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Note:  This document has been delivered to the Office of the Federal Register but has not yet been scheduled for publication.  The official version of this document is the document that is published in the Federal Register.

consistent with the Part B regulations in 34 CFR 300.8(a) (1), which defines a child with a disability to mean a

child as having a “hearing impairment (including

deafness).” The terms hearing impairment, deafness,

hearing impaired, and hard of hearing are all used in the field. For purposes of consistency among the regulations under the Act, we have continued to refer to these teachers as teachers of children with hearing impairments (including deafness).

Changes: None.

Comment: One commenter recommended adding “low vision

specialist” to the list of qualified personnel because this

addition would clarify that not all vision specialists are qualified to work with pediatric populations and that low vision is a subspecialty of optometry and ophthalmology.

Discussion: Section 632(4)(F)(x) of the Act identifies vision specialists, including ophthalmologists and optometrists, as qualified personnel who provide early intervention services. Usually an optometrist or ophthalmologist would make the referral to a low vision specialist if such a referral is warranted. The list of

qualified personnel identified in the Act and §303.13(c) is

not exhaustive; accordingly, nothing precludes the lead

agency’s use of a low vision specialist, if such a referral