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Advocacy 101


110th (first session) Congress at a glance -Why your advocacy is important ... Speaker of the House: Nancy Pelosi (D-CA) Minority Leader: John Boehner (R-OH) ... – PowerPoint PPT presentation

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Title: Advocacy 101

Advocacy 101
  • Getting started, making a difference!

  • Overview of Congress Process
  • Introduction to Advocacy
  • Specific Issues
  • Title VII
  • Others
  • Conclusions

  • -110th (first session) Congress at a glance
  • -Why your advocacy is important
  • - Ensuring your voice is heard
  • -phone calls
  • -letters and leave behinds
  • -in-person visits
  • -Title VII and SCHIP
  • -APA Resources


110th Congress
110th Congress Makeup
Senate 49 Democrats, 49 Republicans, 2
Independents House 232 Democrats, 201
Republicans, 2 Vacancies
Congressional Leadership
Senate Majority Leader Harry Reid
(D-NV) Minority Leader Mitch McConnell
(R-KY) House Speaker of the House Nancy Pelosi
(D-CA)Minority Leader John Boehner (R-OH)
Important Committees
House Energy Commerce- Dingell (D-MI) and
Barton (R-TX) Appropriations- Obey (D-WI) and
Lewis (R-CA) Ways Means- Rangel (D-NY) and
McCrery (R-LA) Senate HELP- Kennedy (D-MA) and
Enzi (R-MY) Appropriations- Byrd (D-WV) and
Cochran (R-MS) Finance- Baucus (D-MT) and
Grassley (R-IA)
Appropriations vs. Authorizations
  • AUTHORIZATION BILL - provides the authority for a
    program or agency to exist and determines its
    policy. It also recommends spending levels to
    carry out the defined policy, but these levels
    are not binding. Authorizations may be annual,
    multi-year, or permanent. Expiring programs
    require re-authorization. House and Senate rules
    require that authorizations be in place before
    final funding decisions are made.
  • APPROPRIATIONS BILL - provides the legal
    authority needed to spend or obligate U.S.
    Treasury funds. There are 12annual appropriations
    bills that together fund the entire federal
    government. These 12 bills must all be enacted
    prior to the start of a new fiscal year,
    designated as October 1. Failure to meet this
    deadline causes the need for temporary short-term
    funding or results in a shutdown

How A Bill Becomes Law
  • 1. Bill introduction
  • 2. Referral to committee (s)
  • 3. Committee hearings
  • 4. Committee mark-up
  • 5. Committee report
  • 6. Scheduling legislation
  • 7. House special rules, suspension of the rules,
    or privileged matter
  • 8. Senate unanimous consent agreements or
    motions to proceed
  • 9. Floor debate

How A Bill Becomes Law
  • 10. Floor amendment
  • 11. Vote on final passage
  • 12. Reconciling differences between the house and
  • 13. Amendments between the houses, or
  • 14. Conference committee negotiations
  • 15. Floor debate on conference report
  • 16. Floor vote on conference report
  • 17. Conference version presented to the president

How A Bill Becomes Law
18. President signs into law or allows bill to
become law without signature 19.
President vetoes bill 20. First chamber vote on
overriding veto 21. Second chamber vote on
overriding veto 22. Bill becomes law if 2/3 vote
to override is achieved in both
chambers 23. Bill fails to become law if one
chamber fails to
  • Overview of Congress Process
  • Introduction to Advocacy

Why your Advocacy is Important
  • Members of Congress want to be reelected
  • They want your vote and the votes of your family,
    your patients, your colleagues, your community
    members, etc.
  • You are the expert
  • No member of Congress (or their staff) can
    possibly know everything about every subject they
    vote on. Therefore, they must rely on experts to
    inform them about issues.

10 Knows of Advocacy
  • Know how to listen to what is said/not said
  • Know how to compromise
  • Know how to build coalitions
  • Know how to use the media
  • Know how to maintain your sense of humor and
    enjoy the process
  • Know the subject
  • Know the decision-maker
  • Know the community
  • Know the political situation
  • Know how to anticipate problems

Advocacy Skills/Tools/Strategies Tactics
  • Identify the issue
  • Craft the message
  • Develop Coalitions
  • Communicate the Message

