Medicaid Buy-in option already helping my family

Daisy Lira
This appeared in the Las Cruces Sun News on September 24, 2019.

I am a successful businesswoman, operating three child learning centers, and a Sunland Park City Councilor. I’m happily married, a devout Catholic and a mother of four. But until my husband started working for the City of El Paso a few weeks ago, I never had private health insurance. 

As a young, single mom, I had Medicaid. After I opened the centers and started making a small profit, they kicked us off. I thought that since I was finally making money I’d be OK. I was wrong. 

When it was absolutely necessary, I paid for doctor’s appointments out of pocket. Most of the time, I’d go to Juárez where a doctor’s visit was more affordable. Regular checkups for my kids were not an option. 

But there’s another option: Medicaid Buy-in. My fellow Sunland Park city councilors and I unanimously passed a resolution in support of it last year. The Legislature and Gov. Michelle Lujan Grisham have been working to put it in place. It would allow families like mine to pay monthly premiums to buy-in to the trusted, affordable care that Medicaid has provided for more than 50 years. ADVERTISING

When I met my husband, we started looking for insurance. We wanted to have more children. Obamacare wasn’t affordable. I tried to offer healthcare to my employees and myself through my business. I told them how much the center could pay and how much they would have to pay for private group insurance, but no one could afford to be covered. We all went without. 

My husband and I were thrilled to have a son. We made too much to qualify for Medicaid and still couldn’t afford private insurance. I paid out-of-pocket for my son’s urgent care visits for recurring ear infections. It was horrible to see him in pain and to scrape together the money to help him. 

When I got pregnant again, I couldn’t find a gynecologist who would accept someone without insurance. I finally went for a checkup with a doctor in El Paso. I had no idea that within a week I would miscarry. I didn’t know what was happening. I went to an urgent care that sent me to another urgent care. They told me that my body would get rid of the pregnancy. I lost that pregnancy in pain, crying with my husband. 

When I got pregnant again a year later, I was determined to get the care I needed. To pay for prenatal care, I leveraged a piece of land we bought to build a house on. Thankfully, I had a healthy pregnancy and a healthy baby.

Now that my family has health insurance, I’ve been making all kinds of appointments for my kids. My daughter hasn’t been eating well and I take her to see a nutritionist. My son has two cysts in his stomach and I’m finally able to pay for his surgery. I even made a dentist appointment for myself. 

I’ve started speaking out about healthcare access. At 5 p.m. Wednesday, Sept.25, please join me for a screening of the film “The Providers” at the Doña Ana Community College Espina Campus, 3400 Espina St, Las Cruces, Rooms DASH 75 & 77. After the movie, there will be a discussion about healthcare in our communities. 

I’ve been waiting five years to build a home for my family on the land we bought, but doctor bills have kept that dream from happening. Maybe now that dream will come true. Maybe now, with the promise of Medicaid Buy-in families like mine won’t have to go without the care they need and deserve.

Daisy Lira is a Sunland Park city councilor.

New Mexico must take action on health care

Cecelia Fred
This appeared in the Gallup Independent on September 3, 2019.

“Always take care of each other.” That was my parents’ advice to me and my brothers and sisters before we lost them both to cancer. We took that to heart. We are in close touch to this day.

I know that of the nine of us, though, my parents were likely most worried about who would take care of me after they were gone. I’m a paraplegic, the result of an accident with a gun when I was a little girl.

When I lost my parents, I didn’t realize how hard it would become for me to access health care.

Back then, specialists from Craig Hospital, a rehabilitation hospital in Denver that helps people with spinal cord injuries, came to New Mexico to take care of me and others in the community. Those doctors taught me about my body and my injury. They helped me understand how to care for myself. They held a Spinal Clinic on the Navajo Nation to check our kidneys and bladder, and make sure we were in good health.

That’s all changed over the years.

The specialists don’t come anymore. At the Gallup Indian Medical Center, the doctors and nurses are not spinal cord specialists and don’t know how to take care of us. When I was in the hospital, I couldn’t even move the bed and I had to ring the bell all the time. The staff got frustrated with me.

