Skip to main content
Top
Published in: Journal of General Internal Medicine 2/2007

Open Access 01-11-2007 | Commentary

The Legal Framework for Language Access in Healthcare Settings: Title VI and Beyond

Authors: Alice Hm Chen, MD, MPH, Mara K. Youdelman, JD, LLM, Jamie Brooks, JD

Published in: Journal of General Internal Medicine | Special Issue 2/2007

Login to get access

Abstract

Over the past few decades, the number and diversity of limited English speakers in the USA has burgeoned. With this increased diversity has come increased pressure—including new legal requirements—on healthcare systems and clinicians to ensure equal treatment of limited English speakers. Healthcare providers are often unclear about their legal obligations to provide language services. In this article, we describe the federal mandates for language rights in health care, provide a broad overview of existing state laws and describe recent legal developments in addressing language barriers. We conclude with an analysis of key policy initiatives that would substantively improve health care for LEP patients.
Literature
1.
go back to reference Ask Doctor Alice: Is the Doctor In? Not if You Don’t Speak English. Asian Journal Publications. October 29–November 4, 2004; p. 23. Ask Doctor Alice: Is the Doctor In? Not if You Don’t Speak English. Asian Journal Publications. October 29–November 4, 2004; p. 23.
2.
go back to reference Andrulis DP, Goodman N, Pryor C. What a Difference an Interpreter Can Make: Health Care Experiences of Uninsured With Limited English Proficiency. Boston, MA: The Access Project; 2002 (April). Andrulis DP, Goodman N, Pryor C. What a Difference an Interpreter Can Make: Health Care Experiences of Uninsured With Limited English Proficiency. Boston, MA: The Access Project; 2002 (April).
3.
go back to reference Crane JA. Patient comprehension of doctor-patient communication on discharge from the emergency department. J Emerg Med. 1997;15:1–7.PubMedCrossRef Crane JA. Patient comprehension of doctor-patient communication on discharge from the emergency department. J Emerg Med. 1997;15:1–7.PubMedCrossRef
6.
7.
go back to reference 45 Fed. Reg. 82972 (Dec. 17, 1980) (Notice). 45 Fed. Reg. 82972 (Dec. 17, 1980) (Notice).
8.
go back to reference Perkins J, Youdelman M, Wong D. Ensuring Linguistic Access in Health Care Settings: Legal Rights And Responsibilities, 2nd Edition. Washington, DC: National Health Law Program; August 2003. Perkins J, Youdelman M, Wong D. Ensuring Linguistic Access in Health Care Settings: Legal Rights And Responsibilities, 2nd Edition. Washington, DC: National Health Law Program; August 2003.
9.
10.
12.
go back to reference Perkins J. Summary of State Law Requirements Addressing Language Needs in Health Care. Washington, DC: National Health Law Program; updated 2006 (January). Perkins J. Summary of State Law Requirements Addressing Language Needs in Health Care. Washington, DC: National Health Law Program; updated 2006 (January).
14.
go back to reference Mich.Stat.Ann. §14.15(b) and (c); Mich.Stat.Ann. §33.5133; Mich.Stat.Ann. §333.9161; Mich.Stat.Ann. §333.17015. Mich.Stat.Ann. §14.15(b) and (c); Mich.Stat.Ann. §33.5133; Mich.Stat.Ann. §333.9161; Mich.Stat.Ann. §333.17015.
15.
