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3. Enforce use of interpreters when patients who speak Spanish or indigenous languages in clinical encounters to ensure Latino/xs who have limited English proficiency can communicate effectively with their providers.

4. Ensure health education materials and instructions for patients and families are written at the reading level of people who have not completed high school and in English and Spanish. Encourage the use health information technology including video and other materials appropriate for patients with low health literacy.

5. The State should ensure that health plans link patients to usual source of care, via the use of community health workers, health navigators, and other mechanisms.

6. Improve access to linguistically and culturally responsive treatment for alcohol use disorder for Spanish and indigenous language speakers.

7. Building on the CalAim dental initiative, improve access and use of dental care for Latino/x children, particularly those insured through MediCal, via school programs, navigators and parental education.

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20. Increase the collection at state and local level to collect Latino/x-subgroup demographic information including language needs to illuminate the diversity of the Latino community’s health needs.

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18. Fund initiatives to decrease Latina maternal morbidity and mortality and decrease low birthweight infants.

19. Implement a multipronged initiative to encourage 6-month of breastfeeding for Latina mothers (encouraging small employers to allocate time and a private space for breastfeeding) health education to pregnant women and see facilitating access to breast pumps and lactation consultants which are covered through MediCal.

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14. Facilitate access to SNAP and other food programs for Latinx households with children.

15. Create and facilitate access to high quality preschool programs for Latino children ages 3-5.

16. Reduce exposure to pollutants/environmental toxins, especially in the San Joaquin Valley, because that region has high concentrations of Latino/x and pollutants.

17. Regulate working conditions in agricultural sector to reduce exposure to heat and pollutants.

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9. Fund navigators to support enrollment in diabetes prevention programs throughout state with capacity to enroll Spanish-speakers. Fund targeted initiatives to reduce the rate of gestational diabetes among pregnant Latinas.

10. Fund exercise and culturally appropriate nutrition programs for children, youth and adults throughout state. Implement a multi-pronged strategy to reduce obesity among children, youth, and adults by (1) funding exercise programs, (2) funding nutrition education programs, (3) providing vouchers to purchase fresh fruits and vegetables, and (4) taxing sugar-sweetened beverages. Information about all components of the strategy should be provided in Spanish and indigenous languages as well as English.

11. Require health systems to report out key quality metrics for health conditions, such as diabetes care, separately for English and Spanish speaking Latinos.

12. Fund linguistically and culturally competent HIV prevention programs focused on Latinos.

13. Fund influenza and other vaccine education programs for Latino/x children and adults.

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8. Invest in initiatives aimed at getting Latino/x who are eligible to vote more engaged in elections and advocacy so that they have a bigger voice in health policy.

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1. Expand initiatives to increase the numbers of physicians, registered nurses and behavioral health professionals who are Latino/x to improve Latino/x Californians’ access to culturally and linguistically concordant care.

2. Improve access to language concordant clinicians by (1) funding the training of health professionals fluent in Spanish and (2) encouraging CA medical schools to take Spanish language skills into account when making admission decisions, (3) fund initiatives and programs to facilitate speakers of CA indigenous languages to enter the health workforce.