; (B) particular needs of the limited-English-proficient individuals served by the agency’s recipients of Federal financial assistance; and (C) burdens of compliance with the agency guidance and this section for the agency and its recipients. 3402. National standards for culturally and linguistically appropriate services in health care (a) Applicability This section applies to any health program or activity, any part of which is receiving Federal financial assistance, including credits, subsidies, or contracts of insurance, or any program or activity that is administered by an executive agency or any entity established under title I of the Patient Protection and Affordable Care Act (or amendments made thereby), as such programs, activities, agencies, and entities are described in section 1557(a) of the Patient Protection and Affordable Care Act. (b) Standards The programs, activities, agencies, and entities described in subsection (a)— (1) shall implement strategies to recruit, retain, and promote individuals at all levels to maintain a diverse staff and leadership that can provide culturally and linguistically appropriate health care to patient populations of the service area of the programs, activities, agencies, and entities; (2) shall educate and train governance, leadership, and workforce at all levels and across all disciplines of the programs, activities, agencies, and entities in culturally and linguistically appropriate policies and practices on an ongoing basis; (3) shall offer and provide language assistance, including trained bilingual staff and interpreter services, to individuals who have limited-English proficiency or other communication needs, at no cost to them at all points of contact, and during all hours of operation, to facilitate timely access to all health care and services; (4) shall notify patients, in a culturally appropriate manner, of their right to receive language assistance services in their primary language, verbally and in writing