Unity Care NW CEO responds to recent passage of federal legislation
To Our Valued Community
With thepassage of the “One Big Bill” last week, we want to take a moment to acknowledge the deep impacts that this legislation will have both locally and across the country.
Community health centers are the largest primary care network in the country, serving 1 in 10 Americans and 1 in 6 Washingtonians. We are legally required to serve everyone who seeks our care regardless of their ability to pay – and it is our honor to do so. This bill’s massive cuts to Medicaid (known as Apple Health here in Washington state) will make it significantly harder for millions of people, including many here in Whatcom County, to access the care and support that they need.
In this moment, we want to reaffirm our commitment to our patients, our partners, and our community. Unity Care NW remains unwavering in our mission to increase the years of healthy life in the people and communities we serve, and to continuing to provide high-quality, whole-person care with excellence and compassion.
Thank you for your continued trust and partnership as we navigate the challenges ahead in service of our patients and community.
Gold: Dr. Don Brunk – Best Doctor
Congratulations to Dr. Don Brunk for earning the top honor in the Best Doctor category.
A grateful patient shared:
“Dr. Brunk has a servant-like heart and love for people and health. He is the best of the best. Love him.”
Silver: Dr. Jonathan Henry – Best Doctor
A big congratulations also goes to Dr. Jonathan Henry, who received silver in the same category.
Here’s what one patient had to say:
“Dr. Henry did my extraction today and he is the BEST dentist I’ve ever had. I was very impressed with his skill and how he interacted with me. Thank you, Dr. Henry.”
Silver: Unity Care NW Dental Team – Best Dentist
And we’re thrilled that our entire dental team earned silver in the Best Dentist category.
A patient shared their appreciation:
“I have had many dentists and none as good as this office. The professionals here are incredibly kind, gentle, patient, encouraging, and most importantly they take time to explain things comprehensively.”
Thank you to everyone who voted in Cascade’s Best and to our amazing patients for your continued trust and support. We’re honored to serve this community and proud to be your health care home.
Every day, we see how access to care changes lives — and that access often starts with Medicaid. Two out of three people are close to someone whose life is better because of it.
Medicaid doesn’t just support patients — it strengthens clinics, keeps local health care providers working, and brings vital dollars into our communities.
Want to help? Share this information and spread the word! Use these directions and script to call your Senators and Representative at 1-877-224-2015 to tell them Medicaid is a lifeline — for health, for jobs, and for stability. Let’s keep it strong.
Tell Us How Medicaid Made a Difference in Your Life
Your voice can make a difference! By sharing your experience, you help us advocate for continued support of Medicaid (Apple Health) and other essential health care services in our community.
Please fill out the form below. Your story may be used in our communications with lawmakers, on social media, and in advocacy campaigns. You can remain anonymous if you prefer.
In our journey towards better health and well-being, managing chronic pain can often be a significant challenge. Whether it’s stemming from a medical condition, injury, or other factors, chronic pain can greatly impact our daily lives. At Unity Care NW, we understand the complexities of chronic pain management and the risks associated with opioid therapy. That’s why we’re committed to providing you with comprehensive support and information to empower you in your health journey.
Whatcom County Overdose facts
The opioid crisis has deeply impacted communities in Northwest Washington and across the United States. In 2022, Washington state experienced a significant increase in drug overdose deaths, with overdose deaths in Whatcom County surpassing the statewide average. The COVID-19 pandemic worsened the crisis by increasing factors like anxiety and social isolation, leading to more drug use and exacerbating the epidemic. Whatcom County Emergency Medical Services receives an average of 3 to 4 overdose calls per day.[1] It is crucial that the public be aware of what opioids are and how to prevent addiction and overdose in themselves and in their loved ones.
What is an Opioid? Natural, synthetic, or semi-synthetic chemicals that interact with opioid receptors on nerve cells in the body and brain, and reduce the intensity of pain signals and feelings of pain. This class of drugs includes the illegal drug heroin, synthetic opioids such as fentanyl, and pain medications available legally by prescription, such as oxycodone, hydrocodone, codeine, morphine, and many others. Prescription opioids are generally safe when taken for a short time and as directed by a doctor, but because they produce euphoria in addition to pain relief, they can be misused and can lead to addiction.
