Major Changes to the ACA How Will They Affect Your Language Access Program? Sponsored by InDemand Interpreting
|
|
- June Atkins
- 6 years ago
- Views:
Transcription
1 Major Changes to the ACA How Will They Affect Your Language Access Program?
2 Major Changes to the ACA E-book Series: PART 1: What Are the New Regulations? PART 2: How to Comply With the New Regulations? PART 3: Leveraging Technologies as Part of Your Compliance Strategy
3 Major Changes to the ACA How Will They Affect Your Language Access Program? PART 1: What are the New Regulations? AUTHORED BY: David B. Hunt, J.D. - President and CEO, Critical Measures
4 This e-book will cover: 1. Understand the new ACA anti-discrimination regulations. 2. Understand how these regulations will impact your language access program 3. Understand how the new regulations will promote the use of qualified medical interpreters and translators and substantially restrict the use of unqualified interpreters (such as untrained bilingual staff, adult family members, friends and minor children)
5 Overview of Federal Language Access Laws
6 MAJOR CHANGES TO THE ACA Title VI of the Civil Rights Act of 1964 Prevents federal money from being used to support programs that discriminate on the basis of race, color or national origin. Providers covered by Title VI if they receive federal funds (Medicare, Medicaid, etc.) Exception: Medicare Part B clinics Requires providers to take reasonable steps to provide meaningful access to federal health programs. U.S. citizenship not required. ( Persons vs citizens) Failure to provide free language access to LEP regarded as national origin discrimination. Lau v. Nichols, (U.S. 1974) No private right to sue for language access violations. (Alexander v. Sandoval, (U.S. 2001, Scalia) Right to select method of language assistance belongs to M.D.
7 MAJOR CHANGES TO THE ACA Americans With Disabilities Act (ADA) Section 504 of the Rehabilitation Act of 1973 requires recipients of federal financial aid to be equally accessible to handicapped persons. Duty to ensure effective communication if 15+ ees. Titles II and III of the Americans with Disabilities Act prohibit discrimination against persons with disabilities in places of public accommodation. (No employer size limit.) Both of these laws harmonized by the ADA Amendments Act (ADAAA,2008). Exceptions: must accommodate unless undue burden or fundamental alteration of program. (Note: Fogari decision) Private cause of action allowed (unlike Title VI). Legal duty extends beyond patient. Providers have discretion but primary consideration should be given to patient s preferred method of accommodation. (Title II standard is higher than Title III)
8 MAJOR CHANGES TO THE ACA Section 1557 of the Affordable Care Act (ACA) Section 1557 of the ACA prohibits discrimination on the basis of race, color, national origin, sex, disability and age by: Any health program/activity that receives federal funding Includes health insurance marketplaces and all plans offered by issuers that participate in those marketplaces First federal civil rights law to prohibit sex discrimination in health care. (Impacts LGBTQ, sexual identity, transgendered) Excludes Medicare Part B providers. No employer size restriction. Final rule little different from proposed rule in content. Gives LEP private right to sue under ACA (not Title VI) Creates major changes in the law of language access Effective date: July 18, (Except for health plans January 1, 2017)
9 MAJOR CHANGES TO THE ACA Enforcement of the New ACA Regulations Enforcement mechanisms under Title VI, Title IX, the Age Act and Section 504 apply to violations of Section 1557 Enforcement agency: OCR (not DOJ). OCR authorized to conduct compliance reviews and complaint investigations as well as to provide technical assistance and guidance. OCR may consider conducting unannounced onsite compliance reviews Covered entities required to keep records, submit compliance reports to OCR, name a designated official to be responsible for compliance. Noncompliance could result in suspension of, termination or of refusal to grant or continue Federal financial assistance or a referral to DOJ with recommendation to bring legal proceedings. Private right of action and compensatory damages are available for violations of Section 1557 regulations. Note applicability of Civil Rights Attorney s Fees Act of Violations by one hospital in a system may occasion remedial action by the entire system.
10 Final Rules Are Federal Regulations Not Guidance
11 MAJOR CHANGES TO THE ACA Final Rules Are Federal Regulations Not Guidance At the federal level, the law of language access has been stable for some time. Last major change was DHHS Guidance Memo dated August, 2003 The new federal section 1557 ACA rules will become federal regulations, which, legally, are more authoritative than mere guidance provisions. The major language access provisions of section 1557 of the ACA require the use of qualified interpreters and significantly restrict the use of untrained family members and friends, minor children and untrained bilingual staff as medical interpreters. Making these new rules federal regulations (versus guidance) increases their authority and helps ensure their longevity.
12 New Language Access Changes for LEP Patients Under Section 1557 of The ACA
13 MAJOR CHANGES TO THE ACA Section 1557 of the ACA - Definitions Definition of LEP: An individual whose primary language for communication is not English [is LEP] if the individual has a limited ability to read, write, speak or understand English. Defines national origin not only as an individual s place of origin but also his/her ancestor s place of origin. Further, national origin also includes the manifestations of physical, cultural or linguistic characteristics of a national origin group. Contains specific definitions of the terms qualified interpreter, qualified translator and qualified bilingual/multilingual staff. Definition of a qualified interpreter is different for LEP and Deaf and Hard of Hearing patients. RESULT: Different qualifications are required to interpret for these different types of patients.
