diff --git a/apps/web/src/components/speech/SpeechSettings.test.tsx b/apps/web/src/components/speech/SpeechSettings.test.tsx
new file mode 100644
index 0000000..735ba24
--- /dev/null
+++ b/apps/web/src/components/speech/SpeechSettings.test.tsx
@@ -0,0 +1,439 @@
+/**
+ * @file SpeechSettings.test.tsx
+ * @description Tests for the SpeechSettings component
+ *
+ * Validates all settings sections: STT, TTS, Voice Preview, Provider Status.
+ * Follows TDD: tests written before implementation.
+ *
+ * Issue #404
+ */
+
+import { describe, it, expect, vi, beforeEach } from "vitest";
+import { render, screen, waitFor, within } from "@testing-library/react";
+import userEvent from "@testing-library/user-event";
+import { SpeechSettings } from "./SpeechSettings";
+
+// Mock the speech API
+const mockGetVoices = vi.fn();
+const mockGetHealthStatus = vi.fn();
+const mockSynthesizeSpeech = vi.fn();
+
+vi.mock("@/lib/api/speech", () => ({
+  getVoices: (...args: unknown[]): unknown => mockGetVoices(...args) as unknown,
+  getHealthStatus: (...args: unknown[]): unknown => mockGetHealthStatus(...args) as unknown,
+  synthesizeSpeech: (...args: unknown[]): unknown => mockSynthesizeSpeech(...args) as unknown,
+}));
+
+// Mock the useTextToSpeech hook for voice preview
+const mockSynthesize = vi.fn();
+
+vi.mock("@/hooks/useTextToSpeech", () => ({
+  useTextToSpeech: vi.fn(() => ({
+    synthesize: mockSynthesize,
+    audioUrl: null,
+    isLoading: false,
+    error: null,
+    play: vi.fn(),
+    pause: vi.fn(),
+    stop: vi.fn(),
+    isPlaying: false,
+    duration: 0,
+    currentTime: 0,
+  })),
+}));
+
+// Mock HTMLAudioElement for AudioPlayer used inside preview
+class MockAudio {
+  src = "";
+  currentTime = 0;
+  duration = 60;
+  paused = true;
+  playbackRate = 1;
+  volume = 1;
+  onended: (() => void) | null = null;
+  ontimeupdate: (() => void) | null = null;
+  onloadedmetadata: (() => void) | null = null;
+  onerror: ((e: unknown) => void) | null = null;
+
+  play(): Promise<void> {
+    this.paused = false;
+    return Promise.resolve();
+  }
+
+  pause(): void {
+    this.paused = true;
+  }
+
+  addEventListener(): void {
+    // no-op
+  }
+
+  removeEventListener(): void {
+    // no-op
+  }
+}
+
+vi.stubGlobal("Audio", MockAudio);
+
+// Default mock responses
+const mockVoicesResponse = {
+  data: [
+    { id: "voice-1", name: "Alloy", language: "en", tier: "default", isDefault: true },
+    { id: "voice-2", name: "Nova", language: "en", tier: "default", isDefault: false },
+    { id: "voice-3", name: "Premium Voice", language: "en", tier: "premium", isDefault: true },
+  ],
+};
+
+const mockHealthResponse = {
+  data: {
+    stt: { available: true },
+    tts: { available: true },
+  },
+};
+
+describe("SpeechSettings", () => {
+  beforeEach(() => {
+    vi.clearAllMocks();
+    mockGetVoices.mockResolvedValue(mockVoicesResponse);
+    mockGetHealthStatus.mockResolvedValue(mockHealthResponse);
+    mockSynthesizeSpeech.mockResolvedValue(new Blob());
+  });
+
+  describe("rendering", () => {
+    it("should render the speech settings heading", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText("Speech Settings")).toBeInTheDocument();
+      });
+    });
+
+    it("should render the STT settings section", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText("Speech-to-Text")).toBeInTheDocument();
+      });
+    });
+
+    it("should render the TTS settings section", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText("Text-to-Speech")).toBeInTheDocument();
+      });
+    });
+
+    it("should render the provider status section", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText("Provider Status")).toBeInTheDocument();
+      });
+    });
+
+    it("should render all four section cards", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText("Speech-to-Text")).toBeInTheDocument();
+        expect(screen.getByText("Text-to-Speech")).toBeInTheDocument();
+        expect(screen.getByText("Voice Preview")).toBeInTheDocument();
+        expect(screen.getByText("Provider Status")).toBeInTheDocument();
+      });
+    });
+  });
+
+  describe("STT settings", () => {
+    it("should render an enable/disable toggle for STT", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        const sttToggle = screen.getByRole("switch", { name: /enable speech-to-text/i });
