2012 Culturally and Linguistically Appropriate Services (CLAS) County Data
PHS Act section 2719 requires non-grandfathered group health plans and health insurance issuers offering non-grandfathered health insurance coverage to provide relevant notices in a culturally and linguistically appropriate manner. The regulations implementing section 2719 require these plans and issuers to make certain accommodations for notices sent to an address in a county meeting a threshold percentage of people who are literate only in the same non-English language. This threshold percentage is set at 10 percent or more of the population residing in the claimant’s county, as determined based on American Community Survey (ACS) data published by the United States Census Bureau. 26 CFR. §54.9815-2719T, 29 CFR. §2590.715-2719, and 45 CFR. §147.136.
The list below includes all counties which meet or exceed the 10 percent threshold for the 2006-2010 ACS data and is applicable for 2012. This list will be updated annually.
State | County | Spanish Percent | Chinese Percent | Tagalog Percent | Navajo Percent |
---|---|---|---|---|---|
AK | Aleutians East Borough | 14 | - | 38 | - |
AK | Aleutians West Census Area | 15 | - | 20 | - |
AZ | Apache County | - | - | - | 12 |
AZ | Santa Cruz County | 39 | - | - | - |
AZ | Yuma County | 23 | - | - | - |
AR | Sevier County | 17 | - | - | - |
CA | Colusa County | 25 | - | - | - |
CA | Fresno County | 15 | - | - | - |
CA | Glenn County | 13 | - | - | - |
CA | Imperial County | 32 | - | - | - |
CA | Kern County | 16 | - | - | - |
CA | Kings County | 19 | - | - | - |
CA | Los Angeles County | 19 | - | - | - |
CA | Madera County | 18 | - | - | - |
CA | Merced County | 19 | - | - | - |
CA | Monterey County | 25 | - | - | - |
CA | Napa County | 15 | - | - | - |
CA | Orange County | 13 | - | - | - |
CA | Riverside County | 15 | - | - | - |
CA | San Benito County | 20 | - | - | - |
CA | San Bernardino County | 15 | - | - | - |
CA | San Diego County | 11 | - | - | - |
CA | San Francisco County | - | 12 | - | - |
CA | San Joaquin County | 12 | - | - | - |
CA | Santa Barbara County | 17 | - | - | - |
CA | Santa Cruz County | 13 | - | - | - |
CA | Stanislaus County | 13 | - | - | - |
CA | Sutter County | 12 | - | - | - |
CA | Tulare County | 21 | - | - | - |
CA | Ventura County | 14 | - | - | - |
CO | Adams County | 12 | - | - | - |
CO | Costilla County | 11 | - | - | - |
CO | Denver County | 11 | - | - | - |
CO | Eagle County | 16 | - | - | - |
CO | Garfield County | 13 | - | - | - |
CO | Lake County | 14 | - | - | - |
CO | Saguache County | 12 | - | - | - |
FL | Collier County | 13 | - | - | - |
FL | DeSoto County | 18 | - | - | - |
FL | Glades County | 13 | - | - | - |
FL | Hardee County | 22 | - | - | - |
FL | Hendry County | 24 | - | - | - |
FL | Miami-Dade County | 32 | - | - | - |
FL | Okeechobee County | 10 | - | - | - |
FL | Osceola County | 16 | - | - | - |
GA | Atkinson County | 11 | - | - | - |
GA | Echols County | 19 | - | - | - |
GA | Hall County | 14 | - | - | - |
GA | Whitfield County | 17 | - | - | - |
ID | Clark County | 26 | - | - | - |
ID | Minidoka County | 12 | - | - | - |
ID | Owyhee County | 10 | - | - | - |
ID | Power County | 12 | - | - | - |
IL | Kane County, Illinois | 15 | - | - | - |
IA | Buena Vista County | 12 | - | - | - |
IA | Crawford County | 10 | - | - | - |
KS | Finney County | 16 | - | - | - |
KS | Ford County | 23 | - | - | - |
KS | Grant County | 13 | - | - | - |
KS | Scott County | 11 | - | - | - |
KS | Seward County | 26 | - | - | - |
KS | Stanton County | 19 | - | - | - |
KS | Stevens County | 12 | - | - | - |
KS | Wyandotte County | 11 | - | - | - |
