239415 Affordable Care Act of 2010 and opportunities for advancing health equity: Taking vision and promise to reality

Tuesday, November 1, 2011: 2:35 PM

Dennis P. Andrulis, PhD, MPH , Senior Research Scientist, Texas Health Institute, Austin, TX
Nadia J. Siddiqui, MPH , Senior Health Policy Analyst, Texas Health Institute, Austin, TX
As the population of the United States grows more culturally diverse, so does the significance of achieving equity in health care. The Affordable Care Act (ACA) of 2010, offers for the first time in almost 50 years, an unprecedented opportunity to advance this objective. As identified in our July 2010 report, Patient Protection and Affordable Care Act: Advancing Health Equity for Racially and Ethnically Diverse Populations, ACA incorporates explicit support for redressing longstanding racial/ethnic disparities through programs for cultural competence, language assistance, workforce diversity and data collection. Texas Health Institute is conducting a comprehensive analysis of ACA and related policies and programs to assist public and private health and human service agencies in implementing provisions authorizing cultural competence. The analysis describes the nearly two dozen provisions on cultural competence and discusses their appropriations, timeline, federal agency roles and responsibilities, implementation progress and challenges. It reviews major reports, legislative analyses and peer-reviewed literature highlighting best practices, models and lessons learned across the country in implementation of similar programs. The final report will address the importance of measurement, metrics and establishing an evidence-base for advancing equity through cultural competence initiatives. This presentation will provide attendees with an in-depth understanding of ACA provisions for advancing cultural competence and recommendations for agency and ground-level implementation. Attendees will obtain a knowledge base to fully take advantage of new programs and funding opportunities and advocate for implementation where legislative efforts fall short.

Learning Areas:
Administration, management, leadership
Diversity and culture
Provision of health care to the public
Public health administration or related administration
Public health or related laws, regulations, standards, or guidelines

Learning Objectives:
(1)Describe specific opportunities in the Affordable Care Act to advance cultural competence and equity in the health care system. (2)Discuss implementation of cultural competence provisions in the Affordable Care Act, highlighting models, best practices and lessons learned across the country. (3)Develop a knowledge base to take advantage of cultural competence related funding opportunities and advocate for funding of provisions without appropriations.

Keywords: Minority Health, Health Reform

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am PI/Project Director on various analysis reports on the Affordable Care Act of 2010, health equity and diversity. I have over 20+ years of experience in disparities, cultural competence, and related. I am Co-founder of the biennial National Conference on Quality Healthcare for Culturally Diverse Populations.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.