HCFANY Annual Spring Meeting 2018 Recap

On Friday, June 22, more than 70 HCFANY members from across the state gathered in Albany for our annual spring to learn about the Coalition’s ongoing and upcoming work to strengthen and expand health coverage all for New Yorkers and promote health equity. As you all know, it has been a very challenging year for health care, and we are very grateful to all who attended and engaged with us!

The agenda included an Advocates’ Panel during which we heard updates on HCFANY work on New York’s indigent care pool and safety net hospitals and the Coverage 4 All Campaign for immigrant coverage. We also discussed strategies for improving market stabilization and affordability in the individual market. Slides from the presentation are available here.

We were also honored to present our annual “Consumer Health Champion” Award to the grassroots groups, the “New York Grassroots Defenders of Health Care” who have been so instrumental in the fight to defend the ACA and Medicaid here in New York. Awardees included: ACR Health, “Faso Friday,” Long Island Save Our Health Care Alliance, NY-11 for Health Care, Rochester ADAPT, and Saratoga Progressive Action.

The meeting concluded with discussion and planning groups on federal advocacy, protecting New York State’s individual market, and preserving and expanding immigrant coverage.

RWV National Women's Health Month 2018 GraphicGuest post by Jessica Pierson, graduate student intern with Raising Women’s Voices-NY.

National Women’s Health Week kicked off on Mother’s Day and will continue through Saturday, May 19th. Raising Women’s Voices-NY is celebrating by hosting activities and providing resources to promote women’s health throughout the week.

On Tuesday, May 15th, Raising Women’s Voices is hosting a Twitter Chat from 2 to 3 p.m. to discuss women’s health using the hashtag, #HerHealth. Organizations from around the country will be sharing information on a range of women’s health topics, such as what to expect at a well-woman visit, black maternal health disparities, how to take advantage of cost-free preventive services, reproductive health care for trans folks and how to navigate the health care system.

National Women’s Health Week is a great time to remind women to schedule their annual well-woman visit, which is free with their health insurance. RWV has created a flyer outlining key women’s preventive services for health organizations to use in promoting National Women’s Health Week. Navigating the health system can be difficult and confusing. RWV’s flyer can help simplify women’s experiences with the health system by explaining that services such as birth control, STI/HIV testing, blood pressure tests, flu shots and help quitting smoking are all included in a free well-women’s visit! The flyer also explains how to schedule an appointment, what to expect at the appointment and how to get the most out of the visit. RWV suggests distributing these customizable flyers at bus stops, laundromats or other local spots in order to reach women in every corner of your community.

Looking to promote women’s health in your area? RWV suggests amplifying National Women’s Health week by hosting an open house or community care night, holding a panel discussion or press events.

The Affordable Care Act improved access to women’s health services, but still millions of women are uninsured. Although Open Enrollment for health insurance through NY State of Health doesn’t start again until November, women may qualify for a Special Enrollment Period of 60 days if they experience a qualifying life event. Examples include losing your job-based health insurance, getting married, having a baby, adopting a child or, in New York only, becoming pregnant. Medicaid, Essential Plan, and Child Health Plus enrollment continue year-round. If you think you might qualify for enrollment, contact the Community Health Advocates hotline at 888-614-5400.

It is imperative that we celebrate National Women’s Health Week by helping women get insured and utilize their insurance wisely to optimize their health and well-being, and catch health problems early. RWV hopes you will join us for our Twitter Chat on May 15 and help us promote women’s health all week long!

NYIC_Logo-RV_Mar13,2012Guest post by Claudia Calhoon, MPH, Director of Health Policy at the New York Immigration Coalition.

A new proposed rule from the Trump administration promises to undermine the health and well-being of lawfully residing immigrants and their U.S. citizen children by forcing them to choose between benefit programs and getting a green card.  The new rules would penalize lawfully residing immigrants who participate in programs like SNAP (formerly food stamps), the supplemental nutrition program for women, infants, and children (WIC), health insurance, and the Earned Income Tax Credit by radically expanding the definition of who is considered to be dependent on the government or a “public charge”.  The rule would broaden the criteria by which someone is designated as a public charge, moving from describing public charge as being “primarily dependent” to being “likely at any time to use or receive one or more public benefits.”  The rule would increase the benefit categories that trigger public charge consideration to include non-cash benefits and programs.  (Currently just cash assistance and care in a long-term care facility that is paid for by Medicaid prompt public charge scrutiny.)

