Cobertura de salud para todos en Washington sin importar el estatus migratorio

In English

A partir del 1 de noviembre, todas las personas que vivan en Washington podrán adquirir un seguro médico a través de Washington Healthplanfinder. ¿Tiene preguntas? ¿Necesita ayuda para inscribirse? Mire para saber cómo conectarse con un profesional de confianza en su comunidad o con el Centro de atención al cliente de Washington Healthplanfinder. Encuentre un navegador o corredor en su área aquí: https://www.wahealthplanfinder.org/us….

A partir del 1 de Noviembre, todos los residentes del estado de Washington, independientemente de su estatus migratorio, podrán comprar un seguro médico y dental a través de Washington Healthplanfinder. 

Dos nuevos programas ayudarán a los inmigrantes a obtener cobertura médica en 2024. Las personas sin seguro pueden ser elegibles para uno de estos programas: 

Programa de expansión de acceso a planes médicos y dentales 

Una nueva exención federal, primera en su tipo en los Estados Unidos, brindará nuevas oportunidades para los residentes de Washington que no cuentan con seguro. A partir del 1 de noviembre de 2023, todas las personas en Washington, independientemente de su ciudadanía o estatus migratorio, podrán adquirir un seguro médico y dental a través de Washington Healthplanfinder, para obtener cobertura a partir de enero de 2024. Además, la cobertura será más asequible, con ahorros adicionales en las primas mensuales para hogares con ingresos de hasta al 250% del nivel federal de pobreza (FPL). 

Programa de expansión de acceso al seguro Washington Apple Health

La Autoridad de Atención Médica de Washington (HCA) ampliará la oferta de cobertura médica independientemente del estatus migratorio. A partir del 1 de julio de 2024, los habitantes indocumentados de Washington con ingresos inferiores al 138% del nivel federal de pobreza (FLP) podrán ser elegibles para la cobertura de Washington Apple Health (el Medicaid de Washington). 

Más información: 

Health coverage for all Washingtonians, regardless of citizenship or immigration status

En Español

Starting on November 1st, all people living in Washington will be able to purchase health insurance through Washington Healthplanfinder. Find a Navigator or Broker in your area here: https://www.wahealthplanfinder.org/us….

Starting Nov. 1, 2023, all Washington residents, regardless of citizenship or immigration status, have access to purchase qualified health and dental plans from Washington Healthplanfinder.

These two new programs will help immigrants get healthcare coverage in 2024. If you are uninsured, you may be eligible for one of these two new programs.

What’s New?

Health Plan and Dental Plan Expansion

New first-in-kind federal waiver aims to improve access for uninsured Washingtonians. Starting November 1, 2023, everyone who lives in Washington state regardless of citizenship or immigration status will have the opportunity to buy health and dental insurance through Washington Healthplanfinder, for coverage starting January 2024. Premium assistance may also be available to undocumented adults with incomes up to 250% of the federal poverty level (FPL).

Washington Apple Health Expansion

The Washington Health Care Authority (HCA) will expand healthcare coverage regardless of immigration status. Starting July 1, 2024, undocumented Washingtonians with income under 138% of the federal poverty level (FLP) may be eligible for Washington Apple Health (Washington Medicaid).

Want to learn more?

• Flyers in English and Spanish
• Videos in English and Spanish
• Learn more about Healthplanfinder
• Additional resources in different languages

LCH Long COVID Study- What You Need to Know

Event Recap

On November 3rd, the Latino Center for Health (LCH) hosted the Latinx Long COVID Symposium—Study Findings & Pathways to Health. The interactive event featured in-person attendance at Heritage University, and remote attendance via Zoom, and convened 50 local community leaders, elected officials, health officials, and key stakeholders from across the state.

The symposium presented the findings from the long COVID study conducted by the LCH, which surveyed Latino patients from across Washington state to determine the prevalence of long COVID and its impacts on the physical, mental, and social well-being of those affected. The study was conducted in partnership with SeaMar Community Health Centers, Yakima Valley Farmworkers Clinic, the Allen Institute for Immunology​, DataStat, and the UW Medicine Long COVID Clinic​.

