This literature review examines accommodations for Deaf and Hard of Hearing (DHH) students taking the National Assessment Program – Literacy and Numeracy (NAPLAN) test in Australia. DHH students are a diverse group with varying degrees of hearing loss and language exposure. The review finds that DHH students are often educationally disadvantaged due to linguistic differences between spoken and signed languages. Studies show native signers experience delays in language development and DHH adults have lower literacy levels than hearing peers. The review suggests DHH students may need accommodations for NAPLAN tests to allow for their diverse needs and experiences.