,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #egfb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #bg1        
#bjbc,mrs4 ,kim ( ,cali=nia 7= h]self & 
,ms4 ,m5g7 introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,en]gy &    
,comm]ce  ,a ,,bill  ,to direct !       
,secret>y ( ,heal? & ,human ,s]vices to 
rese>* & design a graphic symbol to     
indicate :5 l+ui/ic access mat]ials &   
s]vices are available = a heal? program1
 product1 or s]vice1 & = o!r purposes4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,heal? ,communication ,access &       
,res\rces = ,ev]yone ,act ( #bjbc & !   
,heal? ,,c>e ,act ( #bjbc4  #b4         
,creation ( a heal? language access     
symbol  7a7 ,initiat+ process ,n lat]   
?an #ahj days aft] ! date ( enactm5t (  
?is ,act1 ! ,secret>y ( ,heal? & ,human 
,s]vices 79 ?is ,act ref]r$ to z !      
,secret>y7 %all />t a process to e/abli%
 a graphic symbol to indicate :5 l+ui/ic
 access mat]ials & s]vices are available
 to us]s or recipi5ts ( a heal? program1

 product1 or s]vice4  7b7 ,design ,!    
graphic symbol "u ?is section %all be   
design$ to-- 7#a7 in=m p ab\t !         
availability ( exi/+ int]pretation      
s]vices & translat$ mat]ials2  7#b7     
provide a simple & widely und]/ood me?od
 = heal? c>e provid]s1 issu]s1 public   
heal? dep>tm5ts1 & o!r entities engag$ 9
 heal? c>e1 includ+ public heal? & heal?
 c>e communications1 to in=m p ab\t     
available res\rces to assi/ !m 9        
effectively communicat+ & receiv+       
in=mation ab\t a heal? program1 product1
 or s]vice2  7#c7 increase p's access to
 communication reg>d+ heal? programs1   
products1 & s]vices1 !reby facilitat+   
bett] uptake ( prev5tative c>e1         
diagnosis1 & treatm5t adh]5ce2  7#d7    
ensure ! effectiv5ess ( ! symbol across 
diff]5t modalities1 includ+ pr9t$ &     
electronic notices1 websites1 insurance 
program applications1 & consum]-fac+    
outrea* & educational mat]ials2 &  7#e7 
provide p>amet]s = ! integration (      
context-specific in=mation t accompanies

 ! symbol1 su* z a telephone numb] =    
available telephonic int]pret] s]vices1 
a quick response code1 or emb$d$ l9ks to
 websites ) translat$ mat]ials4  7c7    
,rese>* process ,9 conduct+ or support+ 
rese>* = ! design ( ! graphic symbol "u 
?is section1 ! ,secret>y %all-- 7#a7    
review ! effectiv5ess ( exi/+ l+ui/ic   
access symbols us$ 9 diff]5t sett+s or  
nations2  7#b7 ov]see a consum] rese>* &
 br& design process to in=m ! creation1 
modification1 or adoption ( ! graphic   
symbol1 includ+ an evaluation ( !       
symbol's comp>ative pot5tial to improve 
consum] access to int]pretation &       
translat$ mat]ials & s]vices1 improve   
effici5cy1 & r$uce wa/e2  7#c7 consult  
?r\gh\t ! process ) /akehold]s1 includ+ 
heal? insurance plans1 heal? c>e        
provid]s1 int]pret]s & translators1     
language s]vices manag]s1 language      
s]vice companies1 organizations         
repres5t+ diff]5t communities ) limit$  
,engli% pr(ici5cy1 organizations        
repres5t+ p]sons ) disabilities & old]  

adults1 ,/ate & local gov]nm5ts1 &      
,tribal organizations2 &  7#d7 conduct  
7directly or by ent]+ into a contract7  
te/+ among a div]se set ( communities   
us+ pot5tial symbols to see :e!r & h[ ^?
 communities improve access to          
int]pretation s]vices & translation     
mat]ials4  7d7 ,f9alization ,n m ?an #ah
 mon?s aft] ! date ( enactm5t ( ?is     
,act1 ! ,secret>y %all--  7#a7 f9alize !
 design ( ! graphic symbol "u ?is       
section2 &  7#b7 issue a report to !    
appropriate congressional committees    
detail+--  7,a7 ! design ( ! symbol2 &  
7,b7 a plan = dissem9ation ( ! symbol "u
 section #c4  7e7 ,coord9ation ) o!r    
,f$]al ag5cies  7#a7 ,9 g5]al ,to !     
ext5t det]m9$ appropriate by !          
,secret>y1 & subject to p>agraph 7#b71 !
 ,secret>y %all provide = coord9ation1 9
 design+ ! graphic symbol "u ?is        
section1 betwe5-- 7,a7 ! ,dep>tm5t (    
,heal? & ,human ,s]vices2 &  7,b7 o!r   
,f$]al ag5cies t c\ld pot5tially adopt !
 graphic symbol "u ?is section 9        