14 Final rule significantly expands the universe of patients to whom a legal duty to provide language access is owed. 1. Discrimination on the basis of association banned. (Language access duty extends to family members, spouses & same sex partners.) 2. Requires covered entities to take reasonable steps to provide meaningful access to each individual with limited English proficiency eligible to be served or likely to be encountered.
15 Importance of Eligible to be served. With regard to the scope of language services an entity must provide, the final rule replaced the phrase that [an entity] serves or encounters with eligible to be served or likely to be encountered. This underscores the significance of an entity not just serving those who come through its doors but having a responsibility to serve those eligible to be served. If an entity fails to provide language services in order to discourage LEP patients from seeking services from the entity, the entity could be in violation of section 1557 if LEP individuals in the community are eligible to be served by the entity. BOTTOM LINE: Know the changing language needs of your market and develop (language access) plans to meet them.
16 MA JO R CHA NG E S TO THE A CA Qualified Interpreters REQUIRED Existing federal regulations require the use of COMPETENT interpreters. The new, proposed ACA regulations require the use of QUALIFIED interpreters
17 MAJOR CHANGES TO THE ACA Qualified Interpreter DEFINED Under the final ACA regulations a qualified interpreter is defined as: An individual who adheres to interpreter ethics and client confidentiality requirements, and who, via a remote interpreting service or in-person appearance, Has demonstrated language proficiency and the ability to interpret effectively, accurately and impartially including specialized medical terminology Presumably, to be a qualified interpreter, one must first have gone through some qualification process. Above-average familiarity with speaking or understanding a language other than English does not suffice
18 The Bottom Line By moving the legal standard from competent interpreters to qualified interpreters, DHHS is increasing the standard of care and legal duty owed to LEP and Deaf and Hard of Hearing patients. Providers will bear the financial burden of increasing the professionalism of their language access services. Healthcare organizations must now pressure physicians and nurses to actually use qualified interpreters instead of untrained family members and friends, minor children and bilingual staff.
19 Final ACA Regs Specifically Restrict: The use of minor children as medical interpreters The use of adult family members and friends as medical interpreters The use of bilingual staff without formal training as medical interpreters
20 Restrictions On Minor Children as Medical Interpreters EXCEPTION: Minor children may only be used as medical interpreters in an emergency involving an imminent threat to the safety or welfare of an individual or the public where no qualified interpreter is immediately available.
21 Restrictions on the Use of Adult Family Members & Friends as Medical Interpreters Providers may not use adult family members or friends as medical interpreters unless: 1. There is an emergency involving an imminent threat to the safety or welfare of the LEP patient where no qualified interpreter is immediately available, or 2. Where the LEP patient specifically requests that the accompanying adult interpret or facilitate communication, the accompanying adult agrees to provide such assistance and reliance on that adult for assistance is appropriate under the circumstances
22 Restrictions On the Use Of Untrained Bilingual Staff as Medical Interpreters RULE: Providers shall not rely on staff other than qualified bilingual/multilingual staff to communicate directly with LEP patients. Definition of bilingual/multilingual staff: A member of the provider s workforce who is designated to provide oral language assistance as part of the individual s current, assigned job responsibilities and who has demonstrated that he or she: 1) is proficient in speaking and understanding both spoken English and at least one other spoken language, including any necessary specialized vocabulary, terminology and phraseology, and 2) is able to effectively, accurately, and impartially communicate directly with LEP patients in their primary languages.
23 New Section 1557 Regs Also Require the Use of Qualified Translators RULE: Providers must use qualified translators when translating written content in paper or electronic form. Definition of a Qualified Translator : One who adheres to generally accepted translator ethics principles, including client confidentiality; 1. Has demonstrated proficiency in writing and understanding both written English and at least one other written non-english language; and 2. Is able to translate effectively, accurately, and impartially to and from such language(s) using any necessary specialized vocabulary, terminology and phraseology
24 In Short: Language services must be provided: Free of charge, accurately and in a timely manner and protect the privacy and independence of the limited English proficient patient.
25 MAJOR CHANGES TO THE ACA Up Next in our 3 Part e-book Series: How to Comply with New Regulations Understand how to become compliant with new ACA language access regulations that take effect on July 18, 2016
26 Video Remote Interpreting (VRI) from InDemand Interpreting 26 Instantly Connect to Experienced Medical Interpreters 24/7, 365 days a year, in over 200 languages. InDemand provides instant access to high-quality Video Remote Interpreting (VRI) for limited English proficient (LEP) and Deaf patients at the touch of a button. Just select the patient s preferred Language, and within seconds a medically trained interpreter will be online to assist.
