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The United States - Mexico Border Health Commission Act

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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The United States - Mexico Border Health Commission Act

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  1. TheUnited States - MexicoBorder Health Commission Act

  2. 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”.

  3. LANGUAGE ADDED BY THE SENATE APPROPRIATIONS COMMITTEE JULY 1997

  4. 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

  5. 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

  6. 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

  7. 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

  8. United States - MexicoBorder Health Commission Act SENATORS BINGAMAN, McCAIN, SIMON, and HUTCHISON [S. 1225] SUMMARY OF P.L. 103-400 October 1994

  9. 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

  10. P.L. 103-400 authorizes the President to enter into an agreement with Mexico to establish a “binational” United States-Mexico Border Health Commission

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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)

  20. 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

  21. 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

  22. 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

  23. 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

  24. 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

  25. 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

  26. 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

  27. TheUnited States - MexicoBorder Health Commission Act

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