Legislative Update, March 19

DW Admin on March 19, 2019

In this issue:

Upcoming Meetings & Events

View our 2019 Legislative Agenda

Advocacy

Bill Tracking

Research

 

___________________________________________________________________________________________

State Updates

Methodist Healthcare Ministries Sponsors Violence and Trauma Conference in Edinburg

With one in three Texans experiencing domestic violence in their life, family violence is a serious issue in Texas. On Tuesday, March 19, the RGV Equal Voice Network is hosting a Conference on Interpersonal Violence and Trauma at The University of Texas Rio Grande Valley (UTRGV) campus in Edinburg, Texas. Methodist Healthcare Ministries is proud to sponsor the event to promote awareness and education on issues regarding interpersonal violence and trauma. The half day conference will include a keynote presentation by Julian D. Ford, Ph.D., ABPP on promoting healthy relationships among young adults dealing with violence and trauma and a panel discussion about risk and resilience in interpersonal trauma.

In 2018, Methodist Healthcare Ministries joined Texas Impact in commissioning Responding to Family Violence: A Toolkit for Texas Faith Communities, a publication that provides educational materials and resources for congregations to promote awareness about family violence. Supporting public policies that provide services and resources for family violence victims is a top priority for the Ministries.

Texas Legislators Discuss Funding for San Antonio State Hospital Reconstruction

This past week, the Senate Finance and the House Appropriations Committees discussed funding the reconstruction of state mental health hospitals, including the San Antonio State Hospital (SASH). Methodist Healthcare Ministries submitted written testimony to the Senate Finance Committee in support of Senate Bill 500 by Senator Jane Nelson (R-Flower Mound. Bexar County mental health stakeholders joining in with support testimony included The Center for Health Care Services, University Health System and Clarity Child Guidance Center. Senate Bill 500 was voted out of the Senate Finance Committee on Monday and voted out favorably by the Senate Chamber on Wednesday. The bill was referred to the House Appropriations Committee and has been posted for a hearing on Monday, March 18.

The House Appropriations Committee met last Tuesday to accept subcommittee recommendations which includes reconstruction funds for SASH and an increase in salaries for state hospital employees. The Committee voted to adopt $270 million in funds for the San Antonio State Hospital, along with funding for other state hospitals in Texas. Committee members adopted an increase of $30 million for state hospital staff salaries, which is 50 percent of HHSC’s initial budget request. Work continues to secure full funding of SASH and HHSC’s exceptional item request for state hospital salaries, which are essential to sustain operations.

House Committees Look to Improve Children’s Health

Methodist Healthcare Ministries provided written testimony in support of several bills that would improve the health and wellness of Texas’ youngest generation in several committee hearings this week. House Bill 680 by Representative Joe Deshotel (D-Beaumont), which was heard in the House Committee on International Relations and Economic Development, would require the Texas Workforce Commission to assess and report the average cost of child care and total number of providers and children participating in the state’s subsidized child care program. The bill was left pending in the committee by Chairman Rafael Anchia (D-Dallas).

Methodist Healthcare Ministries also weighed in on House Bill 340 and House Bill 342 by Representative Philip Cortez (D-San Antonio) this past week. HB 340 would reduce childhood obesity by requiring 30 minutes of daily recess for children from pre-K to 2nd grade, providing schools the opportunity to improve students’ physical activity and health. The bill was left pending in the House Public Education Committee by Chairman Dan Huberty (R-Houston). HB 342 addressed efforts to reduce the state’s uninsured rate for children by requiring continuous coverage on the Medicaid program for up to 12 months. The State’s current Medicaid policy allows for a six-month continuous coverage for children, followed by month-to-month audits on family income. HB 342 was left pending in the House Human Services Committee by Chairman James Frank (R-Wichita Falls).

House Public Health Committee Addresses Access to Women’s Health Programs

On Wednesday, Methodist Healthcare Ministries supported House Bill 1589 by Representative Evelina Ortega (D-El Paso) in written testimony to the House Public Health Committee. House Bill 1589 informs women about their auto-enrollment into the Healthy Texas Women (HTW) program during their third trimester, securing continuity of care for women’s health services after delivery. The bill was left pending in the Public Health Committee by Chairwoman Senfronia Thompson (D-Houston).

Auto-enrollment from Medicaid into the HTW program 60 days postpartum has been an important policy change to increase the number of women who access health care after they deliver through Medicaid. Legislative initiatives such as House Bill 1589 would ensure more women who are auto-enrolled are able to receive services. HTW increases continuity of care for women in a vulnerable period after delivery by improving birth spacing and health outcomes for future pregnancies, leading to stronger families and savings to the state and local taxpayers. Methodist Healthcare Ministries supports House Bill 1589 and its efforts to eliminate barriers to preventive healthcare and family planning services.

Ray Lopez Wins Race for Texas House District 125

Ray Lopez (D-San Antonio) won the special election runoff for House District 125 to replace former State Representative Justin Rodriguez who vacated the seat to accept the two-year appointment of Bexar County Commissioner. This will be Lopez’ third political office after spending eight years on the San Antonio City Council and almost a decade as a trustee for the Northside Independent School District. Methodist Healthcare Ministries congratulates Representative-Elect Lopez on his appointment and looks forward to working with him to improve the health and wellness of the residents of District 125.

Upcoming Meetings & Events

Mar 19: Senate Education Committee Hearing – Children’s Health (Austin)

Mar 19: House Human Services Committee Hearing (Austin)

Mar 19: Senate Health & Human Services Committee Hearing (Austin)

Mar 19: House Insurance Committee Hearing (Austin)

Mar 19: Conference on Interpersonal Violence and Trauma – Sponsored by Methodist Healthcare Ministries (Edinburg)

Mar 20: House Public Health Committee Hearing (Austin)

Mar 20: House Juvenile Justice & Family Issues Committee Hearing (Austin)

Mar 20: House Higher Education Committee Hearing (Austin)

Mar 20: Senate Higher Education Committee Hearing (Austin)

Mar 21: House Corrections Committee Hearing (Austin)

Mar 21: House County Affairs Committee Hearing (Austin)

Mar 21: House Urban Affairs Committee Hearing (Austin)

Mar 22: Bexar County Mental Health Consortium Meeting (San Antonio)

Mar 28: Texas Impact Advocacy Day (Austin)

Mar 30: SASH Spring Thing 5K – Sponsored by Methodist Healthcare Ministries (San Antonio)

Apr 2: Immunization Advocacy and Rally Day – Sponsored by Methodist Healthcare Ministries (Austin)

Apr 15-15: Texas Campaign to Prevent Teen Pregnancy’s 8th Annual Symposium (Austin)

For more information on health care research, policy or advocacy,please contact Chris Yanas at cyanas@mhm.org.

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Legislative Update, March 8

DW Admin on March 8, 2019

In this issue:

Upcoming Meetings & Events

View our 2019 Legislative Agenda

Advocacy

Bill Tracking

Research

 

___________________________________________________________________________________________

State Updates

Methodist Healthcare Ministries Sponsors Healthcare “Let the People Vote!” Rally

“Let the People Vote!” Rally
March 4th, 2019

On Monday, health care advocates from across the state gathered at the Texas Capitol to urge state lawmakers to allow voters to decide whether Texas should expand the state’s Medicaid program. Nearly two dozen Texas organizations came together for the Texas Rally, sponsored in part by Methodist Healthcare Ministries, to support Senate Bill 524 by Senator Nathan Johnson (D-Dallas), House Bill 590 by Representative Celia Israel (D-Austin), House Bill 840 and House Joint Resolution 46 by Representative John Bucy (D-Austin) to place Medicaid expansion language on the ballot in Texas.

Texas is one of 14 states that chose not to expand Medicaid to cover additional populations of needy adults under the Affordable Care Act. Currently, Texas Medicaid covers low-income adults who are pregnant, children, seniors in long-term living facilities and Texans with severe disabilities or near-death illnesses. There are also a small number of parents earning less than $320 a month who also qualify. Should voters support federal funding for expansion, over 1 million Texans would become eligible to receive affordable health insurance.

A recent poll by the Episcopal Health Foundation revealed that 64 percent of Texans promote a statewide Medicaid expansion. Methodist Healthcare Ministries strongly supports increasing access to health insurance for our communities.