27 ABOUT THE AUTHOR David B. Hunt, J.D. CRITICAL MEASURES President and CEO David Hunt is the President and Chief Executive Officer of Critical Measures. Critical Measures is a management training and consulting firm that assists employers to harness the power of diversity to create more productive, profitable and inclusive workforces. 27 Over time, David has developed substantial expertise on diversity-related matters in law, business and medicine: HealthCare: Two thirds of Critical Measures work is in the area of cross-cultural healthcare. David is a sought-after national and international speaker on issues of racial and ethnic disparities in health care, the law of language access and medical disparities that result from globally mobile populations. He has delivered keynote presentations on such topics as The New Science of Unconscious Bias for the American Hospital Association and American Medical Association and The Law of Language Access for the American Bar Association. Together with physician partners from Harvard and the University of Minnesota Medical School, David has created some of the nation's first e-learning programs on cross-cultural medicine. Over 175,000 providers have now been trained on these programs. The Blue Cross Blue Shield Association of America selected Critical Measures as its primary vendor for services related to cultural competence in healthcare. In 2015, the AHA's Institute for Diversity Management in Health Care selected Mr. Hunt as the national consultant to its #123forEquity campaign to eliminate racial and ethnic disparities in healthcare. Prior to working in the diversity field, David worked as an attorney, specializing in employment and civil rights law. A writer, speaker and current events commentator, David has appeared on the McNeill-Lehrer News Hour and published numerous articles. He received his B.A. from Carleton College and his J.D. from the William Mitchell College of Law.
28 Better Communications, Better Outcomes
Major Changes to the ACA How Will They Affect Your Language Access Program?
Major Changes to the ACA How Will They Affect Your Language Access Program? PART 3: Leveraging Technology as Part of Your Compliance Strategy Major Changes to the ACA E-book Series: PART 1: What Are the
More informationFrequently Asked Questions Regarding New ACA Section 1557 Regulations
RESPONSE TO WEBINAR: Frequently Asked Questions Regarding New ACA Section 1557 Regulations OVERVIEW Providers nationwide continue to have many questions about major language access changes under Section
More informationPOLICY and PROCEDURE
POLICY and PROCEDURE Interpreter Services Policy Number: ADM-1014 Administration Manual: Administration Reviewed/Revised: 9/21/2016 Effective: I. PURPOSE: To define Martin Luther King, Jr. Community Hospital
More informationUNCONSCIOUS BIAS What is it? Sponsored by InDemand Interpre1ng
1 UNCONSCIOUS BIAS What is it? 2 Unconscious Bias: What is it? How does it work? By: David B. Hunt, J.D. President and CEO, Cri8cal Measures Awareness: New Research Regarding Bias 3 In the past, bias was
More informationCivil Rights Compliance for Patients
Civil Rights Compliance for Patients What You Need to Know and How to Help Your Facilities Comply Objectives At the end of this session the participant will: Identify Civil Rights law as it pertains to
More information3/8/2017. Presentation Objectives. How Five Health Systems are Improving their Language Access Programs to Address the New ACA Regulation
How Five Health Systems are Improving their Language Access Programs to Address the New ACA Regulation MODERATOR: David B. Hunt, J.D., Critical Measures Panelists: Joe Valenzuela, Baylor Scott & White
More informationAccessibility. Reporting Interpretation and Accommodation Requests
A presentation by: The WorkSmart Network Accessibility Reporting Interpretation and Accommodation Requests Version 2.2018 Overview As subrecipients and contractors of Federally-funded programs and activities,
More informationLanguage Access Services
Language Access Services Strategies for Effective Language Access for the AAPI community Valerie Huang, MA, CHI, Language Services Program Manager Objectives Define language access and the role it plays
More informationb. Entities that lease or rent space for their events but have no permanent public office or facility must also follow Title III of the ADA.
To Whom it May Concern: The National Association of the Deaf (NAD) seeks to ensure that all theaters, concert halls, or other places of exhibition or entertainment understand their legal obligations with
More informationLimited English Proficiency: Accommodating Persons with Limited English Proficiency
Lapeer County Community Mental Health Sanilac County Community Mental Health St. Clair County Community Mental Health Limited English Proficiency: Accommodating Persons with Limited English Proficiency
More information1) Title III of the ADA applies to all private health care providers. See 42 U.S.C (7)(F).
