Washington, DC 

LEGISLATION UPDATE

Feb. 11, 2014, US Department of Health and Human Services announced latest data on the ACA enrollment for all states in the US, either with State Based Marketplaces (SBM) or Federally-facilitate Marketplaces (FFM):

The cumulative number of individuals that have selected a Marketplace plan between 10-1-13 and 2-1-14 (including those who have paid a premium and those who have not yet paid a premium) is 3.3 million. 

Americans making between the federal poverty level, $11,500 (100%FPL) for an individual and four times that, or $46,000 (400% FPL), qualify for government subsidies to offset the cost of their premiums. 62 percent have selected a Silver Plan.  82 percent of the persons who have selected a Marketplace plan have selected a Marketplace Plan with Financial Assistance.

After a disastrous start as a result of malfunctioning websites, the nonpartisan Congressional Budget Office revised downward its expectations on how many would enroll in the first year. Instead of 7 million, CBO now expects 6 million.

California, which is running its own marketplace, has enrolled more than 728,000 people—twice as many as any other state. Florida, which is relying on the federal exchange, has enrolled more than 296,000. New York, which has its own marketplace, has the third highest enrollment at 211,000. An estimated 6.3 million people have enrolled in Medicaid through the same period, officials said, but that number includes previous enrollees as well as those who are newly eligible under the law.

Most promising, according to the Department of Health and Human Services, is that 25 percent of those signing up for insurance from October through January were ages 18 to 34 — the young and presumably healthy people whom insurance companies need as customers in order to keep premiums reasonable for everyone, which has increased over last month.

Congressional Budget Office New Report on ACA: In its report, the CBO said the Affordable Care Act, a would reduce the number of hours worked by the equivalent of 2.5 million full-time workers by 2025. That means that workers will decide to reduce their hours, not that employers are reducing the number of jobs.

Latest on the ACA Enrollment for Latinos: "Enrollment problems are playing out in other states with large Hispanic populations as well, including Arizona and Texas...But California stands out as the most troubling case, proponents of the law say, because it has the most Latinos of any state and has worked hard to enroll them." (Jennifer Medina and Abby Goodnough, New York Times)  NHMA is asking for Latino health providers to participate in outreach efforts by contacting the Covered California office in Sacramento, which has information for your practices. Of note, NHMA president was in Sacramento and met with the Latino outreach officer to discuss assisting with media outreach in the Latino communities.

NHMA CONGRESSIONAL BRIEFING IN COLLABORATION WITH THE COMMISSION TO END HEALTH DISPARITIES, Feb 11, 2013 – Congresswomen Lucille Roybal-Allard, Congresswoman Donna Christensen, and Congressman Raul Ruiz welcomed the 100 participants to hear about Innovation Policy Recommendations to Reduce Health Disparities: 1) STEM Initiative should include health professions recruitment and retention;  2) Medicare Diabetes program should be expanded;

3) Disability policies need to be expanded to include targeted cultural competence to include minority populations.  

NHMA PROGRAMS UPDATE

NHMA California Leadership Fellowship, supported by the California Wellness Foundation, selects 10 physicians for public service leadership training in Sacramento, CA in May and in Washington, DC next spring. We hope to continue the effort that has been a tremendous success, nominating and appointing Hispanic physicians to federal government positions that provide input to health care decisions impacting Latino health care programs and policies.

NHMA Council of Residents Mentoring Program, supported by the Office of Minority Health at US DHHS – sign-up and contact John Aguilar at This email address is being protected from spambots. You need JavaScript enabled to view it. today to meet at the NHMA Conference

NHMA Mentoring and Leadership Program for Medical Students and Public Health Students – the 50 Mentees are all supported by the GE Foundation to participate in a special meeting with NHMA physicians at our Annual Conference  - these are our future community health leaders!

NHMA 2014 – NHMA 18th Annual Conference Update March 28-30, 2014

Register at www.nhmamd.org  for hotel, conference, and if you are interested in sponsoring, exhibits, ads in the conference program or stipends for more medical students to be brought to join our NHMA2014 Annual Conference at the Marriott Wardman Park Hotel, Washington DC March 28-30, 2014.

Thursday. Mar. 27 -  NHMA Board of Directors meeting and hearing from new Technology Project for Hispanic Health Apps ideas ---New NHHF Board Technology Committee to meet on Thursday evening with key physicians and technology leaders.  

