- CDC Health Literacy Training
- The Massachusetts Department of Public Health Guidelines for Accessing Interpreter Services
- New Mexico Department of Health: Culturally and Linguistically Appropriate Services Toolkit [PDF | 282.6KB]
- American Evaluation Association ANNOTATED BIBLIOGRAPHY: Multiculturalism and Cultural Competence in Evaluation Select References 1995-2007
- Center for Evaluation & Research Culture in Evaluation #10: Culturally competent Training Observation [PDF | 40KB]
- The California Endowment Principles and Recommended Standards for Cultural Competence Education of Health Care Professionals [PDF | 428KB]
- Georgetown University
- Choosing and Adapting Culturally and Linguistically Competent Health Promotion Materials from National Center for Cultural Competence [PDF | 575KB]
- HHS LEP Resources and Tools includes:
- Guidance to Federal Financial Assistance Recipients Regarding Title VI Prohibition Against National Origin Discrimination Affection Limited English Proficient Persons [PDF | 723KB]
- Questions and Answers Regarding the Department of Health and Human Services Guidance to Federal Financial Assistance Recipients Regarding Title VI Prohibition Against National Origin Discrimination Affecting Limited English Proficient Persons
- Language Access in Health Care Statement of Principles [PDF | 47KB]
- Language Access in Health Care Statement of Principles Explanatory Guide [PDF | 309KB] (updated 2010)
- Language Access Publications includes
- Medicaid and CHIP Reimbursement Models [PDF | 176KB] (2009 Update)
- The High Costs of Language Barriers in Medical Malpractice [PDF | 312KB] (2010)
- Kaiser Family Foundation Tutorial: Race, Ethnicity, and Health Care
- Robert Wood Johnson Foundation/ George Washington University's Center for Health Care Quality Video and Presentation Focus on Disparities in Treatment
Multilingual Access Services/Programs/Organizations:
- Diversity Rx Diversity Rx is a clearinghouse of information on how to meet the language and cultural needs of minorities, immigrants, refugees and other diverse populations seeking health care.
- Language and Cultural Access Program The Language and Cultural Access Program (LCAP) was initiated in 1994 in collaboration with local community, public and private health organizations and with support from Kaiser Family Foundation and Robert Wood Johnson Foundation through the Opening Doors initiative, and the Ridgecliff Foundation. It was developed out of concerns over the increased language barriers which non-English speakers face within managed care systems of service delivery
- Meaningful Access for People Who Are Limited English Proficient LEP.gov promotes a positive and cooperative understanding of the importance of language access to federal programs and federally assisted programs. This website supports fair, reasoned and consistent implementation of Executive Order 13166, Title VI, and the Title VI regulations regarding language access. This site also acts as a clearinghouse, providing and linking to information, tools, and technical assistance regarding Limited English Proficiency and language services for federal agencies, recipients of federal funds, users of federal programs and federally assisted programs, and other stakeholders
- Multilingual Access Project (MAP) Redevelopment Opportunities for Women.
- National MultiCultural Institute - Leading with Diversity Founded in 1983, the National MultiCultural Institute (NMCI) is proud to be one of the first organizations to have recognized the nation's need for new services, knowledge, and skills in the growing field of multiculturalism and diversity.
States & cultural Competency
- CLAS Legislation Map
- OMHRC Policies
- Executive Order No. 13166: Improving Access to Services for Persons with Limited English Proficiency - The White House, Office of Management and Budget (OMB) Released the Benefit-Cost Report of Executive Order No.13166 (Improving Access to Services for Persons with Limited English Proficiency)(Aug.2000), designed to improve access to federally conducted programs and activities and programs and activities of recipients of Federal funding for persons, who as a result of national origin, are limited in their English proficiency (LEP). More [PDF | 190KB]
- Policy Guidance on the Prohibition Against National Origin Discrimination as It Affects Persons With Limited English Proficiency - Office for Civil Rights (OCR) issued internal guidance to its staff in January 1998 on a recipient's obligation to provide language assistance to LEP persons. That guidance was intended to ensure consistency in OCR's investigation of LEP cases. This current guidance clarifies for recipient/covered entities and the public, the legal requirements under Title VI that OCR has been enforcing for the past 30 years. More
- Executive Order on Improving Access to Federally Assisted and Federally Conducted Programs and Activities for Persons with Limited English Proficiency - The Federal government is committed to improving the accessibility of Federally-assisted and Federally- conducted programs and activities for eligible persons with limited-English proficiency.
- Title VI Prohibition Against National Origin Discrimination As It Affects Persons With Limited English Proficiency Policy Guidance - Although Title VI of the Civil Rights Act of 1964 prohibits discrimination against persons with limited English proficiency, there are statutes in many states that have "English only" requirements. The use of state funds to provide linguistic access services is strictly prohibited by these states. There is a perception that even Federal funds cannot be used for the provision of linguistic access services within English only states. This continues to be litigated at the state and Federal levels. English, Spanish, and Chinese languages versions are available.
- OMHRC Laws
- Emergency Medical Treatment and Active Labor Act - The Emergency Medical Treatment and Active Labor Act, also known as the Patient Anti-dumping Act, requires hospitals that participate in the Medicare program that have emergency departments to treat all patients (including women in labor) in an emergency without regard to their ability to pay. Hospitals that fail to provide language assistance to persons of limited-English proficiency are potentially liable to Federal authorities for civil penalties, as well as relief to the extent deemed appropriate by a court.
- The Hill-Burton Act - The Hill-Burton Act, enacted by Congress in 1946, encouraged the construction and modernization of public and nonprofit community hospitals and health centers. In return for receiving these funds, recipients agreed to comply with a "community service obligation," one of which is a general principle of non-discrimination in the delivery of services. The Office of Civil Rights has consistently interpreted this as an obligation to provide language assistance to those in need of such services.
- Medicaid - Medicaid regulations require Medicaid providers and participating agencies, including long-term care facilities, to render culturally and linguistically appropriate services. The Health Care Financing Administration, the Federal agency that oversees Medicaid, requires that states communicate both orally and in writing "in a language understood by the beneficiary" and provide interpretation services at Medicaid hearings.
- Medicare - Medicare addresses linguistic access in its reimbursement and outreach education policies. Medicare "providers are encouraged to make bilingual services available to patients wherever the services are necessary to adequately serve a multilingual population." Medicare reimburses hospitals for the cost of the provision of bilingual services to patients.
- Title VI of the Civil Rights Act of 1964 - "No person in the United States shall, on ground of race, color or national origin, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance."
- National Conference of State Legislatures.
For more education resource, guides, laws and modules:
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