What is 18x18?
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What is 18x18?

Download the proposed legislation flyer

To amend Title XVIII of the Social Security Act to provide for treatment of Audiologists as physicians for purposes of furnishing audiology services under the Medicare Program, to provide for a broadened scope of audiology services available for coverage under the Medicare program and to enable Medicare beneficiaries to have their choice of qualified audiologist.

The passage of this federal legislation would allow for:

Limited License Physician Status within Medicare
Would allow audiologists the autonomy to make clinical recommendations and practice the full scope of audiology and vestibular care as allowed by their state license and as dictated by their educational requirements and competencies.

Medicare Direct Access
Would eliminate the need for the physician order required for a Medicare beneficiary to receive coverage of medically necessary, covered audiology and vestibular services.

Comprehensive Medicare Benefit
Would allow for Medicare coverage of medically necessary, covered treatment services such as vestibular rehabilitation, cerumen removal, and aural rehabilitation provided by audiologists practicing within their state defined scope of practice.

The passage of this legislation does not:
  • Change, expand and/or enhance the scope of practice outlined in any state audiology licensure law.
  • Change the practitioner status to a limited license physician at the state level.
  • Prevent an audiologist from opting out of the Medicare program.
  • Allow for prescriptive rights.
  • Allow for ordering rights.
  • Include a provision for hearing aid coverage by Medicare.

For more information, please contact Stephanie Czuhajewski at This email address is being protected from spambots. You need JavaScript enabled to view it..

Endorse 18x18

Thank you to the following organizations that have publicly endorsed the 18x18 Initiative. This email address is being protected from spambots. You need JavaScript enabled to view it. to add your organization.

Academy of Doctors of Audiology
American Academy of Audiology
A.T. Still University Student Academy of Audiology
Audiological Resource Association
California Academy of Audiology
David and Carol Myers Foundation
Florida Academy of Audiology (FLAA)
Illinois Academy of Audiology
Georgia Academy of Audiology
Kentucky Academy of Audiology
Louisiana Academy of Audiology
Maryland Academy of Audiology
Montana Audiology Guild
Montana Speech-Language Hearing Association
National Aging in Place Council
New Hampshire Academy of Audiology
New York State Speech-Language Hearing Association
Northern Illinois University (NIU) Chapter of the Student Academy of Audiology
Pennsylvania Academy of Audiology
Salus University
Scott Haug Foundation
South Carolina Academy of Audiology
The Hearing Care Group of Metropolitan New York
The Student Academy of Audiology (SAA)
Tennessee Academy of Audiology
Texas Academy of Audiology
University of North Texas SAA Chapter

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