To Whom it May Concern: The National Association of the Deaf (NAD) seeks to ensure that all healthcare providers, including doctor s offices and hospitals, understand their legal obligations with respect
More information5/6/2016. Interpreters, Translators, and Auxiliary Aids: Provider Obligations. Important Information. Preliminaries
Interpreters, Translators, and Auxiliary Aids: Provider Obligations Lauren Prew Important Information This presentation is similar to any other seminar designed to provide general information on pertinent
More informationAUXILIARY AIDS PLAN FOR PERSONS WITH DISABILITIES AND LIMITED ENGLISH PROFICIENCY
AUXILIARY AIDS PLAN FOR PERSONS WITH DISABILITIES AND LIMITED ENGLISH PROFICIENCY PURPOSE This plan provides the policies and procedures for Directions for Living to ensure: A. That all clients and/or
More informationLimited English Proficiency Training
Limited English Proficiency Training Limited English Proficiency There is no single law that covers Limited English Proficiency (LEP). It is the combination of several existing laws that recognize and
More informationIllinois Supreme Court. Language Access Policy
Illinois Supreme Court Language Access Policy Effective October 1, 2014 ILLINOIS SUPREME COURT LANGUAGE ACCESS POLICY I. PREAMBLE The Illinois Supreme Court recognizes that equal access to the courts is
More informationLanguage Access Services Policy and Health Care Interpreters. David Cardona, MD, MPH Language Access Services Coordinator
Language Access Services Policy and Health Care Interpreters David Cardona, MD, MPH Language Access Services Coordinator Equity and Inclusion Presentation Overview Language Access Services Policy Definition
More informationTo Whom it May Concern:
To Whom it May Concern: The National Association of the Deaf (NAD) seeks to ensure that all healthcare providers, including doctor s offices and hospitals, understand their legal obligations with respect
More informationRemoving Barriers to Justice: It s s More Than Ramps. Office of State Courts Administrator, Access to Justice
Removing Barriers to Justice: It s s More Than Ramps Office of State Courts Administrator, Access to Justice Barriers Attitudes (regardless of our knowledge of them) Feelings Beliefs Myths/Stereotypes
More informationLEGAL IMPLICATIONS OF LANGUAGE SERVICES. Liz Swan, RN, BSN, MBA, CPHRM Marisa Hernandez, BA
LEGAL IMPLICATIONS OF LANGUAGE SERVICES Liz Swan, RN, BSN, MBA, CPHRM Marisa Hernandez, BA OBJECTIVES Title VI of the Civil Rights Act of 1964 ADA requirements for language services The Joint Commission
More informationEFFECTIVE COMMUNICATION IN MEDICAL SETTINGS
EFFECTIVE COMMUNICATION IN MEDICAL SETTINGS HEALTH CARE PROVIDERS MUST ENSURE EFFECTIVE COMMUNICATION WITH PATIENTS AND THEIR COMPANIONS Begin ADA, Section 504 and Section 1557 REQUIREMENTS The Americans
More informationA qualified interpreter is one who, via an onsite appearance or a video remote interpreting service (VRI), can:
CHAPTER: Page 1 of 6 12.0 Introduction Title II of the Americans with Disabilities Act (ADA) prohibits discrimination in the services, programs, and activities of all state and local governments on the
More informationLimited English Proficiency Services
Policy 366 Limited English Proficiency Services 366.1 PURPOSE AND SCOPE This policy provides guidance to members when communicating with individuals with limited English proficiency (LEP) (42 USC 2000d).
More informationa. Police departments and other law enforcement entities, including parole and probation offices are covered under this definition of public entity.
To Whom it May Concern: The National Association of the Deaf (NAD) seeks to ensure that all parole and probation offices understand their legal obligations with respect to serving deaf and hard of hearing
More informationLIMITED ENGLISH PROFICIENCY (LEP) PLAN
LIMITED ENGLISH PROFICIENCY (LEP) PLAN 1. PLAN STATEMENT The Housing Authority of the County of Stanislaus (HACS) has adopted this plan to provide meaningful access to its programs and activities by persons
More informationLittleton Housing Authority. Limited English Proficiency (LEP) Plan
Limited English Proficiency (LEP) Plan I. PLAN STATEMENT The Housing Authority of the City of Littleton (LHA) has adopted this plan to provide meaningful access to its programs and activities by persons
More informationFound in Translation. Legislation Surrounding Language Access for the Limited English Proficiency Population of the United States
Found in Translation Legislation Surrounding Language Access for the Limited English Proficiency Population of the United States Found in Translation Legislation Surrounding Language Access for the Limited
More informationLimited English Proficiency (LEP)
Policy Number: P-WIOA-LEP-1.A Effective Date: November 13, 2018 Approved By: Nick Schultz, Executive Director Limited English Proficiency (LEP) PURPOSE The purpose of the policy is to provide guidance
More informationAxessPointe. Community Health Centers CASE STUDY
CASE STUDY AxessPointe Community Health Centers The Case for Video Remote Interpreting and Improved Access to Medically Qualified Interpreters in Community Health Clinical Environments to Improve Compliance
More informationLinguistic Competence and Implicit/Explicit Bias Crosswalk. Linguistically Competent Practice Implicit & Explicit Bias
Linguistic Competence and Implicit/Explicit Bias Crosswalk Component of Linguistic Competence: Provide language interpretation and translation services. Beliefs That Reflect - I don t like treating patients
More informationNumber: D420. Ethics Policy Procedure Title: Interpreter/Translation Services Current Content Expert: Darice Hudman
Section: Patient Rights and Organizational Ethics Policy Procedure Current Content Expert: Darice Hudman Department Head: Katie Leyva, Service Line Director Acute Care Executive Management Team Member:
More informationSARASOTA MEMORIAL HEALTH CARE SYSTEM CORPORATE POLICY
PS1013 SARASOTA MEMORIAL HEALTH CARE SYSTEM CORPORATE POLICY TITLE: INTERPRETER SERVICES HEARING IMPAIRED/FOREIGN LANGUAGE EFFECTIVE DATE: REVIEWED/REVISED DATE: POLICY TYPE: Job Title of Responsible Owner:
More informationALL DEAF.COM. Lawyer Settles Interpreter Case. April 9, 2004
ALL DEAF.COM April 9, 2004 A local lawyer has admitted violating the Americans with Disabilities Act by failing to provide a sign language interpreter to a deaf client. In a settlement reached prior to
More informationLanguage Access Guidance Statutes
9th Annual Domestic Violence Symposium UNDERSTANDING YOUR RIGHTS AND BEST PRACTICES FOR PROVIDING LANGUAGE ACCESS Seattle 2017 Language Access Guidance Statutes 1. Title Vi 2. Executive Order 13166 3.