I’m also under a new plan through Medicaid and I’m struggling to figure out how it works. I don’t know what services are covered. And Indian Health Services doesn’t provide the supplies I need anymore. I have to pay for my catheters out-of-pocket.

My own doctor doesn’t really know how to take care of me; I have to tell her. At least she listens. When I told one doctor that I was developing a bladder infection, he didn’t believe me. “How do you know that? You’re a paraplegic. You don’t have feeling in that part of your body.” I know how my body and I deserve to be taken seriously and cared for. Getting health care should not have to be a fight. I have two sons. Like my parents, I worry about who will take care of my children when I’m gone. I’m not worried that they won’t take care of each other; I’m worried that the health care system won’t take care of them.

With the changes in access that I’ve seen and with the high cost to just see a doctor, I worry that my sons will have to choose between buying food and getting the care they might need.

That’s why I’m fighting for change. Yes, I go up to the Fourth Floor at the hospital and complain when I can’t get services or supplies. But the fight is bigger than that. New Mexico needs a health care system that works for everyone.

Through my advocacy work with New Mexico Together for Healthcare, I am supporting the effort to bring health care to every New Mexican. A promising option – Medicaid Buy-in – received start-up funding during the last Legislative Session. I’m excited to see Gov. Michelle Lujan Grisham and the Legislature taking steps to improve health care access and to reduce costs. Medicaid Buy-in would simplify the health care system and lower costs by allowing people who make too much for Medicaid and who can’t afford private insurance to pay for the quality, trusted care Medicaid has provided for more than 50 years.

But, really, I don’t care what new program is put in place – Medicaid Buy-in, a public option. No matter what you call it or how the details shake out, New Mexico must take action. We need a health care system that guarantees everyone access to the care they need and deserve.

My mom and dad were right. We all need to take care of each other. But it’s not just families that need to stick together. All New Mexicans need to stand together to build a health care system that works for us all.

Join me Wednesday, Sept. 4 at 5:30 pm at the Gallup Bingo Hall and share your story at the McKinley Townhall on Health care and Disabilities. Alice Liu McCoy, Executive Director of the New Mexico Developmental Disabilities Planning Council, will attend and share updates on where the state is headed and take questions.

Let’s raise our voices, tell our stories and work together to fix our health care system.

Cecelia Fred lives in Red Rock. She is a local health care advocate and an ambassador for the Christopher Reeve Foundation.

Trump’s new rule would roll back civil rights protections in healthcare law

Nondiscrimination protections under the ACA are at risk

ALBUQUERQUE—In a move that will especially harm trans people, the LGBTQ+ community, patients who speak languages other than English, and people who need access to abortion services, the Trump administration proposed rolling back enforcement of nondiscrimination protections under the Affordable Care Act. New Mexico advocates who champion access to healthcare urge New Mexicans to publicly oppose Trump’s latest threat to healthcare accessibility.  

The ACA’s landmark nondiscrimination provision, known as Section 1557 or the Health Care Rights Law, protects patients from discrimination based on race, color, national origin, sex, age, and disability. Comments on proposed changes to Section 1557 must be submitted with the Federal Register by August 13, 2019.

“Discrimination has no place in health care,” said William Townley, New Mexico Center on Law and Poverty Healthcare Attorney. “Rolling back Section 1557 would allow discrimination and stereotyping to override patient care. This will endanger the health and lives of many New Mexicans and create needless confusion for providers and patients alike. We encourage individuals and groups to submit public comments with the Federal Register voicing opposition to the rollback of these important legal protections.”

“A patient’s health and wellbeing should always come first,” said Adrian N. Carver, Equality New Mexico Executive Director. “Giving healthcare professionals a license to discriminate against queer and transgender people is unacceptable. Rules that allow providers to ignore standard medical best practices and instead put their personal beliefs before patient health has the potential to gravely harm thousands of people and their families’ health. Our community must submit comment on these rules because, if enacted, these regulations threaten to completely upend the careful balance of religious freedom and other important human rights and instead grant providers a license to put their personal views before the healthcare needs of the patient.” 

