The Commission on Rehabilitation Counselor Certification (CRCC) has taken a proactive stance on perceived test inequities of the Certified Rehabilitation Counselor (CRC) exam as it relates to people who are prelingually deaf and hard of hearing. This article describes the process developed and implemented by the CRCC to help maximize test equity for this target group. Using recommendations from a group of national experts in deafness and rehabilitation, focus groups examined exam items considered linguistically difficult items for people who are deaf or hard of hearing and, from that effort, developed guidelines that could be used to address linguistic complexity concerns for future test items.