More informationMechanicsburg, Ohio. Policy: Ensuring Effective Communication for Individuals with Disabilities Policy Section: Inmate Supervision and Care
Tri-County Regional Jail Policy & Procedure Policy: Ensuring Effective Communication for Individuals with Disabilities Policy Section: Inmate Supervision and Care Tri-County Regional Jail Mechanicsburg,
More informationCity of Encinitas Housing Division Limited English Proficiency (LEP) Plan
I. General Plan Statement City of Encinitas Limited English Proficiency (LEP) Plan The City of Encinitas created and adopted this plan to provide meaningful access to its programs and activities to individuals
More informationLanguage Access Plan Basics
Language Access Plan Basics What you need to know to build a compliant and effective program InDemand Interpreting 01 Compliance HOW TO COMPLY WITH UPDATED LANGUAGE ACCESS STANDARDS Federal mandates require
More informationLimited English Proficiency Plan
Limited English Proficiency Plan September 2017 Limited English Proficiency Policy The Town follows Executive Order 13166 in identifying and engaging Limited English Proficiency (LEP) populations to ensure
More informationImportant ADA Policy Guidance on Effective Communication
Important ADA Policy Guidance on Effective Communication Cheryl DeConde Johnson, Ed.D. 1 From December 2014 Educational Audiology Review, Educational Audiology Association The U.S. Department of Justice
More informationInformation, Guidance and Training on the Americans with Disabilities Act
National Network Information, Guidance and Training on the Americans with Disabilities Act Call us toll-free 1-800-949-4232 V/TTY Find your regional center at www.adata.org Effective Communication Revised
More informationFINAL. In accordance with this four-factor analysis, the City of Rochester has balanced the following:
City of Rochester, New Hampshire Office of Community & Economic Development 31 Wakefield Street Rochester, NH 03867 Office location: 150 Wakefield Street (603) 335-7522 www.rochesternh.net FINAL Language
More informationBecker County Human Services 712 Minnesota Avenue Detroit Lakes, Minnesota 56501
Page 1 Limited English Proficiency Component Becker County Human Services 712 Minnesota Avenue Detroit Lakes, Minnesota 56501 LIMITED ENGLISH PROFICIENCY PLAN Effective Date: February 1, 2002 Updated December
More informationExpanding Language Access Strategies in Palm Beach County. A Project of the Palm Beach Medical Society. In Collaboration with the:
Expanding Language Access Strategies in Palm Beach County A Project of the Palm Beach Medical Society In Collaboration with the: Issued November 2010 The Freimann Initiative: A joint funding venture of
More informationInterpret Converting oral communication from one language to another. Translate Converting written communication from one language to another.
Page 1 of 6 PURPOSE: To define the manner by which Sierra View District Hospital (SVDH) will accommodate the interpretive needs of the patients and to delineate the mechanisms used to ensure that potential
More informationEffective Communication
Page 1 of 5 U.S. Department of Justice Civil Rights Division Disability Rights Section Effective Communication The Department of Justice published revised final regulations implementing the Americans with
More informationLimited English Proficiency Plan
Limited English Proficiency Plan ALAMO AREA COUNCIL OF GOVERNMENTS BEXAR AREA AGENCY ON AGING October 1, 2015 TITLE VI COORDINATOR Siena Lindemann, Regional Mobility Manager 8700 Tesoro Dr., Suite 700,
More informationSection 4. Auxiliary Aids and Services: Common Challenges. Irene Bowen
Section 4 Auxiliary Aids and Services: Common Challenges Irene Bowen Overview Understanding how to ensure effective communication for deaf or hard of hearing students can be challenging if practitioners
More informationPosition Statement on VRI Services in Hospitals
nad.org Position Statement on VRI Services in Hospitals Overview The Americans with Disabilities Act (ADA) and Rehabilitation Act of 1973 require hospitals and medical providers to ensure effective communication
More informationVideo/telephonic Interpretation - Interpretation that occurs through video and telephone.
