Presented by Jose Plaza, National Director of Latino Engagement, Enroll America, on November 6, 2015.

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Latinos & the ACA:
Outreach & Best Practices

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OUTREACH SUCCESSES
&
PERSISTENT BARRIERS

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What Do We Know
v 11.4% drop in uninsured Latinos – 4+ mil
v 913,000 young Latin@s, including 375,000
Latinas, remain on their parents’ plans until the
age of 26.
v 10.5 million uninsured eligible in OE3
Ø 1/3 of these eligible are people of color
Ø 19% of these eligible are Latino
Ø 40% are living between 140-250 % FPL

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What Do We Know
v Nearly half of Latin@s remain uninsured in states that have not
expanded Medicaid.
v After 1st enrollment period, 25 percent of Latin@s remained
uninsured, compared to only 14 percent of the U.S. population.
v Latinas still have the highest rates of lacking coverage among
women aged 18-64, with 24 percent going without coverage,
compared to 13 percent of white women.
v Many Latin@s are completely ineligible for the gains of the
ACA because of their immigration status.

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Persistent Barriers:
Enrollment & Understanding
v 54% Spanish-speaking Latinos state having health
insurance as very important
v 63% Spanish-speaking Latinos prefer in-person
help
v 80% who did not visit marketplace were Spanish-
speaking Latinos
v 77% Spanish-speaking Latinos do not understand
tax credits

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Persistent Barriers:
Enrollment & Understanding
v 1 out 4 immigrant households is a mixed-status
household
v Fear of Immigration and Customs Enforcement
(ICE) and applying impacting future legal
proceedings
v Complex terminology and inability of assisters to
explain them at point of entry
v Disparate demographic numbers reflecting ethnic
enrollment patterns

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Outreach: Communities of Color
v Messaging through traditional media (TV, Radio,
Print) works- its expensive, but it works.
v Trusted surrogates are best messengers (faith
leaders, elected, local leaders, doctors, educators)
v Events in the community in trusted venues work
best (churches, schools, libraries, hospitals)
v Messaging must be simple, clear, and linguistically
& culturally competent.

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Health Insurance Literacy Framework
• 1. Understand the most persistent HIL gaps among the remaining
uninsured and newly enrolled.
• 2. Define what information consumers value about HI and how
to use coverage.
• 3. Uncover the best times to expose consumers to information
about HI in order to positively affect their behavior (e.g. when
shopping for coverage).
• 4. Discover how and under what circumstances consumers are
interested in receiving new information about health insurance
and how to use coverage.
• 5. Determine what and from who consumers want to hear about
health insurance (doctor, in-person assister, insurer, etc.)

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Tools to Address Health Literacy
Tools must be:
• Culturally & Linguistically
Competent
• Break down complex
terminology

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Messaging must be Simple & Clear

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Resources
Latino Toolkit: Outreach and Enrollment
https://www.getcoveredamerica.org/action-center/toolkits/
constituency-specific-toolkits/latinos/
Calculator in Español
https://www.getcoveredamerica.org/es-calculator/
Tool to connect with in-person help in Español
https://www.getcoveredamerica.org/es-connector/
Faith-based Toolkit
https://s3.amazonaws.com/assets.getcoveredamerica.org/wp-content/
uploads/Health-Care-in-the-Pulpit-Action-Guide_SPANISH.pdf

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GetCoveredAmerica.org
Source: Centers for Medicare and Medicaid Services analysis of the 2011 American Community Survey
47%
47%
Thank you!
Jose L. Plaza
National Director Latino Engagement
jplaza@enrollamerica.org
Getcoveredamerica.org
EnrollAmerica.org