School-based speech-language pathologists work with a broad spectrum of students with varying needs. Recent reports indicate that ~50% of speech-language pathologists working in school settings have students who use augmentative and alternative communication (AAC) on their caseloads. Therefore, AAC service-delivery continues to emerge as an area of great interest and concern in the school setting. As researchers and clinicians strive to validate and provide high-quality AAC services, it is important to examine current AAC service-delivery issues in the schools. Several recent investigations include data that describe current trends and issues in AAC service provision. This article will use findings from several recent reports and investigations as a basis for (a) presenting contemporary issues relating to AAC service-delivery and professional expertise in the schools and (b) exploring practical future directions for AAC clinicians and researchers.