“…An accumulation of research has established the importance of early access to optimum hearing for speech and language development, (Colletti et al, 2011;Connor et al, 2006;Connor & Zwolan, 2004;Dettman et al, 2009;Fagan & Pisoni, 2010;Geers et al, 2003Geers et al, , 2004Kim et al, 2010;Manrique et al, 2004;Niparko et al, 2010;Schramm et al, 2010;Schauwers et al, 2008;Svirsky et al, 2004) so it is timely to examine each step in the infant's journey from birth to diagnosis to implant to examine sources of delays. Universal neonatal hearing screening (UNHS) has facilitated the earlier diagnosis of hearing loss, leading to increased rates of early referral for audiological assessment and interventions such as earlier HA fitting (Yoshinaga-Itano, 2003, Yoshinaga-Itano et al, 2010, enrollment into early intervention programs, and referral for CIs when deemed appropriate.…”