City of Anthony stands behind ‘Medicaid Buy-in’ 

Board of Trustees moved by local support and statewide momentum 

ANTHONY– The City of Anthony’s Board of Trustees, after hearing testimony from NM Together for Healthcare family leaders who live in Anthony, passed a resolution on Monday in favor of continuing the state’s efforts to shape a healthcare solution that would open up Medicaid for any New Mexican to buy into — regardless of their current Medicaid eligibility.

“All New Mexican families should have health insurance that allows them economic security and good health,” said Vanessa Urbina, Anthony resident and Strong Families New Mexico healthcare advocate. “Unfortunately, many New Mexican families, including over 25,000 Doña Ana County residents, do not have health insurance. Medicaid has worked for my family and many others. We should build on Medicaid by opening it up for everyone.”

Medicaid is a trusted program that provides quality, affordable healthcare to over 100,000 people in Doña Ana County. A well-designed Medicaid Buy-in plan would allow Anthony residents — like those that don’t qualify for Medicaid because of income or citizenship status—to buy into healthcare coverage offered through Medicaid.

Having more New Mexicans covered would reduce uncompensated care costs that are shifted to doctors and hospitals and reduce medical debt among families trying to build financial security.

“For some years, my husband and I could not walk without pain in our hips and waist, but thanks to Medicaid, we received the treatment we needed,” said Ramona Urbina, another a long-time Anthony resident and Strong Families healthcare leader. “Today my husband can work and so can I. We can still pay our bills. Everyone should have the right of good healthcare that they can afford.”

New Mexican leaders like the Urbina family are part of the NM Together for Healthcare campaign, a movement of diverse families and organizations from across the state working to build support for a Medicaid Buy-in plan.

The campaign has been successful in building support among policy makers across the state, and similar resolutions have passed with unanimous support in the City of Sunland Park and Bernalillo and McKinley Counties. The New Mexico House and Senate also passed a Medicaid Buy-in memorial to study a buy-in option with bipartisan support during the 2018 legislative session.

“Medicaid has helped my family improve their quality of life. My father had been running his own business for 20 plus years, and I was able to finish my University Bachelor degree in Public Health because we’ve been able to manage our health, focus on our goals, and go to the hospital without going into debt,” said Vanessa Urbina. “But many families are not eligible for Medicaid due to immigration status, or they just don’t know they are eligible. We are fighting to make sure that every New Mexican family has the chance to be healthy and create opportunities for themselves.”

The City of Anthony’s Board of Trustees will include this resolution in their legislative requests for the upcoming 2019 session and share the resolution with state legislators.

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NM Together for Healthcare is a statewide, multiracial campaign of families and community organizations working together to strengthen healthcare access in New Mexico supported by Strong Families New MexicoPartnership for Community ActionNew Mexico Center on Law and Poverty, and Health Action New Mexico. For information, visit http://nmtogether4health.org/ or email: nmtogether4healthcare@gmail.com.

Bernalillo County champions ‘Medicaid Buy-in’

County Commissioners moved by local and statewide support for innovative solution

BERNALILLO COUNTY–The Bernalillo County Board of Commissioners, after hearing from NM Together for Healthcare leaders from Bernalillo County, passed a resolution today that supports the state’s commitment to exploring an innovative proposal to allow New Mexicans to purchase health insurance coverage through Medicaid — including to those who do not currently qualify for Medicaid or cannot afford to use their current insurance.

“The Medicaid Buy-in plan is important because insurance is very expensive, and all New Mexicans need healthcare coverage,” said Reyna Tovar, a Partnership for Community Action healthcare advocate and Bernalillo County resident. “When my husband was unemployed, we did not have health insurance. When he found a new job, he had to wait six months until he qualified for health insurance through his employer. We did not have coverage during this time because we made too much for Medicaid and Obamacare was too expensive to use.”

Since July, policymakers and community members have been working together to develop this affordable healthcare solution through statewide roundtables and the passing of similar resolutions through local governments like the City of Sunland Park, Doña Ana, and McKinley County. During the 2018 legislative session, Medicaid Buy-in memorials passed with bipartisan support in the New Mexico House and Senate.

Medicaid already covers over 850,000 New Mexicans, including over 228,065 Bernalillo County residents. The plan would expand Medicaid for all New Mexican’s to buy into, providing low-cost coverage for the over 54,000 Bernalillo County residents who are still uninsured. It would also provide affordable health insurance to individuals who are not eligible for Medicaid due to income, immigration status, and for those who have healthcare coverage but cannot afford to use it.

