs is supportive of extending coverage to speech generating devices based on up to date and modern technologies such as smartphones. We believe many residents of long-term care facilities and other individuals would benefit from such coverage.
    Roe, Meghan Title: Speech Language Pathologist, AAC Specialist
    Organization: Children's Hospital Colorado
    Date: 11/25/2014
    Comment:

    Please allow speech generating devices to no longer be rentals but to be purchased items for patients.

    Please allow the coverage of medically necessary accessories for access including but not limited to eye technology.

    Please allow the ability to use functions such as email and text messaging for individuals with that need.

    Rogers, Sharon Title: Ex adjunct faculty
    Organization: California State University Fullerton, USSAAC member
    Date: 05/28/2015
    Comment:
    , as a professional Speech Language Pathologist who works with Augmentative and Alternative Communication, want to support the measures you have taken to expand communication participation of persons who use speech generating devices (SGD). In addition, Medicare needs to cover eye-tracking accessories that are so vital to many persons of all ages across their living environments. We know a child of 18 months who has learned eye tracking and will continue for years to come.
    It is

    More

    Rogers, Sigrid Date: 05/20/2015
    Comment:
    Speech generating devices are absolutely essential for people with ALS. This is the only means for their communication or contact with the outside world. Please understand how important this is!
    Rogers, Sharon Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Rogers, Margaret Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Roman, Kim Date: 12/03/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Romanelli, Lauren Date: 12/05/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Romenesko, Leslie Date: 12/05/2014
    Comment:
    Try to imagine a world where you are unable to communicate without the help of modern technology, and then imagine that lifeline technology being taken away. For children and adults who are nonverbal, these speech generating devices are crucial for communication with their care givers, doctors and families. Please insure that these people can continue to use their speech generating devices.
    Romeo Wells, Lori Title: Speech/Language Pathologist
    Organization: Capital Region BOCES
    Date: 12/01/2014
    Comment:

    Eye tracking technologies have been available since before the 2001 NCD was written, and have been covered uniformly from 2001 when the NCD went into effect until late 2013. Since then Medicare decision makers have been denying eye tracking accessory claims, stating they are not covered.

    Eye tracking technologies should not be considered different from other accessories needed by people with physical limitations. Eye tracking modules are only used by people with significant

    More

    Romich, Barry Title: Chairman of the Board
    Organization: Prentke Romich Company
    Date: 12/05/2014
    Comment:

    I have submitted comments on behalf of the Prentke Romich Company to the email address provided. PRC employee owners are dedicated to sustaining and building on a culture that is client-centered. Our company takes great pride in helping our customers succeed to their greatest potential, by delivering assistive technology that is focused on language development and enables real, spontaneous communication that enriches lives. Simply put, our client's success is our success. These values have

    More

    Ronai, Aliana Date: 12/06/2014
    Comment:
    speech generating devices are a critical part of communication and interaction with the world and with caregivers and are a necessity for individuals with expressive speech deficits. Please be aware that I will be following this issue with interest and also forwarding this site to my colleagues in the medical field.
    Rose, Deborah Date: 05/26/2015
    Comment:
    it is inhuman to remove, from People without the ability to speak, their only means of communication with the outside world. People with ALS become locked inside themselves. Every effort should be made, and covered, to give them the best possible quality of life.
    The ability to participate in the world around them is vital to their mental and emotional well being. Communication, with Family, Friends, Doctors and much more, is what is taken from them when the coverage for SGD is not

    More

    Rose, Lori Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Rose Smith, Dorothy Date: 12/04/2014
    Comment:
    Keep the option for coverage of either a dedicated SGD or for SGD software:
    In the 2001 NCD, Medicare recognized that both a dedicated SGD and SGD software that would be loaded onto a device the client already owned were appropriate for coverage. These choices must be maintained.
    For some clients, SGD software, not a fully dedicated built-for-purpose SGD, satisfies a person’s communication needs. The SGD software may run on existing consumer computing products that a Medicare

    More

    Rosner, Mickey Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Ross, Dorothy Date: 12/03/2014
    Comment:

    I have worked with people who require SGD's. Often a person with SGD is completely mentally intact, but the SGD is the only way that the person can express their thoughts, wishes, and needs. This includes people who have no ability to use their hands to point or touch words or pictures. It is difficult to imagine the frustration of being mentally intact, completely dependent on others, and unable to express one's desires. Furthermore, people who cannot speak are often ignored by caregivers,

    More

    Ross, Robin Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Rossman, Elena Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Rosta, Sara Title: ITEM Coalition Staff
    Organization: ITEM Coalition
    Date: 05/29/2015
    Comment:

    May 29, 2015

    SUBMITTED ELECTRONICALLY via CAGinquiries@cms.hhs.gov

    Dr. Subash Duggirala
    Centers for Medicare & Medicaid Services
    Department of Health and Human Services
    Attention: CMS-1614-P
    P.O. Box 8016
    Baltimore, MD 21244

    RE: National Coverage Determination 50.1: Speech-Generating Devices (SGDs)

    Dear Dr. Duggirala:

    The undersigned members of the Independence Through Enhancement of Medicare and Medicaid (“ITEM”)

    More

    Rosta, Sara Title: ITEM Coalition Staff
    Organization: Independence Through Enhancement of Medicare & Medicaid (“ITEM")
    Date: 12/05/2014
    Comment:

    RE: Joint DME MAC Coverage Reminder for Speech Generating Devices

    Dear Mr. Wilson:

    The undersigned members of the Independence Through Enhancement of Medicare and Medicaid (“ITEM”) Coalition thank CMS for considering comments from stakeholders in the speech-generating device (SGD) community and requesting comments regarding revisions to the National Coverage Determination (NCD) 50.1: Speech-Generating Devices.

    The ITEM Coalition is a national consumer and

    More

    Roth, Stacey Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Rottersman, Judy Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Rowberry, Marja Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Rubin, Inga Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Rubin Smith, Stacie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Rudin, Josh Title: Board of Directors President + Advocacy Director
    Organization: ALS Association Rocky Mountain Chapter
    Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Rudnicki, Tara Title: President
    Organization: Tobii Dynavox
    Date: 05/28/2015
    Comment:

    Subash Duggirala, MD, MPH, FAAFP
    Lead Medical Officer
    Centers for Medicare & Medicaid Services (CMS)
    7500 Security Blvd.
    Mail Stop C5-02-23
    Baltimore, MD 21244

    Submitted electronically

    May 29,2015

    RE: Comments on Speech Generating Devices: Proposed Decision Memorandum

    Dear Dr. Duggirala:

    On behalf of Tobii Dynavox, I would like to thank you for the opportunity to provide comments on the Proposed Decision

    More

    Rudnicki, Tara Title: President
    Organization: Tobii Dynavox
    Date: 12/05/2014
    Comment:

    Subash Duggirala, MD, MPH, FAAFP
    Lead Medical Officer
    Centers for Medicare & Medicaid Services
    7500 Security Blvd.
    Mail Stop CS-02-23
    Baltimore, MD 21244
    Submitted via email to CAGinquiries@cms.hhs.gov

    December 6, 2014

    RE: Comments on Speech Generating Devices Benefit Category Determination NCD

    Dear Dr. Duggirala:

    On behalf of Tobii Dynavox, I would like to thank you for the opportunity to provide comments on the opening of

    More

    Rueter, Sharon Date: 12/03/2014
    Comment:
    Please allow speech generating devices to no longer be rentals but to be purchased items for patients. Please allow the coverage of medically necessary accessories for access including but not limited to eye technology. This is the only way some is able to communicate their most basic want and needs and share their thoughts and feelings. We have the technology to support individuals to be able to be effective communicators and contribute to society. I don't feel it is right that insurance

    More

    Ruff, Susan Title: Advocacy Director
    Organization: STIC
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. I am writing because I had

    More

    Ruggiero, Shari Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Ruiz, Ariel Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Ruiz, Yvette Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Ruiz, Sasha Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Rusiecki, Alexandra Date: 12/03/2014
    Comment:

    Alix Rusiecki
    6 Hollow Drive
    New City, NY 10956

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by

    More

    Russ, Samantha Date: 12/06/2014
    Comment:
    As a graduate student in the field of Speech-Language Pathology, I am deeply concerned about the opportunities of my future clients to obtain and use SGDs in their full capacity. First and foremost, individuals who use SGDs vary in disease types. There are hundreds of different diseases, syndromes, disorders and events that can happen in a person's life making it difficult or impossible to use their natural speech. Being unable to speak limits these people in their ability to participate in

    More

    Russell, susanne Title: occupational therapist
    Organization: Boston Children's Hospital
    Date: 05/28/2015
    Comment:

    Please quickly approve the proposed restoration of the scope of SGD coverage that existed from 2001-2013, both in regard to the types of devices that can be used as SGD's—-both computers and purpose built devices.

    Additionally, PLEASE support funding of alternative forms of physical access including eye tracking and repeal of the capped rental regulation that could put many people at risk of losing their communication system should they have any type of extended hospital

    More

    Russell, Susan Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Russell, Diane Title: Speech-Language Pathologist/AAC Specialist
    Organization: Augmentative Communication & Technology Services
    Date: 12/01/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Rutkowski, Jaime Date: 12/05/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Ryan, Mona Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Sabally, Jennifer Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Sacchetta, Melissa Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Saddoris, Schellie Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Sakharny, Eve Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    saladino, wendy Date: 12/05/2014
    Comment:
    Having internet and texting communication for als patients or any human being is an absolute necessity in this day and age. To not have access to that for anyone is cruel and absolutely ludicrous.
    Saladino, Charles Date: 12/05/2014
    Comment:
    All I ask is you put yourself in the position of ALS patients and think of their children. If you have a child you will realize how ridiculous this is. ALS patients deserve this right. Not even a question.
    Salcedo, Mauricio Date: 12/04/2014
    Comment:

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage Decision (NCD), CMS should:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology

    More

    Saler, Justin Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Sallee, Carrie Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Salter, Eric Date: 11/07/2014
    Comment:
    Email, web browsers, messaging, word processing, and any other number of functions one does on a computer are all essential forms of communication in the present era. It makes no sense to provide a Speech Generating Device to a person and then prohibit these modalities by which a person connects to other individuals and society at large, particularly when the consumer of the SGD needs the input methods provided by the device to efficiently use such applications.
    Samlan, Robin Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Samples-Morris, Candice Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Sancibrian, Sherry Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Sanders, Jill Date: 12/06/2014
    Comment:

    I have seen the value of the eye gazing device, while visiting a relative who has ALS, this summer. It was incredible to see how this technology works. But more important, it allows her to keep connected, involved and capable. As she says,"Keeping my ability to communicate is critical to me and to do that I need to have an unlocked eyegaze-capable SGD."

    Ethically, this device should not be taken away.

    Sands, Sindy Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Santacrose, Ryan Date: 12/06/2014
    Comment:
    Medicare-covered Speech Generating Devices need to be internet accessible. The internet allows disabled to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy. Without these tools (that every functional American uses!) the disabled are at higher health risk in emergency, & told they're not useful. Please consider this.
    Santiago, Rachel Title: Speech-Language Pathologist
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). As a speech-language pathologist who works with children and adults with complex communication needs (CCN), I feel very strongly about the comments provided below.

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN)

    More

    Sarji, Nicole Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Sartin, Karen Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Satterfield, Ben Title: Assistant Professor
    Organization: University of Georgia
    Date: 12/06/2014
    Comment:
    I am a professor at Univ. of Georgia, in the College of Education and I teach classes on Augmentative & Alternative Communication in the department of Communication Sciences & Special Education. I have worked in this field for over 30 years and have encountered many individuals with communication issues. I have seen the difference that technology can make when properly matched with the individual and their specific needs.
    I am concerned about the impact of the proposed CMS regulations

    More

    Satterfield, Lisa Title: Director, Health Care Regulatory Advocacy
    Organization: American Speech-Language-Hearing Association
    Date: 12/04/2014
    Comment:

    December 4, 2014

    Dr. Subash Duggirala
    Centers for Medicare & Medicaid Services
    Department of Health and Human Services
    Attention: CMS-1614-P
    P.O. Box 8016
    Baltimore, MD 21244

    RE: National Coverage Determination 50.1: Speech-Generating Devices (SGDs)

    Dear Dr. Duggirala:

    The American Speech-Language-Hearing Association (ASHA) is the national professional, scientific, and credentialing association for more than 173,000

    More

    Sauka, Mark Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Saunders, Sharon Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Saunders, Beth Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Savitsky, Jennifer Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Scanlon, Terry Date: 05/21/2015
    Comment:

    [PHI Redacted] had ALS which took his ability to speak and write. His ability to communicate to the outside world was curtailed. A decent quality of life depends upon access to the outside world via the internet on SGDs. Please help to give them a voice

    Schaefer, Kimberly Date: 12/03/2014
    Comment:
    SGDs are essential to improvement of overall quality of life
    Schaeffer, Lynne Title: CCC/SLP
    Date: 11/25/2014
    Comment:
    My patients with the need for a speech generating device have multi faceted and high level communication needs. Besides basic communication, they also require access to text messages and email to communicate with their healthcare providers as well as family and friends. Also, much healthcare information is web based and many providers have websites for scheduling and access to their medical records. Denying these modes of communication is discriminatory. People who require SGDs are entitled to

    More

    Scharnitz, James Date: 12/05/2014
    Comment:
    Please make the right decision and respect thoso with special needs. Let them live as normally as possible.
    Scheid, James Date: 12/04/2014
    Comment:

    Greetings,

    Please cover speech generating devices. For ALS patients who loose their ability to speak, this is essential for survival. Thank you for your time.

