In this publication you will learn about current trends in the U.S. related to bilingual providers in CI programs, as well as access to professional interpreters. We also discuss organizational health literacy practices in CI programs. Basically how programs make information about CIs available to their potential patients. Finally we share tips to improve language access and health literacy practices in CI programs. Many of the recommendations can be adopted TODAY! Citation: Ullauri, A., Kramer, T., & Shafiro, V. (2025). Cochlear implant services for Spanish speaking patients: language access and organizational health literacy of programs in the United States of America. Cochlear Implants International, 1–9. https://doi.org/10.1080/14670100.2025.2500830