Methodist Healthcare Ministries Leads Healthcare Advocacy Efforts for VIVA San Antonio Chamber’s Day at the Capitol 
Members of the San Antonio Chamber’s Healthcare and Bioscience Committee with Lexi O’Hair, Policy Analyst for Senator Jose Menendez (D-San Antonio)

Methodist Healthcare Ministries led healthcare advocacy efforts for the VIVA San Antonio Chambers of Commerce Day at the Capitol on Tuesday, March 5. Members of the Chambers’ Healthcare Committees met with legislative staff from Representative Trey Martinez Fischer (D-San Antonio), Senator Donna Campbell (R-New Braunfels), Senator Jose Menendez (D-San Antonio), Representative Philip Cortez (D-San Antonio), Representative Senfronia Thompson (D-Houston) and Representative Steve Allison (R-San Antonio) on healthcare issues impacting the residents of San Antonio and Bexar County.

Methodist Healthcare Ministries’ Department of Policy and Advocacy staff educated policymakers on the need to improve access to health coverage for an estimated 300,000 uninsured adults in Bexar County and the importance of funding for the full reconstruction of the San Antonio State Hospital, as well as the need to create the necessary number of graduate medical education (GME) residency slots to keep our medical school graduates in Texas.

The group also asked legislators to support state agencies’ requests for substance use funding for all Texans, especially the most vulnerable populations. Methodist Healthcare Ministries appreciates the opportunity to lead San Antonio businesses and local government organizations on legislation affecting health care for San Antonio.

House Insurance Committee hears testimony on Health Care Expansion Bill

On Tuesday, Methodist Healthcare Ministries provided written testimony to the House Insurance Committee in support of House Bill 565 by Representative Garnet Coleman (D-Houston) to expand Medicaid coverage up to 100 percent of the Federal Poverty Level (FPL) and protect individuals with pre-existing conditions. It is estimated that close to 700,000 low-wage Texans continue to fall into the “coverage gap” – these are individuals who do not have employer-sponsored coverage, earn too little to qualify for health insurance subsidies through the federal healthcare exchange programs and do not qualify for Medicaid coverage. HB 565 would help close the coverage gap by allowing individuals below the 100 percent FPL to receive Medicaid benefits through a sliding scale subsidy to purchase a health benefit plan.

To support a strong health care infrastructure, Texas must increase access for uninsured residents through affordable health coverage, especially for our families below 100 percent of the FPL. It is essential for the State to invest in public health programs that protect and improve the health of vulnerable Texans by supporting statewide initiatives that secure access to providers and services for our families. HB 565 was left pending in the committee by Chairman Eddie Lucio, III (D-Brownsville).

State Clubhouses Seek Increased State Funding for Services

Clubhouses across Texas, including the San Antonio Clubhouse, are requesting an increase in state funding from $1.7 million to $5 million for the 2020-2021 biennium to expand the clubhouse delivery model across the State. The Clubhouse model is an evidence-based, recovery-oriented program for adults diagnosed with a mental illness to improve their ability to function successfully in the community through a peer-focused environment. The 85thLegislature designated $1.7 million for 14 certified Clubhouses in Texas, however, mental health stakeholders are seeking an additional $3.3 million to increase access to these services in more Texas communities.

Clubhouses provide a caring, supportive community and meaningful work to individuals living with mental illness to avoid crises that often result in hospitalization or incarceration. The evidence-based model surrounds the person with a community of peers and programs that helps them thrive in the community. Clubhouses can save $2,650 a day in hospitalization and jail prevention costs for local communities. Increased funding for the expansion of Clubhouse facilities is a legislative priority for Methodist Healthcare Ministries, which also supports and financially invests in the San Antonio Clubhouse facility and programs.

Texas Legislature Moves Forward with Healthcare Workforce Bills 

The Texas House and Senate voted to progress legislation this week that would improve the healthcare workforce in the State. On Tuesday, the Senate Chamber approved Senate Bill 10, by Senator Jane Nelson (R-Flower Mound), which addresses child psychiatric workforce issues by establishing a Child Psychiatry Access Program (CPAP) at health-related institutions to provide telemedicine and telehealth services for pediatricians and primary care providers throughout the state.

On Wednesday, the House Higher Education Committee voted House Bill 80, by Representative Lina Ortega (D-El Paso), out of the committee to be considered on the House floor. HB 80 would require the Texas Higher Education Coordinating Board to conduct a study on statewide and regional shortages in health professions, focusing on doctoral degrees such as physicians, nursing, psychology and dentistry. The House Higher Education Committee also considered House Bill 1065, by Representative Trent Ashby (R-Lufkin), to establish a Rural Resident Physician Grant Program to encourage new graduate medical education (GME) positions in rural and nonmetropolitan areas.

Texas’ rapid population growth places unparalleled demand on its healthcare workforce, ultimately diminishing access to care for all residents. To make matters worse, the provider workforce is disproportionally distributed across Texas with more than 57 percent of the state’s physicians practicing in the five most populous counties, despite only representing 44 percent of the population. These bills would bolster the healthcare workforce and increase access to care for Texans living in rural communities. Methodist Healthcare Ministries supports legislation to incentivize and support healthcare providers to serve in areas with limited access to health care treatment, notably in our state’s rural communities.

Upcoming Meetings & Events

Mar 11: Senate State Affairs: Guardianship and Healthcare Workforce (Austin)

Mar 11: House Appropriations: Budget Riders (Austin)

Mar 11: Senate Finance: Supplemental Appropriations (Austin)

Mar 12: House Appropriations: salary requests and Capital Needs (Austin)

Mar 28: Texas Impact Advocacy Day (Austin)

Mar 30: SASH Spring Thing 5K– Sponsored by Methodist Healthcare Ministries (San Antonio)

Apr 2: Immunization Advocacy and Rally Day– Sponsored by Methodist Healthcare Ministries (Austin)

For more information on health care research, policy or advocacy,please contact Chris Yanas at cyanas@mhm.org.

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Legislative Update, March 1

DW Admin on March 1, 2019

In this issue:

Upcoming Meetings & Events

View our 2019 Legislative Agenda

Advocacy

Bill Tracking

Research

 

___________________________________________________________________________________________

State Updates

Rep. Trey Martinez-Fischer Convenes San Antonio Meeting with House Budget Chair John Zerwas and local leaders

Bexar Legislative Delegation members meet with House Budget Chair John Zerwas in San Antonio to share top funding priorities.

Rep. Trey Martinez-Fischer (D – San Antonio) convened a meeting Friday, Feb. 22., for local Bexar officials and business leaders, providing them with an opportunity to share their top legislative priorities with House Appropriations Chair John Zerwas (R – Richmond). County Judge Nelson Wolff and Mayor Ron Nirenberg welcomed Chair Zerwas and focused their remarks on the potential harm that would come to local government if Senate Bill 2 were to pass. SB 2 by Senator Paul Bettencourt (R – Houston), would limit the amount of revenue that local governments like cities, counties and special districts can collect without voter approval.

Specific to issues impacting Methodist Healthcare Ministries’ work on mental health, healthcare stakeholders asked for Chair Zerwas’ support to fund the construction of a new San Antonio State Hospital, estimated to cost roughly $300 million. Local mental health providers were instrumental in securing $14.5 million in 2017 to develop the plans for a new SASH facility and delivery system that serves a 54-county catchment area. Other issues brought forward included funding for public and higher education, medical schools and family protective services.

House Human Services Committee Discusses SNAP Work Requirements

This week, the House Human Services Committee heard testimony on House Bill 285 by Representative Drew Springer (R-Muenster), prohibiting work exemptions for adults without dependents in the SNAP program. Currently, adults without children who are not able to work can receive SNAP benefits for up to three months every three years, but federal regulations allow states to waive this time limit in areas where jobs are not available. The bill would remove Texas’ waiver of the time limit and require all adults to receive job training and work for at least 30 hours a week.

The Center for Public Policy Priorities (CPPP), expressed concerns about the bill and how it could lead to higher rates of hunger by ending Texas’ flexibility in SNAP assistance to respond to disasters, local workforce conditions and needs of special groups, such as former foster care children. Young adults aging out of the foster system often struggle to find work and report high rates of hunger. HB 285 would prevent the state from aiding these young adults while they are looking for work. Methodist Healthcare Ministries supports public policies that work to reduce hunger for our neediest families, especially for those in rural and underserved communities.

