Advancing Oral Health Equity This Legislative Session

The 2021 legislative session has come to a close. Arcora Foundation joined with partners to secure several important wins for oral health equity.

Increased Funding for the Apple Health (Medicaid) Adult Dental Program

The final operating budget includes a significant increase in our state’s investment in the Apple Health adult dental program, to be used to increase provider reimbursement rates. Washington’s Medicaid dental rates are currently among the lowest in the country, making it difficult for providers to participate in the program. The result is that Apple Health dental coverage, while essential, does not always equate to access to care.

The funding increase in the biennial budget is an exciting opportunity to increase access to care for the more than one million Washingtonians currently covered by Apple Health.

Building on the Success of the Access to Baby & Child Dentistry (ABCD) Program

The budget recognizes the success and value of ABCD, which has made Washington a leader in connecting young children to dental homes. This collaboration between ABCD providers, local organizations, state agencies and Arcora has more than doubled dental utilization for young children over the last 20 years. There is still more work to do, however, to close gaps and ensure very young children (under age 2) are getting into care.

The budget includes increased funding to boost local ABCD program outreach capacity to reduce racial and ethnic inequities and increase utilization for kids under 2. Additionally, the budget enables the state to implement ABCD expansion for children with disabilities through age 12.

Support for DentistLink and Increased Access to Care

The operating budget also includes funding to support the development of a public/private partnership for DentistLink. DentistLink connects users across the state with dental providers, helping them get the care they need. DentistLink works with all people regardless of their insurance coverage; most have Medicaid or are uninsured.

Currently solely funded by Arcora Foundation, this service is provided at no cost to users, community partners, or providers. With this additional investment from the state, DentistLink can serve more people, helping to connect them to the dental care they need to stay healthy.


Lawmakers passed a number of additional measures to advance health equity, including extending Medicaid coverage for 12 months post-partum, and passing legislation requiring health equity continuing education for health professionals.

These successes would not be possible without a diverse coalition calling attention to the importance of good oral health and advocating for increased access to care, particularly for historically under-resourced communities. Thank you for all you do to champion oral health equity, and thank you to lawmakers for prioritizing oral health and health equity in the final budget.

 

Message from our President and CEO

“The 2021 legislative session was historic and extraordinary for many reasons. Thank you to Washington legislators and Governor Inslee for your leadership and efforts to address advance health equity. More than 2 million children, working adults and seniors throughout Washington state rely on Apple Health (Medicaid) for their dental care coverage.

“We are grateful that lawmakers passed an operating budget that supports access to dental care for so many in our communities by investing in the Apple Health adult dental program, the Access to Baby Child and Dentistry program and DentistLink. Good oral health and access to oral health care is essential to healthy living, economic opportunity and general wellbeing.

“These significant investments in dental care build on the progress made in our state and are another step toward ensuring that everyone can enjoy the benefits of good oral health.”

Vanetta Abdellatif
President and CEO, Arcora Foundation

A Call for Continued Work Towards Equity

 

Yesterday afternoon, my colleagues and I took time to reflect on the conviction of Derek Chauvin in the brutal murder of George Floyd. We are relieved with the accountability this court decision brings, and hope that this is a measure of justice for the Floyd family, bystanders who witnessed his murder, Minnesotans, and all who have been traumatized by this tragedy. But we are clear eyed and recognize that this is not a moment of rest from our work towards racial equity. Even as this verdict was reached, a Black teenage girl was shot and killed by police officers in Ohio. A single act of accountability is not the same as justice. Justice would be George Floyd, Duarte Wright, Adam Toledo, Ma’Khia Bryant, Breonna Taylor, Sandra Bland, and so many more still alive today.

Arcora Foundation is committed to health equity. We know racial and ethnic disparities will continue to persist as long as structural racism does. Achieving health equity will not come independent of dismantling harmful, racist systems in all areas of our nation – from health care to criminal justice. The CDC recently declared racism a serious public health threat. We remain steadfast in continuing our journey to equity, inclusion and diversity within our own organization and communities we work with. The Foundation continues its commitment to good oral and overall health for all, with no one left behind, and in that, a commitment to work alongside partners to dismantle systemic health inequities.

We pause to remember the life of George Floyd, and to show deep appreciation to the thousands of activists who’ve led this call for justice for far too long. But the work is ongoing. And we must all do our part to build an equitable future for everyone. A future where Black and Brown people enjoy full rights to equitable treatment, opportunity, safety, and joy.

Vanetta Abdellatif
President and CEO, Arcora Foundation

Support Health Equity by Supporting Apple Health

Asian family smiling good oral health

By Fred Kiga | December 31, 2020

We all hope that our communities, state, and nation will enjoy a resurgence of health, optimism, and healing in 2021.

One thing that was true before and has continued through the pandemic is that health problems tend to hit communities of color harder than the overall population. The coronavirus has affected us all, whether we contracted it or are dealing with economic, societal, and other impacts. But communities of color have seen higher infection, hospitalization, and death rates from COVID-19.

In part, these communities tend to live in multigenerational households, which fosters close family ties, but also make social distancing difficult. Many in these communities are also hardworking, essential workers and often do not have access to adequate health care.

Asian Americans may not be receiving culturally appropriate information to understand how to protect against the virus and there has been a backlash against the community that is hurting businesses and increasing unemployment, further contributing to inequities.

Oral health is another area of significant health disparity. Surveys of Washington residents confirm that oral health problems are more common among people of color and those with lower incomes.

Oral health is essential for overall health, and is linked to heart disease, diabetes, and respiratory illnesses—all major risk factors for COVID-19. Oral disease is also linked to stroke and pregnancy complications.

