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The United States - Mexico Border Health Commission Act. PRESS RELEASE OF JULY 24, 1997 U.S. SENATOR JEFF BINGAMAN. “In a move intended to improve public health along the U.S. - Mexico Border, Senator Jeff Bingaman today announced that the Senate Appropriations Committee

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TheUnited States - MexicoBorder Health Commission Act


PRESS RELEASE OF JULY 24, 1997

U.S. SENATOR JEFF BINGAMAN

“In a move intended to improve public health along the U.S. - Mexico Border,

Senator Jeff Bingaman today announced that the Senate Appropriations Committee

has approved $1 million in funding to implement the U.S. - Mexico Border Health

Commission”.


LANGUAGE ADDED BY THE

SENATE APPROPRIATIONS COMMITTEE

JULY 1997


THE U.S. - MEXICO BORDER REGION

*The term “United States - Mexico Border Area” means the area located in the United States

and Mexico within 100 kilometers of the border between the United States and Mexico (PL 103-400).

U.S. - Mexico Border Health

Association Binational Health Councils

San Diego - Tijuana

Nogales - Nogales

Yuma - San Luis

Douglas - Agua Prieta

Columbus - Puerto Palomas

Las Cruces - Ciudad Juárez

- El Paso

Eagle Pass - Piedras Negras

Laredo - Nuevo Laredo

McAllen - Reynosa

Brownsville - Matamoros

CA

AZ

NM

TX

Baja

California

Tamaulipas

Sonora

Nuevo

Leon

Chihuahua

Coahuila


WHY ARE BORDER PROBLEMS UNIQUE?

  • Differences in degree as measured by population density, poverty, and morbidity and mortality rates compared to national rates

  • Differences in public health systems and focus of government responsibility

  • Cultural, language and economic differences among two countries and ten states

  • Differences of two distinct national operational and legal systems


THEGLOBAL NEEDS OF THE BORDER

  • Strategic Health Services Planning and Health Status Surveillance

  • Planning for Communicable and Non-Communicable Disease Problems

  • The Need for Appropriate Health Services Infrastructure

  • The Need to Mitigate the Environmental Health Impact of Border Development and Population Growth


PROJECT CONSENSO PRIORITIES

- A binational and border wide effort

1991

  • Disease Prevention/Health Promotion

  • Environmental Health

  • Maternal and Child Health

  • Occupational Health

  • Primary Health Care

  • Substance Abuse Prevention


United States - MexicoBorder Health Commission Act

SENATORS BINGAMAN, McCAIN, SIMON, and HUTCHISON

[S. 1225]

SUMMARY OF P.L. 103-400

October 1994


LEGISLATIVE HISTORY

H.R. 2305 by

S. 1225 by

Introduced Senate

Passed Senate

Passed House

Signed U.S. President

Rep. Ron Coleman (TX)

Sen. Jeff Bingaman (NM)

July 1993

September 1994

October 1994

October 1994


P.L. 103-400 authorizes the President to enter into an agreement

with Mexico

to establish a “binational”

United States-Mexico Border Health Commission


WHY IS THE COMMISSION NECESSARY?

  • The border should be treated a single epidemiological region

  • Cooperative projects require multi-state and binational approaches

  • The need for a border-based federal structure with a clear U.S. state - federal partnership

  • The need to support development of border-region public health initiatives

  • The need for a central point-of-contact for U.S. - federal activity on the border


THE COMMISSION WILL:

  • Conduct a needs assessment to identify, evaluate, prevent, and resolve health problems affecting the border population of both countries

  • Implement the actions recommended by the needs assessment, through:

    • Coordinating and implementing public-private efforts to prevent and resolve border health problems

    • Coordinating and implementing public-private health education efforts


  • Develop a reasonable method, to be recommended to the governments of both countries, by which one government could reimburse a provider (public or private) for providing health care to a resident of the other country who is unable, through insurance or otherwise, to pay for the services


THE COMMISSION IS AUTHORIZED TO:

  • Conduct and support investigations, research, and studies that will identify, study, and monitor border health problems

  • Conduct and support a binational, public-private health data collection and monitoring system for the U.S.-Mexico border area

  • Provide financial and technical assistance to public or private non-profit entities that address border health problems


  • Designate or establish one border health office in each of the four border states