“A Buy-in program would build upon Medicaid’s strong foundation to ensure that families do not have to choose between death and financial ruin,” said Lan Sena, a resident of Bernalillo County and a Strong Families New Mexico healthcare advocate. “My grandfather, an immigrant, could not get Medicaid when he had cancer and died because he could not afford treatment. I have cancer too, and even though I have insurance, I still cannot afford my treatments.”

“I have to choose whether to pay for healthcare insurance or gas for my car,” said Tovar. “Many people don’t qualify for Medicaid or earn slightly too much for Medicaid and cannot afford to pay for healthcare on their own.”

Bernalillo County will share the resolution with state legislators and include this resolution in their legislative requests for the upcoming 2019 session.

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NM Together for Healthcare is a statewide, multiracial campaign of families and community organizations working together to strengthen healthcare access in New Mexico supported by Strong Families New Mexico, Partnership for Community Action, New Mexico Center on Law and Poverty, and Health Action New Mexico. For information, visit http://nmtogether4health.org/ or email: nmtogether4healthcare@gmail.com.

Medicaid buy-in could be a reality in New Mexico

by Mandisa Routheni

An innovative plan to open up Medicaid so that anyone could buy into it — even if they don’t qualify for Medicaid currently — is gaining momentum in our state and country. Medicaid buy-in bills have been introduced in Congress as the idea is being explored in New Mexico, Colorado, Delaware, Massachusetts, New Jersey, Colorado, and Oklahoma. But New Mexico has made more progress than anywhere in the country. 

Family leaders share their own stories about why the Medicaid Buy-in is important to them. Click here for video.

People from all walks of life have come together in the NM Together for Healthcare campaign to create our own healthcare solution.

Just last night, after hearing from local family health leaders in the campaign, the City of Sunland Park City Council  unanimously passed a resolution in favor of exploring a Medicaid buy-in plan in New Mexico.  In June, community members  from the campaign testified before the McKinley County Commission, which unanimously passing a similar resolution.  

Olga Hernandez, a promotora and long-time Sunland Park resident said, “The passing of this resolution sends a clear message to legislators that Sunland Park is in support of a Medicaid buy-in plan. It is a priority and the time is now for healthcare access for all New Mexicans.”

Family leaders are continuing to work in Bernalillo and Doña Ana counties to garner more support through resolutions and holding convenings throughout New Mexico.

Late July, on the 53rd anniversary of Medicaid, families affected by lack of affordable healthcare and organizations from across the state and country met in Albuquerque to discuss a Medicaid buy-in plan that would provide access to quality, affordable healthcare for the uninsured and a feasible alternative for those who have insurance, but cannot afford the out-of-pocket costs.

Medicaid already covers 40 percent of New Mexicans and has provided low cost coverage to New Mexicans for over 50 years. Yet over 180,000 people are still uninsured in our state, including immigrant and undocumented populations. For those that have insurance, healthcare costs are often unsustainable and continue to rise.

Berenice Campas, a New Mexico Together for Healthcare family leader from Bernalillo County sees the Medicaid Buy-in as an important “way for lots of families from around the state to have access to health care. They wouldn’t have to wait to have an emergency before being able to go in.”

Family leaders in the campaign, along with local advocates such as Congressman Ben Ray Lujan and national healthcare experts like Andy Slavitt, agreed at the July meeting that a well-designed Medicaid buy-in plan would be a key step towards solving our state’s healthcare crisis.

During the 2018 legislative session, memorials to explore the Medicaid Buy-in passed with bipartisan support in both the New Mexico House and Senate.

Christopher Hudson, a New Mexico Together for Healthcare leader from McKinley County hopes for a  Medicaid Buy-in option because “families, around my communities, my friends, my K’e’- in Navajo – that is our family, our surroundings, everyone will be be able to afford insurance without having to decide whether they want to pay for a doctor’s bill or gas bill.”

Join the movement. Follow NM Together for Healthcare on Twitter, Facebook, and sign up for updates on our website.

 

City of Sunland Park backs ‘Medicaid Buy-in’

City Council moved by local support and statewide momentum

SUNLAND PARK, NEW MEXICO– The City Council of Sunland Park, after hearing testimony from New Mexico Together for Healthcare family leaders who live in Sunland Park, passed a resolution on Tuesday in favor of continuing the state’s efforts to shape a healthcare solution that would open up Medicaid for any New Mexican to buy into — regardless of their current Medicaid eligibility.

