Bruggeman B, Zimmerman C, LaPorte A, et al. - This cross-sectional study was undertaken to determine if youth and young adults with type 1 diabetes (T1D) who met American Diabetes Association criteria for recommended DR screening at the time of the study (10 years old or greater with diabetes duration of 5 years or more) would report multiple barriers to screening and whether targeted barriers and subpopulations could be identified to improve access to care. Two hundred seventy-one youth, aged 10 to 26 years, with T1D of at least 5 years duration were selected from the clinic, diabetes camp, and a diabetes conference and completed a patient‐reported questionnaire. Participants who were older or who had diabetes for a longer period of time were more likely to report screening barriers. Location of recruitment, gender, race and ethnicity, HbA1c, insulin regimen, and frequency of clinic visits were not associated with reporting at least one barrier. Because older patients and those with diabetes for a longer period of time are more likely to have DR, targeted interventions to address barriers to care, such as missed school and work, should be implemented in these groups.