    James Scheid

    Scheiwe, David Date: 05/26/2015
    Comment:
    It is important to provide speech devices to people suffering from ALS. This terrible disease steals every bit of your well being except your brain. People with this disease can't eat, speak, move, or show emotion. A speech device is THE only way for them to communicate and show emotion. Do not take the only thing that keeps some sort of normalcy away from them. They need it, They deserve it, They live for it.
    Scherwitz, Janice Title: Benefits Specialist
    Organization: Tidewell Hospice
    Date: 11/07/2014
    Comment:
    Telemedicine, being the next money-saving aspect of health care, warrants the addition of speech generating devices for those stricken with illnesses such as ALS or stroke. This will allow the caregivers of said patients to provide feedback to the caregiver on the state of their health without the expense of transport to an office.
    Scherz, Julie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Schlais, Susan Title: Speech and Language Pathologist
    Organization: Lighthouse Speech Solutions, Ltd.
    Date: 12/04/2014
    Comment:
    I work with clients who have experience TBI (tramatic brain injuries) or CVA (cerebral vascular accidents).
    They REALLY need the capabilities which keep them able to communicate in today's mobile and electronic society. Please make sure the devices contain aspects that allow them to communicate with visuals (facetime, skype etc)— some listeners will not get the speech sound they express without it. Also—- we need to allow them access to the internet—
    Schlangen, Rachel Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Schlendorf, Jennifer Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Schlesinger, Peggy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Schliep, Megan Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Schlueter, Marcia Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Schmidt, Kelly Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Schmidt, Abby Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    schmitke, linda Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Schneebeck, David Date: 12/06/2014
    Comment:
    ALS is a horrific disease. Medicare policies should NOT make it worse. I urge CMS to establish an SGD coverage policy that provides people the option of accessing additional SGD communications and non-communications functions, including while they are renting devices. I also urge CMS to establish policies that provide coverage for access technologies such as eye tracking. in doing so, Medicare can help improve the health and lives of the people that the`program was created to serve.
    Schneider, Harriet Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Schneider, Ann Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Schniepp, Sandra Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Schnoor, Erin Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Schochet, Ben Date: 11/26/2014
    Comment:

    communication isn't just speech. Technology has advanced a tremendous amount and people with ALS need to be able to communicate in all way that computer technology will allow. That means email, skype, Facebook, etc.

    medicare needs to authorize and help the people most in need live their life to the fullest.

    Schoeller, Kelly Date: 12/06/2014
    Comment:
    It is a basic human right to communicate. Denying a speech generating device to a person with the inability to speak and communicate effectively is appalling. I support the right of effective speech and communication and think it is UNACCEPTABLE for the government to deny it.
    Schoen, David Date: 12/05/2014
    Comment:
    The internet is an essential part of everyday life for every American and likely even more so for those with severe speech disabilities as it allows them to communicate.
    Scholz, Cathryn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Schonhaut, Alexa Date: 12/05/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Schosek, Karl Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    schrade, alice Date: 12/02/2014
    Comment:
    please let medicare cover costs of speech generating devices.
    Schraeder, Patricia Title: Speech-Langauge Pathologist
    Date: 12/04/2014
    Comment:
    A group that included policy experts from ASHA, the Amyotrophic Lateral Sclerosis Association (ALSA,) and representatives from SGD manufacturers has discussed and agreed on edits to the NCD 50.1 to submit to CMS as a united stakeholder group. The recommended edits are the result of several meetings, revisions, and discussions and include:
  • No changes to the definition of SGD
  • Deletion of any disqualifying characteristics
  • Inclusion of device access technology, such as eye-tracking

    More

  • Schreiber, Linda Date: 12/04/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Schreiber, Betsy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Schu, Rebecca Title: speech language pathologist
    Organization: family member
    Date: 05/25/2015
    Comment:
    Please let him keep this device. As a practicing SLP, he deserves to have a voice!
    Schuette, Allison Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Schultz, Josh Date: 12/05/2014
    Comment:
    Internet access is absolutely needed in this day and age. Limiting internet access for these tools limits the usefulness of the tools themselves. Please reconsider!
    Schumacher, Carmen Inés Date: 12/06/2014
    Comment:
    It is important to have people who are passionate about something that is necessary for the growth of people with disabilities.... This Speech Generating Device is their only VOICE... It they don't have it how can they share their world to our world.... How can they speak to their doctors and families...
    We need to make sure that we let the disabled speak and a have at least that freedom...
    Schupbach, Joanne Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Schwietering, Laura Date: 12/03/2014
    Comment:

    Laura Schwietering
    7447 Ivy Hills Place
    Cincinnati, OH 45244

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are

    More

    Schwinn, Patricia Title: Speech Language Pathologist
    Organization: Patricia Schwinn Speech Language Communication Services, LLC
    Date: 05/28/2015
    Comment:
    I appreciate that Medicare is addressing this issue. As a Speech Language Pathologist who has been practicing over 36 years with an emphasis on augmentative communication and speech generating devices, I have seen many gains with the introduction of new technology through the years. I serve adults with developmental disabilities, who I believe are among the most vulnerable people in our society. They are physically challenged and nonverbal and often dependent upon a variety of care takers.

    More

    Schwinn, Patricia Title: Speech Language Pathologist
    Organization: Speech Language Communication Services,LLC
    Date: 12/04/2014
    Comment:
    I am a Speech-Language Pathologist, and have served an adult I&DD population for over 30 years. The growth in available assistive technology and speech generating devices has been able to provide so many of my clients the ability to communicate for the first time in their lives. Each person I have worked with has been so unique and their needs are as unique as they are. Please realize that restricting access to available technology and speech generating devices, will greatly isolate this

    More

    Scott, Joshua Date: 12/05/2014
    Comment:
    Today the internet plays a larger role in communication than any other source. Denying any human their right to access and use existing technology that aids to the quality of their life or those around them is shameful. Locking out useful tools like the internet, text and other valuable yet basic features of tablets doesn’t aid the disable yet it works to further restrict their independence. Today features like this are a normal part of life for those without disabilities yet for the disabled

    More

    Scow, Cecilia Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Seacat, Larry Organization: ALS Patient Services Outreach
    Date: 12/05/2014
    Comment:
    "My friend has ALS. before he lost the ability to speak and type and use a computer mouse his job was video editing and graphic design. He needed to use the internet everyday to provide for his family. he has been helped through his ALS journey through connecting with his friends and family on facebook and by writing his blog. this day and age in America every person deserves the right to communication...with disabilities or not...and this includes communicating through the internet."
    Seale, Jennifer Date: 05/29/2015
    Comment:

    First off, as a service provider to many individuals who benefit from the use of “speech generating devices” and an educator, I am grateful to see CMS responding to concerns related 2014 Medicare coverage of a “speech generating device” (SGD). Opening dialogue to improve coverage and adapt to ever-changing technology frontier is incredibly important for the individuals we all hope to best serve. It is encouraging to see expanding definitions of “speech” and communication to include texting,

    More

    Seals, Lauren Date: 12/05/2014
    Comment:

    As a retired RN, I have cared for ALS patients who had lost their ability to communicate any other way but by blinking. This is not a way to live. I support the continued funding and distribution of any and all support you can give to ALS patients and all patients facing these same types of challenges.

    PROPOSED COMMENTS

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of

    More

    Seaman, Edward Date: 12/05/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Sears, Lisa Title: Tecchnology Resource Specialist
    Organization: Florida Diagnostic and Learning Resources System.
    Date: 12/05/2014
    Comment:
    It is extremely important for SGDs (Speech Generating Devices) to have multiple capabilities in order to make life for their users a little bit simpler in an already difficult world when one is without intelligible speech for whatever reason. Communication is not just speech, but speech is a major way of communicating and when that is not available, other avenues must be used. This could include email or text if necessary to contact someone since the phone is not an option or a map feature,

    More

    Seery, Carol Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Seibald, Carly Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Selden, Anna Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Shakespeare, Cathy Date: 12/05/2014
    Comment:
    Please give speech back to ALS patients. ALS is a devastating and terminal diagnosis to receive. The majority of those diagnosed with this disease die within two years. Speech generating devices are a vital lifeline for patients and their families and should be made available to all
    Shannon, Michael Title: Director
    Organization: Answer ALS
    Date: 12/05/2014
    Comment:
    The level of disregard for those who need this technology the most is shameful at best. Please reverse your inconsiderate and cravenly oblivious decision, and restore to PALS the ability to communicate to others, the last vestige of dignity that they possess to live as normal a life as they can.
    Shannon, MIchael Title: Director
    Organization: Answer ALS
    Date: 12/05/2014
    Comment:
    Please restore the ability for ALS patients to freely communicate as they wish. Restore those rights and privileges now..
    Shapley, Kathy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Sharkey, Tricia Title: Assistive Technology Consultant
    Organization: Cooperative Association for Special Education
    Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Sharp, Beverly Date: 05/26/2015
    Comment:
    Speech Generating Devices need to be approved/allowed for all forms of communication. Limiting people with ALS by not allowing text, email and other forms of communication with the SGD is wrong.
    Sharp, Beverly Date: 12/05/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.
    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Sharum, Brittany Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Sheehan, Marian Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Sheehan, Caitlyn Date: 12/02/2014
    Comment:

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage Decision (NCD), CMS should:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology

    More

    Sheehy, Laurie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    sheffler, karen Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Shein, Steven Date: 12/05/2014
    Comment:
    Internet access for the disabled should be supported.
    Shellabarger, Gretchen Title: Mom
    Date: 05/28/2015
    Comment:
    Please allow access to the internet and online communications for those who can no longer move or speak.
    Shepherd, Melody Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Shepley, Magi Date: 12/02/2014
    Comment:
    I have worked with students who use SGD since I started teaching 18 years ago. The freedom given to my students who gave access to an SGD instead of simply a book of pictures is amazing. At one school, I had a student in 10-12th grades as case manager, and prior to her graduation she was working for a state agency designing webpages. This student only had good control over a thumb and forefinger; we cabled her device to the computer. The assistive technology specialist and I worked to put

    More

    Sheppard, Robert Date: 12/06/2014
    Comment:
    I would like to push CMS to ensure coverage for access technologies like SGD's - with internet capabilities, to be provided to people with ALS (or any other reason - if they need it). We should be helping people who have become diagnosed, rather than trying to make it more difficult for them. Communication plays a vital role in society, and to limit someone the capabilities to use SGD's without online access, would be doing just that. The internet plays a HUGE role in our everyday lives, if

    More

    Sheth, Shivani Date: 12/06/2014
    Comment:
    Hi, I am a Speech-Language Pathology graduate student preparing for a career working with clients who rely on alternative communication devices due to their inability to use natural speech. For patients with severe communication disorders, speech-generating devices provide them a way to interact with their environment and maintain autonomy. We watch patients thrive who otherwise would succumb to the choices of their caretakers. Nobody expects to face a situation where they cannot express their

    More

    Shideleff, Karen Date: 12/05/2014
    Comment:
    Please reconsider your coverage options for speech generating devices. Locking SGDs from Internet, email and other forms of communication is quite detrimental for the patients using an SGD. Many people, including ALS patients, would not be able to comment in this section with the device that is locked. You are stealing the ability to communicate with doctors, family, friends, and emergency personnel. The impact of this is dreadful, and potentially deadly. Please come to your senses and realize

    More

    Shields, Bronwyn Date: 12/05/2014
    Comment:
    communication is a key component to what makes us humans. Without it we are isolated within our own minds. To take away alternative communication devices from those who need them is beyond cruel.
    Shively, Christa Title: Director, Federal Regulatory and Engagement
    Organization: Providence Health & Services
    Date: 12/05/2014
    Comment:

    Dear Dr. Subash Duggirala:

    On behalf of Providence Health & Services, I want to thank you for the opportunity to provide comments to the Centers for Medicare & Medicaid Services regarding reconsideration of the national coverage determination for speech generating devices.

    Providence Health & Services is a not-for-profit Catholic health care ministry committed to providing for the needs of the communities it serves – especially for those who are poor and vulnerable.

