Health plans with Medicaid experience were positioned to respond more quickly than others to language service requirements. Their knowledge of language services, derived from responding to existing MediCal requirements and serving diverse populations, has provided a foundation for new efforts. This is less likely to be the case with commercial-only plans that face a steeper learning curve. Hence, commercial and Medicaid plans have been working collaboratively through the Industry Collaboration Effort (ICE), a nonprofit industry-based organization, to create and share materials for language service programs. 5 The collaboration of health plans under the direction of ICE has.