CPI CPI Legal and Regulatory Framework 1 — Questions and Answers
Question 1: What federal law requires healthcare providers receiving federal funding to provide language access services to limited English proficient individuals?
- Title VI of the Civil Rights Act of 1964 (Correct answer)
- Americans with Disabilities Act
- HIPAA Privacy Rule
- The Rehabilitation Act of 1973
Correct answer: Title VI of the Civil Rights Act of 1964
Title VI of the Civil Rights Act of 1964 prohibits discrimination based on national origin in federally funded programs, requiring language access for LEP individuals.
Question 2: Under HIPAA, a certified interpreter who accesses protected health information on behalf of a healthcare provider is classified as a:
- Business associate (Correct answer)
- Covered entity
- Protected health information holder
- Healthcare provider
Correct answer: Business associate
Interpreters who handle protected health information on behalf of a covered entity are classified as business associates and must sign a Business Associate Agreement.
Question 3: Which executive order specifically requires federal agencies and recipients of federal funds to provide meaningful language access for limited English proficient individuals?
- Executive Order 13166 (Correct answer)
- Executive Order 11246
- Executive Order 13985
- Executive Order 12898
Correct answer: Executive Order 13166
Executive Order 13166, signed in 2000, requires federal agencies and entities receiving federal assistance to provide meaningful access to their services for LEP persons.
Question 4: The National Council on Interpreting in Health Care (NCIHC) is best known in the US for establishing:
- National standards of practice and a code of ethics for healthcare interpreters (Correct answer)
- Federal certification requirements for all interpreters
- Mandatory interpreter pay scales across states
- Immigration language proficiency requirements
Correct answer: National standards of practice and a code of ethics for healthcare interpreters
NCIHC developed the National Standards of Practice and the National Code of Ethics, which serve as the foundational professional framework for healthcare interpreters in the US.
Question 5: Which title of the Americans with Disabilities Act (ADA) requires public accommodations to provide qualified interpreters for individuals who are deaf or hard of hearing?
- Title III (Correct answer)
- Title I
- Title II
- Title IV
Correct answer: Title III
Title III of the ADA requires places of public accommodation to provide effective communication, which includes furnishing qualified sign language or oral interpreters.
Question 6: The 'four-factor analysis' used to determine an organization's language access obligations was established by:
- Department of Justice LEP guidance (Correct answer)
- Supreme Court ruling in Lau v. Nichols
- National Council on Interpreting in Health Care
- Executive Order 12898
Correct answer: Department of Justice LEP guidance
The DOJ LEP guidance outlines a four-factor analysis examining number of LEP persons served, frequency of contact, importance of benefits, and available resources.
CPI CPI Legal and Regulatory Framework 1
What federal law requires healthcare providers receiving federal funding to provide language access services to limited English proficient individuals?