Central Valley Regional Network Creating Regional Advocacy Infrastructure September 21, 2007 9:00 a.m. to 12:00 p.m. Fr

1. Central Valley Regional NetworkCreating Regional Advocacy InfrastructureSeptember 21, 20079:00 a.m. to 12:00 p.m.Fresno Covenant Foundation2727 North First Street, Fresno

3. Central Valley Regional Network Mission: Empower Latino communities in the Central Valley to fully participate in health planning implementation, evaluation and advocacy through the development and support of a socio-political infrastructure that engages Latinos at the local level; supports Latinos to interact with other community leaders and elected officials; and contributes to their full and active participation in government�s decision-making process.

4. Central Valley Regional Network (CVaRN) CVaRN members meet on a quarterly basis to: address locally-defined needs and conditions; pose local solutions to health issues that Latinos face; increase the community�s knowledge, skills and capacity to participate in and contribute to policy-making decisions that impact them; and foster and coordinate statewide responses to policies affecting Latino health. Please make sure to fill out your evaluations!

5. Some of LCHC�s Regional Successes Los Angeles (September 2004-present) Training on local advocacy Medicare Part D updates Mobilization for changes to safety net providers Bay Area (November 2004-present) Obesity framing and messaging workshop Medicare Part D training Sharing best practices: San Francisco and Santa Clara adult insurance expansion San Diego (June 2006-present) Education on Medi-Cal proof of citizenship guidelines Creative locally-based insurance expansion models

6. Latino Coalition for a Healthy California Leading organized voice for policies, services, and conditions to improve the health of Latinos Issues Areas: Access to Health Care Health Disparities Community Health Three-Strategy Approach Community Education Research Policy Advocacy

7. LCHC Membership Subscription to LCHC monthly newsletter Legislative and Budget Updates & Analysis Inclusion in the Rapid Response Network Technical assistance with questions regarding legislative and budget issues Inclusion in a Latino professional�s online directory Invitations to all LCHC events

8. For More Information Latino Coalition for a Healthy California 1225 Eighth Street, Suite 500 Sacramento, CA 95814 (916) 448-3234 www.lchc.org Lupe Alonzo-Diaz, Executive Director Ver�nica Montoya, Policy Director Vanessa Cajina, Regional Networks Coordinator Linda Nguy, Policy Associate Daniela Reynoso, Policy Coordinator Judy Melson, Office Manager

9. California Immigrant Policy Center (CIPC) CIPC is a statewide partnership of four organizations, formed in 1996 to coordinate a statewide response to the health and welfare challenges facing immigrants in California. CIPC works directly in the community as well as with policy makers to provide an integrated response to changes in health and welfare laws and to advocate for the rights of low-income immigrants. Three program areas: Policy Analysis Technical Assistance & Training to service providers Community Education & Outreach

11. Agenda � There are rewards for attending! Welcoming Remarks CVaRN Member Introductions State of Latino Health in the Capitol: Legislation, Budget, and Healthcare Reform Federal Health Legislation: SCHIP reauthorization and Medi-Cal proof of citizenship guidelines

12. Latino Health in Sacramento: A review and next steps on legislation and the state budgetVanessa Cajina, Latino Coalition for a Healthy CaliforniaDavid Quackenbush, Central Valley Health Network

13. LCHC 2007 Legislation: Access to Health Care

14. LCHC 2007 Legislation: Health Disparities

15. LCHC 2007 Legislation: Community Health AB 898 (Salda�a) LCHC co-sponsor SUPPORT Would create a pilot program in 3 school health centers throughout the state to have promotores provide diet education and obesity prevention Status: Has become a 2-year bill Other LARN legislation: AB 1 (Laird) & SB 32 (Steinberg) SUPPORT Creates health care coverage for ALL California children under 300% of FPL and eases the enrollment process for Medi-Cal/Healthy Families Status: Passed their respective houses, now on to the Governor Send a letter of support to the Governor!