The Trump administration is proposing rules that would reinterpret Section 1557 by

  • exempting a broad number of healthcare programs and entities from having to comply with Section 1557’s nondiscrimination provisions;
  • eliminating nondiscrimination protections for LGBTQ+ persons from regulations;
  • ending provisions that ensure people who speak languages other than English receive critical notices in the language they speak; 
  • removing protections against health plan designs that discriminate against people with serious or chronic health conditions.

“In addition to erasing the gender identity of individuals who identify outside of the binary choices of male or female, the proposed rule would gravely harm access to healthcare. The rule would let hospitals and clinics refuse to provide abortions based on religious or conscience concerns, even when there are no other providers in the area that could provide care,” said Terrelene Massey, Southwest Women’s Law Center Executive Director. “In a state such as New Mexico, which is largely rural, people do not always have a choice for where to go. In Santa Fe County, for example, the main provider of healthcare services is Catholic affiliated. Finding a medical provider without religious or conscience concerns would require a person to travel great distances and likely pay additional costs for using a provider out of their insurance network. The proposed Section 1557 changes could result in great bodily harm or even death to some, simply because of where they happen to live.”

Individuals can submit comments on proposed changes to Section 1557 at: https://www.federalregister.gov/documents/2019/06/14/2019-11512/nondiscrimination-in-health-and-health-education-programs-or-activities

Action Alert: Stop the Trump administration from undermining healthcare rights law

The Trump administration is attempting to undermine enforcement of nondiscrimination protections under the Affordable Care Act. These efforts will especially harm trans people, the LGBTQ+ community, patients who speak languages other than English, and people who need access to abortion services.

The ACA’s landmark nondiscrimination provision, known as Section 1557 or the Health Care Rights Law, protects patients from discrimination based on of race, color, national origin, sex, age, and disability. 

We encourage individuals and groups to submit comments with the Federal Register opposing the rollback of these important legal protections. Comments are due August 13.

The Trump administration is proposing rules that would reinterpret Section 1557 by:

  • exempting a broad number of healthcare programs and entities from having to comply with Section 1557’s nondiscrimination provisions;
  • eliminating nondiscrimination protections for LGBTQ+ persons from regulations;
  • ending provisions that ensure people who speak languages other than English receive critical notices in the language they speak; 
  • removing protections against health plan designs that discriminate against people with serious or chronic health conditions. 

Discrimination has no place in healthcare. Rolling back section 1557 would allow discrimination and stereotyping to override patient care. This will endanger the health and lives of many New Mexicans and create needless confusion for providers and patients alike. 

To ensure your comment is accepted, please make sure your comment has at least one-third original text. You can submit your comment here:http://eqnm.org/save1557

*Your comment will submitted via Equality NM. EQNM, the New Mexico Center on Law and Poverty, and Southwest Women’s Law Center will have access to your comment and contact information.

Sample content for your public comment

  • Section 1557 of the Affordable Care Act prohibits discrimination on the basis of race, color, national origin, sex, age, and disability. This proposed rule attempts to change the administrative implementation of Section 1557 in a way that is contrary to the plain language of the law.
  • New Mexico has some of the highest rates of residents who identify as transgender in the country. In many parts of the state there are areas where only one hospital or health provider could result in less access to healthcare for transgender people. This would result in some traveling far distances to receive critical care, while others may simply not receive any medical care. It is important that nondiscrimination protections are in place for healthcare providers to ensure that patients can access the same care provided to all, no matter who they are. These protections are fundamental for LGBTQ+ patients to be able to access the care they need. 
  • In New Mexico, 29% of respondents experienced a problem last year with their insurance related to being transgender, such as being denied coverage for care related to gender transition or being denied coverage for routine care because they were transgender.
  • Sex discrimination in health care has a disproportionate impact on women of color, LGBTQ+ people and individuals living at the intersections of multiple identities—resulting in them paying more for healthcare, receiving improper diagnoses at higher rates, being provided less effective treatments and sometimes being denied care altogether. The inability to access needed healthcare services could further exacerbate health disparities.
  • Discrimination has no place in healthcare. The delivery of healthcare services in the United States should be premised upon the medical needs of the people, and should not be obstructed by the personal beliefs or ideologies of their healthcare providers.
  • Discrimination on the basis of national origin, which encompasses discrimination on the basis of language, creates unequal access to healthcare. Without meaningful access, millions of individuals will be excluded from programs and services they are legally entitled to, including hundreds of thousands here in New Mexico.

