Primary Provisions . Providers are now required to provide free translation services to patients who are not proficient in the English language. Each group must post a notice of nondiscrimination relating to people who cannot adequately speak the English language. The Office of Civil Rights (OCR) has published a form that you can use for the notice. The notice must also contain a “tagline” in the 15 most prevalently spoken languages in your particular state. The OCR has published the top 15 languages spoken in each state, and has also published the taglines in those languages. If you have 15 or more employees, you must develop a language access plan, appoint a compliance officer, and develop grievance procedures for patient complaints. You must also submit HHS Form 690 attesting to compliance.