Key Takeaways

Some key takeaways from the long COVID study are:

  • 41% of survey respondents reported symptom duration consistent with long COVID.
  • Fatigue, muscle pain, anxiety, and sleep difficulty were the four most commonly reported long COVID symptoms. See figure below.

A graph of a graph showing the amount of subject reporting

Description automatically generated with medium confidence

  • 29% of respondents with long COVID symptoms reported having a change in their health of ‘‘worse’ or ‘much worse’ after their first COVID infection, compared to 7% of those without long COVID symptoms.
  • Respondents with long COVID symptoms were more likely to report changes across quality of life measures including pain, mental health, sleep, social function, cognitive function, physical function, and fatigue. See figure below.

  • 39% of respondents with long COVID symptoms reported being very worried about losing their job if they were to miss two days of work due to illness.

Symposium Discussions

Towards the end of the symposium, participants moved into breakout rooms and discussed strategic next steps. LCH notetakers transcribed these conversations and plan to take the insights and input from the wide range of voices that participated to highlight areas of need and inform policy recommendations.

What’s Next?

The LCH will disseminate several materials related to the long COVID study and symposium in the coming weeks, including:

  • A policy brief, accessible via the LCH website
  • An infographic, highlighting key insights from the study 
  • A full recording of the Symposium 

If you have questions regarding the study, symposium, or future collaboration with the Latino Center for Health, please email latcntr@uw.edu.

Materials

Slides presented at the long COVID Symposium by Dr. Leo Morales of the Latino Center for Health, and Jazmine Castillo and​ Samir Racid Zaim of the Allen Institute for Immunology:

Slides presented at the long COVID Symposium by Dr. Janna Friedly of UW Medicine:

LCH Co-Director Dr. Morales Wins WSPHA Award

Here Dr. Leo Morales accepts his award virtually on Oct. 12, 2023.

On Oct. 12, the Washington State Public Health Association (WSPHA) presented the annual Secretary’s Award to Dr. Leo Morales for his work to protect and promote the health and well-being of everyday Washingtonians. The presentation was part of the 2023 WSPHA Annual Conference for Health.

Each year WSPHA’s annual awards recognize distinguished individuals for their contributions to improving the public’s health in Washington. Nominations for the annual awards are solicited from WSPHA members and the broader public health community for the Public Health Leadership Award, Public Health Excellence Award, Adrian Dominguez Health Equity Award, Exceptional Student Award, and more.

The WSPHA is a non-profit, membership organization, an affiliate of the American Public Health Association, and convenes those who care about the public’s health in the state of Washington.

Hablando con Dr. Gino Aisenberg y Dr. Leo Morales, Co-Directores del Latino Center for Health

Hoy, en nuestro programa estrella, “Hablado con la Dra. Ponce-Gonzalez”, tenemos unos gran invitados, Dr. Gino Aisenberg y Dr. Leo Morales, los Co-Directores del Latino Center for Health. LCH es una voz líder en los problemas de salud actuales y emergentes que afectan a las comunidades latinas en el estado de Washington. LCH es el único centro de investigación interdisciplinario en ciencias de salud en la región con un enfoque singular en la promoción de la salud de los latinos. Ve la entrevista aquí.

LCH Fellows: Where Are They Now?

The Latino Center for Health (LCH) established the Graduate Student Fellowship Program in 2020 to support student scholars determined to tackle health issues faced by Latinx communities in Washington state.

The LCH annually invests $60,000 into cohorts of 10 to 12 scholars with the help of our educational partners (the tri-campuses of the University of Washington (UW), along with Heritage University and Washington State University). The fellowship supports student scholars irrespective of legal status and also promotes a path towards collaborative, interdisciplinary efforts aimed at addressing persistent disparities affecting Latinos in Washington state.

Recipients, mostly in the health sciences, are part of the next generation of bilingual and bicultural Latinx leaders that aim to provide culturally competent and linguistically responsive care to vulnerable communities, and all Washingtonians.

To highlight the rich and varied careers of past LCH fellows, we reached out to ask where they are now, how the fellowship impacted them, and about their plans for the future.

