convergence and collaboration in the year of the affordable care act (aca) the ut health science...
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Convergence and Collaboration in the year of the Affordable Care Act (ACA)
The UT Health Science Center Libraries Outreach to Communities in South Texas and the Story of Laredo
October 14, 2014Room 2: 10:30 -10:50 a.m.
Peg Seger, MA, MLISHead of Outreach Services
UT Health Science Center Libraries
Quint Essential – Convergence & Collaboration: Quint Chapter MLA - Denver, Colorado October 12-16, 2014
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Outreach Services to South Texas
• 3 Library locations• Serving 33 counties• San Antonio – Bexar
County• Harlingen - Cameron
County• Laredo - Webb County
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Planning for the Affordable Care Act•Good Intentions• All 3 Library locations – ACA Champions for Coverage!• Timeline – August to Oct 1st, 2013• NN/LM SCR Resources – Role of Libraries in the ACA• Webinars• Healthcare.gov – information pages print out• Public Libraries• School Districts• Community Colleges• Flyers/Brochures• Emails• Community Advisors Meetings
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ACA & Community Advisors Meeting• Bi-annual meeting• Videoconference• Public & academic libraries• CHWs & Promotores• Health Clinics/interns• Charitable Organizations• Veterans Administration• Campus students• Faculty researchers• Area Health Ed. Centers
Briscoe Library in San Antonio
Ramirez Library in Harlingen
Laredo Regional Campus Library
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Health Care Access in Texas•Stumbling blocks• Lack of Medicaid expansion• Lack of state-based ACA website• Limited grants for training Certified Assistants (CAs)• Poorly timed state training requirements for CAs•Difficulty identifying certified assistance centers (CACs) with qualified CAs
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No Medicaid Expansion in TX
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Coverage Gap in Texas
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2012 Uninsured by County
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2013 American Community Survey
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2012 Uninsured Under 65
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2012 Uninsured & <138% Poverty
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2012 18-64 (138-400%Poverty) Uninsured
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Texas Counties Uninsured
• Bexar County – San Antonio• Briscoe Library
• Webb County – Laredo• Laredo Regional Campus
Library
• Cameron County – Harlingen• Ramirez Library
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Briscoe and Ramirez LibrariesBriscoe
• ACT Together for Health• Community Service
Learning student initiative• Brochure
• San Fernando Health Fair – October 2013
Ramirez• In general, plays a larger
“public library” role
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Laredo Regional Campus Library•Convergence and Collaboration• MRG AHEC• Enroll Webb Coalition• Office of U.S. Rep. Henry Cuellar• Laredo Health Coalition• Health Education Institutions• Health Care Providers• Nonprofits in the city and county• Mercy Ministries
• Laredo Community College
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Office of Border Health
https://www.dshs.state.tx.us/borderhealth/border_health_map.shtm
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Laredo/Webb County – Health Insurance
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ACA Workshop – Saturday Nov 2nd, 2013
• Health Insurance Marketplace Community Workshop
• English and Spanish Sessions• Enroll Webb County Coalition
• Laredo Community College Office of U.S. Rep. Henry Cuellar
• Laredo Health Coalition• MRGV AHEC• Laredo Health Dept.
• Webb County 36.8% uninsured (85,000 people)
• Library flyers distributed
Laredo Morning Times – 11/2/13
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Library Flyers for Distribution
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ACA Enrollment Event
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Standing Room Only on March 8th
March 8th
• 101 people served• 45 minute average time• Account set-up/email
March 29th
• Last-minute enrollment during a campus health fair
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Fall 2014: South Texas Development Council
• $300,000 from HHS to STDC announced by Rep. Henry Cuellar• $233,000 specifically for
Navigators• Several counties in Texas including
Laredo’s Webb county• Part of 4.6 mil to United Way of
Metropolitan Tarrant County• STDC mission
• Education on ACA insurance options• Focus on families with children, legal
immigrants, those with limited English, disabled, and young adults
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Laredo ACA Open Enrollment Event
•November 15th, 2014• Laredo Regional Campus Library• Sponsors:• UT Health Science Center Libraries• 28th District Congressional Office of
Representative Henry Cuellar• MRGV AHEC• South Texas Development Council