Congresswoman Barbara Lee is the CAPAC health task force chair and will be the lead in the House side. Senator Akaka will be the lead on the Senate side The focus of these bills has been to provide federal support, resources and policies to tackle disparities in health status and the health care system at all levels.
There are over 180 members in the working group, including orgs representing racial and ethnic minorities, women ’s health, LGBT, immigrants, disability, research institutions, professional organizations
HEAA builds on H.R. 3090 using it as “the floor” to ensure that the progress made with the Affordable Care Act (ACA), the American Recovery and Reinvestment Act (ARRA) and the CHIPRA benefit communities of color and other marginalized groups. On content we developed a set of health equity principles, an outline of the bill and submitted over 150 pages of edits and comments on the initial House draft. Frame: racial and ethnic minorities, and the sub-populations that face multiple barriers based on immigration status, sex, gender identity and sexual orientation, disability, geographic location, English proficiency, etc. On strategy, Hill visits on House and Senate side.
Includes 10 titles: Title I Data Collection and Reporting— seeks to increase resources for the collection and reporting of health data, and increase its precision and accuracy. Title II Culturally and Linguistically Appropriate Health Care— focuses on ensuring real, on the ground access to high quality care by enhancing language access services and culturally competent care in the health care delivery system. Title III Health Workforce Diversity, Expansion and Training— aims to create a pipeline and new training opportunities for professional and allied health care workers that can effectively serve minority populations. Title IV Improvement of Health Care Services— includes proposals to remove barriers to health care coverage and access and maximize the positive impact of federal investments in health care in minority communities. (New) Title V Improving Health Outcomes for Women, Children and Families— addresses certain health disparities facing women and children, and promotes programs that support healthy family formation. (New) Title VI Mental Health— incorporates strategies to address mental and behavioral health issues affecting minority communities. (Newish) Title VII Addressing High Impact Minority Diseases — proposes focused approaches to combat a variety of diseases and conditions, including includes Cancer, Diabetes, HIV/AIDS, that have a disparate impact on racial and ethnic minorities. (New) Title VIII Health Information Technology— seeks to ensure that communities of color benefit from the rapid advances in health information technology and new investments in HIT infrastructure that will serve as the foundation for improving quality, effectiveness and efficiency in our future health care system. Title IX Accountability and Evaluation— strengthens HHS oversight in ensuring that programs continue to reduce health disparities. (New) Title X Prevention & Social Determinants of Health— builds upon the ACA ’s historic investment in prevention to bolster primary as well as secondary prevention efforts and targets resources to communities striving to overcome negative social determinants.
First Senate bill that was introduced since 2005.
The HEAA of 2011 is important because it helps to mobilize our communities, serves as a marker bill on the continued need for health equity and is useful in supporting the work of the Tri-Caucus.
We are also working on sign on letters to send to the Hill to encourage them to be co-sponsors.
1. Overview of the Health Equityand Accountability Act of 2011 SYNChronicity 2012 Conference Paulo Pontemayor, APIAHF April 21, 2012
2. What is the Health Equity and Accountability Act?• Introduced by the Tri-Caucus (made up of the Congressional Black Caucus, the Congressional Hispanic Caucus and the Congressional Asian Pacific American Caucus) as a comprehensive health disparities elimination bill for racial and ethnic communities over the last 5 Congresses• Rotates sponsorship in each Congress – CAPAC is the lead this year
3. Congressional Tri-Caucus Health Task Force chairs Congressional Hispanic Caucus
4. Community Working Group (Who)• In late May, APIAHF started to convene advocacy groups to work on updating H.R. 3090 (111th version).• This CWG is made up of a broad range of national and state advocacy organizations.• Weekly meetings to discuss the scope, strategy and logistics of a HEAA in the 112th
5. Community Working Group (How)• The CWG conducted an analysis of H.R. 3090 with the ACA, ARRA and other enacted laws.• Developed educational and advocacy materials.• The group conducts its work through content and strategy committees.• The CWG works in partnership with Congressional Tri-Caucus and Senate staff.
6. What’s happened in the 112th Congress?
7. Looking Ahead
8. Why work on the HEAA?• Strengthens and complements the ACA• Creates visibility for the Tri-Caucus and racial and ethnic health disparities issues.• Opportunities for further legislative action• Opportunities for Administrative action
9. Why work on the HEAA? (cont.)• Broadens the range of stakeholders committed to health disparities issues• Community mobilization tool• Opportunities for state health equity advocacy
10. How can you be involved?• Join the HEAA 2011 Community Working Group List serve: – http://groups.google.com/group/HEAA2011• Sign onto the Consensus Statement: – http://bit.ly/HEAAprincipleSign-On• Call/join into our meetings on Fridays (10:00 AM- 12:00 PM EST)
11. Questions? Paulo Pontemayor, firstname.lastname@example.org More resources available athttp://www.apiahf.org/policy-and-advocacy/policy-priorities