diff --git a/packages/SystemUI/src/com/android/systemui/accessibility/hearingaid/HearingDevicesChecker.java b/packages/SystemUI/src/com/android/systemui/accessibility/hearingaid/HearingDevicesChecker.java
new file mode 100644
index 0000000000000000000000000000000000000000..2d1cd03aea4dee0940c2b12084d06c081a40567c
--- /dev/null
+++ b/packages/SystemUI/src/com/android/systemui/accessibility/hearingaid/HearingDevicesChecker.java
@@ -0,0 +1,108 @@
+/*
+ * Copyright (C) 2024 The Android Open Source Project
+ *
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *      http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ */
+
+package com.android.systemui.accessibility.hearingaid;
+
+import android.bluetooth.BluetoothDevice;
+import android.content.Context;
+
+import androidx.annotation.NonNull;
+import androidx.annotation.Nullable;
+import androidx.annotation.WorkerThread;
+
+import com.android.settingslib.bluetooth.BluetoothUtils;
+import com.android.settingslib.bluetooth.CachedBluetoothDevice;
+import com.android.settingslib.bluetooth.LocalBluetoothManager;
+import com.android.systemui.dagger.SysUISingleton;
+
+import javax.inject.Inject;
+
+/**
+ * HearingDevicesChecker provides utility methods to determine the presence and status of
+ * connected hearing aid devices.
+ *
+ * <p>It also filters out devices that are exclusively managed by other applications to avoid
+ * interfering with their operation.
+ */
+@SysUISingleton
+public class HearingDevicesChecker {
+
+    private final Context mContext;
+    private final LocalBluetoothManager mLocalBluetoothManager;
+
+    @Inject
+    public HearingDevicesChecker(
+            Context context,
+            @Nullable LocalBluetoothManager localBluetoothManager) {
+        mContext = context;
+        mLocalBluetoothManager = localBluetoothManager;
+    }
+
+    /**
+     * Checks if any hearing device is already paired.
+     *
+     * <p>It includes {@link BluetoothDevice.BOND_BONDING} and {@link BluetoothDevice.BOND_BONDED}).
+     *
+     * <p>A bonded device means it has been paired, but may not connected now.
+     *
+     * @return {@code true} if any bonded hearing device is found, {@code false} otherwise.
+     */
+    @WorkerThread
+    public boolean isAnyPairedHearingDevice() {
+        if (mLocalBluetoothManager == null) {
+            return false;
+        }
+        if (!mLocalBluetoothManager.getBluetoothAdapter().isEnabled()) {
+            return false;
+        }
+
+        return mLocalBluetoothManager.getCachedDeviceManager().getCachedDevicesCopy().stream()
+                .anyMatch(device -> device.isHearingAidDevice()
+                        && device.getBondState() != BluetoothDevice.BOND_NONE
+                        && !isExclusivelyManagedBluetoothDevice(device));
+    }
+
+    /**
+     * Checks if there are any active hearing device.
+     *
+     * <p>An active device means it is currently connected and streaming media.
+     *
+     * @return {@code true} if any active hearing device is found, {@code false} otherwise.
+     */
+    @WorkerThread
+    public boolean isAnyActiveHearingDevice() {
+        if (mLocalBluetoothManager == null) {
+            return false;
+        }
+        if (!mLocalBluetoothManager.getBluetoothAdapter().isEnabled()) {
+            return false;
+        }
+
+        return mLocalBluetoothManager.getCachedDeviceManager().getCachedDevicesCopy().stream()
+                .anyMatch(device -> BluetoothUtils.isActiveMediaDevice(device)
+                        && BluetoothUtils.isAvailableHearingDevice(device)
+                        && !isExclusivelyManagedBluetoothDevice(device));
+    }
+
+    private boolean isExclusivelyManagedBluetoothDevice(
+            @NonNull CachedBluetoothDevice cachedDevice) {
+        if (com.android.settingslib.flags.Flags.enableHideExclusivelyManagedBluetoothDevice()) {
+            return BluetoothUtils.isExclusivelyManagedBluetoothDevice(mContext,
+                    cachedDevice.getDevice());
+        }
+        return false;
+    }
+}
diff --git a/packages/SystemUI/src/com/android/systemui/accessibility/hearingaid/HearingDevicesDialogManager.java b/packages/SystemUI/src/com/android/systemui/accessibility/hearingaid/HearingDevicesDialogManager.java
index 14e5f3422a2740671b8760f77d0fd41b66d1e86e..bc4cb45582ff426fce9a79061019b641bc93357f 100644
--- a/packages/SystemUI/src/com/android/systemui/accessibility/hearingaid/HearingDevicesDialogManager.java
+++ b/packages/SystemUI/src/com/android/systemui/accessibility/hearingaid/HearingDevicesDialogManager.java
@@ -16,19 +16,24 @@
 
