You pinged early! We’re in full battle stations.
http://budget.house.gov
Watch for a lot new Obama subsidized translation businesses and 3rd World America Bank student loans ... all to advance their warped agenda for illegal alien diverrrrrrsity and social justice. Lord, save us.
~~~~~~~~~~~~~~~~~~~
Excerpt:
12 (1) ensure that appropriate clinical and support
13 staff receive ongoing education and training in lin14
guistically appropriate service delivery;
15 (2) ensure the linguistic competence of bilingual
16 providers;
17 (3) offer and provide appropriate language serv18
ices at no additional charge to each patient with lim19
ited English proficiency at all points of contact, in
20 a timely manner during all hours of operation;
21 (4) notify Medicare beneficiaries of their right
22 to receive language services in their primary lan23
guage;
423
J. 55345
1 (5) post signage in the languages of the com2
monly encountered group or groups present in the
3 service area of the organization; and
4 (6) ensure that
5 (A) primary language data are collected
6 for recipients of language services; and
7 (B) consistent with the privacy protections
8 provided under the regulations promulgated
9 pursuant to section 264(c) of the Health Insur10
ance Portability and Accountability Act of 1996
11 (42 U.S.C. 1320d2 note), if the recipient of
12 language services is a minor or is incapacitated,
13 the primary language of the parent or legal
14 guardian is collected and utilized.
15 (e) REPORTING REQUIREMENTS.
Grantees under 16 this section shall provide the Secretary with reports at the 17 conclusion of the each year of a grant under this section. Each report shall include at least the following information:
20 (1) The number of Medicare beneficiaries to
21 whom language services are provided.
22 (2) The languages of those Medicare bene23
ficiaries.
24 (3) The types of language services provided
25 (such as provision of services directly in non-English
424
J. 55345
1 language by a bilingual health care provider or use
2 of an interpreter).
3 (4) Type of interpretation (such as in-person,
4 telephonic, or video interpretation).
5 (5) The methods of providing language services
6 (such as staff or contract with external independent
7 contractors or agencies).
8 (6) The length of time for each interpretation
9 encounter.
10 (7) The costs of providing language services
11 (which may be actual or estimated, as determined by
12 the Secretary).
13 (f) NO COST SHARING.
Limited English proficient Medicare beneficiaries shall not have to pay cost-sharing or co-pays for language services provided through this demonstration program.
17 (g) EVALUATION AND REPORT.
The Secretary shall conduct an evaluation of the demonstration program under this section and shall submit to the appropriate committees of Congress a report not later than 1 year after the completion of the program. The report shall include the following:
23 (1) An analysis of the patient outcomes and
24 costs of furnishing care to the limited English pro25
ficient Medicare beneficiaries participating in the
425J. 55345 project as compared to such outcomes and costs for limited English proficient Medicare beneficiaries not participating.
4 (2) The effect of delivering culturally and linguistically appropriate services on beneficiary access
6 to care, utilization of services, efficiency and cost-
effectiveness of health care delivery, patient satisfac8
tion, and select health outcomes.
9 (3) Recommendations, if any, regarding the extension of such project to the entire Medicare program.
12 (h) GENERAL PROVISIONS.
Nothing in this section shall be construed to limit otherwise existing obligations of recipients of Federal financial assistance under title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000(d) et seq.) or any other statute.
17 (i) AUTHORIZATION OF APPROPRIATIONS.
There are authorized to be appropriated to carry out this section 19 $16,000,000 for each fiscal year of the demonstration program.
21 SEC. 1223. IOM REPORT ON IMPACT OF LANGUAGE ACCESS
22 SERVICES.
23 (a) IN GENERAL.
The Secretary of Health and Human Services shall enter into an arrangement with the Institute of Medicine under which the Institute will prepare and publish, not later than 3 years after the date of the enactment of this Act, a report on the impact of language access services on the health and health care of limited English proficient populations.
5 (b) CONTENTS.
Such report shall include
(1) recommendations on the development and
implementation of policies and practices by health
8 care organizations and providers for limited English
9 proficient patient populations;
(2) a description of the effect of providing lan11
guage access services on quality of health care and
12 access to care and reduced medical error; and
(3) a description of the costs associated with or
14 savings related to provision of language access services.
16 SEC. 1224. DEFINITIONS.
17 In this subtitle:
18 (1) BILINGUAL.The term bilingual with respect to an individual means a person who has sufficient degree of proficiency in two languages and can ensure effective communication can occur in both languages.
