LEGISLATIVE UPDATE

 

CDC Resources for EBOLA VIRUS DISEASE:

 

We encourage you to visit the CDC Ebola website for the most updated information on the Ebola virus outbreak and to share this information with your colleagues and networks. The CDC recently posted the following resources to help practicing physicians and health care teams best identify risks related to Ebola and treat accordingly:

Ebola Virus Disease - Stages of hemorrhagic fever: Ebola virus particles occupy an infected person’s blood and other bodily fluids, which can enter another person through the eyes, mucous membranes, scratches on the skin or from a hypodermic needle — not from the air or from insects. The bodies of people who have died of the disease are highly infectious. Without protective equipment, shaking hands with an Ebola patient or being within three feet of a patient for long periods of time is less risky, but not advisable. Tthe incubation period, after infection and before the person becomes symptomatic, typically lasts about a week, or as long as three weeks.

 

Person Under Investigation (PUI) :A person who has both consistent symptoms and risk factors as follows:

 

·         Clinical criteria, which includes fever of greater than 38.6 degrees Celsius or 101.5 degrees Fahrenheit, and additional symptoms such as severe headache, muscle pain, vomiting, diarrhea, abdominal pain, or unexplained hemorrhage; AND

 

·         Epidemiologic risk factors within the past 21 days before the onset of symptoms, such as contact with blood or other body fluids or human remains of a patient known to have or suspected to have EVD; residence in—or travel to—an area where EVD transmission is active*; or direct handling of bats or non-human primates from disease-endemic areas.

 

Levels of exposure risk are defined as follows:

 

High risk exposure: includes any of the following:

 

  • Percutaneous (e.g., needle stick) or mucous membrane exposure to blood or body fluids of EVD patient
  • Direct skin contact with, or exposure to blood or body fluids of, an EVD patient without appropriate personal protective equipment (PPE)
  • Processing blood or body fluids of a confirmed EVD patient without appropriate PPE or standard biosafety precautions
  • Direct contact with a dead body without appropriate PPE in a country where an EVD outbreak is occurring*

Low risk exposure: includes any of the following:

  • Household contact with an EVD patient
  • Other close contact with EVD patients in health care facilities or community settings. (Close contact is defined as being within approximately 3 feet of an EVD patient or within the patient’s room or care area for a prolonged period of time (e.g., health care personnel, household members) while not wearing recommended personal protective equipment.
  • Having direct brief contact (e.g., shaking hands) with an EVD patient while not wearing recommended personal protective equipment.

 

COUNTRIES: Guinea, Liberia, Nigera, Sierra Leone, Senegal

 

You can only get Ebola from:

  • Touching the blood or body fluids of a person who is sick with or has died from Ebola.
  • Touching contaminated objects, like needles.
  • Touching infected animals, their blood or other body fluids, or their meat.

 

On September 30th, the White House announced the ACA was ensuring Access to Affordable Health Care: The Affordable Care Act is making health care more accessible and affordable for Latinos who were previously locked out or priced out of quality health insurance.  Millions of Latinos have already gained coverage through Medicaid and the Health Insurance Marketplace, and millions more will be able to sign up for coverage in the months to come.

 

·        The Obama Administration has made great strides in giving Latinos greater control over their health care. Latinos, who have had the highest rates of uninsured, are one of the groups that benefit most from the Affordable Care Act.

  • 8.8 million Latinos with private insurance now have access to expanded preventive services with no cost sharing
  • 913,000 Latino young adults between ages 19-25 were able to stay on a parent’s insurance.
  • An estimated 4.9 million Latinas with private health insurance now have guaranteed access to women’s preventive services without cost sharing.

 

HHS DSH REPORT – September 24th - Projections suggest that hospitals in states that have expanded Medicaid under the Affordable Care Act will see greater savings than hospitals in states that have not expanded Medicaid. (4.2 billion, which makes up about 74 percent of the total savings nationally this year vs $1.5 billion or 26 percent of the total savings nationally).

 

Medicaid expansion continues to help an unprecedented number of Americans access health coverage, many for the very first time.  According to a recent report, as of July, nearly 8 million additional individuals are now enrolled in Medicaid and the Children’s Health Insurance Program (CHIP), compared to before open enrollment in the Marketplace began in October 2013.