 package com.android.systemui.accessibility.hearingaid;
 
-import android.bluetooth.BluetoothDevice;
 import android.util.Log;
 
-import androidx.annotation.Nullable;
+import androidx.concurrent.futures.CallbackToFutureAdapter;
 
 import com.android.internal.jank.InteractionJankMonitor;
-import com.android.settingslib.bluetooth.LocalBluetoothManager;
 import com.android.systemui.animation.DialogCuj;
 import com.android.systemui.animation.DialogTransitionAnimator;
 import com.android.systemui.animation.Expandable;
 import com.android.systemui.dagger.SysUISingleton;
+import com.android.systemui.dagger.qualifiers.Background;
+import com.android.systemui.dagger.qualifiers.Main;
 import com.android.systemui.statusbar.phone.SystemUIDialog;
 
+import com.google.common.util.concurrent.ListenableFuture;
+
+import java.util.concurrent.ExecutionException;
+import java.util.concurrent.Executor;
+
 import javax.inject.Inject;
 
 /**
@@ -43,16 +48,22 @@ public class HearingDevicesDialogManager {
     private SystemUIDialog mDialog;
     private final DialogTransitionAnimator mDialogTransitionAnimator;
     private final HearingDevicesDialogDelegate.Factory mDialogFactory;
-    private final LocalBluetoothManager mLocalBluetoothManager;
+    private final HearingDevicesChecker mDevicesChecker;
+    private final Executor mBackgroundExecutor;
+    private final Executor mMainExecutor;
 
     @Inject
     public HearingDevicesDialogManager(
             DialogTransitionAnimator dialogTransitionAnimator,
             HearingDevicesDialogDelegate.Factory dialogFactory,
-            @Nullable LocalBluetoothManager localBluetoothManager) {
+            HearingDevicesChecker devicesChecker,
+            @Background Executor backgroundExecutor,
+            @Main Executor mainExecutor) {
         mDialogTransitionAnimator = dialogTransitionAnimator;
         mDialogFactory = dialogFactory;
-        mLocalBluetoothManager = localBluetoothManager;
+        mDevicesChecker = devicesChecker;
+        mBackgroundExecutor = backgroundExecutor;
+        mMainExecutor = mainExecutor;
     }
 
     /**
@@ -68,36 +79,41 @@ public class HearingDevicesDialogManager {
             destroyDialog();
         }
 
