Act builds on existing efforts by the community and migrant health centers to reduce language and cultural barriers to care. In addition. the bill directs the Secretary of DHHS to issue regulations establishing limitedEnglish proficiency as a barrier to health care access. Let me be clear. The MHOPE Act sends a strong message to the Department of Health and Human Services that It must do a better job in serving the health needs of Hispanics and other language minorities. Many DHHS initiatives should be more attentive to Integrating the Hispanic commurity. with greater Hispanic involvement within the administrative offices and at the drafting stages.