Over the last few decades, interpreters have gained prominence to enable effective communication between providers and their patients with limited English proficiency (LEP). This trend has contributed to increased concerns with interpreter competencies and a demand for tools to assess language proficiency. To this end, the Hablamos Juntos national program office initiated an update to their Language Testing Options report (2002). The updated report, near completion, shows rapid proliferation of testing resources. Hablamos Juntos is pleased to report increased sophistication in language and interpreter assessment, and understanding of the challenges from the dynamic nature of health care interpreting. The updated Language Testing Options report, due for release March 2008, shows a trend of greater attention and concern for language assessment and interpreter skills.