-        mDialog = mDialogFactory.create(!isAnyBondedHearingDevice()).createDialog();
+        final ListenableFuture<Boolean> pairedHearingDeviceCheckTask =
+                CallbackToFutureAdapter.getFuture(completer -> {
+                    mBackgroundExecutor.execute(
+                            () -> {
+                                completer.set(mDevicesChecker.isAnyPairedHearingDevice());
+                            });
+                    // This value is used only for debug purposes: it will be used in toString()
+                    // of returned future or error cases.
+                    return "isAnyPairedHearingDevice check";
+                });
+        pairedHearingDeviceCheckTask.addListener(() -> {
+            try {
+                mDialog = mDialogFactory.create(!pairedHearingDeviceCheckTask.get()).createDialog();
+
+                if (expandable != null) {
+                    DialogTransitionAnimator.Controller controller =
+                            expandable.dialogTransitionController(
+                                    new DialogCuj(InteractionJankMonitor.CUJ_SHADE_DIALOG_OPEN,
+                                            INTERACTION_JANK_TAG));
+                    if (controller != null) {
+                        mDialogTransitionAnimator.show(mDialog,
+                                controller, /* animateBackgroundBoundsChange= */ true);
+                        return;
+                    }
+                }
+                mDialog.show();
 
-        if (expandable != null) {
-            DialogTransitionAnimator.Controller controller = expandable.dialogTransitionController(
-                    new DialogCuj(InteractionJankMonitor.CUJ_SHADE_DIALOG_OPEN,
-                            INTERACTION_JANK_TAG));
-            if (controller != null) {
-                mDialogTransitionAnimator.show(mDialog,
-                        controller, /* animateBackgroundBoundsChange= */ true);
-                return;
+            } catch (InterruptedException | ExecutionException e) {
+                Log.e(TAG, "Exception occurs while running pairedHearingDeviceCheckTask", e);
             }
-        }
-        mDialog.show();
+        }, mMainExecutor);
     }
 
     private void destroyDialog() {
         mDialog.dismiss();
         mDialog = null;
     }
-
-    private boolean isAnyBondedHearingDevice() {
-        if (mLocalBluetoothManager == null) {
-            return false;
-        }
-        if (!mLocalBluetoothManager.getBluetoothAdapter().isEnabled()) {
-            return false;
-        }
-
-        return mLocalBluetoothManager.getCachedDeviceManager().getCachedDevicesCopy().stream()
-                .anyMatch(device -> device.isHearingAidDevice()
-                        && device.getBondState() != BluetoothDevice.BOND_NONE);
-    }
 }
diff --git a/packages/SystemUI/src/com/android/systemui/qs/tiles/HearingDevicesTile.java b/packages/SystemUI/src/com/android/systemui/qs/tiles/HearingDevicesTile.java
index 183c1a4a7ce7ad52c164708de4366c94ac923b16..b96e83d43e32f2115f657a295b8460a77fba809e 100644
--- a/packages/SystemUI/src/com/android/systemui/qs/tiles/HearingDevicesTile.java
+++ b/packages/SystemUI/src/com/android/systemui/qs/tiles/HearingDevicesTile.java
@@ -19,34 +19,53 @@ package com.android.systemui.qs.tiles;
 import android.content.Intent;
 import android.os.Handler;
 import android.os.Looper;
+import android.os.UserManager;
 import android.provider.Settings;
+import android.service.quicksettings.Tile;
 
 import androidx.annotation.Nullable;
 
 import com.android.internal.logging.MetricsLogger;
 import com.android.systemui.Flags;
+import com.android.systemui.accessibility.hearingaid.HearingDevicesChecker;
 import com.android.systemui.accessibility.hearingaid.HearingDevicesDialogManager;
 import com.android.systemui.animation.Expandable;
 import com.android.systemui.dagger.qualifiers.Background;
 import com.android.systemui.dagger.qualifiers.Main;
 import com.android.systemui.plugins.ActivityStarter;
 import com.android.systemui.plugins.FalsingManager;
-import com.android.systemui.plugins.qs.QSTile.State;
+import com.android.systemui.plugins.qs.QSTile.BooleanState;
 import com.android.systemui.plugins.statusbar.StatusBarStateController;
 import com.android.systemui.qs.QSHost;
 import com.android.systemui.qs.QsEventLogger;
 import com.android.systemui.qs.logging.QSLogger;
 import com.android.systemui.qs.tileimpl.QSTileImpl;
 import com.android.systemui.res.R;
+import com.android.systemui.statusbar.policy.BluetoothController;
 
 import javax.inject.Inject;
 
