State Advocacy
Engagement at the state level is critical to advancing policies that support otolaryngology practice and patient care. State legislatures address a wide range of issues that directly impact how otolaryngologists serve their communities—from scope of practice regulations and insurance coverage mandates to telehealth provisions and prior authorization reform.
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Scope of Practice: Ensuring Physician Led Care
While it is reasonable for nonphysician providers to seek updates to their statutes and regulations, AAO-HNS strongly believes that a coordinated, physician-led hearing healthcare team provides the highest quality care. We oppose legislation that would inappropriately expand the scope of practice of nonphysician providers beyond their education and training, particularly proposals allowing independent diagnosis, treatment, or management of medical disorders, which can threaten patient safety.
Infant Newborn Screening for Cytomegalovirus (cCMV): Early Detection Saves Hearing
An estimated one in every 200 infants are born with cCMV, which can lead to sensorineural hearing loss. Early detection within the first month of life is critical for timely intervention, language development, and long-term outcomes. AAO-HNS supports universal screening and prevention education for pregnant women and families.
Prior Authorization: Reducing Barriers to Patient Care
Insurers increasingly require prior authorization for routine procedures, imaging, medications, and minor surgeries. This process consumes significant physician and staff time, creating delays in medically necessary care. AAO-HNS advocates for reforms to streamline PA requirements and ensure patients receive timely, appropriate treatment.
Hearing Aid Services: Expanding Access Responsibly
AAO-HNS tracks and advocates on legislation addressing hearing aid coverage, dispensing, insurance mandates, and tax incentives. Each proposal is evaluated individually to ensure patients have safe, effective, and accessible hearing care while maintaining physician oversight.
Other State Resources and Links:
- National Conference of State Legislatures Research and Policy – Access legislative information and research on a variety of topics
- Stateline – Daily news on emerging trends and issues in state policy and politics