The rule would also give much greater discretion to immigration officers in assessing whether immigrants applying for a visa or a green card may be likely to use public benefits in the future. People who receive even periodic or one-time support with food, housing, or health insurance could lose their opportunity to become lawful permanent residents, based on one episode of unemployment.  Parents could also be penalized for having applied for benefits for their US citizen children. Given that lawfully residing immigrants are entitled to participate in these programs by law, punishing parents for using these benefits is especially perverse.  Advocates like the National Immigration Law Center believe that the administration is undertaking these changes in order to restrict and discourage family integration through administrative channels.

This rule represents a far-reaching and insidious effort to destabilize immigrant communities in the United States. Damage has already been done. News reports of the rule have already instilled hesitation among lawfully residing immigrant New Yorkers about using health insurance and WIC. If finalized as proposed, the rule could lead to large scale disenrollment from health insurance and other critical social programs, which can cause delays in seeking health care, and increases in economic instability. Delays in health care, food insecurity, and economic instability create long-term challenges for children and families over the course of their lifetimes.  Because New York State has committed to providing needed benefits that are not offered nationwide, New York families stand to lose more, and New York State policy makers will be faced with steeper and more profound public policy challenges than other states.

It is important to note that many individuals and families are not subject to public charge, and that this cannot be changed through the regulatory process.  These include refugees, asylees, survivors of crime and other immigrants and green cards holders with humanitarian protections who are seeking citizenship. When speaking to families, it is also important to note that the rules have not changed yet.  The proposed rule indicates that use of benefits before the rule is approved will NOT be considered, so there is no advantage to terminating benefits at this time for individuals currently receiving public assistance.

What can be done to stop this? Several Health Care for All New York members, including the New York Immigration Coalition, are helping foster efforts to impact the rulemaking process and educate communities.  On Thursday, March 29, the U.S. Citizen and Immigrations Services (USCIS) sent the draft rule to the Office of Management and Budget (OMB).  Advocates believe that it is similar to the version that was leaked most recently and anticipate that the rule will be posted for public comment in the Federal Register shortly, with a comment period of either 30 or 60 days. When the rule is posted, public comment from a wide variety of stakeholders and constituencies will be essential to slowing the rule and mitigating the damage it poses to immigrant communities.  If you would like to contribute a public comment, please email Max Hadler at mhadler@nyic.org to be added to the NYIC’s Health Collaborative listserv, where the NYIC we will share updates on the rule’s progress.  Along with many partners, the NYIC is working on community education materials and trainings for service providers and will share more information about those resources as they are ready. You can also join the Protecting Immigrant Families campaign led by the National Immigration Law Center and the Center for Law and Social Policy (CLASP) to keep up to speed on efforts to fight the rule at the federal level.

C4A LogoGuest post by Claudia Calhoon, MPH, Director of Health Policy at the New York Immigration Coalition.

On Wednesday, December 13, the Assembly Committee on Health, the Assembly Puerto Rican/Hispanic Taskforce, and the Assembly Taskforce on New Americans convened a public hearing on Immigrant access to healthcare.  Coverage 4 All, a campaign of Health Care For All New York led by the New York Immigration Coalition and Make the Road New York was instrumental in advocating for the hearing. The campaign’s goal is to expand insurance eligibility to all New Yorkers to reduce disparities in coverage.   Barriers to coverage are just one of the many current threats to immigrant health access and quality.

Agencies that provided testimony included the New York State Department of Health, the New York City Mayor’s Office for Immigrants Affairs, New York City Department of Health and Mental Hygiene, and New York City Health + Hospitals.  In addition, fifteen individuals from a range of social service, advocacy, health care, and community settings spoke about the impact of the federal administration on immigrant mobility, health utilization, coverage eligibility, and enforcement of language access regulation. Amid a federal landscape hostile to immigrants, New York State programs and protections are increasingly important.

Critical areas of particular attention included making sure that new mothers know they can safely continue to enroll in Medicaid and get prenatal care regardless of their immigration status, and continue to use the Women’s Infants, and Children (WIC) Food and Nutrition services. Another area of common interest among advocates was the opportunity that the state has to expand the Child Health Plus insurance program to cover young adults up to age 29 at a cost of $81 million.  Dr. Alan Shapiro, co-founder of Terra Firma, which works with unaccompanied minors, noted that health needs don’t end when young people turn 19.  These individuals “still have comprehensive primary care needs. They need access to immunizations, urgent care, sexual and reproductive health services.” The Child Health Plus Expansion is part of Health Care for All New York’s policy agenda, and the key priority of the Coverage 4 All campaign.

Hearing testimony from multiple stakeholders also highlighted the critical nature of improving enforcement of language access regulations, addressing mental health needs of immigrant communities subject to heightened stress under enhanced federal immigration enforcement, and ensuring that safety net hospitals have the revenue they need to care for all New York State residents.