Overview

Title

To require the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers.

ELI5 AI

H. R. 6033 is a plan to help people who don't speak English easily talk to doctors using computers or phones by creating a group that figures out ways to make it easier for everyone to understand health information.

Summary AI

H. R. 6033 aims to improve health care access for non-English speakers by requiring the Secretary of Health and Human Services to set up a task force. The bill mandates the development and sharing of best practices for using interpreters during telemedicine appointments. It also focuses on making digital health tools, like patient portals, more accessible to people with limited English proficiency and ensures patient materials are available in multiple languages. Health information technology service providers, health care providers, and language service companies are among the entities expected to participate in implementing these improvements.

Published

2024-07-30
Congress: 118
Session: 2
Chamber: HOUSE
Status: Reported in House
Date: 2024-07-30
Package ID: BILLS-118hr6033rh

Bill Statistics

Size

Sections:
2
Words:
870
Pages:
6
Sentences:
19

Language

Nouns: 304
Verbs: 54
Adjectives: 42
Adverbs: 1
Numbers: 45
Entities: 74

Complexity

Average Token Length:
4.17
Average Sentence Length:
45.79
Token Entropy:
4.94
Readability (ARI):
24.26

AnalysisAI

General Summary

The proposed legislation, titled the "Supporting Patient Education And Knowledge Act of 2024" or the "SPEAK Act of 2024," aims to improve healthcare access for non-English speaking individuals in the United States by leveraging telehealth technologies. The bill mandates the Secretary of Health and Human Services to establish a task force tasked with issuing guidance on best practices for incorporating interpreters, improving access to digital patient tools, and ensuring availability of healthcare materials in various languages. This initiative is designed to address the language barriers that often hinder efficient and effective medical care for non-English speakers.

Summary of Significant Issues

A number of issues have been identified within the bill's framework, primarily centered around its implementation and scope. Firstly, the bill lacks a clearly defined budget or spending limits, which raises concerns about potential financial inefficiencies. There is also an absence of detailed timelines for the consultation, issuance, and dissemination of guidance, which could result in delays in providing enhanced access to telehealth services.

Moreover, the bill outlines engaging multiple entities for consultation but fails to specify how these consultations will be executed and how any potential conflicts of interest will be addressed. This lack of clarity potentially opens the door to ethical issues. The language within the bill could benefit from more precise definitions of what constitutes "best practices," ensuring consistent implementation. Additionally, there is no mechanism outlined for ensuring accountability or follow-up on the implementation of guidance.

Another critical point of contention is the potential bias embedded in the bill towards companies that already provide multi-language services. This could disadvantage competing companies that are looking to enter this market, raising fair competition concerns.

Impact on the Public

Broadly speaking, this bill could have several positive impacts on the general public by potentially easing access to healthcare for non-English speakers, a demographic that often faces significant barriers in the current system. By standardizing practices for telehealth services, the legislation could ensure more equitable healthcare delivery across diverse language groups, which in turn can lead to better healthcare outcomes and more active engagement in personal health management.

Yet, the lack of specificity and clarity in the bill's provisions might lead to inconsistent implementation, which could dilute its overall efficacy. Delays brought on by undefined timelines could slow the public's access to these benefits.

Impact on Specific Stakeholders

This legislation could significantly benefit non-English speaking patients who will receive improved access to healthcare information and services in their preferred languages, fostering better understanding and engagement in their healthcare. Healthcare providers could face both benefits and challenges; while language barriers would likely be reduced, the costs and logistics associated with implementing new practices could be burdensome without clear guidelines and budgets.

As for language service companies and health IT providers, those already equipped to offer multi-language solutions could see an increase in demand for their services. However, smaller and newer companies might find entry into this market difficult if bias towards established players emerges in the bill's application.

Overall, while the SPEAK Act of 2024 contains the promise of enhanced healthcare access for non-English speakers, careful attention must be given to its execution to ensure the bill achieves its intended benefits without unintended adverse effects.

Issues

  • The section does not clearly define the budget or spending limits for issuing and disseminating the guidance, making it difficult to assess potential wasteful spending. (Section 2)

  • There is no specific timeline or deadline mentioned for each step in the process of consultation, issuance, and dissemination of guidance, leading to potential delays. This could affect timely access to necessary telehealth services for non-English speakers. (Section 2)

  • The issuance of guidance involves consultation with multiple entities, but there is a lack of clarity on how these consultations will be conducted and how conflicts of interest will be managed, which may raise ethical concerns. (Section 2)

  • The language could be more precise in defining what constitutes 'best practices' to ensure that the guidance is effectively actionable, potentially leading to inconsistent implementation. (Section 2)

  • The scope of entities described does not include a clear mechanism for accountability or follow-up to ensure that the guidance is being implemented, which may lead to ineffective application of the guidance. (Section 2)

  • There could be a potential bias towards companies that already offer multi-language services, making it harder for others to compete if contractual obligations arise from this section, raising concerns about fair competition. (Section 2)

  • The text refers to telecommunications systems as used for section 1834(m) of the Social Security Act, but it could benefit from a brief explanation for clarity, which is important for understanding the legal implications. (Section 2)

Sections

Sections are presented as they are annotated in the original legislative text. Any missing headers, numbers, or non-consecutive order is due to the original text.

1. Short title Read Opens in new tab

Summary AI

The first section of the act states that the short title of the bill is the “Supporting Patient Education And Knowledge Act of 2024” or simply the “SPEAK Act of 2024”.

2. Guidance on furnishing services via telehealth to individuals with limited English proficiency Read Opens in new tab

Summary AI

The section directs the Secretary of Health and Human Services to issue guidance within one year on best practices for using telehealth services with individuals who have limited English proficiency. This includes recommendations on interpreters, access to telecommunications and digital portals, video platforms for interpretation, and providing materials in multiple languages, with consultation from various entities like health providers, insurers, and language service companies.