NHMA January 2016 Newsletter

Washington, DC

 

LEGISLATIVE UPDATE

As the Presidential Campaign Season progresses, NHMA encourages all to register to vote and to take part in the voting process and pay attention to the support of the Affordable Care Act which has increased access to prevention services, healthcare and mental healthcare, and more coordinated patient-centered care ---

 

Jan. 31 is the end of Open Enrollment for eligible persons to apply for health insurance through the State or CMS Marketplace – see HealthCare.gov to sign-up and for more information. According to a new report released this month, more than 8 in 10 people (83 percent) who selected or were automatically enrolled in a 2016 plan through the Marketplace qualify for a tax credit with an average value of $294 per month, or about 72 percent of the pre-tax credit premium.

 

The Dietary Guidelines for Americans have been updated.  NHMA supports the new focus on more variety of healthy foods and beverages and encourages you to educate your patients and networks in Hispanic communities across the nation.

 

Importantly, the guidelines suggest Americans should consume:

·                     A variety of vegetables, including dark green, red and orange, legumes (beans and peas), starchy and other vegetables

·                     Fruits, especially whole fruits

·                     Grains, at least half of which are whole grains

·                     Fat-free or low-fat dairy, including milk, yogurt, cheese, and/or fortified soy beverages

·                     A variety of protein foods, including seafood, lean meats and poultry, eggs, legumes (beans and peas), soy products, and nuts and seeds

·                     Oils, including those from plants: canola, corn, olive, peanut, safflower, soybean, and sunflower. Oils also are naturally present in nuts, seeds, seafood, olives, and avocados

Further, Americans should be encouraged to consume:

·                     Less than 10 percent of calories per day from added sugars. ChooseMyPlate.gov provides more information about added sugars, which are sugars and syrups that are added to foods or beverages when they are processed or prepared. This does not include naturally occurring sugars such as those consumed as part of milk and fruits

·                     Less than 10 percent of calories per day from saturated fats. The Nutrition Facts label can be used to check for saturated fats. Foods that are high in saturated fat include butter, whole milk, meats that are not labeled as lean, and tropical oils such as coconut and palm oil

·                     Less than 2,300 milligrams (mg) per day of sodium for people over the age of 14 years and less for those younger. The Nutrition Facts label is a helpful tool to check for sodium, especially in processed foods like pizza, pasta dishes, sauces, and soups

 

H.R.2927 - To authorize Hispanic-serving institutions receiving grants under part A of title V of the Higher Education Act of 1965 to use such grant amounts to assist students in entering medical schools, and for other purposes – through mentoring, counseling with national associations and accrediting bodies that would encourage use of STEM funds for premedical student pathways from community colleges to 4 yr institutions of higher education to medical schools.  NHMA encourages you to send letters of support to NHMA and to the Sponsors of the Bill:

Congressman Joe Heck (R-NV)

132 Cannon HOB

Washington, DC 20515

Phone: (202) 225-3252
Fax: (202) 225-2185

 

Congressman Raul Ruiz (D-CA)

1319 Longworth HOB

Washington, DC 20515

Phone: (202) 225-5330
Fax: (202) 225-1238

 

Governments, educators, agribusiness and food marketers must take action to reduce childhood obesity, according to an independent panel on obesity commissioned by the World Health Organization. Data show childhood obesity rates are increasing, with 41 million children younger than 5 considered obese or overweight worldwide, up from 31 million in 1990.

The U.S. Supreme Court in late November agreed to hear Puerto Rico's bid to reinstate a law that would allow restructuring of the debt-burdened U.S. territory's public agencies.

 

In a major boon for a U.S. commonwealth facing some $72 billion in debt, Puerto Rico will get a chance to argue before the top U.S. court that its proposed restructuring law, invalidated by courts earlier this year, is its best chance to pull itself out of a nearly decade-long recession.

 

The Supreme Court will decide whether a 2014 law known as the Recovery Act conflicts with U.S. federal bankruptcy law. The court also took up a companion case filed by representatives of the publicly owned Government Development Bank (GDB) for Puerto Rico. Puerto Rico's creditors have argued that a bankruptcy mechanism would give the Caribbean island an unfair legal authority to impose deep repayment cuts.

 

The case goes to the heart of Puerto Rico's efforts to restructure the $72 billion in total debt, which Governor Alejandro Garcia Padilla has called "unpayable," calling for concessions from creditors.

As a U.S. territory, the island is excluded from statutes that allow U.S. states to put cities, towns and agencies into bankruptcy. Puerto Rico passed the Recovery Act seeking similar authority to put into bankruptcy agencies holding a combined $20 billion of the island's debt.  A U.S. federal court in Puerto Rico nixed the law in February, and a U.S. appeals court affirmed the decision in July. If the Supreme Court reverses and rules for Puerto Rico, the territory could place into bankruptcy agencies like the Puerto Rico Electric Power Authority (PREPA), which faces more than $8 billion of debt, and the Puerto Rico Highways & Transportation Authority (PRHTA), with about $4.6 billion of debt.

 

The court will hear oral arguments in the spring, with a ruling due by the end of June.

The territory's U.S. congressional representative has introduced a bill to give the island the same bankruptcy access as other states, while the U.S. Treasury has supported giving Puerto Rico itself the right to file bankruptcy.

 

NHMA PROGRAMS UPDATE

See www.nhmamd.org for more information on programs.  We encourage participation – call (202) 628-5895 or send email to Program Officer: Lizette Rivera at This email address is being protected from spambots. You need JavaScript enabled to view it.

 

NHMA 20th Annual Conference “ Joint Conference on Advancing Hispanic Health: the Next 20 Years”– in collaboration with the Hispanic Dental Association, Renaissance Hotel, Washington, DC April 21 – 24, 2016. 

Join the NHMA Annual Conference to learn new clinical updates, medical education and faculty development, health services research, and Federal health policy issues that impact the healthcare delivery to Hispanic populations!  CME to be provided. We expect 1000 participants. If interested in being a sponsor – please call Elena Rios, MD (202) 628.5895. For more information go to www.nhmamd.org

NHMA was granted an award to participate in Support and Allignment Network of the new CMS Transforming Clinical Practice Initiative (TCPI)

The Transforming Clinical Practice Initiative (TCPI) is one of the newest programs initiated by the Centers for Medicare & Medicaid Services (CMS) uniquely designed to support clinician practices through nationwide, collaborative, and peer-based learning networks that facilitate practice transformation. The TCPI is one part of a strategy advanced by the Affordable Care Act to equip more than 140,000 clinicians with the necessary tools, strengthen the quality of patient care and spend health care dollars more wisely. 

NHMA encourages all physicians (academic, private practice, hospitalists) to join this opportunity today! We have a goal of 5000 physicians among our partners – AAIP, NCAPIP, NMQF and NMA.

What You Will Receive by Signing Up for TCPI

·                  Receive FREE training, customized technical assistance, educational materials and peer coaching on clinical practice transformation

·                     Receive a practice transformation readiness survey

·                     Receive FREE training on the collection and use of data, stratified by race, ethnicity and language

·                     Learn how to effectively engage patients and families with in care planning

·                     Receive performance measurements for diabetes outcomes, when necessary

·                     Receive FREE sensitivity training on cultural and linguistic delivery of care, when requested

Go to http://www.tcpisan.org/

NHMA awarded 5 year Cooperative Agreement from CDC - Proyecto Consciente (Project Aware) to maximize the reach and effectiveness of the Act Against AIDS (AAA campaign) by strategically disseminating HIV prevention messaging and communications within local Hispanic communities through the NHMA channels of communication to our physicians and partners, as well as implementing concurrent national engagement efforts that focus on HIV prevention and treatment awareness. 

NHMA interested in forming an Advisory Committee for the project – let us know by Feb. 5th if you are interested.

NHMA HepC: Hispanic Leadership Summit, Rayburn House Office Bldg, Washington, DC, 8:30 am to 4:00 pm followed by reception.  Feb. 11th

Interested in participating ? Contact Sara Reinoso at This email address is being protected from spambots. You need JavaScript enabled to view it.

NHHF and NHMA Early Child Obesity Prevention Policies Summit with California Latino Caucus and State Public Health Leaders, Sacramento, CA  --- and Media speakers needed on obesity for TV/Radio Telemundo --- contact Sara Reinoso at This email address is being protected from spambots. You need JavaScript enabled to view it. if interested.

 

NHMA MEMBERSHIP UPDATE

Diane Torres-Burgos, MD presented testimony to the NYC Council Health Committee this week on the support for incentives for children health meals at restaurants in NYC.  NHHF testimony is based on the policy report of the NHHF Kellogg Foundation Child Obesity Project.

 

Mark Diaz, MD presented testimony to the California Insurance Commission on the support from NHMA for the Centene Corporation to acquire Health Net of Southern CA – to increase access to health and mental health and dental and vision care coverage for our communities.

 

Eliseo Perez-Stable, MD, new Director, National Institute of Minority Health and Health Disparities is in high demand – speaking across the nation on the priorities to advance health disparities research (prevention, population and health services research).  Dr. Perez-Stable has met with NHHF to discuss research activities priorities such as to increase diversity in the health research workforce.

 

Elena Rios, MD met with the Hispanic Employee Organization (HHS HEO) Board to discuss how NHMA can support recruitment of Latino health professionals to HHS positions and include HEO in the NHMA Annual Conference.

 

NHMA Executive Director – Teresa Chapa, PhD, MPA left DC, NHMA and her home base of the HHS Office of Minority Health to become Executive Dean of the California School of Professional Psychology in San Diego, part of the Alliant International University. Congratulations !

 

NHHF Class of 2014 and 2015 Scholarship students were provided Mentoring at the Los Angeles and NYC Scholarship events and the United Health Foundation Scholars were matched with mentors for 2 years – NHHF and NHMA are collaborating on the increase of mentoring to develop our network and leaders for the health system.

 

Ilan Shapiro, MD is seeking young physicians to be on the leadership of the NHMA Council of Young Physicians nationally and in the NHMA Six Regions; Victor Cueto, MD is seeking residents and fellows to be on the leadership of the NHMA Council of Residents  --- contact Sara Reinoso at This email address is being protected from spambots. You need JavaScript enabled to view it. if you would like to serve to be our ambassadors and network with your colleagues.

 

Hector Balcazar, MD, appointed Dean of the Charles R. Drew University of Science and Medicine School of Medicine – recently was at the University of Texas at El Paso.

 

Abner Murray – LMSA President gains approval of his Board to respond to the medical student demands for increasing the awareness of NHMA physician faculty to be informal/formal advisors and mentors in the medical schools of the country. Student clubs have advisors assigned from volunteer faculty who may not be Latino or with knowledge of Latino medical student career needs.  LMSA and NHMA Board members met at 2015 NHMA Conference that resulted in this recommendation.  We need volunteer faculty ---- contact This email address is being protected from spambots. You need JavaScript enabled to view it. if interested.

 

ACTION ALERT: This is a call for you to join NHMA as a Premier Members and have many opportunities to develop leadership  -- Join at www.nhmamd.org. The National Hispanic Medical Association is excited to kick off our annual membership drive and we look forward to welcoming you as a new Premier member to our organization.  For all those who are NHMA Leadership Fellows or past members, we urge you to rejoin and participate as speakers, nominees to boards and advisory committees and to serve as spokespersons for the NHMA media project.   

 Apply online at http://nhmamd.org/index.php/membership-31/membership-options/individual-memberships.  For more information contact Sara Reinoso at This email address is being protected from spambots. You need JavaScript enabled to view it. or call 202-628-5895.

 

ANNOUNCEMENTS

Office of Population Affairs (OPA) at the U.S. Department of Health and Human Services (OPA), in collaboration with the Centers for Disease Control and Prevention (CDC), is beginning the process for the first revision of the Recommendations for Providing Quality Family Planning Services (QFP).  As part of the process, they are seeking representatives for the Expert Work Group to provide individual feedback throughout the process.  We would like to invite the National Hispanic Medical Association (NHMA) to designate a representative for this Expert Work Group. 

 

In identifying a representative from NHMA, we are specifically seeking a clinical expert in the area of service delivery related to services aimed at both preventing unintended pregnancies and achieving pregnancies, i.e., areas related to contraceptive services, infertility services, and services aimed at helping individuals and couples to achieve pregnancy, preconception health services, including sexually transmitted disease services.  Additionally, the representative should be able to speak for the interests of NHMA.

 

The Office of Population Affairs (OPA) and Centers for Disease Control and Prevention/Division of Reproductive Health are convening an Expert Working Group meeting on February 25 – 26, 2016, with key stakeholders to discuss and plan the revision of Providing Quality Family Planning Services Recommendations (QFP).

 

 

Any NHMA Premier Member interested???? RSVP to NHMA Office – Kessia Cruz at This email address is being protected from spambots. You need JavaScript enabled to view it. by Feb 4th so that we can send your name in By February 5, the deadline to let the committee know you will attend this 1.5-day meeting on Thursday, February 25, and Friday, February 26, 2016.  Travel assistance is available for those who need it (not including federal staff). If you would be interested in a pre-meeting webinar to review QFP (including background, overview, purpose, etc.) please include this request in your RSVP.  Please respond to all on the ‘cc’ line regarding your availability for the February 25-26 meeting, as well as your interest in a “pre-meeting webinar.”

Meeting Location: The meeting will be held in Washington, DC, at Atlas Research (805 15th Street NW, Suite 910, Washington, DC 20005). Additional meeting information, including agenda and read-ahead materials, is forthcoming.

 

CDC ZIKA VIRUS ALERT : The CDC has expanded to 22 the number of countries and territories pregnant women should not visit because of the risk of contracting Zika virus, a mosquito-transmitted disease that may be causing microcephaly in infants born to infected mothers. Although initial concern has focused on Brazil, where 3,893 suspected cases of microcephaly have been reported with a major uptick since 2010, the World Health Organization said Monday that the virus will likely reach all of the Americas except Chile and Canada

Zika virus infection should be considered in patients with acute onset of fever, maculopapular rash, arthralgia or conjunctivitis, who traveled to areas with ongoing transmission in the two weeks prior to illness onset. Clinical disease usually is mild. However, during the current outbreak, Zika virus infections have been confirmed in several infants with microcephaly and in fetal losses in women infected during pregnancy.

Healthcare providers are encouraged to report suspected Zika virus disease cases to their state health department to facilitate diagnosis and to mitigate the risk of local transmission. State health departments are requested to report laboratory-confirmed cases to CDC. CDC is working with states to expand Zika virus laboratory testing capacity, using existing RT-PCR protocols.

Clinical Disease
About one in five people infected with Zika virus become symptomatic. Characteristic clinical findings include acute onset of fever, maculopapular rash, arthralgia, or conjunctivitis. Clinical illness usually is mild with symptoms lasting for several days to a week. Severe disease requiring hospitalization is uncommon and fatalities are rare.

Prevention
No vaccine or preventive drug is available. The best way to prevent Zika virus infection is to:

·                     Avoid mosquito bites.

·                     Use air conditioning or window and door screens when indoors.

·                     Wear long sleeves and pants, and use insect repellents when outdoors. Most repellents, including DEET, can be used on children older than two months. Pregnant and lactating women can use all Environmental Protection Agency (EPA)-registered insect repellents, including DEET, according to the product label.  Zika virus information for clinicians: http://www.cdc.gov/zika/hc-providers/index.html

NHMA Newsletter December 2013

LEGISLATION UPDATE

 

NHHF/NHMA “President’s STEM Initiative and Expanding to Health Professions Careers and Diversity Summit” supported by Josiah Macy, Jr Foundation – On Nov. 25th in Washington, DC,White House, Department of Education, National Science Foundation, NIH, HRSA, Congressional Hispanic Caucus and Congressional Hispanic Conference Leadership speakers discussed priorities to increase health care professions pipeline expansion for underrepresented students to be successful STEM students along the education continuum. A report on recommendations will be available in February. Next steps: HRSA wants to meet with NHMA to follow-up on the effort with its diversity programs. NHMA to present report to the White House to advance the recommendations.

 

CuidadoDeSalud.gov is now LIVE and working for our Spanish Speaking Americans interested in understanding health care insurance options and signing up for 2014 coverage in those states that do not have their own Marketplace.  Note that Dec. 23rd is the deadline to sign-up for health insurance that will provide you coverage for January 1st.

 

CuidadoDeSalud.gov, the Spanish online enrollment tool, is the counterpart to Healthcare.gov.  Since Oct 1st, the diverse Latino community has had access to multiple resources to help with enrollment including applying by phone with trained call center staff offering bilingual help or in person with trained assisters in local communities. By end of November, the HHS call center has taken more than 139,000 Spanish language calls.

 

Send us your suggestions for any improvements on the website so we can pass them on to HHS to make it clearer for Latino community ---NHMA is proud to be assisting with the process of providing feedback from Latinos using the site. Send your suggestions to This email address is being protected from spambots. You need JavaScript enabled to view it..

 

Bipartisan Budget Deal Passes the Congress and is on its way to the Senate.

 

The agreement, brokered by House Budget Committee Chairman Paul Ryan (R-Wisc.) and Senate Budget Committee Chairman Patty Murray (D-Wash.), adds about $63 billion in discretionary federal spending over 2 years and makes targeted cuts and fee hikes to bring about overall deficit reduction of about $23 billion.

 

The Congressional Budget Office estimated that the doctor SGR temporary fix for three months would cost $3.3 billion in 2014 and a total of $7.3 billion through 2023. The fix would be paid for by cutting Medicaid payments for hospital-based charity care and to long-term care hospitals. It also would extend the 2% sequestration cuts for Medicare providers by 2 years, from 2021 to 2023.

 

Covered California Outreach has creative ways to reach more young people:

 

December 23rd is the last day to enroll in Covered California™ for coverage taking effect on January 1, 2014.  "Give the Gift of Health": Covered California is sponsoring this campaign to empower family members, particularly mothers and grandmothers, in urgingyoung adults toenroll in affordable and quality health coverage through the agency's health insurance marketplace. The campaign includes:

  • An e-card that can be sent to friends and family with a personal message and more information about their options for insurance through Covered California, including low-cost or no-cost Medi-Cal.
  • A pledge certificate that can be presented to loved ones during the holidays as a symbol of your willingness to help them get insured.

Covered California is also partnering with local libraries to host a series of education and enrollment days during December.  Click https://www.coveredca.com/events/PDFs/Library-Events.pdf for a list of participating libraries.

 

NHMA PROGRAMS UPDATE

 

NEW - NHMA signs agreement to partner with VME Media – PBS Network in Spanish – for an NHMA HEALTH TV SHOW in 2014 that will be broadcast across the U.S.  NHMA Members interested in serving as advisors, editors of content and interviewees ---please contact John Aguilar: This email address is being protected from spambots. You need JavaScript enabled to view it. or call the NHMA Office at (202) 628-5895.  Corporate partners interested in supporting the TV Show Project – please contact Dr. Elena Rios.

 

NEW NHMA California Leadership Fellowship, supported by the California Wellness Foundation – executive leadership program for 10 Physicians in mid-career (5 years post training) from California.  We are seeking those interested in gaining knowledge and skills to become State and Regional leaders in health care that impacts the Latino population. Application will be up on website at www.nhmamd.org. Deadline is January 31, 2014.

 

Sacramento Institute will be four days in May, 2014 where Fellows will learn about State Policy development and the role of stakeholders to reform health policy and programs and the introduction to Legislators and their healthcare priority legislation issues, State government committees and appointments.  The Fellows will also have a Washington, DC Institute for a day prior to the 3 day NHMA Conference at the end of March, 2015. Doctors who participate must attend both sessions.

 

NEW NHMA Influenza Campaign for the Association of State and Territorial Health Officers to collect information on best practices among Hispanic physicians, to publish a Tool Kit for dissemination across the country and on our websites, at the NHMA Conference – need Advisory Committee now – Contact John Aguilar: This email address is being protected from spambots. You need JavaScript enabled to view it..

 

NHMA – HHS OMH Hispanic Leadership Institute at the NHMA Conference 2014 will include How to Expand Leadership of Corporate Boards of Directors with healthcare professionals who are needed to guide the development of employee health and wellness programs.

 

NHHF SCHOLARSHIP PROGRAM AWARDS to 20 Scholarships to Hispanic students committed to Hispanic health care – in medical, nursing, dental, public health and policy schools in NYC and Los Angeles!  Leadership Awardees 2013:  Dr. Gary Butts, Assoc Dean, Icahn School of Medicine at Mt. Sinai, Dr. Sandra Daley, Vice Chancellor and Diversity Officer, UC San Diego School of Medicine; Diana Bonta, RN, DrPH, President, Bonta and Associates; Monica Lozano, CEO, ImpreMedia; Chelsea Clinton, Vice Chair, Clinton Foundation; Assemblyman Felix Ortiz; Roberto Clemente, Jr, President, RCJ Global; Juan Mondragon, PreHispanic Chef/Owner Juan’s Restaurante ---thank you to all our sponsors for making our 2013 Program a Success!

 

NHMA Mentoring Programs ----If you would like to volunteer to be a Mentor for our future healthcare workforce: contact Veronica Ramirez, This email address is being protected from spambots. You need JavaScript enabled to view it.

 

Medical Students and Public Health Students -  GE- NHMA Health Professional Student Leadership and Mentoring Program and selected 50 talented students who are now in the program ---and will be sharing their preceptorships and mentoring lessons learned at the NHMA Conference 2014 in Washington, DC, March 27-30, 2014.

 

NHMA Council of Residents Mentoring Program available for residents and physicians interested in participating either in your region or at the NHMA Conference 2014.  Applications due January 31, 2014.

 

Undergraduate Pre-medical Students Mentoring Program – again, we need medical students to be mentors to assist the next generation applying to medical school. Connect to Veronica today!

 

Responsibilities include monthly email discussions with your student mentee about his/her goals for the year to prepare the mentee for his/her next stage of health career advancement.  Reporting is quarterly and a tracking of the outcomes for the mentees is maintained at NHMA.

 

NHMA 2014 CONFERENCE – “ACA and Best Practices for Hispanics” 

AGENDA AT A GLANCE:  Marriott Wardman Park Hotel, Washington, DC

 

March 28 

Breakfast Symposium

 

Congressional Visits and Advocacy Meetings

 

 

Lunch in Exhibit Hall      

 

Opening Plenary with US Department of Health and Human Services Secretary, CMS Administrator, NIH Director (all invited) followed by Presidents of Medical Associations Response Panel

 

Workshops – ACA Best Practices

 

 

Reception – Women in Medicine

 

NHHF Board of Directors and Corporate Advisory Board Meetings

 

March 29 

Cancer Treatment Centers of America;  HIV/HepC Breakfast Symposia

 

Insurance Company and Health System ACO and Patient Centered Medical Home Innovations

 

 

Luncheon Keynote on Health Research from NIH

 

Workshops on Technology, Apps, Chronic Disease Management/Research, Prevention and Wellness, and new Cultural Competence Medical Education Programs, Journal of NHMA development, and more

 

Gala Awards Dinner – RWJF President invited to serve as keynote speaker; Latino Health Awards Presentations;  Physician of the Year: Richard Izquierdo, MD of the Bronx; Fellow of the Year: Nellie Correa, MD of the Bronx.

 

March 30

NHMA Health Professional Leadership Institute – How to Become a White House Appointee to National Commissions, How to become a Federal employee,  and How to Become a Corporate Board Member – with White House Staff, Corporate CEOs, Executive Search Firm representatives.

 

Register Now at www.nhmamd.org, Reserve your hotel; sign up for Posters, Recruiter Tables, Exhibit Hall to Advance Health Professions careers and share Hispanic healthcare programs and Sponsorship Opportunities information – for workshop sessions, special events, travel for students to attend. Call Dr. Rios (202-628-5895) if interested in sponsoring or Veronica Ramirez if interested in presenting or posters about research, service or innovations/best practices in health care delivery to share with hospital and medical group leaders from across the nation.

 

MEMBERSHIP UPDATE

Members urged to help the White House on feedback from Soft Launch of the ACA Latino Website – CuidadodeSalud.gov.  Ask your Spanish speaking patients and colleagues to check out the website for clarity, understanding and obtaining health insurance plans and send any suggestions to This email address is being protected from spambots. You need JavaScript enabled to view it. today. White House to have major promotion campaign in January to increase sign-ups for health care insurance among Latinos.

 

FDA’s Office of Minority Health invites NHMA and other organizations to comment on language access materials for individuals with Limited English Proficiency (LEP). Yolanda Flores, MD, Medical Director, Optum Care, Henderson, Nevada will represent NHMA in the effort.

