California Language Access Compliance Map for Healthcare Organizations A tiered overview of California's own healthcare language-access requirements for limited English proficient patients, which add to the federal baseline of Title VI and Section 1557: the Dymally-Alatorre Bilingual Services Act, the Kopp Act for hospitals, SB 853 health plan and insurer Language Assistance Program, Medi-Cal threshold-language requirements, and AB 1195 cultural and linguistic competency continuing medical education. CALIFORNIA · STATE EDITION California Language Access Compliance Map California's own healthcare language-access laws for limited English proficient (LEP) patients. These add to the federal requirements (Title VI and Section 1557); they do not replace them. 1 FOUNDATION   ·  California's civil-rights basis for language access Dymally-Alatorre Bilingual Services Act GOVERNMENT CODE §7290+ Requires state and local agencies, including public health programs, to provide services and materials in other languages where a substantial share of those they serve are LEP. 2 HOSPITALS   ·  Interpreter duties for acute care hospitals Kopp Act HEALTH & SAFETY CODE §1259 Every general acute care hospital must adopt an interpreter policy, provide interpreters for LEP patients, and post notices, keyed to languages spoken by 5% or more of its service area. 3 HEALTH PLANS & INSURERS   ·  The core operating program, under SB 853 PRIMARY PROGRAM SB 853 Language Assistance Program Health plans and insurers must operate a Language Assistance Program: •  Qualified interpreters, available 24/7 at no cost to the enrollee •  Vital documents translated into the plan's threshold languages •  Assessment of each enrollee's language needs •  Enrollees notified of the availability of free language services 4 MEDI-CAL   ·  Public coverage language requirements Medi-Cal threshold languages DHCS · PUBLIC COVERAGE Medi-Cal managed care plans must provide free interpreter services and translate member materials into each county's Medi-Cal threshold languages. 5 CLINICIAN TRAINING   ·  Cultural and linguistic competency Cultural & linguistic competency CME AB 1195 · CONTINUING EDUCATION Continuing medical education courses for California physicians must incorporate cultural and linguistic competency in patient care. Educational summary, not legal advice. Obligations vary by organization, plan, and county. thetranslationcompany.com