Methodist Healthcare Ministries Supports School Mental Health Bills 

Methodist Healthcare Ministries weighed in favorably on several bills in Tuesday’s House Public Education hearing that would increase mental health resources for students. Representative Shawn Thierry (D-Houston) laid out House Bill 198, which would permissively allow school-based health centers to provide mental health resources and services, and House Bill 204, which would include mental health in the required curriculum for public school students. Additionally, Methodist Healthcare Ministries supported House Bill 129, by Representative Diego Bernal (D-San Antonio), and House Bill 239, by Representative Jessica Farrar (D- Houston) which would increase mental health workforce in schools. HB 129 would require schools with 90 percent economically disadvantaged students to have at least one social worker or counselor on campus and HB 239 would allow social workers to provide services in schools.

One in five Texas school children live with a mental health condition such as depression or anxiety, but over 60 percent of students do not receive the mental health treatment they need. These bills would increase access to mental health services in school settings and help students address mental health challenges to improve grades, behavior, health and safety. Methodist Healthcare Ministries strongly supports legislation that enhances mental health services and support programs for students.

House Appropriations Subcommittee Adopts Healthcare Budget Items

The Texas House Appropriations Subcommittee on Article II met this past week to adopt funding requests for several exceptional items brought forward by the state’s health care agencies. The committee adopted the Health and Human Services Commission’s (HHSC) request to provide an additional $72.6 million for Early Childhood Intervention (ECI), an additional $88.13 million for caseload and cost growth in Women’s Health Programs, an increase of $45.7 million to expand substance use treatment and an additional $3.5 million for housing and case management support for individuals with disabilities.

Methodist Healthcare Ministries appreciates the efforts of Chairwoman Sarah Davis (R-Houston) and members of the House Appropriations Subcommittee on Article II, including Rep. Philip Cortez (D-San Antonio), to ensure adequate funding is allocated for Texas’ most vulnerable populations such as children, women and individuals with mental illness.

El Paso Lawmaker Proposes Texas Health Care Workforce Study

Representative Lina Ortega (D-El Paso) presented House Bill 80 in the House Higher Education Committee Hearing Wednesday, Feb. 27, which would require the Texas Higher Education Coordinating Board to conduct a study that would identify statewide and regional shortages in health professions, with emphasis on shortages in professions with doctoral degrees. The Texas Higher Education Coordinating Board would make recommendations on new and existing programs to meet the increased need for health professionals in a report to the Legislature by December 1, 2023.

Currently, Texas only meets 55 percent of the needed primary care workforce, 46.3 percent of the needed dental workforce and 35.5 percent of the needed mental health workforce. Adding to the shortage is the 34 percent of primary care physicians and 60 percent of psychiatrists who will be past retirement age by 2025.

If passed, HB 80 would allow the Texas Higher Education Coordinating Board to understand statewide and regional shortages and find solutions to mitigate the effects going forward. Supporting legislation that improves Texas’ healthcare workforce shortages in rural and underserved areas is a legislative priority for Methodist Healthcare Ministries.

Upcoming Meetings & Events

Mar 4: Let the People Vote! Texas Rally for Medicaid Expansion (Austin)

Mar 4: House Defense and Veterans’ Affairs Committee Hearing – Mental Health (Austin)

Mar 4: House Appropriations Committee Hearing – Regulatory Agencies (Austin)

Mar 4: House Appropriations S/C Infrastructure, Resiliency & Investment (Austin)

Mar 4: House Defense and Veterans’ Affairs – Mental Health (Austin)

Mar 5: Viva San Antonio Legislative Day at the Capitol (Austin)

Mar 5: House Human Services Hearing (Austin)

Mar 5: Health Insurance Committee Hearing – Healthcare (Austin)

Mar 6: Recovery Day at the Capitol (Austin)

Mar 6: Senate Higher Education Hearing (Austin)

Mar 6: Texans Care for Children’s 13thAnnual Founders Luncheon (Austin)

Mar 7: House Appropriations Hearing (Austin)

Mar 28: Texas Impact Advocacy Day (Austin)

Mar 30: SASH Spring Thing 5K (San Antonio)

Apr 2: Immunization Advocacy and Rally Day (Austin)

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Keeping Kids Healthy

DW Admin on February 26, 2019

Imagine being a kid again and sitting in class feeling sick. Now imagine having parents that have no access to healthcare with limited financial resources. And, not knowing where to take their child for the medical care they need.

Thanks to Methodist Healthcare Ministries of South Texas, Inc., children enrolled in the Marion and Schertz-Cibolo-Universal City Independent School Districts can receive the care they need, despite not having health insurance.

Whether it’s a cold, toothache, ear infection, sports physical or making sure kids get their annual immunizations, Methodist Healthcare Ministries’ School Based Health Center teams can address those needs by providing high quality pediatric primary health care to evaluate students, as well as their siblings up to age 22.

Alicia Herrera, front desk supervisor for Methodist Healthcare Ministries’ two School Based Health Centers, said seeing her organization’s mission: “Serving Humanity to Honor God” in action by providing healthcare to the least served in these communities, has been incredibly rewarding.

“I’ve been working in the school based health centers for 17 years and I love it. To see children and their siblings get the care they need, when they need it, has been wonderful,” said Herrera.

She said students visit the School Based Health Centers during school hours, which are from 8 a.m. to 5 p.m., Monday through Friday. The two School Based Health Centers are conveniently located on the campuses of Schertz Elementary School (757 Curtiss Avenue), and Krueger Elementary School (217 West Otto Street). Services are available to children from across the two school districts and open year-round.

“We see kids of all ages — newborn to 22 — from the schools in the area. These children do not have access to healthcare and are in need of seeing a medical professional,” said Herrera. “We are here for them and always happy to get these kids to feeling better so they can get back to learning in the classroom. The families know us and trust us.”

She said the two Methodist Healthcare Ministries’ School Based Health Centers provide the following programs and services:

  • Diagnosis and treatment of simple illness or injury
  • Immunizations
  • Well-child exams
  • Physical exams
  • Sports physicals
  • Health promotion and education
  • Prescription assistance
  • Primary dental care, including exams, x-rays, cleanings, fluoride treatments and sealants
  • Dental treatment, including fillings, extractions and endontic treatment available
  • Sports mouth guards (in school colors)
  • Individual and family counseling, as well as case management services
  • Assistance with Medicaid, CHIP and SNAP application
  • Referrals to healthcare providers, specialists and other community resources

Herrera said clinical services provided to children at Methodist Healthcare Ministries’ two School Based Health Centers are charged on a sliding fee scale, based on annual household income. The School Based Health Centers do not offer urgent care services and insured patients must file claims on their own.

To learn more about the services offered at Methodist Healthcare Ministries’ School Based Health Centers, contact the Schertz center at 210-658-4875, or the Marion center at 830-420-2291, or visit online at mhm.org.

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Is it a cold, allergies or flu?

DW Admin on February 25, 2019

Sneezing, coughing, congestion, itchy eyes, runny nose and feeling achy? So, could it be a cold, allergies or the flu? That is the question often asked by patients seeking relief.

Dr. Edward Dick, senior vice president of integrated health services at Methodist Healthcare Ministries of South Texas, Inc., said it may be hard to determine initially if it’s a cold or flu. “Generally, flu is much more severe in symptoms with a higher fever. There are tests available in the healthcare provider’s office or lab that can detect flu, but these are not perfectly sensitive or specific.”

He said when prescribing antiviral medications to patients, it’s usually based on test results, the severity and types of symptoms and whether the patient visits their doctor within 48 hours of the onset of symptoms. “In any given year, the types of flu circulating, and the Centers for Disease Control and Prevention (CDC) recommendations may vary so patients would do well to check the CDC’s website and discuss their options with their doctor.”

Dr. Dick explained how some patients with severe allergies, like cedar fever, may feel like they have the flu because of chills. However, allergies alone shouldn’t cause a fever. “Presence of a fever or worsening symptoms is a good reason to see your doctor. Chronic or repeat infections would also warrant a visit to the doctor’s office.”

Many suffer from cedar fever during this time of the year and while some people can recognize the symptoms, not everyone suffers from allergies, which can make it confusing to distinguish between allergies, a cold or the flu.

The following are tips to help you better identify symptoms and when it’s time to see your doctor, according to the CDC:

ALLERGIES: If your body mistakes dust or pollen for germs and attacks as an immune response — as if fighting viruses or other pathogens — that’s when you will begin to experience allergy symptoms. What happens is your body releases substances such as histamine, resulting in inflammation and causing a runny nose, watery eyes, coughing, fatigue and sneezing. Allergies aren’t contagious like colds and the flu, but, usually, last longer and cause people to feel miserable. Allergies can be a risk factor for developing a sinus infection.

