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 National

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 National

More

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

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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

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, 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

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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

More

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 National

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 National

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 National

More

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 National

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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

More

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

More

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.

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.

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

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 National

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 National

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 National

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 National

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 National

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 National

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 National

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

More

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 necessary

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 National

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 National

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 Devices (SGDs)

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. With respect to the National

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 National

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

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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

More

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

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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 National

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.

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 National

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, and communicate important personal and medical decisions.

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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

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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 National

    More

    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

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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).

    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

    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:

    Dear Subash Duggirala,

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

    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

    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:

    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

    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, 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, 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, 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

    More

    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:

    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

    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 access

    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

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    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

    More

    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, 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, 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, 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, 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

    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

    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 National

    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:

    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

    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

    More

    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

    More

    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 National

    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 National

    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

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    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 National

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    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

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    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

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    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

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    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

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    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

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    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

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    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

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    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

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    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 aphasia

    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

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    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

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    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: