collaboration and communication...hot topics on the advocacy agenda. hot topics on the advocacy...
TRANSCRIPT
Collaboration and Communication:
Partnering to Promote ImmunizationsFeaturing: Debbie McCune Davis
Welcome! Breakout Sessions #2
Debbie McCune Davis Arizona State Representative Director of the Arizona Partnership for Immunization
Hot Topics On the Advocacy Agenda
Hot Topics on the Hot Topics on the Advocacy AgendaAdvocacy Agenda
Debbie McCune DavisDebbie McCune DavisArizona State RepresentativeArizona State Representative
The Arizona Partnership for ImmunizationThe Arizona Partnership for ImmunizationProgram DirectorProgram Director
May 25, 2011May 25, 2011
Critical areas in 2011Critical areas in 2011
FundingFunding
AntiAnti--thimerosalthimerosal
Exemption relatedExemption related
Vaccine IngredientsVaccine Ingredients
School mandatesSchool mandates
ConsentConsent
Vaccine reimbursement Vaccine reimbursement
States with Anti-Thimerosal Bills Under Consideration and Enacted
2003-2011
WA
OR
NV
MT
ID
AK
UT
AZ
WY
ND
KS
NM
CO
LA
AR
IN
MI
OH
GAAL
VA
NC
SC
WV
ME
NY
PA
NHVT
HI
MO
NE
IL
WI
IA
KY MDDE
FL
DC
CA
OK
TX
SD
TN
MS
MAMN
Considered
Enacted
CT
MDDE
DC
RI
NJ
MA
Exemptions to School Immunization Requirements2011
Medical, Religious, Philosophical
Medical, Religious
Type of Exemptions Permitted
WA
OR
NV
MT
ID
AK
UT
AZ
WY
ND
KS
NM
CO
LA
AR
IN
MI
OH
GAAL
VA
NC
SC
WV
ME
NY
PA
NHVT
HI
MO
NE
IL
WI
IA
KY
FL
CA
OK
TX
SD
TN
MS
CT
MDDE
DC
RI
NJ
MAMN
Medical
Exemption-related Bills to School Immunization Requirements
2010 and 2011
Medical, Religious, Philosophical
Medical, Religious
Type of Exemptions Permitted
WA
OR
NV
MT
ID
AK
UT
AZ
WY
ND
KS
NM
CO
LA
AR
IN
MI
OH
GAAL
VA
NC
SC
WV
ME
NY
PA
NHVT
HI
IA
KY
FL
CA
OK
TX
TN
MS
CT
MDDE
DC
RI
NJ
MA
Medical
IA
VA
MS GA
WV
FL
NY
ME
NHMN
SD
NE
MO
IL
WI
Vaccine Exemption in Vaccine Exemption in Washington StateWashington State
HB1015/SB5005HB1015/SB5005
Revises personal Revises personal belief exemption to belief exemption to require a statement require a statement from HCP that parent from HCP that parent has received a has received a benefit/risk benefit/risk information.information.
Signed into law on Signed into law on May 9, 2011May 9, 2011
Vaccine ReimbursementVaccine Reimbursement in Arizonain Arizona
HB2686 - health insurance; vaccines
Discussed and held in committee
Informal discussions between health plans and AZAAP physicians about burden of inadequate reimbursement
Define AdvocacyDefine Advocacy
Informing public policyInforming public policy
Educating decision Educating decision makersmakers
Persuading people to Persuading people to take actiontake action
Marketing good scienceMarketing good science
Building relationshipsBuilding relationships
Lobbying for regulations, Lobbying for regulations, executive orders and executive orders and laws.laws.
Who can lobby?Who can lobby?
Anyone Anyone –– on their own time.on their own time.
IRS Guidelines for NonIRS Guidelines for Non--profitsprofits
20% of total annual expenditures < $500,00020% of total annual expenditures < $500,000
15% of total annual expenditures between $500,000 15% of total annual expenditures between $500,000 and $1,500,000and $1,500,000
5% of expenditures about $1,500,000 up to a ceiling 5% of expenditures about $1,500,000 up to a ceiling of $1,000,000 on total lobbying amount.of $1,000,000 on total lobbying amount.
No lobbying expense may be paid with federal grant No lobbying expense may be paid with federal grant funds.funds.
No support for partisan candidates or political activity.No support for partisan candidates or political activity.
Coalitions are PartnershipsCoalitions are PartnershipsWho are your partners?Who are your partners?
Commercial health plansCommercial health plans
Medicaid health plansMedicaid health plans
Public health departmentsPublic health departments
Private health care providersPrivate health care providers
Professional medical assoc.Professional medical assoc.
HospitalsHospitals
School nursesSchool nurses
Health community based orgs.Health community based orgs.
