This project is funded under the Robert Wood Johnson Foundation’s program, Community Research for Health Equity (CRHE), a community-led research program that seeks to elevate community voices and make the priorities of communities the primary goal of local health system transformation efforts. The goal of the study is to develop a series of recommendations for health care providers, policymakers, and language justice advocates nationally, from immediate steps to improve current language services, to setting the gold standard for a language justice-based model to implement long-term. The study seeks to conduct an assessment of language inaccess across various local North Carolina health care settings by examining the issue as a product of white institutional power, and to explore how power might be disrupted through a patient-led model. The project team will use a community-based participatory action research framework, which will include a mix of surveys, semi-structured interviews, and reviews of institutional policies around language services. Deliverables will include a project work plan and annual and final narrative and financial reports. The project team will also produce a public-facing product of their choice to share new knowledge that can address local health care system inequities and/or make recommendations for action toward system improvements.