“I am very excited about a Medicaid Buy-in option” said Olga Hernandez, a long-time Sunland Park resident and Strong Families New Mexico healthcare advocate. “We need to be looking for ways to provide access to quality healthcare for everyone, like the over 25,000 Doña Ana County residents that don’t have health insurance. Medicaid already serves over 100,000 people in Doña Ana. We should be building on this very good program.”

Since the bipartisan passing of the Medicaid Buy-in memorials in the New Mexico House and Senate during the 2018 legislative session, community members and policymakers have become more interested in this innovative plan.

The McKinley County Commission, with widespread community support, unanimously passed a similar resolution in support of the Medicaid Buy-in this past June.

Allowing Sunland Park residents to buy into Medicaid would provide families without health insurance and undocumented individuals who do not qualify for Medicaid access to an affordable health insurance option. Having more New Mexicans covered would reduce uncompensated care costs that are shifted to taxpayers, doctors, and hospitals, and reduce medical debt among families trying to build financial security.

“My husband was always working and my kids did not have access to medical insurance,” said Olga. “My husband and my three sons came to the city of Sunland Park looking for family wellness. When my husband got very sick with heart problems, he had to stop working and we had no money. We were able to find a solution through Medicaid, but a lot of families like me can’t get it for whatever reason. This has to change.”

The Sunland Park City Council will include this resolution in their legislative requests for the upcoming 2019 session and share the resolution with state legislators.

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NM Together for Healthcare is a statewide, multiracial campaign of families and community organizations working together to strengthen healthcare access in New Mexico, supported by Strong Families New Mexico, Partnership for Community Action, New Mexico Center on Law and Poverty and Health Action New Mexico. For information, visit http://nmtogether4health.org/ or email: nmtogether4healthcare@gmail.com.

The City of Sunland Park to consider supporting innovative ‘Medicaid buy-in’ option

Resolution to be voted on at Tuesday’s meeting

SUNLAND PARK, NEW MEXICO–On Tuesday, Doña Ana healthcare leaders in the New Mexico Together for Healthcare campaign will present a resolution to the Sunland Park City Council that supports the state’s exploration of an innovative plan allowing New Mexicans the opportunity to buy-in to the proven, trusted Medicaid healthcare system. The City Council is expected to pass the resolution.

The affordable healthcare option would allow New Mexicans to buy into the Medicaid program for healthcare coverage – even if they are not currently eligible for Medicaid – providing a more affordable, high quality healthcare coverage option.
With more than 25,000 Doña Ana County residents currently without health insurance, a Medicaid buy-in plan would make quality healthcare coverage more accessible for many local residents. Sunland Park residents have reached out to the city councilors and urged them to support the resolution.

WHAT:
The City of Sunland Park will vote on an important resolution supporting the state’s work to explore a Medicaid buy-In plan.

WHEN:
6 p.m., Tuesday, August 21, 2018

WHERE:
Sunland Park City Hall, City Council Chambers, 1000 McNutt Rd, Sunland Park, NM 88063

WHO:
Sunland Park City Council

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NM Together for Healthcare is a statewide, multiracial campaign of families and community organizations working together to strengthen healthcare access in New Mexico, supported by Strong Families New MexicoPartnership for Community ActionNew Mexico Center on Law and Poverty and Health Action New Mexico. For information, visit http://nmtogether4health.org/ or email: nmtogether4healthcare@gmail.com.

McKinley County Commission unanimously supports innovative ‘Medicaid buy-in’

Community need and widespread support inspired commission

GALLUP–The McKinley County Commission, after hearing powerful community testimony, on Tuesday unanimously passed a resolution in support of the state’s work to develop and implement an innovative plan to allow New Mexicans the opportunity to buy-in to the proven, trusted Medicaid healthcare system.

“With more than 16,000 McKinley residents still uninsured,” said Christopher Hudson from the McKinley Communities Health Alliance “We need to support innovative ideas that will help everyone in our communities get the health care they need. A Medicaid buy-in program is a great option to make quality care affordable and accessible.”

In the 2018 Legislative Session, both the House and the Senate passed memorials calling for the Legislative Health and Human Services Committee to explore the policy and fiscal implications of offering a Medicaid Buy-in plan to New Mexico residents.

