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                                   Before the

                       Federal Communications Commission

                             Washington, D.C. 20554


                                          )                               
                                              File No. EB-04-SE-235       
     In the Matter of                     )                               
                                              NAL/Acct. No. 200632100016  
     American Medical Alert Corporation   )                               
                                              FRN # 0015256365            
                                          )                               


                                     ORDER

   Adopted: July 7, 2006 Released: July 11, 2006

   By the Chief, Enforcement Bureau:

    1. In this Order, we adopt the attached Consent Decree entered into
       between the Enforcement Bureau and American Medical Alert Corporation
       ("AMAC"). The Consent Decree terminates an investigation initiated by
       the Enforcement Bureau into whether certain personal emergency
       response equipment manufactured, imported, and/or distributed by AMAC
       violated Section 302(b) of the Communications Act of 1934, as amended,
       ("Act") and the Commission's Rules ("Rules") pertaining to the
       manufacture, importation, marketing, lease, sale and labeling of RF
       devices and terminal equipment.

    2. The Enforcement Bureau and AMAC have negotiated the terms of a Consent
       Decree that would resolve this matter and terminate the investigation.
       A copy of the Consent Decree is attached hereto and incorporated by
       reference.

    3. Based on the record before us, we conclude that no substantial or
       material questions of fact exist with respect to this matter as to
       whether AMAC possesses the basic qualifications, including those
       related to character, to hold or obtain any FCC license or
       authorization.

    4. After reviewing the terms of the Consent Decree, we find that the
       public interest will be served by adopting the Consent Decree and
       terminating the investigation.

    5. Accordingly, IT IS ORDERED that, pursuant to Section 4(i) of the Act,
       and Sections 0.111 and 0.311 of the Rules, the Consent Decree attached
       to this Order IS ADOPTED.

    6. IT IS FURTHER ORDERED that the Enforcement Bureau's investigation IS
       TERMINATED.

    7. IT IS FURTHER ORDERED that AMAC shall make its voluntary contribution
       to the United States Treasury, as specified in the Consent Decree, by
       credit card through the Commission's Debt and Credit Management Center
       at (202) 418-1995, or by mailing a check or similar instrument,
       payable to the order of the Federal Communications Commission, to the
       Federal Communications Commission, P.O. Box 358340, Pittsburgh, PA
       15251-8340.  Payment by overnight mail may be sent to  Mellon Bank/LB
       358340, 500 Ross Street, Room 1540670, Pittsburgh, PA 15251. Payment
       by wire transfer may be made to ABA Number 043000261, receiving bank
       Mellon Bank, and account number 911-6106.

    8. IT IS FURTHER ORDERED that a copy of this Order and Consent Decree
       shall be sent by first class mail and certified mail, return receipt
       requested, to Howard M. Siegel, Chairman and Chief Executive Officer,
       American Medical Alert Corporation, 3265 Lawson Blvd., Oceanside, NY
       11572, and to David E. Hilliard, Esq., Wiley Rein & Fielding LLP, 1776
       K Street, NW, Washington, DC 20006.

   FEDERAL COMMUNICATIONS COMMISSION

   Kris Anne Monteith

   Chief, Enforcement Bureau

                                 CONSENT DECREE

   The Enforcement Bureau ("Bureau") of the Federal Communications Commission
   ("Commission") and American Medical Alert Corporation ("AMAC") hereby
   enter into this Consent Decree for the purpose of terminating the Bureau's
   investigation into whether AMAC violated Section 302(b) of the
   Communications Act of 1934, as amended (the "Act"), and certain of the
   Commission's Rules regarding the manufacture, importation, marketing,
   lease and sale  of personal emergency response equipment; the
   identification, labeling and notice requirements for such equipment; and
   the connection of such equipment to the public switched telephone network.

   Background

    1. AMAC manufactures, imports and/or distributes personal emergency
       response equipment, including the VoiceCare(R) Personal Emergency
       Response System ("PERS"). The VoiceCare System is advertised as a
       system that offers quick access to medical and personal assistance for
       individuals who want to remain independent at home. The VoiceCare
       system consists of a lightweight personal activator device, or
       "pendant," and a separate console unit. The pendant is worn or carried
       by the user, and the console unit, which has a speakerphone, is
       connected to a regular telephone line. The VoiceCare pendant
       communicates with the console unit receiver using unlicensed
       frequencies. Accordingly, the devices are subject to the Part 15
       Rules. Also, because the console unit directly connects to the Public
       Switched Telephone Network ("PSTN"), it is subject to the Part 68
       Rules.