COLDS: Catching a cold can be serious in young children or patients with compromised immune systems but is less severe among most folks. Colds and flu are both respiratory illnesses but caused by different viruses. A cold is caused by several respiratory viruses like rhinovirus, enterovirus, adenovirus, parainfluenza, and others. These viruses rarely lead to serious complications and recovery is a lot quicker, unlike the flu. Cold symptoms vary and often include a runny nose, congestion, sore throat, coughing and sneezing. A fever is less common among symptoms. Taking over-the-counter medications can help make you feel better sooner.

FLU: It is also known as influenza and is the most serious of cold-weather respiratory viruses that circulate during this season. Flu symptoms include fever, severe fatigue, headache, dry cough, chills, chest pain, body aches, and a sore throat. The flu kills thousands in the U.S. annually, resulting in hundreds of thousands admitted to the hospital, as well as infecting millions. The hardest hit by the virus are young children, seniors, pregnant women, and those with chronic illnesses. If you’re experiencing difficulty breathing, chest or stomach pain, dizziness, confusion, or severe and persistent vomiting, you should seek medical attention soon after these symptoms start.

Dr. Dick said you can protect yourself and others by washing your hands often and using hand sanitizer; covering your nose and mouth when coughing or sneezing into your sleeve or tissue; and avoiding contact with others infected with the virus will help reduce your chances of getting the flu, which is contagious. And, most importantly, get your annual flu shot.

Also, if you are sick with the flu, it’s best to stay home and away from crowds, family members, coworkers and those at high risk of flu complications.

Dr. Dick said if you’re currently sick with a cold, flu, or allergies, get plenty of rest so you can begin to feel better soon.

Methodist Healthcare Ministries is dedicated to creating access to healthcare for the uninsured through direct services, community partnerships and strategic grant-making in 74 counties across South Texas. Guided by its mission of "Serving Humanity to Honor God," the organization’s vision is to be the leader for improving wellness of the least served. The mission also includes Methodist Healthcare Ministries' one-half ownership of the Methodist Healthcare System, the largest healthcare system in South Texas, which creates a unique avenue to ensure that it continues to be a benefit to the community by providing quality care to all and charitable care when needed. For more information, visit www.mhm.org. 

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Legislative Update, February 22

DW Admin on February 22, 2019

Legislative Updates

Upcoming Meetings & Events

View our 2019 Legislative Agenda

Advocacy

Bill Tracking

Research

 

___________________________________________________________________________________________

Legislative Updates

San Antonio Health Care Stakeholders Advocate for San Antonio State Hospital Funding

San Antonio State Hospital Stakeholders with Senator Pete Flores (R-Pleasanton) at the Texas Capitol in Austin, Texas

Methodist Healthcare Ministries led efforts this week at the state Capitol to promote reconstruction funding for the San Antonio State Hospital (SASH), estimated to cost $323 million. Jaime Wesolowski, CEO, and Tony LoBasso, CFO, of Methodist Healthcare Ministries joined University Health System, Clarity Child Guidance Center, The Center for Health Care Services, NAMI San Antonio, Haven for Hope and the Bexar County Mental Health Department in a discussion with Senator Pete Flores (R-Pleasanton), who sits on the powerful Senate Finance Committee, to discuss the significance of the new hospital and its value for the thousands of South Texas residents who suffer from severe mental illness. The Senate has currently allocated $300 million for state hospital construction in their supplemental budget bill.

During the 85thInterim, the SASH Executive Stakeholder Committee worked tirelessly to look at the physical replacement of SASH and examine how care would be integrated into the community through enhanced mental health crisis/response services. The Committee collaborated with eight Local Mental Health Authorities throughout SASH’s 54-county catchment area to understand the appropriate roles and functions of a redesigned SASH, current pathways to SASH and barriers to access for both adults and adolescents. The final report of findings was submitted to HHSC in January 2019, where it was reviewed by the agency staff for final submission to the 86th Legislature.

Full reconstruction funds for the San Antonio State Hospital is a legislative priority for Methodist Healthcare Ministries and members of the SASH Executive Committee. During the 86th Legislative Session, Methodist Healthcare Ministries will work with state leaders and stakeholders to ensure funding for SASH is appropriated, along with transition services and increased funding for staff recruitment and retention efforts.

Methodist Healthcare Ministries Testifies in House Appropriations Hearings

Methodist Healthcare Ministries testified to the House Appropriations Subcommittee on Article II on budget issues related to access to health coverage, behavioral health funding and women and children’s health. Chris Yanas, MHM’s Director of Governmental Affairs, stressed the importance of funding the reconstruction of the San Antonio State Hospital, along with salary increases for competitive recruitment and retention of hospital personnel, to operate a state-of-the-art facility that will enhance the recovery of thousands of South Texans in SASH’s 54-county service area. Testimony also included support to sustain the state’s mental health grant programs and increasing services for behavioral health and substance use disorders.

Methodist Healthcare Ministries, along with several other advocates, urged legislators to provide adequate resources for continuity of care for all Texans, including funding for 12-month continuous eligibility for children in the Medicaid program and the extension of postpartum women in the Medicaid program from 60 days to 12 months postpartum. Recommendations also included increased funding for women’s health programs to promote auto-enrollment from children aging out of the Children’s Health Insurance Program (CHIP) into the Healthy Texas Women program. Methodist Healthcare Ministries will continue to submit written and oral testimony during the session on priority issues impacting the health and wellness of its 74-county service area, especially rural communities.

Methodist Healthcare Ministries Supports Children’s Mental Health Legislation

Last week, Methodist Healthcare Ministries submitted testimony in support of Senate Bill 10 by Senator Jane Nelson (R-Flower Mound), relating to the creation of the Texas Mental Health Consortium within the Texas Higher Educating Coordinating Board. With one in five Texans estimated to be impacted by a mental illness, meeting the health care needs of the population requires a coordinated system that is effective and appropriate. The development of the consortium would promote state mental health initiatives and coordinate research efforts at 12 health-related academic centers of higher education across the state.

Senate Bill 10 would also direct the consortium to create a Child Psychiatry Access Program (CPAP) to enable pediatricians and primary care providers to consult with psychiatrists at Texas medical schools for guidance and expertise. The bill would look to reduce the psychiatry workforce shortage through the Behavioral Health Workforce Expansion Project, increase psychiatric residency training and promote the use of telemedicine to expand access to mental health services. Lastly, the bill would provide judicial instruction on mental health resources, which is critical at reducing the number of youths with a mental illness from entering the criminal justice system. Senate Bill 10 was voted out of the Senate Health and Human Services Committee and placed on the Senate Intent Calendar for Monday, Feb. 25.

With about 1.9 million youths in Texas in need of behavioral health services by the age of 14, access to early treatment is imperative. Methodist Healthcare Ministries supports the passage of Senate Bill 10, aimed at leveraging the expertise of health-related universities to improve the quality and availability of mental health services, improving access to early identification and access to treatment, addressing the psychiatry workforce shortage and strengthening judicial training on mental health.

Houston Lawmaker Files Bill on Adolescent Behavioral Health Research 

Texas House Public Health Committee Chairwoman Senfronia Thompson (D-Houston) filed House Bill 10 to create the Texas Mental and Behavioral Health Research Institute to be funded with voter approved bonds. HB 10 increases the number of child and adolescent psychiatrists and specialized nurses across the state, creates a telemedicine program to rapidly connect pediatricians and school health providers with trained mental health providers and creates the Texas Mental and Behavioral Health Research Institute that will focus on research to develop cures and treatments.

With more than 200 counties in Texas without a single child and adolescent psychiatrist, the legislation will create grants to incentivize newly graduated doctors and advanced practice nurses to specialize in the field. Additionally, the bill would establish a Child Psychiatric Access Line (CPAL) for mental and behavioral health care services through academic partnerships and peer-to-peer consultations. HB 10 will place Texas on the leading edge in discovering mental and behavioral health treatments through programs that research all aspects of mental health, from the brain’s structure to public health trends and medical interventions. The bill was referred to the House Public Health Committee Feb. 19 where it awaits a hearing.

Methodist Healthcare Ministries strongly supports HB 10, which will guide Texas to be a leader in addressing child and adolescent mental health issues through research, workforce development and mental health care targeted at our youth.