By allowing McKinley County residents to buy-in to Medicaid for their health coverage, a state program would reduce uncompensated care for doctors and hospitals and would also save much-needed funding in the county’s indigent care funds.

“I know how hard it can be to access health care,” said McKinley County resident and Strong Families New Mexico healthcare advocate Althea Yazzie. “I’ve had to fight with insurance providers to get help to pay for my medications, my transportation, and my rheumatologist appointments. Being sick is hard. Getting better shouldn’t be. I’m proud of our county for supporting Medicaid buy-in.”

In addition to sharing the resolution with legislators to show the county’s support for a Medicaid buy-in plan, the resolution also adds Medicaid buy-in to McKinley County’s legislative priorities, meaning the county will work directly with legislators to advance the program.

Court finds management problems prevent HSD from fixing food and medical benefits applications

ALBUQUERQUE—A federal court found that lack of leadership and accountability in the New Mexico Human Services Department prevents it from fixing entrenched problems in food and medical benefit administration.

In a ruling issued late yesterday, U.S. District Court Judge Kenneth Gonzales set a series of deadlines for HSD compliance with court ordered reforms and required the appointment of knowledgeable subject matter experts in supplemental nutrition assistance program (SNAP), Medicaid, and eligibility for families that include immigrants in the department’s Income Support Division.

“We’re very hopeful that this ruling will lead to much needed changes in the department’s leadership,” said Sovereign Hager, managing attorney at the New Mexico Center on Law and Poverty. “For there to be permanent improvement in administration, the Human Services Department leadership must have expertise and management abilities that give front line workers the tools they need to ensure New Mexicans can get food and medical assistance. HSD is still not processing applications in time, leaving too many children and families unable to access basic necessities.”

In September 2016, Judge Gonzales held the HSD Secretary Brent Earnest in contempt for failing to remove barriers to assistance for eligible families. The court appointed a Special Master to monitor and make recommendations to the department.

Despite court orders and the expertise provided by the Special Master, HSD continues to improperly deny eligible New Mexicans food and medical assistance and does not provide timely information about case decisions. Each month the department develops a backlog of unprocessed cases, a large share of phone calls go unanswered, and workers are not accurately trained on the requirements for processing food and medical assistance applications.

In his ruling yesterday, the judge agreed with the Special Master’s January 2018 report finding that the current HSD management team lacks the sufficient “knowledge, skills, and abilities” necessary to ensure families receive information about their cases and get the assistance they need to eat and see the doctor.

The judge also found that the Income Support Division Director demonstrated “woefully” little knowledge of the court ordered changes to improve processing food and Medicaid applications despite the significant impact they had on the division’s mission and work.

The judge was also troubled by the ISD Director’s lack of knowledge of standard memoranda issued by her division, training procedures, and her admitted failure to speak with the Regional Operations Managers on how to address improving timeliness and efficiency.

“We hope the state will make the management changes that will end the need for such extensive oversight through the courts,” said Hager. “New Mexicans who are going through significant hardships shouldn’t have to fight with the state to get the food and medical care they need.”

Center attorneys working on the Deborah Hatten Gonzales v. Brent Earnest lawsuit include Sovereign Hager, Gail Evans, and Maria Griego. Civil rights attorney, Daniel Yohalem is lead counsel on the case.

The court’s ruling can be found here: http://nmpovertylaw.org/wp-content/uploads/2018/04/Doc.-836-Memorandum-Opinion-and-Order-2018-04-05-00000003.pdf

Action Alert: Thank you for joining us in making healthcare accessible for all New Mexicans! 

Good news! The memorials to study a Medicaid buy-in option in New Mexico – House Memorial 9 and Senate Memorial 3 – both passed with strong bi-partisan support. The study is a first step toward an innovative new plan that would allow individuals and families in our state to buy low-cost coverage through Medicaid even if they do not qualify for it now. This would provide more people with affordable healthcare and create more choices in the insurance market.

This would not have happened without you. Thank you for joining us in acting to strengthen healthcare access for all New Mexicans!

Your advocacy means that our state Legislative Health and Human Services Committee will bring together experts and stakeholders to explore whether the Medicaid buy-in is a viable option for uninsured and under-insured New Mexicans.

If you have not already, please follow the New Mexico Together for Healthcare campaign to get updates and alerts about how you can take action to support the Medicaid buy-in study. You can sign up here to get involved and follow the campaign on social media – Twitter (@NMT4HC) and Facebook (@NMTogether4Healthcare) – and its website.

