Home Academia & Research Now That President Trump Signed It Into Law, 5 Steps to OTC Hearing Aid Implementation

Now That President Trump Signed It Into Law, 5 Steps to OTC Hearing Aid Implementation

by Michelle Mannebach
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President Trump just signed into law legislation requiring the Food and Drug Administration (FDA) to develop regulations related to over-the-counter (OTC) hearing aids. This new category would apply to adults with perceived mild to moderate hearing loss.

The FDA will have three years to develop the regulations, as directed by the legislation (H.R. 2430), passed by the House of Representatives in July and the Senate in August. So what’s next for OTC hearing aids under this legislation? Here’s a step-by-step look.

1. Once a bill is signed into law, it typically falls under the responsibility of one federal agency to determine how to carry out the law. For this particular law, the FDA will develop the regulations.

2. Once the law is in effect, the FDA has three years to develop rules on how OTC hearing aids will be regulated.

3. Regulations are developed through a two-step rule-making process. First, the FDA will publish a proposed rule in the Federal Register, and will ask for public comments on the proposal.

ASHA will provide public comments focused on:

  • Setting output limits on the devices.
  • Labeling that indicates the devices are intended for consumers 18 years of age or older.
  • Warning signs for conditions for which consumers should seek medical advice.
  • Ensuring that only those with mild to moderate hearing loss purchase the devices.

After comments are considered, the FDA will publish the final rule in the Federal Register and include a date for when the rule goes into effect.

4. Hearing aid manufacturers will need to produce OTC hearing aids that meet the requirements established by the FDA; identify retail outlets to sell their products; develop marketing plans to reach consumers; and adhere to the FDA regulations.

5. The U.S. Department of Health and Human Services is required to collect data on user safety and satisfaction with the devices and report back to Congress on any adverse effects two years after the regulations are in place. Therefore, it will take about five years to be able to measure the effectiveness of OTC hearing aids.

ASHA’s position is to encourage anyone with greater than a mild degree of hearing loss to seek treatment by a certified, licensed audiologist. We will continue advocacy for this position throughout the rule-making process with the FDA.

For additional information, please contact Ingrida Lusis, ASHA’s director of federal and political advocacy, at ilusis@asha.org. Sign up for updates on OTC hearing aids and other policy and advocacy developments crucial to the professions.


Michelle Mannebach is director, Advocacy Communications and Administration, for ASHA. MMannebach@asha.org

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Monica August 20, 2017 - 2:20 pm

Insurance companies should have to help cover the costs of hearing aids for people who need them. They are so expensive- out of range for many.

Rebecca August 21, 2017 - 12:43 pm

ASHA, can you address that medical providers need reasonable (convenient, cheap, standardized) access to software to program or fit aids? This is a medical issue.

Michelle A. Mannebach August 22, 2017 - 1:24 pm

One of the recommendations of the Institute of Medicine report addressed this and ASHA will support and advocate for seeing that this recommendation is implemented.

Improve the Compatibility and Interoperability of Hearing Technologies with Communications Systems and the Transparency of Hearing Aid Programming
The Federal Communications Commission, Federal Trade Commission, Food and Drug Administration, National Institutes of Health, and other relevant federal agencies; the American National Standards Institute and other standards-setting organizations; manufacturers; and industry, professional, and consumer advocacy organizations should:
• Develop standards that ensure that hearing aids and OTC wearable hearing devices are compatible and interoperable with other technologies and communications systems

ELOISE E SCHWARZ August 21, 2017 - 2:41 pm

This does little to help those with moderate to severe hearing loss, which covers the majority of the 48 million people in the US. Just purchasing a device over the counter doesn’t address what is the cause of hearing loss. Putting an expensive band aid on a symptom will not erase the problem. We need to put the horse before the cart and not the reverse.

Michelle A. Mannebach August 22, 2017 - 10:12 am

ASHA believes that all persons with a suspected or known hearing loss should undergo a comprehensive evaluation by a licensed and certified audiologist and through patient centered care develop a plan of care for the treatment of that individual.

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