Yesterday, June 17th the Government of British Columbia announced that it will permit access to over-the-counter (OTC) hearing aids for adults with perceived mild to moderate hearing loss. Speech-Language & Audiology Canada (SAC) recognizes that many Canadians face barriers to accessing hearing healthcare and supports efforts to improve access to hearing technology. At the same time, SAC believes that appropriate regulatory safeguards, consumer education, and access to professional hearing healthcare services remain essential to ensuring OTC hearing aids are used safely and effectively.
SAC responded to the Government of British Columbia’s consultation and supports the introduction of OTC hearing aids in Canada only if strong regulatory safeguards are in place. These devices should be introduced as part of a broader hearing care ecosystem that continues to rely on audiologists for assessment, safe fitting, and follow-up care. While OTC hearing aids may improve accessibility – professional involvement, public education, and appropriate government regulation are essential to ensure they are used safely and effectively. Without these elements, there is a risk of misdiagnosis, delayed treatment of underlying conditions, or limited benefit from the devices.
In the absence of federal guidance or a national OTC subcategory, provinces and territories are developing their own approaches within their respective mandates. This evolving landscape may create challenges for both professionals and the public, particularly as regulations and access may vary across jurisdictions. SAC continues to advocate for stronger federal leadership in this area, including clear and enforceable standards for safety, labelling, and performance of OTC hearing devices.
For Canadians, OTC hearing aids offer a more accessible option, but informed decision-making is critical. Individuals considering OTC hearing aids should be aware that an audiologist can help determine whether hearing loss is present, identify its type and severity, and provide guidance on whether OTC devices are likely to be appropriate for their needs. This step helps prevent unnecessary costs, improper use, and potential harm to the public from incorrect amplification.
SAC remains committed to advocating for models of hearing health that ensure Canadians have access to both innovative hearing technologies and the expertise of audiologists when needed. While the introduction of safe and effective OTC hearing aids for adults with mild to moderate hearing loss represents a step toward improving access to hearing technology, it does not fully address the broader issue of equitable access to proper hearing care.
To learn more, read SAC’s recent Position Paper on Over-the-Counter Hearing Aids in Canada.