Gabino J. Abarca, MPH, 3rd Year Ph.D. student

Gabino J. Abarca in a tie and collared shirt.

Gabino J. Abarca is a public health scholar from Mattawa, a small, agricultural town in Eastern Washington. As a 2020 recipient of the LCH Graduate Student Fellowship, Abarca says the funding better allowed him to pursue his research interests while completing his master’s in public health at UW.

“It [the fellowship] also connected me with other like minded scholars and the staff at LCH who were supportive and encouraging of my work,” says Abarca.

He has since been named a 2021 RWJF Health Policy Scholar and has published on topics such as immigrant rhetoric and policy, and the impact of the COVID-19 pandemic on fast-food frontline workers in Los Angeles. 

Abarca’s cultural perspective and commitment to exploring structural barriers affecting the health of the Latino immigrant community motivated him to pursue a doctorate in community health sciences at the UCLA School of Public Health. His advice for incoming scholars is to embrace their experiences and perspectives as strengths, not hindrances.

Natasha Ludwig-Barrón, PhD, MPH

Professional headshot of Natasha Ludwig-Barrón.

Dr. Natasha Ludwig-Barrón is a public health researcher and 2021 recipient of the LCH Graduate Student Fellowship. She calls the fellowship a tremendous resource that allowed her to continue her research and support herself during her final year as a doctoral student at UW, despite the COVID-19 pandemic disrupting her dissertation work.

Raised in the greater Los Angeles area, Ludwig-Barrón’s research incorporates an ecological approach to understanding the syndemic of HIV/AIDS, substance use, and gender inequities, with a commitment to improving the health and wellbeing of marginalized communities. She is part of a Latinx/Chicanx research team at UC San Francisco that addresses these issues along the US-Mexico border. 

“Each team member brings their professional expertise to each project, which spans epidemiology, psychology, sociology, medicine, and social work,” says Ludwig-Barrón. “Every day I am inspired to work with a bilingual and bicultural team that is committed to developing the best programs and services for Latinxs, regardless of a person’s immigration status.”

Her advice to incoming scholars is to seize every opportunity while in school and reach back and help the next generation of Latinxs/Chicanxs. Ludwig-Barrón is currently working towards a faculty promotion at UCSF, while also finding balance between research, mentorship, and motherhood.

Yoni Rodriguez, MS

Professional headshot of Yoni Rodriguez.

Yoni Rodriguez, a graduate of the UW School of Public Health, completed his master’s in environmental health – exposure science. Born in Toppenish, Washington, he is a 2022 recipient of the LCH Graduate Student Fellowship.

During his graduate studies, Rodriguez’s thesis focused on leveraging statistical modeling to predict agricultural pesticide drift and prevent illness among farmworkers and neighboring communities. He plans to use this research to make a positive impact in the agricultural industry. Fluency in Spanish also enables Rodriguez to help train Spanish-speaking workers in CPR/AED/first aid training. 

The LCH’s fellowship played a crucial role in enabling Rodriguez to remain a full-time student during his second year of graduate school, and gave him the opportunity to concentrate on his research and coursework without worrying about finances.

When asked to give advice to incoming scholars, Rodriguez said “Enjoy your time in academia, foster relationships with faculty and friends, because you may be calling them up to ask for help on projects. Also, apply for all the jobs and be open to traveling or moving to other states or countries for work.”

Rodriguez’s future goals include earning his medical degree, which he plans to use to help address occupational health disparities and promote the wellbeing of underserved populations.

Ashley Del Valle, ACSW, MSW

Ashley Del Valle holding a graduation cap.

Ashley Del Valle is a clinical social worker and graduate of the UW School of Social Work. A native of the California Central Valley, she was a 2022 recipient of the LCH Graduate Student Fellowship, and says the fellowship helped her connect with other students and faculty in public health fields and assisted her financially during the second year of her master’s in social work program. 

Del Valle currently works as a behavioral health clinician for Livingston Community Health, a nonprofit community healthcare clinic based in Livingston, California. 