    More

    Shockley, Trudy Date: 12/05/2014
    Comment:
    For many individuals SGD are not only Medical Necessities, but Life Saving devices. They are the ONLY means of ANY communication, including to alert a Caregiver in distress, to be able to maintain Financial, Educational, Health and many other daily functions of life. These individuals deserve to be able to access any available technology available today to anyone. Thank you for your consideration in not locking out these devices to the disabled.
    Shoener, Patricia Date: 12/05/2014
    Comment:
    Internet access is absolutely essential for those with SGD to fully access medical resources and communicate with those around them.
    Shulman, Yvonne Date: 12/05/2014
    Comment:
    Please include use of the Internet in your coverage of the Speech Generating Devices for the disabled. Such a resource is important to a disabled person's ability to communicate and to be a part of the world around them.
    Thank you.
    Shulman, Alix Date: 11/12/2014
    Comment:
    I support CMS paying for augmented communication devices that are needed by patients. This is crucial to the health and welfare of many people who would otherwise be isolated.
    Thank you.
    Sidebottom, Jim Date: 12/05/2014
    Comment:

    I think you must consider access to internet is essential for all people especially those with disabilities.

    Thanks
    Silbergleit, Alice Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Silberstein, Deb Date: 12/04/2014
    Comment:
    As a member of the Les Turner ALS Foundation board, I know how important SGD coverage is to our patients and their families. I encourage CMS to include including devices that have email, internet access and environmental controls. Also, to cover technologies such as eye tracking, which people need in order to access SGDs when they have limited or no mobility in their arms and hands.
    Sillo, Deborah Date: 12/03/2014
    Comment:

    I am a practicing SLP and work with individuals with developmental disability with a wide range of needs - some are unable to make their needs known without a SGD, others cannot control anything in their life if not for hitting a switch that plays music and greets family and friends; others have the social mentality to communicate via email as their physical impairments dont allow for travel outside of their home to see other people, events, places. I also service stroke victims with

    More

    Simmons, Shari Date: 12/06/2014
    Comment:

    December 6, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Simmons, Jennifer Date: 12/05/2014
    Comment:
    I am writing on behalf of all those people with ALS and those who would benefit from the use an SGD as their way of communicating with others. The use of virtually technology is a vital tool that would allow a person who is already at risk for emergencies to communicate needs, contact 911, manage daily tasks that we non ALS suffers use the computer for (research, banking, shopping etc.), talk to love ones, etc. Their right should not be denied!
    Simons, Caroline Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Simpson, Dawn Date: 12/04/2014
    Comment:
    Please ensure these continue to be approved and covered, they are so critical to disabled people who desperately need them to communicate and function as best as possible with as much independence possible.
    Sine, Mandy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Singer, Sherry Title: Speech-Language Pathologist
    Organization: Deer's Head Hospital Center and ALSA DC/MD/ VA Chapter
    Date: 12/05/2014
    Comment:
    As a speech therapist, I have personally worked with many people who have effectively used their speech generating devices (SGD). In fact, their SGDs with all their available functions, particularly eye gaze access and e-mail, are their whole world. For example, I have a patient who uses an eye gaze as an access method for her SGD because she cannot move any part of her body except for her eyes due to ALS. She uses eye gaze to access her SGD to communicate 1:1 with her caregivers, medical

    More

    Singleton-Coyne, Molly Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Sisk, Terry Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Sissock, Amanda Title: Graduate Student
    Date: 12/06/2014
    Comment:
    My name is Amanda Sissock and I am currently in my final year of graduate school in speech-language pathology. During my short time in the field, I have had the opportunity to work with a variety of clients with multiple disabilities, some of which who only communicate through the use of an SGD. The things these people can say and do with their devices are amazing and have the ability to make you forget they are using an SGD to communicate. After interacting with these people and completing

    More

    Sitterley, Erin Date: 12/05/2014
    Comment:

    "Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking needs. Speech-generating devices are characterized by:
    Being a device that produces speech by translating the user's input into device-generated speech;
    Being a device used solely by the individual who has severe speech impairment;
    May have digitized speech output, using prerecorded messages, less than or equal

    More

    Sitterley, Erin Date: 12/05/2014
    Comment:

    "Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking needs. Speech-generating devices are characterized by:
    Being a device that produces speech by translating the user's input into device-generated speech;
    Being a device used solely by the individual who has severe speech impairment;
    May have digitized speech output, using prerecorded messages, less than or equal

    More

    Siva, Nithya Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Skizas, Jaime Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Slavens, Whitney Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Slay, Jana Date: 12/05/2014
    Comment:
    Internet and other communication tools should absolutely be accessible on these devices. They allow individuals without speech capabilities to continue a level of independence and productivity that would be greatly diminished if these communications were locked on the approved devices.
    Slay, Nancy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Slayton, LuAnn Date: 12/04/2014
    Comment:
    ALS is a horrific disease. I have a cousin suffering from the end stages of the disease. At this point, the only working muscles in his body are his eyes, some swallowing and some breathing. Medicare policies should not make it worse. IHe uses his SGD daily and even pays bills with it. I urge CMS to establish an SGD coverage policy that provides people the option of accessing additional SGD communications and non-communications functions, including while they are renting devices. I al

    More

    Sloane, Samantha Date: 11/18/2014
    Comment:
    I have a very difficult time understanding how the ability to speak is a medical necessity and not a quality of life issue when Medicare, Medicaid and private insurance companies can question the need, and control amounts, drugs and services relating to diabetes, muscular dystrophy, cerebral palsy, heart disease and the like. I also have a hard time figuring out how and why people who are not licensed physicians and are not working for licensed physicians should be entitled to federal dollars

    More

    Slocum, Katharine Title: Occupational Therapist/ Admissions Coordinator
    Organization: Cedars Sinai Medical Center
    Date: 12/06/2014
    Comment:

    Speech-generating devices (SGDs) are a vital means of communication for patients with speech and language impairments. These individuals almost always have co-occurring severe physical impairments related to their ALS. SGDs enable these individuals with complex communication needs to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

    With respect to the National Coverage Decision (NCD), CMS

    More

    Smith, Katherine Title: Speech-Language Pathologist
    Date: 12/06/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Smith, Kelly Date: 12/05/2014
    Comment:
    Access to the internet/web is not only a "normal" part of everyday life for Americans, its absolutely CRUCIAL! There are so many organizations and things we all must do that aren't even available through older methods anymore! Internet access is absolutely necessary to be a liberated and functional American.
    Smith, Jana Date: 12/05/2014
    Comment:
    Without a doubt, access to the web is a 'normal' part of functional life in America.
    Smith, Mary Date: 12/05/2014
    Comment:
    I am here to say that the use of technology for speech impaired disabled people is necessary for them to be a contributing member of society and to their own healthcare and well-being! Those especially with als that loose their ability to speak but their mind is perfect but trapped in a body and mind that still has so much to contribute would be a terrible waste. They can't write so the use of the computer to have a voice is an awesome tool that is now available. Please let this tool be

    More

    Smith, Dennis Date: 12/05/2014
    Comment:

    Hello,
    I wanted to comment and strongly urge that internet functionality not be excluded from speech generating devices. Access to the internet is not only a normal part of life, but it is essential to communication in this day and age. That is especially true of those who do not have the ability to speak. Eliminating the internet would stunt expression and communication. I urge you to offer fully functional devices.

    Regards,

    Dennis Smith
    Smith, Jay Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Smith, Scott Title: Assistant Pastor
    Organization: Emmanuel Faith Community Church
    Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Smith, Damon Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Smith, Elizabeth Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Smith, Karen Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Smith, Wade Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Smith, Alice Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Smith, Laura Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Smith, Michelle Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Smoot, Jason and Cathryn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Snodgrass, Melinda Date: 12/06/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Snow, Karly Date: 12/06/2014
    Comment:
    To whom it may concern,
    I am a Speech-Language Pathology graduate student from the University of Pittsburgh. Throughout my graduate school experience, I have had the opportunity to work with a variety of individuals with complex communication needs who require SGDs to communicate effectively. As these individuals need their SGD to communicate, they rely on it for almost all of their communication needs, including face-to-face interactions with a variety of communication partners, to

    More

    Snow, Andrea Date: 12/04/2014
    Comment:
    These proposed revisions would be incredibly helpful and a positive influence in my chosen future profession as a Speech-Language Pathologist. As a student working towards my future career, I am incredibly grateful for this opportunity to advocate for myself, my future associates, and also those that will greatly need our services by encouraging you to accept these proposed revisions to the National Coverage Determination 50.1:Speech-Generating Devices.
    Snyder-Mackler, Noah Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Sobin, Linda Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Sobral, Eliana Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Socia, Deb Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Sokol, Sue Organization: 0235
    Date: 12/05/2014
    Comment:
    My friend is living with ALS and I want to show my support for coverage of Speech Generating Devices. I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls.
    Soos, Laura Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    SORK, KAREN Organization: Karen Sork
    Date: 05/21/2015
    Comment:

    [PHI Redacted] family is spread out between several states and our local families live very busy lives trying to provide for their families. An open communication device allows [PHI Redacted] to continue to be the social butterfly he has always been. He lives his life through his device, by communication with all his friends and family. This is the only way he family can talk to him. [PHI Redacted] Please. Please open communication

    More

    Soule, Danny Organization: PayLease
    Date: 05/26/2015
    Comment:

    [PHI Redacted] has ALS. Before he had access to his Tobii Communicator device, he was unable to speak, type, turn on the TV, read or even communicate with his care givers, friends and family. Access to this device saved his life. Without it, he would not be able to continue to fight the good fight. Please don't take this away from him and the other people who depend on them for communicating. For them, they are as essential as anything in life. Without them, people

    More

    Soule, Stephanie Title: Speech-Language Pathologist
    Organization: Cotting School
    Date: 12/05/2014
    Comment:

    Dear [Recipients],

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Souri, Ghassan Organization: Assistive Technology of Michig
    Date: 05/28/2015
    Comment:

    The draft NCD is very good and we want to thank Medicare staff for addressing the most important concerns that had arisen in 2014 regarding Medicare SGD coverage;

    The expansion of the definition of communication to include communication by texting, e-mail and phone is a very positive development;

    The term "functional communication needs" should be used rather than "functional speaking needs" or "functional speaking communication needs". Functional communication needs

    More

    South, Nuala Title: SLP
    Date: 12/05/2014
    Comment:
    I am a speech pathologist and have been working with people who have difficulty speaking out loud for over 30 years. I have evaluated and worked with people on speech generating devices for well over 25 years. Communication needs have stayed the same for people, however our ability to communicate quickly and efficiently with our family, our health care professionals, and our friends has dramatically improved! We can now access our doctor and our health information on their web portal, we

    More

    Southern, Thomas Title: Speech- Language Pathologist / Therapy Supervisor
    Organization: Residential Home Health
    Date: 05/27/2015
    Comment:

    Thank you for taking into consideration the new rules regarding the Medicare SGD Coverage. The expansion of the definition of “speech” to include communication by texting, e-mail and phone is a very positive development. As a person who stutters, and as a practicing speech-language pathologist, I hold it as a core principle that speech is inclusive of any form of communication that a person can produce. The ability of our patients to text and email is a continuation of that core

    More

    Sowder, Sharon Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Spangler, Mark Date: 12/05/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Spangler, Henry Title: Physician
    Date: 12/05/2014
    Comment:

    I write to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access, and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS (Lou Gehrig's Disease) is a

    More

    sparks, olevia Date: 12/05/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Spencer, Beth Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Spruill, Nancy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Squillario, Sharon Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    St Germain, Lauren Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    St.Hilaire, Heather Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Stadtmauer, Dahna Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    stafford, Jami Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Stafford, Cassandra Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Stafford, Cassandra Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Stafslien, Emily Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Stagakes, Liliana Date: 11/12/2014
    Comment:
    Hi, I am a Speech-Pathologist who works with low income population. It is very difficult for patients who need supplemental technology to communicate to fund the device that they need. In making the coverage more flexible, it could decrease the cost of each device since the technology is making devices that can talk, e-mail, text, text to voice, etc. Unfortunately for people who have survived head and neck cancer and need an electrolarynx or a person who needs hearing aids, there are still

    More

    Stahl, Laura Title: Graduate Student Speech Language Pathology
    Organization: LSUHSC
    Date: 12/02/2014
    Comment:

    To Whom It May Concern:

    I am writing to you today on behalf of people with ALS and others who may need to use an SGD as their means of communication. Texting, emailing, and calling are incredibly important means of communication for all members of society. We conduct business meetings via conference calls or the internet (ie, email). We set up lunches with friends and loved ones via text. We keep in touch with peers and family members who have moved far away through all of these

    More

    Stanford, Meghann Date: 12/06/2014
    Comment:

