Recently, I called (by way of my assistant) a doctor’s office to schedule an appointment, but the conversation quickly highlighted an all-too-common issue for Deaf patients. The receptionist informed me that they had been having trouble getting an American Sign Language (ASL) interpreter approved through health insurance. Because of this, they said they might not be able to provide one for my visit. When I reminded them that under the Americans with Disabilities Act (ADA), medical providers are required to furnish interpreters for patients who need them, they told me that I would need to bring my own interpreter.
This response is not just frustrating—it’s a misunderstanding of the law and a significant barrier to equitable healthcare access.
What Does the ADA Say About ASL Interpreters in Healthcare?
The ADA is a federal law that prohibits discrimination against individuals with disabilities and ensures they have equal access to services, including medical care. Title III of the ADA explicitly states that public accommodations, such as doctor’s offices, hospitals, and clinics, must provide effective communication for patients with disabilities. This includes the provision of qualified interpreters for Deaf patients when necessary.
Here are some key points to know:
Responsibility Lies with the Provider
The obligation to provide an interpreter is on the healthcare provider, not the patient. It is illegal for a doctor’s office to ask a patient to bring their own interpreter.
Effective Communication is Required
Healthcare providers must ensure that communication with patients who are Deaf is as effective as communication with hearing patients. This often requires hiring a qualified ASL interpreter who can accurately convey medical information.
Cost Cannot Be Passed to the Patient
Providers cannot charge patients for the cost of an interpreter. This expense is considered part of the provider’s obligation under the ADA.
Overcoming Common Barriers
The receptionist’s statement about insurance approval is a common misconception. While health insurance may not cover the cost of interpreters, this does not exempt medical providers from their legal obligation to provide one. Providers can explore options like contracting with interpreter agencies, using video remote interpreting (VRI) systems when appropriate, or reaching out to local organizations that can assist.
Why This Matters
Access to clear and effective communication is not a luxury—it is a fundamental right. When patients cannot communicate with their healthcare providers, the consequences can include misdiagnoses, improper treatment plans, and a breakdown in trust. For patients who are Deaf/HOH, being denied an interpreter can mean being excluded from critical conversations about their own health.
What Can Patients Do?
If you encounter a situation where a medical provider refuses to provide an interpreter, here are some steps you can take:
- Educate the Provider: Politely remind them of their obligations under the ADA. You can reference guidance from the U.S. Department of Justice or provide them with educational materials.
- File a Complaint: If the issue persists, you can file a complaint with the Department of Justice or your state’s civil rights office.
- Advocate for Change: Share your experience with advocacy organizations to raise awareness and push for better policies.
At Ability Together, we’re committed to empowering individuals with disabilities to know their rights and advocating for systemic change. No one should have to fight for access to something as basic and essential as communication during a medical appointment.
Have you faced similar challenges with accessing interpreters? Share your story and let’s work together to make healthcare equitable for all.
For more information visit these links:
The Americans with Disabilities Act | ADA.gov
Americans with Disabilities Act Title III Regulations | ADA.gov