Oral health can affect our overall health and lives at every age. For kids, a healthy mouth is key for communication, education, a good night’s sleep, and being able to eat healthy foods. For adults, it’s important for employment and success. And for the elderly, it is essential for good nutrition, and being able to stay active, independent, and healthy.

A key part of ensuring access to oral health care for communities of color and low-income adults in this state is the Apple Health (Medicaid) Dental program. But in response to the coronavirus economic downturn, state agencies had to identify potential places to make cuts, including the dental program for adults. Fortunately, Gov. Inslee preserves funding for Apple Health adult dental in his budget, and now it is up to the Legislature to do the same. More than one million low-income adults, including a disproportionately high percentage in communities of color, rely on Apple Health dental health coverage.

People need preventive care and treatment to maintain their oral health and keep dental problems from becoming much more painful, debilitating, and costly to treat. Apple Health enables many people to access these services.

Yes, taking personal responsibility for one’s oral health is also important. But consider the fact that major purveyors of sugar-laden products, such as sports drinks and soda pop, target heavy advertising toward communities of color, which are more vulnerable to COVID and more likely to have oral health problems.

According to studies nationally, more than $1 billion is spent annually advertising sugary beverages, much of it directed at Black and brown people. This marketing blitz has a major impact on oral and overall health. This is why cities across the country are taxing sugary drinks, as Seattle has done, and using the money to reduce health and social inequities.

Yes, many of us need to be smarter about our food and beverage choices. We all need to do better with healthy habits, including brushing and flossing. But, there also must be policies and programs in place to address systemic inequities. We need policies that reduce consumption of sugary beverages. Plus, we must ensure that everyone has access to dental care.

We should not eliminate essential safety net programs such as dental care that people need to stay healthy, especially during a pandemic. We all need to encourage policymakers to continue to support vital public health programs such as Apple Health dental. Visit OralHealthWatch.com for help contacting your legislators.

With compassion, common sense, humanity, and a commitment to fairness and equal opportunity, we must strive toward health equity for all.

Fred Kiga is board chair of Arcora Foundation and was previously chief of staff for former Gov. Gary Locke.

Read article on Northwest Asian Weekly: http://nwasianweekly.com/2020/12/commentary-support-health-equity-by-supporting-apple-health/

Action to Advance Equity

Last June, we issued a statement against racism, inequity and injustice and called for change to ensure that justice and compassion are reflected in our institutions, and that the health and safety of all people are valued equally. Our commitment to these values is deeply ingrained in our organization. Health equity drives our work.

Our DEI journey

For the last few years, Arcora Foundation staff and board have been deepening our understanding of and commitment to diversity, equity and inclusion (DEI). Board and staff have engaged in numerous learning opportunities and facilitated conversations to reflect on our own individual stories. We are engaging with communities to align our approaches with community needs and aspirations and integrating DEI into our programs, sponsorships and grants. We aim to be an equitable organization and an authentic partner.

Here is some of what we have done in 2020 to bend the arc of oral health toward equity.

Protecting dental care for lower-income adults

Our commitment to equity includes helping to lead a coalition to preserve Medicaid dental coverage for low-income adults. Oral health is health. Oral disease is linked to heart disease, diabetes and respiratory illness, all risk factors for COVID-19.

Given the budget challenges facing the state, the Apple Health dental program for adults may be cut. Gov. Jay Inslee’s proposed budget preserves funding for the Apple Health adult dental program. However, this is just an initial step in the state budget process. We must remain vigilant and urge legislators to continue support for this vital safety net program that protects the health of lower-income people and communities of color hardest hit by COVID-19.

Visit OralHealthWatch.org to join efforts to ensure everyone has access to essential dental coverage.

Grants and donations with an equity focus

This year we provided $4.5 million in grants to Community Health Centers, nonprofit and tribal dental clinics. The funds helped these organizations manage their response to the pandemic and provide dental access to lower-income populations and communities of color. We are actively involved in supporting fluoridation in Spokane and across the state. Water fluoridation is a cost-effective and equitable approach to prevent cavities for everyone without regard to age, income, race or ethnicity. The Spokane City Council recently accepted a $4 million grant ($3 million from Arcora Foundation and $1 million raised locally) to study how to best implement water fluoridation. We also initiated a statewide education campaign focused on the health benefits of fluoride. Special thanks to Arcora Foundation’s Board of Trustees for their leadership and to our funder, Delta Dental of Washington, for providing additional resources this year to help support these efforts.

Programs focused on under-resourced communities

Many of our programs including  SmileMobile, DentistLink and The Mighty Mouth provide assistance and information to communities that have been systemically under-resourced. This month we are delivering more than 17,000 oral health kits to lower-income communities across the state. Early in the pandemic, we donated more than $180,000 for food security. We will provide another food security donation before the end of the year. Using an equity lens, we awarded nearly $200,000 in small grants to a variety of organizations to fund dental clinics that serve tribal members in Washington, purchase PPE for providers, fund a care coordinator for schoolchildren and develop an oral health screening tool for people who are immigrants or refugees.

Spotlight on health equity and racial justice

It’s been a very challenging year but with the expectation of a vaccine, 2021 holds promise for future progress. COVID-19 has laid bare the inequities in our society and the structural racism that prevents too many people of color from accessing care. The increased spotlight on health equity and racial justice will provide unique opportunities to continue progress toward our vision to improve oral health for all, with no one left behind. We are eager to continue working with partners across the state to ensure that race, ethnicity, age, disability or income does not determine one’s health status.