Page 1 of 5 PURPOSE: To define methods used by Sierra View Medical Center (SVMC) to accommodate the interpretive needs of patients and family members/significant others, and to delineate the mechanisms
More informationIn this chapter, you will learn about the requirements of Title II of the ADA for effective communication. Questions answered include:
1 ADA Best Practices Tool Kit for State and Local Governments Chapter 3 In this chapter, you will learn about the requirements of Title II of the ADA for effective communication. Questions answered include:
More informationTITLE: LANGUAGE ACCESS SERVICES
Administrative Policy Number: 9.05 TITLE: LANGUAGE ACCESS SERVICES PURPOSE To outline the resources and procedures to ensure meaningful access to quality and culturally appropriate care for patients with
More information2018 Limited English Proficiency Plan for the City of West Palm Beach
2018 Limited English Proficiency Plan for the City of West Palm Beach Who is a LEP Individual? Individuals who have Limited English Proficiency (LEP) are those who do not speak English as their primary
More information[LIMITED ENGLISH PROFICIENCY PLAN] Table of Contents
[LIMITED ENGLISH PROFICIENCY PLAN] December 2007 [LIMITED ENGLISH PROFICIENCY PLAN] Table of Contents Introduction. 3 Executive Order 13166. 3 Plan Summary. 3 Four Factor Analysis. 4-5 Limited English
More informationDeaf and Hard of Hearing Services Clarification and Collaboration. DCFS Rebecca Patton
Deaf and Hard of Hearing Services Clarification and Collaboration DCFS Rebecca Patton AUTHORIZED CHILD CARE PAYMENTS January 10, 2008 - P.T. 2008.03 Illinois Department of Children and Family Services
More informationThe Supreme Court of South Carolina
The Supreme Court of South Carolina RE: Amendments to South Carolina Appellate Court Rules ORDER Pursuant to Art. V, 4 of the South Carolina Constitution, the South Carolina Appellate Court Rules are amended
More informationPOLICY: EFFECTIVE COMMUNICATION WITH INDIVIDUALS WHO ARE DEAF OR HARD OF HEARING
POLICY NUMBER 2016-04 March 15, 2017 POLICY: EFFECTIVE COMMUNICATION WITH INDIVIDUALS WHO ARE DEAF OR HARD OF HEARING A. POLICY UConn Health will take appropriate steps to ensure that persons who are deaf
More information29 th Judicial District Language Access Plan
29 th Judicial District Language Access Plan Section I. Legal Basis and Purpose This Language Access Plan (LAP) is the plan for the 29 th Judicial District to ensure meaningful access to court services
More informationEffective Communication in the Courts
Effective Communication in the Courts Michael Richardson, MPA June 25, 2013 1 Technical Assistance Training Material Dissemination Research Public Awareness 2 Objectives Have a basic understanding of effective
More informationLimited English Proficiency Plan
Limited English Proficiency Plan City of Waterloo, Iowa Community Development July 2016 620 Mulberry Street, Waterloo, IA 319-291-4429 1 Table of Contents I. Introduction Page 3 II. Meaningful Access:
More informationVolume of Colorado Commission for the Deaf and Hard of Hearing (12 CCR )
Disclaimer: On-line versions of these regulations are the most current versions available; however, these are not official publication. For official publication of these and all State of Colorado regulations,
More informationLanguage Access Plan
Language Access Plan Real Estate Department 08/31/2018 Real Estate Language Access Designee Tawny Klebesadel KlebesadelTM@muni.org (907) 343-7534 Table of Contents I. Introduction Page 3 II. Meaningful
More informationCommunications with Persons with Disabilities
Policy 370 Anaheim Police Department 370.1 PURPOSE AND SCOPE This policy provides guidance to members when communicating with individuals with disabilities, including those who are deaf or hard of hearing,
More informationAmericans with Disabilities Act And the Hearing Impaired
Document #0001-LS VISION: To improve the health of all Texans. MISSION: TMA supports Texas physicians by providing distinctive solutions to the challenges they encounter in the care of patients. TMA Office
More informationCLINICAL PRACTICE PROVIDING CARE. Approved: Department Director, Senior Leader
CLINICAL PRACTICE PROVIDING CARE Approved: Department Director, Senior Leader Policy Policy & Procedure Standardized Procedure Title: Formerly: Interpreting Services: Foreign Language, Limited English
More informationAppendix E: Limited English Proficiency Plan What s in our LEP Plan?