“To promote health equity in the community means to address oppressive systems that affect underserved, underrepresented communities, beyond the medical and healthcare system,” says Del Valle. “In my work, I engage with people of diverse backgrounds, however because of the predominantly Spanish-speaking, Latine, and migrant populations in the surrounding community, I utilize my personal and clinical knowledge to work with individuals and families to navigate mental health issues that arise.”

Del Valle’s long-term goals include obtaining a doctorate and producing research related to social work, Latinx communities, and mental health.

Miguel Paniagua Rodriguez, DPT (c)

Close up of Miguel Paniagua Rodriguez.

Miguel Paniagua Rodriguez, is a third year doctor of physical therapy student at the UW and a 2022 recipient of the LCH Student Scholars Fellowship. He is also currently interning at the Legacy Rehabilitation Institute of Oregon in Portland.

He says the fellowship connects him to like-minded students who share his passion for improving healthcare for the Latino/a/e community, and relate to his experience as a first-generation student pursuing a career in the health professions.

“As a Latino PT student, my cultural perspective allows me to have a good understanding of the Latino/a/e community’s risk factors for injury and movement disorders, and their experience with pain,” says Rodriguez. “This allows me to deliver quality physical therapy because I understand the biopsychosocial factors that impact their ability to their previous functioning level. Also, for those patients who are Spanish speaking, I can communicate with them in their own language.”

While still exploring his interests, Rodriguez is considering specializing in vestibular therapy, orthopedic clinical therapy, or manual therapy in the future.

Latino Center for Health Studying Long COVID in Latinx Communities

Latino Center for Health Logo
The LCH is conducting a study that seeks to determine how many members of the Latino community are currently affected by long COVID, and how it is impacting their health and well-being.

The Latino Center for Health (LCH) is conducting a study to better understand the extent and impact of long COVID on the state’s Latino communities.

Partners in the study are SeaMar Community Health Centers, the Allen Institute for Immunology, and the Yakima Valley Farm Workers Clinic.

Study leader Dr. Leo Morales, a professor of medicine at the UW School of Medicine and co-director of the Latino Center for Health, will direct the survey which focuses on Latinos age 18 years and older who have had a positive COVID-19 test result. The questionnaire will include questions about symptoms, the respondents’ medical history, whether they received the COVID vaccine, their physical and mental health, and their social and economic situations.

According to the U.S. Centers for Disease Control and Prevention, Latinos have the highest rates of long COVID. About 9% of Hispanic adults report symptoms, compared with 7.5% of U.S. adults overall.

“With this survey we hope to determine how many members of the Latino community are currently affected by long COVID, and how it is impacting their health and well-being,” said Morales.

Photo of Dr. Leo Morales
Dr. Leo Morales, co-director of the Latino Center for Health, is leading the LCH’s study on long COVID.

“Since the onset of the pandemic, Latino communities in Washington state have had higher rates of COVID-19 infection than the general population, higher rates of hospitalization, and higher rates of mortality on an age-adjusted basis,” Morales noted. “Yet we are not seeing many people from Latino communities showing up in our long-COVID clinics.”

The study will use the World Health Organization’s definition of long COVID: symptoms that began within three months of a probable or confirmed case of infection, which have persisted at least two months and cannot be explained by another diagnosis. Common long-COVID symptoms include fatigue, fever, cough and difficulty breathing, and problems with memory and thinking, often called “brain fog.”

“Many Latinos may not be aware of the symptoms of long COVID,” Morales said. “I suspect that a lot of people in Latino communities don’t know they have long COVID. They’re feeling badly, they’re having problems with fatigue or brain fog; they’re just not doing well, but they don’t exactly know why. Helping people understand what is going on and guiding them to evaluation and treatment is important.”

Morales said he hopes the project’s findings will not only help improve care of Latino individuals affected by long COVID, but also help guide policymakers to develop appropriate long-COVID services for Latino communities.

2021 Symposium: COVID-19 and Latino Experiences in WA State 

Nuestra Salud, Nuestro Futuro

On October 13, 2021, representatives from across urban and rural regions of WA state shared data and stories about the pandemic’s impact on their respective Latinx/e communities, with a focus on what’s worked well and what challenges lie ahead. COVID-19 is still disproportionately affecting Latinx/e communities, and it is clear that we need grassroots, community-based efforts combined with top-down efforts to find solutions and continue strengthening Latinos’ health and well-being. Take a look at the symposium program and videos below to learn more.

