Our interpreters supported clinics serving patients with limited English proficiency through this initiative, led by the California Department of Health Care Services under SB 165 (Atkins, 2019, Chapter 365).

Please see the success story here: https://www.montereylanguages.com/blog/medical-interpreter-pilot-project-independent-findings-and-operational-insights-5214

Dear Mei-Ling:

I am writing to thank you for Monterey Language Services’ participation in the California Department of Health Care Services Medical Interpreter Pilot Project (MIPP). Your collaboration and the insights and feedback provided by your team were instrumental in assessing the impact of professional medical interpretation services on reducing health disparities and improving quality of care for Medi-Cal members with Limited English Proficiency.

I also want to advise you that the MIPP Final Evaluation is posted and ready for you to review. You can access the report at Medical Interpreter Pilot Project Final Evaluation.
Thank you again for your participation in the MIPP!

Please see the success story here: https://www.montereylanguages.com/blog/medical-interpreter-pilot-project-independent-findings-and-operational-insights-5214

When patients and professionals truly understand each other, outcomes improve. The Medical Interpreter Pilot Project demonstrated just how powerful clear communication can be—showing measurable improvements in patient engagement and preventive care.

But results like these don’t happen automatically. They depend on something fundamental: the quality, professionalism, and cultural competence of the interpreters supporting each interaction.

Looking beyond the headline results, it becomes clear that consistent standards, careful interpreter selection, and reliable scheduling all play an essential role in making effective communication possible.

More Than Language: Cultural Competence Matters

Professional interpreters do more than translate words. They help bridge the gap between two cultures, ensuring that meaning, context, and intent are fully understood on both sides of the conversation.

Culturally competent interpreters recognize that communication styles, expectations, and ways of expressing concerns can vary widely between communities. By understanding these differences, interpreters help prevent misunderstandings, support respectful dialogue, and create an environment where individuals feel comfortable asking questions and participating in decisions.

Concrete example – diabetes and traditional foods:
During a diabetes consultation, a patient mentions a traditional breakfast dish. The interpreter, familiar with the dish and its ingredients, conveys this information to the doctor, ensuring everyone has a shared understanding of the patient’s dietary habits.

Expertise You Can Trust

Professional interpretation requires more than bilingual ability. It requires training, subject knowledge, and a commitment to accuracy.

Certified and Experienced Professionals
Interpreters are selected based on national certifications and demonstrated experience in complex environments such as healthcare and technical settings.

Careful Assignment Matching
Rather than sending the first available interpreter, assignments are matched to professionals who are familiar with the terminology and pace of the specific meeting or appointment.

Ongoing Quality Standards
Regular evaluations help maintain the professionalism and reliability organizations depend on when communication truly matters.

A Reliable and Simple Process

Organizations often value not only interpreter quality but also the ease of scheduling support. A streamlined process helps ensure that communication needs are met quickly and consistently.

Straightforward Scheduling
Requests can be submitted easily, allowing appointments and meetings to be coordinated efficiently.

Flexible Service Options
Interpreting can be provided either on-site or through remote platforms depending on the needs of the organization.

Responsive Support
When situations arise that require quick coordination, fast-turnaround requests can often be accommodated.

Supporting Diverse Communities

While Spanish played a central role in the pilot project, language needs across California extend far beyond a single community. Organizations frequently require support in many languages to serve their patients, clients, and community members effectively.

Providing access to qualified interpreters across a broad range of languages helps ensure that everyone can fully understand important information and participate in meaningful conversations.

Where Professional Interpretation Makes a Difference

Accurate communication is essential whenever important information must be clearly understood. Professional interpreters frequently support organizations in situations such as:

• Healthcare appointments and consultations
• Public service programs and community outreach
• Workplace safety training sessions and orientations
• Technical briefings and informational sessions

Clear Communication Leads to Better Outcomes

The results of the Medical Interpreter Pilot Project reinforce a simple but powerful idea: when communication barriers are removed, organizations can deliver better services and communities’ benefit.

Professional interpreters play a vital role in making that possible and ensuring that every conversation is understood clearly, accurately, and with confidence.

Our interpreters supported clinics serving patients with limited English proficiency through this initiative, led by the California Department of Health Care Services under SB 165 (Atkins, 2019, Chapter 365).

