Americans with Disabilities Act (ADA) mandates that all public and private entities who provide services to the general public, must also be accessible to individuals with disabilities. Consequently, it is the place of business that provides those services that is responsible for contacting, providing & paying for interpreter services. Providing an interpreter for a Deaf or Hard of Hearing client/patient is no different than having to install a ramp for individuals in wheelchairs so they able to access your facility.   Title II – State and Local Governments   Title II of the Americans with Disabilities Act (ADA) requires state and local governments to make their programs, services, and activities accessible to individuals with disabilities, including individuals who are deaf or hard of hearing.   Title III – Public Accommodations (Businesses)   Title III of the Americans with Disabilities Act (ADA) requires businesses open to the public to ensure that individuals with a disability have equal access to all that the businesses have to offer. ADA Title III covers a wide range of places of public accommodation, including retail stores and the wide range of service businesses such as hotels, theaters, restaurants, doctors’ and lawyers’ offices, optometrists, dentists, banks, insurance agencies, museums, parks, libraries, day care centers, recreational programs, social service agencies, and private schools. It covers both profit and non-profit organizations. Unlike the employment section of the ADA, which only applies to employers with 15 or more employees, ADA Title III applies to all businesses, regardless of size.