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, New Mexico 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 Jerry Ortiz y Pino. 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 Peter Wirth 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. Roger Montoya 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 <[email protected]> Sent: Friday, January 31, 2020 11:42 AM To: Melanie Eastwood <[email protected]> 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 New Mexico legislature 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.