Appendix E: Limited English Proficiency Plan What s in our LEP Plan? Content related to planning for LEP populations from the Title VI Nondiscrimination Plan (2018 Update) Limited English Proficient Households
More informationLanguage Assistance Plan
Language Assistance Plan I. Identification of LEP persons II. Language Assistance Measures III. Court Staff and Volunteer Recruitment IV. Training Staff V. Providing Notice to LEP Persons VI. Monitoring
More informationTACOMA HOUSING AUTHORITY
TACOMA HOUSING AUTHORITY LIMITED ENGLISH PROFICIENCY PROCEDURAL PLAN Tacoma Housing Authority 902 South L Street Tacoma, WA 98405 (253) 207-4421 www.tacomahousing.org Table of Contents 1. PURPOSE... 1
More informationCIRCUIT COURT OF DUNN COUNTY LANGUAGE ASSISTANCE PLAN NARRATIVE
CIRCUIT COURT OF DUNN COUNTY LANGUAGE ASSISTANCE PLAN NARRATIVE I. Legal basis & purpose 4 II. Needs assessment 4 III. Court responsibilities 6 IV. Resources available 7 V. Public input 8 VI. Training
More information2019 New Superior Court Judges SOG 1/2/2019
Ensuring Language Access Services in N.C. Superior Courts January 18, 2019 1 Equal Access to Justice Using a properly trained court interpreter ensures full and fair participation and facilitates equal
More informationNOTICE OF RIGHTS OF STUDENTS AND PARENTS UNDER SECTION 504
NOTICE OF RIGHTS OF STUDENTS AND PARENTS UNDER SECTION 504 Section 504 of the Rehabilitation Act of 1973, commonly referred to as "Section 504," is a nondiscrimination statute enacted by the United States
More informationDEPARTMENT OF HEALTH Plan for Language Access Considerations and Tasks July 2007 INTRODUCTION AND BACKGROUND A. DIRECTIVES AND LEGAL BASES
DEPARTMENT OF HEALTH Plan for Language Access Considerations and Tasks July 2007 INTRODUCTION AND BACKGROUND A. DIRECTIVES AND LEGAL BASES Most individuals living in Hawaii read, write, speak, and understand
More informationCal MediConnect Cultural Competency CMC Annual Training
Cal MediConnect 2017 Cultural Competency 2017 CMC Annual Training Agenda Background Diversity in the Los Angeles County Regulations and Guidelines Definitions: Culture & Cultural Competency Core Competencies
More informationHousing Authority of the City of San Buenaventura Language Assistance Plan (LAP)
Housing Authority of the City of San Buenaventura Language Assistance Plan (LAP) It is the policy of the Housing Authority of the City of San Buenaventura (HACSB) to take reasonable steps to ensure that
More informationLanguage Assistance to Persons with Limited English Proficiency and Persons with Hearing and Visual Impairment PURPOSE:
Current Status: Active PolicyStat ID: 4405812 Effective: 8/1/2004 Final Approved: 1/2/2018 Last Revised: 1/2/2018 Next Review: 1/2/2019 Owner: Policy Area: References: Applicability: Carolyn Nazabal: Coord
More informationPOLICY GUIDELINES. Notice of the Right to Effective Communication, and Determination as to Effectiveness of Communication
ATTACHMENT A POLICY GUIDELINES POLICY STATEMENT When an officer, in the course of his or her duties, encounters a person who is deaf or hearing impaired, he or she shall take all necessary and appropriate
More informationSubject COMMUNICATING WITH INDIVIDUALS WHO ARE DEAF AND HARD OF HEARING. 1 July By Order of the Police Commissioner
Subject COMMUNICATING WITH INDIVIDUALS WHO ARE Date Published Page 1 July 2016 1 of 9 By Order of the Police Commissioner POLICY It is the policy of the Baltimore Police Department (BPD) to ensure that
More informationThe Salvation Army Brevard County Domestic Violence Program Auxiliary Aids & Services Plan
The Salvation Army Brevard County Domestic Violence Program Auxiliary Aids & Services Plan Policy: The Salvation Army DVP shall make every effort to provide services to eligible individuals regardless
More informationSmoke Free Public Housing
Smoke Free Public Housing Final Rule and PIH 2017-03 HUD Guidance on Instituting and Enforcing Smoke-Free Public Housing Policies 6/25/2017 D L Morgan & Associates Professional Development 1 Contact Information
More informationHearing Impaired/Disabled Communications
Policy 371 Ramsey County Sheriff's Office 371.1 PURPOSE AND SCOPE Individuals who suffer from deafness, hearing impairment, blindness, impaired vision, mental or other disabilities may encounter difficulties
More informationSECTION 504 NOTICE OF PARENT/STUDENT RIGHTS IN IDENTIFICATION/EVALUATION, AND PLACEMENT
SECTION 504 NOTICE OF PARENT/STUDENT RIGHTS IN IDENTIFICATION/EVALUATION, AND PLACEMENT In compliance with the procedural requirements of Section 504 of the Rehabilitation Act of 1973, the following Notice
More informationChildren and Adults with Attention-Deficit/Hyperactivity Disorder Public Policy Agenda for Adults
Children and Adults with Attention-Deficit/Hyperactivity Disorder Public Policy Agenda for Adults 2008 2009 Accepted by the Board of Directors October 31, 2008 Introduction CHADD (Children and Adults with
More informationDade Legal Aid Auxiliary Aids Plan
Dade Legal Aid Auxiliary Aids Plan Dade Legal Aid (hereinafter referred to as DLA) shall comply with Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. 794, as implemented by 45 C.F.R. Part 84 (hereinafter
More informationThe Canadian Hearing Society gratefully acknowledges The Law Foundation of Ontario for its financial support of this project.
The Canadian Hearing Society gratefully acknowledges The Law Foundation of Ontario for its financial support of this project. THE CANADIAN HEARING SOCIETY HEAD OFFICE 271 Spadina Road, Toronto, Ontario
More information1.3. Regional standards are in place to support the delivery of qualified interpreter services to members, patients, and caregivers.
