Beginning on April 1, 2014, Medicare is changing how it pays for computer-based Speech Generating Devices (SGDs), switching to a system called “capped rental.” During those 13 months, if the patient has the device "unlocked", permitting access to such functions as installing software for web browsing or email, that device will be removed. Why are we still using rules adopted in the *1980s*?? Making SGDs incapable of Internet access (among other things) is in clear violation of ADA, denying the disabled access to a ubiquitous communication system that is taken for granted by anyone born two decades ago.