Identifying the Issue
  • You care deeply about it /are knowledgeable
  • The general public is invested in the issue
  • There is a critical mass of pediatricians and
    health care professionals/experts concerned about
    the issue
  • A feasible solution to the problem exists but
    needs to be disseminated
  • Interest in the issue already exists among
    influential decision-makers
  • There may already be recognition that the issue
    is a problem in the adult population in your
    community but there has not been any discussion
    about how this problem impacts children and

What You Need
  • The facts and reliable information
  • Partner with sources of evidence
  • Develop a fact sheet to inform, educate, persuade
  • Stories or examples that illustrate the issue/the
    proposed action
  • Up-to-date/factual data are key!
  • Specific data on the specific issue for your
    state/ region/community/hospital/clinic
  • Include contact information for you/your
    organization (address, phone number, website
    address, email address, business cards)
  • Your personal experience
  • The stories of your patients experiences

Phone Calls to Congress
  • You have the option of calling your members
    Capitol Hill office or a district office
  • Ask to speak with the Health L.A. (Legislative
  • State up front that you are a pediatrician and
  • You may get voicemail. That is fine and to be
    expected. Leave a message and ask to be called

Keep your message short, clear and simple
  • I urge the Congresswoman to support adequate
    funding for Title VII Health Professions
    Programs, including pediatrics.
  • Leave your contact information and offer to serve
    as a resource for any questions about this and
    other topics related to child health.

Leave Behinds/Fact Sheets
  • No more than one page no more than 2 or 3 key
  • Be clear about what you want the elected official
    to do
  • Keep your ask short, clear, simple and state it
  • I urge you to provide 300 million for the Title
    VII Health Professions Programs in FY 2008. This
    allocation merely restores funding for these
    vitally important physician training programs to
    FY 2005 levels.

  • Add state or district-specific data whenever
    possible (i.e. ___number of children uninsured in
    your state __ eligible but un-enrolled in SCHIP
    or Medicaid)
  • Remember that the person reading your document
    may have no background whatsoever in medicine,
    public health or healthcare. Avoid using medical
    jargon or acronyms that a member of the general
    public would not understand
  • Include your contact informationfull name,
    address, phone number and e-mail address

Value of Coalitions
  • Shared vision of childrens needs
  • More effective to work together
  • Share resources and workload
  • Variety of perspectives
  • Increased knowledge of community needs

Developing a Coalition
  • Invite a broad-based group of people/organizations
    to join that reflect the breath of support for
    the issue
  • Maintain active membership in the coalition
  • Ensure the equality of voice in deliberations of
    all coalition members
  • Avoid competition among coalition members for the
    same resources and/or funding
  • Compromise is often required

  • Make sure you identify yourself as a pediatrician
    (child health professional) and a constituent in
    the first paragraph
  • If you have access to AAP resources consider the
    use of the draft sample letters on AAPs website
    by logging on the AAP Member Center at Click on Federal Affairs at
    the bottom of the page. If not, contact the APA
    as these are under development.
  • Personalize, personalize, personalizehow will
    this issue effect the elected officials district
    or state?

  • Thank the elected official if he/she has done
    something positive on behalf of children and
  • Include your contact information
  • E-mail or fax your letter it is always best to
    email to a specific staff person

  • Dear Representative/Senator
  • As a constituent and pediatrician, I urge you to
    act now to reauthorize the State Childrens
    Health Insurance Program (SCHIP).
  • Over the past 10 years, SCHIP has provided
    children, who would otherwise have been
    uninsured, with a vital source of comprehensive
    health insurance. Reauthorization of SCHIP offers
    Congress a historic opportunity to come together
    once again on a bipartisan basis for the
    nation's children to build on SCHIP and
    Medicaid's remarkable successes.
  • Nine million children currently live without any
    private or public health care coverage. Every day
    that Congress fails to enact SCHIP
    reauthorization, another 2,000 American children
    are added to those ranks. I look to you, as a
    political leader for our state, to reauthorize
    and fund SCHIP not for partisan gain, but
  • because it is the right thing to do at the right
  • Sincerely,Your name - Your street address
  • City, State Zip

Leave Behinds
  • Make your leave behind, or issue fact sheet,
    visually appealing by including white space and
    minimizing the amount of text
  • Have no more than 2 0r 3 key points to support
    your ask/request
  • Be as specific as possible with data/information
    on the subject
  • Include your contact information

(No Transcript)
In-Person Visits
  • One of the most valuable advocacy opportunities
    is the personal visit with staff or the elected
  • Focus on one issue
  • Be clear about what you are asking for
  • Provide personalized examples

