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Resources for Covered Entities

^{Pursuant to decisions by various district courts regarding the 2024 Final Rule implementing Section 1557, entitled Nondiscrimination in Health Programs and Activities, 89 Fed. Reg. 37,522 (May 6, 2024) (“2024 Final Rule”), provisions are stayed or enjoined as indicated below:}

^{1. In}^{Florida v. Department of Health and Human Services}^{, No. 8:24-cv-1080-WFJ-TGW (M.D. Fla.), the court stayed 45 C.F.R. 92.101(a)(2)(iv), 92.206(b), 92.207(b)(3)-(5), and 42 C.F.R. 438.3(d)(4), in Florida. OCR also may not enforce the interpretation of discrimination “on the basis of sex” in 45 C.F.R. 92.101(a)(2)(iv), 92.206(b), or 92.207(b)(3)-(5) in Florida.}
^{2. In} ^{Tennessee v. Becerra}^{, No. 1:24cv161-LG-BWR (S.D. Miss.), the court stayed nationwide the following regulations to the extent they “extend discrimination on the basis of sex to include discrimination on the basis of gender identity”: 42 C.F.R. 438.3, 438.206, 440.262, 460.98, 460.112; 45 C.F.R. 92.5, 92.6, 92.7, 92.8, 92.9, 92.10, 92.101, 92.206-211, 92.301, 92.303, 92.304; and enjoined HHS from enforcing the 2024 Final Rule “to the extent that the final rule provides that ‘sex’ discrimination encompasses gender identity.”}
^{3. In} ^{Texas v. Becerra}^{, No. 6:24-cv-211-JDK (E.D. Tex.), the court stayed nationwide the following regulations: 42 C.F.R. 438.3(d)(4), 438.206(c)(2), 440.262, 460.98(b)(3), 460.112(a); 45 C.F.R. 92.101(a)(2) (and all references to this subsection), 92.206(b), 92.207(b)(3)–(5).}

^{Notices of appeal have been filed in all three cases.}

Under Section 1557 of the Affordable Care Act (ACA), covered entities are required to post notices of non-discrimination and availability of language assistance services and auxiliary aids and services that alert individuals with limited English proficiency (LEP) to the availability of language assistance services and individuals with disabilities to the availability of auxiliary aids and services. Auxiliary aids and services include but are not limited to providing large print materials or qualified American Sign Language interpreters. The translated resources below are available for use by covered entities.

Sample Policies and Procedures in English

Effective Communication Procedures

Grievance Procedure

Language Access Procedures

Nondiscrimination Policy

Reasonable Modification Procedures

Sample Notices in English

Notices of Availability of Language Assistance Services and Auxiliary Aids and Services

Notices of Non-Discrimination

Translated Sample Notices

Language

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services

Notice of Non-Discrimination

Albanian

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Albanian)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Albanian) - Word

Notice of Non-Discrimination (Albanian)

Notice of Non-Discrimination (Albanian) - Word

Amharic

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Amharic)
Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Amharic) - Word

Notice of Non-Discrimination (Amharic)

Notice of Non-Discrimination (Amharic) - Word

Arabic

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Arabic)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Arabic) - Word

Notice of Non-Discrimination (Arabic)

Notice of Non-Discrimination (Arabic) - Word

Armenian

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Armenian)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Armenian) - Word

Notice of Non-Discrimination (Armenian)

Notice of Non-Discrimination (Armenian) - Word

Bengali

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Bengali)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Bengali) - Word

Notice of Non-Discrimination (Bengali)

Notice of Non-Discrimination (Bengali) - Word

Bosnian

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Bosnian)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Bosnian) - Word

Notice of Non-Discrimination (Bosnian)

Notice of Non-Discrimination (Bosnian) - Word

Burmese

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Burmese)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Burmese) - Word

Notice of Non-Discrimination (Burmese)

Notice of Non-Discrimination (Burmese) - Word

Chin language: Hakha Lai

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Hakha Lai)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Hakha Lai) - Word

Notice of Non-Discrimination (Hakha Lai)

Notice of Non-Discrimination (Hakha Lai) - Word

Chinese (Simplified)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Simplified Chinese)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Simplified Chinese) - Word

Notice of Non-Discrimination (Simplified Chinese)

Notice of Non-Discrimination (Simplified Chinese) - Word

Chinese (Traditional)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Traditional Chinese)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Traditional Chinese) - Word

Notice of Non-Discrimination (Traditional Chinese)

Notice of Non-Discrimination (Traditional Chinese) - Word

Chuukese

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Chuukese)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Chuukese) - Word

Notice of Non-Discrimination (Chuukese)

Notice of Non-Discrimination (Chuukese) - Word

Creole (Cape Verdean)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Cape Verdean Creole)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Cape Verdean Creole) - Word

Notice of Non-Discrimination (Cape Verdean Creole)

Notice of Non-Discrimination (Cape Verdean Creole) - Word

Dutch

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Dutch)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Dutch) - Word

Notice of Non-Discrimination (Dutch)

Notice of Non-Discrimination (Dutch) - Word

Farsi

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Farsi)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Farsi) - Word

Notice of Non-Discrimination (Farsi)

Notice of Non-Discrimination (Farsi) - Word

French

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (French)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (French) - Word

Notice of Non-Discrimination (French)