(2) COMPETENT INTERPRETER SERVICES.
The term competent interpreter services means a
25 trans-language rendition of a spoken message in
427 J. 55345
1 which the interpreter comprehends the source language and can speak comprehensively in the target language to convey the meaning intended in the source language. The interpreter knows health and health-related terminology and provides accurate interpretations by choosing equivalent expressions that convey the best matching and meaning to the source language and captures, to the greatest possible extent, all nuances intended in the source message.
10 (3) COMPETENT TRANSLATION SERVICES.
The term competent translation services means a
12 trans-language rendition of a written document in
13 which the translator comprehends the source lan14
guage and can write comprehensively in the target
15 language to convey the meaning intended in the
16 source language. The translator knows health and
17 health-related terminology and provides accurate
18 translations by choosing equivalent expressions that
19 convey the best matching and meaning to the source
20 language and captures, to the greatest possible ex21
tent, all nuances intended in the source document.
22 (4) EFFECTIVE COMMUNICATION.
The term effective communication means an exchange of in
formation between the provider of health care or health care-related services and the limited English 428J. 55345
1 proficient recipient of such services that enables limited English proficient individuals to access, under
stand, and benefit from health care or health care related services.
5 (5) INTERPRETING/INTERPRETATION.
The terms interpreting and interpretation mean the
7 transmission of a spoken message from one language
8 into another, faithfully, accurately, and objectively.
9 (6) HEALTH CARE SERVICES.
The term health care services means services that address 11 physical as well as mental health conditions in all care settings.
(7) HEALTH CARE-RELATED SERVICES.
The term health care-related services means human or
15 social services programs or activities that provide access, referrals or links to health care.
17 (8) LANGUAGE ACCESS.
The term language access means the provision of language services to an LEP individual designed to enhance that individuals access to, understanding of or benefit from health care or health care-related services.
22 (9) LANGUAGE SERVICES.
The term language services means provision of health care services directly in a non-English language, interpreta
tion, translation, and non-English signage.
429J. 55345
1 (10) LIMITED ENGLISH PROFICIENT.
The term limited English proficient or LEP with respect to an individual means an individual who
4 speaks a primary language other than English and
5 who cannot speak, read, write or understand the
6 English language at a level that permits the individual to effectively communicate with clinical or nonclinical staff at an entity providing health care or health care related services.
*************************C A L L****************************
TARGETS BY STATE
ALABAMA
Rep. Bobby Bright, Alabama 2nd
DC Office Number: (202) 225-2901, DC Fax Number: (202) 225-8913
Local Office Number: (334) 794-9680, Local Fax Number: (334) 671-1480
Chief of Staff: Jason Buckner email: jason.buckner@mail.house.gov
Voted Yes on Stupak
Voted No on Health Care
Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition
ARIZONA
Rep. Ann Kirkpatrick, Arizona, 1st
DC Office Number: (202) 225-2315, DC Fax Number: (202) 226-9739
Local Office Number: (928) 226-6914, Local Fax Number: (928) 226-2876
Voted Yes on Health Care
Currently Undecided on Next Health Care Takeover Vote
Rep. Harry Mitchell, Arizona 5th
DC Office Number: (202) 225-2190
Local Office Number: (480) 946-2411
Voted Yes on Health Care, Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition Membership
Rep. Gabrielle Giffords, Arizona, 8th
DC Office Number: (202) 225-2542, DC Fax Number: (202) 225-0378
Local Office Number: (520) 881-3588, Local Fax Number: (520) 322-9490
Voted Yes on Health Care
Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition Membership
ARKANSAS
Rep. Marion Berry, Arkansas 1st
DC Office Number: (202) 225-4076, DC Fax Number: (202) 225-5602
Local Office Number: (870) 972-4600, Local Fax Number: (870) 972-4605
Listed on Blue Dog Coalition Membership
Rep. Mike Ross, Arkansas 4th
DC Office Number: (202) 225-3772, DC Fax Number: (202) 225-1314
Local Office Number: (870) 881-0681, Local Fax Number: (870) 881-0683
Voted Yes on Stupak, Voted No on Health Care, Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition Membership
CALIFORNIA
Rep. Dennis Cardoza, California 18th
DC Office Number: (202) 225-6131, DC Fax Number: (202) 225-0819
Local Office Number: (209) 383-4455, Local Fax Number: (209) 726-1065
Voted Yes on Health Care, Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition Membership
Rep. Jim Costa, California 20th
DC Office Number: (202) 225-3341, DC Fax Number: (202) 225-9308
Local Office Number: (559) 495-1620, Local Fax Number: (559) 495-1027
Voted Yes on Health Care, Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition Membership
Rep. Laura Richardson, California, 37th
DC Office Number: (202) 225-7924, DC Fax Number: (202) 225-7926
District Office Number: (202) 225-7924, District Fax Number: (202) 225-7926
Rep. Linda Sanchez, California, 39th
http://lindasanchez.house.gov/
DC Office Number: (202) 225-6676
Local Office Number: (562) 860-5050
COLORADO
Rep. Markey, Colorado 4th
DC Office Number: 202-225-4676, DC Fax Number: 202-225-5870
Local Office Number: 970-221-7110, Local Fax Number: 970-221-7240
Voted Yes on Stupak
Voted No on Health Care
Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition
FLORIDA
Rep. Allen Boyd, Florida, 2nd
DC Office Number: (202) 225-5235, DC Fax Number: (202) 225-5615
Local Office Number: (850) 561-3979, Local Fax Number: (850) 681-2902
Voted Yes on Stupak
Voted No on Health Care
Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition Membership
Rep. Ron Klein, Florida, 22nd
http://www.klein.house.gov/index.html
DC Office Number: (202) 225.3026, DC Fax Number: (202) 225.8398
Local Office Number: (561) 544-6910, Local Fax Number: (561) 544-2864
Rep. Suzanne Kosmas, Florida, 24th
DC Office Number: (202) 225-2706, DC Fax Number: (202) 226-6299
Local Office Number: (407) 208-1106, Local Fax Number: (407) 208-1108
Voted Yes on Stupak
Voted No on Health Care
Currently Undecided on Next Health Care Takeover Vote
GEORGIA
Rep. Jim Marshall, Georgia 8th
DC Office Number: (202) 225-6531, DC Fax Number: (202) 225-3013
Local Office Number: (478) 464-0255, Local Fax Number: (478) 464-0277
Voted Yes on Stupak, Voted No on Health Care, Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition Membership
Rep. John Barrow, Georgia 12th
DC Office Number: (202) 225-2823, DC Fax Number: (202) 225-3377
Local Office Number: (706) 722-4494, Local Fax Number: (706) 722-4496
Voted Yes on Stupak
Voted No on Health Care
Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition Membership
IDAHO
Rep. Walt Minnick, Idaho 1st
DC Office Number: (202) 225-6611, DC Fax Number: (202) 225-3029
Local Office Number: (208) 888-3188, Local Fax Number: (208) 888-0894
Chief of Staff: Kare Haas email: kate.haas@mail.house.gov
Voted Yes on Stupak
Voted No on Health Care
Currently No on Next Health Care Takeover Vote
Listed on Blue Dog Coalition
ILLINOIS
Rep. Daniel Lipinski, Illinois 3rd
http://www.lipinski.house.gov/
DC Office Number: (202) 225-5701, DC Fax Number: (202) 225-1012
Local Office Number: (312) 886-0481, Local Fax Number: (773) 767-9395
Rep. Melissa Bean, Illinois 8th
DC Office Number: (202) 225-3711, DC Fax Number: (202) 225-7830
Local Office Number: (847) 517-2927, Local Fax Number: (847) 517-2931
Rep. Deborah Debbie Halvorson, Illinois, 11th
DC Office Number: (202) 225-3635, DC Fax Number: (202) 225-3521
Local Office Number: (815) 726-4998, Local Fax Number: (815) 726-8024
INDIANA
Rep. Peter Visclosky, Indiana, 1st
http://www.house.gov/visclosky/
DC Office Number: (202) 225-2461, DC Fax Number: (202) 225-2493
