Presents examples of health care practices that improve language access for Limited English Proficient (LEP) patients and ensure compliance with Title VI of the Civil Rights Act of 1964. Using a survey tool, California health centers identify community language requirements, assist the California Primary Care Association (CPCA) in its advocacy efforts, and ensure clinic leadership understand Title VI. Case studies focus on clinics located in rural/frontier areas, migrant, and urban communities. Innovations include translation rooms, staff cultural competency training, cultural mediators, 100% bilingual/bicultural staffing, and off-site interpretation programs. Advocacy groups, such as CPCA and the Association of Asian Pacific Community Health Organizations, raise awareness of LEP issues through newsletters, websites, and educational manuals. Policy initiatives of other states such as Washington, Hawaii, Minnesota, Utah, Maine, and Massachusetts are also reviewed. CONTENTS I. Introduction II. Title VI of the Civil Rights Act of 1964 III. The Department of Health & Human Services Office of Civil Right?s Guidance & Keys to Compliance IV. Other Important Standards and Procedures in Serving Limited English Proficient (LEP) Populations V. Provider Promising Practices in California Community Clinics and Health Centers VI. Community Clinics and Health Center Advocacy Organizations Promising Practices VII. State-Sponsored Promising Practices VIII. Conclusion Appendices
