1 of 25

HOS 2023 Meetings

March 23, 2023, 11 am - 12 pm

Meeting #5

See Meeting Notes Google Doc

2 of 25

Check in: In the chat box, please share your name, pronouns, organization, and location.

3 of 25

Agenda for today

11:00 am - 11:10 am Check-in and Announcements

​

11:10 am - 11:20 am CHW/P/R Coalition Updates

​

11:20 am - 11:50 am 2023 Statewide Advocacy Day Policy Priorities

​

11:50 am - 12:00 pm Q&A

​

4 of 25

Announcements

  • Proposed changes to the OMB Race and Ethnicity Standards
    • Comments are due by April 12th; unique comments are encouraged!

​

    • CPEHN, Asian Health Services, and other organizations will share a joint sign-on comment letter the week of April 3rd

​

    • Email Cary Sanders at csanders@cpehn.org with any questions

​

5 of 25

Announcements

​

6 of 25

Update

March 23, 2023

7 of 25

The CHW/P/R Medi-Cal Benefit will allow Medi-Cal recipients to access services from certified CHW/P/Rs

The CHW/P/R Medi-Cal benefit began July of 2022

The certificate process Is still being developed.

Community based organizations can qualify as supervising entities of CHWs

Services include clinical and community services

The CHWPR Medi-Cal Benefit

8 of 25

Governor Newsom’s proposed FY 2023-24 state budget delays implementation of the Community Health Worker, Promotoras & Representatives (CHWPR) workforce grants ($133 million) to recruit, train, and certify 15,000 CHWPRs by 2026.

State leaders set aside $281 million to help recruit, train, and certify 25,000 new community health workers by 2025. While DHCS is overseeing the new Medi-Cal benefit, the state Department of Health Care Access and Information is developing a certificate process for this next generation of community health workers, promotoras, reps.

CHWPR Budget Updates

2022-2023

2023-2024

9 of 25

We invite you to join us in opposing the Governor’s decision to delay the allocation of funds for CHWPR grants and stipends.

  1. These funds are critical for building a robust culturally and linguistically responsive workforce that can meet the needs of California’s diverse populations.
  2. Funds are Needed TODAY to Support CHWPRs and nonprofit training entities
  3. Funds Should be Used to Establish a Standing Stakeholder Advisory Committee and an Inclusive Public Stakeholder Planning Process

Stop the DELAY!

Support CHWPRS TODAY!

10 of 25

Stop the DELAY!

Support CHWPRS TODAY!

If your or your organization would like to sign on to this letter, please email Seleny Diaz (sdiaz@cpehn.org) by NEXT WEDNESDAY, 3/29, at 11 AM

Please provide us with the following in your email response:

1. Your organization’s logo; and

2. Name and title of the person signing the letter on your organization’s behalf

11 of 25

12 of 25

  • Stockton: Monday, March 20, 3:00 PM – 5:00 PM; Burlwood Auditorium, Wentworth Education Center, 2707 Transworld Dr., Stockton Register Here
  • Eureka: Tuesday, March 21, 1:00 PM – 3:00 PM; Jefferson Community Center, 1000 B St., Eureka Register Here
  • Salinas: Thursday, March 23, 3:00 PM – 5:00 PM; Cayenne Room, 1441 Schilling Place, Salinas Register Here
  • San Diego: Monday, March 27, 12:30PM – 2:30PM; Skyline Hills Public Library – Multipurpose Room, 7900 Paradise Valley Rd, San Diego Register Here
  • San Bernardino: Tuesday, March 28, 2:00 PM – 4:00 PM; El Sol Neighborhood Education Center, 1535 S. D Street, San Bernardino Register Here
  • Los Angeles: Wednesday, March 29, 1:00 PM – 3:00 PM; California State University Los Angeles, Student Services Building, Lower-Level Rm #120, 5151 State University Dr., Los Angeles Register Here

Join the In Person HCAI Sessions

13 of 25

April 5

CHW/P/R Policy Agenda Drafting #2: Economic Equity & Equitable Access

April 19

Public Education Meeting Sharing updates on coalition activities and proposed policy agenda topics

May 4

Policy Roundtable #2 Medi-Cal Benefit with DHCS, Health Plans, Clinics, and CHWPRs

June 14

All Coalition Meeting Sharing the CHWPR Policy Agenda

June

Policy Roundtable #3 with CHW/P/Rs, Doulas, Peer Support Specialists

March 29

CHW/P/R Policy Agenda Drafting #1 Workforce Development & Integration

Upcoming Coalition Events

14 of 25

Resources

​

15 of 25

2023 Statewide Advocacy Day Policy Priorities

March 23, 2023

16 of 25

Budget Priority - Health Equity and Racial Justice Fund

  • Proposal to create a fund within DPH/OHE to provide grants to CBO’s, clinics, or tribal organizations for local health equity and racial justice projects
  • Supported by 200+ organizations, but faces challenges given budget climate
  • The Ask: $50M over 2 years
  • Senator Eggman is champion in the Senate for monetary ask, Asm. Arambula is champion in the Assembly for the framework
  • Taking Action: Lobby Day, and Thursday 3/30 upcoming Sentate budget subcommittee #3

