H.R. 2092 — SPEAK Act of 2025

This section directs the Secretary of Health and Human Services, not later than one year after enactment and in consultation with one or more entities from each of seven specified categories (e.g., health information technology service providers, health care providers, health insurers, language service companies, interpreter or translator professional associations, health and language services quality certification organizations, and patient advocates), to issue or update guidance on best practices for telehealth services (as defined under Medicare telehealth flexibilities in SSA §1834(m)) for individuals with limited English proficiency. The guidance covers (1) facilitating and integrating use of interpreters during telemedicine appointments; (2) providing accessible instructions on accessing telecommunications systems; (3) improving access to digital patient portals; (4) integrating video platforms for multi-person video calls to provide interpretation; and (5) providing patient materials, communications, and instructions in multiple languages (e.g., text message reminders and prescription information).