 

NHMA continues to build media presence about the ACA this month – Dr. Sam Arce on Univision and Telemundo, and the Mundo Fox Network covers the LA and NY NHHF Scholarship Galas, and Rios interviews with newspapers to counter the questions about ACA website failings – with the important messages about the need for insurance for health care in our communities to become a reality.

 

ANNOUNCEMENTS

NHMA is partnering with CANOPY for its Online Medical Spanish Course

 

As many of you have heard, we are announcing additions to our partnership with Canopy, an NIH funded health tech company that develops tools to help healthcare providers to work better with patients who do not speak English. These include:

 

-a standardized online curriculum for providers to learn Medical Spanish (used by institutions like UCLA and Duke)

 

-the first Medical Spanish certification exam for bilingual physicians/ nurses/ physician extenders

 

-a new free iOS medical translator app in over a dozen languages (Spanish, Chinese, Korean, etc) to help you work quickly with patients who do not speak English.

 

Go to www.canopyapps.com/partners/nhma to learn more.

 

Small Business Health Options Program (SHOP) Information

SHOP Webinar on Wednesday 12/18/13 from 3:00 – 4:00 p.m. ET

 

CMS is offering a webinar that explains the Small Business Health Options Program (SHOP) and the new enrollment process for 2014. The SHOP Marketplace offers small employers a choice of plans, and, for many, access to an enhanced Small Business Health Care Tax Credit.  For 2014, small employers will enroll in the SHOP Marketplace directly through an agent, broker or insurance company offering a SHOP Qualified Health Plan.  Webinar information: Audience web link: https://goto.webcasts.com/starthere.jsp?ei=1026947

 

The SHOP Marketplace Overview: To find out more about the SHOP program, you can access the slide deck and talking points here: http://marketplace.cms.gov/training/get-training.html

 

Go to marketplace.cms.gov to get official resources for Marketplace open enrollment. New items include: 

 

 The Health Insurance Marketplace: Know Your Rights Fact Sheet http://marketplace.cms.gov/getofficialresources/publications-and-articles/know-your-rights.pdf

 

New Overview of the Marketplace 30 minute video presentation - Health Insurance Marketplace 101:  http://www.youtube.com/watch?v=L9WlRWsftMA

 

Go to HealthCare.gov for enrollment to the ACA Marketplace Insurance Plans – for those uninsured living in states without their own Marketplace and not eligible for Medicaid.  We urge you to sign-up now for health care insurance. Open enrollment ends March 31, 1014.

NHMA Newsletter October 2013

LEGISLATION UPDATE

Debt Ceiling Lifted and Government Reopens – till January 15th

The House GOP coalesced around this plan with changes to the Affordable Care Act, such as nixing subsidies to Congress and staff and a repeal of the medical device tax.

The White House, HHS and Healthcare Community and Advocates PROMOTE HEALTH INSURANCE for the Uninsured ---request people to go to Healthcare.gov and review options for health insurance:

  • People will be able to apply for advance premium tax credits in exchanges in a variety of ways, including online, by paper application, and over the phone through call centers. There is a standard paper application, which is three pages plus appendices for individuals and longer for families.
  • Plan choices will be arrayed online based on where you live. A standard, short summary of coverage will be provided for all plans.  This will explain covered benefits and cost sharing and provide illustrations of how coverage would work for common medical events, such as having a baby. This summary will make it easier for consumers to compare plans.  When looking online, consumers are expected to be able to sort and compare plans based on the standard coverage elements they care most about.
  • All insurers will be required to cover mostly the same benefits, including some services that are often excluded or limited today for people buying their own insurance (e.g., maternity care, mental health, and prescription drugs).

Coverage will be standardized into tiers (from bronze to platinum). Deductibles and co-pays will typically vary from plan to plan, but all plans in a given tier will provide the same overall level of protection to consumers.

But, probably the single biggest step to make buying insurance simpler than today is the prohibition of what’s known as “medical underwriting.” With no medical underwriting, largely uniform benefits, and standardized tiers of coverage, consumers should have a much easier time applying for insurance and comparing prices. Consumers will have to make tradeoffs between the level of the premium, the degree of patient cost-sharing, and the breadth of a plan’s provider network, but they will have access to information to help make those decisions.

And, consumers will have the benefit of trained assisters to help them make these comparisons and answer their questions.  The ACA requires the establishment of Navigators and other similar programs and provides resources to pay and train assisters.

The expansion of Medicaid under the Affordable Care Act (ACA) provides a link between new private coverage options available through either Health Insurance Marketplaces or employers and the existing Medicaid program, which previously had many gaps in coverage for adults. However, the June 2012 Supreme Court ruling made the expansion of Medicaid optional for states, and as of September 2013, 26 states did not plan to implement the expansion. In states that do not expand Medicaid, over five million poor uninsured adults have incomes above Medicaid eligibility levels but below poverty and may fall into a “coverage gap” of earning too much to qualify for Medicaid but not enough to qualify for Marketplace premium tax credits. This group is estimated at 8 million and will have very limited coverage options and are likely to remain uninsured

TAX CREDITS You Should Know About in new ACA Marketplace Health Insurance Plans:

According to the Kaiser Family Foundation: Tax credits have the potential to cover a substantial portion of the premiums paid by current individual market enrollees: We estimate that current individual market purchasers will face an average premium per family for the second-lowest-cost silver plan of $8,250 in 2014. Across all current individual market purchasers anticipated to continue buying coverage, the average tax credit their families would be eligible for would be $2,672. Assuming all eligible current enrollees applied for a tax credit, the subsidy would reduce the premium for the second-lowest-cost silver plan by an average of 32% across all people now buying insurance in the individual market.

About half (48%) of people now buying their own insurance would be eligible for a tax credit that would offset their premium. This does not include over one million adults buying individual insurance today who will be eligible for Medicaid starting in 2014 (i.e., they have family income up to 138% of the poverty level and are living in states that have decided to expand Medicaid under the ACA). For this group, the average subsidy would be $5,548 per family, which would reduce their premium for the second-lowest-cost silver premium by an average of 66%.

Insurance Exchange “Marketplaces” Went Live October 1

Exchanges were available in all 50 states and DC, with a mix of operating models: 15 states and DC will operate their own exchanges, 7 states will employ a partnership model with the federal government, with 28 states using a federally facilitated exchange. Enrollment expectations in the exchanges vary, with the Congressional Budget Office (CBO) predicting 8 million enrollees by the end of 2014.

Individuals will also be able to apply for Medicaid coverage. Under the Affordable Care Act (ACA) states have the option to expand Medicaid coverage to all residents with incomes up to 138% of the federal poverty level (FPL). As of today, 24 states have chosen to expand their programs. Individuals will complete a single application and will be directed to the program for which they qualify – Medicaid, subsidized coverage in the exchange, or un-subsidized coverage.

As part of the Affordable Care Act, all Americans are required to have health insurance or face fines. To do that, subsidies are made available for middle- and low-income individuals and families. For those with the lowest incomes, an expansion of Medicaid provides coverage. The federal government covers the full cost of the expansion through 2016 and no less than 90 percent of the cost after that. The program is designed to insure about 14 million Americans who are eligible, uninsured and living in poverty.

US Supreme Court 2013 Fall Session: Schuette v. Coalition to Defend Affirmative Action

The Michigan amendment takes race out of the process. At issue is language that says state colleges and universities “shall not discriminate against, or grant preferential treatment to, any individual or group on the basis of race, sex, color, ethnicity, or national origin.”

Last term, in a case challenging the University of Texas’s use of race in making some admission decisions, the court declined to revise its holding in Grutter. The justices sent the case back to a lower court for a closer look at whether the university had used all the tools at its disposal to increase racial diversity before resorting to the use of race.

The toughest questioning came from Justice Sonia Sotomayor, who has said affirmative action helped lift her out of a poor Hispanic neighborhood in the Bronx and allowed her entry into Princeton University and Yale Law School.

The Supreme Court supporting climate change policy responsibility -  allowed the Environmental Protection Agency's ability to regulate greenhouse gas emissions as a pollutant to stand Tuesday, even as it agreed to examine how the agency could demand greater pollution controls through the permitting process.