Page: 1 of 16 1.0 Policy Statement 1.1. Qualified interpreter services are provided during all hours of operation at no cost to members/patients, their medical decision makers, and their companions. For
More informationAuxiliary Aids Plan Orlando Police Department InVEST/STOP Program
Auxiliary Aids Plan Orlando Police Department InVEST/STOP Program The Orlando Police Department (OPD) shall comply with Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. 794, as implemented by 45
More informationLimited English Proficiency Plan 10/04/2017
Limited English Proficiency Plan 10/04/2017 WSOS Community Action Commission, Inc. 109 S. Front St., Fremont, OH 43420 419-334-8911 Table of Contents I. INTRODUCTION... 1 II. PLAN SUMMARY... 1 III. FOUR-FACTOR
More information980 North Jefferson Street, Jacksonville, Florida T TDD Toll Free
This document discusses the North Florida Transportation Planning Organization s approach to meeting the needs of persons with limited English Proficiency in executing the TPO s transportation planning
More informationInterpreter Services. Diversity & Inclusion Division
Interpreter Services Diversity & Inclusion Division Interpreter Services What are interpreter services and who are they for? The use of trained, qualified interpreters ensures meaningful access to all
More informationOBLIGATIONS OF AIRPORTS TO PROVIDE COMMUNICATION ACCESSIBILITY TO DEAF AND HARD OF HEARING PERSONS
OBLIGATIONS OF AIRPORTS TO PROVIDE COMMUNICATION ACCESSIBILITY TO DEAF AND HARD OF HEARING PERSONS Thank you for your interest in the obligations of airports to provide communication accessibility to deaf
More informationPROVISION OF CULTURALLY COMPETENT & EFFECTIVE COMMUNICATION TO PATIENTS (Interpreter Services)
Title: PROVISION OF CULTURALLY COMPETENT & EFFECTIVE COMMUNICATION TO PATIENTS (Interpreter Services) Manual: Human Resources/ Employee Health Policy Number: HR 512 Origin Date: 3/1/92 Policy approved
More informationVirginia Beach Police Department General Order Chapter 11 Patrol Operations
Operational General Order SUBJECT 11.05 Communicating with People who are Hearing Impaired Virginia Beach Police Department General Order Chapter 11 Patrol Operations DISTRIBUTION ALL BY THE AUTHORITY
More informationAppendix 11 GUIDELINES FOR TRIALS INVOLVING DEAF JURORS WHO SERVE WITH THE ASSISTANCE OF AMERICAN SIGN LANGUAGE INTERPRETERS
Appendix 11 GUIDELINES FOR TRIALS INVOLVING DEAF JURORS WHO SERVE WITH THE ASSISTANCE OF AMERICAN SIGN LANGUAGE INTERPRETERS (Revised 2016) New Jersey Judiciary Language Access Plan Page 55 of 75 1. Introduction
More informationINTERPRETATION SERVICES, COMMUNICATION ASSISTANCE AND ACCOMMODATIONS AVAILABLE FOR PATIENTS AND VISITORS WITH DISABLITIES
INTERPRETATION SERVICES, COMMUNICATION ASSISTANCE AND ACCOMMODATIONS AVAILABLE FOR PATIENTS AND VISITORS WITH DISABLITIES PURPOSE: This has been written to assure that effective communication occurs between
More informationNS-LIJHS Southside Hospital. Language Access Services Interpreters Department
NS-LIJHS Language Access Services Interpreters Department http://youtu.be/tltujfcwnps Interpretation Services -Since 2004 - Undertake the language need of the growing community - Changing demographics
More informationBetter Health through Accessible Communication. Michael McKee, MD April 25, 2009
Better Health through Accessible Communication Michael McKee, MD April 25, 2009 Goals of Presentation Introduction Health Literacy Issues Impacts of Poor Communication Access Issues Solutions Discussion
More informationNotice of Procedural Safeguards. October
Notice of Procedural Safeguards 2014 October Rights of Parents of Children with Disabilities The Individuals with Disabilities Education Act (IDEA), as amended in 2004, requires schools to provide parents
More informationMETROLINX ADMINISTRATIVE FEE DISPUTE RESOLUTION PROCESS RULES OF PRACTICE
METROLINX ADMINISTRATIVE FEE DISPUTE RESOLUTION PROCESS RULES OF PRACTICE Overview The Metrolinx Act, 2006, gives Metrolinx ( Metrolinx ) the authority to establish a system of administrative fees to ensure
More informationEFFECTIVE COMMUNICATION: HEALTHCARE
EFFECTIVE COMMUNICATION: HEALTHCARE People who have visual, hearing, or speech disabilities ( communication disabilities ) use different ways to communicate. Under the Americans with Disabilities Act (ADA),
More informationParent/Student Rights in Identification, Evaluation, and Placement
Parent/Student Rights in Identification, Evaluation, and Placement The following is a description of the rights granted to students with a disability by Section 504 of the Rehabilitation Act of 1973, a
More informationA Framework for Language Access Systems. Cynthia E. Roat,, MPH for the Governor s s Interagency Council on Language Access
A Framework for Language Access Systems Cynthia E. Roat,, MPH for the Governor s s Interagency Council on Language Access A little history... Before 1980, almost all health and social service interpreting
More informationBefore the FEDERAL COMMUNICATIONS COMMISSION Washington, DC ) ) ) ) SECOND REPORT AND ORDER AND THIRD FURTHER NOTICE OF PROPOSED RULEMAKING
Before the FEDERAL COMMUNICATIONS COMMISSION Washington, DC 20554 In the Matter of Rates for Interstate Inmate Calling Services WC Docket No. 12-375 SECOND REPORT AND ORDER AND THIRD FURTHER NOTICE OF
More information