+        expect(sttToggle).toBeInTheDocument();
+      });
+    });
+
+    it("should render a language preference dropdown", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText("Language")).toBeInTheDocument();
+      });
+    });
+
+    it("should toggle STT enabled state when clicked", async () => {
+      const user = userEvent.setup();
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByRole("switch", { name: /enable speech-to-text/i })).toBeInTheDocument();
+      });
+
+      const sttToggle = screen.getByRole("switch", { name: /enable speech-to-text/i });
+      // Default should be checked (enabled)
+      expect(sttToggle).toBeChecked();
+
+      await user.click(sttToggle);
+      expect(sttToggle).not.toBeChecked();
+    });
+  });
+
+  describe("TTS settings", () => {
+    it("should render an enable/disable toggle for TTS", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        const ttsToggle = screen.getByRole("switch", { name: /enable text-to-speech/i });
+        expect(ttsToggle).toBeInTheDocument();
+      });
+    });
+
+    it("should render a voice selector", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText("Default Voice")).toBeInTheDocument();
+      });
+    });
+
+    it("should render a tier preference selector", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText("Provider Tier")).toBeInTheDocument();
+      });
+    });
+
+    it("should render an auto-play toggle", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        const autoPlayToggle = screen.getByRole("switch", { name: /auto-play/i });
+        expect(autoPlayToggle).toBeInTheDocument();
+      });
+    });
+
+    it("should render a speed control slider", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText("Speed")).toBeInTheDocument();
+        const slider = screen.getByRole("slider");
+        expect(slider).toBeInTheDocument();
+      });
+    });
+
+    it("should display the current speed value", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        // The speed display label shows "1.0x" next to the Speed label
+        const speedLabels = screen.getAllByText("1.0x");
+        expect(speedLabels.length).toBeGreaterThanOrEqual(1);
+      });
+    });
+
+    it("should toggle TTS enabled state when clicked", async () => {
+      const user = userEvent.setup();
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByRole("switch", { name: /enable text-to-speech/i })).toBeInTheDocument();
+      });
+
+      const ttsToggle = screen.getByRole("switch", { name: /enable text-to-speech/i });
+      expect(ttsToggle).toBeChecked();
+
+      await user.click(ttsToggle);
+      expect(ttsToggle).not.toBeChecked();
+    });
+
+    it("should toggle auto-play state when clicked", async () => {
+      const user = userEvent.setup();
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByRole("switch", { name: /auto-play/i })).toBeInTheDocument();
+      });
+
+      const autoPlayToggle = screen.getByRole("switch", { name: /auto-play/i });
+      // Default should be unchecked
+      expect(autoPlayToggle).not.toBeChecked();
+
+      await user.click(autoPlayToggle);
+      expect(autoPlayToggle).toBeChecked();
+    });
+  });
+
+  describe("voice selector", () => {
+    it("should fetch voices on mount", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(mockGetVoices).toHaveBeenCalled();
+      });
+    });
+
+    it("should display voice options after fetching", async () => {
+      const user = userEvent.setup();
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(mockGetVoices).toHaveBeenCalled();
+      });
+
+      // Open the voice selector by clicking the trigger button (id="tts-voice")
+      const voiceButton = document.getElementById("tts-voice");
+      expect(voiceButton).toBeTruthy();
+      if (!voiceButton) throw new Error("Voice button not found");
+      await user.click(voiceButton);
+
+      await waitFor(() => {
+        expect(screen.getByText("Alloy")).toBeInTheDocument();
+        expect(screen.getByText("Nova")).toBeInTheDocument();
+      });
+    });
+
+    it("should handle API error gracefully when fetching voices", async () => {
+      mockGetVoices.mockRejectedValueOnce(new Error("Network error"));
+
