Absent leadership from the U.S. federal government, the process of developing (and continuously improving) consistent speech privacy guidelines for healthcare facilities, is like herding cats. Nevertheless, progress continues. 1 year after the release of the FGI 2010 Guidelines (and 15 years after Congress passed HIPAA) the first code‐level U.S. guidelines for speech privacy, noise, and vibration in healthcare facilities were released, and several leading groups have agreed to cite the 2010 Guidelines as their sole “reference standard.” These groups are as follows: the Department of Health and Human Services (HIPAA), the Veterans Administration, the Centers for Disease Control, 38 regional authorities having jurisdiction (AHJ's), the U.S. Green Building Council’s LEED for Health Care, the Green Guide for Health Care, 48 state code authorities, and most recently, the International Green Code Council. What is left? the Joint Commission, the Department of Defense, the World Health Organization, and others. Meantime, work on the 2014 edition of the Guidelines is already underway with important updates to the speech privacy section. Since the FGI Guidelines are actively used in 16 countries, it is imperative to involve the global acoustical community in the research and development needed to strengthen them. What is the best way forward?