This report identifies barriers in federal assistive technology (AT) policy to increasing the availability of and access to assistive technology devices and assistive technology services for people with disabilities. The report is the result of a review of the professional literature, a review of federal policies and two stakeholder surveys, one of over 2,000 consumers and one of providers, i.e., the directors of agencies that provide assistive technology, policy experts, and agencies that help people with disabilities obtain AT. One section provides a review of assistive technology policy in the fields of education, employment, health care, telecommunications and information technology, and alternative financing. The report identifies four major barriers: (1) awareness and expertise; (2) accessible product development and deployment; (3) comprehensive and coordinated funding; and (4) research, development, and technology transfer. Eleven recommendations are offered to address each of these barriers. Recommendations address the roles of the Departments of Education and Health and Human Services, Section 508 of the Rehabilitation Act, the roles of the Access Board and the General Services Administration, changes in copyright law, necessary changes in legal definitions, access to telephone service, loan programs, and needed research. (DB)