    As a Speech-Language Pathology graduate student, who has encountered patients that use SGD devices, the communication restrictions placed upon this population are disconcerting. In inhibiting access to tertiary features such as e-mail and the telephone, we deny others the right to communicate in the most effective and efficient way possible, given their complex medical and communication needs. This point was made evident in my studies through my AAC course. Both clinical experience and

    More

    Stankosky, Holly Title: Speech-Language Pathologist
    Date: 12/04/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Stark, Tara Title: speech-language pathologist
    Organization: American Speech-Language Hearing Association
    Date: 12/05/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Stark, Tara Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Starmer, Heather Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Staskowski, Maureen Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Stauder, Erin Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Steed, Denise Date: 12/04/2014
    Comment:
    I don't need to list the 8 suggested reasons to continue to cover Speech Generating Devices...you know the reasons. I have to ask why you would consider taking the voice away from a patient/person in need? This direction is so away from the desires of the public that you are tasked with listening to and protecting. We have just seen probably 100's of thousands of people doing the bucket challenge to fight ALS just one disease that creates the need for this device. Until a cure is found do

    More

    Stein, Leslie Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Stein, J Date: 11/26/2014
    Comment:

    Hello,

    Please continue to allow SGDs to have access to the Internet. It is crucial for those who are unable to speak with their own voice.
    We currently have a family member with ALS. Though she lives less than 2 miles from our home, the Internet has been a crucial tool for maintaining her care. When she has an unexpected struggle, she can't simply pickup the phone to call a nearby family member. She CAN, however, send a message to our email...received immediately by our smart

    More

    Stenger, Mia Date: 12/05/2014
    Comment:

    My friend's brother was diagnosed with ALS in 2013. I cannot fathom a world in which he is using an SGD that does NOT have access to the Internet because his SGD must be locked. Access to the Internet is a HUMAN RIGHT for patients with ALS. While ALS may take away all of one's physical abilities, access to the Internet with an SGD allows patients to communicate with the world and live a productive life. Preventing patients from accessing the Internet on SGDs is analogous to locking them up

    More

    Stensland, John Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Stephen, Jessica Date: 12/02/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Stephens, Everett Date: 12/05/2014
    Comment:
    It's a growing concern that providing access to the internet is not currently provided with Speech Generating Devices. This may have been an appropriate consideration in 1993, but access to the internet is essential for all persons. The clear answer yes and lies in the irony of the question: Do you need internet access to respond to this question on CMS.gov? Do we live in a nation where the single largest healthcare reform in the world requires access to the internet?
    Stephens, Shaun Date: 12/05/2014
    Comment:
    Speech-generating devices are extremely valuable for the mental, emotional, and physical health of individuals with complex communication needs. In addition to the features commonly included in SGDs, they should have the option to load and use non-English languages, to enable communication with family and community who are not English speakers. They should also have internal cameras and wireless capability, which speeds the process of obtaining and personalizing images.
    Stephenson, Sharon Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Sterling, Laurie Title: Senior Speech Pathologist
    Organization: Houston Methodist Hospital
    Date: 11/10/2014
    Comment:
    I am the speech pathologist for one of the largest ALS clinics in the country, and I cannot emphasize enough how important it is for these patients to be able to utilize these devices to communicate via modalities other than just generating speech. Texting and emailing are how people communicate in this day and age. When that option was "taken away" from my patients with the April 2014 requirement of having "locked" devices, well, my patients were essentially communicatively imprisoned if

    More

    Sterling-Orth, Angie Organization: UWEC
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Stevens, Lizbeth Title: Professor
    Date: 12/06/2014
    Comment:

    To whom it may concern:

    I am writing to provide comments on the future Medicare coverage of Speech Generating Devices. I have worked for over 35 years as a speech-language pathologist supporting persons with communication disorders, many with complex communication needs (CCN) who required the use of alternative ways to communicate. Over the years I have worked with young children and with aging adults. Provision of Speech Generating Devices (SGDs) to such individuals has resulted

    More

    Stevenson, John Date: 12/05/2014
    Comment:
    Dear Doctor,
    Please support Medicare continuation of this bill.
    Thank you, John Stevenson.
    Stewart, Bette Date: 12/05/2014
    Comment:
    Speech generating devices are imperative for those stricken with diseases that negate their ability to communicate. Just look at what Stephen Hawking has achieved. We cannot afford to lose the productivity of those stricken with paralyzing disease. These are serious medical issues that require Medicare support.
    Stewart, Kim Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Stewart, Susan Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Stierwald, Mary Anne Date: 12/05/2014
    Comment:
    There can certainly be no doubt of the useful capacity of the internet,ability to text and other forms of cyber communication for those who suffer with impaired faculties like ALS citizens, but those electronic functions have become such a normal part of our society, one can only wonder why this should even be in question!
    Additionally, most of your own communication is done electronically by the choice of CMS itself!
    Stiggleman, Kristin Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Stillman, Faye Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Stillwell, Emily Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Stjohn, Valerie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Stoffiere, Mary Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Stollberg, Vicki Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Stollings, Samantha Date: 12/04/2014
    Comment:
    It’s imperative for patients to have access to speech generating devices in order to give patients the ability to communicate effectively in everyday life. I work in an area and with people that struggle to communicate their specific needs and I can see and hear what a struggle and frustration it is for patients that cannot verbally communicate their needs. It also makes it difficult to meet a patients needs when they cannot verbally express their needs. These devices help to insure a

    More

    Stone, Annette Date: 12/04/2014
    Comment:

    I am a practicing speech/language pathologist who has been specializing in assessment and therapy for individuals with complex communication needs for the past 17 years. For the past 8 years, I have specialized specifically in assessing and making recommendations for speech generating devices (SGDs) for the individuals who need them in order to communicate their thoughts and needs. I have always tried to put myself in the situation of the person I am assessing, in order to best determine

    More

    Storbakken, Bonita Date: 05/15/2015
    Comment:
    I am thrilled to read that the Feds have re-thought this ruling. [PHI Redacted] has used a SGD for years and for him to have the capability of the internet and email anytime he wants is truly a godsend. thank you so much for doing this....I hope and pray that the House will approve this also to make [PHI Redacted] life and that of many other people truly as full and independent as possible. Thank you
    Story, Chris Date: 12/05/2014
    Comment:
    Do not lock SGD. They should be able to be used to there full capacity, not just for Speech Generation.
    Strain, Sherri Date: 12/05/2014
    Comment:
    I am writing to you today on behalf of people with ALS and others who may need to use an SGD as their means of communication. Texting, emailing, and calling are incredibly important means of communication for all members of society and those with disabilities should not be denied this right. This denial of such a widely used form of communication goes against our civil rights as citizens of the United States of America. This denial will not only have negative consequences to those with ALS but

    More

    Strang, Kara Date: 12/04/2014
    Comment:

    ALS is a fatal neurodegenerative disease that robs people of the ability to walk, stand, move their arms and even wink an eyelid — to do the everyday things most Americans take for granted. For many people, ALS also takes away their ability to speak. To even say hello or I love you. However, SGDs provide people with ALS a voice. Many of the SGDs needed by people with ALS also have features that enable people with ALS to communicate in other ways, such as through email, texting and

    More

    Strickler, John Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Strobel, Pete Date: 12/06/2014
    Comment:
    Internet access is the only exposure to the world for people who are severely disabled. Please do not close this last window.
    Stromberg, John Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Strous, Mary Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Stryker, Michele Date: 05/27/2015
    Comment:
    Speech generating devices are absolutely essential for people with ALS. These are their ONLY way to communicate with the outside world.
    Stryker, Michele Date: 12/01/2014
    Comment:

    Medicare should allow users to unlock an SGD to allow access to non-speech capabilities, such as email and web browsing. Unlocking is consistent with the 2001 NCD. From 2001 – 2014 unlocking was allowed because the devices were client-owned equipment and Medicare policy allows modifications to client-owned equipment as the client chooses. Because of the payment rule change to capped rental, effective April 1, 2014, access to unlocking must now be based on other authority, such as DME

    More

    Stumbris, Steven Date: 12/05/2014
    Comment:

    For People with ALS (PALS) and other degenerative diseases, access to the communications tools of the internet is even more critical than it is to "normal" people.

    Without this essential access to the outside world via Speech Generating Devices and other technology linked to the internet, texting, etc.. PALS and other people with disabilities suffer severely diminished capability to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our

    More

    Stutz, Lindsay Title: SLP
    Organization: CCHMC- Aaron W. Perlman Center for Cerebral Palsy
    Date: 12/01/2014
    Comment:
    I witness the positve effects of communication devices everyday. it is important for devices to durable enough to bw with a child everyday-everywhere they go for 5 years. It is essential to include effective communication training and support with every speech generating device. There is not a one size fits all. THere is a need to recognize the various types and methods of communication used with different communication partners and settings.
    I am a firm believer in being a good

    More

    Sullivan, AJ Date: 12/05/2014
    Comment:
    Internet connectivity for SGD is an essential part of 'normal' living. Internet connectivity is a must.
    Sullivan, Barbara Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Sumner, Nancy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Sumpman, Joe Date: 12/05/2014
    Comment:
    Internet access is absolutley a normal part of functional life in the United States! Those with ALS, for example require the ability to research medical information, consult with doctors and call 911, all of which can be done with internet access.
    Sundquist, Jill Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    sutherlin, robert Date: 12/05/2014
    Comment:
    Internet access is a normal part of functional life in the U.S.
    Sutton, Theresa Date: 12/03/2014
    Comment:

    Keep coverage of eye tracking accessories.

    Authorize manufacturers to unlock SGDs! Allow upgrades to provide access to non-speech functions.

    Continue to allow SGD manufacturers to provide phone control and environmental control as an SGD feature.

    Keep the option for coverage of either a dedicated SGD or for SGD software

    Sutton, Wendy Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Swartz, Martha Title: Legal Collector
    Date: 12/04/2014
    Comment:

    Thank you for allowing me the opportunity to express my thoughts:
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage Decision (NCD), CMS should:

    1.

    More

    Sweeney, Larissa Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Swenson, Guy Date: 12/04/2014
    Comment:
    I support coverage of Speech Generating Devices (SGDs) that also have internet access and I support coverage of eye-gaze interfaces to SGDs. As a good friend has ALS and the loss of communication has been the hardest thing for him to handle. Speaking by using a SGD and communicating via email are pretty much the only avenues of communication left to him and thousands of others with ALS.
    Swinney, James Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Swisher, Liz Date: 12/05/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Swope, Robin Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Sykes, Michelle Date: 12/04/2014
    Comment:

    Michelle Sykes
    2118 Mt. Vernon Rd., SW
    Roanoke, VA 24015

    December 4, 2014

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with

    More

    Szymanski, Carol Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    t, d Organization: public school system
    Date: 12/05/2014
    Comment:
    Please continue funding for speech generating devices. Every individual deserves to have a communication system to meet their needs without the concern of how to pay for such a device.
    T, Lisa Date: 12/04/2014
    Comment:
    Imagine life without a voice. Imagine life without the ability to communicate. As an SLP and Assistive Technology consultant, I have met and work with many individuals that require and benefit from speech generating devices. Communication is essential for day to day living/functioning. One of my clients and her family called it her "lifeline". She would most likely have been admitted to a facility for more care if she was not able to use her communication system. Not only did she

    More

    Tagg, Nick Date: 12/05/2014
    Comment:
    SGD's are essential resources for everyday functionality, let alone emergency situations where people in need are already at a disadvantage. SGD's would serve as a normal everyday function for those in need.
    Taggart, Jodi Date: 05/20/2015
    Comment:
    Communication is crucial for those no longer able to verbally speak or physically use sign language. It's important in order for their needs to be met, for them to remain productive, to have some independence, for relationships to be kept and important for their safety!
    Takagi, June Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Tarr, Amanda Date: 12/04/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Tarry, Olivia Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Tart, Susan Date: 12/05/2014
    Comment:
    PLEASE continue coverage for speech generating devices for patients with ALS. People who have ALS suffer so many things, and lose their ability to speak. The only way they can communicate is via a SCD. If they have medical or personal needs they cannot communicate with their caregivers without a SCD. These devices are an ESSENTIAL item for these people. People with advanced ALS cannot work, so the family generally cannot afford the devices but truly need them. I can't think of a more important

    More

    Tate, Jennifer Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Tatreau, Christine Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Tavano, Paul Title: Citizen
    Date: 05/29/2015
    Comment:
    "Only in America... We are to communicate with the government via the internet to explain to the government that speech isn't the only way to communicate. People with ALS will loose all means of communication and speech generating devices are critical. Please do not deny the ALS effected from having a way to communicate. So much has already been taken from them by this disease do not take this away as well.
    Tavano, Kathy Date: 05/21/2015
    Comment:

    Think back 20 years ... you spoke on the phone or wrote a letter to communicate.

    Today ... less phone calls and letters ... more texts and emails.

    Communication today is different.

    Communication is more than speaking with the person next to you. I'd bet you aren't limited to speaking only with the person next to you.