Local Office Number: (219) 795-1844, DC Fax Number: (219) 795-1850
Rep. Joe Donnelly, Indiana 2nd
DC Office Number: (202) 225-3915, DC Fax Number: (202) 225-6798
Local Office Number: (574) 288-2780, Local Fax Number: (574) 288-2825
Voted Yes on Health Care, Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition Membership
Rep. Brad Ellsworth, Indiana, 8th
http://www.ellsworth.house.gov/
DC Office Number: (202) 225-4636, DC Office Fax: (202) 225-3284
Local Office Number: (812) 465-6484, Local Fax Number: (812) 422-4761
Listed on Blue Dog Coalition Membership
Rep. Baron Hill, Indiana 9th
DC Office Number: (202) 225-5315, DC Fax Number: (202) 226-6866
Local Office Number: (812) 288-3999, Local Fax Number: (812) 288-3873
Voted Yes on Health Care, Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition Membership
KENTUCKY
Rep. Ben Chandler, Kentucky 6th
http://chandler.house.gov/contact/index.shtml
DC Office Number: (202) 225-4706, DC Fax Number: (202) 225-2122
Local Office Number: (859) 219-1366, Local Fax Number: (859) 219-3437
Chief of Staff: Denis Fleming email: denis.fleming@mail.house.gov
Voted Yes on Stupak
Voted No on Health Care
Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition
LOUSIANA
Rep. Charlie Melancon, Lousiana
http://www.melancon.house.gov/
DC Office Number: (202) 225-4031, DC Fax Number: (202) 226-3944
Local Office Number: (985) 876-3033, Local Fax Number:
Chief of Staff: Joe Bonfiglio email: joe.bonfiglio@mail.house.gov
Voted Yes on Stupak
Voted No on Health Care
Currently No on Next Health Care Takeover Vote
Listed on Blue Dog Coalition
MAINE
Rep. Michael Michaud, Maine 2nd
DC Office Number: (202) 225-6306, DC Fax Number: (202) 225-2943
Local Office Number: (207) 942-6935, Local Fax Number: (207) 942-5907
Listed on Blue Dog Coalition Membership
MARYLAND
Rep. Frank Kratovil, Maryland 1st
DC Office Number: 202-225-5311, DC Fax Number: 202-225-0254
Local Office Number: (410) 420-8822, Local Fax Number: (443) 262 9713
Chief of Staff: Tim McCann email: tim.mccann@mail.house.gov
Voted Yes on Stupak
Voted No on Health Care
Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition
Rep. Dutch Ruppersberger, Maryland, 2nd
DC Office Number: 202-225-3061, DC Fax Number: 202-225-3094
Local Office Number: 410-628-2701, Local Fax Number: 410-628-2708
MASSACHUSETTS
Rep. Ed Markey, Massachusetts, 7th
DC Office Number: 202-225-2836
Local Office Number: 781-396-2900
Rep. Stephen Lynch, Massachusetts, 9th
DC Office Number: 202-225-8273, DC Fax Number: 202-225-3984
Local Office Number: 617-428-2000, Local Office Fax: 617-428-2011
MICHIGAN
Rep. Bart Stupak, Michigan 1st
DC Office Number: (202) 225-4735, DC Fax Number: (202) 225-4744
Local Office Number: (906) 786-4504, Local Fax Number: (906) 786-4534
Voted Yes on Stupak, Voted Yes on Health Care, Currently Undecided on Next Health Care Takeover Vote
Rep. Mark Schauer Michigan 7th
DC Office Number: (202) 225-6276, DC Fax Number: (202) 225-6281
Local Office Number: (517) 780-9075, Local Fax Number: (517) 780-9081
Voted Yes on Health Care
Currently Undecided
Rep. Gary Peters, Michigan, 9th
http://peters.house.gov/index.html
DC Office Number: (202) 225-5802, DC Fax Number: (202) 226-2356
Local Office Number: (248) 273-4227, Local Fax Number: (248) 273-4704
MINNESOTA
Rep. Collin C. Peterson, Minnesota 7th
http://collinpeterson.house.gov/
DC Office Number: (202) 225-2165, DC Fax Number: (202) 225-1593
Local Office Number: (218) 847-5056
Voted Yes on Stupak, Voted No on Health Care, Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition Membership
MISSISSIPPI
Rep. Travis Childers, Mississippi 1st
DC Office Number: (202) 225-4306, DC Fax Number: (202) 225-3549
Local Office Number: (662) 841-8808, Local Fax Number: (662) 841-8845
Voted Yes on Stupak
Voted No on Health Care
Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition Membership
Rep. Gene Taylor, Mississippi 4th
http://www.house.gov/genetaylor/
DC Office Number: (202) 225-5772, DC Fax Number: (202) 225-7074
Local Office Number: (228) 864-7670, Local Fax Number: (228) 864-3099