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText(/unable to load voices/i)).toBeInTheDocument();
+      });
+    });
+  });
+
+  describe("voice preview", () => {
+    it("should render a voice preview section", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText("Voice Preview")).toBeInTheDocument();
+      });
+    });
+
+    it("should render a test button for voice preview", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        const testButton = screen.getByRole("button", { name: /test voice/i });
+        expect(testButton).toBeInTheDocument();
+      });
+    });
+  });
+
+  describe("provider status", () => {
+    it("should fetch health status on mount", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(mockGetHealthStatus).toHaveBeenCalled();
+      });
+    });
+
+    it("should display STT provider status", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText("Speech-to-Text Provider")).toBeInTheDocument();
+      });
+    });
+
+    it("should display TTS provider status", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText("Text-to-Speech Provider")).toBeInTheDocument();
+      });
+    });
+
+    it("should show active indicator when provider is available", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        const statusSection = screen.getByTestId("provider-status");
+        const activeIndicators = within(statusSection).getAllByTestId("status-active");
+        expect(activeIndicators.length).toBe(2);
+      });
+    });
+
+    it("should show inactive indicator when provider is unavailable", async () => {
+      mockGetHealthStatus.mockResolvedValueOnce({
+        data: {
+          stt: { available: false },
+          tts: { available: true },
+        },
+      });
+
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        const statusSection = screen.getByTestId("provider-status");
+        const inactiveIndicators = within(statusSection).getAllByTestId("status-inactive");
+        expect(inactiveIndicators.length).toBe(1);
+      });
+    });
+
+    it("should handle health check error gracefully", async () => {
+      mockGetHealthStatus.mockRejectedValueOnce(new Error("Service unavailable"));
+
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText(/unable to check provider status/i)).toBeInTheDocument();
+      });
+    });
+  });
+
+  describe("PDA-friendly design", () => {
+    it("should not use aggressive red colors", async () => {
+      const { container } = render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText("Speech Settings")).toBeInTheDocument();
+      });
+
+      const allElements = container.querySelectorAll("*");
+      allElements.forEach((el) => {
+        const className = el.className;
+        if (typeof className === "string") {
+          expect(className).not.toMatch(/bg-red-|text-red-|border-red-/);
+        }
+      });
+    });
+
+    it("should not use demanding language", async () => {
+      const { container } = render(<SpeechSettings />);
+
+      await waitFor(() => {
+        expect(screen.getByText("Speech Settings")).toBeInTheDocument();
+      });
+
+      const text = container.textContent;
+      const demandingWords = [
+        "OVERDUE",
+        "URGENT",
+        "MUST DO",
+        "CRITICAL",
+        "REQUIRED",
+        "YOU NEED TO",
+      ];
+      for (const word of demandingWords) {
+        expect(text.toUpperCase()).not.toContain(word);
+      }
+    });
+
+    it("should use descriptive section headers", async () => {
+      render(<SpeechSettings />);
+
+      await waitFor(() => {
+        // Check for descriptive subtext under section headers
+        expect(screen.getByText("Configure voice input preferences")).toBeInTheDocument();
+        expect(screen.getByText("Configure voice output preferences")).toBeInTheDocument();
+      });
+    });
+  });
+});
diff --git a/apps/web/src/components/speech/SpeechSettings.tsx b/apps/web/src/components/speech/SpeechSettings.tsx
new file mode 100644
index 0000000..7cad797
--- /dev/null
+++ b/apps/web/src/components/speech/SpeechSettings.tsx
@@ -0,0 +1,404 @@
+/**
+ * SpeechSettings Component
+ *
+ * Settings page for configuring speech preferences per workspace.
+ * Includes STT settings, TTS settings, voice preview, and provider status.
+ *
+ * Follows PDA-friendly design: calm colors, no aggressive language.
