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The likelihood is that you have provided or will provide health care to a patient or client with LEP.

Individuals who do not speak English as their primary language and who have a limited ability to read, speak, write, or understand English can have limited English proficiency, or LEP.

According to U.S. Census Bureau's American Community Survey for 2014-2018,  more than 21% of the people in the United States speak a language at home other than English, and 8.5% of those speak English "less than very well."

Individuals with LEP can include those with sensory impairments, who are Deaf or hard of hearing and communicate using American Sign Language, have speech impairments, or who are blind or have visual impairments.


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