SEARAC Health Policy Training Kham S. Moua, Director of National - - PowerPoint PPT Presentation

SEARAC Health Policy Training

Kham S. Moua, Director of National Policy

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WELCOME & OVERVIEW

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WELCOME & OVERVIEW

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WELCOME & OVERVIEW

Ag Agenda Overview

• In

Introduc uctions

• Rema

Remarks

• SE

SEAA Heal alth Context

• Me

Meeting Your Legislator

• Sm

Smal all Group Break ak Outs

• Mo

Mock k Sessions

• Clo

Closing sing and nd Remind inders

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WELCOME & OVERVIEW

Kh Kham S

• S. M

Moua

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WELCOME & OVERVIEW

Remarks: Southeast Asian Health, A Local Perspective

Va Vattana Pe Peong, M , MPH

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Remarks from Vattana

v Increase residents’ leadership and advocacy skills v Increase opportunities for residents to civically engage in their community v Increase awareness of issues within the ethnic/minority communities especially in regards to health disparities v Mobilize & engage LEP residents in advocating for mental health policies and services that are responsive to the needs of underserved communities

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Solution is Community Ownership – Informed Decision Making – Responsive Programs/Services !

Thank you!

Vattana Peong, MPH vattanap@cambodianfamily.org www.cambodianfamily.org

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Context Setting

So Social Determina nant nts s of Health

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Quality Healthcare (ACA and HEAA) Economic Stability (SNAP, SSI, Housing) Quality Education (affordability and access) Safe Communities (no criminalization, detention, and deportations) HEALTHY PERSON

SE SEAA Land ndsc scape Overview

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Table 1. Source: U.S. Census Bureau, 2019 American Community Survey, 1-Year Estimates

0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 40.00% Poverty SNAP Public Health Insurance No Health Insurance Coverage Cambodian Hmong Laotian Vietnamese Total American Pop

Health Disparities

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Lack of linguistically and culturally appropriate care Unaddressed health disparities

Table 2. Source: U.S. Census Bureau, 2019 American Community Survey, 1-Year Estimates

29.80% 27.70% 28.70% 44% 8% 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 40.00% 45.00% 50.00% Speaks English Less than "Very Well" Cambodian Hmong Laotian Vietnamese Total American Pop

He Health h Dispa parities

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Fall of Saigon: April 30, 1975 Rise of the Khmer Rouge: 1975 to 1979 Last US Aircraft left Laos: May 14, 1975 Genocide, displacement, starvation, guerilla warfare, separation, assimilation Mental Health Conditions

• 62% of older Cambodian adults experienced symptoms of PTSD and

51% had major depression compared to 3% of the general population in the United States who experience major depression.

• There are only 70 Asian American Pacific Islander mental health

providers are available for every 100,000 AAPIs in the United States.

Health in the 116th

Po Political al Context

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Diminished access to health programs and services

Executive Regulatory Process (implementation

• f laws)

Judicial Court System (legal challenges) Legislative Congressional Action (laws and budgets) Public/ Media Narrative Shift

Af Affor

• rdable Care Ac

Act (A (ACA) A)

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Main Provisions Provision Significance Expanded Medicaid income eligibility to <138% of Federal Poverty Level (30 states)

• Significant factor in the

increased coverage Stabilize Marketplace through:

• Individual mandate
• Prohibiting discrimination due to factors like pre-

existing conditions

• Made health care
• verall more affordable

for everyone, not just the young and healthy Required 10 Essential Health Benefits in Marketplace plans

• Ambulatory hospital care – Emergency services –

Hospitalization – Prescription drug coverage – Pregnancy, maternity, newborn care – Mental health services and substance use disorder services – Rehabilitative and habilitative services – Laboratory services – Preventive and wellness services – Pediatric services (oral and vision)

• Increased the overall

quality of care

He Health h Dispa parities

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Aggregate AANHPI Data Conceal health disparities

Thr Threats to

• the

he ACA

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• SC

SCOTU TUS S Oral al Argu guments on Nov. . 10

• Ne

New w SCOTUS US makeup could str trike down wn ACA

• SC

SCOTU TUS S de deci cision likely in Sp Spring g 2021

Pr Prot

• tecting

ing Pr Pre-exi existing Conditions & Maki king He Healt lth Care Mor

• re Affor
• rdable

le Act 2019 19

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Lowers health insurance premiums Strengthens protections for people with pre- existing conditions Stops insurance companies from selling junk health insurance plans Reverses Trump Administration’s sabotage that has needlessly driven up premiums and uninsured rates

He Healt lth Equit ity and nd Accou

• unt

ntabilit ility Act (HE (HEAA)

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• In

Introduc uced by the Tri-Cau Caucus to

• every Con

Congress since 2007

• 10

105 5 members rs of Cong ngress ss have cosp sponso nsored the bill ill

TITLES Data collection and reporting Health workforce diversity Improving health

• utcomes for

women, children, and families Addressing high impact minority diseases Accountability and evaluation Culturally and linguistically appropriate health and health care Improving health care access and quality Mental health Health information technology Addressing Social determinants and improving environmental justice