+ *
+ * Issue #404
+ */
+
+"use client";
+
+import { useState, useEffect, useCallback } from "react";
+import type { ReactElement } from "react";
+import { Card, CardHeader, CardContent, CardTitle, CardDescription } from "@/components/ui/card";
+import { Switch } from "@/components/ui/switch";
+import { Label } from "@/components/ui/label";
+import { Button } from "@/components/ui/button";
+import { Slider } from "@/components/ui/slider";
+import {
+  Select,
+  SelectTrigger,
+  SelectValue,
+  SelectContent,
+  SelectItem,
+} from "@/components/ui/select";
+import { getVoices, getHealthStatus } from "@/lib/api/speech";
+import type { VoiceInfo, HealthResponse } from "@/lib/api/speech";
+import { useTextToSpeech } from "@/hooks/useTextToSpeech";
+
+/** Supported languages for STT */
+const STT_LANGUAGES = [
+  { value: "en", label: "English" },
+  { value: "es", label: "Spanish" },
+  { value: "fr", label: "French" },
+  { value: "de", label: "German" },
+  { value: "it", label: "Italian" },
+  { value: "pt", label: "Portuguese" },
+  { value: "ja", label: "Japanese" },
+  { value: "zh", label: "Chinese" },
+  { value: "ko", label: "Korean" },
+  { value: "auto", label: "Auto-detect" },
+];
+
+/** TTS tier options */
+const TIER_OPTIONS = [
+  { value: "default", label: "Default" },
+  { value: "premium", label: "Premium" },
+  { value: "fallback", label: "Fallback" },
+];
+
+/** Sample text for voice preview */
+const PREVIEW_TEXT = "Hello, this is a preview of the selected voice. How does it sound?";
+
+/**
+ * SpeechSettings provides a comprehensive settings interface for
+ * configuring speech-to-text and text-to-speech preferences.
+ */
+export function SpeechSettings(): ReactElement {
+  // STT state
+  const [sttEnabled, setSttEnabled] = useState(true);
+  const [sttLanguage, setSttLanguage] = useState("en");
+
+  // TTS state
+  const [ttsEnabled, setTtsEnabled] = useState(true);
+  const [selectedVoice, setSelectedVoice] = useState("");
+  const [selectedTier, setSelectedTier] = useState("default");
+  const [autoPlay, setAutoPlay] = useState(false);
+  const [speed, setSpeed] = useState(1.0);
+
+  // Data state
+  const [voices, setVoices] = useState<VoiceInfo[]>([]);
+  const [voicesError, setVoicesError] = useState<string | null>(null);
+  const [healthData, setHealthData] = useState<HealthResponse["data"] | null>(null);
+  const [healthError, setHealthError] = useState<string | null>(null);
+
+  // Preview hook
+  const {
+    synthesize,
+    audioUrl,
+    isLoading: isPreviewLoading,
+    error: previewError,
+  } = useTextToSpeech();
+
+  /**
+   * Fetch available voices from the API
+   */
+  const fetchVoices = useCallback(async (): Promise<void> => {
+    try {
+      setVoicesError(null);
+      const response = await getVoices();
+      setVoices(response.data);
+
+      // Select the first default voice if none selected
+      if (response.data.length > 0 && !selectedVoice) {
+        const defaultVoice = response.data.find((v) => v.isDefault);
+        const firstVoice = response.data[0];
+        setSelectedVoice(defaultVoice?.id ?? firstVoice?.id ?? "");
+      }
+    } catch {
+      setVoicesError("Unable to load voices. Please try again later.");
+    }
+  }, [selectedVoice]);
+
+  /**
+   * Fetch health status from the API
+   */
+  const fetchHealth = useCallback(async (): Promise<void> => {
+    try {
+      setHealthError(null);
+      const response = await getHealthStatus();
+      setHealthData(response.data);
+    } catch {
+      setHealthError("Unable to check provider status. Please try again later.");
+    }
+  }, []);
+
+  // Fetch voices and health on mount
+  useEffect(() => {
+    void fetchVoices();
+    void fetchHealth();
+  }, [fetchVoices, fetchHealth]);
+
+  /**
+   * Handle voice preview test
+   */
+  const handleTestVoice = useCallback(async (): Promise<void> => {
+    const options: Record<string, string | number> = {
+      speed,
+      tier: selectedTier,
+    };
+    if (selectedVoice) {
+      options.voice = selectedVoice;
+    }
+    await synthesize(PREVIEW_TEXT, options);
+  }, [synthesize, selectedVoice, speed, selectedTier]);
+
+  return (
+    <div className="space-y-6">
+      <div>
+        <h2 className="text-2xl font-semibold text-gray-900">Speech Settings</h2>
+        <p className="text-sm text-gray-600 mt-1">
