Systems and methods for handling emergency notification messages such as Commercial Mobile Alert System (CMAS) alerts. In one example, a mobile communications device receives a text-based emergency alert message, converts at least some of the message content into an audio format, and then audibly plays the message. Such a system may enable additional persons to receive emergency notifications who otherwise may not receive them, for example, persons with visual impairments, or persons using communications devices that are unable to display text. In another example arrangement, a response center receives a text-based message, recognizes that a particular remote communications device is not capable of displaying the text-based message, derives from the content of the text-based electronic notification message data or signals that render at least some of the content of the text-based electronic notification message into an audio format, and transmits the data or signals to the communications device.