How Government Shutdown Could Affect Hearing Health Services

A partial U.S. government shutdown appears imminent as Congress has narrowly failed to reach agreement on a continuing resolution ahead of the October 1 funding deadline. While many basic services would continue under mandatory funding, critical programs that support hearing health and audiology could face significant disruptions—potentially delaying access to care, halting research, and limiting services for vulnerable populations.

With no appropriations bills or stopgap funding in place for fiscal year 2026, federal agencies are at risk of a funding lapse. In past shutdowns, essential services tied to “life and safety” have remained operational, while discretionary programs—including research, outreach, and administrative functions—were suspended or scaled back.

Federal health agencies such as the Centers for Medicare and Medicaid Services (CMS) and the Department of Health and Human Services (HHS) would maintain limited operations, but many non-essential staff could be furloughed, causing delays in processing and implementation. The President has also threatened to “RIF” (reduce in force) federal workers deemed non-essential, adding further uncertainty.

If the shutdown extends for a significant period, the effect on hearing health and related services could include:

• Telehealth eligibility changes: Audiologists and speech-language pathologists may temporarily lose recognition as eligible telehealth providers.
• Delayed claims and payments: Medicare and Medicaid processing slowdowns could disrupt reimbursements for audiology services.
• Research funding and innovation: Federal lapses may jeopardize progress in hearing science, device development, and early intervention initiatives.
• EHDI (Early Hearing Detection and Intervention): Federal support interruptions could undermine newborn screening and follow-up services.
• Community clinic strain: Federally Qualified Health Centers (FQHCs) and hearing clinics relying on federal grants, such as the Community Health Center Fund, may face budget shortfalls or funding uncertainty.

The Academy will continue to closely monitor developments and keep members informed as the situation evolves in an effort to help you plan accordingly.