Affordable Care Act Section 1557


Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in Federal health programs or activities. As a Medicaid contractor, this applies to Mosaic.

Much of Section 1557 overlaps with already established regulations in education or human resources (disability, race, color, national origin, sex, and age), 

Section 1557, however, is the first civil rights law to broadly prohibit discrimination on the basis of sex in federally health programs. This protects individuals from discrimination based on an individual's sex, pregnancy, childbirth and related medical conditions; gender identity; and sex stereotyping, including the stereotype that an individual must identify as either male or female,

It also focuses on ensuring meaningful access for people who have limited use of English or for whom English is not their primary language and ensuring effective communication with and accessibility for individuals with disabilities.

  • Mosaic must provide at its own cost appropriate aids and services to individuals with disabilities, including but not limited to, braille materials, TDD and sign language interpreters,
Mosaic must post statements offering free language assistance in the top 15 languages spoken by individuals in that state,

To provide language assistance within an agency, use this site:  You will need to enter your Mosaic credit card information to receive the service, 

Mosaic cannot rely on a potential or existing client's family member for interpretation services. If needs become extensive, contact the Compliance Department  at

  • Mosaic must create and post a notice of our policy of non-discrimination and services offered related to accessibility. The notice must include Mosaic's grievance procedures available to the public to report non compliance with its nondiscrimination, accessibility and language assistance services to both the organization and the government. 
This notice, along with the statements regarding language assistance services must be posted in locations where Mosaic interacts with the public, such as agency offices location by the reception desk, front door, etc. 

Copies of the notice and statements should be included in any materials given to prospective clients and in the welcome/enrollment packet during admissions. It should also be during annual meetings with current clients. 

Morgan Christensen,
Oct 16, 2018, 1:32 PM
Morgan Christensen,
Oct 16, 2018, 1:32 PM