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• Better Data = better understanding of

health disparities and how to address them

Improving data collection and reporting

• Holistically addressing factors that affect

health = developing infrastructure to address health disparities

Addressing Social determinants of health

• Appropriate services = better served and

healthier community

Culturally & Linguistically appropriate health & mental health services

He Healt lth Equit ity and nd Accou

• unt

ntabilit ility Act (HE (HEAA)

SE SEARAC’ C’s s 2021 1 Health Priorities

• Acce

Access to Af Afforda dabl ble Health Care through gh ACA A and d Me Medicaid

• Congress must prioritize increasing access to healthcare by

expanding access to the ACA and Medicaid, including to undocumented immigrants

• Fu

Fund C Culturally C Comp mpetent M Mental H Health

• Fund culturally competent mental health, including in schools
• Re

Reducing SEAA Health h Care Disparities

• Support and Reintroduce the Health Equity and Accountability

Act (HEAA)

• Acce

Access to Soci cial Safety Net Progr grams

• Protect and increase funding for social safety net programs like

SNAP and WIC

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COVID-19

CO COVID-19 19

• Over 200,000 Deaths
• More than 6.8 Million Cases
• Asian Americans disproportionately impacted by COVID-19

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COVID-19 and SEAAs

De Deat aths Du During COVID-19 19

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Data provided by the Marshall Project

COVID-19 and SEAAs

SE SEARAC’ C’s s CO COVID Relief Priorities

• In

Increase Im Immigrant Access to Healthcare

• Clarify that emergency Medicaid covers COVID-19 to allow noncitizens

access to COVID-19 testing, treatment, and eventual vaccines. Eliminate immigration restrictions on eligibility for health programs.

• Dis

Disaggregate ted Da Data ta and Langua uage Access

• Translate materials into the 39 Languages identified in DHS’s 2012 Language

Access Plan

• Address in-person communications needs, particularly at COVID-19 testing

and treatment sites

• Disaggregate data collected and reported
• In

Increased Relief for Families

• ITINs
• Unemployment
• Housing
• Immigration Relief
• Education Funding
• Pa

Pass the he HEROES Ac Act or Equ quiva valently Robust COVI VID Relief Bill

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COVID-19 and SEAAs

Questions?

Meeting Your Legislator

• Ma

Make laws

• Write a new law
• Amend/change existing law
• Re

Regulate laws ws

• Require/request regulations

to be created

• Request reports/evaluation

from agencies

• Cr

Create national budget

• Fund programs
• Investigate New Ideas
• Commission research
• Host a congressional briefing
• Create a sub-committee
• Influence Public Opinion
• Author an Op-Ed
• Communicate w/Constituents
• Host a town hall
• Come to a community event
• Write support letters for

CBOs

• Direct case management

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Wh What Can Leg egislators rs Do?

Meeting Your Legislator

• Scheduling a meeting with the member
• Call their district office (during recess) or their D.C. office if

in D.C.

• Ask to get the email of their scheduler
• Email the scheduler a request to meet the member
• Scheduling a meeting with the staffer
• Call their district office (during recess) or their D.C. office if

in D.C.

• Ask for the email of the staffer handling the issue portfolio
• Email the staffer to arrange a meeting, insist on a video

teleconference meeting

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Sc Schedul uling ng Your ur Meeting ng

Meeting Your Legislator

• Know Your Elected
• Have an agenda
• Know Your Issue
• Know What You Want

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Pr Prepar aring For Your Meeting

Meeting Your Legislator

DO’s DO’s an and d DON DON’T ’Ts

• DO
• Have a conversation
• Goal: 60/40
• Ask questions of the

member or staffer

• Treat other people with

respect

• DON’T
• Lie
• Get mad that you’re not

meeting with a member

• Be rude or disrespectful
• Expect a staffer to be

resonate emotionally

• Threaten the member or

their staff

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Meeting Your Legislator

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• Introduction
• Issue
• Data
• Story
• Ask

Yo Your Meeting

Meeting Your Legislator

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• Send an Email
• Follow-up on your ask
• Build a relationship
• Keep the lines of communications open

Fo Follo llowing ing Up

Meeting Your Legislator

Knowing Your Elected: Framing Your Issue

• Things to consider -
• What is their background?
• What is the SEAA population in their state?
• Who do they care about?
• What is their history on your issue?
• What industries are important in their state?
• What caucuses and committees do they belong to?

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Fr Framing the Issue

Knowing Your Elected Officials

• Former Prosecutor
• Moderate Dem
• Sympathetic to women

and children

• Did not cosponsor

HEAA in 115th

• Believes in universal

coverage, but not Medicaid for all.

• Senate Judiciary
• Caucuses
• Women’s Issues

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Se Sena nator Amy Kl Klobuch char (M (MN-D) D)

Knowing Your Elected Officials

Questions?

Small Group Activity

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• Which Member Are You Meeting?
• Identify –
• Your Issue
• Your Data
• Your Story
• Your Ask
• Identify Group Roles

Mo Mock Legislat ative Me Meetings

Mock Legislative Meetings

Thank You!

SEARAC’s Digital Advocacy Training is generously sponsored by

Questions?

• kham@searac.org