Pain Management
Physical pain is a complex sensation that serves as a signal from the body to the brain, indicating injury or potential harm. It can manifest as aches, throbbing, sharp sensations, or discomfort in various parts of the body. While pain is a natural and often necessary response to protect ourselves from further injury, managing physical pain is an important part of promoting overall well-being and maintaining functional abilities. [3]
Pain management can be done in many ways that do not include opioids. Examples include:
Physical therapy
Exercise
Nonopioid medications, such as acetaminophen or ibuprofen
Certain antidepressant and antiseizure medications
Chronic Pain
Chronic pain is pain lasting three months or more. It can be caused by a disease or condition, injury, medical treatment, inflammation, or even an unknown reason. There are many possible options to treat your chronic pain. You and your doctor should work together to establish treatment goals for pain and function in your daily life. Nonopioids treatments are recommended for first line treatment of most origins of chronic pain. Opioids should be used only when other options fail or conflict with other medical conditions or treatments.
If You Are Prescribed Opioids for Chronic Pain Management
Follow up with your doctor within the first few days of starting your prescription to ensure opioids are helping. You should also discuss:
What kind of pain relief and improvement you can expect overall. Opioids can reduce pain in the short-term but will not likely relieve all your pain.
Any side-effects you are experiencing.
Develop your personal pain management plan with your doctor which may include:
Your personal treatment goals, which describe what you may achieve as you make progress.
Information about treatment options.
Referral to specialists as needed.
Side Effects of Opioid Therapy
Prescription opioids carry serious risks of addiction and overdose. Opioids can slow a person’s breathing, often a sign associated with someone experiencing an opioid overdose that can cause death. The use of prescription opioids can have several side effects as well, even when taken as directed, including:
Tolerance — you might need to take more of a medication for the same pain relief
Physical dependence — you have symptoms of withdrawal when a medication is stopped, or you take less
Increased sensitivity to pain
Nausea and vomiting
Constipation
Confusion
Depression
Sleepiness and dizziness
How to Spot an Opioid Overdose
Recognizing an opioid overdose can be difficult. If you aren’t sure, it is best to treat the situation like an overdose—you could save a life.
Signs of an overdose may include:
Small, constricted “pinpoint pupils”
Falling asleep or loss of consciousness
Slow, shallow breathing
Choking or gurgling sounds
Limp body
Pale, blue, or cold skin
Narcan/Naloxone
Carrying and knowing how to use Narcan (also known as Naloxone) can help you save someone from an opioid overdose. Narcan saves lives because it can quickly restore normal breathing to a person whose breathing has slowed or stopped as a result of overdosing on prescription opioid medications, heroin, or drugs that are adulterated and contaminated with an opioid like fentanyl (e.g., cocaine, methamphetamine).
To assist a person with an expected opioid overdose:
Call 911.
Give Narcan if possible.
Try to keep the person awake and breathing.
Lay the person on their side to prevent choking.
Do not leave the person alone while waiting for help to arrive.
Naloxone is a temporary treatment. More than one dose might be needed under some circumstances, especially if an overdose event involves illicitly manufactured fentanyl and fentanyl-related substances.[4]
Where to Get Narcan
A prescription is not needed to obtain Narcan. Narcan is covered by many insurances and is available at pharmacies, including Unity Care NW’s in-house pharmacies in Bellingham and Ferndale. Speak to your pharmacist to see if your insurance covers Narcan.
Whatcom County provides Narcan to At-Risk individuals or family members, or involved bystanders of opioid related overdose through the Narcan Leave Behind Program. Contact Steven Cohen, EMS Training Specialist, at 360-820-6157 or scohen@co.whatcom.wa.us for information on Narcan Kits and training.
You can also request free Narcan to be delivered to your home online through the Washington State Naloxone Mail Order program.
Safe Medication Return at UCNW
If you have unused or expired medications, including opioids, we offer a safe medication return program to ensure they are disposed of properly. Bring any medications you have to drop boxes at our pharmacies in either Bellingham or Ferndale to safely dispose of them. By participating in this program, you’re not only protecting your loved ones from potential harm but also contributing to environmentally responsible practices.
Growing up in Hoquiam, Lisa Nelson witnessed firsthand the struggles of her parents to navigate a healthcare system that seemed designed against them. Her mother’s battle with health issues, exacerbated by the lack of affordable care options, left an indelible mark on Lisa’s life.
“I saw my mom suffer unnecessarily because of lack of health care and how that impacted her. She didn’t have an option, she had to work no matter how sick she was,” Lisa recalls.
Driven by this experience, Lisa pursued a career in pharmacy, earning her Doctor of Pharmacy from Washington State University. However, it was her transition into community health that ignited her passion for advocacy and brought her closer to effecting real change in the lives of underserved communities.