 /** Quick settings tile: Hearing Devices **/
-public class HearingDevicesTile extends QSTileImpl<State> {
-
+public class HearingDevicesTile extends QSTileImpl<BooleanState> {
+    //TODO(b/338520598): Transform the current implementation into new QS architecture
+    // and use Kotlin except Tile class.
     public static final String TILE_SPEC = "hearing_devices";
 
     private final HearingDevicesDialogManager mDialogManager;
+    private final HearingDevicesChecker mDevicesChecker;
+    private final BluetoothController mBluetoothController;
+
+    private final BluetoothController.Callback mCallback = new BluetoothController.Callback() {
+        @Override
+        public void onBluetoothStateChange(boolean enabled) {
+            refreshState();
+        }
+
+        @Override
+        public void onBluetoothDevicesChanged() {
+            refreshState();
+        }
+    };
 
     @Inject
     public HearingDevicesTile(
@@ -59,16 +78,20 @@ public class HearingDevicesTile extends QSTileImpl<State> {
             StatusBarStateController statusBarStateController,
             ActivityStarter activityStarter,
             QSLogger qsLogger,
-            HearingDevicesDialogManager hearingDevicesDialogManager
-    ) {
+            HearingDevicesDialogManager hearingDevicesDialogManager,
+            HearingDevicesChecker hearingDevicesChecker,
+            BluetoothController bluetoothController) {
         super(host, uiEventLogger, backgroundLooper, mainHandler, falsingManager, metricsLogger,
                 statusBarStateController, activityStarter, qsLogger);
         mDialogManager = hearingDevicesDialogManager;
+        mDevicesChecker = hearingDevicesChecker;
+        mBluetoothController = bluetoothController;
+        mBluetoothController.observe(getLifecycle(), mCallback);
     }
 
     @Override
-    public State newTileState() {
-        return new State();
+    public BooleanState newTileState() {
+        return new BooleanState();
     }
 
     @Override
@@ -77,9 +100,28 @@ public class HearingDevicesTile extends QSTileImpl<State> {
     }
 
     @Override
-    protected void handleUpdateState(State state, Object arg) {
+    protected void handleUpdateState(BooleanState state, Object arg) {
+        checkIfRestrictionEnforcedByAdminOnly(state, UserManager.DISALLOW_BLUETOOTH);
+
         state.label = mContext.getString(R.string.quick_settings_hearing_devices_label);
         state.icon = ResourceIcon.get(R.drawable.qs_hearing_devices_icon);
+        state.forceExpandIcon = true;
+
+        boolean isBonded = mDevicesChecker.isAnyPairedHearingDevice();
+        boolean isActive = mDevicesChecker.isAnyActiveHearingDevice();
+
+        if (isActive) {
+            state.state = Tile.STATE_ACTIVE;
+            state.secondaryLabel = mContext.getString(
+                    R.string.quick_settings_hearing_devices_connected);
+        } else if (isBonded) {
+            state.state = Tile.STATE_INACTIVE;
+            state.secondaryLabel = mContext.getString(
+                    R.string.quick_settings_hearing_devices_disconnected);
+        } else {
+            state.state = Tile.STATE_INACTIVE;
+            state.secondaryLabel = "";
+        }
     }
 
