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Language Access Guides for Government, Healthcare and Life Sciences
Plain-English guides to Title VI, Section 1557, ADA Title II, vital documents and clinical trial translation. Each guide is sourced to the rules themselves and updated as they change. A new guide publishes every Monday.
Latest Guides
Compliance Guides Written for the People Who Do the Work
ADA Title II Web Accessibility Deadlines: What They Mean for Translated Content
Under the Department of Justice (DOJ) ADA Title II rule, as extended in April 2026, state and local…
How to Write a Language Access Plan: A Step-by-Step Guide for Public Agencies
A language access plan (LAP) is a written policy that explains how an agency gives people with limited…
Section 1557 Language Access Checklist for Hospitals, Health Plans and Clinics
Section 1557 requires hospitals, health plans and clinics that receive HHS funding to take reasonable steps to give…
The Title VI Four-Factor Analysis Explained, With a Worked Example
The Title VI four-factor analysis is the method agencies use to decide which language services people with limited…
Machine Translation for Vital Documents: When Human Review Is Required
Under the HHS Section 1557 rule, 45 CFR 92.201(c)(3), a covered health program that uses machine translation must…
Translating Informed Consent Forms: What FDA and the Common Rule Require
FDA rules (21 CFR 50.20) and the Common Rule (45 CFR 46.116(a)(2)) both require that consent information be…
What Counts as a Vital Document, and What Must Be Translated
A vital document contains information a person needs to get, keep or contest a service or benefit. Federal…
Qualified Interpreters vs. Bilingual Staff: What the Rules Require
Under the Section 1557 rule (45 CFR 92.4 and 92.201), qualified bilingual staff may speak directly with patients…
Forward Translation, Back Translation and Cognitive Debriefing for Clinical Outcome Assessments
Linguistic validation of a clinical outcome assessment (COA) usually follows the 10-step ISPOR process (Wild et al., 2005).…
Plain Language Before Translation: Why It Cuts Cost and Improves Comprehension
Writing in plain language before you translate lowers the number of words you pay to translate. It removes…
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