Uneven Ground: Differences in Language Access Across State-Based Marketplaces


Uneven Ground: Differences in Language Access Across State-Based Marketplaces

By Christine Monahan, Jalisa Clark, and Nadia Stovicek

The annual Marketplace Open Enrollment Period is simply across the nook. Enrolling in medical health insurance generally is a problem, particularly for the thousands and thousands of Americans with restricted English proficiency (LEP). Individuals with LEP have much less entry to appropriate well being care supplies and stay 3 times extra prone to be uninsured in comparison with English-speaking people.

Federal regulation requires the Affordable Care Act (ACA) Marketplaces, together with state-based Marketplaces (SBMs), to supply LEP people entry to important assets for medical health insurance enrollment. However, SBMs typically have flexibility with respect to the “reasonable steps” they implement to satisfy the broadly outlined necessities. 

In a brand new problem transient for the Commonwealth Fund, CHIR specialists doc the varied insurance policies and practices SBMs have carried out to facilitate entry to medical health insurance info for LEP people and in any other case meet their wants. Using SBM survey responses and interviews with state officers, the authors describe SBM methods to gather shopper language information, present multilingual companies at name facilities, translate written supplies, and plan outreach efforts. The authors additionally establish persistent gaps in language companies, and supply suggestions for federal insurance policies to enhance language entry within the ACA Marketplaces. You can learn the total problem transient right here.


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