A HEALTH CARE VICTORY FOR THE HISPANIC COMMUNITY

A HEALTH CARE VICTORY FOR THE HISPANIC COMMUNITY: IMPACTS OF THE AFFORDABLE CARE ACT BY STEVE DEL CASTILLO, PHD adelante con la salud: latino health care engagement project

Health Disparities Within the Colorado Latino Population: A Life Cycle View 2 Compared to other groups, Latinos have the highest health disparities in areas such as: Pregnancy and Birth Outcomes (e. g. , infant mortality, perinatal mortality, low-weight births) Children’s Health (e. g. , obesity & oral health) Youth ( e. g. , suicide; teen fertility rates; gonorrhea age 10 -17) Adults (e. g. , life expectancy @ birth; obesity, diabetes mortality, cervical cancer)

Status of Health Care for Latinos: Results of Colorado Health Assessment Survey (CHAS): 2011 3 Barriers to Accessing Health Care On average, Latinos were 40% more likely than Non-Latinos to Have problems Trying To Get Health Care Not Receive Needed Care Due to Costs Have Problems Paying or Unable to Pay Any Medical Bills

What Hispanics know about Obamacare 4 In Colorado, 69% of Hispanics find Obamacare confusing and complicated. 54% of Colorado Hispanics can’t name one policy that is part of Obamacare. Need for targeted outreach and education

WHY OBAMACARE MATTERS TO HISPANICS: THE RESEARCH

Why the ACA Matters For Hispanics 6 In April 2013 Latino Decisions conducted a poll with Colorado Hispanics and found that 31% of Hispanics lacked health insurance at some time in the past year Twenty percent of low-income Hispanic youth have gone a year without a visiting a health care provider. Half of all Hispanics do not have a regular doctor (US Census 2012) In 2011, one in three Hispanic women were uninsured (14 million Hispanics in the US) making them the largest group of women in the US without health insurance.

The Research 7 Sponsors: Adelante con la Salud Latino: Latino Health Care Engagement Project Latino Decisions 401 self-identified Latino adults No screen on citizenship or voter registration Conducted April 11 -16, 2013 All respondents selected at random Landline and cell-phone only households included along with on-line web sample Nominal margin of error is +/- 4. 9% Interviews in Spanish or English at subject’s discretion

Perceptions of the ACA 8 How much do you know about the Affordable Care Act, sometimes called Obamacare? Don't know 9% Pretty well informed 22% Confusing and complicated 69% Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11 -16 (N=401)

Health Care Costs for Families 9 Decreased. DK 6% 3% No change 42% Increased 49% In the past year has the total amount you pay for your family's health care increased, decreased, or remained the same? Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11 -16 (N=401)

Undocumented Immigrants & the ACA Regardless of what you’ve heard about the law, do you think undocumented immigrants should be able to access ACA benefits? Don't Know 9% Yes, should be eligible 62% No, should not 29% Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11 -16 (N=401)

ACA Information Language Preference 11 Which language(s) would you prefer to receive information about the new health care law? Both 27% English 59% Spanish 14% Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11 -16 (N=401)

Preferred ACA Information Format 12 35% Pamphlet mailed home Television 30% Website 30% Pamphlets at doctor office 17% Email 14% Call to home 7% Radio Hear from friends/family Text 5% 4% 2% Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11 -16 (N=401)

Trusted sources of information 13 Hospitals 27% Doctors 21% Community Orgs 17% Insurance companies 15% Family 13% Neighborhood clinics 12% Employer 7% Friends 6% Elected officials 6% Church 5% Nurses 5% Source: Adelante con la Salud /Latino Decisions National Health Care Survey, April 11 -16 (N=401)

HOW OBAMACARE IS HELPING THE HISPANIC COMMUNITY

ACA already at work for Hispanics 15 8. 2 million Hispanics who have private insurance now have access to expanded preventive services without additional cost-sharing

Prevention and Obamacare 16 Services that are covered with no-cost sharing if you have private health insurance include: Well-child visits Blood pressure, diabetes and cholesterol screenings Pap tests and mammograms for women Flu shots for adults and children Breast feeding supplies Alcohol misuse screening and counseling STD screenings

17 Expanding Access to Community Health Centers Colorado was awarded $104, 071, 213 to help expand services. 175 health centers are providing preventive and primary health care services to 474, 241 people. In 2009, close to 35% of patients served by community health centers were Hispanic

More Culturally Responsive Care 18 Increase health care workforce from communities of color through scholarship and loan repayment opportunities for people who commit to work in medically underserved areas

More Culturally Responsive Care 19 Current State People with limited English proficiency are less likely to have a regular source of care and get preventive care Less satisfied with quality of care Opportunities because of the ACA Cultural responsive training among health care providers to better address the needs of Hispanics

Expanding Coverage for Hispanics 20 Hispanics have the most to gain from health care reform Estimates from RAND suggest that by 2016, 5. 4 million Latinas/os will gain healthcare coverage who would otherwise be uninsured

For More Information 21 steved@multiculturalleadershipcenter. com 303 -881 -4344 Adelanteconla. Salud @Adelante. Salud