     @Nullable
diff --git a/packages/SystemUI/tests/src/com/android/systemui/accessibility/hearingaid/HearingDevicesCheckerTest.java b/packages/SystemUI/tests/src/com/android/systemui/accessibility/hearingaid/HearingDevicesCheckerTest.java
new file mode 100644
index 0000000000000000000000000000000000000000..51f6cdb2cb897c1e16e2cc4b6f3b573637d26c40
--- /dev/null
+++ b/packages/SystemUI/tests/src/com/android/systemui/accessibility/hearingaid/HearingDevicesCheckerTest.java
@@ -0,0 +1,116 @@
+/*
+ * Copyright (C) 2024 The Android Open Source Project
+ *
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *      http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ */
+
+package com.android.systemui.accessibility.hearingaid;
+
+import static com.google.common.truth.Truth.assertThat;
+
+import static org.mockito.Mockito.when;
+
+import android.bluetooth.BluetoothDevice;
+import android.bluetooth.BluetoothProfile;
+import android.testing.AndroidTestingRunner;
+import android.testing.TestableLooper;
+
+import androidx.test.filters.SmallTest;
+
+import com.android.settingslib.bluetooth.CachedBluetoothDevice;
+import com.android.settingslib.bluetooth.CachedBluetoothDeviceManager;
+import com.android.settingslib.bluetooth.LocalBluetoothAdapter;
+import com.android.settingslib.bluetooth.LocalBluetoothManager;
+import com.android.systemui.SysuiTestCase;
+
+import org.junit.Before;
+import org.junit.Rule;
+import org.junit.Test;
+import org.junit.runner.RunWith;
+import org.mockito.Mock;
+import org.mockito.junit.MockitoJUnit;
+import org.mockito.junit.MockitoRule;
+
+import java.util.ArrayList;
+import java.util.List;
+
+@RunWith(AndroidTestingRunner.class)
+@TestableLooper.RunWithLooper(setAsMainLooper = true)
+@SmallTest
+public class HearingDevicesCheckerTest extends SysuiTestCase {
+    @Rule
+    public MockitoRule mockito = MockitoJUnit.rule();
+
+    private final List<CachedBluetoothDevice> mCachedDevices = new ArrayList<>();
+    @Mock
+    private LocalBluetoothManager mLocalBluetoothManager;
+    @Mock
+    private LocalBluetoothAdapter mLocalBluetoothAdapter;
+    @Mock
+    private CachedBluetoothDeviceManager mCachedBluetoothDeviceManager;
+    @Mock
+    private CachedBluetoothDevice mCachedDevice;
+    @Mock
+    private BluetoothDevice mDevice;
+    private HearingDevicesChecker mDevicesChecker;
+
+    @Before
+    public void setUp() {
+        when(mLocalBluetoothManager.getBluetoothAdapter()).thenReturn(mLocalBluetoothAdapter);
+        when(mLocalBluetoothManager.getCachedDeviceManager()).thenReturn(
+                mCachedBluetoothDeviceManager);
+        when(mCachedBluetoothDeviceManager.getCachedDevicesCopy()).thenReturn(mCachedDevices);
+        when(mCachedDevice.getDevice()).thenReturn(mDevice);
+        when(mDevice.getMetadata(BluetoothDevice.METADATA_EXCLUSIVE_MANAGER)).thenReturn(
+                null);
+
+        mDevicesChecker = new HearingDevicesChecker(mContext, mLocalBluetoothManager);
+    }
+
+    @Test
+    public void isAnyPairedHearingDevice_bluetoothDisable_returnFalse() {
+        when(mLocalBluetoothAdapter.isEnabled()).thenReturn(false);
+
+        assertThat(mDevicesChecker.isAnyPairedHearingDevice()).isFalse();
+    }
+
+    @Test
+    public void isAnyActiveHearingDevice_bluetoothDisable_returnFalse() {
+        when(mLocalBluetoothAdapter.isEnabled()).thenReturn(false);
+
+        assertThat(mDevicesChecker.isAnyActiveHearingDevice()).isFalse();
+    }
+
+    @Test
+    public void isAnyPairedHearingDevice_hearingAidBonded_returnTrue() {
+        when(mLocalBluetoothAdapter.isEnabled()).thenReturn(true);
+        when(mCachedDevice.isHearingAidDevice()).thenReturn(true);
+        when(mCachedDevice.getBondState()).thenReturn(BluetoothDevice.BOND_BONDED);
+        mCachedDevices.add(mCachedDevice);
+
+        assertThat(mDevicesChecker.isAnyPairedHearingDevice()).isTrue();
+    }
+
+    @Test
+    public void isAnyActiveHearingDevice_hearingAidActiveAndConnected_returnTrue() {
+        when(mLocalBluetoothAdapter.isEnabled()).thenReturn(true);
+        when(mCachedDevice.isActiveDevice(BluetoothProfile.HEARING_AID)).thenReturn(true);
+        when(mCachedDevice.getBondState()).thenReturn(BluetoothDevice.BOND_BONDED);
+        when(mDevice.getBondState()).thenReturn(BluetoothDevice.BOND_BONDED);
+        when(mDevice.isConnected()).thenReturn(true);
+        when(mCachedDevice.isConnectedHearingAidDevice()).thenReturn(true);
+        mCachedDevices.add(mCachedDevice);
+
+        assertThat(mDevicesChecker.isAnyActiveHearingDevice()).isTrue();
+    }
+}
diff --git a/packages/SystemUI/tests/src/com/android/systemui/accessibility/hearingaid/HearingDevicesDialogManagerTest.java b/packages/SystemUI/tests/src/com/android/systemui/accessibility/hearingaid/HearingDevicesDialogManagerTest.java
index e9c742d63d8185d985b6eb644f0a9fca6a8cb745..cb9c26c7a4b6b38bd269d792977ab3871c5cee90 100644
--- a/packages/SystemUI/tests/src/com/android/systemui/accessibility/hearingaid/HearingDevicesDialogManagerTest.java
+++ b/packages/SystemUI/tests/src/com/android/systemui/accessibility/hearingaid/HearingDevicesDialogManagerTest.java
@@ -21,20 +21,17 @@ import static org.mockito.ArgumentMatchers.eq;
 import static org.mockito.Mockito.verify;
 import static org.mockito.Mockito.when;
 