  • To prevent duplication, the offices would be coordinated with state border health offices and local non-profit organizations


DETAILS OF THE U.S. SECTION

OF THE COMMISSION ARE:

13 members: Including the Secretary of Health and Human services; the four commissioners of health for the U.S. border states; two individuals residing in the border area in each of the four border states

Annual Reports: the Commission will report annually on its activities to the governments of both countries

Border Definition: For purposes of the Commission, the border area will be defined as the areas located in the U.S. and Mexico within 100 kilometers of the U.S.-Mexico border


MODIFICATIONS FROM PREVIOUS LEGISLATION:

  • Encourages public-private efforts

  • Commission members selected from persons residing in the border area

  • Offices may be established in each of the four border states

  • Offices to be coordinated with state border health offices and local non-profit organizations


ORGANIZATIONS IN SUPPORT OF THE COMMISSION

  • Arizona - Mexico Border Health Foundation

  • Arizona Medical Association

  • California Medical Association

  • California Council of Local Health Officers

  • New Mexico Medical Association

  • New Mexico Border Health Council


  • Texas Academy of Family Physicians

  • Texas Medical Association

  • Texas Statewide Health Coordinating Council

  • Texas Association of Municipal Health Officials

  • Texas Environmental Health Association

  • Texas Board of Health

  • South Texas 2000 & Beyond Economic Development Conference (Laredo, July 1997)


  • American Medical Association

  • Border Governors’ Conference (1994)

  • Western Governors’ Conference (1995)

  • U.S.-Mexico Border Health Association (USMBHA) (1990 & 1991)

  • Local (Binational) Health Officers’ Conference Group (1994 & 1995)

  • Good Neighbor Environmental Board (1995)

  • U.S. Congress Border Caucus


THE U.S. BORDER COALITION

ITS PURPOSE AND ACTIONS

Support all efforts in the establishment and implementation of the

U. S. - Mexico Border Health Commission

Act


BORDER COALITION

PARTICIPANTS

CALIFORNIA

Dr. Rosemary Johnson & Sandra Bressler, California Medical Association

Dr. Steve Waterman, State Epidemiologist, California Department of Health Services

ARIZONA

David Landrith, Arizona Medical Association

Dr. Andrew Nichols, Kevin Driesen & Susan Kunz, Arizona - Mexico

Border Health Foundation

NEW MEXICO

Dr. David Klein, New Mexico Medical Society

Alice Salcido, Office of U.S. Senator Jeff Bingaman

Dan Reyna, Border Health Office, PHD, NM Department of Health

TEXAS

Dr. Catherine Edwards & Kristine Niemeyer, Texas Medical Association

Dr. Laurance N. Nickey, Past Director, El Paso City-County Health Department

Victor Oliveros, R.S., Chief, Environmental Health, City of Laredo Health Department


TRANSFORMING IDEAS INTO ACTION

  • The Border Coalition meets regularly by conference call or in

  • conjunction with other meetings

  • Works to generate support for the Border Health Commission

  • Continues distribution of Fact Summary publication

  • Committed to increased contact activities with border-area legislators


ANOTHER NEW BORDER INITIATIVE

Why We Still Need the Commission!

  • Proposed by Texas Department of Health at USMBHA meeting

  • in June 1995

  • Actions delayed by development of formal structure and organization

  • Selected Project Hope (Millwood, VA) as fiscal agent

  • Not integrated into USMBHA/PAHO structure


AND STILL ANOTHER Initiative

Why We Still Need the Commission!

  • U.S. - Mexico Binational Commission

  • Established in 1981 as a forum for annual U.S. - Mexico meeting

  • Creation of Health Working Group in May, 1996 by Secretary Shalala and

  • Mexico Secretary de la Fuente

  • Identified priorities without border input or CONSENSO

  • Current priorities are: Immunization, Women’s Health, Migrant Health and

  • Smoking

  • State appointees for all subject areas

  • Direction and oversight from Washington


BORDER COALITION

PLANNED ACTIONS

  • Support Border Coalition Meeting for legislators, DHHS Secretary and

  • Mexican representatives

  • Seek the support of all border congressional representatives

  • Seek support of private economic development and other

  • community groups


TheUnited States - MexicoBorder Health Commission Act


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