State Officials Confirm Measles Outbreak in Texas 

The Texas Department of State Health Services reported eight cases of measles across Texas counties, including Bell, Denton, Harris, Galveston and Montgomery. U.S. health officials declared the disease was eradicated in 2000 due to the development of the measles vaccine; however recent declines in vaccination rates have put Texas communities at risk. The highly contagious disease can result in brain damage, deafness and even death, urging health authorities to promote vaccination as the most effective method to prevent the illness.

The Public Health Dynamics Laboratory created a modeling system to demonstrate the outcome if a single student with measles attends school in a given county or metropolitan area. If the measles vaccination rate fell by 10 percent, in a worst-case scenario, the number of infections could potentially increase to 12,230 cases in San Antonio, 9,103 cases in McAllen, 6, 676 cases in Laredo, 1,498 cases in Victoriaand 3,673 cases in Corpus Christi. Supporting policies and legislation that protect all Texans from vaccine-preventable diseases is a top legislative priority for Methodist Healthcare Ministries.

Upcoming Meetings & Events

Feb. 25:HHSC: State Medicaid Managed Care Advisory Committee (Austin)

Feb. 28: HHSC: Texas Statewide Health Coordinating Council (Austin)

Mar 1: HHSC: E-Health Advisory Committee (Austin)

Mar 1:San Antonio Substance Use Symposium (San Antonio)

Mar 4: Let the People Vote! Texas Rally for Medicaid Expansion (Austin)

Mar 5: Viva San Antonio Legislative Day at the Capitol (Austin)

Mar 6: Recovery Day at the Capitol (Austin)

Mar 6: Texans Care for Children’s 13thAnnual Founders Luncheon (Austin)

Mar 30: SASH Spring Thing 5K (San Antonio)

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Use Your Voice to Protect Our Community Through Life-Saving Vaccines

DW Admin on February 21, 2019

For the last 200 years, vaccinations have been responsible for many global public health achievements, including the eradication of smallpox and significant reductions of other serious infections like polio and measles. Despite their undisputed effectiveness, “anti-vaccine” movements are quickly gaining momentum in the United States, including in our great State of Texas. In addition to growing misinformation, factors related to religious beliefs, personal freedoms and individualism have contributed to a rising numbers of parents choosing not to vaccinate their children. In Bexar County, recent data by the Texas Department of State Health Services (DSHS), shows the percentage of students claiming nonmedical vaccine exemptions has more than doubled, from 0.32 percent in 2011 to 0.80 percent for the 2017-2018 school year, despite the fact that opting children out of vaccinations greatly increases the risk of preventable disease outbreaks.

My internship this past year with Methodist Healthcare Ministries allowed me the opportunity to study the history of vaccines, how effective they’ve been in eradicating deadly diseases, ones that I admit I’ve taken for granted, until now. I’m more aware of the detrimental consequences of vaccine exemptions, including what types of policy measures are being taken at the state and local level to address the recent outbreaks around the state.

Before 2003, parents were only able to opt out of vaccinations for their children for religious or medical exemptions. However, during the 2003 Legislative Session, House Bill 2292 expanded the exemption provision to include “reasons of conscience.” Texas is one of 18 states that allows exemptions due to personal, moral or other beliefs. Since the implementation of the HB 2292, more than 57,000 children in Texas have opted out of vaccines – representing a twentyfold increase in the past 15 years. Data show that unvaccinated children typically cluster, which poses a significant threat for outbreaks. According to the Public Library of Science PLOS Medicine Medical Journal, four counties in Texas – including Harris, Tarrant, Collin and Travis – are among the top 15 counties in the U.S. with the highest number of kindergarteners with nonmedical vaccine exemptions. This trend is worrisome not only for the safety of our children, but for our vulnerable populations. Medically fragile individuals, including infants and the elderly, are not able to receive vaccines, due to serious allergies or weakened immune systems and rely on what is known as “herd immunity,” the resistance to the spread of diseases due to a significant portion of the population being vaccinated, which protects them from being exposed to preventable diseases.

In September 2018, DSHS, the state agency responsible for vaccination efforts, released a report highlighting strategies to increase vaccine coverage levels at the state level. Their multifaceted approach for the improvement of vaccination levels includes providing free vaccines to the community, employing quality improvement efforts, performing educational outreach and engaging and collaborating with partners and stakeholders. Two programs that offer free vaccines to eligible children and adults include the Texas Vaccines for Children (TVFC) and the Adult Safety Net (ASN) program. Additionally, DSHS developed educational strategies such as Vaccine Education Online and “Every Dose Matters” in efforts to educate communities on the importance of immunizations. The state also collaborates with stakeholders through the Texas Immunization Stakeholder Working Group (TISWG) to identify local needs and successes. Going forward, DSHS will continue to evaluate the effectiveness of existing public health strategies and work to implement policies that increase vaccine coverage levels and reduce the prevalence of disease in Texas.

As part of its mission to influence public policy to improve access to care for all Texans, Methodist Healthcare Ministries partners with organizations, such as The Immunization Partnership, or TIP, to advocate for vaccination coverage and educate communities on the importance of immunizations. TIP aims to eradicate vaccine-preventable diseases by developing and coordinating community resources through public and private partnerships. As part of Methodist Healthcare Ministries' policy work for the 86th Legislative Session, the organization and TIP are readying to defend protections in current law and ensure the exemption infrastructure is not weakened. A strong piece of this work includes the Parent’s Right to Know legislation that would allow parents to be informed of exemption rates at their local school campuses. Right now, all schools are required to gather data on vaccinations and exceptions, but DSHS aggregates and releases the data at the district level. The Parents Right to Know legislation would allow the data to be shared at the local school level and allow parents to make timely decisions as the safety and wellness of their children.

This internship experience with Methodist Healthcare Miniistries has helped me become a stronger vocal public health advocate and I strongly urge the community to learn about the benefits of vaccinating our families to prevent diseases, disabilities and cancer. Vaccinations protect our public’s health by preventing outbreaks and resurgence of diseases that have not been around in many years. I challenge you to be an advocate for promoting the importance of routine immunizations and to join me in not only protecting our loved ones, but entire communities.

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Preparing the Next Generation of Healthcare Professionals

DW Admin on February 18, 2019

Abigail, an 11thgrade student at East Central Independent School District (ECISD), in San Antonio, isn’t shy about sharing her dreams for the future, especially when it comes to a career in healthcare.

“I want to become an obstetrician-gynecologist (OB-GYN) someday,” she said. “I believe I could reach that goal, especially after my experience at Methodist Healthcare Ministries.”

Abigail, 17, was among 22 other high school students from East Central ISD who participated in the school district’s Clinical Medical Assistant (CMA) rotations program, in partnership with Methodist Healthcare Ministries. The students rotated through 11 different departments at Methodist Healthcare Ministries’ Dixon Health & Wellness Center, located on 4212 E. Southcross, which is near where most of the students live and attend school.

“I’ve learned a lot during the program and even got to interact with patients,” said Abigail. “The rotations have helped me grow and confirm my interest in becoming a medical doctor. That’s what I’m passionate about.”

The students got to see healthcare in action as they rotated through services including dental, pharmacy, social work, medicine, physical therapy, lab, behavioral health, patient registration and administration. Students were also exposed to the high quality of care provided to the least served in the community by Methodist Healthcare Ministries, as well as inspired by the organization’s mission: “Serving Humanity to Honor God.”

“It was an eye-opener for me. I had no idea there was care like this for people who do not have access to healthcare. It’s great to see the care these patients receive,” said Anastacia, an 11thgrade student at East Central ISD. “I was also able to get a better picture of what I’m learning in my school books. Reading about it is one thing but to actually experience it, makes it real.”

It was the first time Methodist Healthcare Ministries participated in East Central ISD’s new program and it has proven to be a success.

“We’re glad they approached us to be part of this course because it’s the perfect match,” said Oanh Maroney-Omitade, vice president of clinical operations at Methodist Healthcare Ministries. “It’s great to be able to give these students a closer look at healthcare in action and to expose them to a caring and compassionate profession.”

Dolapo Sokunbi, a clinical administrator at Methodist Healthcare Ministries, said having the students rotate through the different departments has helped guide them in choosing their profession. “The students got to interact with our patients and learned how to meet their medical needs which includes physical, mental, emotional and spiritual care,” said Sokunbi. And, our team members were able to share their knowledge and experience with the students as well.”

