LANGUAGE BARRIERS TO HEALTH-CARE - FEDERAL AND STATE INITIATIVES, 1990-1995

This paper focuses on the legislative and oversight activities of the U.S. Congress from 1990 to 1995-a period of significant activity on th e issue of access to health care for underserved and minority populati ons-and examines a three-step process leading to the development of fe deral policy on language barriers to health care. The paper begins wit h an overview of the initial legislation developed on language access to health care and an analysis of its implementation, followed by a re view of a congressional inquiry into key federal and state policy acti vities on language access that formed the basis for the final step of additional legislative actions in 1994. Finally, conclusions are forwa rded regarding the potential and limitations of government mechanisms in reducing language barriers.