Key Outcomes from UC Berkeley Evaluation

The MIPP was independently evaluated by the University of California, Berkeley, which documented several outcomes at the clinics we supported:

• Patient & Clinician Satisfaction: 9.8/10
• Follow-Up Visits: Significant increase among patients
• Preventive Care Engagement: Greater participation and compliance

Why Monterey Language Services Stands Out

Exceptional Satisfaction

• 442 surveys collected (63% response rate)
• Contra Costa pilot sites supported by our team received highest satisfaction ratings

Measurable Quality-of-Care Improvements

• Colorectal cancer screening: +15.8%
• Tobacco use screening: +22%
• BMI/obesity & depression follow-ups: +11%

Operational Benefits for Clinics

• Improved patient understanding of diagnoses and treatment plans
• Stronger patient-clinician trust
• Increased follow-up visits and preventive care engagement
• Freed staff from ad-hoc interpretation, streamlining workflow

Real-World Impact Example

A patient with diabetes struggled to manage their condition. Our interpreter identified a dietary factor affecting their health, allowing the clinician to give targeted guidance—resulting in improved patient outcomes.

Acknowledgements

We sincerely thank our project manager and the dedicated team of medical interpreters whose expertise and commitment made the Contra Costa pilot a success. Their work ensures that patients are heard, understood, and empowered, directly improving healthcare outcomes.

We also extend gratitude to the California Department of Health Care Services for guiding the pilot. Monterey Language Services is proud to be a key partner in this transformative effort.

Key Takeaways

Monterey Language Services interpreters do more than translate — they:

• Improve patient care and understanding
• Foster trust between patients and providers
• Support clinical workflow and efficiency

We are proud to partner with California clinics and the Department of Health Care Services to ensure equitable, high-quality care for patients with limited English proficiency.

So what is 1557?

Section 1557 of the ACA “prohibits discrimination on the grounds of race, color, national origin, sex, age, or disability in certain health programs and activities.” The term “national origin” is understood to include providing language services for those with limited English proficiency (LEP).

Section 1557 was first put into place in 2010, and had a few issues with it. For example, the then-legal standard was for “competent” interpreters to assist LEP individuals; this could allow a loophole for family members or even non-adult family members, or bilingual/multilingual staff at the agency to provide interpretation. Without proper, certified medical interpreters, there may have been many miscommunications, to say the least.

Major Revisions

The Obama administration’s revisions took effect in 2016. Under this revision, some changes were that “competent” interpreters were changed to “qualified” interpreters; minors and family members were only allowed to interpret under special circumstances such as emergencies; and bilingual/multilingual staff were held back from interpreting unless they were able to sufficiently demonstrate proper interpretation abilities. Translation of written materials was also required.

Many things changed in 2020 due to the Trump administration, however. For example, the wording was changed to have a more general requirement of language services to LEP people, rather than each and every LEP person. Federally funded organizations had to undergo a test to determine how to provide language services; the Trump administration changed this again to be more based on the “likelihood” of servicing an LEP individual rather than each specific instance of servicing an LEP individual. Standards of remote video interpretation were also removed, focusing instead on telephonic interpretation only.

Finally, citing too many expenses (presumably for translation fees, extra paper space, and ink), there was also a change to not require that each state have the top fifteen languages represented in a tagline on a non-discrimination notice. Taglines are short statements written in non-English languages that notify the reader that they can access language services free of charge.

Proposed Revision

As mentioned previously, the US Department of Health and Human Services has released a proposed rule to reverse the changes implemented by the Trump administration and to strengthen language access in general compared to the rulings from the Obama administration. Some proposed changes include the following:

Previously removed definitions will be added back for the following terms: language assistance services, limited English proficient individual, qualified interpreter, qualified translator, and qualified bilingual/multilingual staff. Care will also be taken to provide each LEP individual with language access, as well as those who need assistance such as sign language; this will be aided by the requirement of taglines on a large number of documents.

Other changes include the restoration of standards for remote video interpreting, the requirement to take reasonable steps to provide meaningful access to each LEP individual, the requirement to inform individuals of their rights, and the requirement to have a specific employee be responsible to coordinate compliance with 1557. Another change would be applying Section 1557 to Medicare Part B, which notably has not had requirements for Section 1557 despite being federally funded through trust funds.

Our Conclusion

These proposed new rules seem to be taking a huge step toward fair access to language services. Especially exciting is the requirement returning to provide each LEP individual with language access, rather than a general estimate of people. We at Monterey Language Services believe that everyone deserves the right to access to information and services in the language of their choosing, and we’re all for the proposed rules and hope they come to pass sooner than later.