 

HHS Marketplace Report for 2015 - There will be a net 25 percent increase in the number of issuers offering Marketplace coverage in 2015.  In total, 77 new issuers will offer Marketplace coverage increasing access to healthcare for our communities.

 

NHMA Upcoming Policy Briefings: NHMA actively creates policy recommendations to advocate for our communities healthcare issues.

 

Diversity in Medicine and Research with National Institute of Minority Health and Health Disparities, NMA, AAIP, NCAPIP, AAMC, NIH Campus, Bethesda, MD, Dec. 9-10th, by invitation.

 

Early Child Obesity for Hispanics with the W.K. Kellogg Foundation with the State Legislators of CA and NY, winter 2015; and

 

Hispanics and Hepatitis C with Abbvie in Sacramento, CA and Austin, TX and Washington, DC, spring 2015.

 

Issues that NHMA is working on for advocacy: 

 

Networks for private physicians who are culturally competent and bilingual with insurance plans need to be expanded not narrowed. Private practices, private dental practices, local pharmacies need to be supported in this era of transition. Primary Care bonuses for primary care extension.

 

Medicaid and CHIP extension/reauthorization. Healthcare professional workforce – STEM - Recruitment for Medical School. Veteran’s Access to Healthcare in our communities.

 

Other issues ? ---send in your advocacy needs to This email address is being protected from spambots. You need JavaScript enabled to view it..

 

NHMA PROGRAMS UPDATE

 

NHMA 19th Annual Conference, “Effective Strategies to Improve Healthcare for Hispanics in our Local Communities” Opportunities:

  • Speaker Abstracts:  If you are interested in speaking at our annual conference or would like to nominate an individual, our abstract form is now available and we are accepting submissions.  Please be sure to submit the completed form by October 31, 2014.  You can download the Abstract Submission from www.nhmamd.org. For more information, contact Teresa Chapa, PhD, NHMA Executive Director at This email address is being protected from spambots. You need JavaScript enabled to view it..
  • Hispanic Health Research/Service Learning Posters: If you or faculty, residents, or health professional students are interested in presenting a poster – please complete the Poster Summary on our website by Feb. 15, 2015.
  • Capitol Hill Visits, Fri. Mar. 27 Morning: NHMA organizes visits to Senate and Congress offices to advocate for our priorities to improve healthcare in Hispanic communities and increase access to ACA programs.
  • Awards Gala, Sat. Mar. 28: Keynote Speaker: Sandra Hernandez, MD, MPH, President, California Healthcare Foundation (invited)

 

Leadership Institute for Health Equity in America, Sun. Mar. 29: As in the past,NHMA invites presidents of national Hispanic health professional associations as well as new this year, presidents from African American, Asian American/Pacific Islander, Native American, and Hispanic health professional associations and CBOsto learn from experts how to prepare for public and private leadership positions in HHS and the VA as well as Federal boards, and on corporate, health industry, university boards of trustees.

 

NHMA Leadership Fellowship – a year-long Executive Leadership Program for 10 mid-career physicians that has produced over 120 Fellows from across the nation who are in leadership trajectories in healthcare. Application consists of form with statement of interest, CV with documented leadership, and recommendation letter. Program for Class of 2015 to begin with a 2 day Orientation (Mar. 25-26) prior to the NHMA Conference in Washington, DC followed by a Summer Webinar Series on Leaders and a 4 day Washington, DC Leadership Institute in September, 2015. Policy Analysis Teams will be meeting with faculty and other Fellows and will present at NHMA Conference in 2016 at third meeting. Program Fee is $10,000. Applications on website, deadline January 31, 2015.

 

NHMA Member Appointments Program  - NHMA collaborates with the US Department of Health and Human Services, VA, and White House Office of Presidential Personnel, Congressional Hispanic Caucus to identify senior executives for Federal service, researchers for NIH research positions, as well as for part-time leadership positions on national Boards and Commissions, Boards of Directors in the Corporate Sector and for non-profit education institutions and hospitals and clinics.  For those interested, contact E. Rios today at (202) 628-5895.