Friday, Mar. 28 - NHMA takes physicians and medical students to Capitol Hill to meet Senate and Congress staff on key policies to eliminate health disparities, increase telemedicine, ACA prevention, and more! Also, Friday morning, HIV/AIDS Breakfast Symposium followed by Exhibit Hall to meet companies and federal government about career options and information for your patients.

Opening Session 1 pm with CMS Leader and presidents from the AMA, AAP, AAFP, ACP, NMA, AAIP, NCAPIP, NHMA, AAMC on the ACA impact on Hispanic patients ---followed by  NHMA Leadership Fellows Class of 2013 policy presentations on Prevention with Cultural Competence Management and Diversity at HHS.  Then workshops – then Interest Group Meetings --- planning the NHMA Fall Region Forums, Council of Residents and the NHMA GE Foundation Mentoring Programs, LMSA meeting and NHMA Council of Young Physician meeting.

LMSA Student Policy Section at the NHMA Annual Conference

Please join students and residents as we discuss policy issues relevant to Latino populations, learn the basics of health policy and contribute towards development of LMSA's policy platform at the Student Policy Section.  Students and residents will have additional opportunities to network and access mentoring resources from the NHMA community. 

For more information please visit lmsa.com/policy or contact the LMSA National Policy Chairs Orlando Sola (This email address is being protected from spambots. You need JavaScript enabled to view it.) and Ankeeta Mehta (This email address is being protected from spambots. You need JavaScript enabled to view it.).

Saturday, Mar. 29-  starts with Cancer Treatment Centers of America Breakfast Symposium followed by  the Plenary on the ACA Accountable Care Organization and Pt Centered Medical Home with speakers from Wellpoint, Texas Blue Cross, NY Presbyterian Cornell Medical Center. Luncheon Speech will be the new EPA Administrator followed by workshops  on medical education, mental health and primary care training, private practice survival techniques – contracts, bank loans, ICD Coding, and technology and social media, and research on Hispanics with chronic disease, obesity and nutrition, and more!  Saturday Evening Awards Gala -- Keynote Speaker: Dr Garth Graham, Aetna Foundation President; Awards to Congressmen Xavier Becerra, Raul Ruiz, Henry Waxman, and Congresswoman Ross Lehtinen, Dr. France Cordova, Wellpoint, Dr. Richard Izquierdo, Dr. Nellie Correa, and more.

Sunday, Mar. 30 -  NHMA Leadership Institute – join the panel of leaders from the White House, Office of Personnel Management, Korn Ferry executive search firm, Office of Minority Health at US DHHS, and FDA inform you on the preparation for careers on Boards and Commissions for Federal government or for corporate boards, hospital boards and more leadership positions.

We will end with a special Media Training ---so again, REGISTER FOR THE CONFERENCE TODAY!  www.nhmamd.org

Medical Educators, Researchers, Private Clinicians in practices, clinics, hospitals and Public Health experts in local, State and Federal government positions ---join the NHMA network and learn expert and current medical management, prevention, mental health and research as well as new best practices to maintain your important health care delivery programs, medical practices for Hispanic populations.

MEMBERSHIP UPDATE

NHMA Fellow – Dr. Alicia Fernandez of UCSF faculty named to Patient Centered Outcomes Research Institute – we are proud to nominate one of our own to this important national research organization, part of the ACA.

NHMA Fellow – Dr. Jose Luna, CEO of Centro San Vicente Community Health Center in El Paso, Texas, participated with the White House enrollment event in El Paso that was a pilot activity for the Latino Outreach events to enroll more uninsured in the Marketplaces of the ACA for affordable health care insurance.  Other physicians provided to White House for future events for LATINO ENROLLMENT WEEK – February 24-28, 2014.

Dr. Jorge Girotti represents NHMA to the Latino Medical Student Association Midwest Conference to educate premedical students on how to prepare to apply to medical school and to introduce medical students to the NHMA Organization.

Dr. Kathy Flores appointed to participate with the Josiah Macy Jr. Foundation Inter-Professional Education Summit in April to focus on community efforts for new training programs about Hispanic patients.

Dr. Elena Rios appointed to the National Multicultural Advisory Council for WELLPOINT to develop Hispanic patient and physician outreach that will be needed as ACA increases more Hispanic participation.  And meets with the Sacramento CA Leaders at the Office of Statewide Health Planning Foundation, the Latino Coalition for a Healthy California, the new California State Health Department Office of Health Equity to discuss leadership of physicians in California and working with NHMA. 