communicat+ in=mation to p ) limit$     
,engli% pr(ici5cy4  7#b7 ,no delay ,!   
,secret>y %all n all[ coord9ation "u    
p>agraph 7#a7 to delay ! design ( !     
graphic symbol "u ?is section1 !        
issuance ( ! f9al report "u subsection  
7d71 or ! dissem9ation ( ! symbol "u    
section #c4  #c4 ,dissem9ation ( ! heal?
 c>e language access symbol  7a7 ,9     
g5]al ,^u f9alization ( ! design ( !    
graphic symbol "u section #b1 !         
,secret>y %all-- 7#a7 design an         
education program ) ! goal ( increas+   
aw>5ess ( int]pretation & translat$     
mat]ials & s]vices among ^? :o ne$      
l+ui/ic access solutions ) respect to   
heal? programs1 products1 & s]vices2    
7#b7 "w ) entities likely to int]act )  
populations t h limit$ ,engli% pr(ici5cy
 or l+ui/ic b>ri]s to heal? c>e access1 
su* z public heal? dep>tm5ts1 int]pret] 
& translator associations1 heal? c>e    
provid]s1 heal? c>e assi/]s1 ,f$]ally   
qualifi$ heal? c5t]s1 heal? insurance   
issu]s1 community-bas$ organizations1   

refugee resettlem5t organizations1 & o!r
 entities id5tifi$ by ! ,secret>y2  7#c7
 "w ) heal? c>e provid]s1 issu]s1 public
 heal? dep>tm5ts1 & o!r entities        
id5tifi$ by ! ,secret>y z engag+ 9      
communication to consum]s reg>d+ heal? &
 heal? c>e to in=m su* entities ( !     
symbol & enc\rage ! use ( ! symbol 9    
consum] communications2 &  7#d7 conduct 
tra9+s & provide te*nical assi/ance to  
,/ate ag5cies responsible = ! ,m$icaid  
program "u title ,,xix ( ! ,social      
,security ,act 7#db ,u4,s4,c4 #acif et  
seq47 or ! ,/ate ,*ildr5's ,heal?       
,insurance ,program "u title ,,xxi ( su*
 ,act 7#db ,u4,s4,c4 #acig;aa et seq471 
manag$ c>e organizations1 heal?         
insurance m>ketplaces1 insur]s1         
hospitals1 ,f$]ally qualifi$ heal?      
c5t]s1 & o!r recipi5ts ( ,f$]al funds to
 enc\rage widespread k & adoption ( !   
symbol4  7b7 ,use ( ! symbol 9 ,,hhs    
programs ,! ,secret>y %all develop &    
implem5t a plan to use ! graphic symbol 
"u section #b across all consum]        

communications develop$ by ! ,dep>tm5t (
 ,heal? & ,human ,s]vices1 includ+      
applications = cov]age1 notices1        
websites1 & public heal? in=mation4  7c7
 ,option ,to use graphic symbol ,to     
comply ) exi/+ ,,hhs requirem5ts  7#a7  
,9 g5]al ,if ! te/+ "u section #b7;c7   
indicates t requir+ use ( ! graphic     
symbol "u section #b w\ld improve access
 to int]pretation s]vices & translation 
mat]ials relative to su* access "u exi/+
 ,,hhs requirem5ts1 ! ,secret>y %all    
all[ entities describ$ 9 subsection     
7a77#b7 to use su* symbol to give notice
 ( ! availability ( int]pretation       
s]vices & translation mat]ials 9 lieu ( 
comply+ ) exi/+ ,,hhs requirem5ts4  7#b7
 ,def9ition ,9 ?is subsection1 ! t]m    
exi/+ ,,hhs requirem5ts means !         
requirem5ts ( ! ,dep>tm5t ( ,heal? &    
,human ,s]vices relat+ to giv+ notice ( 
! availability ( int]pretation s]vices &
 translation mat]ials t are 9 effect z (
 ! date ( enactm5t ( ?is ,act4  7#c7    
,updates to regulations ,! ,secret>y may

 update su* regulations & take su* o!r  
actions z may be appropriate to c>ry out
 ?is subsection4