+          Configure voice input and output preferences for your workspace
+        </p>
+      </div>
+
+      {/* STT Settings */}
+      <Card>
+        <CardHeader>
+          <CardTitle className="text-lg">Speech-to-Text</CardTitle>
+          <CardDescription>Configure voice input preferences</CardDescription>
+        </CardHeader>
+        <CardContent>
+          <div className="space-y-4">
+            {/* Enable STT Toggle */}
+            <div className="flex items-center justify-between">
+              <div className="space-y-0.5">
+                <Label htmlFor="stt-enabled">Enable Speech-to-Text</Label>
+                <p className="text-xs text-gray-500">
+                  Allow voice input for text fields and commands
+                </p>
+              </div>
+              <Switch
+                id="stt-enabled"
+                checked={sttEnabled}
+                onCheckedChange={setSttEnabled}
+                aria-label="Enable Speech-to-Text"
+              />
+            </div>
+
+            {/* Language Preference */}
+            <div className="space-y-2">
+              <Label htmlFor="stt-language">Language</Label>
+              <Select value={sttLanguage} onValueChange={setSttLanguage}>
+                <SelectTrigger id="stt-language" className="w-full">
+                  <SelectValue placeholder="Select language" />
+                </SelectTrigger>
+                <SelectContent>
+                  {STT_LANGUAGES.map((lang) => (
+                    <SelectItem key={lang.value} value={lang.value}>
+                      {lang.label}
+                    </SelectItem>
+                  ))}
+                </SelectContent>
+              </Select>
+            </div>
+          </div>
+        </CardContent>
+      </Card>
+
+      {/* TTS Settings */}
+      <Card>
+        <CardHeader>
+          <CardTitle className="text-lg">Text-to-Speech</CardTitle>
+          <CardDescription>Configure voice output preferences</CardDescription>
+        </CardHeader>
+        <CardContent>
+          <div className="space-y-4">
+            {/* Enable TTS Toggle */}
+            <div className="flex items-center justify-between">
+              <div className="space-y-0.5">
+                <Label htmlFor="tts-enabled">Enable Text-to-Speech</Label>
+                <p className="text-xs text-gray-500">
+                  Allow reading content aloud with synthesized voice
+                </p>
+              </div>
+              <Switch
+                id="tts-enabled"
+                checked={ttsEnabled}
+                onCheckedChange={setTtsEnabled}
+                aria-label="Enable Text-to-Speech"
+              />
+            </div>
+
+            {/* Default Voice Selector */}
+            <div className="space-y-2">
+              <Label htmlFor="tts-voice">Default Voice</Label>
+              {voicesError ? (
+                <p className="text-sm text-amber-600">{voicesError}</p>
+              ) : (
+                <Select value={selectedVoice} onValueChange={setSelectedVoice}>
+                  <SelectTrigger id="tts-voice" className="w-full">
+                    <SelectValue placeholder="Select a voice" />
+                  </SelectTrigger>
+                  <SelectContent>
+                    {voices.map((voice) => (
+                      <SelectItem key={voice.id} value={voice.id}>
+                        {voice.name}
+                      </SelectItem>
+                    ))}
+                  </SelectContent>
+                </Select>
+              )}
+            </div>
+
+            {/* Provider Tier Preference */}
+            <div className="space-y-2">
+              <Label htmlFor="tts-tier">Provider Tier</Label>
+              <p className="text-xs text-gray-500">
+                Choose the preferred quality tier for voice synthesis
+              </p>
+              <Select value={selectedTier} onValueChange={setSelectedTier}>
+                <SelectTrigger id="tts-tier" className="w-full">
+                  <SelectValue placeholder="Select tier" />
+                </SelectTrigger>
+                <SelectContent>
+                  {TIER_OPTIONS.map((tier) => (
+                    <SelectItem key={tier.value} value={tier.value}>
+                      {tier.label}
+                    </SelectItem>
