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Limited English Proficiency (LEP)

By Adrienne Hersh, JD, ICS Legal Counsel · April 19, 20132 min read
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The Civil Rights Act of 1964 prohibits discrimination based on national origin. Based on this law, the U.S. Department of Health and Human Services has determined that physicians and other providers who receive Medicare, Medicaid, and other federal health plan payments must take "reasonable steps to provide meaningful access” to services to persons with limited English proficiency (LEP), defined as persons who speak English less than "very well.”

Unfortunately, there is no "one size fits all” list of requirements. Depending on the nature of your practice, these steps could include providing interpreters for patient encounters, as well as providing vital documents and patient education material in the language of your patients.

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About the Author

Adrienne serves as Illinois Chiropractic Society general counsel and provides legal advice and support on a wide range of legal issues affecting chiropractic physicians, including licensing and other health care regulations, scope of practice, insurance and reimbursement, business structuring, labor and employment, contracts, and litigation. Adrienne previously served for 8 years as general counsel to the Illinois Department of Professional Regulation (now the Division of Professional Regulation, Department of Financial and Professional Regulation), where she was chief legal counsel responsible for overseeing all legal issues and advising the 50+ licensing and disciplinary boards, including the Medical Disciplinary Board and the Medical Licensing Board. She is a member of the Illinois State Bar Association Health Care Section, the Illinois Association of Healthcare Attorneys, and the National Association of Chiropractic Attorneys.

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