(b)
Plan requirement— Each plan under subsection (a) shall include—
(1)
the steps the agency will take to ensure that individuals with limited English proficiency or individuals with disabilities have access to each service, activity, program, or benefit provided or administered by the agency;
(2)
the steps the agency will take to ensure that older adults with limited English proficiency or a disability who may require the use of non-traditional modes of communication have access to each service, activity, program, or benefit provided or administered by the agency;
(3)
the policies and procedures for identifying, assessing, and meeting the culturally and linguistically appropriate language needs of the agency's beneficiaries who are individuals with limited English proficiency or individuals with disabilities served by the agency;
(4)
the steps the agency will take to ensure that each service, activity, program, or benefit of the agency is culturally and linguistically appropriate, including providing a range of language assistance options, notice to individuals with limited English proficiency or individuals with disabilities of the right to qualified language services and communication access, periodic training of staff, monitoring and quality assessment of the language services and, in appropriate circumstances, the translation of written materials;
(5)
the steps the agency will take, with respect to each service, activity, program, or benefit of the agency, to provide reasonable accommodations necessary for individuals with limited English proficiency and communication disabilities to understand communications from the agency;
(6)
the steps the agency will take to ensure that all applications, forms, and other relevant documents for the agency’s services, activities, benefits, and programs are competently translated, interpreted, and provided in accessible formats in the primary language of a client that is an individual with limited English proficiency or an individual with disabilities if such materials are needed to improve access of such client to such service, activity, benefit, or program;
(7)
when providing media, live broadcasting, or additional video communication for the agency’s services, activities, benefits, and programs, how the agency will ensure the use of qualified American Sign Language interpreters with a picture-in-picture inset feature where the interpreter’s frame is at least the same size as the main speaker’s frame but no smaller than 33 percent of the screen;
(8)
if relevant to the agency, the resources the agency will provide to improve cultural and linguistic appropriateness and accessibility practices to assist recipients of Federal funds to improve their access to health care related programs and activities for individuals with limited English proficiency or individuals with disabilities;
(9)
if relevant to the agency, the resources the agency will provide to ensure that accessible information and competent communication assistance is provided to patients that are individuals with limited English proficiency or people with disabilities by qualified interpreters; and
(10)
the resources the agency will provide to ensure that minor children are not used to provide interpretation services, except as permitted under regulations implementing section 1557 of the Patient Protection and Affordable Care Act (
42 U.S.C. 18116) as published in the Federal Register on May 18, 2016.