Sokunbi said students were also able to take vital signs, assist with x-rays and lab work, as part of their experience and the program is designed to help students become better prepared for their CMA test this summer.

Marcus, a senior at East Central ISD, said the program boosted his confidence. “The program really helped me improve my confidence level. I gained confidence in my own abilities to learn about healthcare. It’s been a great experience for me.”

Anastasia agrees. She said the program has helped her become a better communicator, as well as inspired her to pursue a career in nursing. “I want to become a registered neonatal nurse. I really love working with people.”

“Our goal is to provide each student with the tools they need to move forward in their future careers,” said Brit Peek, manager of human resources at Methodist Healthcare Ministries. “We are so proud of these students for demonstrating a true passion for those in need of medical care in our community. We wish them the best as they continue their education.”

Peek said once students have passed their exam, they will become certified clinical medical assistants and qualified to apply for a CMA position anywhere they wish.

Maroney-Omitade said Methodist Healthcare Ministries hopes to continue equipping youths who are exploring a career in healthcare through the CMA training program at East Central ISD. But most importantly, she hopes each student takes what they learned and applies it, no matter where they decide to work.

Methodist Healthcare Ministries’ is dedicated to supporting initiatives designed to address the shortage of healthcare professionals in our communities. In 2018, we awarded $3.1M in grants to funded partners such as the Alamo Colleges District, UT Health San Antonio, and Texas A&M International University to support their efforts to address Texas’ healthcare workforce. Our Policy & Advocacy team also identified improving Texas’ healthcare workforce as one of the four key public policy priorities for the 86thTexas Legislative Session. Across the organization, we actively promote opportunities to improve the healthcare workforce that provides care for the least served in the community. To learn more, visit online at mhm.org.

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Legislative Update, February 15

DW Admin on February 15, 2019

Legislative Updates

Upcoming Meetings & Events

View our 2019 Legislative Agenda

Advocacy

Bill Tracking

Research

 

___________________________________________________________________________________________

Legislative Updates

Methodist Healthcare Ministries Leads Healthcare Visits for San Antonio Chambers’ Annual SA to DC trip

Dr. Penn Wickersham and Jaime Wesolowski meet with United States Navy Vice Admiral Raquel Bono in Washington, D.C. February 5th, 2019

Methodist Healthcare Ministries traveled to Washington, D.C. this past week with more than 180 members of San Antonio’s local business chambers to advocate for health coverage and graduate medical education funding, among other key issues impacting San Antonio businesses and local government organizations. Dr. Pendleton Wickersham, board member and Chair of the Methodist Healthcare Ministries’ Policy subcommittee, and Jaime Wesolowski, president and CEO of Methodist Healthcare Ministries were joined by MHM’s Department of Policy & Advocacy staff as they met with members of the Bexar County congressional delegation and Senate Finance Committee staff to share concerns with the lack of affordable health coverage for low-income families and the need for funded graduate medical education residency training slots. The group also expressed its gratitude to congressional leaders for federal funding for substance use treatment that has recently been awarded to Bexar County mental health providers.

The San Antonio delegation had the opportunity to hear from House Speaker Nancy Pelosi (D-San Francisco), House Minority Leader Kevin McCarthy (R-Bakersfield) and several San Antonio congressmen on critical healthcare and immigration issues affecting our country. Speaker Pelosi acknowledged the high cost of prescription drugs, stating that finding solutions to reduce these costs is a high priority for House leadership. Congressman Lloyd Doggett (D-San Antonio) expressed the need to increase funding to train healthcare personnel, noting Texas ranks 41st in the nation for physician to population ratio. He discussed his efforts to find bipartisan support to correct deficiencies within the Affordable Care Act, and protect key provisions that have served families well, such as covering individuals with pre-existing conditions.

The four-day trip to the nation’s Capitol by the large San Antonio delegation provided opportunities for key discussions and potential public/private collaborative opportunities. Methodist Healthcare Ministries staff has also been selected to lead chamber healthcare advocates for the upcoming Viva San Antonio Chamber Day at the Capitol coming up on March 5.

Governor Greg Abbott Prioritizes Mental Health

Texas Governor Greg Abbott focused on issues impacting mental health in schools in his State of the State Address this past Tuesday, setting the tone for his priority issues this legislative session. In his address to both chambers of the Legislature, the governor declared Senate Bill 10 by Senator Nelson (R- Flower Mound) an emergency item, which would allow academic institutions to collaborate on statewide mental health needs and increase access to behavioral health services for students.

Governor Abbott’s emergency designation allows legislators to take action on bills deemed a priority within the first 60 days. His other emergency items include school finance, property tax reform, school safety and disaster response. While it was not termed an emergency item, Governor Abbott also urged lawmakers to provide more mental health resources for veterans. As part of its 86th Legislative Agenda, Methodist Healthcare Ministries supports initiatives such as Senate Bill 10 to build upon mental health services for children and promote collaboration among medical schools that will address the mental health workforce shortage in Texas, especially in rural and underserved areas.

Senate Finance Committee Evaluates State Healthcare Funding

The Texas Senate Finance Committee met last week to discuss the current healthcare funding needs for Texas’ neediest residents. Dr. Courtney Phillips, Executive Commissioner of the Texas Health and Human Services Commission (HHSC) noted how 81 percent of the agency’s appropriations were spent on client services within the state’s Medicaid program. Newly elected Senator Pete Flores (R-San Antonio) took the opportunity to voice his support for state funding for the reconstruction of a new San Antonio State Hospital (SASH) facility and the addition of beds to address the current waitlist for services.

Several healthcare advocates testified on the significance of adequate funding for state services. Children’s advocacy organizations pointed to recent studies that indicated an increase in the number of uninsured children, a sobering concern, given that Texas already leads the nation with the highest percentage of uninsured children. They also asked senators to support Medicaid funding that would allow children to have 12 months of continuous coverage, a legislative priority for Methodist Healthcare Ministries. Several testimonies recommended funding for behavioral health services and women’s health services. Methodist Healthcare Ministries will continue to advocate for sufficient funding for the state’s healthcare services and its impact on our communities.

Texas Lawmaker Files Bill to Address Adverse Childhood Experiences

Representative Tan Parker (R-Flower Mound) filed HB 822 which would develop a five-year strategic plan to prevent and address Adverse Childhood Experiences (ACEs). The multiagency effort would include strategies to train and educate professionals on how to assess and treat ACEs, provide trauma-informed practices and develop parental support programs.

Representative Parker invited San Antonio community members, Christine Bryan, VP of Information Technology and Public Policy at Clarity Child Guidance Center, and Dr. Colleen Bridger, Director of San Antonio Metropolitan Health District, to take part in a stakeholder roundtable and provide recommendations on key provisions of the bill. The input will be used to develop a committee substitute once the bill secures a hearing. Mitigating the effects of ACEs is a priority for San Antonio children’s advocates, including Methodist Healthcare Ministries. In 2018, there were over 11,000 domestic violence cases in San Antonio alone.

House Appropriations Committee Receives Update on State Mental Health Hospitals

Mike Maples, Deputy Executive Commissioner of Health & Specialty Care System at Health and Human Services Commission (HHSC), provided an update to the House Appropriations Committee about decreasing the waitlist for mental health services in Texas through reconstruction of state inpatient mental health facilities, including San Antonio State Hospital. Mr. Maples noted that the Legislature would need to appropriate $323 million to reconstruct the 300-bed facility on the southside of San Antonio.

Texas inpatient mental health facilities have a high number of medically complex patients who need more structure than community services, but not as significant as state hospitals. The state lacks step-down or transitional options for these patients, which increases their length of stay and ties up capacity at state hospitals. HHSC is developing tiered residential transition options for these patients, as well as revising statutes related to forensic admissions in order to reduce the waitlists for the hospitals. Additionally, Mr. Maples expressed the need to fully fund HHSC’s exceptional item to increase salary for hospital staff $350 by position, which is vital for operation. During the 86th Legislative Session, Methodist Healthcare Ministries will educate lawmakers on the importance of full funding of San Antonio State Hospital and support transition services and salary increases at state hospitals.