 

NHMA Mentoring Programs for Residents and Undergraduate Students – programs have monthly communications with mentors assigned in the Fall of each year for one year. See applications on website www.nhmamd.org.  All mentors and mentees are encouraged to attend NHMA Annual Conference (Spring) and Region Forums (Fall). For more information, contact John Aguilar at This email address is being protected from spambots. You need JavaScript enabled to view it..  If you would like to sign up as a mentor please complete the following form: https://docs.google.com/a/nhmamd.org/forms/d/1dVWwgJl-jSFppj9YlVFF0AIBQljZvom5XHCerjZUlQY/viewform

 

NHMA – GE Medical Student Mentoring Program - up to 50 medical students encouraged to apply from the 6 areas: California (primarily Los Angeles area), San Antonio, Chicago, NYC, Atlanta and Miami, interested in primary care and community healthcare delivery in Hispanic communities. Deadline of November 1st.  Students will be assigned mentors in November and have a webinar to start the program before the holidays. Students are also required to minimum of monthly contact with mentors, preceptorship for 2-3 days at a community practice/clinic and to attend the NHMA Annual Conference in Washington, DC. (transportation, hotel, registration covered).We are seeking mentors who are primary care physicians in Hispanic communities in these areas.

 

NHMA Resident Mentoring Program:  for residents/fellows interested in learning about leadership and career opportunities by mentoring from physicians in the fields – academic research, academic clinician, clinician, public health/administrator. NHMA seeks physicians to be mentors to the students in these four career tracks.

 

NHMA Recruitment to Medical School Conferences with the University of Texas Health Science Center, San Antonio on Nov. 8th and at Charles R Drew University, Los Angeles in 2015 first quarter. NHMA is now mentoring 90 medical students interested in applying to medical school this year. Support provided by the US Department of Health and Human Services Office of Minority Health.  We are seeking mentors from the Latino Medical Student Association. Next year, NHMA to formalize the Pre-Health Students networks in our 6 Regions.

 

NHMA California Leadership Fellowship Class of 2014 is working on their policy team projects and considering their applications to State public health policy appointments. This program is supported by the California Wellness Foundation.

 

NHMA Region Forums on ACA Updates, “Covered Hispanics Campaign” with the US Department of Health and Human Services will occur with the HHS Region Directors, CMS and State Marketplace Officials from 6:00 – 8:00 pm. Join us to network with NHMA Leaders and to hear about the ACA Update and Outreach for your patients or employees:

  • U.S. Capitol Hill Visitor Center, Washington, DC – Oct. 23rd
  • Courtyard Marriot Riverwalk Hotel, San Antonio – Nov. 8th

Sponsors include the University of Indiana Medical School, Cancer Treatment Centers of America, Blue Cross of Illinois, Blue Cross of Texas, Transamerica HealthCare, and others.  The NHMA Council of Residents will host a Mentoring Program in the hour following the program. All interested in attending either or both events – please RSVP at http://nhmamd.org/index.php/events/regional-events the Friday prior to the event.

 

NHHF Child Obesity Public Affairs and Public Affairs projects are currently underway in California and New York with the physician teams who assisted NHHF with their State Summits on Early Child Obesity Reduction supported by the WK Kellogg Foundation. NHMA Team meeting with the US Surgeon General takes place this month to advocate for Hispanic Obesity Recommendations from our 2013 Summits.

 

NHMA MEMBERS and SERVICES UPDATE

 

RC21X: The Thermometer for your BrainSM

 

RC21X is revolutionary brain performance monitoring program that serves as a valuable assessment tool for primary care physicians whose patients suffer from any number of issues such as ADHD, ADD, Alzheimer’s, Parkinson’s, Sleep Deprivation, Substance Abuse, Concussions, TBI and Pharmaceutical Side Effects.

 

NHMA has partnered with RC21X to raise funds for important community initiatives and rais e awareness of brain health. From now through January 31, 2015, on every RC21X subscription purchased at $50.00/year, NHMA will receive 50% of the proceeds. These dollars will go directly to support a variety of NHMA programs such as mentoring high-school students who are interested in becoming medical professionals.

 

Share RC21X with your patients, family and friends and help them better manage health issues that affect the brain...and help the NHMA generate funds for key community projects.

