I M M I M IGRAN T H EA EAL T H A CCESS IN I L L IN IN IN O IS IS L u via ia Q u iñ iñ on es H ea ealth Policy D ir ec ector , ICIRR lqu in in on es@ic icir ir r .or g
O VERVIEW • Backgro u n d : ICIRR, Illin o is Persp ective an d ACA eligib ility • H ealth y Co m m u n ities Co o k Co u n ty (H C3) Co alitio n an d T ask Fo rce
W H O IS ICIRR? • ICIRR is d ed icated to p ro m o tin g th e righ ts o f im m igran ts an d refu gees to fu ll an d eq u al p articip atio n in th e civic, cu ltu ral, so cial, an d p o litical life o f o u r d iverse so ciety. • In p artn ersh ip with o u r m em b er o rgan izatio n s, th e Co alitio n : ● ed u cates an d o rgan izes im m igran t an d refu gee co m m u n ities to assert th eir righ ts; ● p ro m o tes citizen sh ip an d civic p articip atio n ; m o n ito rs, an alyzes, an d ● ad vo cates o n im m igran t-related issu es; an d ● in fo rm s th e gen eral p u b lic ab o u t th e co n trib u tio n s o f im m igran ts an d refu gees.
www.icirr.org T H E H E AC ACA A AN AN D I M M I M M I GRAN T S N atu r aliz ized Cit itiz izen s L eg egally pr es esen en t im m igr an ts U n docu m en en ted ed
U.S. C IT IZ EN S AN D I M M IGRAN T S UN D ER T H E ACA www.icirr.org
R EVIEW O F “ N O N - CIT IZ EN ” • L egally present im m igrants • Undocum ented www.icirr.org • Refugees • H um an T rafficking • Victim s of a crim e • D om estic violence • Asylees • Fiancees of U.S. Citizens
47% 7% of of C Coo ook C Cou ounty r residents a are uninsu sured
O UR P RO PO SED SO LUT IO N : H C3 D IRECT H EALT H A CCESS P RO GRAM • a care co o rd in atio n p ro gram ( sometimes also called a direct access program ) sim ilar to th e o n es in Lo s An geles, San Fran cisco an d N ew Yo rk City • T h e m ain o b jective o f th e p ro gram is to b etter co o rd in ate resid en t’s access to th e services an d reso u rces alread y availab le
O UR K EY P ART N ERS Community Labor Policy Groups Providers Organizations Community Wellness Program/St. Anthony Illinois Coalition for Immigrant Access Living – Cambiando American Federation of State, Health and Medicine Policy and Refugee Rights (ICIRR) Hospital Vidas County and Municipal Research Group Indo American Center Alliance of Filipinos for Employee (AFSCME) Korean American Community Immigrant Rights and Service Employees Heartland Alliance for Human Holy Cross Hospital/ Sinai Services Empowerment International Union Local 1 Needs and Human Rights Health System Korean American Resource Apna Ghar Service Employees and Cultural Center Arise Chicago International Union Health Sargent Shriver National Illinois Association for Free Logan Square Neighborhood Asian American Advancing Care (SEIU-Healthcare) Center on Poverty Law and Charitable Clinics Association Justice Service Employees Mujeres Latinas en Accion Brighton Park Neighborhood International Union Doctors South Asian American Policy Northside Community Illinois Primary Health Care Council Council and Research Institute Resources Catholic Charities of the Association P.A.S.O- West Suburban Archdiocese of Chicago Action Project Centro Autonomo Illinois Transplant Fund Polish American Association Centro de Trabajadores Salud Sin Papeles Unidos- Immigrant Workers National Alliance on Mental Southwest Organizing Project Project Illness- Chicago TARGET Area Development Chicago Coalition for the Corporation Homeless United Congress of St. Joseph Services Chicago Irish Immigrant Community and Religious Support Organizations Communities United Young Invincibles Compassionate Care Network ENLACE Chicago Fight For 15! Hanul Family Alliance
V ICT O RY ! A N N EW EW C CO M PREH EH EN EN SI VE E H EA EAL T H CARE O O PT I O N FO R 4 40 , 0 ,0 0 0 0 0 0 U N I N SU SU RED R RESI SI D EN T S! S! O n Sep tem b er 14 th , Co o k Co u n ty Co m m issio n ers Vo ted u n an im o u sly to estab lish th e Co o k Co u n ty d irect access p ro gram . T h e p ro gram will, in it’s first year, p ro vid e access to co o rd in ated h ealth care to 40 ,0 0 0 lo w in co m e, u n in su red Co o k Co u n ty resid en ts.
