
Resource for Entities Covered by Section 1557 of the Affordable Care Act
Estimates of at Least the Top 15 Languages Spoken by Individuals with Limited
English Proficiency for the 50 States, the District of Columbia, and the U.S. Territories.
Covered entities may use this information to implement the tagline requirement at § 92.8(d)(1)-(2)
of the Section 1557 rule (45 C.F.R. pt. 92), although nothing in the rule requires a covered entity to
use this particular resource. For more information about this resource and the data used, refer to
the Frequently Asked Questions on these topics.
Rank State Language Estimate
1 AL Spanish .................................................................... 75,000
2 AL Chinese .................................................................... 5,405
3 AL Korean ..................................................................... 4,554
4 AL Vietnamese ............................................................. 3,708
5 AL Arabic ...................................................................... 1, 440
6 AL German ................................................................... 1,411
7 AL French .................................................................... 1,278
8 AL Gujarati ................................................................... 888
9 AL Tagalog .................................................................... 856
10 AL Hindi ........................................................................ 818
11 AL Laotian .................................................................... 681
12 AL Russian .................................................................... 586
13 AL Portuguese .............................................................. 516
14 AL Turkish* .................................................................. 505
15 AL Japanese ................................................................. 484
1 AK Tagalog .................................................................... 7,021
2 AK Spanish .................................................................... 5,975
3 AK Korean ..................................................................... 2,219
4 AK Hmong .................................................................... 1,944
5 AK Russian .................................................................... 1,392
6 AK Chinese .................................................................... 1,008
7 AK Samoan* ................................................................. 870
8 AK Laotian .................................................................... 743
9 AK Japanese ................................................................. 737
10 AK Ilocano* .................................................................. 535
11 AK Vietnamese ............................................................. 516
12 AK Ukrainian* ............................................................... 505
13 AK Thai ......................................................................... 474
14 AK German ................................................................... 247
15 AK Polish ....................................................................... 223
1 AZ Spanish .................................................................... 457,022
2 AZ Navajo ..................................................................... 20,627
3 AZ Chinese .................................................................... 14,028
4 AZ Vietnamese ............................................................. 12,996
5 AZ Arabic ...................................................................... 7,166
6 AZ Tagalog .................................................................... 6,109
7 AZ Korean ..................................................................... 4,759
8 AZ French ..................................................................... 2,978
9 AZ German ................................................................... 2,896
10 AZ Russian .................................................................... 2,353
11 AZ Japanese ................................................................. 2,308
12 AZ Persian (Farsi) .......................................................... 2,262
13 AZ Syriac* ..................................................................... 2,110
14 AZ Serbo-Croatian* ..................................................... 2,000
15 AZ Thai ......................................................................... 1,779
Resource Released by the U.S. Department of Health and Huma n Services, Office fo r Civil Rights, August 2016 1