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 麻豆APP 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 路 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 聽聽路聽聽California's civil-rights basis for language access Dymally-Alatorre Bilingual 麻豆APP Act GOVERNMENT CODE 搂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 聽聽路聽聽Interpreter duties for acute care hospitals Kopp Act HEALTH & SAFETY CODE 搂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 聽聽路聽聽The core operating program, under SB 853 PRIMARY PROGRAM SB 853 Language Assistance Program Health plans and insurers must operate a Language Assistance Program: 鈥⒙犅燪ualified interpreters, available 24/7 at no cost to the enrollee 鈥⒙犅燰ital documents translated into the plan's threshold languages 鈥⒙犅燗ssessment of each enrollee's language needs 鈥⒙犅燛nrollees notified of the availability of free language services 4 MEDI-CAL 聽聽路聽聽Public coverage language requirements Medi-Cal threshold languages DHCS 路 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 聽聽路聽聽Cultural and linguistic competency Cultural & linguistic competency CME AB 1195 路 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