NHMA PROGRAMS UPDATE

NHMA LEADERSHIP FELLOWSHIP Washington, DC Institute a success, despite the government shutdown - all 10 Fellows learned from healthcare leaders with  Federal government expertise, stakeholders from Think Tanks, AAMC, national coalitions, lobbyists and Congress (leader Pelosi office) and others - about the important need for Public Servants who are Hispanic especially in healthcare; about the key need for national leadership to improve health care!

NHMA successfully convened Pre-Medical Student Recruitment to Medical School Conferences with the University of Texas Health Sciences Center, San Antonio and the Charles R. Drew University of Medicine and Science – with presentations from their speakers and medical student panels, E. Rios and K.Flores providing inspiration and counseling to over 600 high school and college students and their parents.  Next Steps is to create a Mentoring Program with medical students for the college students ready to apply to medical school. By creating a collaborative approach, NHMA hopes to increase the numbers of Hispanic students in medical school for 2014. Thanks to the AAMC for providing key information.

Call our office if we can support your colleagues who are premedical students!

NHMA successfully convenes its “Covered Hispanics Campaign” Forums in Los Angeles, NYC, San Antonio, Atlanta, and Chicago with the White House, HHS Region Directors, and State Marketplace leaders ---and bring answers to many questions of  over 500 providers and community leaders and students all interested in sharing information with their patients and colleagues. Thanks to the new NHMA Region Steering Committees for inviting their networks. Thanks to all the media coverage from La Opinion, MundoFox, Univision, Impacto Latino and others who participated to increase awareness to Latinos.  Thanks to the Anthem Blue Cross, Empire BC BS, and Blue Cross of Illinois for sponsoring.

Announcing the NHMA California Leadership Fellowship, supported by the California Wellness Foundation – executive leadership program for 10 Physicians in mid-career (5  years post training) from California.  Application and additional information will be available on NHMA website soon.

Sacramento Institute will be four days in April, 2014 where Fellows will learn about State Policy development and the role of stakeholders to reform health policy and programs and the introduction to Legislators and their healthcare priority legislation issues, State government committees and appointments.  The Fellows will also have a Washington, DC Institute for a day prior to the NHMA Conference at the end of March, 2015. Doctors who participate must attend both sessions.

NHMA – HHS OMH Hispanic Leadership Institute at the NHMA Conference 2014 will include How to Expand Leadership of Corporate Boards of Directors with healthcare professionals who are needed to guide the development of employee health and wellness programs.

NHMA Mentoring Programs ----This Fall we started a great program with GE- NHMA Health Professional Student Leadership and Mentoring Program and selected 50 talented students who are now in the program ---and will be attending the NHMA Conference in Washington, DC.

NHMA Council of Residents Mentoring Program is available for residents and physicians interested in participating with mentors in the NHMA Region where you are working and also to meet mentors who attend the NHMA Conference.  Applications due January 31, 2014.

NHMA 2014 CONFERENCE – “ACA and Best Practices for Hispanics”  AGENDA AT A GLANCE:  Marriott Wardman Park Hotel, Washington, DC

March 28Congressional Visits and Advocacy Meetings, Lunch in Exhibit Hall, Opening Plenary with US Department of Health and Human Services Secretary and CMS Administrator followed by Presidents of Medical Associations Response Panel

Foundation Leadership

Reception – Global Health Leaders and Innovation

NHHF Board of Directors and Corporate Advisory Board Meetings

March 29 – Insurance Company and Health System ACO and Patient Centered Medical Home Innovations

Workshops on Technology, Apps, Chronic Disease Management/Research, Prevention and Wellness, and new Cultural Competence Medical Education Programs, Journal of NHMA development, and more

Gala Awards Dinner – National Latino Leader Keynote Speaker; Awards Presentation;

March 30 – NHMA Health Professional Leadership Institute – How to Become a White House Appointee to National Commissions and How to Become a Corporate Board Member – with White House Staff, Corporate CEOs, Executive Search Firm representatives.

Register Now at www.nhmamd.org, Reserve your hotel; sign up for Posters, Recruiter Tables, Exhibit Hall to Advance Health Professions careers and share Hispanic healthcare programs and Sponsorship Opportunities information – for workshop sessions, special events, travel for students to attend. Call Dr. Elena Rios (202-628-5895) if interested in presenting innovations/best practices in health care delivery to share with hospital and medical group leaders from across the nation.

MEMBERSHIP UPDATE

Send us your advances to share with our Networks –

Fellows Class of 2006 interested in planning a Ten Year Anniversary Meeting – for NHMA 2016 Conference – Sylvia Rosas, MD now at Boston’s Joslin Institute  wants to hear from you!

Congrats to one of our past awardees ---Dr. Sandra Hernandez appointed as President, California Health Care Foundation starting in January.

Kathy Flores, MD attends the AMA, NHMA and NMA Commission to End Health Care Disparities in Chicago – Retreat to discuss the strategic planning to build advocacy, cultural competence, medical education and data collection of the 30 or so medical and pharma and nursing and corporate sponsors who make up this coalition. NHMA has been a member since its founding in 2005.

Elena Rios, MD testifies at a Congressional Briefing of the Campaign to End Obesity on how to include obesity training in medical education of the future, given the need for prevention services for future physicians.

Thanks to the NHMA Region Chairpersons and Steering Committees and all staff and supporters for convening Successful White House and NHMA ACA Forums in Los Angeles, NYC, San Antonio, Atlanta and Chicago over the past month!  We reached over 500 physicians and leaders with great training Q and A to better inform leaders about the ACA details for Latinos who are uninsured and others who can apply for insurance through the Marketplaces.

ANNOUNCEMENTS

AFCS

NHMA Newsletter November 2013

LEGISLATION UPDATE

NHHF/NHMA to convene “President’s STEM Initiative and Expanding to Health Professions Careers and Diversity Summit” supported by Josiah Macy, Jr Foundation – National Hispanic Health Foundation was awarded a grant to convene an invitational conference with key White House, Department of Education, National Science Foundation, NIH, HRSA speakers to discuss priorities to increase health care professions pipeline expansion for underrepresented students to be successful STEM students along the education continuum. We will also be discussing the importance of public/private partnerships to impact the healthcare workforce.  President Obama first announced this priority in 2009 and the Federal government has increased support for STEM education in the US.  A report on recommendations will be available in January.

THE MOST POSITIVE NEWS about the ACA this month is that it is projected to save more billions of dollars, over the next 20 years, than the government sequester that will end in 2021, as the benefits of the ACA will continue to decrease government deficit by $100B a year according to the Chairman, Economic Advisors.  The Administration is focused on correcting its website issues for the ACA Enrollment.

What the media isn’t telling you about the Insurance Enrollment Policies now in operation for those qualified to buy insurance at the Marketplace in your State or the State-Federal Marketplace ---the momentum will start picking up - 

1. Insurance companies have incentives in the ACA to be competitive and offer lower prices to attract more consumers early on, who tend to be loyal.

2. LocalHelp.HealthCare.gov is a new website that allows one to search by city and state or zip code to see a list of local organizations for non-English language support, Medicaid or CHIP, and Small Business Health Options Program (SHOP).

3. Young people are more tech savvy and have lower incomes and will benefit from tax subsidies so are expected to have the lowest payments for insurance and could be a greater part of the early enrollees in the Marketplaces.

4. For the first three years of Obamacare, the government basically subsidizes particularly expensive enrollees. So if someone buys insurance and their claims break $50,000 in 2014, the federal government picks up part of the cost. The result is that, for the first few years, really sick people cost insurers less than they normally would, and so can be expected to have less of an effect on premiums than would typically be expected.

The White House, HHS and Healthcare Community and Advocates PROMOTE HEALTH INSURANCE for the Uninsured ---request people to go to Healthcare.gov and review options for health insurance: 

• People can apply for advance premium tax credits in exchanges in a variety of ways, including online (Healthcare.gov), by paper application, and over the phone through call centers (800-318-2596 for individuals; 800-706-7893 for businesses <50 employees). There is a standard paper application, which is three pages plus appendices. 

• Plan choices will be arrayed online based on where you live. A standard, short summary of coverage will be provided for all plans.  This will explain covered benefits and cost sharing and provide illustrations of how coverage would work for common medical events, such as having a baby. This summary will make it easier for consumers to compare plans.  When looking online, consumers are expected to be able to sort and compare plans based on the standard coverage elements they care most about.