 

Learn more about the RC21X-NHMA fundraiser by going to: http://nhma-rc21x-fundraiser.gr8.com/

 

NHMA Board Committees: Conference, Technology, Membership, Development, and Communications are seeking members. Call Kessia Cruz, NHMA Administrative Assistant at (202) 628-5895 today to participate in our leadership.

 

White House Presidential Personnel Office has requested NHMA to nominate more Latino Leaders interested in positions with the Obama Administration – either full-time or part-time on Federal commissions. Send your resume to John Aguilar know at This email address is being protected from spambots. You need JavaScript enabled to view it. if interested right away.

 

NHMA Physicians Present at the UC Davis PreHealth Conference – Adam Aponte, MD, Hofstra, Charles Vega, MD, UC Irvine, Bonnie Maldonado, MD, Stanford and Elena Rios, MD, NHMA all presented. Of note, Rios and Priscilla Gonzalez-Leiva, RN had great meeting with LMSA Davis Chapter on increased mentoring with NHMA physicians!

 

CMS Webinar in Honor of Hispanic Heritage Month

“From Coverage to Care”: Connecting the Hispanic Community to New Opportunities for Better Health on Oct. 15th. CMS commemorated Hispanic Heritage Month by hosting a webinar that addresses health disparities and access to care within the Hispanic community.  This webinar  highlighted the opportunities afforded to millions of Hispanics under the Affordable Care Act (ACA).  Additionally, it will provide tips to help connect the Hispanic community to coverage and resources to help them understand their coverage and how to use it to achieve better health. Hosted by the CMS Office of Minority Health (OMH) working collaboratively with the Office of Equal Opportunity and Civil Rights (OEOCR).

 

Speakers included: Elena Rios, MD, MSPH, President and CEO of the National Hispanic Medical Association, Mayra E. Alvarez, MHA, ACA State Exchange Group, CMS,Cara V. James, PhD, Director, CMS Office of Minority Health and a Community Health Center Leader. Slides available at go.cms.gov/cms-omh. New Roadmap to Care for Consumers:  http://marketplace.cms.gov/c2c

 

ANNOUNCEMENTS

 

October 16, 2014 Webinar on “Investment & Tax Strategy Fundamentals”

My eCFO will be hosting a webinar for NHMA members on October 16th from 6:00 – 7:00 PM PDT.  The webinar’s goal is to provide you with the basic fundamental concepts of effective investment and tax strategies, and set the stage for more in-depth discussions in the future.

Space is limited.  If you are interested please be sure to RSVP by going to the following link: https://www3.gotomeeting.com/register/191300422

 

NHMA Technology Survey: Our board or directors’ technology committee plans to develop projects that can provide services to our members.  We please ask that you complete the following 10 minute survey to assist us with the planning of our technology projects for the year.  Thank you in advance for your participation!

Link to survey: https://www.surveymonkey.com/s/NHMAtechnologysurvey

 

FUNDRAISING EFFORT with AMAZON: National Hispanic Health Foundation educational activities for NHHF and NHMA

Amazon donates 0.5% of the price of your eligible AmazonSmile purchases to the charitable organization of your choice.  We please ask that you sign up in order to support the next generation of our health workforce.  To sign up please visit: https://smile.amazon.com/

Save the Date: Environmental Challenges and Health Disparities: Caño Martin Peña, San Juan, Puerto Rico, November 12, 2014

 

The Environmental Protection Agency (EPA) along with the Commonwealth of Puerto Rico are working with local organizations to improve water quality and water infrastructure. Climate change now presents a new series of new threats. The issues facing the community go well beyond water quality and environmental exposures.

 

Please join us on Wednesday November 12, 2014 from 9:00am – 4:00pm for a day-long summit about the Caño Martin Peña. Leading Pediatrician Dr. Perry Sheffield, will discuss a health assessment that Mount Sinai Hospital recently conducted in the communities of the Caño Martin Peña.  Lyvia Rodriguez, Executive Director of ENLACE will provide the latest information from the community and the long term community planning.

 

This one day meeting will include a walking tour of the community, a boat tour of the San Juan Bay Estuary and an opportunity for dialogue and planning.

 

For further information and to RSVP please contact: Claudia Gutierrez, Senior Advisor to the Regional Administrator, EPA Region 2 at 212-637-5036 or This email address is being protected from spambots. You need JavaScript enabled to view it.

 


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