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       Latino Healthcare Access offers training at your site in cultural competence in health care, along with an overview of the Affordable Care Act §1557, revised in 2016, which details required use of interpreters, what constitutes a qualified interpreter and when translated written materials must be available for Limited English Proficient (LEP) patients. 

Participants in this training will learn: 

  • Where the communication barriers exist and when patient trust can erode;

  • The practice standards set by medical, professional and accreditation groups, as well as federal agencies;

  • Some of the recent updates to rules under §1557 of the Affordable Care Act that specify:

    • Standards for use of qualified medical interpreters and document translators;  and

    • The rule also includes a new private right of action available to patients who wish to file a court claim against the provider for noncompliance.

     Participants will learn all about these accepted standards, laws and rules, as well as the factors of trust and possible inherent bias, to assist practices and their staff to deliver compassionate services to patients of all backgrounds.  




Maria J. Nape, JD brings a law degree and 25 years of experience working with immigrant populations, assisting in their legal and social services needs.    For the past five  years, Maria has worked exclusively in ensuring health care access for Spanish-speaking populations in New Mexico, and owns a medical interpreting firm with 8 interpreters serving cities throughout the state.  After interpreting during hundreds of appointments, and through conversations with patients in waiting rooms, she has observed many of the communications barriers that continue to exist, resulting at times,  in the patients leaving their appointments with little or no understanding whatsoever on what was discussed.

Maria brings this extensive experience and knowledge to the training, along with her own personal extensive research in the fields of cultural competence, patient trust in healthcare providers, addressing inherent bias among practitioners, and other public health topics.  Partnerships with academic institutions, including serving as an adjunct instructor and project team member developing research projects for funding in these areas.



      For more information on training in cultural competence and language access law, contact:


Maria J. Nape, JD