SPECIAL POPULATIONS TRAININGS (2 PARTS

SPECIAL POPULATIONS

TRAININGS (2 PARTS)

Title 42 of US Code, Chapter 6A,

Section 254b

Community Health (E)

Migrant (G)

Homeless (H)

Public Housing (I)

1996 Health Centers Consolidation Act

Public Health Service Act, Section 330

Administered by HRSA (BPHC), HHS

SPECIAL POPULATIONS TRAINING

PART 1:

FARMWORKERS ELIGIBILITY &

VERIFICATION PROCESS

MIGRANT HEALTH

CENTER

Migrant Health Act became

law September 25, 1962

166 migrant health centers

Federally assisted migrant

health centers only reach

15-20% of MSFW

Sea Mar sees farmworkers

in ALL our clinic &

program sites

Public Health Service

Act, Section 330 (g)

In 2014, Sea Mar’s reach

was only 6% of all

farmworkers who are

estimated to reside in

these locations

Individuals who work temporarily, seasonally or migrate to work in agriculture, forestry or fisheries Includes all production,

processing and support activities Agriculture includes ALL crop and

animal production

Agriculture, forestry or fisheries is primary source of income

Who are the farmworkers?

NCFH 2014

WHO ARE THE FARMWORKERS?

CROPS

• Preparing, cultivating, growing and

harvesting any commodity grown on or

in soil

• Includes all production, processing and

support activities


CROPS

• Nurseries (family owned or operated) -

potting, caring for plants

• Orchards; planting, picking, sorting,

packing, or transporting fruits

• Fruits & vegetables, grains, nuts,

plants, tobacco, hops

• Flowers, grass, alfalfa, hay or other

agricultural products

• Forestry - planting & cultivating trees

• Includes Christmas Trees & other trees if

harvested at least every 10 years

• Picking Pine needles or Spanish moss


ANIMALS

• Taking care of any animal for

consumption, breeding or fur (i.e.,

chickens, cows, goats, sheep, pigs,

rabbits, horses, llamas, fish,

shellfish)

• Includes aquaculture, dairy and

poultry

• Includes all production, processing

and support activities


• Animal production, processing and support

for:

• Dairy farms and other animal farms

• Dairies -milking and other tasks

• Breeding or raising small animals for fur

• Horses – breeding/boarding for breeding

purposes – not to rent space to others or

for recreational purposes

• Poultry farms & hatcheries

• Hatching, raising, transporting, slaughter

and processing

• Aquaculture

• Shellfish, salmon, shrimp, etc.

• Not recreational fishing or fishing in the

wild (i.e., Alaska fishing boats)

• Processing or canning (if part of farm

operations OR adjacent to farms)


Includes all tasks such as:

Preparing the soil

Seeding, planting, thinning, irrigating,

fertilizing, replacing trees

Detasseling, collecting, harvesting (by

machine or hand)

Sorting, catching, preparing, processing

Canning, preserving, packing

Transporting, storing, distributing (if same

farm only)

Even transporting to market (if same farm)

Feeding, caring, milking cows and other

animals

Breeding, branding, inseminating, etc.

Includes farm labor contractors

DOES NOT INCLUDE THE FOLLOWING

Landscaping

Slaughterhouses or meat

processing plants (unless they

also grow or breed their own

animals)

Trucking/Timber industry

Fishermen/women, hunters and

processing plants NOT adjacent

to farms

HOW FARMWORKERS IDENTIFY

THEMSELVES

By the name of the crop or animal By the place of agriculture

“En la mora”

“Trabajo con los berries”

“En el frijol”

“En la cebolla”

“En el coliflor”

“En el pepino”

“In the berry”

“I work with berries”

“In the beans”

“In the onions”

“In cauliflower”

“In cucumber”

“En el campo”

“En una nurseria”

“Con un contratista”

“Con un ranchero”

“Cuido un rancho”

“En la lechería”

“In the field”

“In the nursery”

“With the contractor”

“With the farmer”

“I take care of a farm”

“In a dairy”

By agricultural activity

“Estoy desyerbando”

“Estoy postando o

clavando”

“Tirando manguera”

“Soy Pizcador”

“En el empaque”

“Poniendo ganchos”