Upcoming Meetings & Events

Feb 19: House Appropriations Subcommittee Article III Hearing – GME Funding (Austin)

Feb 19: House Appropriations Subcommittee Article III Hearing – Medical Institutions (Austin)

Feb 21-22: THA 2019 Annual Conference and Expo (Austin)

Mar 30: SASH Spring Thing 5K (San Antonio)

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Legislative Update, February 1

DW Admin on February 1, 2019

Legislative Updates

Upcoming Meetings & Events

View our 2019 Legislative Agenda

Advocacy

Bill Tracking

Research

 

___________________________________________________________________________________________

Legislative Updates

Methodist Healthcare Ministries Hosts Capitol Staff Lunch & Learn on SASH Redesign Project

This past Friday, Methodist Healthcare Ministries hosted a luncheon for Capitol staff members to share the latest information on the San Antonio State Hospital planning project, including the release of the final report, and efforts to secure an estimated $300 million for the construction of a new facility this session. 

Joining the Ministries to present an overview of the work done by the SASH Redesign Executive Committee were Clarity Child Guidance Center, The Center for Health Care Services and Meadows Mental Health Policy Institute. In 2017, Texas lawmakers implemented a three-phased approach to modernize state inpatient mental health facilities and allocate sufficient funding for the eventual construction of a new San Antonio State Hospital, all efforts to reduce chronic waitlists for beds and improve access to behavioral health services in SASH’s 54 county catchment area. The 2018 SASH final report was shared with legislative offices whose districts rely on services from the state hospital and includes feedback from the nine Local Mental Health Authorities on how SASH’s delivery system could be redesigned to serve the needs of their communities. 

This session, the Senate has currently identified $300 million for state hospital construction in its initial budget. Design plans recently released by the Texas Health and Human Services Commission estimate roughly $323 million would be needed for the reconstruction of a 296-bed psychiatric facility in San Antonio. The House’s preliminary budget does not currently include funds for state hospital construction, however Representative John Zerwas (R-Richmond), who chairs the House budget committee, noted in his opening comments this week that it is an important issue for members and will likely address in upcoming hearings. Securing the necessary funds for a new SASH facility is a top priority for Methodist Healthcare Ministries this session. Members of Policy & Advocacy team are meeting with legislators and their staff to educate them on its importance and need for full funding of the project. 

United Methodist Women meet in Austin to Advocate for Child and Maternal Health

Over 180 United Methodist women visited Texas lawmakers this week to educate them on policies that are needed to increase access to health insurance for women and children. The 2019 Legislative Event was held in Austin this week and sponsored by Methodist Healthcare Ministries.

Attendees learned about several initiatives related to healthcare coverage during a panel session with Patrick Bresette, Executive Director of Children’s Defense Fund Texas, and Representative Shawn Thierry (D-Houston), who explained how lack of access to quality healthcare can negatively impact a person’s well-being. They highlighted bills that would expand medical assistance for children and postpartum women, such as HB 342 by Representative Philip Cortez (D-San Antonio) that would authorize 12-month continuous eligibility for children’s Medicaid and HB 411 by Representative Thierry that proposed to extend Medicaid for postpartum women from 60 days to 12 months.

Methodist Healthcare Ministries strongly supports policy solutions, such as HB 342 and HB 411, which extend health coverage for women and children, therefore reducing maternal mortality and the high uninsured rate of children in Texas.

Methodist Healthcare Ministries Raises Awareness For Cardiovascular Health

On Wednesday, Methodist Healthcare Ministries joined the American Heart Association in promoting policies to improve cardiovascular health. Heart advocates urged legislators to support HB 749, more commonly known as Tobacco 21, by Representative John Zerwas (R-Richmond) to raise the minimum legal sale age of all tobacco products from 18 to 21. The group also educated lawmakers on policies that would update minimum standards for nutrition and fitness in daycare centers, ensure basic consumer protections for short-term health insurance plans and create a statewide pilot program that would double SNAP beneficiaries’ purchasing power for fresh produce. As part of its 2019 Legislative Agenda, Methodist Healthcare Ministries supports the American Heart Association’s policies that improve cardiovascular health through tougher tobacco laws, updated nutrition standards for daycares and incentivizing SNAP recipients to make healthier choices. 

Cancer Action Network Requests Sustainable Funding for CPRIT

Methodist Healthcare Ministries has joined the American Cancer Society Cancer Action Network (ACS CAN) in efforts to secure sustainable funding for the Cancer Prevention and Research Institute of Texas (CPRIT). HB 39 and HJR 12 by Representative John Zerwas (R-Richmond) authorize public approval of $3 billion in bonds in the state’s next general election and remove the Institute’s restriction to award new grants for 2023 and beyond. 

To date, CPRIT has invested $2.17 billion in cancer research, product development and prevention to enhance Texas’ competitive edge in the global fight against cancer. Without funding reauthorization, the state would lose access to prevention services especially those in rural and medically under-served areas. As a member of ACS CAN, Methodist Healthcare Ministries supports HB 39 and HJR 12 to ensure Texas remains a leader in the fight against cancer.

Healthcare in Rural Texas At Risk

A report conducted last year by the Episcopal Health Foundation and Texas A&M Rural and Community Health Initiatives reveals healthcare challenges in rural communities in the state. Out of the 254 counties in Texas, 35 counties lack physicians and 185 counties do not have access to a psychiatrist. Adding to these concerns is the closing of more than 20 hospitals in Texas, due to financial issues and lack of leadership recruitment.

Healthcare advocates propose the need to create innovative solutions, connecting telehealth and new types of healthcare workers with potential partnerships and healthcare delivery tools. HB 870 by Representative Price (R-Amarillo) requires managed care organizations to reimburse for telemedicine or telehealth services. In 2017, Methodist Healthcare Ministries supported legislation that expanded and funded telehealth programs and services, especially for rural counties, and will continue to support these policy changes this session. 

House Appropriations Committee Initiates Budget Review Hearings

The House Appropriations Committee began hearings this week to review their proposed budget, HB 1, as filed, with the Legislative Budget Board (LBB). The LBB provided an overview of Medicaid, statewide behavioral health services, child protective services, Hurricane Harvey’s fiscal impact on state agencies and state debt, among other priority issues. Representative John Zerwas (R-Richmond) reiterated that there is an overall increase of Medicaid funds due to higher matching rate from the federal government, easing state demand on the program.

The House budget allocates $7.48 billion in behavioral health services across 23 agencies, including $1.3 billion for community mental health services and $435.7 million for substance use services. Mental health services also received support via the Texas Education Agency through $12 million in state funds for Mental Health First Aid training, telemedicine, trauma-informed care, coordination of access to mental health providers and positive school culture programs. Securing adequate funding for mental health programs and services is a top priority for Methodist Healthcare Ministries this session.

 

Upcoming Meetings & Events

Feb 4: Texas School Health Advisory Committee Meeting (Austin)

Feb 4: House Appropriations Committee Hearing: School Safety (Austin)

Feb 5: Senate Finance Committee Hearing: Article II – Health and Human Services (Austin)

Feb 5: Policy Council for Children and Families (Austin)

Feb 5: House Appropriations Committee Hearing: Correctional Managed Health Care and School Safety (Austin)

Feb 6: Senate Finance Committee Hearing: Article II – Health and Human Services Public Testimony (Austin)

Feb 6: House Appropriations Committee Hearing: Medicaid, HHSC Contracting, State Hospitals and CPS (Austin)

Feb 6: NAMI Texas: Mental Health Capitol Day Rally and Advocacy Training (Austin)

Feb 7: Texans Care for Children: Providing Kids a Healthy Start (Austin)

Feb 7: Texas Tribune: A Conversation With New Democratic Members of the Texas House (Austin)

Feb 7: Hospital Payment Advisory Committee (Austin)

Feb 11: Senate Finance Committee Hearing: Article III – Public Education (Austin)

Feb 12: Senate Finance Committee Hearing: Article III – Higher Education (Austin)

Feb 13: Senate Finance Committee Hearing: Article III – Higher Education (Austin)

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Legislative Update, January 25th

DW Admin on January 25, 2019

Legislative Updates

Upcoming Meetings & Events

View our 2019 Legislative Agenda

Advocacy

Bill Tracking

Research

 

___________________________________________________________________________________________

Legislative Updates

Speaker Bonnen Appoints House Committees

Texas House Speaker Dennis Bonnen (R-Angleton) released House Committee assignments for the 86th Legislative Session this week, appointing new leadership to oversee the lower chamber’s 34 powerful committees. While Speaker Bonnen retained Representative John Zerwas (R-Richmond) to chair the Appropriations Committee, he selected Representative Senfronia Thompson (D-Houston) as the new Chair of the Public Health Committee and Representative James Frank (R-Wichita Falls) to lead the Human Services Committee for the first time. Former Public Health Chairman, Representative Four Price (R-Amarillo) was awarded with the Chair of the powerful House Calendars Committee, which controls the bills that are formally considered on the House floor. The session will begin to pick up the pace now as legislation begins to be referred to the respective committees for discussion over the next two weeks. 

