At home sleep tests or personal monitors (PM) have been shown to effectively provide an adequate diagnosis of OSA with the proper pre-screening tests and evaluation. These methods can be adopted by hospitals and if used effectively can save money to the patients and healthcare facility. With the Affordable Healthcare Act the focus is on providing quality care for less money, but many hospitals are slow to adapt. Sleep disorder breathing is becoming more recognized as a serious and treatable disease, with the well known and documented underdiagnosis in numerous studies not just in the USA but around all races and genders throughout the world. Can we find a way to promote and encourage the at home sleep testing, especially in rural areas?