“Estoy señalizando”

“Soy podador”

“I weed”

“I put in posts”

“Laying the hose”

“I am a picker”

“In packing”

“Fastening plants”

“I put up signs”

“I prune”

By the geographic location

“I go to California”

“I follow the work”

“I follow the crops”

“I go with the contractor”

“I follow the crops”

“I go to the south”

“I go to the lettuce”

“I go to the cucumber”

“Me voy pa California”

“Voy a los trabajos”

“Me voy pa los trabajos”

“Me voy con el contratista”

“Sigo las corridas de”

“Me voy pal sur”

“Me voy a la lechuga”

“Me voy al pepino


• Anyone who currently works or has

worked in agriculture, forestry or

fisheries within the last 24 months

• Two types we document:

• Migrants – establish a temporary

home in order to work in

agriculture

• Seasonal – do NOT establish a

temporary home to work in

agriculture


• Migrants – establish a

temporary home in order to

work in agriculture (i.e., they

move away or to the area

temporarily)


• Seasonal – do NOT establish a

temporary home to work in

agriculture (i.e., they do not move

to follow the work but may change

crops or farms throughout the year)

• Seasonal farmworkers may do any

of the following:

• Work temporarily in agriculture,

forestry or fisheries

• Switch farm employers throughout the

year

• Work year-round for same employer

but their hours or schedule fluctuates

based on the season

FAMILY MEMBERS ALSO COUNT

• All family members of agricultural,

forestry and fishery workers are also

categorized as farmworkers

• Family members refer to ALL

members of the household regardless

if they are economically independent

or not.

• Does NOT have to be a dependent

• Farmworker status of family member is

NOT connected to income eligibility or

sliding scale

• Example - ANY adult family member living under

same roof as farmworker family member is also

classified as farmworker (includes siblings,

grandparents, parents, etc).

AGED AND DISABLED FARMWORKERS

KEY

MUST have been former MIGRANT

at time of aging out or disability

Family member eligibility

If family members live with

aged/disabled farmworker, they will

classify as farmworkers too if one of

the following apply:

If aged/disabled farmworker is

head of household

If they were also living with

aged/disabled farmworker at

time when he/she aged out or

became disabled

Definition

A former migrant

worker who aged-

out or became

disabled while a

farmworker

QUESTIONS NOT TO ASK

Are you a Migrant?

Are you a Seasonal worker?

Please check either-Migrant or Seasonal

Flow ChartSteps to determine if your patient qualifies as Migrant or

Seasonal Farmworker

(1) In the past 2 years, have

you or a member of your

family worked in agriculture,

farming, forestry or fisheries

as your main source of

employment?

NO

(1a) Have you or a

member of your family

stopped migrating to

work in agriculture,

forestry or fisheries

because of disability or

old age?

YES

You and your family members are NOT

agricultural workers

NO

YES


Seasonal Farmworker

(2) In the past two years, have

you or a member of your

family established a temporary

home in order to work in

agriculture, forestry or

fisheries? i.e., live in trailers or

houses provided by employer,

hotel, or share house with

others?

You and your family members are Migrant

agricultural workers

YES

NO

(1a) Have you or a

member of your family

stopped migrating to

work in agriculture,

forestry or in fisheries

because of disability or

old age?

YES

NO


Seasonal Farmworker

You and your family members are NOT

agricultural workersNO

(3) In the past two years, have

you or a member of your family

worked on a seasonal basis

without the need to establish a

temporary home? i.e., work for

same farm year round but hours

or income change weekly, or laid

off part of the year and have to

do other types of work?

You and your family members are

Seasonal agricultural workersYES

NO

Ask patients the correct questions that will

allow you to identify their FARM WORKER

STATUS

PM FARMWORKER STATUS

Remember – Aged & Disabled classified

as Migrant (until new PM category)

LANGUAGE IMPORTANT

“What language do you feel the

most comfortable

communicating in?”

If farmworker or other patient is speaking

Spanish, do NOT assume that Spanish is their

preferred language.

Many of our indigenous have limited

Spanish speaking or comprehension ability.

You MUST note the preferred language in PM

under “Additional Info” tab

CASE STUDY #1

Scenario

Today, Ms. Johns is at your

health center because her

three children need their

school physicals.