    2. Aside from the VoiceCare System, AMAC manufactures, imports, and/or
       distributes several other related products: (1) a personal activator
       device dubbed the "Sip-n-Puff" because it allows quadriplegic users to
       send a signal to the VoiceCare console unit by blowing a puff of air
       into a tube; (2) a repeater that relays the personal activator signal
       in order to extend the in-residence range of a VoiceCare system;
       (3) two smoke detector models that are linked to the VoiceCare call
       center to provide remote notification of possible fires; (4) two
       similar digital devices that are used in the call centers; (5) a PERS
       Buddy home health monitoring system that provides an interactive
       display to enable patients to receive and respond to disease specific
       health questions and reminders focused on signs and symptoms, behavior
       and wellness - detailed medical information that is transmitted to the
       emergency response call centers; (6) two Medtime device models that
       remind the patient to take medications - one model has the ability to
       communicate with the VoiceCare console unit and the other does not;
       and (7) a system consisting of equipment similar to the VoiceCare
       patient devices, but which is used to assist in the operation of
       surveillance cameras in retail establishments. These devices are
       subject to the Part 15 Rules. The devices that connect to the PSTN
       also are subject to the Part 68 Rules. AMAC has reported that some of
       the devices appear to emit signals in excess of the Part 15 limits.

    3. On November 17, 2004, after receiving information regarding potential
       violations by AMAC, the Bureau initiated an investigation by issuing a
       Letter of Inquiry ("LOI") directing AMAC to provide information
       relating to its compliance with the Commission's equipment
       authorization and identification requirements for AMAC's VoiceCare
       system. AMAC submitted its initial response ("Response") to the
       Bureau's LOI on December 7, 2004, with respect to the VoiceCare
       system. On January 13, 2005, AMAC met with Bureau staff to discuss its
       Response. At the January 13 meeting, AMAC voluntarily disclosed
       additional devices with which there were potential compliance issues.
       In response to the Bureau's request, AMAC supplemented its Response on
       March 4, 2005, and provided information on each of the additional
       devices.

    4. Pursuant to Section 302(b) of the Act and Parts 2, 15 and 68 of the
       Rules, AMAC's personal emergency response equipment, which includes
       the VoiceCare system and the related devices set forth in paragraph 2,
       must be authorized and labeled in accordance with the Commission's
       regulations prior to, inter alia, the importation or initiation of
       marketing of such equipment.

   Definitions

    5. For the purposes of this Consent Decree, the following definitions
       shall apply:

   (a) "Commission" and "FCC" mean the Federal Communications Commission.

   (b) "Bureau" means the Enforcement Bureau of the Federal Communications
   Commission.

   (c) "AMAC" means American Medical Alert Corporation, its subsidiaries,
   affiliates and any successors or assigns.

   (d) "PERS" means Personal Emergency Response System.

   (e) "Parties" means AMAC and the Bureau.

   (f) "Adopting Order" means an order of the Bureau adopting the terms and
   conditions of this Consent Decree.

   (g) "Effective Date" means the date on which the Bureau releases the
   Adopting Order.

   (h) "Investigation" means the investigation commenced by the Bureau's
   November 17, 2004 Letter of Inquiry regarding whether AMAC violated
   Section 302(b) of the Act and/or Sections 2.803 and 2.925 of the Rules.

   (i) "Rules" means the Commission's Rules found in Title 47 of the Code of
   Federal Regulations.

   (j) "Act" means the Communications Act of 1934, as amended, 47 U.S.C.
   SS151 et seq.

   Terms of Agreement

    6. The Parties agree that the provisions of this Consent Decree shall be
       subject to final approval by the Bureau by incorporation of such
       provisions by reference in the Adopting Order.

    7. The Parties agree that this Consent Decree does not constitute either
       an adjudication on the merits or a factual or legal finding or
       determination regarding any compliance or noncompliance with the
       requirements of the Act or the Commission's Rules and orders. The
       Parties further agree that this Consent Decree is for settlement
       purposes only and that by agreeing to this Consent Decree, AMAC does
       not admit nor deny liability for violating any statute, regulation, or
       administrative rule in connection with matters that are the subject of
       this Consent Decree.

    8. The Parties agree that this Consent Decree shall become binding on the
       Parties on the Effective Date. Upon release, the Adopting Order and
       this Consent Decree shall have the same force and effect as any other
       final order of the Commission and any violation of the terms or
       conditions of this Consent Decree shall constitute a violation of a
       Commission order.