Medicaid buy-in will help everyone in New Mexico

Anhdao Bui / Co-Interim Director, New Mexico Asian Family Center
This appeared in the Albuquerque Journal on March 25, 2019.

There are many stories in New Mexico’s Asian American and Pacific Islanders (AAPI) community about lives cut short by lack of access to health care. As the co-interim director of the New Mexico Asian Family Center (NMAFC), I hear these stories almost daily. Now that funding to develop a Medicaid buy-in plan has passed the Legislature, I urge Gov. Michelle Lujan Grisham to seize this opportunity to craft a plan that will extend coverage to all New Mexicans. AAPIs and all families need this affordable health care coverage option.

The Medicaid buy-in is an innovative idea that would allow eligible New Mexico residents to pay a reasonable monthly premium for the trusted health care coverage that Medicaid has provided for more than 50 years. That includes preventive care, childbirth and prenatal care, and even specialty care.

For one family that I worked with, New Mexico’s Medicaid buy-in plan is coming too late. But for so many more in our community, it will be a welcomed relief that will finally make life-saving health care affordable and accessible.

Last year, a 55-year-old grandfather came to NMAFC asking for help accessing health care. He had moved from Vietnam to Albuquerque a few years before with his wife. Their daughter had married an American man and started a family of her own here. Working and raising kids, particularly for low-income, immigrant families, can be overwhelming. A multi-generational household can help bridge gaps in childcare and income, and the daughter and son-in-law were grateful to have her parents living with them.

Shortly after arriving in Albuquerque, though, the grandfather began experiencing severe headaches. Without financial resources, he was unable to access care in the United States. It wasn’t until he made a trip back to Vietnam that he went to a doctor. The news was devastating: He had brain cancer.

Back in New Mexico, he was ineligible for Medicaid because he had not been in the state for five years. Desperate to get treatment, he and his wife moved again. This time to California where he could access Medicaid. He began chemotherapy, but the treatment made him weak and, without being able to work, he couldn’t afford the cost of rent, food and basic necessities. He and his wife had to move back in with their daughter, son-in-law and grandchildren in Albuquerque. He was with his family, but he was without care.

When I started working with him through the center, he had gone many months without any treatment. He was weak, and his family was scared. I was able to get an exception for him to receive coverage through UNM Care. He briefly resumed treatment, but, I am sad to say, died a few months ago.

Timely access to affordable health care could have saved – or at the very least prolonged – this man’s life, giving him more time with his family. It is not too much to ask that our elders be able to see a doctor, and to see their grandchildren grow up.

Talk to any of the more than 40,000 AAPIs living in New Mexico and you will hear a similar story. A friend who lost a limb because she couldn’t afford medical attention until it was too late. A cousin who died from pneumonia as a result of the flu. A grandchild born prematurely due to inadequate access to prenatal care. It’s time to change the way families access health care.

With a Medicaid buy-in plan in place, New Mexicans, including those like the grandfather I worked with, will be able to get covered and get care – without fear of bankrupting themselves or their families.

We cannot change that family’s story. It’s too late. But, by adopting a Medicaid buy-in plan in New Mexico, we can provide a better quality of life for the thousands of other New Mexicans – in the Asian Pacific Islander community and around the state – who lack health care coverage.

Memorial to expand home visiting services passed by Senate Public Affairs Committee

SANTA FE— A memorial establishing an advisory council to develop a plan for the statewide expansion of a Medicaid-financed home visiting system in New Mexico, will head to the Senate floor following a “do-pass” vote today in the Senate Public Affairs Committee. Home visiting programs provide support and critical assistance for families that range from health care to emotional and social supports at a crucial time in a child’s brain development. Senate Memorial 117, Medicaid Home Visiting Program Council, is sponsored by Senator Linda M. Lopez.

