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Note: An Annual Comprehensive Review, as required by §7 of the Federal Advisory Committee Act, is conducted each year on committee data entered for the previous fiscal year (referred to as the reporting year). The data for the reporting year is not considered verified until this review is complete and the data is moved to history for an agency/department. See the Data From Previous Years section at the bottom of this page for the committee’s historical, verified data.

Details on agency responses to committee recommendations can be found under the Performance Measures section for each committee in the fields “Agency Feedback” and “Agency Feedback Comment.”

HHS - 949 - National Advisory Council on Migrant Health - Statutory (Congress Created)


Committee NameNational Advisory Council on Migrant HealthAgency NameDepartment of Health and Human Services
Fiscal Year2022Committee Number949
Original Establishment Date7/29/1975Committee StatusChartered
Actual Termination Date Committee URL
New Committee This FYNoPresidential Appointments*No
Terminated This FYNoMax Number of Members*15
Current Charter Date11/29/1993Designated Fed Officer Position Title*Public Health Analyst, Office of Policy and Program Development, Bureau of Primary Health Care, Health Resources and Services Administration, 5600 Fishers Lane, Rockville, MD 20857
Date Of Renewal Charter9/9/2005Designated Federal Officer Prefix
Projected Termination Date Designated Federal Officer First Name*Esther
Exempt From Renewal*YesDesignated Federal Officer Middle Name
Specific Termination AuthorityDesignated Federal Officer Last Name*Paul
Establishment Authority*Statutory (Congress Created)Designated Federal Officer SuffixMBBS, MA, MPH
Specific Establishment Authority*42 U.S.C. 218Designated Federal Officer Phone*(301) 594-4496
Effective Date Of Authority*7/29/1975Designated Federal Officer Fax*(301) 594-4497
Exempt From EO 13875 Discretionary CmteNot ApplicableDesignated Federal Officer Email*
Committee Type*Continuing
Committee Function*National Policy Issue Advisory Board