Representatives participated in discussions that focused on issues impacting the Latinx/e communities and produced key policy recommendations that aim to inform COVID recovery resource allocation and policymaking necessary to promote health equity for Latino communities in Washington. We identified four areas of significance to our Latino communities in pandemic times:

  • COVID-19 Vaccination Efforts
  • Mental Health & Wellbeing
  • Return-to-School
  • Mutual Aid

Watch the Symposium

Grounding Remarks by WA Secretary of Health Dr. Umair Shah

Update on Current State of COVID-19 in WA by Dr. Santiago Neme

Panel 1B: Return-to-School

Update on Vaccination Rates among WA Latinos by Dr. Leo Morales

Panel 1A: Barriers and Facilitators to Ongoing Vaccination Efforts

Panel 2A: Mental Health & Wellbeing

Panel 2B: Successful Community Mutual Aid Efforts

All Panels: Moderator Report Out

Discussion led by CHA Executive Director Maria Sigüenza


Symposium Planning Committee

Nora Araujo
Community Outreach Specialist
Community Outreach Department
Consulate of Mexico in Seattle

Aida Hidalgo, PhD, MSc
Promotora de Salud
Ventanilla de Salud Program
Consulate of Mexico in Seattle

Carolina Lucero, MSW
Latino Center for Health Advisory Board member

Tomas Madrigal, PhD
Equity Coordinator
COVID-19 Response Community Engagement Taskforce
Washington State Department of Health

Nina Martinez
Board Chair
Latino Civic Alliance (LCA)

Milvia Berenice Pacheco Salvatierra
Artist and President
Movimiento Afrolatino Seattle (MÁS)

Maria Cristina Rojas, MD
Nephrology Specialist
Confluence Health–Wenatchee

Maria Sigüenza
Executive Director
WA State Commission on Hispanic Affairs (CHA)

Martin Valadez, MA
Regional Director, Heritage University Tri-Cities Campus & Interim Executive Director, Tri-Cities Hispanic Chamber of Commerce


Thank you to our Sponsors!

COVID-19 & Latino Health

Credit: The New York Times

Latinx Leaders Across WA Call for Culturally Responsive Policies for COVID-19 Recovery:

Read our policy briefs to learn how we can support COVID recovery and health equity for Latinx communities.


COVID-19 Policy Brief Series:

  1. Latino Views on COVID-19 Vaccinations: Understanding HesitancyReleased April 27, 2021.
  2. Depression and Anxiety among Latinos: Urgent Call for Mental Health ServicesReleased June 16, 2021.
  3. Vaccination Rates Among Washington State Latinos Remain Low as Delta Variant Emerges in the U.SReleased July 7, 2021.
  4. Examining Trusted Sources of COVID-19 Information Among LatinosReleased October 6, 2021.
  5. Vaccination Rates Among Washington State’s Latinos are Improving, but Challenges Remain. Released October 27, 2021.
  6. Economic Impact of the COVID-19 Pandemic on Latinos in WA State and its Toll on Women. Released December 9, 2021.
  7. New childcare, teaching responsibilities during COVID-19 pandemic widening educational gaps for Latino families. Released March 10, 2022.

Latino Legislative Day 2021:

A slide of Dr. Morales’ presentation on Latino Legislative Day, March 16, 2021

Watch the full recording of the event here: https://fb.watch/4idIbLOxfe/

COVID-19 and mental health:

“Protegiendo el bienestar emocional de su familia en tiempos de COVID-19” virtual Spanish-speaking panel hosted by the WA State Dept. of Health, Univision Seattle, and LCH.

COVID-19 vaccine:

A panel of Latino health experts answer frequently asked questions, debunk myths, and address concerns in Spanish regarding the COVID-19 vaccine.
LCH Research Director Dr. Nathalia Jimenez answers questions in Spanish regarding the COVID-19 vaccine.
LCH Research Director Dr. Nathalia Jimenez shares her experience of getting the COVID-19 vaccine in Spanish.

