Across the United States, certain cities have become leaders in language access initiatives. These cities’ efforts have improved the accessibility of their services to people with limited English proficiency and they have continued to work to further develop the language accessibility of their cities. Philadelphia and San Francisco were among the first cities to call for language accessibility of services for people with limited English proficiency. New York and Chicago have been established immigrant gateway cities for many years and have been leading the way for language accessibility. Minneapolis has an abundance of experience with refugee resettlement and was one of the early cities to adopt language access policies.