Why Medicaid Expansion Matters To LGBTQQ African-Americans in Georgia

Expanding Medicaid to LGBTQQ African americans is important because:

  • LGBTQQ community is less likely to be discriminated
  • More care for those with HIV
  • 21% of LGBTQQ are parents raising children. Coverage would benefit them and their children.

To read the full fact sheet click here.

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Our Issues: Abortion Access

The 1973 Roe vs. Wade decision was a victory. Still not all women have access to an abortion. There are many hindrances that stand in the way of Latinas and other women of color including: language, class and immigration status. The Hyde Amendment passed in 1977 meaning that abortion was not covered for those with Medicaid. This affected many women of color and working class women.

  • Abortion access if you have Medicaid is limited.
  • Latina women have higher rates of abortion at 25% compared to white women at 18%

The National Latina Institute for Reproductive Health (NLIRH) is the only national reproductive justice organization dedicated to building Latina power to advance health, dignity, and justice for the 26 million Latinas, their families, and communities in the United States through leadership development, community mobilization, policy advocacy, and strategic communications. Check out the article here.

Impact of Publicly Funded Family Planning Clinics (2008)

Public funding for family planning services, such as access to contraceptives, screening for breast and cervical cancers, and testing for STDs, for low-income women is shown to save public dollars in the long haul. Through a cost-benefit analysis, it was determined that for everyone $1 spent in public funding, $4.02 is saved by providing access to care.

  • [It was] estimate[d] that of the total 1.4 million unintended pregnancies averted by publicly funded clinics in 2004, about 290,000 would have occurred among teenagers, and just over 1 million would have been to unmarried women or to women under 200% of the federal poverty level.” (Frost et al., 2008, p. 789)
  • “In 2004, women who received care from family planning clinics were able to avoid over 1.4 million unplanned pregnancies. These women were thus spared from having to make difficult decisions regarding whether to have an unplanned birth or to terminate the pregnancy through abortion.” (Frost et al., 2008, p. 793)

Citation: Frost, J.J., Finer, L.B., & Tapales, A. (2008). The impact of publicly funded family planning clinic services on unintended pregnancies and government cost savings. Journal of Health Care for the Poor and Underserved. Vol. 19, Issue 3. p. 778-796

Link to article.

Community Health Centers: Opportunities and Challenges of Health Reform (2010)

Summary:

“The enactment of comprehensive health reform1 will bring about important changes to the health insurance and health care delivery systems. Community health centers will play a role in implementing many health reform provisions and in providing access to care for millions of Americans who will gain health insurance coverage under the law. To meet this new demand for services, particularly in underserved areas, the health reform law makes a significant investment in the expansion of health centers and also introduces important changes in health care delivery while strengthening efforts to improve community and population health.” (p. 1)

This policy brief discusses the opportunities and challenges community health centers face because of health reform. About 23 million people will be left uninsured, even with the Affordable Care Act, meaning community health centers will be caring for even more community residents. It’s likely that 38% of health center patients will be the uninsured. Because of healthcare reform, more money will be put into health care centers and responsibilities will expand. There will also be an expansion on how those insured with Medicaid and private insurance will be cared for. Future opportunities and challenges are also discussed in this brief.

  • “The success of the investment in health centers hinges on the ability of uninsured health center patients to obtain health coverage.” (p. 10)
  • “Health centers will continue to play a critical role in caring for the uninsured. Direct operating funding will support this care and other community services.” (p. 10)
  • “Recruiting and retaining qualified health professionals will be challenging.” (p. 11)
  • “Establishing networks and referral arrangements will be necessary to ensure health center patients have access to the full spectrum of care.” (p. 11)
  • “With their focus on public health and prevention, health centers will continue to strive to improve both the health of their patients and the health of their communities.” (p. 11)

Citation: Kaiser Family Foundation. (2010) Community health centers: Opportunities and challenges of health reform. p.1-14

Link to policy brief.