“Working in Community Health Centers, we can solve these problems, so people have access regardless of their ability to pay,” Lisa affirms.
As Chief Pharmacy Officer at Unity Care NW, Lisa recognizes the pivotal role that affordable medication plays in ensuring comprehensive healthcare. She became deeply involved in initiatives like the 340B program, which helps low-income and other vulnerable patients access more affordable medicines, leveraging it to bridge the gap between medical care and financial constraints.
“Specifically with the pharmacy and 340B, it’s a mechanism that we at the Community Health Center can utilize to make an impact on affordable medications. Because for many people, maybe they can afford to go to the doctor, but they can’t afford their prescriptions,” Lisa explains.
“With community health centers we can have a pharmacy that, instead of saying no to these patients, can say yes so at the end of the day you walk away with your medication, and you get the health outcomes you deserve,” Lisa says.
Driven by her belief in equity and fairness, Lisa is committed to streamlining processes to ensure that everyone receives the care they need without bureaucratic hurdles.
“I’m such an advocate for treating everyone the same. I want to make a system where everyone can get everything they need and if cost is an issue, we’ll figure that out without you having to fill out 14 pages of forms,” Lisa asserts.
This advocacy extends beyond the walls of Unity Care NW. As a nationally recognized expert on 340B, Lisa works with colleagues and law makers across the country to fight for fair drug pricing. She remains actively involved in various organizations, serving in leadership roles on committees and councils, engaging law makers, strategizing with other community health centers, and drafting model legislation aimed at advancing pharmacy practices and healthcare policies.
Lisa’s tireless efforts and dedication have not gone unnoticed. The National Association of Community Health Centers (NACHC) recently honored her with the Elizabeth K. Cooke Advocacy MVP Award during their 2024 Policy and Issues Forum in Washington, D.C. This prestigious award recognizes Lisa’s exceptional advocacy work and her unwavering commitment to expanding access to affordable healthcare.
Lisa Nelson’s journey from witnessing her mother’s struggles to becoming a stalwart advocate for healthcare equity exemplifies the transformative power of personal experience and unwavering dedication. Her story is echoed across the experiences of many health care advocates in the community health center movement across America. As she continues to champion accessible healthcare, her impact reverberates far beyond the confines of Washington State, resonating with communities across the nation in their pursuit of health and well-being for all.
Advocates at the National Association of Community Health Center Policy and Issues Forum. Courtesy of NACHC. Washington D.C., 1977
More than 40 years ago, Unity Care NW began treating people without access to health care and today we are proud to be one of over 1,400 Federally Qualified Health Centers serving nearly 1 in 10 Americans.
Community Health Centers were born out of the fight for civil rights and the war on poverty in the 1960s. These new health care providers empowered local communities through patient-majority governing boards, using a combination of local resources and federal funding. The National Association of Community Health Centers was later founded and played a crucial role in unifying and advocating for accessible, quality health care.
Our state and federal governments make important decisions that impact your care on a regular basis. Unity Care NW monitors legislation and advocates with our elected officials on behalf of your care but we need your help. As a patient, your voice matters! Sign up for our advocacy mailing list and play an active role in shaping healthcare policies. Receive important action alerts and make your self heard by our elected officials. Together, we can create positive change and ensure better healthcare outcomes for all.
Everyone here thrives. That’s Whatcom Community Foundation’s vision. Achieving it means lifting community voices, investing in equity, and cultivating neighborliness. Being one of our Unity Care NW Health Care Champions is just one of the many ways they are a supporting a stronger and healthier community. Like all the 1,000+ community foundations across North America, the Whatcom Community Foundation is a charitable organization created through gifts from people who care about a particular place. Anyone can contribute any amount of money to a community foundation, which pools and builds assets to meet local needs.
One way the Community Foundation is meeting its goals is by empowering the next generation of philanthropists. The Whatcom Community Foundation Youth Philanthropy Program (YPP) was created for students to engage in experiential based learning opportunities that foster leadership, technical and critical thinking skills. YPP connects youth to the community through charitable giving.
This year the team will focus on learning about youth homelessness and youth mental health challenges that often exacerbate youth homelessness in Whatcom County and across the country. Students will focus their time and effort on the powerful impact of grant award making, educating the community about the YPP program, learning leadership skills, and bringing in new members for 2025.
2023 Youth Philanthropy Project Team
In 2024, the YPP team will distribute $50,000 in grants ranging between $2,500 and $5,000 to nonprofit organizations, schools, Native American Tribes, and government agencies that address and work with children and youth (up to age 24) of all races and ethnicities in Whatcom County experiencing mental health challenges and youth homelessness. Priority will be given to programs that engage youth in program design/delivery. Do you know a youth that would be interested in participating? Click here for more information and to apply.
