HYATTSVILLE, Md. - Maryland's Hispanic community has grown to about 10 percent of the total population, and many don't have health insurance.
A collaborative effort is under way in Maryland to provide health care to those who can't afford it. The focus is on Prince George's County, which has the highest rate of uninsured residents in Maryland.
In the Hispanic community, about 87 percent of adults lack medical insurance.
La Clínica del Pueblo and Doctors Community Hospital have teamed up to offer preventive and specialty care at a new location next to the Prince George's Plaza Metro Station.
Alicia Wilson is executive director at La Clínica. She says the collaboration will lead to healthier people.
"Before, our providers would send someone to a specialist and keep their fingers crossed that they might get a report back," says Wilson. "Or a hospital would discharge someone and keep their fingers crossed that patient could get plugged into a primary-care provider."
Wilson says there's a severe shortage of primary care doctors in Maryland, especially those who speak Spanish and who will serve the uninsured. The new clinic will open in June.
Wilson says Maryland's Hispanic community has increased dramatically in the past 15 years and she expects more collaborations like this across the state.
"The Affordable Care Act has really ushered in a new way of doing business," says Wilson. "And in Maryland in particular there are some opportunities to sort of build a continuum of care and not have hospitals and primary care and specialists all living in different universes."
Wilson says some of the funding for the clinic came from the Maryland Community Health Resources Commission, CareFirst and private foundations.
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Advocates for immigrants are pushing back on a bill signed by Iowa Gov. Kim Reynolds in the last few days of the legislative session, modeled on a recent, controversial Texas law.
Senate File 2340 gives local law enforcement officers and judges the authority to deport undocumented immigrants.
Erica Johnson, executive director of the Iowa Migrant Movement for Justice, argued the bill is an overreach, and said Iowa law enforcement officers are not authorized to enforce it.
"This is a pretty clear intervention into federal territory," Johnson pointed out. "U.S. immigration law is governed by federal law."
Much like the author of the Texas bill, supporters in Iowa blame the Biden administration for failing to slow illegal immigration, so the state has decided to take matters into its own hands.
Johnson contended the bill and other anti-immigrant sentiment during the just-completed legislative session target the very people Iowa, with its dwindling population, will depend on for its future workforce.
"What we need is communities that are safe, where workers have access to dignified, safe workplaces," Johnson emphasized. "The truth of what Iowa's future could be depends on immigrants and immigrant workers in our state, and unfortunately, this law could take us back, away from that possible future. "
Johnson added her organization will pursue legal ways to block the bill from taking effect in July.
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The future of Senate Bill 4 is still tangled in court challenges. It's the Texas law that would allow police to arrest people for illegally crossing the border. But groups are speaking out about the impact of "Operation Lone Star" on the youngest migrants. Governor Greg Abbott continues to bus migrant families to other states, many with young children - more than 100,000 families so far.
Robert Sanborn, CEO of Children at Risk, works to improve the quality of life for boys and girls in Texas, and contends the policy has put trauma on top of trauma.
"We never want children to be political pawns. We don't want maximum chaos on the backs of children. We want children to grow up and be assets for our community," he contended.
Sanborn points out that 2.2 million children in Texas are immigrants, and said it would be less stressful for kids if families were not bused in the middle of the night, and if they were allowed to pick their destination.
When immigrants arrive at the border, they are evaluated to determine if they're eligible for asylum.
Beatriz Zavala, clinical coordinator at El Paso-based Humanitarian Outreach for Migrant Emotional Health, or "HOME," said the children in this situation are at higher risk for mental health disorders.
"What is particularly troubling is the profound disregard for the stability and protection these families need. The impact on their mental health is undeniable. These are not just statistics. These are children, real children," she said.
As part of Operation Lone Star, families have been bused to Chicago, Denver, Los Angeles, New York City, Philadelphia and Washington D.C. The governor has said the practice is needed to keep the Texas-Mexico border safe.
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Legislation in Albany would create the first right to counsel for people in immigration court.
The Access to Representation Act would provide immigrants the right to an attorney in their New York immigration cases, ending the tendency to represent themselves if they cannot afford one.
Estimates show a backlog of more than 330,000 immigration court cases, and fewer than half have attorneys. Studies show without legal counsel, migrants are less likely to remain in the U.S.
Marlene Galaz, director of immigrant rights policy for the New York Immigration Coalition, described what the bill would do.
"It has a six-year ramp-up to start implementing and building infrastructure," Galaz outlined. "Having a pipeline between law schools for law students to go into immigration practice, and getting to nonprofits and so on."
Galaz noted most opposition centers around the $150 million to fund the program but pointed out the total expenditure is less than 1% of the state's $229 billion budget. She added anti-immigrant rhetoric has also damaged support for the bill. Currently, it is in the state Senate Finance Committee.
The New York City Comptroller's office said enacting the bill would benefit the state financially. It could keep about 53,000 people from being deported, which would result in almost $8.5 billion in local, state and federal taxes over the next 30 years.
Galaz emphasized the influx of migrants has saturated the court system, leading to what could have been an avoidable backlog.
"I firmly believe that if these investments had been made when we first asked for them, I believe, like, three years ago, then we wouldn't be struggling," Galaz contended. "We would have had the infrastructure built to address an increase in welcoming our newest neighbors."
A Vera Institute survey showed 93% of New Yorkers across party lines and regions support access to attorneys for all people, including those in immigration court, and government-funded attorneys for them.
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