This study examined whether disparities in medical and dental health, access to care, and use of services exist for children in non-English-primary-language households. The survey involved over 102,000 interviews in both English and Spanish, and found that children in non-English- speaking households were more likely to be poor and Latino or Asian/Pacific Islanders. While financial issues impacted the health care of these children, non-financial barriers also played a role in access to care. Recommendations include routine data collection on primary home languages for all patients, improved access to medical interpreters, better cultural competency training, and increased numbers of family-centered care systems.