For additional details, please also see our factsheet. For any questions, do not hesitate to contact us.

Proposed cuts to Medicaid in Trump budget would have devastating impact on New Mexico

ALBUQUERQUE, NM — The proposed cuts to Medicaid in the Trump administration’s budget for fiscal year 2019 would prevent hundreds of thousands of New Mexicans from accessing healthcare. The budget, if approved by Congress, would cut Medicaid by $1.4 trillion dollars between 2019-2028; eliminate critical funding for Medicaid expansion, which provides over 250,000 New Mexicans with healthcare coverage; and end subsidies that help individuals and families when buying insurance through the marketplace.

“The drastic cuts to Medicaid would make healthcare unaffordable for millions of Americans and hundreds of thousands of New Mexicans,” said Abuko D. Estrada, attorney for the New Mexico Center on Law and Poverty. “After handing out tax cuts to the richest households, the administration now wants to cut Medicaid by over a trillion dollars in the next decade. This would devastate New Mexico’s budget or force our state to ration healthcare to children, the elderly, people with disabilities, pregnant women, and low-income adults.”

The budget proposes the same cuts to Medicaid as last year’s bills in Congress to repeal the Affordable Care Act. It would cut funding for Medicaid and restructure the program into a per capita cap system. This would give New Mexico a set amount of Medicaid funding to spend per person rather than a federal match for the state’s actual costs. If New Mexico’s Medicaid costs grow faster than the cap amount, the state would be forced to make deep cuts to Medicaid benefits, services, and even eligibility.

A study last year conducted by the UNM Robert Wood Johnson Health Policy Center found that the combined Medicaid cuts could cost New Mexico more than $400 million per year or cause more than 250,000 people to lose coverage.

‘NM Together for Healthcare’ launches campaign for affordable healthcare for all New Mexicans

Statewide effort includes an innovative Medicaid buy-in plan

ALBUQUERQUE, NM: On Friday, New Mexico organizations and individuals launched NM Together for Healthcare, a campaign to make good healthcare affordable for everyone in the state. The campaign includes an initiative to advance an innovative Medicaid buy-in plan to expand access to quality, affordable healthcare.

“We are all equal in deserving health care,” said Alfonso Yazzie, healthcare leader from Yah-ta-hey, New Mexico.

In the upcoming Legislative Session, NM Together for Healthcare will be supporting state Sen. Jerry Ortiz y Pino and state Rep. Debbie Armstrong’s memorials to explore a Medicaid buy-in plan for New Mexico. The buy-in—a concept that is gaining momentum nationally with similar bills introduced in Congress and currently in progress in Massachusetts, Illinois, and Iowa—opens up Medicaid to allow more consumers to buy low cost coverage through a Medicaid plan. This provides people with affordable health care and creates more choices in the insurance market.

“Our work will not be done until all New Mexicans have access to affordable, quality health care,” said Armstrong, chair of the House Health and Human Services Committee. “We need innovative policies like Medicaid buy-in to make sure all families are cared for.”

NM Together for Healthcare began its campaign after hearing from New Mexicans that despite recent improvements through the Affordable Care Act, quality health care is still out of reach for many.

“My father worked as a custodian for 30-plus years in the schools,” said Maximina Urritia, a healthcare leader from Anthony. “After retiring, both my parents fell ill. With no insurance, and a budget of $700 per month from my dad’s retirement, they knew they could not afford the medical attention or medications they needed. Without that care, they died too early. Healthcare would have saved my parents lives.”

Currently, more than 180,000 New Mexicans, like Maximina’s parents, don’t have healthcare coverage.

“No one should have to go without healthcare because it is too expensive,” said Sireesha Manne, healthcare supervising attorney at the New Mexico Center on Law and Poverty, “Medicaid already helps more than 850,000 New Mexican children and families get comprehensive care, and could be opened up to everyone as a low-cost option. The buy-in plan is a promising solution.”

The campaign’s website can be found at: http://nmtogether4health.org/

Follow the campaign on Facebook @NMTogether4Healthcare and Twitter @NMT4HC.

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NM Together for Healthcare is a statewide, multiracial campaign of families and community organizations working together to strengthen healthcare access in New Mexico, supported by Strong Families New Mexico and New Mexico Center on Law and Poverty