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January 26, 2020

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are scheduled through Washington State's coordinating entity, currently ULS and formerly CTS LanguageLink. The contract performance reports and fill rate by language and by county are posted on HCA’s website


July 2019                  $41.00

July 2018                  $39.76

July 2017                  $38.50

July 2016                  $38.00

July 2015                  $37.10

July 2014                  $32.50
July 2013                  $32.00
July 2012                  $31.50
July 2011                  $30.00

        2010                  $21.00


SFY2018                    406,007

SFY2017                    383,583

SFY2016                    359,750

SFY2015                     327,737

SFY2014                     282,636

SFY2013                     228,561

SFY2012                     201,576
SFY2011                     196,000


SFY2016                 15,836

SFY2015                 16,782

SFY2014                  15,943

SFY2013                  15,556

SFY2012                  10,234

SFY2011                  17,700

 HCA (Medicaid) BUDGET

Jul 2013/Jun 2015             $25.1M

Jul 2011/Jun 2013             $18.1M

Jul 2009/Jun 2011             $23.0M

A modified procurement model began on July 1, 2011

The coordinating entity procurement model began on September 24, 2012.

The new coordinating entity, ULS took over the contract on July 1, 2018.

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The Right to an Interpreter
Updated On: Mar 01, 2018

Have you wtineseed somebody being denied language access services?

Go here to file a Title VI civil right complaint with the Federal Coordination and Compliance Section of the US Dept. of Justice. 

To assist Federal agencies in carrying out their Language Access responsibilities, the U.S. Department of Justice has issued a Policy Guidance Document, "Enforcement of Title VI of the Civil Rights Act of 1964 - National Origin Discrimination Against Persons With Limited English Proficiency" (LEP Guidance).  This LEP Guidance sets forth the compliance standards that recipients of Federal financial assistance must follow to ensure that their programs and activities normally provided in English are accessible to LEP persons and thus do not discriminate on the basis of national origin in violation of Title VI's prohibition against national origin discrimination.

Understanding language access

Watch here a US Dept. of Justice video about how government agencies can identify LEP individuals and how to best communicate with them. 

Download here brochures explaining your right to free interpreting and translation services when interacting with recipients of federal financial assistance. 

[cross posted from]

Federal financial assistance includes grants, training, use of equipment, donations of surplus property, and other assistance. Subrecipients are also covered, when federal funds are passed from one recipient to a subrecipient. Recipients of federal funds range from state and local agencies, to nonprofits and other organizations. A list of the types of recipients and the agencies funding them can be found at Executive Order 12250 Coordination of Grant-Related Civil Rights Statutes. Title VI covers a recipient's entire program or activity. This means all parts of a recipient's operations are covered. This is true even if only one part of the recipient receives the federal assistance.

Example: DOJ provides assistance to a state department of corrections to improve a particular prison facility. All of the operations of the entire state department of corrections--not just the particular prison--are covered. You can get a better idea about how this is implemented by reading the DOJ's Common Language Access Questions, Technical Assistance and Guidance for Federally Conducted and Federally Assisted Programs

LEP Enforcement. Most federal agencies have an office that is responsible for enforcing Title VI of the Civil Rights Act. To the extent that a recipient's actions are inconsistent with their obligations under Title VI, then such agencies will take the necessary corrective steps.
The Federal Coordination and Compliance Section (FCS) of the Civil Rights Division of DOJ has taken the lead in coordinating and implementing this Executive Order.

Additional Resources: U.S. Department of Justice, Civil Rights Division, Executive Order 13166 Limited English Proficiency Resource Document: Tips and Tools from the Field, pp. 10-11, (September 21, 2004).

WASCLA'S Tools For Health

[cross posted from WASCLA's website]

Decades of evidence show that racial and ethnic inequalities in health and healthcare exist across the USA, including in Washington State. It is well-documented that overall, patients from racial and ethnic minority groups have worse health and receive healthcare of lower quality than do Whites, and LEP status adds another layer of disparities.  Specifically we know that LEP persons are:

All of these factors have their roots in communication barriers between patients and providers and the lack of utilization of qualified medical interpreters as a routine part of healthcare service delivery. Lack of language access services creates major patient safety risks,  and a financial burden for patients and their families as well as for healthcare systems, insurers, and governments alike.

The implementation of the Affordable Care Act this year makes ensuring language access to healthcare services even more urgent. Under the ACA, many LEP persons now have, often for the very first time, the opportunity to enroll in public and private health insurance plans and to seek care for themselves and their families. The ACA created additional nondiscrimination requirements expanding on laws and policies already in place. These include  requirements for language services to assist consumers to enroll and to use their new insurance benefits, and to manage their own personal and family health issues and concerns. While it is still too early to know how newly-insured LEP persons are faring, language access issues during enrollment have surfaced at the national and state levels .

How WASCLA Tools for Health Can Help
The first step to assuring that all LEP persons get communication assistance when needed,  is to raise public awareness of the right to receive language services at no cost  in healthcare service settings.  Making the multilingual I Speak cards and consumer rights notices readily available on a statewide basis is a part of the process.  Despite all that we know about Washington’s population today, and the harms caused by lack of language access, availability of this critical service remains uneven across care settings.  These new tools will help close an information gap for the benefit of all.


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