Three years into the Medicare Part D program, Medicare prescription drug plans continue to fail to meet their obligations to provide multi-lingual services to limited English proficient (LEP) Medicare beneficiaries. During the summer of 2008, the California Medicare Part D Language Access Coalition, led by the National Senior Citizens Law Center, the Greenlining Institute and the National Health Law Program, designed and conducted a survey to assess Medicare prescription drug plan call center service to LEP populations. The survey, which used the same methodology employed in an earlier survey conducted by the Coalition in 2006, focused on the 9 prescription drug plans into which California’s dual eligibles (individuals with Medicaid and Medicare) are enrolled. The survey placed 339 calls in 10 of the 13 most common languages spoken by dual eligibles in California.