• All insurers will be required to cover mostly the same benefits, including some services that are often excluded or limited today for people buying their own insurance (e.g., maternity care, mental health, and prescription drugs).

• Coverage will be standardized into tiers (from bronze to platinum). Deductibles and copays will typically vary from plan to plan, but all plans in a given tier will provide the same overall level of protection to consumers.

But, probably the single biggest step to make buying insurance simpler than today is the prohibition of what’s known as “medical underwriting.” With no medical underwriting, largely uniform benefits, and standardized tiers of coverage, consumers should have a much easier time applying for insurance and comparing prices. Consumers will have to make tradeoffs between the level of the premium, the degree of patient cost-sharing, and the breadth of a plan’s provider network, but they will have access to information to help make those decisions.

And, consumers will have the benefit of trained assisters to help them make these comparisons and answer their questions.  

Safety Net Health Care Facilities Need Increased Healthcare Workforce – especially in primary care will generate new conversations in the States over scope of practice. The physician shortage is real and primary care physicians are 40% of total physicians – such that we will see growing increase in the call for nursing and physician assistants to have increased primary care responsibilities.  With new incentives for coordination of care, more nurse coordinators will be requires. Healthcare is a growing industry and will have increased jobs.

As of September 2013, 26 states did not plan to implement the Medicaid expansion. In states that do not expand Medicaid, over five million poor uninsured adults have incomes above Medicaid eligibility levels but below poverty and may fall into a “coverage gap” of earning too much to qualify for Medicaid but not enough to qualify for Marketplace premium tax credits. This group is estimated at 8 million and will have very limited coverage options and are likely to remain uninsured. This doesn’t include the undocumented in our communities.

NHMA supported letters to Congress: requested by Congressman Raul Ruiz to lead an effort to decrease fraud in Medicare ! Requesting funding for Public Health and cutting the sequester impact with advocates in DC who are interested in the public health of our nation!  Requesting continued support for primary care and diversity in health professions!

NHMA PROGRAMS UPDATE

NHMA successfully convenes its “Covered Hispanics Campaign” Forum in Washington, DC Metro Region with the HHS Region III Director, DC Marketplace Director – thanks to the over 500 participants at all our Region Forums this fall who are leaders interested in better understanding the opportunities of having health insurance under the ACA Marketplaces for our communities’ questions.

NEW NHMA California Leadership Fellowship, supported by the California Wellness Foundation – executive leadership program for 10 Physicians in mid-career (5  years post training) from California.  We are seeking those interested in gaining knowledge and skills to become State and Regional leaders in health care that impacts the Latino population. Application will be available on website soon. Deadline is Jan. 31, 2014.

Sacramento Institute will be four days in April, 2014 where Fellows will learn about State Policy development and the role of stakeholders to reform health policy and programs and the introduction to Legislators and their healthcare priority legislation issues, State government committees and appointments.  The Fellows will also have a Washington, DC Institute for a day prior to the 3 day NHMA Conference at the end of March, 2015. Doctors who participate must attend both sessions.

NHMA – HHS OMH Hispanic Leadership Institute at the NHMA Conference 2014 will include How to Expand Leadership of Corporate Boards of Directors with healthcare professionals who are needed to guide the development of employee health and wellness programs.

NHMA Mentoring Programs ----If you would like to volunteer to be a Mentor for our future healthcare workforce: contact Veronica Ramirez, This email address is being protected from spambots. You need JavaScript enabled to view it.

Medical Students and Public Health Students -  GE- NHMA Health Professional Student Leadership and Mentoring Program and selected 50 talented students who are now in the program ---and will be sharing their preceptorships and mentoring lessons learned at the NHMA Conference 2014 in Washington, DC, March 27-30, 2014.

NHMA Council of Residents Mentoring Program available for residents and physicians interested in participating either in your region or at the NHMA Conference 2014.  Applications due January 31, 2014. 

Undergraduate Premedical Students Mentoring Program – again, we need medical students to be mentors to assist the next generation applying to medical school. Connect to Veronica today!

Responsibilities include monthly email discussions with your student mentee about his/her goals for the year to prepare the mentee for his/her next stage of health career advancement.  Reporting is quarterly and a tracking of the outcomes for the mentees is maintained at NHMA.

NHMA 2014 CONFERENCE – “ACA and Best Practices for Hispanics”  AGENDA AT A GLANCE:  Marriott Wardman Park Hotel, Washington, DC

March 28 

Breakfast Symposia 

Congressional Visits and Advocacy Meetings, 

Lunch in Exhibit Hall      

Opening Plenary with US Department of Health and Human Services Secretary, CMS Administrator, NIH Director (all invited) followed by Presidents of Medical Associations Response Panel

Workshops – ACA Best Practices 

Reception – Global Health Leaders and Innovation

NHHF Board of Directors and Corporate Advisory Board Meetings

March 29 

Cancer and HIV/HepC Breakfast Symposia

Insurance Company and Health System ACO and Patient Centered Medical Home Innovations 

Luncheon Keynote on Health IT in Health Care

Workshops on Technology, Apps, Chronic Disease Management/Research, Prevention and Wellness, and new Cultural Competence Medical Education Programs, Journal of NHMA development, and more

Gala Awards Dinner – National Latino Leader Keynote Speaker; Awards Presentation; 

March 30 

NHMA Health Professional Leadership Institute – How to Become a White House Appointee to National Commissions and How to Become a Corporate Board Member – with White House Staff, Corporate CEOs, Executive Search Firm representatives. 

Register Now at www.nhmamd.org, Reserve your hotel; sign up for Posters, Recruiter Tables, Exhibit Hall to Advance Health Professions careers and share Hispanic healthcare programs and Sponsorship Opportunities information – for workshop sessions, special events, travel for students to attend. Call E. Rios (202-628-5895) if interested in presenting innovations/best practices in health care delivery to share with hospital and medical group leaders from across the nation. 

MEMBERSHIP UPDATE

Fellows Class of 2006 interested in planning a Ten Year Anniversary Meeting – for NHMA 2016 Conference – Sylvia Rosas, MD now at Boston’s Joslin Institute  wants to hear from you!

Yvette Calderon, MD has been appointed Fellow, New York Academy of Medicine!

Elena Rios, MD co authors OP ED for Children’s Month with new Administrator McCarthy of the Environmental Protection Agency (EPA) and meets on Childhood Asthma with EPA leaders participates as speaker for Voto Latino Google Chat, Ibero America Agency, Rochester, NY,  National Assoc of Latino Elected Officials Health Summit on ACA reaching various audiences to educate on improving Hispanic health.

Sam Arce, MD represents NHMA in NYC events, Luis Aguilar, MD in Arizona, Jorge Girotti, PhD in Chicago and Kathy Flores, MD in CA in addition we now have 6 NHMA Region Chairmen who are building our networks with healthcare and public health leaders.

NHMA submitted physician nominations to organization boards such as PCORI and the California Association of Provider Groups, Enroll America webinar, the California Association of Physician Groups, and is very interested in expanding this service for our members. Join as a Premier Member if you want to be nominated to national boards and commissions.

ANNOUNCEMENTS

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY

The National Hispanic Medical Association has joined the @AHRQNews national initiative Treatment Options: Explore. Compare. Prepare. [PATIENTS: http://go.usa.gov/WjpB OR HCP: http://go.usa.gov/bH6P]

We’re helping patients explore their condition, compare options, and prepare for appointments with @AHRQNews: http://go.usa.gov/bH6P

 We’ve partnered with @AHRQNews to bring you free tools to support your practice of evidence-based medicine http://go.usa.gov/bH6P

National Health IT Network Webinar  ---

NMA and National Council of Asian and Pacific Island Physicians host this timely webinar for physicians and providers caring for special populations

Health IT and Health Disparities

Friday Nov. 15, Noon

For more information: This email address is being protected from spambots. You need JavaScript enabled to view it.

Donating to NHMA ---go to nhmamd.org to provide tax deductible donations to help build our program reach ---or consider joining as a Member, Corporate Member or Institutional Member and join our growing network!

AFCS

NHMA Newsletter September 2013

LEGISLATION UPDATE

The Federal government is focused more on the Affordable Care Act Enrollment and Education about Selecting Healthcare Insurance – for those who have insurance, for those who will purchase insurance for the first time and for small businesses able to apply for more affordable health insurance options. A focus of the Enrollment are the new IRS tax credits for individuals and employers for purchasing insurance or pay penalties on your income tax. In addition, Medicaid expansion will focus more people’s attention in those states where it will occur – up to 138 percent over Federal poverty level. 