16. Other legislation SB 120 (Padilla) SUPPORT Would require specified food facilities (chain restaurants) to provide nutrition information on their menus Status: Passed out of the Assembly, now goes over to Governor Send a letter of support to the Governor! AB 1472 (Leno) SUPPORT Establishes the California Healthy Places Act, which would require state agencies to work together to improve environmental health and provide assistance and funding to local governments Status: Held in Senate Appropriations committee

17. Other legislation SB 48 (Alquist) SUPPORT Would expand and support healthy retail food outlets in underserved communities, as well as technical support to existing food retailers to improve food choices Status: Held in Assembly Appropriations committee

18. The California Budget � 52 days late and $700 million short The third-latest budget in state history, the budget stalemate resulted in the Governor �blue penciling� over $700 million to appease Senate Republicans, most cuts coming from Health and Human Services Some notable cuts include programs the Governor had touted highly in his re-election campaign last year as a nod to post-partisanship

19. Some of the cuts include� AB 2911-Discount Prescription Program:$6.3 million SB 437-Medi-Cal/Healthy Families self-certification pilot program: $15.4 million Outreach and enrollment for Medi-Cal/Healthy Families: $15 million Medi-Cal managed care rates: $53.1 million CalWORKS COLA suspension: $124 million Expanded Access to Primary Care program:$10 million

20. California�s Healthcare Reform debate � Where are we, where are we going?

21. AB 8 and the Governor�s proposal� AB 8 (Legislative Democrats� plan) passed through Assembly and the Senate, with clauses for affordability, employer contributions, and public programs expansion The Governor has indicated he will veto the bill in its current form because: AB 8 is not universal in its current form It does not include �guaranteed issue� It relies on employers to fund it It does not increase Medi-Cal provider compensation

22. Where are we going? The Governor and Leadership have agreed to meeting in a special session to pass healthcare reform This session will likely produce the broad policy components that the Gov and Leadership have already agreed to in theory They will likely agree to put the financing measures on a ballot � watch out� Hospital and provider tax (hospitals agree) versus sales tax (regressive tax = bad for Latinos!)

23. Placeholder legislation introduced by Speaker Nunez and Senator Perata

24. Assembly Dems and Reps have formed work groups for Extraordinary Session Karen Bass Hector De La Torre Mervyn Dymally Patty Berg Mark DeSaulnier Ed Hernandez Mary Hayashi

25. It�s OUR Health Care: What we�ve accomplished: The Governor and leadership have called for a special legislative session to pass healthcare reform Legislators and the Governor have brought up the possibility of a ballot measure to ensure funding Get Well cards, photograms and clocks have brought our issues to legislators and shown them how important this is to us

26. Regional Networks: What we�ve accomplished: Latino Health Advocacy Day District visits to 10 Los Angeles legislators and their staff, including: Assemblymembers Ed Hernandez, Hector De La Torre, Felipe Fuentes, Kevin de Le�n Staff members for Assemblymembers Karen Bass, and Speaker N��ez and Senators Ron Calderon, Lou Correa, Alex Padilla and Gil Cedillo All but 2 supported our Statement of Principles on healthcare (affordability, sustainability, wellness) Town Hall forum on healthcare with 50 community members to talk about how health care affects us!

28. It�s OUR Health Care! Help us make 1 final push to call 1000 legislators! Tell them who you are, where you�re from and that you want healthcare that you and your communities can afford to buy AND to use. Governor Schwarzenegger Fresno Office 1-866-575-3782

29. Federal Legislation and Local Impacts: -SCHIP reauthorization-The Deficit Reduction Act & Medi-Cal proof of citizenship guidelines Doreena WongStaff AttorneyNational Health Law Program

30. What you can do: Go to http://www.familiesusa.org/resource-centers/medicaid-action-center/ for updates on SCHIP and sample letters of support Call a congressional rep to tell them what your community needs and why you support SCHIP: Brian Bilbray David Dreier Jerry Lewis Ken Calvert Mary Bono

31. Upcoming Events Next meetings of the Central Valley Regional Network (locations TBD): December 12 LCHC�s Biannual Conference: �Inspirando Cambio: Leading the Way to Healthy Communities� November 9, 2007 � The California Endowment Center for Healthy Communities, Los Angeles

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