1. VIII Border Legislative Conference Health Work Table U.S. – Mexico Border Governors’ Conference July 9, 2004 Santa Fe, New Mexico Dan Reyna, MSS, MPA New Mexico Department of Health Improving the Border Region’s Access and Quality Of Health Care and Substance Abuse Improving the Border Region’s Access and Quality Of Health Care and Substance Abuse

2. Health Work Table A state-driven partnership of ten state health departments Taking a systems-based approach to problem solving Focused on long-term outcomes Promoting the sustainability of joint efforts

3. Our neighborhood

4. Perspectives, Challenges and Actions What? Who? How?

5. What? Commitment Priority Results

6. Who? Commitment Priority Results Government Sector Social Sector Economic Sector

7. How? Commitment Priority Results Horizontal & Vertical Approaches Existing Mechanisms Public-Private Partnerships Government Sector Social Sector Economic Sector

8. Existing Mechanisms for Action of the Health Work Table Substance Abuse Commission Binational Border Health Information System –Binational Technical Working Group –EPI-FAX Health Alert System

9. California Arizona New Mexico Texas Baja California Sonora Chihuahua Coahuila Nuevo León Tamaulipas Nogales Nogales San Diego Tijuana Las Cruces El Paso Ciudad Juárez Reynosa McAllen Mexicali SLRC Calexico Yuma Douglas Agua Prieta Columbus Palomas Sunland Park Presidio Ojinaga Del Rio Cd. Acuña Laredo Nuevo Laredo Matamoros Brownsville Eagle Pass Piedras Negras Binational Border Health Information System

10. California Arizona New Mexico Texas Baja California Sonora Chihuahua Coahuila Nuevo León Tamaulipas Nogales Nogales San Diego Tijuana Las Cruces El Paso Ciudad Juárez Reynosa McAllen Mexicali SLRC Calexico Yuma Douglas Agua Prieta Columbus Palomas Sunland Park Presidio Ojinaga Del Rio Cd. Acuña Laredo Nuevo Laredo Matamoros Brownsville Eagle Pass Piedras Negras Binational Border Health Information Subsystems

11. Transborder Prescription Drugs Current issue High impact on the US-Mexico border –Economic impact –Increased drug costs –Health care access Immediate action required

12. Proposed Actions 1. Recognize the Health Work Table as a medium for health policy recommendations.

13. Proposed Actions 2. Encourage relevant state and federal agencies and institutions of higher education to participate in the work of the Substance Abuse Commission of the HWT.

14. Proposed Actions 3. Promote the economic and health care benefits of importation of prescription drugs for personal use along the US- Mexico border region.

15. What? Who? How? Commitment Priority Results Horizontal & Vertical Approaches Existing Mechanisms Public-Private Partnerships Government Sector Social Sector Economic Sector

16. VIII Border Legislative Conference VIII Conferencia de Legisladores de la Frontera Health Work Table U.S. – Mexico Border Governors’ Conference July 9, 2004 Santa Fe, New Mexico Dan Reyna, MSS, MPA New Mexico Department of Health Improving the Border Region’s Access and Quality Of Health Care and Substance Abuse Improving the Border Region’s Access and Quality Of Health Care and Substance Abuse