Affordable Care Act of 2010 – Section 1557 Posting Requirements

PUBLISHED: Sep 21, 2016
Source: Centers for Medicare and Medicaid Services

As StayAlert! reviewed on May 16, 2016 and May 18, 2016, the Department of Health and Human Services (HHS) final rule prohibits discrimination under Section 1557 of the Affordable Care Act (ACA) of 2010. The Final Rule, Nondiscrimination in Health Programs and Activities, will help to advance equity and reduce health disparities by protecting some of the populations that have been most vulnerable to discrimination in the health care context.

Section 1557 prohibits discrimination based on race, color, national origin, sex, age or disability in certain health programs and activities. Section 1557 builds on long-standing and familiar Federal civil rights laws: Title VI of the Civil Rights Act of 1964 (Title VI), Title IX of the Education Amendments of 1972 (Title IX), Section 504 of the Rehabilitation Act of 1973 (Section 504), and the Age Discrimination Act of 1975 (Age Act). Most notably, Section 1557 is the first Federal civil rights law to prohibit discrimination on the basis of sex in all health programs and activities receiving Federal financial assistance. Section 1557 has been in effect since enactment of the ACA in 2010 and the HHS Office for Civil Rights (OCR) has been enforcing the provision since it was enacted.

The rule covers:

  • Any health program or activity, any part of which receives funding from HHS (such as hospitals that accept Medicare or doctors who accept Medicaid);
  • Any health program that HHS itself administers;
  • Health Insurance Marketplaces and issuers that participate in those Marketplaces.

Today’s StayAlert! Notice reminds the above described entities that beginning on October 17, 2016 covered entities are required to post Notices of Nondiscrimination and taglines that inform individuals with limited English proficiency (LEP) that language translation services are available. Taglines must be posted in at least the top 15 non-English languages spoken in the State in which the entity is located or does business.

Note: For small sized significant communications such as postcards a nondiscrimination statement and taglines must be in at least the top two non-English languages spoken by individuals with limited English proficiency in the State.

HHS has several translated resources available to assist covered entities with this requirement.

Follow the link below to access example Notices of Nondiscrimination and taglines.

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