17 of 25

Budget Priority - California's Health Data Exchange Framework

  • Proposal to establish health data exchange framework to set up the Health Information Exchange – Implement recommendations from the data framework committee that was established in 2021
  • Ensure patient data is transferable and available if needed for patient care in real time
    • Demographic Data, language
    • Social needs data (in future)
  • Governor Newsom’s administration introduced tbl; however it isn’t clear that this discussion will move forward in the budget
  • Assembly is advancing AB 1331 (Wood) to ensure the legislature has chance to have a policy conversation rather than advance TBL; unclear what the Senate may do, but it will impact how this discussion advances

​

​

​

18 of 25

AB 1208 (Shiavo) - CoveredCA Affordability

  • Since the ACA, CA has made great strides in covering the remaining uninsured�
  • But rising health care costs are threatening those gains!
    • 1 in 4 Californians (27%) say they or a family member had problems paying at least one medical bill
    • Latino/x are most likely to experience problems (40%), followed by people who are Black (36%), White (20%), or Asian (17%)

​

19 of 25

AB 1208 (Shiavo) - CoveredCA Affordability

  • Rising health care costs are resulting in poorer health outcomes for communities of color
    • 52% of Californians delayed health care in the past year
    • Black (67%) or Latino/x (53%) Californians were more likely to skip or delay care
    • Of those who skipped or delayed care, 50% say their condition got worse

​

20 of 25

AB 1208 (Shiavo) - CoveredCA Affordability

  • Costs in Covered CA have risen faster than the cost of living
    • Deductibles for enrollees in a mid-tier Silver Plan grew by 88% over 9 years
    • In just one year…deductibles jumped from $3,700 for an individual and $7,400 for a family to $4,750 and $9,500 respectively
    • Primary care doctor fees can cost nearly $50 and an additional $10 to $15 dollars for each prescription

​

21 of 25

AB 1208 (Shiavo) - CoveredCA Affordability

  • AB 1208 (Shiavo) directs Covered CA to apply funds from the CA Health Care Affordability Reserve Fund to reducing cost-sharing (CSRs) and eliminating deductibles for Covered CA enrollees. The bill:
      • Requires Covered CA to update CSRs annually and maximize the number of low and middle income with zero deductibles.�
      • Provides state subsidies for premium assistance would not be operative in any year in which federal premium subsidies are equal to or greater than those provided in 2023

​

22 of 25

AB 311 (Santiago) / SB 245 (Hurtado)- Food4All

23 of 25

SB 435 (Gonzalez) - Latinx and Indigenous Disparities Reduction Act

  • Latino and Indigenous Disparities Reduction Act - SB 435: By gathering and breaking down anonymous specific ethnicity and language data for the Latinx and Mesoamerican Indigenous populations in California, the Latinx and Indigenous Disparities Reduction Act will take the first step in addressing the underlying health and related disparities within these communities.
  • Raises awareness on Indigenous Mesoamerican nations: The term Latinx is not all encompassing and does not represent Indigenous communities or languages. We need to uplift and address the specific needs of Indigenous Mesoamericans in California.

​

​

Departments include:

  • Department of Health Care Services (DHCS)
  • Department of Public Health (DPH)
  • Department of Social Service (DSS)
  • Department of Aging
  • California Department of Health Care Access and Information (HCAI)

​

Additional Latinx Subgroups:

  • Latinx subgroups: Mexican, Salvadoran, Guatemalan, Honduran, Nicaraguan, Costa Rican, Panamanian, Belizean, Puerto Rican, Dominican, Cuban, and South American.
  • Each major Mesoamerican Indigenous nation, including, but not limited to: Mixteco, Zapoteco, Triqui, Mayan, and Aztec

​

Indigenous languages include:

  • Indigenous Mesoamerican languages the bill would collect data for include Zapoteco, Chinanteco, K'iche, Nahuatl, Mixteco, Purépecha, Tzotsil, Maya, Amuzgo, Ayuujk (Mixe), Mam, Popti, Q'anjob'al, Triqui, Chatino.

​

​

24 of 25

AB 85 (Weber) - Social Determinants of Health Screening

  • SUMMARY:

Health-related social needs must be addressed to improve health outcomes and equity,

including racial and ethnic disparities. AB 85 seeks to improve access to social determinants of

health (SDOH) screenings, referrals, and community navigation services. Additionally, AB 85 aims to close the gap between community-based organizations (CBOs) and providers to improve follow-ups after screening and collaboration efforts with community organizations to assist patients with their social needs. This bill would:

​

​

​

​

​

Require Health Plans and Insurers to pay for screenings for SDOH

​

​

​

Require health plans and insurers to provide access to community health workers

​

​

Establish a Workgroup

25 of 25

Q&A

March 23, 2023