    Please vote to allow those with communication devices to truly communicate by voting to allow internet access via communication

    More

    Tavano, Paul Date: 12/05/2014
    Comment:
    Access to the internet is crucial to function in today's society. The internet allows disabled to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy.
    Without these tools (that every functional American uses!) the disabled are at higher health risk in emergency, & told they're not useful
    TAVANO, KATHY Date: 12/05/2014
    Comment:

    1. Without the internet, someone with ALS would not be able to make a comment here using their communication device.

    2.Typically, someone with ALS has difficulty — or finds it IMPOSSIBLE — to get out into society because of physical limitations. The internet helps overcome that disability.

    3. I have a question for those in the government reading this comment. Do you communicate ONLY by phone or in person? Do you search for and receive information ONLY in

    More

    Taylor, Lori Date: 12/05/2014
    Comment:
    Please do not limit or deny access to the internet! Allow them to use technology to communicate when their body is no longer able to naturally. This is very important, what if it was you or your family member?!!
    Taylor, Deena Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Teed, Brian Date: 12/05/2014
    Comment:
    It seems to me that limiting the functionality of the device defeats the purpose of having the device in the first place. Are you considering limiting internet access from the device as a deterrent for abuse? That is misplaced. Abuse needs to be prevented with proper criteria for receiving the device NOT limiting the functionality of the device.
    Tellez, Vanessa Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Terrell, Pamela Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Tetterton, Jennifer Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Theilen, Ross Date: 12/05/2014
    Comment:

    I see no reasonable need for a Speech Generating Device... like an iPad... to be restricted from internet access. If it provides the tools covered by Medicare to allow speech communication... all that same tool to do the other natural things to which our society has grown accustomed when it comes to communication.

    Throttling technology makes no sense.

    Therrien, Michelle Date: 05/29/2015
    Comment:
    Thank you for including an expansion of the definition of “speech” to include communication by texting, e-mail and phone. In today's society, inability to do these things can be a huge disability for anyone, but for someone who uses an SGD to communicate, the internet and other social-media platforms may be their BEST space to communicate. Face-to-face communication takes so much effort, and even if everything goes well, it is very slow. It is such a benefit to individuals with severe

    More

    Therrien, Michelle Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Thiel, Jodi Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Thiele, Holly Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Thielman, Tiffany Date: 12/05/2014
    Comment:
    It is very important to continue to fund speech generating devices including technological advances that are arising on a frequent basis. These devices are a matter of survival for people who are unable to speak. The internet allows disabled to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy. Access to the web, is a "normal" part of functional life in America. Today! Thank you,Tiffany Thielman
    Thimmes, Sarah Date: 12/03/2014
    Comment:

    As a speech language pathologist, many of my children on my caseload depend on speech generating devices to communicate. Each individual client has their own specific needs, therefore, every device should have access methods that are appropriate for the client. One device definitely does not fit all. Different access methods are imperative to make the difference between a device that is inoperable for a client to one that can be used with ease. And, it must be able to change as the child

    More

    Thistle, Jennifer Date: 05/28/2015
    Comment:
    - The draft NCD is very good and I want to thank Medicare staff for addressing the most important concerns that had arisen in 2014 regarding Medicare SGD coverage;
    - The expansion of the definition of “speech” to include communication by texting, e-mail and phone is a very positive development;
    - The recognition that SGDs' non-communication capabilities and features can be made available, even though non-covered by Medicare, is a very positive development, and the procedure to -

    More

    Thistle, Jennifer Date: 12/02/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Thomas, Zack Date: 12/05/2014
    Comment:
    Please continue to allow internet access with these devices as the internet is now an essential tool for daily life and allows those with disabilities an opportunity to interact with their communities, a benefit they assuredly deserve. In 2014 and beyond, speech must include the ability to interact with others online. If the goal is to allow those with disabilities to communicate, please continue to allow the broadest access possible.
    Thomas, Christine Organization: Year
    Date: 12/05/2014
    Comment:
    To Whom It May Concern: I am writing today on behalf of people with ALS who use SGD to communicate. I volunteer for 2 women and to say that this device would be incredibly useful for communication would be an understatement! It is imperative that the use of this device via internet services be covered. ALS robs the lives of everyone it touches. Take note CMSgov!!!!!
    Thomas, Megan Date: 12/04/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs)
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage

    More

    Thomas, Heather Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Thompson, Neil Date: 12/06/2014
    Comment:

    I am writing to beg for complete TOBII access for a dear friend. He needs to have some sense of control over his situation. He cannot move at all and his eyes are his only connection to communication. I urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage

    More

    Thompson, Luke Date: 12/06/2014
    Comment:

    This is a very personal issue for me, as someone close to me is afflicted with ALS. I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they

    More

    Thompson, Jennie Date: 12/05/2014
    Comment:
    As a practitioner working in a multidisciplinary ALS clinic, I see this issue boiling down to one of our essential rights as Americans: the right to freedom of speech. In this day and age, to define speech as strictly verbal, face-to-face communication is ludicrous and antiquated. This very forum encouraging feedback in an internet forum proves it - if internet access is taken away, these people can't even COMMENT! We no longer limit our speech to in-person conversations but rather

    More

    Thompson, Deborah K. Date: 12/05/2014
    Comment:
    To all legislators involved in this decision making:
    For thirty nine years I have worked with individuals with disabilities, of all ages and multiple diagnoses. The right to communicate is paramount to those who cannot speak. Imagine your world without your voice, your email, your access to the web, your phone. It's how we all express ourselves, stay in contact, participate in our community and with those around the country and world. It's how we stay informed and become more

    More

    Thompson, Molly Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Thompson, Danielle Date: 11/25/2014
    Comment:
    I am a hospital based speech-language pathologist and have worked with AAC devices in the outpatient setting. I truly feel that the ability to unlock a device in order to access e-mail, etc. is a huge need for this population. After all, what would we all do without access to the internet & e-mail? Spoken language is not the only mode of communication and this population greatly benefits from devices that can do it all. I'm glad that this rule is being revisited and hope it is over turned.
    Thompson-Cooke, Tammy Title: Augmentative Communication Services Coordinator
    Organization: Institute on Disabilities & PIAT
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). I am a speech-language pathologist who helps individuals develop a system of communication that may be in addition/augment or as an alternative to natural speech, including the use of SGDs. As part of my clinical practice I help individuals and their caregivers learn how to use this augmentative/alternative communication system by applying a "same, but different" approach where I

    More

    Thorbjarnarson, Kathy Date: 12/04/2014
    Comment:
    I support coverage of speech generating devices that also have internet access. And coverage of eye gaze interfaces for the SGDs.
    Thornburg, Amie Date: 12/05/2014
    Comment:
    SGD are necessary for anyone diagnosed with ALS to function on a daily basis. A SGD is not a luxury item. It is the only means of communicating with the world...a patients doctor, pharmacy, bank, friends, family,, etc. And in today's world, yes, that does require internet access!
    Thorne, Roger Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Tice, Bindy Date: 05/21/2015
    Comment:
    It is imperative that the patients rendered speechless have SGD made available to them during all phases of their diagnosis to enable them to communicate with caregivers, medical staff, and yes, even their loved ones during the difficult transitions of life threatening diseases. The current ruling is ridiculous and inhumane. We are better than that! Those who are disabled are living in an era where technology can make life easier. Why are we even fighting for this? It's a no-brainer.. Please

    More

    Tillett-Ferguson, Sandra Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Tillman, Sherri Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Timm, Lisa Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Tincher, Jennifer Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Todd, Kristin Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Tognazzini, Shana Title: Assistive Technology Services Coordinator and SLP
    Organization: The ALS Association of Oregon and SW Washington
    Date: 12/04/2014
    Comment:

    Unless you have watched a love one suffer from not being able to communicate when they are terminally ill, then it might not be clear how the recent Medicare rule changes are negatively affecting a very large group of people who have very limited options for communicating during this time.

    The following statements are from People living with ALS. Please consider their words and remember that all of the Medicare rules directly affect them and the other people in their

    More

    tolunay, Kayla Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Toms, Pris Title: Project Coordinator
    Organization: Duke University
    Date: 12/05/2014
    Comment:
    need internet to chat....do not take it away
    As the walls close in expand the universe!
    Topalian, Tracy Title: speech and language therapist sr.
    Organization: Central Wisconsin Center
    Date: 12/04/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.
    Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies.The size, weight, shape and access method are all important factors in the evaluation process for an SGD and off-the-shelf technologies provide additional options. SGD coverage should continue to extend to devices that are computer based, including those that rely on off-the-shelf hardware and

    More

    Topp, Kristina Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Torhez, Jennifer Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Torres, Kristin Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Touger, Jeanne Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Touger, Jeanne Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Townsend, Andrea Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Toy, Walter Date: 12/06/2014
    Comment:
    Internet for people with disabilities is needed!
    Trahan, Kirk Date: 12/03/2014
    Comment:

    Matthew 15:31

    "so that the crowd wondered, when they saw the mute speaking, the crippled healthy, the lame walking, and the blind seeing. And they glorified the God of Israel."

    The greatest nation in the history of mankind has the ability to fulfill this passage. Let's be humanity we think we are.

    Trevino, Gilda Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Trimble, Jennifer Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Triplett, Michael Date: 12/05/2014
    Comment:
    I would like to ask that you listen to the pleas of passionate ALS advocates like Steve Gleason when considering the policy on limitations to SGDs available to the disabled. It seems obvious that they should have access to the internet, etc., for the resources and communication that are vital to everyone's daily lives, disabled or not. And as Steve and countless other inspiring figures have been proving, technology cannot only improve the quality of their lives but can expand the impact they

    More

    Troiano, Myresa Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Trotta, Kevin Date: 11/21/2014
    Comment:
    I feel strongly that CMS needs more dynamic rules that will let CMS make sensibly fluid decisions. As technology advances, CMS needs to be able to nimbly adapt its policies. So many people in need would benefit directly from covered access to all appropriate existing and future technology. As you reconsider the NCD, please recognize that email, text, Skype, environmental controls, word processing, etc., etc. should all be accessible through revised SGD rules that acknowledge the evolution of

    More

    Truitt, Kevin Title: Attorney
    Organization: Disability Rights Ohio
    Date: 12/05/2014
    Comment:

    Disability Rights Ohio is Ohio’s protection and advocacy system, and our mission is to advocate for the human, civil and legal rights of people with disabilities in Ohio. We envision a society in which people with disabilities are full and equal members, enjoy the rights of and opportunities available to all people, are self-directed, make decisions about where, how and with whom they will live, learn, work and play, have access to needed services and supports, and are free from abuse,

    More

    Tsarnas, Kala Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Tucker, Annmarie Date: 12/05/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Tucker, Teresa Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Turner, Hannah Date: 05/28/2015
    Comment:

    I am writing to ask that the proposed changes to funding of speech-generating devices be approved to promote increased access to communication across contexts, including the ability to communicate with others across a distance (e.g., send e-mails and text messages, make phone calls, etc.), which would allow individuals with complex communication needs to participate more effectively in personal and professional settings. In addition, I wish that funding also be extended to eye-tracking

    More

    Turner, Anne Date: 12/05/2014
    Comment:
    This is very vital and necessary aid, it should be covered.
    Tweed, Jason Date: 04/29/2015
    Comment:
    Expanding the scope of speech generating devices covered by CMS is critical in my opinion. Having the ability to communicate in other forms is of increased importance. Persons with disabilities should be able to communicate as easily by telephone, text service, email as well as in person. Technology for these functions has become mainstream, however not all technology is easily usable by people with disabilities. Furthermore, adaptive technology that is available is frequently too expensive

    More

    Unthank, Kelly Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Untiedt, Marin Date: 12/05/2014
    Comment:
    It seems to me the only logical conclusion is that not only would it be better and more efficient to allow multi-use SGDs (computers), but that email and other internet communication has become indispensable in our society. It only makes sense to allow for the convenience and normalcy that SGD integration with laptops, tablets, or other computing devices give.
    Urban, Megan Date: 12/03/2014
    Comment:
    As a speech pathologist, I see how lack of access to these devices not only reduces quality of life, it is also a huge safety risk. Some patients need these devices to be able to communicate medical needs (eg, I have the worst headache of my life, which is a symptom of a stroke). Further, lack of access to these devices can also increase medical expenses by requiring extra testing if the patient cannot answer questions to determine the most essential medical tests.
    Urban, Megan Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Urban, Megan Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Ursel, David Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Valentine, Laura Date: 12/04/2014
    Comment:
    Speech-generating devices are important to many people with disabilities. If CMS limits funding, many people with disabilities and limited resources will no longer have access to devices that will allow them to communicate effectively with others. Within funding reasonableness, please continue to fund speech-generating devices to the full extent that allow people to communicate with others and lead independent lives.
    Vallier, Jennifer Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Valliere, Kevin Date: 12/05/2014
    Comment:
    Please Help Those in Need!
    vamos, kathleen Date: 12/04/2014
    Comment:

    Kathleen Vamos
    1004 Mallard Drive
    Oregon, OH 43616

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs)

    More

    Van Allan, Stephanie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Van Winkle, Leslie Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    VanDenEng, Jennifer Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    VanHooser, Kara Date: 12/03/2014
    Comment:
    Please support access to Speech Generating Devices, including those that are capable of email and other apps that allow users to participate in social communication. The guidelines proposed by the American Speech-Language-Hearing Association are appropriate.
    Vargas, JoAnn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    varisco, Jill Date: 12/02/2014
    Comment:
    Individuals who rely on Speech Generating Devices are able to thrive. Communication unlocks a door that was previously closed. SGD's are their life support, it gives them independence through technology that exists in today's world. Please don't shut that door on the people who need it the most. Allow the coverage to continue.
    Thank you for your reconsideration.
    Vasquez, Susana Date: 12/06/2014
    Comment:
    Please help people with ALS who will eventually lose the ability to speak. It is inhumane to leave someone in such distress, unable to communicate with loved ones, to cry for help and to speak their final words before leaving this world. Americans pay taxes on absolutely everything in hopes that our money is going to the right places. I hope we can all agree that this issue needs to be adressed. Don't keep resources away from us just to be greedy. EVERYTHING is within reach, please help.
    Vaughn, Charles Date: 12/03/2014
    Comment:
    While a cure for ALS has not been found, please add speech generating devices and other devices such as eye tracking to Medicare coverage. Even while dealing with ALS, patients and their families ability to cope with the disease will be enhanced when the patient is able to have these communication devices. We have a family member who has been diagnosed with ALS and has lost his ability to verbalize. We were extremely surprised when we learned such devices were not a covered item under

    More

    Vecchio, Fran Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Veis, Sharon Title: Speech-Language Pathologist
    Organization: Northwestern University
    Date: 12/04/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Velho, Erika Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Veltre, Michael Date: 12/04/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Venturo, Jamie Date: 05/23/2015
    Comment:
    Speech Generating Device
    Vickers, Benjamin Date: 05/21/2015
    Comment:

    I believe the right to communicate beyond speech for people who are denied that ability due to illness should be fundamental. Therefore, I believe Medicare should provide access to speech generating devices. It is simply the right action to take and it should be done as soon as possible.

    Thank you,
    Benj Vickers

    Vicknair, Gabrielle Date: 12/05/2014
    Comment:
    It's absurd to think these folks don't need access to anything but speech recognition. For some, it's how they control their lives and communicate with the world
    Victorino, Kristen Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Vierck, Scott Date: 12/05/2014
    Comment:
    As a software architect, I wanted to comment that access and availability for all people, including disabled people with conditions such as ALD, is essential in modern times. Everyone should be allowed access to critical technology that can better their lives and allow them to better the lives of others. Aside from security, access and availability are the most critical issues we phase as we move forward with technology in our everyday lives. Please consider the necessity of this access and

    More

    Vigil, Tory Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    viliane, tony Date: 05/20/2015
    Comment:

    PLEASE....this is the only way for [PHI Redacted] to communicate and be productive

    Please understand.

    Please approve

    Thank you

    Villa, Christine Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Villalobos, Chris Organization: Granite Hills High School
    Date: 12/02/2014
    Comment:

    I believe it is a critical to for MediCal to provide SGD to the people we work with who do not use natural speech and who deserve every right to communicate using the most appropriate technology available.
    Please allow these devices to use head and eye tracking, be OPEN for updates, allow SGD to control environmental features as well as phone control.

    Thank you.
    Viloria, Courtney Date: 12/05/2014
    Comment:
    Access to the web is a normal part of functional life in America. The internet allows disabled to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy. Without these tools (that every functional American uses!) the disabled are at higher health risk in emergency, & told theyre not useful
    Virata, Telana Organization: Precise Communication LLC
    Date: 05/28/2015
    Comment:

    Communication is a basic need and basic right of all of us as human beings. If we look at maximizing the quality of life of individuals with disabilities, specifically severe speech impairment, the mean and mode of communication for these individuals must be addressed. All humans communicate with intention. At times communication can be unintentional as well. It can also be verbal, nonverbal, unassisted and assisted. The form of assistive technology available to individuals with

    More

    Vitosky, Mary Date: 12/05/2014
    Comment:
    Use of the internet is a normal & usual way of life for everyone but it is especially important, essential & life saving for people with disabilities. Internet is especially needed for those with Speech Generating Devices.
    Vlahos, Marica Date: 12/05/2014
    Comment:
    Access to the web, is a "normal" part of functional life in America. Technology is vital for disabled persons and the ability to communicate through the Internet is necessary and essential.
    Voigt, Blair Date: 12/04/2014
    Comment:

    December 4, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    von Schaumburg, Kristin Date: 12/05/2014
    Comment:
    The internet is an integral part of the way we function on a daily basis, take this post for an example.
    The ability to communicate through the internet becomes even more imperative when you have lost the ability to speak. Try going for one day without speaking and then imagine that you can't make a phone call to contact a doctor or emergency personnel or even to order dinner. For those without the power of speech the ability to communicate via the internet is more important than ever.

    More

    Von Schaumburg, Deb Date: 12/05/2014
    Comment:
    Disabled people have very limited communication to begin with. Taking this essential necessity from them would be inhumane and would deprive them access to the internet which is a right every person has and should be a right regardless of any type of disability. To some this is the only form of communication and without it these people would not have a voice and feel productive and a part of society. They need to use the Internet for all forms of communication and need to reach out to

    More

    vonSchaumburg, Bob Organization: Mrs.
    Date: 12/05/2014
    Comment:
    We should be trying to make life easier for those in need-not more complicated-Limiting access to the internet does not serve that pourpose
    VonSchaumburg, Bob Organization: Mrs.
    Date: 12/05/2014
    Comment:
    Please understand the profound need for all ALS patients(and others) to have access to the internet-it is their lifeline to society!!!
    Voss, A Date: 12/05/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Voss, Ashley Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    vroble, gay Date: 12/06/2014
    Comment:
    Some people with CP can't use the tablets for communication. They are lighter and would seem easier but some limitations prevent them from being usable. The fast changing pace of technology makes the devices need to be replaced sooner than 7 to 10 years. The long process for those needing a new device is frustrating and those not needing to communicate with one have little understanding of their need, making the process even more frustrating. many devices are built on different language

    More

    Vukcevic, Scott Title: Board of Directors
    Organization: ALSA Evergreen Chapter
    Date: 12/04/2014
    Comment:
    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.
    ALS is a fatal neurodegenerative

    More

    Wadley, Catherine Title: COO
    Organization: Control Bionics Inc
    Date: 05/29/2015
    Comment:

    May 28, 2015

    Comments on Speech Generating Devices

    Control Bionics Inc. is a company specializing in speech generating devices for severely disabled and paralyzed persons such as those with ALS or Spinal Cord Injuries and where the person can neither move nor speak. Our device is called NeuroSwitch and operates with EMG (electromyographic)technology and a connection to a computer. (www.controlbionics.com)

    We offer the following comment to the Centers for

    More

    Wadley, Bridget Date: 11/26/2014
    Comment:
    I work for a Rehabilitation Engineering and Assistive Technology company that provides speech generating devices for patients. I cannot emphasize enough how important it is for patients to be able to utilize these devices to communicate over the internet as well as generate speech. Texting and emailing are how people communicate today. Please reinstate our patients' "voice" and ability to communicate in ALL facets. Requiring locked devices confines a patient to communicate within their own

    More

    Wagner, Brooke Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Wahlquist, Jordan Title: SLP
    Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National Coverage

    More

    Wahlquist, Johnette Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Walker, Susan Date: 12/04/2014
    Comment:
    To Whom It May Concern,
    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.
    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a

    More

    Walker, Stephanie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia

    More

    Wallace, Wanda Date: 12/05/2014
    Comment:
    Speech is such a valuable tool to keep ALS victims apart of society. We were so disappointed that internet was taken off the table for ALS patients. 13 months is an eternity for someone with horrible disease. Please look at the needs of the patient. Help the patient (person) have dignity and be able to live with ALS vs. dying with ALS!!
    Wallace, Sarah Title: Assistant Professor
    Organization: Duquesne University
    Date: 12/05/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Waller, Tiffany Date: 12/02/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Walsh, Scott Date: 12/06/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Walters, Kristen Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Wang, Amy Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Ward, Joann Title: citizen
    Organization: no organization, but if you wish to call me, please text
    Date: 05/24/2015
    Comment:

    as the Boomer generation reach retirement and increasingly depend on Medicare/Medicaid services, it seems particularly cruel to deny people the right to communicate adequately.

    For example many people of this age will always be able to speak, but as hearing diminishes, it is much more logical to use all means, especially cost-effective means to help a person do simple things like call their bank about a stolen credit card, or get a call from one's physician to tell one the biopsy

    More

    Ward, Lynn Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Washington, Mary Title: Speech Language Pathologist
    Organization: Mid-South Access Center for Technology, University of Memphis
    Date: 12/05/2014
    Comment:
    I am a speech-language pathologist with over 30 years of experience working with individuals young and old who are unable to speak. the Speech generating devices level the playing field and allow individuals to communicate, which is a basic right. Please do all that you can to help to make this equipment available for all who need it.
    Washington, Daphne Title: Speech-Language Pathologist
    Date: 12/03/2014
    Comment:
    I am concerned that users of SGDs that have multiple disabilities are not going to have access to the communication systems they need to communicate. Their partners vary and their need to communicate in different settings change throughout the day. You should reconsider the ruling so that the communication devices that are funded are customizable, durable enough to last for 5 year, are supported with communication training as part of the purchase price. Our clients need support to

    More

    Wasilewski, Katie Date: 05/21/2015
    Comment:
    I request you to kindly reconsider limiting the use of SGD's. For many people with ALS these speech generating devices are the only way to one day communicate their basic, human needs. Please don't take the ability to communicate from those who need it most. It is literally life saving. Thank you.
    Waskom, Marcail Date: 12/05/2014
    Comment:
    What do you use your tech devices for - accomplishing the basics of life, communicating with friends and family members, work? It is insane to me that disabled Americans' efforts to lead more productive, normal, healthy lives would be further hampered by the government and silly restrictions on communications capabilities on handheld/portable devices. Please allow recipients to use these devices to the full extent possible. Internet access is CRUCIAL and CRITICAL, and disabled Americans

    More

    Wasmuth, Lauren Date: 12/05/2014
    Comment:

    In the 2001 NCD, Medicare recognized that both a dedicated SGD and SGD software that would be loaded onto a device the client already owned were appropriate for coverage. These choices must be maintained.

    For some clients, SGD software, not a fully dedicated built-for-purpose SGD, satisfies a person’s communication needs. The SGD software may run on existing consumer computing products that a Medicare beneficiary already owns, allowing for unique customization and resource

    More

    Waters, Tabatha Organization: A concerned member of the Human Race
    Date: 12/05/2014
    Comment:
    Access to the internet in today's world is a CRITICAL connection. I am 45. I remember the days of no internet. Perhaps that is the age of the committee, or older even, as that is the ONLY reason I can imagine for any resistance to recognize how critical the internet and its access are. Today, we purchase insurance, file claims, fill prescriptions, message organizations such as this, buy and sell on the internet. We use the internet for EVERYTHING from commerce to medical to social

    More

    Watkins, Brooke Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Watson, Lucia Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Weatherley, Jason Date: 12/05/2014
    Comment:
    The internet allows the disabled to consult with doctors, contact 911, manage finances and pay bills, research further treatments and be a productive member of society. So yes, internet is essential to those who need these devices.
    Webb, Haley Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Weber, Mo Date: 12/05/2014
    Comment:
    access to the web, is a "normal" part of functional life in America and an essential part of functional life for a multitude of individuals with many diseases that rob them of their ability to communicate.
    Weber, Jozette Date: 12/02/2014
    Comment:

    Medicare covered SGDs: dedicated speech devices, used solely by individuals with severe speech impairment, require several capabilities, features, and functions to operate effectively and efficiently as SGDs. The 2001 NCD did not restrict any of these operational characteristics of SGDs, including

    • Enabling the SGD manufacturers to connect wirelessly to devices to provide technical support, troubleshooting, and software corrections and upgrades (independent of

      More

    Webre, Lloyd Date: 12/05/2014
    Comment:
    Access to the web, is a "normal" part of functional life in America. Today!
    Wegner, Jane Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Weigle, Elizabeth Date: 05/26/2015
    Comment:
    Not allowing each patient to own/use these devices would be devastating. I strongly encourage the individuals involved in this decision to make the right choice : DO NOT TAKE AWAY COMMUNICATION FROM ANY INDIVIDUAL WHO RIGHTFULLY NEEDS AND DESERVES IT.
    Weimer, Corie Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Weintritt, Jennifer Date: 12/05/2014
    Comment:
    Access to the internet is a "normal" part of functional life in America. The internet allows disabled to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy. Failure to provide this vital resource to the disabled will result in further alienation from society.
    Weir, Rachel Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Weissling, Kristy Date: 12/05/2014
    Comment:

    December 5, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Weissling, Kristy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Wells, Syreeta Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Welt, Diana Title: concerned tax paying American, friend of the suffe
    Organization: Committed Friends for Government change!!!
    Date: 12/04/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS  have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Wentz, Kimberly Date: 12/05/2014
    Comment:
    please carefully consider how vital internet access is for humans with no other means of communication.
    Werner, Peggy Title: M.S., CCC-SLP
    Organization: Asha
    Date: 12/03/2014
    Comment:

    Subject: Please Accept ASHA's Revisions to Speech-Generating Devices Policy

    Peggy Werner
    3508 Palo Duro Ct.
    Hurst, TX 76054

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1:

    More

    Werz, Melissa Organization: Duke University Medical Center
    Date: 12/03/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs). I am a rehabilitation engineer with over 25 years working with people with complex communication needs and was part of the team that worked with CMS on the original 2001 NCD. I have personally seen how Medicare funded SGDs enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important

    More

    Wessley, Erin Title: RN
    Date: 12/05/2014
    Comment:
    Thank you for letting me comment on the Medicare Coverage of SGD's. ALS is a horrific disease that takes everything away from the patient. ALS is a fatal neurodegenerative disease that robs people of the ability to walk, stand, move their arms and even wink an eyelid to do the everyday things most Americans take for granted. For many people, ALS also takes away their ability to speak. To even say hello or I love you. Why should Medicare take away things that can help ALS patients during any

    More

    Westmoreland, Katherine Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Westphal, Julia Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).In todays day and age it is so sad to see that wi will allocate government resources to animals and the environment while or elderly and sick are left with horrible hurdles to tackle. A young mother in my neighborhood is fighting ALS and that is how I first learned of the policy to take away a "patients voice" upon entering hospice. WHat ever happened to dying with dignity? What

    More

    Wetherill, Amy Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Whalen, Breanne Date: 12/01/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    White, Kimberly Date: 12/05/2014
    Comment:
    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    White, Amberly Date: 12/05/2014
    Comment:

    PROPOSED COMMENTS

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).
    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With

    More

    White, Janice Organization: 1949
    Date: 12/05/2014
    Comment:
    I am submitting this comment to voice concerns that ALS patients NEED UPDATED COMMUNICATION WITH NTERNET ACCESS that they can KEEP WHILE IN HOSPICE because it's MEDICALLY NECESSARY for patient care!!!
    White, Linda Title: Speech/Language Pathologist
    Organization: West Warwick Public Schools
    Date: 12/04/2014
    Comment:

    Dear Dr Duggiraila:

    I am a speech/language pathologist who has seen firsthand how significant SGDs are for those with communication impairments. Once you've worked with a child who cannot communicate, it seems so obvious that we should not place any unnecessary restrictions on their access to these devices. Communication shouldn't be limited to children whose parents can pay for the device on their own. Please accept ASHA’s proposed revisions to the National Coverage

    More

    White, Dawn Organization: ALS Association, Golden West Chapter
    Date: 12/03/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    White, Gemma Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    White, Brittany Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    White, Tara Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Whiteley, Margaret Title: SLP
    Organization: Mannheim SD 83
    Date: 12/02/2014
    Comment:
    Medicare covered SGDs: dedicated speech devices, used solely by individuals with severe speech impairment, require several capabilities, features, and functions to operate effectively and efficiently as SGDs. The 2001 NCD did not restrict any of these operational characteristics of SGDs, including
  • Enabling the SGD manufacturers to connect wirelessly to devices to provide technical support, troubleshooting, and software corrections and upgrades (independent of unlocking);
  • Enabling

    More

  • Whitfield, Kristin Date: 11/11/2014
    Comment:

    Thank you for rescinding the coverage reminder regarding SGDs. As a speech-language pathologist who specializes in augmentative and alternative communication, I know first-hand the importance of text, chat, Skype, and email communication for people with disabilities. Many times, making a phone call is hard, leaving home to talk to someone face-to-face is hard, and expecting all possible communication partners (including doctors and other healthcare providers) to come to the SGD user's

    More

    Whitlock, Lauren Date: 12/03/2014
    Comment:

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of

    More

    Widmer, Daniel Date: 12/05/2014
    Comment:
    When considering what a SGD should consist of, I believe it needs to be considered what is need to allow the person to be as productive as they can possibly be in all possible situations. To do this, an SGD needs to be more than your basic "Speech Generating Device". To allow someone to live up to their fullest potential, it really needs to be a "Communication Device" that allows them to participate in all modes of communication (e.g. Speech, e-mail, phone, texting, etc.) that they need to

    More

    Wilcox, Sheri Date: 12/06/2014
    Comment:
    Please provide internet access for people who need a speech generating device. This is something that is even provided for those with poverty level incomes on public assistance in states like Washington. For someone whose ONLY link to the outside world is through the use of electronics, internet access should be a given.
    Wild, Brittany Title: LPN
    Organization: Ochsner Cardiology Dept.
    Date: 11/26/2014
    Comment:
    ALS has taken enough. Everyone has the right to communication. For some it is not as simple as getting on the nearest computer or making a phone call. To take this from our community would be a shame. Help people to continue to live a life outside of their immediate surroundings. As a nurse I make frequent contact with patients via internet and webmail. With this technology patients are able to contact their medical providers without including a 3rd party if they wish. It enables them to

    More

    Wildman, Patrick Title: Director, Public Policy
    Organization: The ALS Association
    Date: 12/05/2014
    Comment:

    The ALS Association applauds CMS for recognizing the inconsistencies with NCD 50.1: Speech Generating Devices, and has submitted the comments and appendix below to CAGinquiries@cms.hhs.gov.

    December 2, 2014

    VIA ELECTRONIC DELIVERY: CAGinquiries@cms.hhs.gov

    Dr. Subash Duggirala
    Centers for Medicare & Medicaid Services
    Department of Health and Human Services
    Attention: CMS-1614-P
    P.O. Box 8016
    Baltimore, MD 21244

    Re: National Coverage

    More

    Wilke, Karen Date: 05/22/2015
    Comment:
    In your re-interpretation of the rules regarding SGD coverage, you are effectively precluding people with speech disabilities from even being able to comment on a decision that profoundly affects them. This is incredibly discriminatory and I am surprised that it is even being considered. Please reconsider this decision and allow SGDs to be unlocked for access to communication to which non-disabled citizens have access.
    Wille, Nicholas Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal

    More

    Williams, Ross Date: 12/05/2014
    Comment:
    I am in support of modifying the policy regarding speech generating devices to reflect the improvements in technology and reductions in costs. Please do by yesterday. Thank you.
    Williams, Carolyn Date: 12/05/2014
    Comment:
    I support ensuring that the NCD for speech generating devices keep up with modern technology and means of communication by expanding its definition to cover not only devices that generate speech, but other forms of communication, as well.
    Williams, Matt Date: 12/05/2014
    Comment:
    I am writing to you today on behalf of people with ALS and others who may need to use an SGD as their means of communication. Texting, emailing, and calling are incredibly important means of communication for all members of society and those with disabilities should not be denied this right. Lack of connectivity will have negative consequences to those with ALS, and also to their caregivers as well. An open SGD allows someone to effectively communicate to people in many different places and

    More

    Williams, Kate Date: 12/03/2014
    Comment:
    Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking needs.
    Speech-generating devices are characterized by:
    Being a device that produces speech by translating the user's input into device-generated speech;
    Being a device used solely by the individual who has severe speech impairment;
    May have digitized speech output, using prerecorded messages, less than or equal

    More

    Williams, Christine Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Williamson, M Jane Date: 05/21/2015
    Comment:
    It is so important that Medicare include other forms of communication for coverage, including texts and emails. More and more, that is how Persons with ALS (PALS) communicate with caregivers and family. That is part of how we all communicate! Eye-track technology MUST be covered for PALS, or else they cannot communicate at all, living trapped with a working mind and needs but no ability to speak. And you must eliminate the capped rental so a PALS can communicate while in the hospital or in

    More

    Willig-Kroner, Elizabeth Title: SLP
    Date: 12/01/2014
    Comment:

    Speech generating devices are a necessary and evidence-based intervention tool for the non-verbal and limited verbal population. It is critical that patients using speech generating devices have consistent access to a communication device with the appropriate features to meet their needs. Use of a communication device can serve to bridge a receptive and expressive language gap and/or help facilitate development of language skills during critical periods in language development and learning.

    More

    Wilson, Elizabeth Date: 05/29/2015
    Comment:
    Speech Generating Devices are necessary for people who do not have the ability to communicate! Communication is a necessity and so many people rely on these devices!
    Wilson, Donald Date: 12/05/2014
    Comment:

    My specific concerns are the decisions and actions of The Centers for Medicare & Medicaid (CMS) concerning Speech Generating Devices (SGD). According to the information available, effective April 1, 2014, SGDs are being considered for reimbursement under the Durable Medical Equipment (DME) capped rental program, actually reimbursement in 13 rental months. I understand the capped rental process the beneficiary will be called by the manufacturer each month and asked whether the SGD will be

    More

    Wilson, Chris Date: 12/05/2014
    Comment:
    I strongly feel that people with disabilities should have normal access to health resources and are useful in society. Access to the internet essential. The internet allows disabled to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy. The web, is a normal part of functional life in America Today.
    Wilson, Chris Date: 12/05/2014
    Comment:
    I strongly feel that people with disabilities should have normal access to health resources and are useful in society. Access to the internet essential. The internet allows disabled to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy. The web, is a "normal" part of functional life in America Today!
    Wilson, Emily Date: 12/04/2014
    Comment:

    My name is Emily Wilson and I am an employee of FAAST, Inc. (Florida Alliance for Assistive Services and Technology). We are an organization developed by the Assistive Technology Act of 2004 whose mission is to improve the quality of life for all Floridians with disabilities though advocacy and awareness activities that increase access to and acquisition of assistive services and technology. Our mission makes us keenly aware of the necessity of Speech Generating Devices (SGD), and we

    More

    Wilson, Emily Date: 12/04/2014
    Comment:

    My name is Emily Wilson and I am an employee of FAAST, Inc. (Florida Alliance for Assistive Services and Technology). We are an organization developed by the Assistive Technology Act of 2004 whose mission is to improve the quality of life for all Floridians with disabilities though advocacy and awareness activities that increase access to and acquisition of assistive services and technology. Our mission makes us keenly aware of the necessity of Speech Generating Devices (SGD), and we

    More

    Wilson, Emily Date: 12/04/2014
    Comment:

    My name is Emily Wilson and I am an employee of FAAST, Inc. (Florida Alliance for Assistive Services and Technology). We are an organization developed by the Assistive Technology Act of 2004 whose mission is to improve the quality of life for all Floridians with disabilities though advocacy and awareness activities that increase access to and acquisition of assistive services and technology. Our mission makes us keenly aware of the necessity of Speech Generating Devices (SGD), and we

    More

    Wilson, Emily Date: 12/04/2014
    Comment:

    My name is Emily Wilson and I am an employee of FAAST, Inc. (Florida Alliance for Assistive Services and Technology). We are an organization developed by the Assistive Technology Act of 2004 whose mission is to improve the quality of life for all Floridians with disabilities though advocacy and awareness activities that increase access to and acquisition of assistive services and technology. Our mission makes us keenly aware of the necessity of Speech Generating Devices (SGD), and we

    More

    Wilson, Fae Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Wilson, Allegra Date: 11/30/2014
    Comment:

    As a speech-language pathologist, access to Speech-Generating Devices (SGDs) has been a critical component to caring for many of my patients. SGDs protect patients by giving them input into their care during their most vulnerable times -when they would not otherwise be able to communicate with caregivers and family.

    In addition to giving patients the ability to direct their care, SGDs allow them to stay connected with the world. Medicare's prohibition of non-speech capabilities on

    More

    Wink, Debbie Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Winowski, Matt Date: 12/05/2014
    Comment:

    I feel that it is very important to unlock all communication device features that allow the user to communicate through email, text, and internet using their device. I have a few close friends who truly benefit from their communication devices. These friends are unable to contact me through phone and their mobility hinders them to visit to have face-to-face communication.