    9. The Parties acknowledge and agree that this Consent Decree shall
       constitute a final and binding settlement between AMAC and the Bureau
       regarding possible violations of the Act and the Rules with respect to
       the manufacture, importation, marketing, lease, or sale by AMAC of any
       of the equipment listed in the attached appendix prior to the
       Effective Date of this Consent Decree.

   10. In express reliance on the covenants and representations in this
       Consent Decree, and to avoid further expenditure of scarce public
       resources, the Bureau agrees to terminate its investigation into
       whether AMAC may have violated the Act or the Commission's Rules with
       respect to the manufacture, importation, marketing, lease, use or sale
       by AMAC of any of the equipment listed in the attached appendix prior
       to the Effective Date of this Consent Decree.

   11. In consideration for termination by the Bureau of the investigation
       and in accordance with the terms of this Consent Decree, AMAC agrees
       to the terms set forth herein.

   12. AMAC acknowledges that the Bureau has jurisdiction over the matters
       contained in this Consent Decree and the authority to enter into and
       adopt this Consent Decree.

   13. The Bureau will allow AMAC forty-eight (48) months to replace
       potentially non-compliant equipment that is currently deployed. AMAC
       will implement a Federal Communications Commission Regulatory
       Compliance Plan ("RCP") related to AMAC's future compliance with the
       Act, the Commission's Rules, and the Commission's orders. AMAC will
       file the RCP with the Enforcement Bureau within ninety (90) days of
       the effective date of this Consent Decree. The entire RCP will include
       the following components:

   (a) FCC Compliance Procedures. AMAC shall develop and update, as necessary
   and in association with legal counsel, appropriate FCC Compliance
   Procedures. Such procedures will be developed within sixty (60) days of
   the Effective Date of this Consent Decree. Relevant AMAC personnel shall
   be made aware of the FCC Compliance Procedures and be required to follow
   them. The FCC Compliance Procedures will, among other things, address the
   equipment authorization and marketing requirements of the Act and the
   Commission's Rules in Parts 2, 15 and 68 which are applicable to the
   devices manufactured, imported, marketed, leased and sold by AMAC in the
   United States and shall also include procedures to remedy promptly any
   radio interference caused by AMAC equipment covered by this Consent
   Decree.

   (b) Compliance Engineer. AMAC shall designate a Regulatory Compliance
   Engineer ("Compliance Engineer") who will administer the RCP, supervise
   AMAC's compliance with the Act, the Commission's Rules and this Consent
   Decree, and serve as the AMAC point of contact for all Commission-related
   compliance matters. The Compliance Engineer will report to the Chief
   Operating Officer of AMAC, who will retain ultimate responsibility within
   AMAC for determining whether the manufacture, importation, marketing,
   sale, lease, labeling and notice requirements for such devices are in
   compliance with the FCC Compliance Procedures.

   (c) Review and Monitoring. AMAC will review the RCP annually, in
   association with legal counsel, to ensure that it is maintained in a
   proper manner and continues to address the objectives set forth therein.

   (d) Replacement Program. AMAC will replace currently deployed equipment
   that may not fully comply with the Commission's Part 15 and Part 68 Rules
   within forty-eight (48) months of the Effective Date of this Consent
   Decree.

   (e) Reports. AMAC will provide annual reports to the Commission detailing
   the company's progress in replacing currently deployed equipment with
   potential compliance issues.

   14. The Bureau agrees that it will not entertain or institute, or use the
       facts developed in this investigation or the existence of this Consent
       Decree to institute, on its own motion, any new proceeding, formal or
       informal, nor take any action on its own motion, or recommend to the
       full Commission any forfeiture or other sanction, against AMAC for any
       alleged violation of the Act or the Rules with respect to any of the
       Part 15 RF equipment and/or Part 68 terminal equipment that is listed
       in the attached appendix and that was manufactured, imported,
       marketed, leased, or sold by AMAC prior to the Effective Date of this
       Consent Decree.

   15. AMAC agrees that each model of Part 15 RF equipment and/or Part 68
       terminal equipment that is manufactured, imported, marketed, leased,
       or sold by AMAC on or after the Effective Date of this Consent Decree
       shall be compliant with the Commission's Rules.

