Implementation Team: Growing, Attracting, and Retaining a Health Workforce that is Culturally and Linguistically Competent, January 20, 2021

NEXT STEPS

1. Lets stay connected during the legislative session! Ways to Stay Connected 2. Calls to Action: e.g., from Susan: Senate Budget Committee hearing is next week. Can NM First reach out in support of AHEC funding. Lilly: Yes. This is aligned with at least 2-3 Town Hall recommendations. Send Lilly and Melanie a brief description of the legislation or budget items and call to action. [email protected] and [email protected] 3. Next meeting: Wednesday, February 17, 2021 3:30 PM-5:00 PM

PARTICIPANTS

1. Lilly Irvin-Vitela, First, [email protected] 2. Wendy Wintermute, New Mexico First, [email protected] 3. Melanie Sanchez Eastwood, New Mexico First, [email protected] 4. Elizabeth Leininger, Sierria co health council, [email protected] 5. Jerry Harrison, NMHR, [email protected] 6. Susan Wilger, Center for Health Orgnization, [email protected] 7. Phoenix Haley Leon, Casa De Salud, [email protected] 8. Celia Owens, Coming Home Connections Santa Fe, [email protected] 9. Alvin Sallee, National Association of Social Workers, [email protected] 10. Sarah Michaud, Center for Independent Living, [email protected] 11. Rasa Lila O’Donnell, Northern Rural Health Network, [email protected] 12. Sheena Ferguson, Nurse and NM Nurse Association, [email protected] 13. Ophelia Hudson, NMDOH, [email protected] 14. Christina Morris, NMDOH, [email protected] 15. Gloria A Begay, DFSA, [email protected] 16. Martha Romero, Kitchen Angels, SFCC, [email protected] 17. Susana Santillan, [email protected]

