NATIONAL COUNCIL OF ASIAN PACIFIC ISLANDER PHYSICIANS Council of Asian American, Native Hawaiian and Pacific Islander (AANHPI) physicians that advocate for health and well being of their patients and communities. Objectives - Advocate for adequate and equitable public and private funding for initiatives and programs to improve access to, and quality of, linguistically and culturally competent health care service - Advocate for adequate and equitable public and private resources for AANHPI focused research and data collection and dissemination; and - Foster professional development for AANHPI health professionals to enhance representation at leadership and governmental levels of health care policy and service delivery systems.

STRUCTURE: PHYSICIAN ORGANIZATIONS & INDIVIDUAL PHYSICIAN MEMBERS BOARD OF DIRECTORS: 22 PHYSICIANS PRESIDENT/CEO: Dr. Ho Luong Tran CHAIR: Dr. Dexter Louie THREE VICE CHAIRS: Dr. Wilson Ko, Dr. Winston Wong, and Dr. Karen Kim TREASURER: Dr. Edward Chow SECRETARY: Dr. Jhemon Lee STANDING COMMITTEES: - EXECUTIVE COMMITTEE – GOVERNANCE COMMITTEE - POLICY COMMITTEE – CHAIR: Dr. Winston Wong - FUND DEVELOPMENT – CHAIR: Dr. Daisy Saw - WORKFORCE & LEADERSHIP DEVELOPMENT – CHAIR: Dr. Arthur Chen OFFICES: WASHINGTON D.C. – SAN FRANCISCO –

Control Cost Improve Quality Improve Access HEALTH

Insurance regulation Insurance regulation State Insurance Exchanges State Insurance Exchanges Subsidies Subsidies Medicaid Expansion Medicaid Expansion Individual Mandate and Employer Responsibility Individual Mandate and Employer Responsibility Primary Care and Health Care Workforce Primary Care and Health Care Workforce Prevention Prevention Delivery system changes Delivery system changes

NCAPIP supports the Affordable Care Act (ACA) and additional national and state reforms which address the disparities AANHPI populations face in accessing quality care, and which would improve the overall health care system in the U.S. NCAPIP holds the belief that being a physician in America is a privilege and with this privilege, comes a responsibility to the patients we serve, and we must take an active role in the implementation of the ACA and any national and state reforms.

Percentage of U.S. Physicians By Race/Ethnicity Ref: Year-end AMA Masterfile (2006)

BACKGROUND ON ASIAN AMERICAN, NATIVE HAWAIIAN, AND PACIFIC ISLANDER COMMUNITIES 2010 U.S. Census: Asian Americans are 5.6% of the U.S. population = 17.3 million persons 1.2 million Native Hawaiians and Pacific Islanders in the U.S 2000 –10: Asian Americans were the fastest growing racial or ethnic population (43%) 2010: Largest Asian Americans populations: Chinese (3.5 million) - Asian Indian (2.9 million) - Filipino (2.6 million) Vietnamese (1.6 million) - Korean (1.5 million) - Japanese (0.8 million)

BACKGROUND ON ASIAN AMERICAN, NATIVE HAWAIIAN, AND PACIFIC ISLANDER COMMUNITIES T en states with largest Asian populations in 2010: CA: 5.6 million – NY: 1.6 million – TX: 1.1 million – NJ: 0.8 million – HI: 0.8 million – IL: 0.7 million – Washington: 0.6 million – FL: 0.6 million – VA: 0.5 million - Pennsylvania: 0.4 million Native Hawaiians and Pacific Islanders are concentrated in HI - CA and Washington

IMPACT OF HEALTH REFORM ON ASIAN AMERICAN, NATIVE HAWAIIAN, AND PACIFIC ISLANDER COMMUNITIES B enefit from the implementation of both the Health Information Technology for Economic and Clinical Health (HITECH) Act and the Patient Protection and Affordable Care Act (ACA): 18.1% of Asian Americans and Pacific Islanders are uninsured (16.3% of all Americans), with considerable variances: 25.5% for Koreans, 19.8% for Vietnamese, and 16.7% for Native Hawaiians and Pacific Islanders. 2016: 2.0 million Asian Americans will be eligible for coverage through the expansion of Medicaid eligibility and the creation of Affordable Insurance Exchanges, or newly covered by their employers as a result of the ACA. APIAHF: one in ten Asian Americans - more than one in eight Native Hawaiians and Pacific Islanders - More than two in five Bangladeshis and Tongans will gain Medicaid coverage through the ACA

NCAPIP RECOMMENDATIONS POST MAY 2012 CONFERENCE HEALTH INSURANCE REFORM/HEALTH CARE REFORM Priority issues Education: AANHPI consumers and providers Access to culturally and linguistically competent providers Have seat at table for policy decisions, regulations, and legislation Recommendations to federal government Publicize benefits of health reform with appropriate outlets Create AANHPI committee to advise federal government/ensure voice at table Include essential AANHPI providers in addition to FQHCs Recommendations to other stakeholders Get seat at table at state level - collaborate with others - Engage CBOs

HEALTH CARE DELIVERY SYSTEM REFORM Priority issues Health information technology Patient-centered medical homes Accountable care organizations Recommendations to federal government ONCHIT to focus on disparities reduction - Federal government should use HITECH Act incentive funding to develop one system - to providers for free Recommendations to other stakeholders PCMH evaluations to include AANHPI populations or providers EHR in future practice: privacy/security issues with medical training/supervision of students/residents? Are current/available decision-support algorithms appropriate for AANHPIs

COMMUNITY ENGAGEMENT Priority issues Improve relationship, communication among health care providers and patients Disaggregate data to understand diversity of AANHPI communities Identify and address health literacy, translation, transportation Accurate information to communities; counter mis-information; engage ethnic media AANHPI voices, especially Native Hawaiian and Pacific Islander community representation Recommendations to federal government Information about health care reform available in plain language, translated Include (enhanced) National Standards for Culturally and Linguistically Appropriate Standards as requirements in all federal funding announcements for applications for funding

THANK YOU FOR YOUR VALUABLE TIME Winston Wong, M.D., M.S. Vice Chair NCAPIP