There is perhaps no greater step that can be taken to improve health outcomes for patients with limited English proficiency, reduce unnecessary medical costs as they relate to these patients, and standardize the availability and quality of medical interpretation, than to provide reimbursement for language access services. This whitepaper examines the growing impact of language diversity in the United States, the role of quality medical interpretation in health care delivery, and the importance of reimbursement for language services by Medicaid, Medicare and private insurers.