ANNOUNCEMENTS

CVS announces it will end the sales of cigarettes and other Tobacco products in its stores.

Fifty years following the release of the landmark 1964 Surgeon General’s Report, tobacco use rates have declined, lung cancer death rates are falling and most patients visiting health care settings are now asked about  tobacco use as part of the history and physical.

The Robert Wood Johnson Foundation announces they are ending major leadership training programs in order to develop the next generation of funding for a “Healthy Culture.”  Risa Lavizzo-Mourey, MD, MBA, President and CEO,   invites health leaders to join: the RWJF Leadership Network at www.rwjf.org/leadershipnetwork.  In addition, Dr. Lavizzo-Mourey has announced in her 2014 Message that the Foundation will be closing several long-standing leadership training programs in a major shift for the future funding. The following principles will guide the RWJF as we design new initiatives in Human Capital. We will:

- Significantly expand the number of leaders and scholars we support

- Use advances in technology to create networks and increase the flow of ideas

- Include interdisciplinary and team-based approaches

- Nurture more leaders and scholars who reflect our country’s rich diversity

-Incorporate more deliberate leadership development

-Connect and support leaders who are building a culture of health in America

Salud America! Growing Healthy Change new website ---resources for change

Salud America! is a national online network of researchers, community group leaders, decision-makers, and members of the public working together to support healthy policy and environmental changes that can help reverse obesity among Latino children. The network, funded by the Robert Wood Johnson Foundation, is a project of the Institute for Health Promotion Research (IHPR) at The UT Health Science Center at San Antonio.

Opportunities for Physicians in Las Vegas with Southwest Medical Associates

Bright lights and a great lifestyle! Southwest Medical Associates is proud to announce a variety of opportunities for physicians in Las Vegas, including:

- Gastroenterology

- Hospitalist

- Obstetrics & Gynecology

- Outpatient Internal Medicine or Family Medicine

- Pediatrics

- Urology

Looking for financial stability in a growing, collegial practice, that also offers a superb lifestyle?  Southwest Medical Associates, Nevada's largest multi-specialty physician group with over 200 physicians, is affiliated with Nevada's largest health plan, Health Plan of Nevada, a diversified health care and insurance corporation

We seek board certified physicians with superior diagnostic and preventive medicine skills to join our team! 

You will have the opportunity to work in attractive/modern buildings and enjoy an electronic medical record environment.  A full-time management staff, digital radiology and onsite laboratory services add conveniences at our 14 clinic locations throughout the Las Vegas area.

We offer:

- Market competitive salary, plus attractive bonus plan

- Comprehensive benefits package which includes: medical, dental and life insurance, short term/long term disability, professional liability insurance, matching 401K,  PTO, CME days and annual CME allowance,  and paid holidays.

Contact Kaitlin Osborn today for further information at This email address is being protected from spambots. You need JavaScript enabled to view it. or (952) 936-3888!

Vida Senior Centers - Position Announcement

Vida  Senior Centers, a nonprofit organization based in Washington, DC, serving low-income, mostly Hispanic seniors, seeks an Executive Director to implement the policies and plans set by the board of directors. The ED will be responsible for directing, overseeing and evaluating the work of 31 staff members in three sites, including management of work toward annual goals, objectives, financial, programmatic, reporting to funding agencies, fund raising, and representing the organization externally. Vida provides culturally and linguistically appropriate services such as psychological and nutrition counseling, exercise and recreation, meals, and referrals to other service providers.

PhD or master's degree preferred, and a minimum of five years of administrative experience with increasing responsibility. Substantial experience in a supervisory capacity, preferably working with a nonprofit organization, is a plus.  Bilingual in English and Spanish preferred.  Competitive salary.

Send application letter with resume and a minimum of three letters of reference to:

Sara E. Meéendez - Savage/Meléndez & Associates, LLC.

This email address is being protected from spambots. You need JavaScript enabled to view it.">This email address is being protected from spambots. You need JavaScript enabled to view it.

571-312-2709


1920 L St., NW, Suite 725
Washington, DC 20036
Phone: 202-628-5895
Fax: 202-628-5898
Email: nhma@nhmamd.org