    It is very important to allow the device to work through modern technology to utilize everyday methods of

    More

    Winter, Matthew Date: 12/05/2014
    Comment:
    Speech Generating Devices should absolutely include internet access, as this is clearly used in a day-to-day basis by the mass majority of our society - if not even more so by the disabled that depend on it to consult with doctors, call 911, manage finances, research treatment, and BE PRODUCTIVE in our economy.
    Withop, Thelma Date: 12/03/2014
    Comment:

    PLEASE establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    ALS is a fatal neurodegenerative disease that robs

    More

    Witmer, Olivia Date: 12/06/2014
    Comment:

    December 7, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Woehrle, Robert Organization: Retired.
    Date: 12/03/2014
    Comment:
    Issue:
    Effective January 1, 2001, speech generating devices are considered to fall within the durable medical equipment (DME) benefit category defined in section 1861(n) of the Social Security Act (the Act). Speech generating devices are covered if the patient suffers from severe speech impairment and the medical condition warrants the use of a device. Speech generating devices are defined for Medicare coverage purposes to include dedicated speech devices used solely by the individual

    More

    Wolf, Rick Title: Electronic Tech.
    Organization: Prentke Romich Company
    Date: 12/02/2014
    Comment:
    They should watch the new movie; ( Stephen Hawking The Theory of Everything ) He uses a talking device!!!
    Woller, Ashley Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Woloszyn, Sherri Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Wong, Ning Title: Owner & Supporter of Speech Generating Devices
    Organization: Ning Wong Studios
    Date: 12/04/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the

    More

    Wood, Connie Title: Human Resource Manager
    Organization: Prentke Romich Company
    Date: 12/03/2014
    Comment:

    I believe in the following regarding Speech Generating Devices.

    1. Users of SGDs have multiple disabilities.
    2. People who use devices need to communicate with different communication partners, in different settings, and use many ways to do that!
    3. The communication device should:
    Be compliant with the FDA regulations for safety and effectiveness
    Be durable enough

    More

    Woodman, MaryEllen Date: 11/25/2014
    Comment:

    Losing one's voice does not mean losing responsibility and accountability in daily living. Roles & Responsibilities still require much of the person who has lost their voice. Whether it is head of household, partner, parent, sibling, son/daughter, friend, employee .... each continues to be the "leader of their own life" and all the responsibilities and accountabilities that come with such a leadership role.

    CMS should not diminish and discard anyone who has lost their voice and

    More

    Woods, Danielle Date: 12/05/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Woods, CCC-SLP, Mischa Date: 05/20/2015
    Comment:

    As a speech-language pathologist I have taught persons with communication disorders strategies for independence. When a man uses his speech generating device to send an articulate e-mail to his nursing home administrator detailing deficiencies in his care, he is empowered to change his life for the better. No longer is he seen as the smiling, silently suffering victim. Communication can restore a man's dignity and ensure proper medical care.

    When a teenager with low verbal

    More

    Woodward, Sasha Title: Augmentative and Alternative Communication Special
    Organization: Mt. Diablo Unified School District
    Date: 12/03/2014
    Comment:
    I am a speech-language pathologist working with individuals with severe communication disorders. Please do the right thing and keep communication aids available to them!
    Woolery, Dominic Date: 12/05/2014
    Comment:
    Access to the Internet is essential for people with disabilities.
    Wright, Allison Date: 12/05/2014
    Comment:
    Access to the web is a normal part of functional life in America. This should be considered a necessity in order for persons with ALS to complete ADLs and live independently. Please reconsider.
    Wright, Amy Title: Speech-Language Pathologist
    Organization: Carolinas Neuromuscular/ALS-MDA Center
    Date: 12/04/2014
    Comment:
    I am a speech pathologist at Carolinas Neuromuscular/ALS-MDA Center. I have worked here for more than 10 years. When people ask me how I do what I do without getting depressed, I explain to them how rewarding it is to help someone who is losing or has lost the ability to speak continue to communicate and continue to participate in society. These patients struggle so much with feeling isolated and disconnected. Being able to reconnect them with the world is HUGE. How I do that is by

    More

    Wright, Jennifer Date: 12/03/2014
    Comment:
    Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking needs. Speech-generating devices are characterized by:
  • Being a device that produces speech by translating the user's input into device-generated speech;
  • Being a device used solely by the individual who has severe speech impairment;
  • May have digitized speech output, using prerecorded messages, less than or equal to

    More

  • Wright, Debra Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Wright, Megan Date: 12/02/2014
    Comment:
    Please do not restrict people from being able to use their devices to contact caregivers, emergency services, family, and the outside world. People who use these communication devices shouldn't be prohibited from the technology the devices were built for. It is critical that we allow these devices to be used to their fullest potential and for users to have FULL access to communication.
    Wunning, Diana Date: 12/02/2014
    Comment:

    I am writing to urge CMS to establish a coverage policy that ensures people with ALS have access to speech generating devices (SGDs), including the ability to upgrade devices and access additional functionality such as email, internet access and environmental controls. I also urge CMS to ensure coverage for access technologies like eye tracking, which people with ALS need in order to utilize an SGD if they have lost mobility in their hands and arms.

    My extended family has lost 11

    More

    Wymer Jensen, Carole Title: Clinical Asst Prof, Speech Language Pathologist
    Organization: The University of Arizona
    Date: 12/04/2014
    Comment:
    Re: National Coverage Determination 50.1
    I am writing to support cessation of restrictions on speech generating devices for Medicare beneficiaries. As a practicing speech language pathologist and Clinical Assistant Professor providing pre-service training for graduate students in speech-language pathology at the University of Arizona in Tucson, AZ, I am in direct contact with and support a large number of people who rely on speech generating devices (SGD) as their primary method of

    More

    Yannone, Christine Date: 11/12/2014
    Comment:
    Thank you for looking at this situation thoroughly. As a speech language pathologist and assistive technology specialist, I have had the pleasure to work with many nonverbal individuals. While I can understand limiting the function of speech generating devices to communication, I think that is imperative that a comprehensive definition of communication be included as a part of the policies that dictate the provision of this assistive technology. In this day and age, we ALL use a variety

    More

    Yaruss, J Scott Title: Associate Professor
    Organization: University of Pittsburgh
    Date: 12/03/2014
    Comment:

    December 3, 2014

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as

    More

    Yates, Kari Date: 12/06/2014
    Comment:
    Please provide communication technology, as well as internet access, to ALS patients for them to keep while in Hospice. The ability to communicate is something many of us take for granted, but a vital part of our survival, humanity, and happiness! Please don't deny them the only voice they may have; their only way to tell their friends and family what they need, how they feel, and that they love them.
    Yee, Vanessa Title: Graduate Student Intern
    Organization: Boston Children's Hospital - Augmentative Communication Program
    Date: 12/05/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

    More

    Yodsukar, Christine Date: 12/06/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

    More

    Yost, Courtney Date: 12/05/2014
    Comment:
    Access to the internet is something every productive member of society needs. Tablets must be able to provide access to the internet.
    Young, Bonnie Title: Assistive Technology consultant (retried)
    Date: 05/18/2015
    Comment:
    People with disabilities need not only SGD for speech, but also to do what everyone else has access to including, social media, spreadsheets, word documents, etc if they are to be employed. Individuals who have speech have access to all of these things, why should those who require SGD be denied these. Even children who have Complex Communication needs, need to have access to them so why not anyone with a communication disability! We talk about inclusion for those individuals with all types

    More

    Young, Jasmine Title: Speech-Language Pathologist/Instructor/Clin Superv
    Organization: Murray State University
    Date: 12/03/2014
    Comment:
    Speech generating devices are beneficial to those with communication disorders. The features that are important to speech generating devices are offering all speech generating options and no non-speech-generating options to be considered dedicated specifically for communication. These devices should be functional and specific for the person with speech difficulty. A Speech-Language Pathologist trained in AAC technology should be the one training the person/family on the use of the speech

    More

    Young, Anthony Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Young, Stacy Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Z., John Organization: AIM Independent Living Center
    Date: 05/28/2015
    Comment:

    Overall, we are very pleased with the draft NCD. It contains positive elements, including:

    • The expansion of the definition of “speech” to include communication by text message, email and phone.
    • The recognition that SGD’s non-communication capabilities and features can be made available and the procedure to access these capabilities and features will be adopted and easy to follow.

    Some issues must still be addressed, such as “capped rental” and

    More

    Zangari, Carole Organization: Nova Southeastern University
    Date: 12/01/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

    Several of my

    More

    Zarba, Julie Date: 05/21/2015
    Comment:
    Speech generating devices should be fully covered by Medicare.
    Zeimetz-Mehmert, Kelli Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Zemsky, Michelle Date: 12/03/2014
    Comment:

    Dear Subash Duggirala,

    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and

    More

    Zicree, Lael Date: 12/02/2014
    Comment:

    Dear Subash Duggirala,

    As a speech-language pathologist and member of the American Speech-Language-Hearing Association (ASHA), I am writing to request that you accept the proposed revisions-submitted by ASHA-to the National Coverage Determination 50.1: Speech-Generating Devices.

    Speech-Generating Devices (SGDs) are used by patients with severe speech production impairment, such as dysarthria, apraxia, and aphasia as a result of neurodegenerative disease, traumatic brain

    More

    Zielinski, Kathryn Date: 12/05/2014
    Comment:
    As a supporter of the American Speech-Language-Hearing Association (ASHA) and citizen concerned about access to speech generating devices for Medicare beneficiaries, I am writing to request that you accept the proposed revisions—submitted by ASHA—to the National Coverage Determination 50.1: Speech-Generating Devices.
    The revisions and recommendations submitted by ASHA include:
  • No changes to the definition of SGD
  • Deletion of any disqualifying characteristics
  • Inclusion of

    More

  • Ziems, Melanie Date: 12/05/2014
    Comment:

    The internet allows disabled to consult with doctors, call 9-1-1, manage finances, research treatments and be productive in our society. Without these tools (that every functional American uses), the disabled are at higher health risks in an emergency, and without them, they're being told they're not useful in our society. Disabled people deserve normal access to health resources via the internet and to be useful in our society.

    Access to the internet is a NORMAL part of

    More

    Zipkin, Rachel Date: 12/05/2014
    Comment:
    Speech-generating devices are defined as speech aids that provide an individual who has a severe speech impairment with the ability to meet his/her functional speaking needs. Speech-generating devices are characterized by:
  • Being a device that produces speech by translating the user's input into device-generated speech;
  • Being a device used solely by the individual who has severe speech impairment;
  • May have digitized speech output, using prerecorded messages, less than or equal to

    More

  • Zischke, Scott Title: Speech Language Pathologist
    Date: 11/14/2014
    Comment:

    As a school speech pathologist, SGD's are THE voice for many of the students I engage with. Deciding not to cover devices that have previously been covered would be equal to taking away a child's voice. Considering that SGD technology does continue to develop into other social communication areas (texting, emailing, online social and gaming communities, etc), a student with a covered device today (and the years of therapy and support given and paid by Medicaid/Medicare) would be wasted if

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    Zisook, Miriam Date: 12/02/2014
    Comment:

    1. Continue to allow SGD manufacturers to use off-the-shelf technology as SGD hardware.

    In the May 2001 interpretive clarification to the 2001 NCD, Medicare expressly authorized coverage of computer-based SGDs as long as they were modified to function as “dedicated speech devices.” As Medicare reconsiders its SGD coverage and guidance, it is important that this option continue. Presently, several important SGDs make use of off-the-shelf or consumer computer based technologies. As

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    Zmuda, Stephanie Title: Graduate Student Clinician
    Organization: University of Pittsburgh
    Date: 12/06/2014
    Comment:
    As a graduate student clinician I have had the unique opportunity to work with many individuals that use speech-generating devices (SGDs). This includes adults and children with a wide range of etiologies, from Autism Spectrum Disorders to Cerebral Palsy to Cerebrovascular Accident to Amyotrophic Lateral Sclerosis. As I reflect on my experiences with regard to this policy, I realize the importance of SGDs in the user's life. A SGD is not just a "talker" and it certainly is not simple equipment

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    Zoschke, Amy Date: 12/02/2014
    Comment:

    PROPOSED COMMENTS

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions.

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    Zulian-Kennedy, Tracey Title: Speech-language pathologist
    Date: 12/04/2014
    Comment:
    By restricting the abilities of an SGD to only 'speech', I feel you are exempting an entire population of people from one of the main communication modes we as a society use everyday. What makes email, social media and the Internet itself any less of a communication tool than our voices. Please review and consider what we as a 21st century society use as a communication device, we are no longer just a face to face chatting group of people. Please do not limit the modes of communication

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    Zwiebach, Elissa Title: Habilitation and Inclusion Coor 2
    Organization: Center for Disability Services
    Date: 12/03/2014
    Comment:

    Thank you for the opportunity to provide input on Medicare policy regarding speech-generating devices (SGDs).

    SGDs are a vital means of communication for individuals with speech and language impairments, often with co-occurring severe physical impairments. They enable people with complex communication needs (CCN) to live more safely and independently, maintain important societal and family roles, and communicate important personal and medical decisions. With respect to the National

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