-import android.bluetooth.BluetoothDevice;
 import android.testing.AndroidTestingRunner;
 import android.testing.TestableLooper;
 
 import androidx.test.filters.SmallTest;
 
-import com.android.settingslib.bluetooth.CachedBluetoothDevice;
-import com.android.settingslib.bluetooth.CachedBluetoothDeviceManager;
-import com.android.settingslib.bluetooth.LocalBluetoothAdapter;
-import com.android.settingslib.bluetooth.LocalBluetoothManager;
 import com.android.systemui.SysuiTestCase;
 import com.android.systemui.animation.DialogTransitionAnimator;
 import com.android.systemui.animation.Expandable;
 import com.android.systemui.statusbar.phone.SystemUIDialog;
+import com.android.systemui.util.concurrency.FakeExecutor;
+import com.android.systemui.util.time.FakeSystemClock;
 
 import org.junit.Before;
 import org.junit.Rule;
@@ -44,9 +41,6 @@ import org.mockito.Mock;
 import org.mockito.junit.MockitoJUnit;
 import org.mockito.junit.MockitoRule;
 
-import java.util.ArrayList;
-import java.util.List;
-
 /** Tests for {@link HearingDevicesDialogManager}. */
 @RunWith(AndroidTestingRunner.class)
 @TestableLooper.RunWithLooper(setAsMainLooper = true)
@@ -56,7 +50,8 @@ public class HearingDevicesDialogManagerTest extends SysuiTestCase {
     @Rule
     public MockitoRule mockito = MockitoJUnit.rule();
 
-    private final List<CachedBluetoothDevice> mCachedDevices = new ArrayList<>();
+    private final FakeExecutor mMainExecutor = new FakeExecutor(new FakeSystemClock());
+    private final FakeExecutor mBackgroundExecutor = new FakeExecutor(new FakeSystemClock());
     @Mock
     private Expandable mExpandable;
     @Mock
@@ -68,13 +63,7 @@ public class HearingDevicesDialogManagerTest extends SysuiTestCase {
     @Mock
     private SystemUIDialog mDialog;
     @Mock
-    private LocalBluetoothManager mLocalBluetoothManager;
-    @Mock
-    private LocalBluetoothAdapter mLocalBluetoothAdapter;
-    @Mock
-    private CachedBluetoothDeviceManager mCachedBluetoothDeviceManager;
-    @Mock
-    private CachedBluetoothDevice mCachedDevice;
+    private HearingDevicesChecker mDevicesChecker;
 
     private HearingDevicesDialogManager mManager;
 
