Improving Linguistic Access to Healthcare for People with Limited English Proficiency
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LEP Laws and Regulations

What are the obligations of a provider for patients with limited English proficiency?


Title VI of the Civil Rights Act of 1964 is the key law governing access to healthcare services provided to Limited English Proficient (LEP) participants.  Under Title VI, health care providers who receive federal financial assistance (such as Medicare or Medicaid) have a responsibility to take reasonable steps to provide LEP individuals with meaningful access to their programs and activities.


On August 11, 2000, the President signed Executive Order 13166, “Improving Access to Services for persons with Limited English Proficiency.”  The Executive Order requires federal agencies to take reasonable steps to provide meaningful access for LEP people to federally conducted programs and activities.  The Executive Order also requires that the federal agencies work to ensure that recipients of federal financial assistance (e.g. health care providers) provide meaningful access to their LEP applicants and beneficiaries.


Are there resources available to help me comply with the requirements set forth in Title VI and Executive Order 13166? is the website of the Federal Interagency Working Group on LEP.  The website is intended to serve as a clearinghouse that contains useful information, guidance, demographic links, and resources for recipients, agency representatives, community members, and other stakeholders.  The page on this website pertinent to healthcare providers is the on the “Resources” page under "health care":


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