+                  ))}
+                </SelectContent>
+              </Select>
+            </div>
+
+            {/* Auto-play Toggle */}
+            <div className="flex items-center justify-between">
+              <div className="space-y-0.5">
+                <Label htmlFor="tts-autoplay">Auto-play</Label>
+                <p className="text-xs text-gray-500">
+                  Automatically play TTS responses when received
+                </p>
+              </div>
+              <Switch
+                id="tts-autoplay"
+                checked={autoPlay}
+                onCheckedChange={setAutoPlay}
+                aria-label="Auto-play"
+              />
+            </div>
+
+            {/* Speed Control */}
+            <div className="space-y-2">
+              <div className="flex items-center justify-between">
+                <Label htmlFor="tts-speed">Speed</Label>
+                <span className="text-sm text-gray-600">{speed.toFixed(1)}x</span>
+              </div>
+              <Slider
+                id="tts-speed"
+                min={0.5}
+                max={2}
+                step={0.1}
+                value={[speed]}
+                onValueChange={(values) => {
+                  const newSpeed = values[0];
+                  if (newSpeed !== undefined) {
+                    setSpeed(newSpeed);
+                  }
+                }}
+              />
+              <div className="flex justify-between text-xs text-gray-400">
+                <span>0.5x</span>
+                <span>1.0x</span>
+                <span>2.0x</span>
+              </div>
+            </div>
+          </div>
+        </CardContent>
+      </Card>
+
+      {/* Voice Preview */}
+      <Card>
+        <CardHeader>
+          <CardTitle className="text-lg">Voice Preview</CardTitle>
+          <CardDescription>Preview the selected voice with sample text</CardDescription>
+        </CardHeader>
+        <CardContent>
+          <div className="space-y-3">
+            <p className="text-sm text-gray-600 italic">&ldquo;{PREVIEW_TEXT}&rdquo;</p>
+            <Button
+              variant="outline"
+              size="sm"
+              onClick={() => void handleTestVoice()}
+              disabled={isPreviewLoading}
+              aria-label="Test voice"
+            >
+              {isPreviewLoading ? "Synthesizing..." : "Test Voice"}
+            </Button>
+            {previewError && <p className="text-sm text-amber-600">{previewError}</p>}
+            {audioUrl && (
+              <audio controls src={audioUrl} className="w-full mt-2">
+                <track kind="captions" />
+              </audio>
+            )}
+          </div>
+        </CardContent>
+      </Card>
+
+      {/* Provider Status */}
+      <Card>
+        <CardHeader>
+          <CardTitle className="text-lg">Provider Status</CardTitle>
+          <CardDescription>Current availability of speech service providers</CardDescription>
+        </CardHeader>
+        <CardContent>
+          <div className="space-y-3" data-testid="provider-status">
+            {healthError ? (
+              <p className="text-sm text-amber-600">{healthError}</p>
+            ) : healthData ? (
+              <>
+                {/* STT Provider */}
+                <div className="flex items-center justify-between py-2">
+                  <span className="text-sm text-gray-700">Speech-to-Text Provider</span>
+                  <div className="flex items-center gap-2">
+                    {healthData.stt.available ? (
+                      <>
+                        <span
+                          className="inline-block h-2.5 w-2.5 rounded-full bg-green-500"
+                          data-testid="status-active"
+                          aria-label="Active"
+                        />
+                        <span className="text-sm text-gray-600">Active</span>
+                      </>
+                    ) : (
+                      <>
+                        <span
+                          className="inline-block h-2.5 w-2.5 rounded-full bg-gray-400"
+                          data-testid="status-inactive"
+                          aria-label="Inactive"
+                        />
+                        <span className="text-sm text-gray-600">Inactive</span>
+                      </>
+                    )}
