In this investigation, we surveyed 51 faculty members who were involved in teacher preparation programs in the area of extensive support needs (ESN) across a range of institutions of higher education. We asked participants to respond to questions related to the quality and quantity of program content focused on communication instruction and supports for students with ESN. Overall, findings indicated variability in the quality and quantity of teacher preparation-related communication instruction. In addition, participants described barriers related to teacher preparation in this area.