go back to reference Ark.Stat. §20-16-904; Kan.Stat.Ann. §65-6710; 40 La.Rev.Stat.Ann. §1299.35.6.B(2)(4); Minn. Stat. Ann. §145.4243; N.D. Cent. Code §14-02.1-02.1; Nev.Rev.Stat. §442.253(1) and (3); 63 Okl. St. §1-738.3; Tex.Health & Safety Code Ann. §245.023; Va. Code Ann. §18.2-76(D). Ark.Stat. §20-16-904; Kan.Stat.Ann. §65-6710; 40 La.Rev.Stat.Ann. §1299.35.6.B(2)(4); Minn. Stat. Ann. §145.4243; N.D. Cent. Code §14-02.1-02.1; Nev.Rev.Stat. §442.253(1) and (3); 63 Okl. St. §1-738.3; Tex.Health & Safety Code Ann. §245.023; Va. Code Ann. §18.2-76(D).
16.
go back to reference Mass. Ann. Laws Ch.111, §25J(b), Ch.123, §23A(b); Ill. Admin. Code tit. 59, §111.25. Mass. Ann. Laws Ch.111, §25J(b), Ch.123, §23A(b); Ill. Admin. Code tit. 59, §111.25.
17.
go back to reference 6 Colo. Code Regs. § 1011-1 12.1.6(4); N.J. Admin. Code tit. 8, § 36-4.15; N.J. Admin. Code tit. 8 § 43-4.17; R.I. Gen. Laws § 23-17-54. 6 Colo. Code Regs. § 1011-1 12.1.6(4); N.J. Admin. Code tit. 8, § 36-4.15; N.J. Admin. Code tit. 8 § 43-4.17; R.I. Gen. Laws § 23-17-54.
18.
go back to reference Cal. Health & Safety Code § 1367, 1367.04, 1367.07; Cal. Insurance Code § 10133.8, 10133.9. Cal. Health & Safety Code § 1367, 1367.04, 1367.07; Cal. Insurance Code § 10133.8, 10133.9.
19.
21.
23.
go back to reference National standards of practice for interpreters in health care. Santa Rosa, CA: National Council on Interpreting in Health Care; September 2005. National standards of practice for interpreters in health care. Santa Rosa, CA: National Council on Interpreting in Health Care; September 2005.
24.
go back to reference WAC (Washington Administrative Code) §§ 388-271-0010, 0020, and 0030. WAC (Washington Administrative Code) §§ 388-271-0010, 0020, and 0030.
25.
go back to reference Oregon Revised Stat. 409.615-625. Or. Admin. R. 333-002-0010-333-002-0230. Oregon Revised Stat. 409.615-625. Or. Admin. R. 333-002-0010-333-002-0230.
28.
go back to reference Youdelman M. Medicaid and SCHIP Reimbursement Models for Language Services. Washington, DC: National Health Law Program; 2007 (May). Youdelman M. Medicaid and SCHIP Reimbursement Models for Language Services. Washington, DC: National Health Law Program; 2007 (May).
29.
30.
go back to reference Shin HB, Bruno R. Language Use and English Speaking Ability: 2000. Census 2000 Brief. Washington, DC: U.S. Census Bureau; 2003 (October). Shin HB, Bruno R. Language Use and English Speaking Ability: 2000. Census 2000 Brief. Washington, DC: U.S. Census Bureau; 2003 (October).
34.
go back to reference Ku L. Paying for Language Services in Medicare: Preliminary Options and Recommendations. Washington, DC: Center on Budget and Policy Priorities; 2006 (October). Ku L. Paying for Language Services in Medicare: Preliminary Options and Recommendations. Washington, DC: Center on Budget and Policy Priorities; 2006 (October).
35.
go back to reference Grubbs V, Chen A, Bindman A, Vittinghoff E, Fernandez A. Effect of awareness of language law on language access in the health care setting. J Gen Intern Med. 2006; 21(7):683–88.PubMedCrossRef Grubbs V, Chen A, Bindman A, Vittinghoff E, Fernandez A. Effect of awareness of language law on language access in the health care setting. J Gen Intern Med. 2006; 21(7):683–88.PubMedCrossRef
Metadata
Title
The Legal Framework for Language Access in Healthcare Settings: Title VI and Beyond
Authors
Alice Hm Chen, MD, MPH
Mara K. Youdelman, JD, LLM
Jamie Brooks, JD
Publication date
01-11-2007
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue Special Issue 2/2007
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-007-0366-2

Other articles of this Special Issue 2/2007

Journal of General Internal Medicine 2/2007 Go to the issue