Act ( 42 U.S.C. 11709(c) ) is amended by striking may be necessary for fiscal years 1993 through 2019 and inserting are necessary . 428. Availability of non-English language speaking providers (a) In general Section 1311(c)(1)(B) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031(c)(1)(B) ) is amended by inserting before the semicolon the following: and, with respect to such providers, a provider’s ability to provide care in a language other than English either through the provider speaking such language or by the provider having a trained medical interpreter, as defined in subsection (b) of this section, who speaks such language available during office hours . (b) Qualified interpreter for an individual with limited-English proficiency, defined The term Qualified interpreter for an individual with limited-English proficiency means an interpreter who via a remote interpreting service or an on-site appearance— (1) adheres to generally accepted interpreter ethics principles, including client confidentiality