@@ -82,36 +71,35 @@ public class HearingDevicesDialogManagerTest extends SysuiTestCase {
     public void setUp() {
         when(mDialogFactory.create(anyBoolean())).thenReturn(mDialogDelegate);
         when(mDialogDelegate.createDialog()).thenReturn(mDialog);
-        when(mLocalBluetoothManager.getBluetoothAdapter()).thenReturn(mLocalBluetoothAdapter);
-        when(mLocalBluetoothManager.getCachedDeviceManager()).thenReturn(
-                mCachedBluetoothDeviceManager);
-        when(mCachedBluetoothDeviceManager.getCachedDevicesCopy()).thenReturn(mCachedDevices);
 
         mManager = new HearingDevicesDialogManager(
                 mDialogTransitionAnimator,
                 mDialogFactory,
-                mLocalBluetoothManager
+                mDevicesChecker,
+                mBackgroundExecutor,
+                mMainExecutor
         );
     }
 
     @Test
-    public void showDialog_bluetoothDisable_showPairNewDeviceTrue() {
-        when(mLocalBluetoothAdapter.isEnabled()).thenReturn(false);
+    public void showDialog_existHearingDevice_showPairNewDeviceFalse() {
+        when(mDevicesChecker.isAnyPairedHearingDevice()).thenReturn(true);
 
         mManager.showDialog(mExpandable);
+        mBackgroundExecutor.runAllReady();
+        mMainExecutor.runAllReady();
 
-        verify(mDialogFactory).create(eq(true));
+        verify(mDialogFactory).create(eq(/* showPairNewDevice= */ false));
     }
 
     @Test
-    public void showDialog_containsHearingAid_showPairNewDeviceFalse() {
-        when(mLocalBluetoothAdapter.isEnabled()).thenReturn(true);
-        when(mCachedDevice.isHearingAidDevice()).thenReturn(true);
-        when(mCachedDevice.getBondState()).thenReturn(BluetoothDevice.BOND_BONDED);
-        mCachedDevices.add(mCachedDevice);
+    public void showDialog_noHearingDevice_showPairNewDeviceTrue() {
+        when(mDevicesChecker.isAnyPairedHearingDevice()).thenReturn(false);
 
         mManager.showDialog(mExpandable);
+        mBackgroundExecutor.runAllReady();
+        mMainExecutor.runAllReady();
 
-        verify(mDialogFactory).create(eq(false));
+        verify(mDialogFactory).create(eq(/* showPairNewDevice= */ true));
     }
 }
diff --git a/packages/SystemUI/tests/src/com/android/systemui/qs/tiles/HearingDevicesTileTest.java b/packages/SystemUI/tests/src/com/android/systemui/qs/tiles/HearingDevicesTileTest.java
index 59ee0b843043d7a6b3c21829c8867dfdf58d9a51..76c8cf081262c3f778defe226166886414fa668b 100644
--- a/packages/SystemUI/tests/src/com/android/systemui/qs/tiles/HearingDevicesTileTest.java
+++ b/packages/SystemUI/tests/src/com/android/systemui/qs/tiles/HearingDevicesTileTest.java
@@ -28,6 +28,7 @@ import android.os.Handler;
 import android.platform.test.annotations.DisableFlags;
 import android.platform.test.annotations.EnableFlags;
 import android.provider.Settings;
+import android.service.quicksettings.Tile;
 import android.testing.TestableLooper;
 import android.view.View;
 
