https://www.hhs.gov/sites/default/files/section-1557-top-15-languages-faqs.pdf Frequently Asked Questions to Accompany the Estimates of at Least the Top 15 Languages Spoken by Individuals with Limited English Proficiency under Section 1557 of the Affordable Care Act (ACA). U.S. Department of Health and Human Services, Office for Civil Rights (OCR). Page 2. Retrieved August 30, 2019.