Emerging Issues in Cochlear Implantation: The American Cochlear Implant Alliance (ACI Alliance) was incorporated in the late 2011 as a nonprofit organization of cochlear implant clinicians from across the care continuum as well as scientists, parents, adult consumers and other advocates for access. Since that time, the organization has emerged as a unique entity with over 850 individual members and 64 organizational members, the latter representing universities, hospitals, clinics, and schools for children with hearing loss.