Ohio faces cultural and linguistic challenges in trying to educate and market the state's new health insurance exchange to limited-English speakers and hard-to-reach populations.
Here are the most commonly spoken languages besides English for people over age 5 in the state:
Number of speakers Spoke English less than "Very Well"
Ohio Population Age 5 and Older 10,734,806 232,224
Spanish 220,860 85,486
German 56,444 14,512
Chinese 31,106 15,584
French 31,081 7,724
Arabic 25,305 7,757
Pennsylvania Dutch 23,306 8,315
Italian 19,876 4,792
Russian 14,829 7,641
Greek 13,157 3,540
Hindi12,458 2,093
Polish11,533 3,551
Vietnamese 11,225 6,714
Source: U.S. Census, 2007 estimates.

