Linguistic Access

Language barriers can inhibit a health care provider's ability to diagnose and treat patients with limited English proficiency (LEP) - an obstacle to health care that affects millions of people who do not have the ability to proficiently speak, read, write and understand the English language. (1) The Report Card examines states' commitment to addressing the needs of this population.

  • Linguistic Access

      Strength Of Policy 2007 Change From 2004
    ALABAMA Limited Policy Same
    ALASKA Limited Policy Same
    ARIZONA Limited Policy Same
    ARKANSAS Limited Policy Same
    CALIFORNIA Meets Policy Same
    COLORADO Limited Policy Same
    CONNECTICUT Limited Policy Same
    DELAWARE Limited Policy Same
    DISTRICT OF COLUMBIA Limited Policy Same
    FLORIDA Limited Policy Same
    GEORGIA No/Harmful Policy Same
    HAWAII Limited Policy Same
    IDAHO No/Harmful Policy Same
    ILLINOIS Meets Policy Same
    INDIANA No/Harmful Policy Same
    IOWA Limited Policy Same
    KANSAS Limited Policy Same
    KENTUCKY Limited Policy Same
    LOUISIANA Limited Policy Same
    MAINE Limited Policy Same
    MARYLAND Meets Policy Same
    MASSACHUSETTS Meets Policy Same
    MICHIGAN Limited Policy Same
    MINNESOTA Limited Policy Same
    MISSISSIPPI No/Harmful Policy Same
    MISSOURI Limited Policy Same
    MONTANA Limited Policy Same
    NEBRASKA Limited Policy Same
    NEVADA Limited Policy Same
    NEW HAMPSHIRE No/Harmful Policy Same
    NEW JERSEY Limited Policy Same
    NEW MEXICO Limited Policy Same
    NEW YORK Meets Policy Same
    NORTH CAROLINA Limited Policy Same
    NORTH DAKOTA No/Harmful Policy Same
    OHIO Limited Policy Same
    OKLAHOMA Limited Policy Same
    OREGON Limited Policy Same
    PENNSYLVANIA Limited Policy Same
    RHODE ISLAND Meets Policy Same
    SOUTH CAROLINA No/Harmful Policy Same
    SOUTH DAKOTA No/Harmful Policy Same
    TENNESSEE No/Harmful Policy Same
    TEXAS Limited Policy Same
    UTAH Limited Policy Same
    VERMONT Limited Policy Same
    VIRGINIA Limited Policy Same
    WASHINGTON Meets Policy Better
    WEST VIRGINIA Limited Policy Better
    WISCONSIN Limited Policy Same
    WYOMING No/Harmful Policy Same
     
    Meets PolicyMeets Policy 7  
    Limited PolicyLimited Policy 34  
    Weak PolicyWeak Policy 0  
    No/Harmful PolicyNo/Harmful Policy 10  
    Better Better 2  
    Worse Worse 0  
    Same Same 49  

    Does the state have comprehensive requirements for the provision of appropriate interpretation and translation services to patients with limited English proficiency?

    States receive a "meets policy" if they adopt a comprehensive legal requirement to address the language needs of those seeking health care. States receive a "limited policy" if their laws make reference to language barriers but are restricted or inadequate in their scope. States recevie a "no policy" if they do not have laws addressing LEP.

    Data Source: Linguistic Access, 2005

    Jane Perkins, Summary of State Law Requirements Addressing Language Needs in Health Care (North Carolina: National Health Law Program, January 2006); Jane Perkins and others, Ensuring Linguistic Access in Health Care Settings: Legal Rights and Responsibilities, Second Edition (Los Angeles: National Health Law Program, 2003). Considerations in the evaluation include the level of specific guidance provided by a state, the variety of settings included, general statements endorsing the goal of linguistic access, enforcement provisions and the mandatory or optional nature of statutes and regulations.  Sources reviewed include administrative regulations regarding hearings on Medicaid and Medicare eligibility.

1. Jane Perkins and others, Ensuring Linguistic Access in Health Care Settings: Legal Rights and Responsibilities, Second Edition August 2003 (Los Angeles: National Health Law Program, 2003), 1.