NOTES

Town Hall Recap: • Community Conversations in spring and summer • Town Hall: 19 consensus recommendations with strategies • Implementation Teams • Legislative Open Houses, with presentation of recommendations and also a presentation on Casa de Salud, an integrative health clinic in Albuquerque’s South Valley. Many of the patients are undocumented or otherwise underserved. Apprenticeship program recruits high school and college age students to introduce them to integrative health care and the population Casa de Salud serves. Connections: • Lilly contacted SunPath Program and workforce programs at Santa Fe Community College • Alvin Sallee: SB117, the allocation will be folded into HB2, to fund an assessment of the social work workforce, sponsored by . Makes an appropriation to assess the need and availability of social workers in NM and recommendations to increase diversity in the social work workforce. Appropriation through DOH. Going over legislation pertaining to social work, “which is everything.” Doing bill analysis with Karen Whitlock, their lobbyist. • Jerry Harrison is on UNM’s Workforce Committee. Their analysis is somewhat limited. The proposal referenced by Alvin will expand the scope. UNM’s report doesn’t deal with all licensed professions. UNM looks at 14 professions and hesitant to add more due to lack of staffing. • Lilly contacted with Dr. Andy His around billing questions. No active legislation yet. Also talked about dealing with toxic stress and resilience. • Susan: CHI works with statewide consortium with state=level and ground-level folks. Focus on behavioral healthcare force in rural areas. NMF is part of the consortium. • Lilly: Dept. Secretary Serna at DWS. Focused on critical lack of nursing. Legislation Session Tips • Martha Romero: Email from Majority Leader with suggestions on how to interact with legislators. Different levels of involvement. NMF will forward this to all. o Use NMLegis.gov to track legislation, find legislators o Schedule a Zoom conference with a legislator. Call 505-986-4727 o All committee to provide 24-hour notice of meetings and agendas along with Zoom links. o Anyone not wearing a mask will be escorted out of the chamber. They will be able to watch proceedings via Zoom. • Lilly: Remember these are citizen volunteer legislators. Need not be adversarial. Finding common ground is more likely to move things forward. • Susan: o Omnibus Bill is now 3 separate bills, still waiting to be drafted. Will send these out when drafted. Addressing credentialling issues, licensing, reimbursement issues. Asked that all licensing boards allow the option of 100% telesupervision. Not sure if this is in the bill. o Re: Recommendation 1. DOH does have $192,500 to supplement the work of AHECs. We want to be sure this is maintained in HB2. We are also asking consideration of an additional $100,000 to develop a satellite office in Gallup where there are significant workforce challenges in NW NM. Seed money to develop and sustain health career pathways. o 3 additional workforce development bills supported by NM Public Health Association and CHI: House Memorial to study the pubic health system; Paid Family and medical Leave; and School Based Health Care funding • Sarah: o As an early intervention providers, we’re paying close attention to anything to do with ECECD, including money from the Land Grant for early childhood. Much evidence to support the impact of early intervention. Asked Sec. Groginsky for more emphasis on professional development and pay for early childhood professionals. o Providing sick and vacation leave for personal care attendants. • Christina: o Referencing Health Councils and NMPHA recommendations o CWA’s are seeking to get reimbursements raised • Ophelia o Changes for wording re: graduates o Health Alliance priorities • Phoenix o Using session as a teaching tool for apprenticeships o Medical debt protection o Emergency Medicaid o County Indigent Care o Healthcare Affordability Bill • Jerry o Found 17 that touched upon healthcare workforce in one way or another. o A number dealing with licensure and definitions (what is primary care, etc.) • Sheena o Senate and House Bill that look at school nurses. Some school districts have no school nurses. HB 24 and SB 31. o Independent practice role for CNRAs. o Expand rural health tax credit HB104 o Some medications to be dispensed by nurse practitioners. o Methadone dispensing rule. SB 46 o SB62. Preceptor income tax credit. o SB 61 RURAL PRIMARY CARE CLINICIAN LOAN REPAYMENT Gerald Ortiz y Pino • Lilly o Elevate the Spectrum and Disability Rights are asking for re-introduction of SB284 last year, sponsored by Sen. Lopez.. Related to the use of restraints. Requirements for schools re: what restraints can and cannot be used. Companion Senate Bill: Keeping Students Safe Bill in the Senate (Jerry Ortiz y Pino) o Broadband Bills . Focus on impact of lack of access in areas across the state. No alternative to telehealth may mean travelling hours for care. . Sen. Padilla has a packet of bills . Rep. Matthews’ bill . Rep. is including broadband access in a broader rural development bill. o Comprehensive food and hunger omnibus bill, sponsored by Rep. Stansbury. $15 million to support food systems issues. . State procurement of local farm produce: Farm to schools, seniors, early care settings. . Increased funding for SNAP Double-Up . A couple of gleaning/food waste bills may be introduced by Sen. Rodriguez • Lilly: Crosswalk of legislation and Town Hall recommendations. Provide these to Implementation Team. Non-Legislative Actions • DWS and Regional Workforce Development Boards are developing plans and are very interested in health workforce. Convenings are gathering information on employer needs. Sheena says DWS went to employers first, turned over recommendations which LFC is following up on. Then meeting with educators to identify issues. Industry developed recommendations which were presented to the larger group. Dept. Secretary Serna shared a draft report, may not yet be public. • Jerry: OK State University research looks at impact of healthcare providers on local economies. Impact of a family physician, e.g., typically generates $1.5 million and 23-24 jobs in a community. Dentists have their own economy. Large medical center in NW NM spend $250,000 to recruit a single physician and they lose revenue while positions is unfilled. Having professionals that can bill generate big economic impact. • Re: SunPath. Career pathways for community-level professions, e.g., Community Health Workers, Promotoras, etc. Challenges around higher ed funding. • Similar work on career pathways led by CHI. • Rasa: Las Cultura Cura model from California. La Plazita in Albuquerque uses some of these ideas. Also sounds similar to Casa de Salud.

Exapmel of Legislative Call to action from last session. Reminder: Email [email protected] if you have a call to action you want to send.

From: New Mexico First Sent: Friday, January 31, 2020 11:42 AM To: Melanie Eastwood Subject: 2020 Legislative Updates

Legislative Call to Action. Ethics Commission.