Voted Yes on Stupak, Voted No on Health Care, Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition Membership
MISSOURI
Rep. Ike Skelton, Missouri 4th
DC Office Number: (202) 225-2876
Local Office Number: (816) 228-4242
Voted Yes on Stupak, Voted No on Health Care, Currently Undecided on Next Health Care Takeover Vote
NEW JERSEY
Rep. John Adler, New Jersey 3rd
DC Office Number: (202) 225-4765, DC Fax Number: (202) 225-0778
Local Office Number: (732) 608-7235, Local Fax Number: (732) 608-7268
Voted Yes on Stupak
Voted Yes on Health Care
Currently Undecided on Next Health Care Takeover Vote high priority
NEW MEXICO
Rep. Martin Heinrich, New Mexico 1st
DC Office Number: (202) 225-6316, DC Fax Number: (202) 225-4975
Local Office Number: (505) 346-6781, Local Fax Number: (505) 346-6723
Voted Yes on Health Care
Currently Undecided
Rep. Harry Teague, New Mexico 2nd
DC Office Number: (202) 225-2365, DC Fax Number:
Local Office Number: (575) 393-0510, Local Fax Number:
Voted Yes on Stupak
Voted No on Health Care
Currently Undecided on Next Health Care Takeover Vote
NEW YORK
Rep. Tim Bishop, New York 1st
DC Office Number: (202) 225-3826, DC Fax Number: (202) 225-3143
Local Office Number: (631) 696-6500, Local Fax Number: (631) 696-4520
Voted Yes on Health Care
Currently Undecided
Rep. Michael E. McMahon, New York 13th
DC Office Number: (202) 225-3371, DC Fax Number: (202) 226-1272
Local Office Number: (718) 351-1062, Local Fax Number: (718) 980-0768
Voted Yes on Stupak, Voted No on Health Care, Currently Undecided on Next Health Care Takeover Vote
Rep. Scott Murphy, New York 20th
http://scottmurphy.house.gov/Contact/ContactForm.htm
DC Office Number: (202) 225-5614, DC Fax Number: (202) 225-1168
Local Office Number: (518) 828-3109, Local Fax Number: (518) 828-3985
Voted Yes on Stupak
Voted No on Health Care
Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition
Rep. Bill Owens, New York 23rd
DC Office Number: (202) 225-4611, DC Fax Number: (202) 226-0621
Local Office Number: (315) 782-3150, Local Fax Number: (315) 782-1291
Voted Yes on Health Care
Currently Undecided on Next Health Care Takeover Vote
Rep. Michael Arcuri, New York 24th
DC Office Number: (202) 225-3665, DC Fax Number: (202) 225-1891
Local Office Number: (315) 252-2777/2778, Local Fax Number: (315) 252-2779
Voted Yes on Health Care
Currently No Vote on Health Care
Listed on Blue Dog Coalition Membership
Rep. Daniel B. Maffei, New York, 25th
DC Fax Number: (202) 225-3701, DC Fax Number: (202) 225-4042
Local Office Number: (315) 423-5657, Local Fax Number: (315) 423-5669
NEVADA
Rep. Dina Titus, Nevada 3rd
DC Office Number: (202) 225-3252, DC Fax Number: (202) 225-2185
Local Office Number: (702) 387-4941, Local Fax Number: (702) 837-0728
Voted Yes on Health Care
Currently Undecided
NEW HAMPSHIRE
Rep. Paul W. Hodes, New Hampshire, 2nd
DC Office Number: (202) 225-5206, DC Fax Number: (202) 225-2946
Local Office Phone: (603) 223-9814, Local Fax Number: (603) 223-9819
NORTH CAROLINA
Rep. Bob Etheridge, North Carolina, 2nd
DC Office Number: (202) 225-4531
Local Office Number: (919) 829-9122
Rep. Mike McIntyre, North Carolina 7th
DC Office Number: (202) 225-2731, DC Fax Number: (202) 225-5773
Local Office Number: (910) 323-0260, Local Fax Number: (910) 323-0069
Chief of Staff: Dean Mitchell email: dean.mitchell@mail.house.gov
Voted Yes on Stupak
Voted No on Health Care
Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition
Rep. Larry Kissell, North Carolina 8th
DC Office Number: (202) 225-3715, DC Fax Number: (202) 225-4036
Local Office Number: (704) 786-1612, Local Fax Number: (704) 782-1004
Voted Yes on Stupak
Voted No on Health Care
Currently No on Next Health Care Takeover Vote
Rep. Heath Shuler, North Carolina 11th
DC Office Number: (202) 225-6401, DC Fax Number: (202) 226-6422
Local Office Number: (828) 252-1651, Local Fax Number: (828) 252-8734
Chief of Staff: Hayden Rogers email: hayden.rogers@mail.house.gov
Voted Yes on Stupak
Voted No on Health Care
Currently Undecided on Next Health Care Takeover Vote
Listed on Blue Dog Coalition