Language-AccessFederal Requirements

In August 2000, President Bill Clinton signed Executive Order 13166 for Improving Access to Services for Persons with Limited English Proficiency. This EO enforces the existing obligation of Title VI and includes that all federally conducted & federally assisted programs (such as federally qualified health centers) to plan and implement meaningful policies and practices to increase access to services for individuals with Limited English Proficiency (LEP).

For more information regarding Executive Order 13166, visit Commonly Asked Questionsand Answers FAQ.

Ways in which organizations adhere to EO 13166:

  • Provide interpretive services whether in house or contracted
  • Professional translating materials into different m different languages or forms (such as braille, large text or in auditory form)
  • Providing culturally appropriate Patient Advocate/Navigator/Community Health Worker
  • Hiring a language access specialist
  • Train staff on culture appropriateness and agility
  • Referral  list of supportive community based resources for LEP

Oregon Health Care Interpretation Requirements

Oregon state law provides additional obligations in terms of language access. OregonHouse Bill 2419 states that health care interpreters must adhere to testing and become qualified and certified to practice interpretation. This includes American Sign Language interpreters alongside the rules for foreign translators.

The Oregon Health Authority’s Office of Equity and Inclusion (OEI) oversees the certification and qualification process of health care interpreters and provides training support and resources. For more information about the certification and qualification process, visit the Office of Equity and Inclusion webpage.

Language Access Resources


Visit the Oregon Health Authority’s Office of Equity Inclusion page or contact OPCA’s language access point of contact, Stephanie Castano at