Overview of Health Coverage and Care for Individuals with Limited English Proficiency (LEP) - Summary - MDSpire
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Analysis of Healthcare Access and Services for Individuals with Limited English Proficiency (LEP)

  • By

  • Alisha Rao

  • Drishti Pillai

  • Samantha Artiga

  • September 21, 2026

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Objective:

To examine health coverage and access to care for individuals aged five years and older with limited English proficiency (LEP) in the U.S.

Approach:
  • Data Sources: Utilized KFF’s analysis of the 2024 American Community Survey (ACS) and findings from the 2023 Survey on Racism, Discrimination, and Health.
Key Findings:
  • In 2024, 28.5 million U.S. residents aged five and older had LEP, representing 9% of the population.
  • Hispanic individuals make up 62% and Asian individuals account for 21% of the LEP population.
  • Individuals with LEP are over three times more likely to lack health insurance compared to English-proficient individuals (23% vs. 7%).
  • Adults with LEP report poorer access to care and health outcomes, with 34% rating their health as 'fair' or 'poor' compared to 19% of English-proficient adults.
  • Language barriers hinder access to healthcare services, affecting understanding of eligibility, appointment arrangements, and communication with healthcare providers.
Interpretation:

The LEP population faces significant barriers to health coverage and care, primarily due to language access issues.

Limitations:
  • The analysis is based on survey data, which may not capture all nuances of healthcare access and outcomes.
  • The impact of recent federal policy changes on LEP individuals is still unfolding and may not be fully reflected in the data.
Conclusion:

The findings highlight barriers to healthcare access and services for individuals with LEP.

Sources:

Original Source(s)

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