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Demonstration project

A trial or pilot program designed to test a new idea or approach on a smaller scale to gather information and evaluate its effectiveness before potentially implementing it more broadly.

Over-the-counter (OTC) hearing aids

Hearing aids that can be purchased directly by consumers without a medical exam, prescription, or a fitting by an audiologist. They are intended for adults with perceived mild-to-moderate hearing loss.

FDA-cleared

A term used by the Food and Drug Administration (FDA) for medical devices that have been reviewed and found to be substantially equivalent to an already legally marketed device.

Audiologist

A healthcare professional who specializes in identifying, diagnosing, treating, and monitoring disorders of the auditory and vestibular systems (hearing and balance).

Fiscal impact

The effect of an action or policy on government spending, revenue, and overall financial health.

Comptroller General of the United States

The head of the Government Accountability Office (GAO), an independent agency that provides audit, evaluation, and investigative services for the United States Congress.

Veterans Integrated Services Networks (VISNs)