“Every child deserves the best start from birth. Nurturing our state’s youngest children is key to ensuring they grow up healthy and prepared to succeed in life,” said William Townley, attorney at the New Mexico Center on Law and Poverty. “We’re optimistic that the memorial will pass the Senate.”

If passed by the New Mexico Senate, SM 117 would convene a council of home visiting providers and heads of the Human Services Department, Children, Youth and Families Department, Department of Health, and the Children’s Cabinet to make recommendations for expanding home visiting across the state through Medicaid financing.

Research shows that home visiting helps establish a strong foundation for families so children can grow up healthier and parents can develop stronger parenting skills. Home visiting programs that currently exist in New Mexico provide a team of professionals to help families learn about healthcare, child development, and parenting skills. Other services can include screening mothers for postpartum depression, supporting breastfeeding, and connecting families to community activities.

Unfortunately, most New Mexican families do not have access to home visiting services. Most services are offered by private non-profits that cannot scale up to meet the large unmet need in the state.

“Offering education early in a child’s life is essential in helping families succeed,” said Townley. “It would be good for everyone in New Mexico if more families could access home visiting.”

Medicaid buy-in works for working families

By Richard Ranger
This appeared in the Santa Fe New Mexican on March 8, 2019

When my wife and I first got married, we didn’t have health insurance. We didn’t think we needed it. We were young and healthy. Plus, even though we both worked multiple jobs, none of our employers provided health coverage, so there wasn’t an obvious way to even get insurance.

All of that changed once we found out that we were expecting a baby.

We quickly realized that we could not afford the doctor bills. The cost of prenatal visits, prenatal vitamins and specialty care added up fast. We talked it over and decided to apply for Medicaid. Unfortunately for us — like so many other New Mexicans — we made slightly too much money to qualify for Medicaid, and we certainly couldn’t afford overwhelming costs of private insurance. The premiums, deductibles and prescription drug costs were just too much for our family to bear.

We had to make difficult decisions to get health coverage. We didn’t have any other options. It was clear that Medicaid was the coverage that made sense for our family because it covered all of the essential services we needed without saddling us with medical debt. Fortunately, a change in our financial situation allowed us to reapply and finally qualify for Medicaid.

Medicaid was a huge help. Doctors’ appointments were easy to make and we finally had access to quality, affordable health care. As a result, we are the proud parents of Isaak, our 6-year-old son who brings us joy every day. We are grateful that he is healthy and grateful that Medicaid helped make that happen.

As much as my family would like to pursue better economic opportunities, we worry that the high cost of health care will risk our family’s health and financial well-being. Unfortunately, in order to keep the health insurance we need, we’ve had to put off pursuing careers in our community. We aren’t being true to ourselves and working the way that we always talked about. And the only thing that’s holding us back is our need for health coverage. That’s not the way things should be.

Fortunately, there is an option to help families like ours: Medicaid buy-in. It’s a simple idea that would allow families who don’t currently qualify for Medicaid or Medicare and who can’t get subsidized insurance through the Affordable Care Act to pay reasonable monthly premiums for the quality, trusted coverage provided by Medicaid. My wife and I know how well Medicaid takes care of families. We have a strong son as proof. We would welcome the opportunity to work full time again to support our family and be able to pay for health care coverage we trust.

That’s why my whole family — even Isaak — has been speaking out at the New Mexico Legislature in support of the Medicaid Buy-in Act, House Bill 416. We know what Medicaid buy-in would mean to real New Mexico families who want to work and need access to health care. It would mean the chance to work hard, the chance to get ahead and the ability stay healthy. And that means a lot.

