Oregon amends health care interpreter regulations to enhance communication services

On February 27, 2025, the Oregon State Legislature introduced Senate Bill 1174, aimed at enhancing communication access in healthcare settings for individuals with limited English proficiency and those who communicate in signed language. The bill seeks to amend existing statutes related to health care interpreters and coordinated care organizations, establishing clearer definitions and protocols for the provision of interpretation services.

Key provisions of SB 1174 include the formal recognition of certified health care interpreters and the establishment of a health care interpreter registry managed by the Oregon Health Authority. This registry is intended to ensure that interpreters meet specific qualifications, thereby improving the quality of communication between healthcare providers and patients who may face language barriers.

A significant aspect of the bill is its emphasis on accountability. Before imposing penalties for violations related to interpretation services, the bill mandates that the relevant authorities notify the coordinated care organization, health care provider, or health insurer of the alleged infraction, allowing them a reasonable timeframe to rectify the issue. This provision aims to foster a collaborative approach to compliance rather than punitive measures.

Debate surrounding SB 1174 has highlighted concerns about the potential costs associated with implementing the registry and the training required for interpreters. Opponents argue that the financial burden could disproportionately affect smaller healthcare providers. Proponents, however, assert that the long-term benefits of improved patient outcomes and reduced misunderstandings in medical settings justify the investment.

The implications of SB 1174 extend beyond procedural changes; they touch on broader social issues, including health equity and access to care. By ensuring that language barriers do not hinder access to essential health services, the bill aims to promote inclusivity within Oregon's healthcare system.

As the legislative process unfolds, stakeholders from various sectors, including healthcare providers, patient advocacy groups, and language access organizations, are expected to weigh in on the bill. The outcome of SB 1174 could set a precedent for similar initiatives in other states, potentially reshaping how healthcare communication is approached nationwide.