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Texas Uninsured and ACA Latino Impact . Families USA Annual Conference Hyatt Regency on Capitol Hill Washington, D.C., January 23, 2014 Juan H. Flores juan@ix.netcom.com. HEALTH CARE REFORM ENVIRONMENT
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Texas Uninsured and ACA Latino Impact Families USA Annual Conference Hyatt Regency on Capitol Hill Washington, D.C., January 23, 2014 Juan H. Flores juan@ix.netcom.com
HEALTH CARE REFORM ENVIRONMENT • Historical Context [Texas ‘On-the Brink’ Anti-Social Determinant Policies - Marginalization of POC] • Current Political Environment • ACA Implementation Barriers • Medicaid Expansion • Health Insurance Exchange • Texas [TDI & DHHSC] • Consumer & Navigator Adverse • DSH/Waiver
OVERALL: INSURANCE COVERAGE & HEALTH CARE ACCESS • Impact on Insurance Coverage and Health • Health Care Status = So – So • Health Care Quality Not The Best • Health Care Costs Are High
LATINO HEALTH STATUS AND INSURANCE • COVERAGE ENVIRONMENT • Mexican-American Health Paradox • Health Status Challenges • Insurance Coverage Trend
Texas ACA Gap Number and Percent Uninsured Below 100% FPL Source: U.S. Census, Community Population Survey 2011
ACA CHALLENGES AND OPPORTUNITIES • Political and Policy Barriers • Communications and Outreach Strategies • Organizing & Political/Policy Advocacy • Closer Collaboration With: • Coalitions [Multiple Sectors] • Public and Non-Profit Hospitals • CHCs/Free Clinics