I 
118TH CONGRESS 
1ST SESSION H. R. 5762 
To direct the Secretary of Health and Human Services to research and 
design a graphic symbol to indicate when linguistic access materials 
and services are available for a health program, product, or service, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 27, 2023 
Mrs. KIM of California (for herself and Ms. MENG) introduced the following 
bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To direct the Secretary of Health and Human Services to 
research and design a graphic symbol to indicate when 
linguistic access materials and services are available for 
a health program, product, or service, and for other 
purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Health Communication 
Access and Resources for Everyone Act of 2023’’ and the 
‘‘Health CARE Act of 2023’’. 
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SEC. 2. CREATION OF A HEALTH LANGUAGE ACCESS SYM-
BOL. 
(a) INITIATING PROCESS.—Not later than 180 days 
after the date of enactment of this Act, the Secretary of 
Health and Human Services (in this Act referred to as 
the ‘‘Secretary’’) shall start a process to establish a graph-
ic symbol to indicate when linguistic access materials and 
services are available to users or recipients of a health pro-
gram, product, or service. 
(b) DESIGN.—The graphic symbol under this section 
shall be designed to— 
(1) inform people about the availability of exist-
ing interpretation services and translated materials; 
(2) provide a simple and widely understood 
method for health care providers, issuers, public 
health departments, and other entities engaged in 
health care, including public health and health care 
communications, to inform people about available re-
sources to assist them in effectively communicating 
and receiving information about a health program, 
product, or service; 
(3) increase people’s access to communication 
regarding health programs, products, and services, 
thereby facilitating better uptake of preventative 
care, diagnosis, and treatment adherence; 
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(4) ensure the effectiveness of the symbol 
across different modalities, including printed and 
electronic notices, websites, insurance program appli-
cations, and consumer-facing outreach and edu-
cational materials; and 
(5) provide parameters for the integration of 
context-specific information that accompanies the 
symbol, such as a telephone number for available tel-
ephonic interpreter services, a quick response code, 
or embedded links to websites with translated mate-
rials. 
(c) RESEARCH PROCESS.—In conducting or sup-
porting research for the design of the graphic symbol 
under this section, the Secretary shall— 
(1) review the effectiveness of existing linguistic 
access symbols used in different settings or nations; 
(2) oversee a consumer research and brand de-
sign process to inform the creation, modification, or 
adoption of the graphic symbol, including an evalua-
tion of the symbol’s comparative potential to im-
prove consumer access to interpretation and trans-
lated materials and services, improve efficiency, and 
reduce waste; 
(3) consult throughout the process with stake-
holders, including health insurance plans, health 
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care providers, interpreters and translators, lan-
guage services managers, language service compa-
nies, organizations representing different commu-
nities with limited English proficiency, organizations 
representing persons with disabilities and older 
adults, State and local governments, and Tribal or-
ganizations; and 
(4) conduct (directly or by entering into a con-
tract) testing among a diverse set of communities 
using potential symbols to see whether and how 
those communities improve access to interpretation 
services and translation materials. 
(d) FINALIZATION.—Not more than 18 months after 
the date of enactment of this Act, the Secretary shall— 
(1) finalize the design of the graphic symbol 
under this section; and 
(2) issue a report to the appropriate congres-
sional committees detailing— 
(A) the design of the symbol; and 
(B) a plan for dissemination of the symbol 
under section 3. 
(e) COORDINATION WITH OTHER FEDERAL AGEN-
CIES.— 
(1) IN
GENERAL.—To the extent determined 
appropriate by the Secretary, and subject to para-
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graph (2), the Secretary shall provide for coordina-
tion, in designing the graphic symbol under this sec-
tion, between— 
(A) the Department of Health and Human 
Services; and 
(B) other Federal agencies that could po-
tentially adopt the graphic symbol under this 
section in communicating information to people 
with limited English proficiency. 
(2) NO DELAY.—The Secretary shall not allow 
coordination under paragraph (1) to delay the de-
sign of the graphic symbol under this section, the 
issuance of the final report under subsection (d), or 
the dissemination of the symbol under section 3. 
SEC. 3. DISSEMINATION OF THE HEALTH CARE LANGUAGE 
ACCESS SYMBOL. 
(a) IN GENERAL.—Upon finalization of the design of 
the graphic symbol under section 2, the Secretary shall— 
(1) design an education program with the goal 
of increasing awareness of interpretation and trans-
lated materials and services among those who need 
linguistic access solutions with respect to health pro-
grams, products, and services; 
(2) work with entities likely to interact with 
populations that have limited English proficiency or 
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