@@ -37,14 +38,18 @@ import androidx.test.filters.SmallTest;
 import com.android.internal.logging.MetricsLogger;
 import com.android.systemui.Flags;
 import com.android.systemui.SysuiTestCase;
+import com.android.systemui.accessibility.hearingaid.HearingDevicesChecker;
 import com.android.systemui.accessibility.hearingaid.HearingDevicesDialogManager;
 import com.android.systemui.animation.Expandable;
 import com.android.systemui.classifier.FalsingManagerFake;
 import com.android.systemui.plugins.ActivityStarter;
+import com.android.systemui.plugins.qs.QSTile.BooleanState;
 import com.android.systemui.plugins.statusbar.StatusBarStateController;
 import com.android.systemui.qs.QSHost;
 import com.android.systemui.qs.QsEventLogger;
 import com.android.systemui.qs.logging.QSLogger;
+import com.android.systemui.res.R;
+import com.android.systemui.statusbar.policy.BluetoothController;
 
 import org.junit.After;
 import org.junit.Before;
@@ -78,7 +83,11 @@ public class HearingDevicesTileTest extends SysuiTestCase {
     @Mock
     private QSLogger mQSLogger;
     @Mock
+    private HearingDevicesChecker mDevicesChecker;
+    @Mock
     HearingDevicesDialogManager mHearingDevicesDialogManager;
+    @Mock
+    BluetoothController mBluetoothController;
 
     private TestableLooper mTestableLooper;
     private HearingDevicesTile mTile;
@@ -98,7 +107,9 @@ public class HearingDevicesTileTest extends SysuiTestCase {
                 mStatusBarStateController,
                 mActivityStarter,
                 mQSLogger,
-                mHearingDevicesDialogManager);
+                mHearingDevicesDialogManager,
+                mDevicesChecker,
+                mBluetoothController);
 
         mTile.initialize();
         mTestableLooper.processAllMessages();
@@ -142,4 +153,41 @@ public class HearingDevicesTileTest extends SysuiTestCase {
 
         verify(mHearingDevicesDialogManager).showDialog(expandable);
     }
+
+    @Test
+    public void handleUpdateState_activeHearingDevice_stateActiveConnectedLabel() {
+        when(mDevicesChecker.isAnyActiveHearingDevice()).thenReturn(true);
+        when(mDevicesChecker.isAnyPairedHearingDevice()).thenReturn(true);
+
+        BooleanState activeState = new BooleanState();
+        mTile.handleUpdateState(activeState, null);
+
+        assertThat(activeState.state).isEqualTo(Tile.STATE_ACTIVE);
+        assertThat(activeState.secondaryLabel.toString()).isEqualTo(
+                mContext.getString(R.string.quick_settings_hearing_devices_connected));
+    }
+
+    @Test
+    public void handleUpdateState_bondedInactiveHearingDevice_stateInactiveDisconnectedLabel() {
+        when(mDevicesChecker.isAnyActiveHearingDevice()).thenReturn(false);
+        when(mDevicesChecker.isAnyPairedHearingDevice()).thenReturn(true);
+
+        BooleanState disconnectedState = new BooleanState();
+        mTile.handleUpdateState(disconnectedState, null);
+
+        assertThat(disconnectedState.state).isEqualTo(Tile.STATE_INACTIVE);
+        assertThat(disconnectedState.secondaryLabel.toString()).isEqualTo(
+                mContext.getString(R.string.quick_settings_hearing_devices_disconnected));
+    }
+
+    @Test
+    public void handleUpdateState_noHearingDevice_stateInactive() {
+        when(mDevicesChecker.isAnyActiveHearingDevice()).thenReturn(false);
+        when(mDevicesChecker.isAnyPairedHearingDevice()).thenReturn(false);
+
+        BooleanState inactiveState = new BooleanState();
+        mTile.handleUpdateState(inactiveState, null);
+
+        assertThat(inactiveState.state).isEqualTo(Tile.STATE_INACTIVE);
+    }
 }