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Tracking CLAS

This map tracks the progress of state-, territory-, and island-led legislative initiatives to require cultural competency training for health professionals.

Click on the states, territories, and islands on the map for the legislative information.

Requires cultural competency training
Proposed, but does not have, mandatory cultural competency training
Has not proposed mandatory cultural competency training


The legislative information is up to date as of December 31, 2023.

Do you know of a legislative update for this map? Send us a message at contact@thinkculturalhealth.hhs.gov.

Location Activity
Alabama Has not proposed mandatory cultural competency training
Alaska Has not proposed mandatory cultural competency training
American Samoa Has not proposed mandatory cultural competency training
Arizona Requires cultural competency training
Arkansas Has not proposed mandatory cultural competency training
California Requires cultural competency training
Colorado Has not proposed mandatory cultural competency training
Commonwealth of the Northern Mariana Islands Has not proposed mandatory cultural competency training
Connecticut Requires cultural competency training
Delaware Has not proposed mandatory cultural competency training
District of Columbia Has not proposed mandatory cultural competency training
Federated States of Micronesia Has not proposed mandatory cultural competency training
Florida Proposed, but does not have, mandatory cultural competency training
Georgia Has not proposed mandatory cultural competency training
Guam Has not proposed mandatory cultural competency training
Hawaii Proposed, but does not have, mandatory cultural competency training
Idaho Has not proposed mandatory cultural competency training
Illinois Requires cultural competency training
Indiana Requires cultural competency training
Iowa Requires cultural competency training
Kansas Has not proposed mandatory cultural competency training
Kentucky Has not proposed mandatory cultural competency training
Louisiana Has not proposed mandatory cultural competency training
Maine Has not proposed mandatory cultural competency training
Maryland Has not proposed mandatory cultural competency training
Massachusetts Proposed, but does not have, mandatory cultural competency training
Michigan Proposed, but does not have, mandatory cultural competency training
Minnesota Requires cultural competency training
Mississippi Has not proposed mandatory cultural competency training
Missouri Proposed, but does not have, mandatory cultural competency training
Montana Has not proposed mandatory cultural competency training
Nebraska Proposed, but does not have, mandatory cultural competency training
Nevada Requires cultural competency training
New Hampshire Proposed, but does not have, mandatory cultural competency training
New Jersey Requires cultural competency training
New Mexico Requires cultural competency training
New York Proposed, but does not have, mandatory cultural competency training
North Carolina Proposed, but does not have, mandatory cultural competency training
North Dakota Has not proposed mandatory cultural competency training
Ohio Proposed, but does not have, mandatory cultural competency training
Oklahoma Proposed, but does not have, mandatory cultural competency training
Oregon Requires cultural competency training
Palau Has not proposed mandatory cultural competency training
Pennsylvania Proposed, but does not have, mandatory cultural competency training
Puerto Rico Has not proposed mandatory cultural competency training
Republic of the Marshall Islands Has not proposed mandatory cultural competency training
Rhode Island Requires cultural competency training
South Carolina Proposed, but does not have, mandatory cultural competency training
South Dakota Has not proposed mandatory cultural competency training
Tennessee Proposed, but does not have, mandatory cultural competency training
Texas Requires cultural competency training
U.S. Virgin Islands Has not proposed mandatory cultural competency training
Utah Has not proposed mandatory cultural competency training
Vermont Requires cultural competency training
Virginia Proposed, but does not have, mandatory cultural competency training
Washington Requires cultural competency training
West Virginia Has not proposed mandatory cultural competency training
Wisconsin Has not proposed mandatory cultural competency training
Wyoming Requires cultural competency training