Agency Recommendation*Continue
Legislation to Terminate RequiredNot Applicable
Legislation StatusNot Applicable
How does cmte accomplish its purpose?*The National Advisory Council on Migrant Health (NACMH/Council) meets bi-annually to review information and data on the health care status and services provided to U.S. migrant and seasonal agricultural workers (MSAWs) and their families. NACMH then makes recommendations to the Secretary of Health and Human Services (HHS). As a result of the travel restrictions imposed by the COVID 19 pandemic, both meetings for fiscal year (FY) 2022 were virtual, using a web based platform that supported bilingual Spanish and English channels to maximize participation. The FY 2022 meetings were held during November 2-5, 2021, and May 31-June 3, 2022. NACMH received MSAW testimonies on their health and welfare issues during the May 2022 meeting. The Council reviewed the information and data received and discussed avenues for improving MSAW health status. Based on these discussions, the Council's recommendations addressed the public health challenges associated with: agricultural labor trafficking; environmental hazards that threaten MSAWs; the impact of the climate crisis on MSAWs; MSAW hesitancy to receive COVID-19 vaccines, prevalence of long-COVID, and the pandemic's associated mental health challenges; insufficient access to adequate and safe housing; the need to improve MSAW health and maximize health center effectiveness by collaborating with growers’ associations; and greater integration of community health workers (CHW) into health center care teams. The Council’s recommendations to the HRSA Bureau of Primary Health Care (BPHC) for improving the health status and available health care for MSAWs and their families pertained to the following areas: (1). BPHC establish anti-human trafficking partnerships with federal agencies and non-federal organizations charged with work at the intersection of trafficking and health, to identify and prevent labor trafficking through national, state and community level efforts. HRSA support the creation of an evidence base for how persons who experience labor trafficking access health care and create and disseminate culturally appropriate information on labor trafficking in both oral and written format to set standards and best practices for MSAW specific trauma-informed care. (2) HRSA bring together diverse federal agencies, academic institutions, and MSAW serving organizations to build a knowledge base on the wide-ranging impact of environmental hazards on MSAWs, to provide an evidence-based response. HRSA collaborate with other federal agencies to address the increasing threat of environmental hazards by developing a strategic plan specific to agricultural workers. Migrant health centers can play an important role in prevention, education, identification, and providing treatment to environmental exposures. HRSA partner with the Environmental Protection Agency (EPA), to enhance the improvements instituted through the 2015 Agricultural Worker Protection Standards (WPS) for efficient enforcement and oversite of current Occupational Safety and Health Administration (OSHA) and EPA regulations, to collectively address the use of integrated pest management as a way to reduce chemical use and to support the expansion of the EPA Pesticide Healthcare Provider Initiative to integrate pesticide and occupational medicine. (3) HRSA collaborate with growers’ associations and other relevant partners to influence organizational-level changes to improve psychosocial working conditions for beneficial effects on health, and to reduce the cost of occupational injuries and illnesses. HRSA-supported state and regional Primary Care Associations collaborate with growers, agribusiness stakeholders and farmworker representatives to develop a comprehensive strategy to identify solutions to health issues, to establish guidelines to prioritize MSAW health. (4) HRSA-supported health centers prioritize recruiting and training CHWs from the local MSAW community to build trust, increase communication effectiveness, and deliver quality care. HRSA develop national competency standards for CHW training and practice, and guidelines and resources for the inclusion of CHWs as a part of migrant and community health center (M/CHC) care teams. (5) HHS lead an interagency, public, and private effort to address the multifaceted impact of the climate crisis on agricultural workers including but not limited to heat stress, pesticide exposure, food security, and inadequate access to clean potable water. HRSA support M/CHCs to develop community partnerships to address climate change and resulting health hazards. HRSA encourage M/CHCs to partner with local community based organizations (CBOs) to improve MSAW access to information, services, and protection against climate change related illnesses. BPHC support M/CHCs to establish local medical legal partnerships to assist patients in situations where humane working conditions may need to be negotiated. (6) HRSA address the public health challenges resulting from COVID-19 with regard to vaccine hesitancy, long-COVID, and associated mental health challenges. HRSA invest in training and utilizing MHC staff, particularly CHWs to mitigate the impact of the pandemic on MSAWs. (7) HRSA make quality improvement investments to emphasize the importance of housing as a social determinant of health and address MSAW housing disparities by expanding its upstream efforts to address social determinants of health and barriers to care efforts, by gathering information on housing conditions and challenges, including concerns about safety. Incentivizing MHCs to establish medical legal partnerships to provide referrals when threats to safety and other legal concerns are identified and encouraging MHCs to establish collaborations with local community based and public organizations providing housing related services. Additionally, HRSA collaborate with U.S. Departments of Housing and Urban Development and Agriculture to explore options to lead an all of government effort to address MSAW housing concerns.
How is membership balanced?*The Council consists of governing board members from migrant and community health centers, farmworkers, a farmer and individuals experienced in research, the medical sciences, or the administration of health programs. Most of the members are active locally and statewide on various councils and planning committees. They have diverse backgrounds and experiences. The Council also has geographic representation from the three migrant farmworker streams (east coast, mid-west, and west coast), to enable an understanding of geographic/regional MSAW health and welfare concerns.
How frequent & relevant are cmte mtgs?*The NACMH Charter requires that the Council meet bi-annually at the call of the Chair and with the advance approval of the Designated Federal Official (DFO). In adherence to safety measures and travel restrictions related to the COVID 19 public health emergency, the Council convened two virtual meetings, with four half-day sessions on November 2-5, 2021, and May 31-June 3, 2022. The meetings provided the Council members opportunities to meet (virtually) significant stakeholders working on diverse aspects of health care provision to MSAWs and their families. Additionally, the opportunity to receive testimonies from MSAWs from Oregon during the May 2022 meeting provided the Council with valuable information towards the development of recommendations for the Secretary of HHS.
Why advice can't be obtained elsewhere?*There are no other federal programs that specifically address the health needs of migratory and seasonal agricultural workers and their families with representation from governing boards and patients of migrant and community health centers. Most other groups have a primary focus in a specific area (e.g., education, agriculture, housing, etc.). The authorizing legislation for the Council defines its make-up and ensures that it consist of a majority of individuals who are directly involved in the governance of migrant health centers, and are patients of these health centers. The Council is charged with advising, consulting with, and making recommendations to the Secretary of HHS and the Administrator of HRSA regarding the organization, operation, selection, and funding of migrant health centers and other entities funded under section 330(g) of the Public Health Service (PHS) Act (42 U.S.C. §254b).The NACMH Charter requires that the Council consist of 15 members including the Chair and Vice-Chair. All members serve 4-year terms. Twelve Council members are required to be governing board members of migrant health centers and other entities assisted under section 254(b) of the PHS Act, at least nine of which must be patient board members. Three Council members must be individuals qualified by training and experience in the medical sciences or in the administration of health programs.
Why close or partially close meetings?N/A
Recommendation RemarksNACMH held two virtual meetings via video conference in FY 2022. The Council convened for four half days for each meeting to ensure the participants and recommendations represented a geographically wide perspective, and to accommodate for differences in time zones for members, MSAW testifiers, speakers and guests. The May 2022 meeting included testifiers from Oregon. The recommendations to the Secretary of HHS for the November 2021 and May 2022 meetings were submitted on January 6, 2022, and July 22, 2022, respectively.

