The 2019 Joint Committee on Infant Hearing (JCIH) position statement outlines principles and guidelines for Early Hearing Detection and Intervention (EHDI) programs. The goal of EHDI is to identify infants with hearing loss as early as possible, no later than 3–6 months of age, to ensure timely intervention and promote language and communication development. Universal newborn hearing screening (UNHS) has significantly reduced the average age of identification, but screening alone is not sufficient. Timely identification, diagnosis, and intervention are critical. The JCIH emphasizes the importance of early detection, audiologic evaluation, medical evaluation, and early intervention services for infants who are deaf or hard of hearing. The statement also highlights the need for ongoing surveillance and support for families, as well as the importance of culturally-sensitive language and communication. The JCIH recommends that all infants be screened for hearing at birth, with follow-up evaluations and interventions as needed. The statement also addresses the importance of audiologic and medical management, including the use of hearing aids, cochlear implants, and other assistive technologies. The JCIH emphasizes the need for family-centered care, ensuring that families have access to resources and support. The statement also outlines the importance of quality assurance, calibration of screening equipment, and the use of objective physiologic measures for screening. The JCIH recommends that newborns be screened as close to discharge as possible, with a second screen if needed. The statement also addresses the unique challenges of screening infants in the neonatal intensive care unit (NICU), where the prevalence of hearing loss is higher. The JCIH recommends that infants in the NICU be screened using automated auditory brainstem response (AABR) technology. The statement also emphasizes the importance of follow-up and rescreening for infants who do not pass initial screening. The JCIH recommends that infants who fail initial screening be referred for diagnostic audiologic evaluation. The statement also highlights the importance of early intervention services, including speech-language therapy and other support services for families. The JCIH emphasizes the need for ongoing surveillance and follow-up for infants who are deaf or hard of hearing, as well as the importance of ensuring that all infants have access to appropriate services and support. The statement also addresses the importance of research and quality improvement in EHDI programs, as well as the need for continued improvements in the EHDI system to ensure that infants receive timely and effective interventions. The JCIH concludes that early detection and intervention are essential for promoting language and communication development in infants who are deaf or hard of hearing, and that all infants should have access to these services.The 2019 Joint Committee on Infant Hearing (JCIH) position statement outlines principles and guidelines for Early Hearing Detection and Intervention (EHDI) programs. The goal of EHDI is to identify infants with hearing loss as early as possible, no later than 3–6 months of age, to ensure timely intervention and promote language and communication development. Universal newborn hearing screening (UNHS) has significantly reduced the average age of identification, but screening alone is not sufficient. Timely identification, diagnosis, and intervention are critical. The JCIH emphasizes the importance of early detection, audiologic evaluation, medical evaluation, and early intervention services for infants who are deaf or hard of hearing. The statement also highlights the need for ongoing surveillance and support for families, as well as the importance of culturally-sensitive language and communication. The JCIH recommends that all infants be screened for hearing at birth, with follow-up evaluations and interventions as needed. The statement also addresses the importance of audiologic and medical management, including the use of hearing aids, cochlear implants, and other assistive technologies. The JCIH emphasizes the need for family-centered care, ensuring that families have access to resources and support. The statement also outlines the importance of quality assurance, calibration of screening equipment, and the use of objective physiologic measures for screening. The JCIH recommends that newborns be screened as close to discharge as possible, with a second screen if needed. The statement also addresses the unique challenges of screening infants in the neonatal intensive care unit (NICU), where the prevalence of hearing loss is higher. The JCIH recommends that infants in the NICU be screened using automated auditory brainstem response (AABR) technology. The statement also emphasizes the importance of follow-up and rescreening for infants who do not pass initial screening. The JCIH recommends that infants who fail initial screening be referred for diagnostic audiologic evaluation. The statement also highlights the importance of early intervention services, including speech-language therapy and other support services for families. The JCIH emphasizes the need for ongoing surveillance and follow-up for infants who are deaf or hard of hearing, as well as the importance of ensuring that all infants have access to appropriate services and support. The statement also addresses the importance of research and quality improvement in EHDI programs, as well as the need for continued improvements in the EHDI system to ensure that infants receive timely and effective interventions. The JCIH concludes that early detection and intervention are essential for promoting language and communication development in infants who are deaf or hard of hearing, and that all infants should have access to these services.