Notice of Non-Discrimination (French) - Word

German

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (German)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (German) - Word

Notice of Non-Discrimination (German)

Notice of Non-Discrimination (German) - Word

German (Pennsylvania)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Pennsylvania German)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Pennsylvania German) - Word

Notice of Non-Discrimination (Pennsylvania German)

Notice of Non-Discrimination (Pennsylvania German) - Word

Greek

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Greek)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Greek) - Word

Notice of Non-Discrimination (Greek)

Notice of Non-Discrimination (Greek) - Word

Gujarati

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Gujarati)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Gujarati) - Word

Notice of Non-Discrimination (Gujarati)

Notice of Non-Discrimination (Gujarati) - Word

Haitian

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Haitian)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Haitian) - Word

Notice of Non-Discrimination (Haitian)

Notice of Non-Discrimination (Haitian) - Word

Hindi

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Hindi)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Hindi) - Word

Notice of Non-Discrimination (Hindi)

Notice of Non-Discrimination (Hindi) - Word

Hmong

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Hmong)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Hmong) - Word

Notice of Non-Discrimination (Hmong)

Notice of Non-Discrimination (Hmong) - Word

Ilocano

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Ilocano)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Ilocano) - Word

Notice of Non-Discrimination (Ilocano)

Notice of Non-Discrimination (Ilocano) - Word

Italian

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Italian)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Italian) - Word

Notice of Non-Discrimination (Italian)

Notice of Non-Discrimination (Italian) - Word

Japanese

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Japanese)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Japanese) - Word

Notice of Non-Discrimination (Japanese)

Notice of Non-Discrimination (Japanese) - Word

Karen language: Pwo

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Pwo)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Pwo) - Word

Notice of Non-Discrimination (Pwo)

Notice of Non-Discrimination (Pwo) - Word

Khmer

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Khmer)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Khmer) - Word

Notice of Non-Discrimination (Khmer)

Notice of Non-Discrimination (Khmer) - Word

Korean

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Korean)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Korean) - Word

Notice of Non-Discrimination (Korean)

Notice of Non-Discrimination (Korean) - Word

Lao

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Lao)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Lao) - Word

Notice of Non-Discrimination (Lao)

Notice of Non-Discrimination (Lao) - Word

Malayalam

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Malayalam)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Malayalam) - Word

Notice of Non-Discrimination (Malayalam)

Notice of Non-Discrimination (Malayalam) - Word

Marshallese

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Marshallese)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Marshallese) - Word

Notice of Non-Discrimination (Marshallese)

Notice of Non-Discrimination (Marshallese) - Word

Navajo

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Navajo)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Navajo) - Word

Notice of Non-Discrimination (Navajo)

Notice of Non-Discrimination (Navajo) - Word

Nepali

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Nepali)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Nepali) - Word

Notice of Non-Discrimination (Nepali)

Notice of Non-Discrimination (Nepali) - Word

Polish

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Polish)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Polish) - Word

Notice of Non-Discrimination (Polish)

Notice of Non-Discrimination (Polish) - Word

Portuguese (Brazilian)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Brazilian Portuguese)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Brazilian Portuguese) - Word

Notice of Non-Discrimination (Brazilian Portuguese)

Notice of Non-Discrimination (Brazilian Portuguese) - Word

Punjabi

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Punjabi)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Punjabi) - Word

Notice of Non-Discrimination (Punjabi)

Notice of Non-Discrimination (Punjabi) - Word

Russian

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Russian)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Russian) - Word

Notice of Non-Discrimination (Russian)

Notice of Non-Discrimination (Russian) - Word

Somali

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Somali)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Somali) - Word

Notice of Non-Discrimination (Somali)

Notice of Non-Discrimination (Somali) - Word

Spanish

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Spanish)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Spanish) - Word

Notice of Non-Discrimination (Spanish)

Notice of Non-Discrimination (Spanish) - Word

Swahili

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Swahili)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Swahili) - Word

Notice of Non-Discrimination (Swahili)

Notice of Non-Discrimination (Swahili) - Word

Tagalog

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Tagalog)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Tagalog) - Word

Notice of Non-Discrimination (Tagalog)

Notice of Non-Discrimination (Tagalog) - Word

Telugu

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Telugu)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Telugu) - Word

Notice of Non-Discrimination (Telugu)

Notice of Non-Discrimination (Telugu) - Word

Thai

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Thai)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Thai) - Word

Notice of Non-Discrimination (Thai)

Notice of Non-Discrimination (Thai) - Word

Ukrainian

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Ukrainian)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Ukrainian) - Word

Notice of Non-Discrimination (Ukrainian)

Notice of Non-Discrimination (Ukrainian) - Word

Urdu

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Urdu)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Urdu) - Word

Notice of Non-Discrimination (Urdu)

Notice of Non-Discrimination (Urdu) - Word

Vietnamese

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Vietnamese)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Vietnamese) - Word

Notice of Non-Discrimination (Vietnamese)

Notice of Non-Discrimination (Vietnamese) - Word

Yiddish

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Yiddish)

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (Yiddish) - Word

Notice of Non-Discrimination (Yiddish)

Notice of Non-Discrimination (Yiddish) - Word

For documents in alternative formats, please call (800) 368-1019 or (800) 537-7697 (TDD).

Content created by Office for Civil Rights (OCR)
Content last reviewed November 13, 2024