guidances A Federal agency that has developed a guidance for purposes of title VI of the Civil Rights Act of 1964 shall examine such existing guidance, as well as the programs and activities to which such guidance applies, to determine if modification of such guidance is necessary to comply with this subsection. (4) Consultation Each Federal agency shall consult with the Department of Justice in establishing the guidances under this subsection. (d) Consultations (1) In general In carrying out this section, each Federal agency that carriers out health care and health-care-related activities shall ensure that stakeholders, such as limited-English-proficient individuals and their representative organizations, recipients of Federal assistance, and other appropriate individuals or entities, have an adequate opportunity to provide input with respect to the actions of the agency. (2) Evaluation Each Federal agency described in paragraph (1) shall evaluate the— (A) particular needs of the limited-English-proficient individuals served by the agency