Jose Salinas and Donalda Dodson's term end date changed from March 30, 2023, to July 3, 2023, in accordance with the Secretary of HHS's appointment of these members to serve as the current NACMH Chair and Vice-Chair.

Carmen M. Huertero-Amigon had her name changed to Maria del Carmen Huertero, effective June 19, 2022.


Outcome Improvement To Health Or Safety*YesAction Reorganize Priorities*Yes
Outcome Trust In GovernmentYesAction Reallocate ResourcesNo
Outcome Major Policy ChangesYesAction Issued New RegulationsNo
Outcome Advance In Scientific ResearchNoAction Proposed LegislationNo
Outcome Effective Grant MakingYesAction Approved Grants Or Other PaymentsNo
Outcome Improved Service DeliveryYesAction OtherNo
Outcome Increased Customer SatisfactionYesAction CommentThe recommendations from the Council provide the HHS Secretary and the HRSA Administrator valuable information to establish strategic priorities for services provided at migrant health centers.
Outcome Implement Laws/Reg RequirementsYesGrants Review*No
Outcome OtherNoNumber Of Grants Reviewed0
Outcome CommentNANumber Of Grants Recommended0
Cost Savings*Unable to DetermineDollar Value Of Grants Recommended$0.00
Cost Savings CommentNAGrants Review CommentN/A
Number Of Recommendations*458Access Contact Designated Fed. Officer*Yes
Number Of Recommendations CommentThis Council has made the decision to limit the number of recommendations to those that impact the organization, operation, selection, and funding of migrant health centers as well as other health center programs. The Reports tab contain the list of recommendations and attachments.Access Agency WebsiteYes
% of Recs Fully Implemented*60.00%Access Committee WebsiteYes
% of Recs Fully Implemented CommentSome of the recommendations made were beyond the Secretary's authority. Other recommendations were not feasible to implement at that time.Access GSA FACA WebsiteYes
% of Recs Partially Implemented*40.00%Access PublicationsNo
% of Recs Partially Implemented CommentSome of the recommendations were modified to better align with the goals and strategic plan of HHS.Access OtherNo
Agency Feedback*YesAccess CommentN/A
Agency Feedback Comment*HRSA BPHC senior leaders, managers and the DFO provide updates to the Council members on HHS/HRSA/BPHC policies and programs impacting migratory and seasonal agricultural workers and their families. These updates are provided during meetings and when requested. The Secretary also responds to the NACMH letter of recommendations by official correspondence. The public can obtain information regarding agency responses to committee recommendations by contacting the DFO.Narrative Description*The NACMH supports the Agency's mission to improve the nation's health by providing recommendations that assist the HHS Secretary and HRSA Administrator in improving the delivery of quality health care and enabling services to migratory and seasonal agricultural workers and their families.
Hide Section - COSTS