The new Marketplace, where many individuals and families who do not obtain health care insurance from their employer and are not eligible for Medicaid or Medicare will be able to purchase healthcare insurance for the first time from HEALTH MARKETPLACES – either a State entity or a Federal entity (for those living in States that opted not to build their own).

The Marketplace is a one stop shopping place on a website or through the 1-800 phone number to compare health care insurance products that will be mandated to offer an essential benefits package plus more depending on costs. There will be comparative information based on deductibles, copays, coinsurance and premiums for the products. Persons using the Marketplaces will have to go to the private insurance companies of their choice to purchase insurance. It is expected that by being more transparent about costs and having side by side comparisons across companies, there will be more competition and affordable pricing.

However, we urge all young and healthy people to also participate so that the system becomes balanced and avoid insurance programs that are only filled with very sick beneficiaries that will drive the prices up.

NHMA has announced its “Covered Hispanics” Campaign --- and is working with its members and other health professional leaders with our Media Partners to increase media efforts to increase awareness of our communities to purchase health care insurance to be able to afford health care services, that will now include prevention services, behavioral services, and many other services. Not having insurance has been the number one reason for bankruptcy and financial crisis among families ---and for Latinos, they are the group with the largest percentage of people without health insurance, we need to encourage them to understand the incredible opportunity the ACA is bringing to them. 

NHMA “Covered Hispanics Campaign” ACA Regional Forums with The White House and ACA Health Marketplaces as well as our partners – Anthem Blue Cross, Empire BlueCross Blue Shield, Verizon Foundation, Aetna Foundation, The American Cancer Society to convene Six NHMA Regional ACA Forums to bring Federal and State Speakers to discuss the details about providers and other small businesses and Latinos, September 21 – October 12. These Forums are being led by the NHMA DC Office along with our new Region Chapters and Regional Steering Committees. Join us! www.nhmamd.org.

FEDERAL BUDGET CRISIS: lagging on to next year for any major changes:

The prospects for passing a stand-alone FY 2014 health spending bill before Oct. 1 are dim. The most likely scenario will be for the House and Senate to negotiate a continuing resolution to avoid a government shutdown. It is possible that we will see different proposals from each chamber with regards to the length of the CR — which could be anywhere from 30-days to six-months — and funding level, which could be either a straight-line extension of the FY 2013 level of $988 billion for discretionary spending or lowering the spending level to the FY 2014 sequestration cap of $967 billion. 

Congressional TriCaucus Announces their Minority Health Bill this month:

NHMA is one of 325 organizations to support the Congressional Tri-Caucus applauding their leadership to eliminate racial and ethnical health disparities and their intent to introduce the Health Equity and Accountability Act to the 113th Congress.  Thanks to the Latinas for Reproductive Health for leading the coalition this year to support our minority Congresspersons. 

Farm Bill update and SNAP disastrous cuts voted for by Republican Congressmen/women:

Republican leaders in the House of Representatives slashed nutrition programs, including the Supplemental Nutrition Assistance Program (SNAP formerly called Food Stamps), by $40 billion over 10 years. This would double the cuts contained in the original farm bill approved by the House Agriculture Committee, which was later defeated on the House floor in June. After failing to pass a complete five-year farm bill reauthorization earlier this summer, the House removed the nutrition section of the farm bill and passed a stripped-down reauthorization containing only the agriculture provisions. Earlier this spring, the U.S. Senate passed a full farm bill reauthorization that contains $4.5 billion in cuts to nutrition programs, including SNAP over the same time period. The Senate and House are expected to name members to a Conference Committee to debate the differences in the two bills next month.

NHMA supported the National Hispanic Media Coalition Letter to FCC advocating for retention of the FCC’s Lifeline program, which subsidizes telephone service for the poor. Without telephone service, folks cannot access educational and occupational opportunities and they have a difficult time connecting with health care, child care, emergency services and other necessities. Moreover, telephones help our families stay connected to one another. September included the National Lifeline Week. 

NHMA submitted Letter of Support for California - bill number “SB-598 Biosimilars” that was approved by the Appropriations Committee of the California State Assembly and another letter to the Governor this week.  SB-598 will establish a process requiring pharmacies to inform physicians that a biosimilar medicine has been substituted for the prescription they have written for their patient. This notice will ensure that doctors have a complete medical history record for their patients.

Biologic medications are very complex drugs made from living cells which aggressively attack life-threatening diseases in ways that conventional chemical-based pharmaceuticals cannot. Reproductions of these biologic medications - referred to as biosimilars - are now in development and are expected to be approved by the FDA for use in the United States.  Senate Bill 598 protects the safety of patients by establishing a process by which FDA approved interchangeable biosimilar drugs can be substituted for brand-name biologics at the pharmacy 

The State Senate has already approved SB-598, and two Assembly Committees have passed this bill – the Assembly Health Committee, and the Assembly Business, Professions and Consumer Committee.  SB-598 has received broad support from the medical community and patient advocacy groups.

NHMA Program Update

“Covered Hispanics Campaign” starts in August with NHMA Media Team being deployed to be work with NHMA Association and Media Partners who met at Conference this spring to meet the NHMA and National Hispanic Health Professional Leadership Network (National Association of Hispanic Nurses, Hispanic Dental Association, Latino Caucus of APHA, Pas for Latino Health, National Forum for Latino Health Executives,  NY Association of Hispanic Health Executives, and medical societies and other Latino Leaders.  If you need Spokespersons to discuss ACA for Latinos in media – contact NHMA at This email address is being protected from spambots. You need JavaScript enabled to view it..

The National Hispanic Medical Association urges all Latinos with and without healthcare insurance to consider reviewing your options if your employer doesn’t offer healthcare insurance through the Health Insurance Marketplace Website www.healthcare.gov.

When you use the Health Insurance Marketplace starting October 1, you’ll fill out an application and see all of the health plans available in your area. You’ll find out if you can get lower costs for healthcare insurance.  How you save, and how much you save, depends on several things, including family size and income.

You may be able to get lower costs on your monthly premiums when you enroll in a private healthcare insurance plan. You may qualify for lower out-of-pocket costs (copayments, coinsurance, deductibles).  You or your child may get free or low-cost coverage through Medicaid or the Children’s Health Insurance Plan (CHIP).

Don’t wait—create your Marketplace account today. And when open enrollment starts on October 1, complete the Marketplace application and find out how much you can save!

You can apply for healthcare insurance starting on October 1st to March 31st.  Healthcare Insurance coverage starts as early as January 1, 2014.

Questions? Call 1-800-318-2596, 24 hours a day, 7 days a week.

Affordable Care Act provides a new tax credit to help you afford health coverage purchased through the Marketplace. Advance payments of the tax credit can be used right away to lower your monthly premium costs. If you qualify, you may choose how much advance credit payments to apply to your premiums each month, up to a maximum amount. If the amount of advance credit payments you get for the year is less than the tax credit you're due, you’ll get the difference as a refundable credit when you file your federal income tax return. If your advance payments for the year are more than the amount of your credit, you must repay the excess advance payments with your tax return.

The amount you save depends on your family size and how much money your family earns. In general, if your income falls within the following ranges you'll qualify to save money on your premiums in 2014. The lower your income within these ranges, the more you'll save. (The amounts below are based on 2013 numbers and are likely to be slightly higher in 2014.)

  • $11,490 to $45,960 for individuals
  • $23,550 to $94,200 for a family of 4

NHMA Leadership Fellowship – Washington, DC Institute planned to bring the Class of 2013 to DC for a week to meet Federal Leaders, White House and Congress Leaders and learn how to work with key stakeholders, think tanks, and advocates who shape Latino health policies. They will attend the Congressional Hispanic Caucus Gala and NHMA ACA Forum and Reception along with the Board of Directors, NHMA October 3rd.

GE-NHMA Hispanic Health Professional Student Leadership and Mentorship Program starts in Los Angeles with a great group of student leaders meeting their NHMA mentors from across California.  There will be 50 students mentored and provided with Leadership lectures on the ACA and health disparities issues, attend a preceptorship in community healthcare and public health, and attend the NHMA Annual Conference in March 2014.