My wife and I have learned so much about the legislative process by volunteering with Strong Families New Mexico and speaking out on behalf of our family and those like us in our community. We’ve attended hearings, testified in committees and stayed late into the evening for important votes. I’m glad to say that the bill is moving forward in both the House and Senate. But I am also worried. We need representatives and senators to continue to support Medicaid buy-in and to pass it out of its final committees. With successful floor votes in the House and the Senate, we could send this bill to Gov. Michelle Lujan Grisham, who has said she would sign it.

We want to be able to tell our son that the Legislature did the right thing and created Medicaid buy-in. New Mexico working families need a health care solution that works for them — the Medicaid buy-in.

Richard Ranger lives in Gallup.

Medicaid Buy-in: An opportunity to improve women’s health in New Mexico

By Sydney Tellez
This appeared in the NM Political Report on March 1, 2019.

We have the opportunity in New Mexico to become a national champion for women’s healthcare by creating a Medicaid Buy-In.

This straightforward proposal, championed in the Legislature by Sen. Jerry Ortiz y Pino and Rep. Debbie Armstrong, will allow some New Mexico families to pay for the trusted care that Medicaid already provides.

I know personally how Medicaid helps women and families right now. My sister-in-law was rear-ended while seven months pregnant, bringing my beautiful nephew into the world prematurely. Fortunately, they were already covered by Medicaid and didn’t have to be overly worried about the cost of care while they were frightened for their newborn son’s well being. As a result, little Bodhi is healthy–and his parents weren’t bankrupted by medical bills.

Unfortunately, this isn’t the reality for the 190,000 New Mexicans still living without health coverage. The result? Women and families of color in underserved communities have the highest rate of maternal death and infant mortality. A Buy-in plan will substantially impact these families’ ability to access prenatal and postpartum care–especially during emergencies like the one my sister-in-law faced.

When Medicaid was enacted more than half a century ago, no one imagined that the program would become the backbone of coverage for millions of women. Today, Medicaid provides health and long-term coverage to more than 1 in 10 women in New Mexico. In fact, Medicaid covers 72 percent of all births in New Mexico, helping to deliver healthy babies and to support new moms. Medicaid is also instrumental in providing coverage essential for healthy pregnancies. It covers prenatal visits and vitamins, ultrasounds and amniocentesis, childbirth by vaginal or cesarean delivery, and 60 days of postpartum care. That’s healthcare access that women and their families can count on.

Many New Mexico women and families, however, do not qualify for Medicaid. But they still struggle to make ends meet, choosing between keeping food on the table or paying for health insurance. Additionally, the coverage provided by the Affordable Care Act can be too costly to these families because they make too much money to access the ACA premium subsidies and they make too little to be able to afford the cost of falling ill.  Still, access to healthcare is crucial for New Mexico families, especially during pregnancy and for family planning.

Under a Medicaid Buy-in plan, eligible women would have access to health services, including prenatal and postpartum care. The care that Medicaid, through a Buy-in, can provide during and after pregnancy enhances the likelihood of healthier pregnancies and better birth outcomes.

Additionally, a Medicaid Buy-in plan could benefit aging New Mexico women. For elderly women who meet income eligibility requirements, Medicaid covers high-cost services provided in a skilled nursing facility, as well as home- and community-based healthcare for women who are entitled to nursing facility services. Aging New Mexicans who do not qualify for Medicaid today, under a Buy-in system, could rely on Medicaid for healthcare related to a physical or mental disability or chronic condition, treatment for breast or cervical cancer, and even long-term care services.

New Mexico is already a frontrunner for women’s reproductive health because of our thoughtful laws to respect the personal decisions parents and families make regarding abortion. A natural next step is for New Mexico to create a Medicaid Buy-in, which would propel New Mexico to the top of the list for women’s access to healthcare overall.

New Mexico families, women and communities embody resilience in the face of adversity. With reproductive healthcare access under attack federally, New Mexicans are leading the way to protect women, families and future generations. We must take the same proactive approach to protecting women’s access to quality healthcare by creating a Medicaid Buy-in. That is why the Southwest Women’s Law Center supports a Medicaid Buy-in and urges legislators to vote for this bill that supports New Mexico women and their families.

Sydney Tellez is the Policy Advocate for the Southwest Women’s Law Center.

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.