; and (B) the term competence implies having the capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors, and needs presented by consumers and their communities. (3) Effective communication The term effective communication means an exchange of information between the provider of health care or health-care-related services and the recipient of such services who is limited in English proficiency, or has a communication impairment such as a hearing, vision, speaking, or learning impairment, that enables access, understanding, and benefit from health care or health-care-related services, and full participation in the development of their treatment plan. (4) Grievance resolution process The term grievance resolution process means all aspects of dispute resolution including filing complaints, grievance and appeal procedures, and court action. (5) Health care group The term health care group means a group of physicians organized, at least in part, for the purposes of providing physicians’ services under the Medicaid, SCHIP, or Medicare programs and may include a hospital and any other individual or entity furnishing services covered under the Medicaid, SCHIP, or Medicare programs that is affiliated with the health care group. (6) Health educator The term health educator includes a baccalaureate prepared professional responsible for designing, implementing, and evaluating individual and population health promotion and chronic disease prevention programs. (7) Health care services The term health care services means services that address physical as well as mental health conditions in all care settings. (8) Health-care-related services The term health-care-related services means human or social services programs or activities that provide access, referrals or links to health care. (9) Indian tribe The term Indian Tribe means any Indian Tribe, band, nation, or other organized group or community, including any Alaska Native village or group or regional or