; (D) the identification, implementation, and testing of low health literacy screening tools; (E) the conduct of educational campaigns for patients and providers about low health literacy; and (F) other activities determined appropriate by the Administrator of the Health Resources and Services Administration. (d) Definitions In this section, the term low health literacy means the inability of an individual to obtain, process, and understand basic health information and services needed to make appropriate health decisions. (e) Authorization of appropriations There are authorized to be appropriated to carry out this section, such sums as may be necessary for each of fiscal years 2019 through 2023. 207. Assurances for receiving Federal funds (a) In general Any health program or activity, any part of which is receiving Federal financial assistance, including credits, subsidies, or contracts of insurance, and 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 ( 42 U.S.C. 18116 ), in order to ensure the right of LEP individuals to receive access to quality health care, shall— (1) ensure that appropriate clinical and support staff receive ongoing education and training in linguistically appropriate service delivery; (2) offer and provide appropriate language assistance services at no additional charge to each patient with limited-English-proficiency at all points of contact, in a timely manner during all hours of operation; (3) notify patients of their right to receive language services in their primary language