MN | Watonwan County | 11 | - | - | - |
NE | Colfax County | 21 | - | - | - |
NE | Dakota County | 16 | - | - | - |
NE | Dawson County | 15 | - | - | - |
NV | Clark County | 11 | - | - | - |
NJ | Cumberland County | 10 | - | - | - |
NJ | Hudson County | 18 | - | - | - |
NJ | Passaic County | 16 | - | - | - |
NJ | Union County | 14 | - | - | - |
NM | Chaves County | 12 | - | - | - |
NM | Doña Ana County | 17 | - | - | - |
NM | Harding County | 18 | - | - | - |
NM | Lea County | 12 | - | - | - |
NM | Luna County | 17 | - | - | - |
NM | McKinley County | - | - | - | 14 |
NM | Santa Fe County | 11 | - | - | - |
NY | Bronx County | 21 | - | - | - |
NY | New York County | 11 | - | - | - |
NY | Queens County | 12 | - | - | - |
NC | Duplin County | 12 | - | - | - |
OK | Texas County | 17 | - | - | - |
OR | Hood River County | 15 | - | - | - |
OR | Marion County | 10 | - | - | - |
OR | Morrow County | 14 | - | - | - |
TX | Andrews County | 12 | - | - | - |
TX | Bailey County | 17 | - | - | - |
TX | Bexar County | 12 | - | - | - |
TX | Brooks County | 16 | - | - | - |
TX | Cameron County | 30 | - | - | - |
TX | Camp County | 11 | - | - | - |
TX | Castro County | 17 | - | - | - |
TX | Cochran County | 18 | - | - | - |
TX | Collingsworth County | 11 | - | - | - |
TX | Concho County | 31 | - | - | - |
TX | Crane County | 13 | - | - | - |
TX | Crockett County | 15 | - | - | - |
TX | Culberson County | 16 | - | - | - |
TX | Dallam County | 13 | - | - | - |
TX | Dallas County | 17 | - | - | - |
TX | Dawson County | 10 | - | - | - |
TX | Deaf Smith County | 21 | - | - | - |
TX | Dimmit County | 31 | - | - | - |
TX | Duval County | 28 | - | - | - |
TX | Ector County | 12 | - | - | - |
TX | Edwards County | 10 | - | - | - |
TX | El Paso County | 29 | - | - | - |
TX | Frio County | 17 | - | - | - |
TX | Garza County | 33 | - | - | - |
TX | Gonzales County | 14 | - | - | - |
TX | Hale County | 11 | - | - | - |
TX | Hall County | 11 | - | - | - |
TX | Hansford County | 15 | - | - | - |
TX | Harris County | 18 | - | - | - |
TX | Hemphill County | 10 | - | - | - |
TX | Hidalgo County | 34 | - | - | - |
TX | Howard County | 15 | - | - | - |
TX | Hudspeth County | 35 | - | - | - |
TX | Jim Hogg County | 21 | - | - | - |
TX | Jim Wells County | 12 | - | - | - |
TX | Karnes County | 16 | - | - | - |
TX | Kenedy County | 19 | - | - | - |
TX | Kinney County | 14 | - | - | - |
TX | Kleberg County | 10 | - | - | - |
TX | Lamb County | 15 | - | - | - |
TX | La Salle County | 22 | - | - | - |
TX | Limestone County | 10 | - | - | - |
TX | Lipscomb County | 11 | - | - | - |
TX | Lynn County | 10 | - | - | - |
TX | Maverick County | 46 | - | - | - |
TX | Midland County | 11 | - | - | - |
TX | Moore County | 18 | - | - | - |
TX | Navarro County | 10 | - | - | - |
TX | Nueces County | 12 | - | - | - |
TX | Ochiltree County | 17 | - | - | - |
TX | Parmer County | 20 | - | - | - |
TX | Pecos County | 18 | - | - | - |
TX | Presidio County | 32 | - | - | - |
TX | Reagan County | 18 | - | - | - |
TX | Reeves County | 29 | - | - | - |
TX | San Patricio County | 11 | - | - | - |
TX | Sherman County | 14 | - | - | - |
TX | Starr County | 42 | - | - | - |
TX | Sterling County | 10 | - | - | - |
TX | Sutton County | 13 | - | - | - |
TX | Terry County | 12 | - | - | - |
TX | Titus County | 19 | - | - | - |
TX | Travis County | 11 | - | - | - |
TX | Uvalde County | 13 | - | - | - |
TX | Val Verde County | 27 | - | - | - |
TX | Ward County | 10 | - | - | - |
TX | Webb County | 50 | - | - | - |
TX | Willacy County | 20 | - | - | - |
TX | Winkler County | 16 | - | - | - |
TX | Yoakum County | 24 | - | - | - |
TX | Zapata County | 33 | - | - | - |
