The Iowa Department of Health and Human Services (HHS) utilized PHIG funding to conduct a comprehensive health equity assessment, providing a strategy for integrating equity across HHS programs and policies. Key findings led to divisional roadmaps for embedding equity principles into service delivery. PHIG funding also supported the hiring of a Language Access Coordinator in HHS’s Bureau of Health Equity, focused on enhancing accessibility for individuals with limited English proficiency. This role is vital for implementing language access policies, fostering inclusivity, improving service delivery, and advancing health equity across Iowa.