; (ii) by adding and at the end of subparagraph (C); and (iii) by inserting after subparagraph (C) the following new subparagraph: (D) language assistance services as defined in subsection (iii)(1), ; and (B) by adding at the end the following new subsection: (iii) Language assistance services and related terms (1) The term language assistance services has the same meaning given the term language or language assistance services in section 3400 of the Public Health Service Act. (2) The term interpreter services has the meaning given the term qualified interpreter for an individual with limited-English proficiency in section 3400(3) of the Public Health Service Act. (3) The term qualified interpreter for an individual with limited-English proficiency means an interpreter who via a remote interpreting service or an onsite appearance— (A) adheres to generally accepted interpreter ethics principles, including client confidentiality; (B) has demonstrated proficiency in speaking and understanding both spoken English and at least one other spoken language; and (C) is able to interpret effectively, accurately, and impartially and in a culturally competent manner, both receptively and expressly, to and from such language(s) and English, using any necessary specialized vocabulary, terminology, and phraseology. (4) The term qualified translator means a translator who— (A) adheres to generally accepted translator ethics principles, including client confidentiality; (B) has demonstrated proficiency in writing and understanding both written English and at least one other written non-English language