A study of immigration trends in Missouri brings a recommendation that the state work harder to comply with the federal civil rights act. A joint legislative committee has spent two years considering how the state should deal with the thousands of people who come here and cannot speak the English language. Committee co-chairman Deleta Williams of Warrensburg says those who provide health care need to make sure they understand the patient, and the patient understands them. The legislative committee also recommends a temporary loosening of requirements for certification of teachers of English as a Second Language. Backers say the educational system is falling far behind the need.