News articles:

COVID-19 spikes fourfold among Washington’s Latinos, and it’s reaching almost every corner of the population | published January 24, 2021 in The Seattle Times, citing Dr. Leo Morales
Disproportionately hit by COVID-19, WA Latinos brace for vaccine | published January 14, 2021 in Crosscut, citing Dr. Leo Morales

Webinar: The Burden of COVID-19 on Latinx Communities in WA State

On September 23rd, 2020, the Latino Center for Health (LCH) hosted a webinar to raise awareness of the largely hidden disproportionate impacts of COVID-19 on Latinx communities across Washington State and to amplify community- and state-led response efforts happening in our rural and urban communities.

News articles:

Farmworkers can’t pick apples through Zoom | published September 24, 2020 in KNKX following the webinar
El peso del COVID-19 en la población latina del estado de Washington | published September 23, 2020 following the webinar

COVID-19 Research

Understanding Washington Latinos’ Experiences around COVID-19

Principal Investigator: Dr. Leo Morales

In collaboration with Sea Mar Community Health Centers, this research study seeks to survey 500 urban and rural Latino patients across Washington State to better understand their experiences surrounding COVID-19, including experiences around health and wellbeing, housing, employment, immigration, safety, and attitudes towards vaccinations.

Findings will be disseminated in April 2021.

Codeveloping Culturally Relevant Messages for Farmworker Safety and Health in the COVID-19 Pandemic

A project to assess and address the need for public health messages dealing with the coronavirus outbreak and targeted to Latino immigrants in Yakima County received a UW Population Health Initiative COVID-19 rapid response grant in May 2020. 

LCH co-director Dr. Gino Aisenberg is one of the team’s six co-investigators of the project, along with doctoral candidate Maria Blancas, Dr. Carmen Gonzalez, Dr. June Spector, Dr. Edward Kasner, and Elizabeth Torres from Northwest Communities Education Center and Radio KDNA

Read more about the project here.

Partnering with the Washington Immigrant Solidarity Network (WAISN) to Advance their Community Response Efforts

WAISN has assumed exemplary leadership during the COVID-19 pandemic to keep immigrant and refugee families healthy through its COVID-19 community response efforts, including the statewide COVID-19 immigrant response hotline and online resource finder. LCH humbly offered WAISN its research and evaluation expertise and resources in community and solidarity to advance these efforts.

Under the leadership of Dr. Barbara Baquero and in partnership with WAISN representatives, a group of graduate students from Medicine, Nursing, Public Health, and Social Work conducted an impact evaluation of WAISN’s COVID-19 immigrant response hotline to assess the reach and impact of this community response effort for program improvement and to inform future emergency efforts. 

This group also participated in the WAISN healthcare access work group along with El Centro de la Raza, Northwest Health Law Advocates, and ACLU of Washington, and provided expertise in the development of a brief statewide survey to inform health equity for immigrants. This resulted in a campaign to increase access to healthcare services for immigrant communities.

Finally, this group of faculty and students helped WAISN boost its online resource finder by vetting healthcare organizations across the state that provide timely and adequate care for immigrants and refugees.


Other relevant news & peer-reviewed journal articles:

Understanding and Addressing Latinx COVID-19 Disparities in Washington State | published in 2020 by LCH affiliates Dr. Maggie Ramirez, Dr. Barbara Baquero, Dr. India Ornelas, Dr. Carmen Gonzalez, and Erica Chavez
Piden protecciones para frenar la transmisión del virus en los Hispanos | published July 28, 2020 in Univisión Seattle, featuring Dr. Gino Aisenberg
The curious case of Latinos and Covid-19 | published April 27, 2020 in KUOW, featuring Dr. Leo Morales
Interconnected: The Latino community calls for action amid high COVID-19 rates | published August 9, 2020 in The Seattle Times
WA to create $40M fund for undocumented workers hurt by pandemic | published August 10, 2020 in Crosscut
COVID-19 Death Rates Are Higher in Rural Counties With Larger Shares of Blacks and Hispanics | published in 2020 in The Journal of Rural Health