+                  </div>
+                </div>
+
+                {/* TTS Provider */}
+                <div className="flex items-center justify-between py-2">
+                  <span className="text-sm text-gray-700">Text-to-Speech Provider</span>
+                  <div className="flex items-center gap-2">
+                    {healthData.tts.available ? (
+                      <>
+                        <span
+                          className="inline-block h-2.5 w-2.5 rounded-full bg-green-500"
+                          data-testid="status-active"
+                          aria-label="Active"
+                        />
+                        <span className="text-sm text-gray-600">Active</span>
+                      </>
+                    ) : (
+                      <>
+                        <span
+                          className="inline-block h-2.5 w-2.5 rounded-full bg-gray-400"
+                          data-testid="status-inactive"
+                          aria-label="Inactive"
+                        />
+                        <span className="text-sm text-gray-600">Inactive</span>
+                      </>
+                    )}
+                  </div>
+                </div>
+              </>
+            ) : (
+              <p className="text-sm text-gray-500">Checking provider status...</p>
+            )}
+          </div>
+        </CardContent>
+      </Card>
+    </div>
+  );
+}
+
+export default SpeechSettings;
diff --git a/apps/web/src/components/ui/slider.tsx b/apps/web/src/components/ui/slider.tsx
new file mode 100644
index 0000000..6241e6a
--- /dev/null
+++ b/apps/web/src/components/ui/slider.tsx
@@ -0,0 +1,55 @@
+import * as React from "react";
+
+export interface SliderProps {
+  id?: string;
+  min?: number;
+  max?: number;
+  step?: number;
+  value?: number[];
+  defaultValue?: number[];
+  onValueChange?: (value: number[]) => void;
+  disabled?: boolean;
+  className?: string;
+}
+
+export const Slider = React.forwardRef<HTMLInputElement, SliderProps>(
+  (
+    {
+      id,
+      min = 0,
+      max = 100,
+      step = 1,
+      value,
+      defaultValue,
+      onValueChange,
+      disabled,
+      className = "",
+    },
+    ref
+  ) => {
+    const currentValue = value?.[0] ?? defaultValue?.[0] ?? min;
+
+    return (
+      <input
+        type="range"
+        role="slider"
+        ref={ref}
+        id={id}
+        min={min}
+        max={max}
+        step={step}
+        value={currentValue}
+        onChange={(e) => {
+          onValueChange?.([parseFloat(e.target.value)]);
+        }}
+        disabled={disabled}
+        aria-valuemin={min}
+        aria-valuemax={max}
+        aria-valuenow={currentValue}
+        className={`w-full h-2 rounded-lg appearance-none cursor-pointer bg-gray-200 accent-blue-500 ${className}`}
+      />
+    );
+  }
+);
+
+Slider.displayName = "Slider";
diff --git a/apps/web/src/lib/api/speech.ts b/apps/web/src/lib/api/speech.ts
index cf5aeef..fc402de 100644
--- a/apps/web/src/lib/api/speech.ts
+++ b/apps/web/src/lib/api/speech.ts
@@ -6,12 +6,16 @@
 import { apiGet } from "./client";
 import { API_BASE_URL } from "../config";
 
+export type SpeechTier = "default" | "premium" | "fallback";
+
 export interface VoiceInfo {
   id: string;
   name: string;
   language: string;
   gender?: string;
   preview_url?: string;
+  tier?: SpeechTier;
+  isDefault?: boolean;
 }
 
 export interface SynthesizeOptions {
@@ -26,11 +30,31 @@ export interface VoicesResponse {
   data: VoiceInfo[];
 }
 
+export interface ProviderHealth {
+  available: boolean;
+}
+
+export interface HealthResponse {
+  data: {
+    stt: ProviderHealth;
+    tts: ProviderHealth;
+  };
+}
+
 /**
  * Fetch available TTS voices
+ * Optionally filter by tier (default, premium, fallback)
  */
-export async function getVoices(): Promise<VoicesResponse> {
-  return apiGet<VoicesResponse>("/api/speech/voices");
+export async function getVoices(tier?: SpeechTier): Promise<VoicesResponse> {
+  const endpoint = tier ? `/api/speech/voices?tier=${tier}` : "/api/speech/voices";
+  return apiGet<VoicesResponse>(endpoint);
+}
+
+/**
+ * Fetch health status of speech providers (STT and TTS)
+ */
+export async function getHealthStatus(): Promise<HealthResponse> {
+  return apiGet<HealthResponse>("/api/speech/health");
 }
 
 /**