TX | Zavala County | 31 | - | - | - |
UT | San Juan County | - | - | - | 10 |
VA | Manassas city | 18 | - | - | - |
VA | Manassas Park city | 21 | - | - | - |
WA | Adams County | 25 | - | - | - |
WA | Douglas County | 12 | - | - | - |
WA | Franklin County | 28 | - | - | - |
WA | Grant County | 16 | - | - | - |
WA | Yakima County | 18 | - | - | - |
PR | Adjuntas Municipio | 88 | - | - | - |
PR | Aguada Municipio | 82 | - | - | - |
PR | Aguadilla Municipio | 79 | - | - | - |
PR | Aguas Buenas Municipio | 91 | - | - | - |
PR | Aibonito Municipio | 82 | - | - | - |
PR | Añasco Municipio | 87 | - | - | - |
PR | Arecibo Municipio | 82 | - | - | - |
PR | Arroyo Municipio | 85 | - | - | - |
PR | Barceloneta Municipio | 78 | - | - | - |
PR | Barranquitas Municipio | 88 | - | - | - |
PR | Bayamón Municipio | 78 | - | - | - |
PR | Cabo Rojo Municipio | 84 | - | - | - |
PR | Caguas Municipio | 79 | - | - | - |
PR | Camuy Municipio | 88 | - | - | - |
PR | Canóvanas Municipio | 84 | - | - | - |
PR | Carolina Municipio | 77 | - | - | - |
PR | Cataño Municipio | 83 | - | - | - |
PR | Cayey Municipio | 88 | - | - | - |
PR | Ceiba Municipio | 72 | - | - | - |
PR | Ciales Municipio | 90 | - | - | - |
PR | Cidra Municipio | 88 | - | - | - |
PR | Coamo Municipio | 82 | - | - | - |
PR | Comerío Municipio | 92 | - | - | - |
PR | Corozal Municipio | 88 | - | - | - |
PR | Culebra Municipio | 74 | - | - | - |
PR | Dorado Municipio | 78 | - | - | - |
PR | Fajardo Municipio | 78 | - | - | - |
PR | Florida Municipio | 81 | - | - | - |
PR | Guánica Municipio | 87 | - | - | - |
PR | Guayama Municipio | 80 | - | - | - |
PR | Guayanilla Municipio | 86 | - | - | - |
PR | Guaynabo Municipio | 69 | - | - | - |
PR | Gurabo Municipio | 78 | - | - | - |
PR | Hatillo Municipio | 87 | - | - | - |
PR | Hormigueros Municipio | 71 | - | - | - |
PR | Humacao Municipio | 82 | - | - | - |
PR | Isabela Municipio | 83 | - | - | - |
PR | Jayuya Municipio | 90 | - | - | - |
PR | Juana Díaz Municipio | 86 | - | - | - |
PR | Juncos Municipio | 84 | - | - | - |
PR | Lajas Municipio | 83 | - | - | - |
PR | Lares Municipio | 89 | - | - | - |
PR | Las Marías Municipio | 92 | - | - | - |
PR | Las Piedras Municipio | 86 | - | - | - |
PR | Loíza Municipio | 89 | - | - | - |
PR | Luquillo Municipio | 79 | - | - | - |
PR | Manatí Municipio | 83 | - | - | - |
PR | Maricao Municipio | 94 | - | - | - |
PR | Maunabo Municipio | 88 | - | - | - |
PR | Mayagüez Municipio | 77 | - | - | - |
PR | Moca Municipio | 86 | - | - | - |
PR | Morovis Municipio | 87 | - | - | - |
PR | Naguabo Municipio | 83 | - | - | - |
PR | Naranjito Municipio | 90 | - | - | - |
PR | Orocovis Municipio | 90 | - | - | - |
PR | Patillas Municipio | 85 | - | - | - |
PR | Peñuelas Municipio | 88 | - | - | - |
PR | Ponce Municipio | 81 | - | - | - |
PR | Quebradillas Municipio | 81 | - | - | - |
PR | Rincón Municipio | 71 | - | - | - |
PR | Río Grande Municipio | 84 | - | - | - |
PR | Sabana Grande Municipio | 84 | - | - | - |
PR | Salinas Municipio | 86 | - | - | - |
PR | San Germán Municipio | 85 | - | - | - |
PR | San Juan Municipio | 73 | - | - | - |
PR | San Lorenzo Municipio | 86 | - | - | - |
PR | San Sebastián Municipio | 84 | - | - | - |
PR | Santa Isabel Municipio | 84 | - | - | - |
PR | Toa Alta Municipio | 80 | - | - | - |
PR | Toa Baja Municipio | 80 | - | - | - |
PR | Trujillo Alto Municipio | 79 | - | - | - |
PR | Utuado Municipio | 83 | - | - | - |
PR | Vega Alta Municipio | 82 | - | - | - |
PR | Vega Baja Municipio | 76 | - | - | - |
PR | Vieques Municipio | 81 | - | - | - |
PR | Villalba Municipio | 89 | - | - | - |
PR | Yabucoa Municipio | 87 | - | - | - |
PR | Yauco Municipio | 86 | - | - | - |