Legislative Update. New Mexico First has done significant work on good government issues on behalf of many New Mexicans during the last few years, including organizing the New Mexicans for Ethics Coalition—a group of good government supporters that advocates for principles to ensure an effective ethics commission. Because of this work, we are following legislation that will fund the new NM State Ethics Commission.

Call to Action. Like many of you, New Mexico First shares a deep commitment to good governance. Last year, the passed enabling legislation to establish an independent ethics commission, as required by a constitutional amendment passed by 75% of New Mexico’s voters in 2018. We want the NM State Ethics Commission to get off to a good start so that it can be an effective institution for New Mexicans. Part of getting it off to a good start requires a robust budget increase.

If you care about government ethics like us, we need your help. Please email the house and senate committee members that can help ensure the commission is funded at $385,000 for this year and $1,244,000 in FY2021. You can find the email addresses and talking points below.

Please read today's article in the Albuquerque Journal about funding the commission.

Talking Points for Email

• In 2018, New Mexicans expressed their support for a constitutional amendment to create a state ethics commission. • The mission of the NM State Ethics Commission is to receive, investigate, and adjudicate complaints filed against public officials, public employees, candidates, government contractors, lobbyists, and lobbyists' employers. The commission will have enforcement and advisory responsibility for approximately 59,000 individuals. • Other states with ethics commissions that have a similar jurisdiction and scope of work are funded at an average of $1.5 million annually. • The executive director of the NM State Ethics Commission, said that depending on the nature of the complaint, each case could require $10,000 to provide due process. Costs would include hearing officers, investigations, electronic filing, administration, court reporters, and travel. • On behalf of New Mexicans who supported a constitutional amendment to create an ethics commission, we hope that you will consider a supplemental appropriation for $385,000 for this year and $1,244,000 in FY2021.

House Appropriations and Finance Representative Patricia A. Lundstrom - (D) [email protected] Representative Joseph L. Sanchez - (D) [email protected] Representative Anthony Allison - (D) [email protected] Representative - (R) [email protected] Representative Gail Armstrong - (R) [email protected] Representative Paul C. Bandy - (R) [email protected] Representative Cathrynn N. Brown - (R) [email protected] Representative - (R) [email protected] Representative Randal S. Crowder - (R) [email protected] Representative - (D) [email protected] Representative Susan K. Herrera - (D) [email protected] Representative Rodolpho "Rudy" S. Martinez - (D) [email protected] Representative Tomás E. Salazar - (D) [email protected] Representative Nathan P. Small - (D) [email protected] Representative Melanie A. Stansbury - (D) [email protected] Representative Candie G. Sweetser - (D) [email protected] Representative - (D) [email protected]

Senate Finance Senator - (D) [email protected] Senator George K. Munoz - (D) [email protected] Senator Steven P. Neville - (R) [email protected] Senator William F. Burt - (R) [email protected] Senator - (D) [email protected] Senator Jacob R. Candelaria - (D) [email protected] Senator Roberto "Bobby" J. Gonzales - (D) [email protected] Senator Gay G. Kernan - (R) [email protected] Senator - (D) [email protected] Senator - (R) [email protected] Senator John M. Sapien - (D) [email protected] Senator James P. White - (R) [email protected]

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LA CULTURA CURA: Transformational Health and Healing Jerry Tello, National Compadres Network “ Within the collective Dignity Respect, Trust and Love of all people exists the wisdom, practices and resources for a healthy and harmonious wellbeing” La Cultura Cura is a transformative health and healing philosophy that recognizes that within an individual’s, families and communities authentic cultural values, traditions and indigenous practices exist the path to healthy development, restoration and life long well being. This health framework focuses on building on the natural opportunity factors and on what is healthy within an individual, family, community or culture. This indigenous based life view promotes what is right based on culturally grounded physical, emotional, mental and spiritual principles and practices.

This philosophy and process of transformational health and healing is illustrated in the following elements, as in the parts of a tree that root an individual, family and/or community. This interconnected movement is necessary to consider for integrated health, healing, growth, leadership development and individual, family and community P.R.I.D.E.

