Our goal is to provide information on how to foster a safe and meaningful health care experience for Limited English Proficiency (LEP) and Heard of Hearing (HOH) patients. We will outline the risks, federal requirements, and present an audit program on how to conduct a review of language services. Section 1557 of the Affordable Care Act and Title VI of the Civil Rights Act of 1964 requires all organizations receiving federal financial assistance (e.g., Medicare and Medicaid) to offer and provide access to qualified medical interpreter services. Due to communication barriers, individuals with LEP and HOH are less likely to have routine health visits, more likely to defer needed health care, and more likely to leave the hospital against medical advice.