Advocating for Children's Hearing Health: Parents Rally for Insurance Coverage of Hearing Aids

By Lucia Paula , Parent Herald Sep 27, 11:20 am

Photo: (Photo : Vitolda Klein on Unsplash)

A profound change in the behavior of 4-year-old Marie brought forth a reality that Michelle Marciniak and her family were not prepared for. Marie had lost her ability to hear due to a virus, leaving her in a world of silence for six painstaking months.

Discovering that their daughter had been living in a silent world was heartbreaking for the family, but the subsequent revelation that essential hearing aids were not covered by insurance in California exacerbated their distress.

Hearing loss, affecting thousands of children annually, is far from a rare condition. The Centers for Disease Control and Prevention (CDC) identify it as one of the most prevalent conditions present at birth. In a nation where 2 or 3 of every 1,000 children born exhibit detectable levels of hearing loss, the lack of insurance coverage for hearing aids in California rings alarm bells.

Grassroots Movement for Change

Hailing from Orange County, the Marciniak family encountered the stark reality that insurance companies deemed hearing aids for children as 'cosmetic' or elective. These essential devices carry a hefty price tag, around $6,000, a cost that recurs every few years throughout childhood as children outgrow their devices. While the Marciniaks could bear this financial burden, they crossed paths with numerous families for whom these essential costs were insurmountable, leading to potential bankruptcy.

Driven by a desire to enact change, Michelle Marciniak founded a grassroots group named Let California Kids Hear. The group embarked on a mission to mandate that insurance companies in California cover hearing aids for children up to 21 years old. Their efforts were not unprecedented, with hearing aid mandates already in place in 26 states and others like New York, Hawaii, Nevada, and Arizona deliberating similar legislation.

The group's advocacy led to the introduction of a bill on the California Legislature floor in 2019. However, it was met with resistance from insurance companies, who expressed concerns about potential premium increases. A glimmer of hope appeared in 2021 when Governor Gavin Newsom's administration introduced a program to provide funding for hearing aids to families meeting specific income eligibility and having limited insurance coverage.

The High Cost of Inaction

However, with the state of California spending an estimated $400 million annually on educating 14,000 hearing-impaired children, the issue's depth becomes glaringly apparent. Advocates and affiliated medical professionals argue that providing early access to hearing aids could significantly mitigate some of these educational costs, setting the children on a path to a more inclusive and equitable future.

Dr. Daniela Carvalho, a renowned pediatric otolaryngologist, emphasized that the state program was not a comprehensive solution. With thousands of children still lacking access to necessary hearing aids, the risks of significant delays in speech, academic achievements, and social interaction loom large.

"Pediatric hearing loss is a developmental emergency," she fervently testified before the California State Assembly.

In a landmark development, the Legislature recently passed Senate Bill 635, which mandates insurance companies to include coverage for hearing aids for all enrollees under 21 if deemed medically necessary. As it stands, the bill is on Governor Newsom's desk, awaiting his signature, which could mark a pivotal moment in the fight for hearing-impaired children's rights.

Michelle Marciniak remains hopeful and anticipates no reluctance from the governor to extend support to thousands of children in the state who are in dire need of hearing aids. As for Marie, now a vibrant 13-year-old, her journey has taken a positive turn since acquiring her hearing aids. Thriving and learning alongside her peers, Marie's story serves as a testament to the transformative power of access to essential healthcare resources.

Reflecting on her daughter's progress, Marciniak concludes, "She is doing great. But it could have been a very different story without those hearing aids."