   16. Each Party agrees that it is required to comply with each individual
       condition of this Consent Decree. Each specific condition is a
       separate condition of the Consent Decree as approved. To the extent
       that AMAC fails to satisfy any condition, in the absence of Commission
       alteration of the condition, it will be deemed noncompliant and may be
       subject to possible future enforcement action with respect to such
       failure to satisfy the condition.

   17. The Parties agree that the requirements of the Consent Decree shall
       expire forty-eight (48) months  after the Effective Date of this
       Consent Decree.

   18. AMAC agrees that it will make a voluntary contribution to the United
       States Treasury in the amount of Seventy-five Thousand Dollars
       ($75,000) within 30 calendar days after the Effective Date. Payment by
       check or money order may be mailed to Federal Communications
       Commission, P.O. Box 358340, Pittsburgh, PA 15251-8340. Payment by
       overnight mail may be sent to Mellon Bank /LB 358340, 500 Ross Street,
       Room 1540670, Pittsburgh, PA 15251. Payment by wire transfer may be
       made to ABA Number 043000261, receiving bank Mellon Bank, and account
       number 911-6106. The payment should include the NAL/Acct. No. and FCC
       Registration Number (FRN) referenced above.

   19. AMAC's decision to enter into this Consent Decree is expressly
       contingent upon the Bureau's issuance of an Adopting Order that is
       consistent with this Consent Decree, and which adopts the Consent
       Decree without change, addition, modification, or deletion.

   20. The Parties waive any and all rights they may have to seek
       administrative or judicial reconsideration, review, appeal or stay, or
       to otherwise challenge or contest the validity of this Consent Degree
       and the Adopting Order, provided that the Adopting Order adopts the
       Consent Decree without change, addition, modification, or deletion.

   21. In the event that any court of competent jurisdiction renders invalid
       this Consent Decree, it shall become null and void and may not be used
       in any manner in any legal proceeding.

   22. If either Party (or the United States on behalf of the Commission)
       brings a judicial action to enforce the terms of the Adopting Order,
       neither AMAC nor the Commission shall contest the continuing validity
       of this Consent Decree or the Adopting Order. The Parties agree to
       comply with, defend and support the validity of this Consent Decree
       and the Adopting Order in any proceeding seeking to nullify, void, or
       otherwise modify the Consent Decree or the Adopting Order.

   23. The Parties agree that any provision of this Consent Decree which
       conflicts with any subsequent rule, order of general applicability or
       other decision of general applicability adopted by the Commission will
       be superseded by such Commission rule, order or other decision.

   24. AMAC waives any rights it may have under any provision of the Equal
       Access to Justice Act, 5 U.S.C. S 504 and 47 C.F.R. S 1.1501 et seq.,
       relating to the matters addressed in this Consent Decree.

   25. This Consent Decree cannot be modified without the advance written
       consent of both Parties.

   26. This Consent Decree may be signed in counterparts.

   For the Enforcement Bureau:

   ________________________________

   Kris Anne Monteith

   Chief, Enforcement Bureau

   ________________________________

   Date

   For American Medical Alert Corporation

   ________________________________

   Howard M. Siegel

   Chairman and CEO

   ________________________________

   Date

                                    APPENDIX

   AMAC EQUIPMENT

   Voice Care Console Units: Model Nos. 500, 700, 800, 833, 1000 and SP 2000.

   Personal Activator Pendants: Model Nos. 200, 250, 260, 285, 270, 300, 400,
   410, 433, 450, 450B, and 485.

   Other Devices: Model 202-1 Sip & Puff; Model 200-00 Repeater; Model 923
   Receiver; Model 924 Receiver; Model PB 5000 PERS Buddy; Model 650 Medtime
   with RF Transmitter; Medtime; Model 200-10 HW Smoke Detector; and Model
   200-14 RF Smoke Detector.

   47 U.S.C. S 302a(b).

   See, e.g., 47 C.F.R. SS 2.803, 2.925, 15.19, 15.101, 15.105(b), 15.107,
   15.109, 15.201, 15.207, 15.231, 68.201, and 68.354.

   47 U.S.C. S 154(i).

   47 C.F.R. SS 0.111, 0.311.

   47 U.S.C. S 302a(b).

   See, e.g., 47 C.F.R. Parts 2, 15, and 68.

   47 U.S.C. S 302a(b).

   See Letter from Kathryn S. Berthot, Deputy Chief, Spectrum Enforcement
   Division, Enforcement Bureau, FCC, to Howard M. Siegel, President, AMAC
   (Nov. 17, 2004).

                  Federal Communications Commission DA 06-1413

   1