Ms. Johns is not working

and Mr. Johns is

temporarily working in

construction. The three

Children have Medicaid.

Actuality

The Johns’ family travels from California to Washington State to harvest

berries from April--August.

At the end of August, the family travels to Oregon to work harvesting

grapes. And in November they return to California.

For the past 2 years has any member of this family:

Worked in Agriculture?

Moved to other areas to work in agriculture?

Used seasonal agriculture as the main source of income?

No longer able to work because of their age or disability.

How should this family be classified?

a. Migrant

b. Seasonal

c. Aged or disabled

CASE STUDY #2

Scenario

Mr. and Ms. Garcia are at

your health center because

their youngest son has an

ear infection.

Mr. Garcia is very sick and

unable to work and his wife

is a homemaker.

Their older son Manuel

supports the family.

Actuality

Manuel at age 16, is the oldest son of the Garcia family. For the last 7

months, he has worked in Arizona in cucumber, lettuce and broccoli.

He is planning to come home to Washington in two months and seek

work in a local farm. Manuel’s economic contribution supports the family.







a. Migrant

b. Seasonal

c. Aged or disabled

CASE STUDY #3

Scenario

Ms. Rodriguez is at your

health center to see a doctor

because her diabetes is out

of control.

The Rodriguez family has

lived in the area since 1990.

Actuality

Mr. Rodriguez works driving a raspberry harvester machine, and once

that job finishes he works sorting garlic. During the off season, he works

as a day laborer and his job varies between agriculture and construction.

In addition of taking care of the family, Ms. Rodriguez sometimes

babysits some children and works cleaning houses.







a. Migrant

b. Seasonal

c. Aged or disabled

CASE STUDY #4

Scenario

Mrs. Lara is a 66 year old

and she is at your health

center today because she

needs medical care. She

has Medicare.

She works part time at a gas

station and her husband who

is 69 is no longer able to

work.

Actuality

Mrs. Lara and her husband settled in your area November, 2010 when

they moved from Oregon.

In Oregon, Mr. Lara worked part of the time pruning pear trees and doing

several chores at a small oyster farm. Mrs. Lara used to work at a

cucumber processing plant.







a. Migrant

b. Seasonal

c. Aged or disabled

CASE STUDY #4

Scenario

Mrs. Lara is a 66 year old

and she is at your health

center today because she

needs medical care. She

has Medicare.

She works part time at a gas

station and her husband who

is 69 is no longer able to

work.

Actuality

Mrs. Lara and her husband settled in your area November, 2010 when

they moved from Oregon.

In Oregon, Mr. Lara worked part of the time pruning pear trees and doing

several chores at a small oyster farm. Mrs. Lara used to work at a

cucumber processing plant.







a. Migrant

b. Seasonal

c. Aged or disabled

Need more

information

CASE STUDY #5

Scenario

Ms. Williams is at your

health center because this

week, her son is having

frequent asthma attacks.

Her son has CHPW.

Actuality

Ms. Williams works at a berry farm for 7 months out of the year. During

those months she is in charge of the irrigation, pesticide application,

pruning and harvesting. Although she wants to work more hours, she is

laid-off every year at the end of the harvest season. She usually goes to

visit her extended family during the time that she is not working







a. Migrant

b. Seasonal

c. Aged or disabled

FARMWORKER ELIGIBILITY QUESTIONS

Within the past 2 years have you or any family member:

Worked in Agriculture, Forestry or Fisheries as your main source of work?

If NO: Stopped migrating because of age or disability?

Moved to other areas to work in Agriculture, Forestry or Fisheries & established a temporary home?

Worked in Agriculture, Forestry or Fisheries on a seasonal basis & did not establish a temporary home? Or if work for same employer, had fluctuating hours or income due to the season? Or were laid off part of year and had to do other types of work?

CONTACT US IF YOU

HAVE ANY QUESTIONS:

Colleen Pacheco, Special Populations Program Manager

[email protected]

Marcela Suarez, PromotoresCoordinator

[email protected]

mailto:[email protected]

mailto:[email protected]

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POPULATIONS PART 1

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SPECIAL POPULATIONS TRAININGS (2 PARTS

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