W H AT O UR C O M M UN IT IES W O N A d irect access p ro gram in clu d es: • Co m p reh en sive p reven tive p rim ary, sp ecialty, em ergen cy an d h o sp ital care at an affo rd ab le co st • A h ealth n etwo rk m em b ersh ip card u sed as a to o l to sh are p atien t's m ed ical in fo rm atio n acro ss n etwo rk p ro vid ers • An assign ed "m ed ical h o m e" wh ere p atien ts will see th e sam e d o cto r an d p ro vid er o n a regu lar b asis
I SSU AN D B ARRI SSU ES AN RRIERS RS 44% unaware of low-cost services for the uninsured 28% had unpaid hospital bills , often for over $5,000 65% of those with bills unaware of financial aid 70% of those who applied for aid were unsuccessful 51% had a chronic health condition
D IRECT A CCESS P RO GRAM ’ S E LIGIBILIT Y Eligib ility: • Un in su red • Co o k Co u n ty resid en ts • At o r b elo w 20 0 % Fed eral Po verty Level (FPL) • N o t eligib le fo r p u b lic in su ran ce In th e first year ab o u t 40 , 0 ,0 0 0 i 0 0 0 in dividu als will b en efit fro m th is p ro gram . M o vin g fo rward , an yo n e th at m eets th e eligib ility req u irem en ts can ap p ly.
D IRECT A CCESS P RO GRAM ’ S BEN EFIT S • cen tralized system o f ad m in istratio n an d in fo rm atio n sh arin g • a sin gle en ro llm en t ap p licatio n • a m em b ersh ip card • assign m en t o f a m ed ical h o m e an d p rim ary care p ro vid er • an affo rd ab le co st stru ctu re fo r services, an d m o re
R ESO URCES • www.icirr.o rg • h ttp s:/ / www.faceb o o k.co m / h ealth yco m m u n itiesco o kco u n ty/ • www.getco vered illlin o is.go v • h ttp :/ / www.p o vertylaw.o rg/ • h ttp :/ / www.everth riveil.o rg/
T H AN K YO YO U !
C O M M UN IT Y H EALT H C ARE C LIN IC • Po st-ACA clin ic p o p u latio n sh ift • Lo cal ch an ges in im m igratio n p o p u latio n • Rem ain in g gap s in o u r lo cal h ealth care system • Lo n g-term tru sted p ro vid er
Community Health Care Clinic • D o you care for illegals at your clinic?
C O M M UN IT Y H EALT H C ARE C LIN IC W h at we d o well • Frien d ly, welco m in g en viro n m en t fo r everyo n e • Flexib le with “req u ired ” d o cu m en ts fo r services • Bi-lin gu al services at all levels ● Recep tio n ● Pap erwo rk ● Prescrip tio n lab els ● An yth in g th ey co m e to u s with • M ed icatio n access
C O M M UN IT Y H EALT H C ARE C LIN IC W h at to watch fo r in yo u r clin ic • T eam ten sio n • Rem o ve all b arriers th at yo u can with everyo n e yo u serve • Staff accep tan ce • Yo u r o wn p erso n al b ias
C O M M UN IT Y H EALT H C ARE C LIN IC W h at CH CC can d o b etter • Sp ecialty o ffices an d h o sp ital services • O th er im m igran t p o p u latio n s ● Fren ch Co n go lese ● M id d le Eastern
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