1. Convergence and Collaboration in the year of the Affordable Care Act (ACA) The UT Health Science Center Libraries Outreach to Communities in South Texas and the Story of Laredo October 14, 2014 Room 2: 10:30 -10:50 a.m. Peg Seger, MA, MLIS Head of Outreach Services UT Health Science Center Libraries Quint Essential – Convergence & Collaboration: Quint Chapter MLA - Denver, Colorado October 12-16, 2014

2. Outreach Services to South Texas 3 Library locations Serving 33 counties San Antonio – Bexar County Harlingen - Cameron County Laredo - Webb County

3. Planning for the Affordable Care Act Good Intentions All 3 Library locations – ACA Champions for Coverage! Timeline – August to Oct 1 st, 2013 NN/LM SCR Resources – Role of Libraries in the ACA Webinars Healthcare.gov – information pages print out Public Libraries School Districts Community Colleges Flyers/Brochures Emails Community Advisors Meetings

4. ACA & Community Advisors Meeting Bi-annual meeting Videoconference Public & academic libraries CHWs & Promotores Health Clinics/interns Charitable Organizations Veterans Administration Campus students Faculty researchers Area Health Ed. Centers Briscoe Library in San Antonio Ramirez Library in Harlingen Laredo Regional Campus Library

5. Health Care Access in Texas Stumbling blocks Lack of Medicaid expansion Lack of state-based ACA website Limited grants for training Certified Assistants (CAs) Poorly timed state training requirements for CAs Difficulty identifying certified assistance centers (CACs) with qualified CAs

6. No Medicaid Expansion in TX

7. Coverage Gap in Texas

8. 2012 Uninsured by County

9. 2013 American Community Survey

10. 2012 Uninsured Under 65

11. 2012 Uninsured & <138% Poverty

12. 2012 18-64 (138-400%Poverty) Uninsured

13. Texas Counties Uninsured Bexar County – San Antonio Briscoe Library Webb County – Laredo Laredo Regional Campus Library Cameron County – Harlingen Ramirez Library

14. Briscoe and Ramirez Libraries Briscoe ACT Together for Health Community Service Learning student initiative Brochure San Fernando Health Fair – October 2013 Ramirez In general, plays a larger “public library” role

15. Laredo Regional Campus Library Convergence and Collaboration MRG AHEC Enroll Webb Coalition Office of U.S. Rep. Henry Cuellar Laredo Health Coalition Health Education Institutions Health Care Providers Nonprofits in the city and county Mercy Ministries Laredo Community College

16. Office of Border Health https://www.dshs.state.tx.us/borderhealth/border_health_map.shtm

17. Laredo/Webb County – Health Insurance

18. ACA Workshop – Saturday Nov 2 nd, 2013 Health Insurance Marketplace Community Workshop English and Spanish Sessions Enroll Webb County Coalition Laredo Community College Office of U.S. Rep. Henry Cuellar Laredo Health Coalition MRGV AHEC Laredo Health Dept. Webb County 36.8% uninsured (85,000 people) Library flyers distributed Laredo Morning Times – 11/2/13

19. Library Flyers for Distribution

20. ACA Enrollment Event

21. Standing Room Only on March 8th March 8 th 101 people served 45 minute average time Account set-up/email March 29 th Last-minute enrollment during a campus health fair

22. Fall 2014: South Texas Development Council $300,000 from HHS to STDC announced by Rep. Henry Cuellar $233,000 specifically for Navigators Several counties in Texas including Laredo’s Webb county Part of 4.6 mil to United Way of Metropolitan Tarrant County STDC mission Education on ACA insurance options Focus on families with children, legal immigrants, those with limited English, disabled, and young adults

23. Laredo ACA Open Enrollment Event November 15 th, 2014 Laredo Regional Campus Library Sponsors: UT Health Science Center Libraries 28 th District Congressional Office of Representative Henry Cuellar MRGV AHEC South Texas Development Council

24. Questions/Comments Peg Seger, MA, MLIS Head of Outreach Services 210-567-6398 segerp@uthscsa.edu