1. Purpose/Destino – Based on Individual, Family/Community Dignity (DIGNIDAD)

A basic premise of the individual, family/community dignity acknowledges that within the ancestral wisdom of a people are the teachings and medicine necessary for growth and healing. It is understood that the teachings and healing elements inevitably come from the people themselves. Therefore, in order for true healing, or rebalancing to be sustained, although the initial incentive may come from an outside person (organization, funding source), the ongoing motivation for individual, family/community growth and rebalancing must come from within the circle of those who desire or need growth or change.

2. Responsibility – Based on Respect (Respeto) for Family/Community Vision

Individuals must have a vision that reflects the potential of their true self in reference to their family and community. If a person only has a negative view of himself and his culture then he has no avenue for growth, development or a healthy ( response-ability (ability to respond to life’s struggles) living. A person’s primary ethnicity is the root of that vision. It is necessary for the person to be guided to allow them to dream, reflect, and rediscover the life-enhancing values and gifts of his own indigenous culture. As part of this process it is necessary for him to know and understand his history in order to understand the process that created his present situation. By this process, and with the proper guidance, a boy, man, girl, woman will be able to separate the pain and imbalance that they and their people are experiencing from the essence and strength of the positives aspects of their culture. As part of their indigenous heritage, all people have traditions and customs for clarifying and rediscovering this vision of growth. These traditions and customs must be integrated and practiced in a balanced, consistent manner and guided by sanctioned elders that are committed to this process

3. Interdependence – Based on Individual, Family/Community Trust (Confianza)

The strengthening of a community, and the families within it, directly, enhances the development and healing of its individuals. As individuals heal and grow, they re-integrate with the positive vision of the community. Families/communities, and the individuals within them, must develop interdependently. If one is missing, then disharmonious growth occurs, which leads to false hope and development. It is essential to know the difference between co- dependence, individualism, and indigenous cultural interdependence: (confianza/trust). Through the redeveloped interconnectedness, (Transformatonal Healing and Development: Circulos) cycles of generational destruction and pain are interrupted and a commitment to generational healing and development is initiated, individual by individual, family by family, community by community.

4. Development – Circular Learning Based on Love (Carino) for Life

A love for life is the basis of a circular learning process. As times change, people must learn “new” ways (based on ancient teachings) to live in the world as individuals, families, and communities. There must be pride in one’s ethnicity, respect for those of all roots and a process for balancing differences. The new ways must be both life-preserving and life-enhancing. In addition, organizations, institutions and dominant societal communities must also learn to live in new ways being willing to change their philosophy, policies and procedures based on the needs of the evolving community. Elders from the community must gather in communion (Circulo) to give blessing and offer guidance to connected efforts focused on the love and healing of the next seven generations.

5. Enthusiasm – Living Life with a Sense of Hope (Spirituality/Esperanza)

Living life with a sense of spirit (spirituality) allows an individual, family/community to approach life with an element of enthusiasm (ganas). Instilling or re-instilling that sense of hope (spirituality) in an individual, family/community allows one to deal with the difficult, and sometimes overwhelming, day-to-day pressures with a sense of “greater spirit”. As part of this development it is important for a community to engage in ongoing and consistent community affirming celebrations and events to acknowledge the emerging leaders and the positive efforts that are taking place in order that they may take root and grow.

The National Compadres Network (NCN) is a 501 c-3 non profit organization founded in 1988 that brings together culturally competent nationally recognized leaders in the fields of health, trauma, healing, education, fatherhood, rites of passage, family violence, teen pregnancy prevention, cultural competence, juvenile justice, social services, advocacy and evidence based research and evaluation.

NCN works in partnership with community leaders and decision makers to create strategic and sustainable systems of change and provides support in the areas of: transformational trauma and healing informed services; capacity building, training; technical assistance; collective impact building; research; leadership development; and resource and material development.

La Cultura Cura Transformational Health and Healing is under the guidance of Jerry Tello, NCN’s Director of Training and Technical Assistance

For more information: National Compadres Network.com: [email protected] & [email protected]