Thank you Whatcom Community Foundation – for the many ways you support Unity Care NW and our community.
Apple Health members need to renew their coverage every year to stay enrolled. Read on to learn more about Apple Health renewal to ensure you maintain your coverage.
How to Know if You Have Apple Health Insurance
Apple Health is the name for Medicaid in Washington. WA Apple Health is free or low-cost health insurance coverage for those who qualify. Everyone who has an Apple Health plan will have a Blue ProviderOne card like the one shown to the right. In almost all cases, the management of care for people with Apple Health insurance is delegated to a Managed Care Organization (MCO). There are five MCOs under WA Apple Health. They are Amerigroup Washington, Community Health Plan of Washington, Coordinated Care of Washington, Molina Healthcare of Washington, and UnitedHealthcare Community Plan. Your Apple Health could be through any of these MCOs and you may have been provided an additional insurance card.
What Does This Mean for Apple Health Users and Why is it Important?
Everyone using Apple Health insurance must submit information to renew their coverage. Apple Health users can only continue their coverage if they complete the Washington Apple Health renewal process on time and still qualify for Apple Health insurance.
Patients who do not take timely action before their WA Apple Health renewal period ends will lose their Apple Health coverage.
What Do Apple Health Plan Members Need to Do?
Update your contact information with the Health Care Authority. Renewal information and important notices about Apple Health coverage will go to the address on file with the HCA. Make sure your contact information is correct and up to date! The first step of your WA Apple Health renewal is tologin to the Washington Health Plan Finder website and confirm your contact information or report a change in address. More information on how to report a change can be found on the HCA website.
Watch for Apple Health renewal information – and take action! WA Apple Health renewal information will arrive in your mailbox the month before your renewal date. For example, patients with a renewal date in May will receive a renewal notice in April and must complete the process before their renewal date. Remember that people who do not complete the renewal process on time will lose their Apple Health Coverage.
What if I No Longer Quality for Apple Health Insurance? New Bellingham Office Location
Patients who no longer qualify for Apple Health insurance can find an affordable plan through the Health Plan Finder. We also offer a Sliding Fee Discount Program which lowers the cost of any services you receive not covered by your insurance. Eligibility is based on household size and income and our Enrolment Specialists can help you apply.
Need Help with Your Apple Health Renewal or Finding a New Health Plan?
Unity Care NW Enrollment Specialists can provide help with your WA Apple Health renewal or assist you with finding a new health plan at two convenient locations!
If you need assistance navigating the renewal process, or if you need help figuring out how to apply for Apple Health or assistance, schedule an appointment with one of our Enrollment Specialists in Bellingham or Ferndale. These health plan experts can walk you through the system and help you find the right plan for your specific needs.
To schedule an appointment for help with your WA Apple Health renewal or another health plan, please contact us at(360) 788-2669 and speak to one of our Enrollment Specialists or click the button below and fill out the form.
Unity Care NW (UCNW) is proud to announce that it has earned the Gold ACE status from the National Association of Community Health Centers (NACHC). This is the highest level of recognition in the NACHC Advocacy Center of Excellence (ACE) Program, which supports and recognizes health centers that achieve specific measures of advocacy success and demonstrate an ongoing commitment to advocacy by making it an organizational priority.
UCNW is one of only three health centers in Washington to have achieved Gold ACE status. This is a testament to the hard work and dedication of our staff and leadership, who are committed to advocating for health equity and access to care for the patients we serve.
The ACE Program measures advocacy success in four areas:
Policy impact: The extent to which health centers have influenced policy changes that improve access to care for their patients.
Public awareness: The extent to which health centers have raised awareness of the importance of community health centers and the challenges they face.
Workforce development: The extent to which health centers have trained and supported staff to engage in advocacy.
Organizational capacity: The extent to which health centers have the infrastructure and resources to support advocacy efforts.
We are grateful to NACHC for this recognition of our advocacy efforts. We will continue to work hard to advocate for health equity and access to care for the patients we serve.
Quote from NACHC
“Earning Gold ACE status requires serious dedication and prioritization of advocacy at your health center. Your organization is now part of an elite group that serves as an example to other Community Health Centers striving to achieve advocacy excellence. The amount of effort and time needed to achieve this requires hardworking, engaged staff and supportive leadership—two pieces of the puzzle necessary for a successful and robust advocacy program—both of which you have demonstrated.”