In-Person Visits
  • Be prepared to meet with someone who may be young
    and has a limited background in health policy
    (avoid medical jargon, acronyms)
  • Expect the unexpected (walking and talking,
    standing in the hallway, meeting in the reception
    area meeting for 5 minutes or an hour)
  • Dress appropriately

  • If you dont know something, say so and offer to
    follow-up and make sure you do!
  • Provide written materials with greater detail
    (fact sheet, leave behind)
  • Provide your contact information and encourage
  • After the meeting, send a thank you letter by fax
    or e-mail
  • Follow-up and maintain the relationship become
    your elected officials resource on child and
    adolescent health issues
  • Be persistent

  • Overview of Congress Process
  • Introduction to Advocacy
  • Specific Issues
  • Title VII
  • Others

Title VII Health Professions Programs http//www
Title VII Health Professions Programs
-FY 2005 300 million -51 cut in FY 2006 to 145
million -FY 2007 increase to 185, but still
short of 05 levels -President Bushs FY 2008
budget provided only 10 million (for SDS
program) and zeroed-out all other Title VII
programs -House/Senate FY 2008 Labor-HHS-Education
Conference agreement - 212 million
  • Statement of Administration Policy

The Administration strongly opposes H.R. 3043
(L-HHS-E appropriations bill) because, in
combination with the other FY 2008 appropriations
bills, it includes an irresponsible and excessive
level of spending and includes other
objectionable provisions. The Presidents
Budget proposed to eliminate or reduce funding
for a number of HHS activities that have not been
proven to be effective, have already achieved
their intended purpose, or are duplicative of
other activities, such as Health Professions
training grants and the Preventive Health Block
Grant. The Administration urges the House to
adopt these reforms, in order to be a better
steward of the taxpayers dollars.
SCHIP Reauthorization
House passed the Children's Health and Medicare
Protection (CHAMP) Act of 2007 (H.R. 3162) by a
vote of 225 to 204 on August 1st. Senate August
2nd, passed the Children's Health Insurance
Program Reauthorization Act of 2007 (S. 1893/H.R.
976) by a vote of 68-31. President Vetoed the
bill, Veto override failed House and Senate
passed a second version and a veto is pending.
What You Can Do
  • See how your member voted http//
  • Let members of Congress know why SCHIP is so
    important to providing comprehensive, quality
    health care to children, and the critical need to
    reauthorize the program. Currently SCHIP is
    authorized until 12/14/07.
  • Set up an in-person meeting or send a message
    including the following key points

  • In the 10 years since it was enacted, SCHIP and
    Medicaid have reduced the number of uninsured
    children by more than one-third. Despite this,
    there are still 9 million uninsured children in
    America, the vast majority of whom are in
    families with jobs that do not offer their
    children access to affordable coverage.
  • Uninsured children are twice as likely as insured
    children to miss doctor visits and check-ups -
    and less likely to receive care for illnesses
    such as sore throats, earaches and asthma. When
    uninsured children go without needed care, small
    health problems can grow into bigger ones.

  • Pass SCHIP legislation that contains 35 billion
    in new funding to reach millions of the children
    who are eligible for SCHIP or Medicaid but
  • Every day that Congress fails to enact SCHIP
    reauthorization, another 2,000 American children
    are added to those ranks.
  • Any SCHIP legislation must also strengthen and
    improve health care for children by including a
    fair physician payment component, addressing
    citizenship and documentation issues, and
    strengthening pediatric quality measurement.

Other Important Issues
  • Reauthorization of and adequate funding for the
    Agency for Healthcare Research and Quality
  • Adequate funding for the Childrens Hospital GME
  • Support for and funding of the National
    Childrens Study

  • Overview of Congress Process
  • Introduction to Advocacy
  • Specific Issues
  • Title VII
  • Conclusions

Tips for Advocates
  • Choose your issue
  • Identify supporters
  • Develop a strategy
  • Frame your message
  • Identify solutions
  • Educate
  • Mobilize supporters
  • Testify
  • Persevere
  • And

  • VOTE!!
  • 2008 Presidential election
  • and
  • elections for 435 members of the House of
    Representatives and 1/3 of Senate is November 4,

The solution of adult problems tomorrow depends
in large measure upon the way our children grow
up today. There is no greater insight into the
future than recognizing when we save our
children, we save ourselves.-Margaret Mead,