Senate Finance Committee Kicks Off Budget Hearings

The Texas Senate Finance Committee did not waste any time to start its review of the proposed budget, scheduling hearings to take testimony on all state agencies over the next three weeks. On Tuesday, the committee held its first meeting to outline the hearings schedule and review the projected state revenue estimates from Texas Comptroller Glen Hegar. Comptroller Hegar warned senators to remain cautiously optimistic about the state’s growth rate over the coming year, due to the fluctuation in oil prices and sales tax revenue.

During the hearing, Chair Nelson (R-Flower Mound) addressed critical funding issues related to school safety and state hospitals, as well as the Medicaid shortfall and Hurricane Harvey expenses in her supplemental bill, Senate Bill 500. The bill, as filed, includes $300 million for state hospital construction through the Economic Stabilization Fund and $2.1 billion in state funds to cover the Medicaid shortfall. Methodist Healthcare Ministries’ legislative priorities include securing sufficient funding for the construction of a new San Antonio State Hospital and programs that will increase access to healthcare services for our communities.

Federal Court Rules Against Planned Parenthood in Texas

A federal appeals court has lifted the order that blocked Texas from excluding Planned Parenthood out of the Women’s Health Program. In February 2017, U.S. District Judge Sam Sparks ruled the state could not block Planned Parenthood from the federal-state insurance program, after edited videos were publicly released claiming the organization had sold fetal tissue for profit. The order by the 5th U.S. Circuit Court of Appeals declared Judge Sparks had used the wrong standard by not considering the findings of the Texas Office of Inspector General, the agency that initially made the decision to terminate state contracts with Planned Parenthood.

In 2016, Planned Parenthood received $3.5 million in reimbursements for providing contraceptives and women’s preventive healthcare services to 70,000 low-income Texans. Organization officials state the federal appeals court’s decision threatens the healthcare of Texas’ most vulnerable patients, noting the decline in access to women’s health services will put their health in jeopardy. Attorney General Ken Paxton, whose office fought the case against Judge Sparks, defended the order in court and was confident the state would prevail when the case returns to the U.S. District Court. Methodist Healthcare Ministries is monitoring the case throughout the legal process, noting its importance to provide access to quality women’s healthcare services.

Texas’ ACA Enrollment Drops 3.6 Percent

Texas’ 2019 enrollment in the Affordable Care Act’s health insurance plans dropped 3.6 percent from last year’s enrollment period. An estimated 1.09 million Texans signed up through the federal marketplace during the open enrollment period, compared to 1.13 million people who enrolled last year. On a national level, marketplace enrollment decreased by 4 percent.

Several advocates expressed concern that contradicting messages and funding cuts prevented consumers from signing up for health insurance. The federal administration significantly reduced funding for the marketplace and enrollment outreach support two years in a row. Moreover, lawsuits and attempts by Congress to repeal the Affordable Care Act worked to confuse consumers about the fate of the law. Methodist Healthcare Ministries provided funding for ads and marketing this past enrollment period to ensure consumers were aware of the available health plan coverage for eligible families. 

State Agencies Launch Opioid Education Website

The Office of the Texas Attorney General, the Texas Health and Human Services Commission, and the Texas Department of State Health Services launched a comprehensive website, Dose of Reality, this week to educate individuals about the dangers of misusing prescription drugs. Dose of Reality informs the public about opioid-related resources and approaches to prevent substance use. The website also provides details on proper pain management, safe storage, guidelines on responding to an overdose and a statewide map of safe disposal locations.

In 2017, 464,000 Texans abused illicit drugs, including nearly 3,000 people who died due to drug overdose. Drug overdose is also the leading cause of maternal deaths. The abuse of prescription drugs costs lives, devastates families and is a public safety concern throughout the state. As part of its 86th Legislative Agenda, Methodist Healthcare Ministries supports state and local efforts to reduce opioid misuse through public policies that increase access and awareness to substance use treatment. 

Upcoming Meetings & Events

Jan 27-29: United Methodist Women Legislative Event 2019 (Austin)

Jan 28: HHSC Community Conversations on Peer Support (San Antonio)

Jan 28: Senate Finance Committee Hearing: Article V – Public Safety and Criminal Justice (Austin) 

Jan 28: House Appropriations Committee Hearing: Overview of Budget (Austin)

Jan 30: House Appropriations Committee Hearing: Healthcare (Austin)

Jan 31: Texans Care for Children: Keeping Kids Safe & Helping Them Succeed (Austin)

Jan 31: CPPP Legislative Briefing: State Budget (Austin)

Feb 5: Senate Finance Committee Hearing: Article II – Health and Human Services(Austin)

Feb 6: Senate Finance Committee Hearing: Article II – Health and Human Services Public Testimony (Austin)

Feb 7: Texans Care for Children: Providing Kids a Healthy Start (Austin)

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Key Strategies to Pursue Health Equity

DW Admin on January 22, 2019

Systems change efforts sometimes grapple with a tension between: a) urgency to address brokenness that continues to do harm, and b) patience to gather enough resources and the right leaders to be effective and successful. Strategies to reduce health disparities and promote health equity can address both sides of this tension.

No one has a greater sense of urgency to improve health outcomes than those who are directly impacted by health disparities. Participatory designs in which marginalized communities identify their own health challenges, help design interventions, and assist in assessing the success of those interventions benefit from the urgency of and accountability provided by their participants.

Along those same lines, urgency is enhanced in coalitions and collective impact initiatives when non-professional community members are clearly and deeply involved in decision-making processes and equity is established as a primary goal from the outset.

The chart below from the Centers for Disease Control and Prevention (CDC) is a helpful tool to assess community participation and involvement. As work shifts more to the right, stronger partnerships and more ambitious outcomes become possible – equity becomes not only an end, but also a means to that same end.

(Source: American Association of American Medical Colleges) 

Practical recommendation 1: Abide by the phrase “with, not for” – do things with the people you are serving, not for them

On the other hand, a long-term approach (patience) is strengthened by perpetual efforts to build trust and deepen relationships, not only to generate resources (i.e., sustainable funding) but also to identify and develop leaders from and within marginalized communities. For example, training and hiring community members as promotores de salud (community health workers) increases leadership capacity and enhances collective efficacy. Similarly, organizations can implement programs providing training and real opportunities for patients and community members to exercise leadership in the promotion of community health.

Developing long-term community leadership for health equity – whether through community-based organizations, churches, or other associations – means that leaders rooted in the community will be prepared and in place when the time is right to move into action. Outside (or even inside) professionals should never be the first, last, and only line of defense!

Practical recommendation 2: Working towards health equity includes ensuring the people you serve have the resources and abilities necessary to continue the work – how you can develop leadership and capacity among the people you serve? How can you strengthen the human assets of the community?

As we strive for the highest level of health for all people, let us remember that this is everyone’s business. As a society, health equity is in our best interest socially and economically; for Methodist Healthcare Ministries, it is also a moral and theological imperative as we provide leadership to improve the wellness of the least served.

Tim Barr is the Collective Impact Strategy Manager for Methodist Healthcare Ministries. He supports, develops, and facilitates collaborative efforts in South Texas. Tim is also a member of the Climate Equity workgroup for the City of San Antonio’s Climate Action and Adaptation Plan.

To see part 1 of this blog series, click here.

To see part 2 of this blog series, click here.​

 

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Jaime Wesoloski

President & Chief Executive Officer

Jaime Wesolowski is the President and Chief Executive Officer at Methodist Healthcare Ministries. A healthcare executive with three decades of leadership experience, Jaime is responsible for the overall governance and direction of Methodist Healthcare Ministries. Jaime earned his Master’s Degree in Healthcare Administration from Xavier University, and his Bachelor’s of Science from Indiana University in Healthcare Administration. As a cancer survivor, Jaime is a staunch supporter of the American Cancer Society. He serves as Chair of the American Cancer Society’s South Texas Area board of directors and he was appointed as Chair to the recently created South Region Advisory Cabinet, covering eight states from Arizona through Alabama. Jaime believes his personal experience as a cancer survivor has given him more defined insight and compassion to the physical, emotional, and spiritual needs of patients and their families.