SEARAC Health Policy Training Kham S. Moua, Director of National Policy
Lo Logi gistics cs WELCOME & OVERVIEW • When you log in, please rename yourself to include the name you go by and your pronouns, e.g. “Gina (she/her)” 2
Lo Logi gistics cs WELCOME & OVERVIEW • All attendees are placed on mute upon logging in. Please keep yourself muted through the presentation portions of the trainings. However, feel free to keep your camera on so we can see all your faces! • If you have any questions or experience technical difficulties, feel free to direct those inquiries to "Gina (she/her), TA". 3
Logi Lo gistics cs WELCOME & OVERVIEW • Note that these trainings will be recorded. The recordings will focus on our staff presenters and their slide decks, but if you prefer not to be recorded at all, you're welcome to turn off your camera and send any questions or reflections via chat! • Breakout rooms will NOT be recorded. 4
Ag Agenda Overview • In Introduc uctions WELCOME & OVERVIEW • 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 5
WELCOME & OVERVIEW 6 Moua S. M Kham S Kh
Remarks: Southeast Asian Health, A Local Perspective
Remarks from Vattana 8 , MPH Peong, M Vattana Pe Va
Solution is Community Ownership – Informed Decision Making – Responsive Programs/Services ! 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 10
Thank you! Vattana Peong, MPH vattanap@cambodianfamily.org www.cambodianfamily.org 11
Context Setting
So Social Determina nant nts s of Health Quality Healthcare Economic Stability (ACA and HEAA) (SNAP, SSI, Housing) HEALTHY PERSON Quality Education Safe Communities (no (affordability and access) criminalization, detention, and deportations) 13
SE SEAA Land ndsc scape Overview 40.00% 35.00% 30.00% 25.00% Cambodian 20.00% Hmong Laotian 15.00% Vietnamese 10.00% Total American Pop 5.00% 0.00% Poverty SNAP Public No Health Health Insurance Insurance Coverage Table 1. Source: U.S. Census Bureau, 2019 American Community Survey, 1-Year Estimates 14
Health Disparities Lack of linguistically and Unaddressed health culturally appropriate disparities care 50.00% 45.00% 40.00% 44% 35.00% Cambodian 30.00% Hmong 25.00% 29.80% 27.70% 28.70% Laotian 20.00% Vietnamese 15.00% Total American Pop 10.00% 5.00% 8% 0.00% Speaks English Less than "Very Well" Table 2. Source: U.S. Census Bureau, 2019 American Community Survey, 1-Year Estimates 15
Health He h Dispa parities Fall of Saigon: April 30, 1975 Genocide, displacement, Rise of the Khmer Rouge: starvation, guerilla Mental Health Conditions 1975 to 1979 warfare, separation, assimilation Last US Aircraft left Laos: May 14, 1975 • 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. 16
Health in the 116 th
Po Political al Context Legislative Judicial Congressional Court System Action (legal challenges) (laws and budgets) Executive Public/ Media Regulatory Process Diminished (implementation Narrative Shift of laws) access to health programs and services 18
Affor Af ordable Care Ac Act (A (ACA) A) Main Provisions Provision Significance Expanded Medicaid income eligibility to <138% of - Significant factor in the Federal Poverty Level (30 states) increased coverage Stabilize Marketplace through: - Made health care - Individual mandate overall more affordable - Prohibiting discrimination due to factors like pre- for everyone, not just existing conditions the young and healthy Required 10 Essential Health Benefits in Marketplace - Increased the overall plans quality of care - 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) 19
He Health h Dispa parities Conceal health Aggregate AANHPI Data disparities 20
Thr Threats to o the he ACA • 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 21
Pr Prot otecting ing Pr Pre-exi existing Conditions & Maki king He Healt lth Care Mor ore Affor ordable le Act 2019 19 Strengthens Lowers health protections for insurance people with pre- premiums existing conditions Reverses Trump Stops insurance Administration’s companies from sabotage that has selling junk health needlessly driven insurance plans up premiums and uninsured rates 22
He Healt lth Equit ity and nd Accou ount ntabilit ility Act (HE (HEAA) • In Introduc uced by the Tri-Cau Caucus to o every Con Congress since 2007 • 10 105 5 members rs of Cong ngress ss have cosp sponso nsored the bill ill TITLES Data collection Health workforce Improving health Addressing high Accountability and and reporting diversity outcomes for impact minority evaluation women, diseases children, and families Culturally and Improving health Mental health Health Addressing Social linguistically care access and information determinants and appropriate quality technology improving health and environmental health care justice 23
Healt He lth Equit ity and nd Accou ount ntabilit ility Act (HE (HEAA) • Better Data = better understanding of Improving data health disparities and how to address collection and reporting them • Holistically addressing factors that affect Addressing Social health = developing infrastructure to determinants of health address health disparities Culturally & • Appropriate services = better served and Linguistically healthier community appropriate health & mental health services 24
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 25
COVID-19
CO COVID-19 19 COVID-19 and SEAAs • Over 200,000 Deaths • More than 6.8 Million Cases • Asian Americans disproportionately impacted by COVID-19 27
De Deat aths Du During COVID-19 19 COVID-19 and SEAAs Data provided by the Marshall Project 28
SE SEARAC’ C’s s CO COVID Relief Priorities • In Increase Im Immigrant Access to Healthcare COVID-19 and SEAAs • 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 29
Questions?
Meeting Your Legislator
What Can Leg Wh egislators rs Do? Meeting Your Legislator • Investigate New Ideas • Ma Make laws • Commission research • Write a new law • Host a congressional briefing • Amend/change existing law • Create a sub-committee • Re Regulate laws ws Influence Public Opinion • • Require/request regulations Author an Op-Ed • to be created Communicate w/Constituents • • Request reports/evaluation Host a town hall • from agencies Come to a community event • • Cr Create national budget Write support letters for • • Fund programs CBOs Direct case management • 32
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