Payments to Non-Federal Members*$22,000.00Est Payments to Non-Fed Members Next FY*$21,600.00
Payments to Federal Members*$0.00Est. Payments to Fed Members Next FY*$0.00
Payments to Federal Staff*$229,115.00Estimated Payments to Federal Staff*$261,431.00
Payments to Consultants*$0.00Est. Payments to Consultants Next FY*$0.00
Travel Reimb. For Non-Federal Members*$0.00Est Travel Reimb Non-Fed Members nextFY*$52,754.00
Travel Reimb. For Federal Members*$0.00Est Travel Reimb For Fed Members*$0.00
Travel Reimb. For Federal Staff*$0.00Est. Travel Reimb to Fed Staff Next FY*$8,330.00
Travel Reimb. For Consultants*$0.00Est Travel Reimb to Consultants Next FY*$0.00
Other Costs$80,501.00Est. Other Costs Next FY*$97,086.00
Total Costs$331,616.00Est. Total Next FY*$441,201.00
Date Cost Last Modified10/18/2022 9:46 AMEst. Fed Staff Support Next FY*1.34
Federal Staff Support (FTE)*1.25Est Cost RemarksOther Costs - Logistics Contract cost for FY 2023 are projected to be higher than costs for FY 2022 because the meetings are anticipated to be held in person and include offsite meeting location cost.

Est. Fed Staff Support for Next FY is higher because an employee will devote additional time on NACMH recommendations implementation.
Cost RemarksNotes:
Travel costs for FY 2022 are lower than projected costs for FY 2023, because both FY 2022 meetings were held virtually on account of the COVID 19 pandemic travel restrictions. FY 2023 meetings are anticipated to be held in-person.

Other Costs - "Other" in Administrative Overhead signifies cost associated with Zoom for Government platform license and management.
Hide Section - Interest Areas

Interest Areas

Health Care
Medical Education
Medical Practitioners
Physical Fitness
Public Health
Occupational Safety and Health
Workforce and Occupations
Health and Health Research
Medicine and Dentistry


To View all the members, meetings and advisory reports for this committee please click here


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Data from Previous Years

ActionCommittee System IDCommittee NameFiscal Year
 COM-040430National Advisory Council on Migrant Health2021
 COM-038705National Advisory Council on Migrant Health2020
 COM-036579National Advisory Council on Migrant Health2019
 COM-034787National Advisory Council on Migrant Health2018
 COM-001874National Advisory Council on Migrant Health2017
 COM-002370National Advisory Council on Migrant Health2016
 COM-003798National Advisory Council on Migrant Health2015
 COM-004562National Advisory Council on Migrant Health2014
 COM-006097National Advisory Council on Migrant Health2013
 COM-006624National Advisory Council on Migrant Health2012
 COM-008213National Advisory Council on Migrant Health2011
 COM-008702National Advisory Council on Migrant Health2010
 COM-010400National Advisory Council on Migrant Health2009
 COM-010681National Advisory Council on Migrant Health2008
 COM-012221National Advisory Council on Migrant Health2007
 COM-012891National Advisory Council on Migrant Health2006
 COM-013792National Advisory Council on Migrant Health2005
 COM-014494National Advisory Council on Migrant Health2004
 COM-015840National Advisory Council on Migrant Health2003
 COM-016759National Advisory Council on Migrant Health2002
 COM-017600National Advisory Council on Migrant Health2001
 COM-018385National Advisory Council on Migrant Health2000
 COM-019537National Advisory Council on Migrant Health1999
 COM-020629National Advisory Council on Migrant Health1998
 COM-021449National Advisory Council on Migrant Health1997