National Hispanic Health Foundation of NHMA --- Scholarship Galas: Nov. 21 in Los Angeles; Dec. 5th in New York – Awardees include Chelsea Clinton, Dr. Henri Ford of USC Keck Medical School, Dr. Diana Bonta, Trustee of Annie Casey Foundation, Dr. Gary Butts of Icahn Mt. Sinai Medical School, Monica Lozano of ImpreMedia, Castulo De La Rocha of Alta Med Health Services.  We invite you to join us at the Galas or contribute your donation to the NHHF Scholarship Fund for 20 medical, dental, nursing, public health and policy students committed to improving Hispanic health. Go to: www.nhmafoundation.org. Contributions are tax deductible.

NHMA Council of Residents Mentoring Program continues to build with the NHMA Regional Forums – residents are encouraged to request a mentor from NHMA Program Officer, John Aguilar- This email address is being protected from spambots. You need JavaScript enabled to view it.">jThis email address is being protected from spambots. You need JavaScript enabled to view it..

NHMA Portal being revised – we hope to have it LIVE next month with over 4000 fact sheets and videos in English and Spanish, resources, research information, fellowships, calendar of events for NHMA Partners and Regional Chapters.

MEMBERSHIP UPDATE

“Covered Hispanics Campaign” Media Efforts are growing this month to help increase awareness of our community to enroll in health care insurance under the ACA Marketplaces: 

Kathy Flores, MD – Radio Bilingue, National Radio Show and Noticias MundoFox, Los Angeles

Flavia Mercado, MD – North Carolina Radio – Southeast U.S.

Victoria Sorlie, MD – Latina Style Business Conference in San Jose, CA and Noticias MundoFox, Los Angeles

Judy Flores, MD – UNIVISION TV Townhall, NYC

NHMA Fellow– UNIVISION Townhall, ATLANTA

Elena Rios, MD – Impacto Latino and CNN Latino at a Lunch Event in NYC for business leaders, MundoFox interview at the White House, NBC Latino website interview, Enroll America speaker to national reporters, AARP Webinar

ImpreMedia, Telemundo, CNN Espanol, CNN Latino, NBC Latino, Hispanic Link, National Association of Hispanic Publications, Fusion are the partners 

Miguel Fernández, MD, FACEP, FAAEM, FACMT, FACCT has been appointed by the US Secretary of Health and Human Services to the Board of Scientific Counselors of the National Toxicology Program under the NIH/National Institute of Environmental Health Sciences. Also, he is now a full Professor in the newest academic Department of Emergency Medicine (EM) in the US at the UT Health Science Center San Antonio. We have a newly accredited residency program in Emergency Medicine and we're looking for new faculty as well as medical students who would like to match in EM.

Gonzalo Paz-Soldan, MD, FAAP, CPE has accepted a position in Massachusetts to be the new Chair of the Department of Pediatrics at Reliant Medical Group (www.reliantmedicalgroup.org) in Worcester, Mass.  Reliant Medical Group is the largest physician multispecialty group in central Mass. Dr Paz-Soldan is currently Medical Director Arlington Pediatric Center until November. 

On August 2013, Johns Hopkins Bloomberg School of Public Health newspaper article, “Big City, Big Data” presented a profile on an NHMA Leadership Fellow – Oxiris Barbot, MD was appointed Commissioner of Health for Baltimore City on July 7, 2010. As the City's primary health official, Barbot leads the Mayor's comprehensive health policy agenda, Healthy Baltimore 2015, which articulates 10 priority areas and indicators for action to improve the health outcomes for all residents.

Judy Flores, MD and Alicia Noelle Jones, M.Sc., Director, CAPP-PREP ABLE,Transitioning Teens into Healthy and Successful Adulthoods – held a successful program at the Woodhull Medical Center, Brooklyn – Dr. Rios honored to serve as a speaker to inspire the high school students to consider health care jobs and careers ---some were interested in becoming physicians.

Mexican American/Hispanic Physician Association Women of the Year Awards – Rios attends as guest speaker to inform the audience about the importance of leadership for healthcare institutions and improving health and NHMA efforts.

ANNOUNCEMENTS

Association of American Medical Colleges Announces:

The AAMC Group on Diversity and Inclusion (GDI) is sponsoring a webinar titled, “Publishing the Results of Scholarly Work in Medical Education: The Art of Writing and Getting Published,” on Wednesday, September 25, 2:00 – 3:00 P.M. ET. The webinar will include an overview of the review and publication processes and focus on techniques for writing clear, concise, and interesting articles. It will include a discussion of the essential components of scholarly articles, research reports, and other publications. Webinar leaders will share insights on best practices for submitting content to Academic Medicine and MedEdPORTAL and will present common reasons for rejected submissions. Additional topics that will be discussed include working revising a submission, interacting with editors, adhering to publication ethics guidelines, and understanding the peer-review process.
http://tinyurl.com/m93l7ag

With support from the University of Michigan Medical School, Dr. Matthew Davis is launching a free nationwide course on health policy open to medical students (as well as students from other health professions programs), on the Coursera open online curriculum platform. The six-week course, entitled "Understanding and Improving the US Healthcare System," is intended to engage learner “to think about how they can play a role in improving the system at the individual level -- as patients, healthcare providers, and/or in other capacities.” The course launches on October 7. https://www.coursera.org/course/ushealthcare 

Five Important Reasons to Vaccinate Your Child 

You want to do what is best for your children. You know about the importance of car seats, baby gates and other ways to keep them safe. But, did you know that one of the best ways to protect your children is to make sure they have all of their vaccinations?  

Immunizations can save your child’s life. Because of advances in medical science, your child can be protected against more diseases than ever before. Some diseases that once injured or killed thousands of children, have been eliminated completely and others are close to extinction– primarily due to safe and effective vaccines. One example of the great impact that vaccines can have is the elimination of polio in the United States. Polio was once America’s most-feared disease, causing death and paralysis across the country, but today, thanks to vaccination, there are no reports of polio in the United States. 

Vaccination is very safe and effective. Vaccines are only given to children after a long and careful review by scientists, doctors, and healthcare professionals. Vaccines will involve some discomfort and may cause pain, redness, or tenderness at the site of injection but this is minimal compared to the pain, discomfort, and trauma of the diseases these vaccines prevent. Serious side effects following vaccination, such as severe allergic reaction, are very rare. The disease-prevention benefits of getting vaccines are much greater than the possible side effects for almost all children.

Immunization protects others you care about. Children in the U.S. still get vaccine-preventable diseases. In fact, we have seen resurgences of measles and whooping cough (pertussis) over the past few years. From January through July 2013, more than 11,000 cases of whooping cough were reported, with cases in every state. Last year was a record year, with over 41,000 cases reported, the most since 1955. There were also 18 deaths reported in 2012, most of which were among babies younger than 3 months old. Unfortunately, some babies are too young to be completely vaccinated and some people may not be able to receive certain vaccinations due to severe allergies, weakened immune systems from conditions like leukemia, or other reasons. To help keep them safe, it is important that you and your children who are able to get vaccinated are fully immunized.  This not only protects your family, but also helps prevent the spread of these diseases to your friends and loved ones.

Immunizations can save your family time and money. A child with a vaccine-preventable disease can be denied attendance at schools or daycare facilities. Some vaccine-preventable diseases can result in prolonged disabilities and can take a financial toll because of lost time at work, medical bills or long-term disability care. In contrast, getting vaccinated against these diseases is a good investment and usually covered by insurance. The Vaccines for Children program is a federally funded program that provides vaccines at no cost to children from low-income families. To find out more about the VFC program, visit http://www.cdc.gov/vaccines/programs/vfc/ or ask your child’s health care professional.

Immunization protects future generations. Vaccines have reduced and, in some cases, eliminated many diseases that killed or severely disabled people just a few generations ago. For example, smallpox vaccination eradicated that disease worldwide. Your children don’t have to get smallpox shots any more because the disease no longer exists. By vaccinating children against rubella (German measles), the risk that pregnant women will pass this virus on to their fetus or newborn has been dramatically decreased, and birth defects associated with that virus no longer are seen in the United States. If we continue vaccinating now, and vaccinating completely, parents in the future may be able to trust that some diseases of today will no longer be around to harm their children in the future.

For more information about the importance of infant immunization, visit http://www.cdc.gov/vaccines.

This document can be found on the CDC website at: http://www.cdc.gov/vaccines/events/niiw/

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