‘‘(6) for each eligible LEP language group that 
constitutes 5 percent or 500 individuals, whichever 
is less, of the population of persons eligible to be 
served or likely to be affected or encountered in the 
service area of the organization, make available— 
‘‘(A) easily understood patient-related ma-
terials, including print and multimedia mate-
rials; 
‘‘(B) information or notices about termi-
nation of benefits; and 
‘‘(C) signage; 
‘‘(7) develop and implement clear goals, poli-
cies, operational plans, and management, account-
ability, and oversight mechanisms to provide cul-
turally and linguistically appropriate services and in-
fuse them throughout the organization’s planning 
and operations; 
‘‘(8) conduct initial and ongoing organizational 
assessments of culturally and linguistically appro-
priate services-related activities and integrate valid 
linguistic, competence-related National Standards 
for Culturally and Linguistically Appropriate Serv-
ices (CLAS) measures into the internal audits, per-
formance improvement programs, patient satisfac-
tion assessments, continuous quality improvement 
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activities, and outcomes-based evaluations of the or-
ganization and develop ways to standardize the as-
sessments; 
‘‘(9) ensure that, consistent with the privacy 
protections provided for under the regulations pro-
mulgated under section 264(c) of the Health Insur-
ance Portability and Accountability Act of 1996, 
data on an individual required to be collected pursu-
ant to section 3101, including the individual’s alter-
native format preferences and policy modification 
needs, are— 
‘‘(A) collected in health records; 
‘‘(B) integrated into the organization’s 
management information systems; and 
‘‘(C) periodically updated; 
‘‘(10) maintain a current demographic, cultural, 
and epidemiological profile of the community, con-
duct regular assessments of community health assets 
and needs, and use the results to accurately plan for 
and implement services that respond to the cultural 
and linguistic characteristics of the service area of 
the organization; 
‘‘(11) develop participatory, collaborative part-
nerships with communities and utilize a variety of 
formal and informal mechanisms to facilitate com-
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munity and patient involvement in designing, imple-
menting, and evaluating policies and practices to en-
sure culturally and linguistically appropriate service- 
related activities; 
‘‘(12) ensure that conflict and grievance resolu-
tion processes are culturally and linguistically sen-
sitive and capable of identifying, preventing, and re-
solving cross-cultural conflicts or complaints by pa-
tients; 
‘‘(13) regularly make available to the public in-
formation about their progress and successful inno-
vations in implementing the standards under this 
section and provide public notice in their commu-
nities about the availability of this information; and 
‘‘(14) if requested, regularly make available to 
the head of each Federal entity from which Federal 
funds are received, information about their progress 
and successful innovations in implementing the 
standards under this section as required by the head 
of such entity. 
‘‘SEC. 3403. ROBERT T. MATSUI CENTER FOR CULTURAL 
AND LINGUISTIC COMPETENCE IN HEALTH 
CARE. 
‘‘(a) 
ESTABLISHMENT.—The 
Secretary, 
acting 
through the Director of the Agency for Healthcare Re-
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search and Quality, shall establish and support a center 
to be known as the ‘Robert T. Matsui Center for Cultural 
and Linguistic Competence in Health Care’ (referred to 
in this section as the ‘Center’) to carry out the following 
activities: 
‘‘(1) INTERPRETATION SERVICES.—The Center 
shall provide resources via the Internet to identify 
and link health care providers to competent inter-
preter and translation services. 
‘‘(2) TRANSLATION OF WRITTEN MATERIAL.— 
‘‘(A) The Center shall provide, directly or 
through contract, vital documents from com-
petent translation services for providers of 
health care and health-care-related services at 
no cost to such providers. Materials may be 
submitted for translation into non-English lan-
guages. Translation services shall be provided 
in a timely and reasonable manner. The quality 
of such translation services shall be monitored 
and reported publicly. 
‘‘(B) For each form developed or revised 
by the Secretary that will be used by LEP indi-
viduals in health care or health-care-related set-
tings, the Center shall translate the form, at a 
minimum, into the top 15 non-English lan-
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guages in the United States according to the 
most recent data from the American Commu-
nity Survey or its replacement. The translation 
must be completed within 45 days of the Sec-
retary receiving final approval of the form from 
the Office of Management and Budget. 
‘‘(3) TOLL-FREE
CUSTOMER
SERVICE
TELE-
PHONE
NUMBER.—The 
Center 
shall 
provide, 
through a toll-free number, a customer service line 
for LEP individuals— 
‘‘(A) to obtain information about federally 
conducted or funded health programs, including 
Medicare, Medicaid, and SCHIP; 
‘‘(B) to obtain assistance with applying for 
or accessing these programs and understanding 
Federal notices written in English; and 
‘‘(C) to learn how to access language serv-
ices. 
‘‘(4) 
HEALTH
INFORMATION
CLEARING-
HOUSE.— 
‘‘(A) IN GENERAL.—The Center shall de-
velop and maintain an information clearing-
house to facilitate the provision of language 
services by providers of health care and health- 
care-related services to reduce medical errors, 
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