Peer review organizationsPeer review organizations
Learn about the Legislative Learn about the Legislative ProcessProcess
Know the players and Know the players and the languagethe language
Identify a championIdentify a champion
Work with an Work with an experienced advocateexperienced advocate
Get your message to the Get your message to the right people at the right right people at the right timetime
Follow up when action is Follow up when action is takentaken
Finding the right skill setsFinding the right skill sets
Most coalition partners Most coalition partners already:already:
Track public policyTrack public policy
Defend programs before Defend programs before committeescommittees
Seek fundingSeek funding
Lobby for policy changesLobby for policy changes
Develop white papersDevelop white papers
Participate in community Participate in community advocacy effortsadvocacy efforts
The The ““WorldWorld”” of a Legislatorof a Legislator
GeneralistsGeneralists
May have expertise or May have expertise or interest in interest in ““single issuesingle issue””
Do not think or act like Do not think or act like scientistsscientists
Reasonably smart, partially Reasonably smart, partially informed, very busyinformed, very busy
Making decisions in a political Making decisions in a political arenaarena
Rely on information from a Rely on information from a variety of sources.variety of sources.
The other side continues to The other side continues to communicatecommunicate……
Examples of eExamples of e--mails received at the AZ Legislature mails received at the AZ Legislature during the last legislative session:during the last legislative session:
"VACCINE NATION" DVD documentary release by award "VACCINE NATION" DVD documentary release by award winning film maker Gary Null PhDwinning film maker Gary Null PhD
""FluMistFluMist", inhaled Swine Flu Vaccine, MORE dangerous!", inhaled Swine Flu Vaccine, MORE dangerous!
Avoid ALL VACCINATIONS warns Dr. Avoid ALL VACCINATIONS warns Dr. MouldenMoulden
VaccineVaccine--Induced Disease Epidemic Outbreaks, since 1921Induced Disease Epidemic Outbreaks, since 1921
1918 Flu Epidemic was CAUSED BY VACCINES!1918 Flu Epidemic was CAUSED BY VACCINES!
Protect our Children from Compulsory VaccinationProtect our Children from Compulsory Vaccination
Protect Us From Compulsory PandemicProtect Us From Compulsory Pandemic
Wellness and Prevention Health Reform Digest
Today’s News (5/11/11)
On Monday and Tuesday, a number of healthcare provider groups joined together to meet with 16 key Congressional offices on the importance of the Prevention and Public Health Fund. Our thanks to Nemours for helping to spearhead the two very successful days, who together with Trust for America’s Health, were joined by participants from the American Academy of Pediatrics, American College of Cardiology, American College of Preventive Medicine, American Congress of Obstetricians and Gynecologists, American Dental Education Association, American Dietetic Association, American Academy of Pediatrics, American Physical Therapy Association, Doctors for America, and the National Association of School Nurses. Thanks again to all -- it was much appreciated, and very effective for Congressional offices to understand the importance of the Fund from a different perspective.
CQ Today reports that the Senate Democratic budget proposal would raise taxes by approximately $2 billion in the next decade while cutting spending about $1.5 trillion, resulting in $4 trillion in deficit reduction over the next 10 years. A Senate Republican plan announced by Senators Pat Toomey (R-PA), Jim DeMint (R-SC), Marco Rubio (R-FL), Mike Lee (R-UT) and Ron Johnson (R-WI), would cut spending to 18.5 percent of GDP, and reduce non-defense discretionary funding to FY 2006 levels in 2012, with a freeze through six additional years. The measure would also repeal funding for the Affordable Care Act -- http://www.scribd.com/doc/55115716/1-Pager-Balanced-Budget-Resolution-FINAL. If this news isn’t cheery enough for you, read on…
The House Appropriations Committee has released details on the FY 2012 appropriations process -- http://appropriations.house.gov/index.cfm?FuseAction=PressReleases.Detail&PressRelease_id=298&Month=5&Year=2011. Labor,
Health and Human Services, Education, and Related Agencies (Labor/HHS) Subcommittee is scheduled to mark-up its bill on July 26th, followed by full committee mark-up on August 2nd. The Labor/HHS 302(b) allocation is $18 billion (13 percent) below FY 2011 and $41.5 billion (30 percent) below the President’s request.
On the Federal Level On the Federal Level –– Join the Join the 317 Coalition317 Coalition
Special ThanksSpecial Thanks
Diane Peterson Diane Peterson –– Immunization Action Immunization Action CoalitionCoalitionhttp://http://www.immunize.orgwww.immunize.org
Amy Pisani Amy Pisani –– Every Child By TwoEvery Child By Twohttp://http://www.ecbt.orgwww.ecbt.org
317 Coalition 317 Coalition -- http://317coalition.orghttp://317coalition.org
National OrganizationsNational Organizations
American Immunization Registry AssociationAmerican Immunization Registry Association
American Nurses AssociationAmerican Nurses Association
Association for Professionals in Infection Control and EpidemiolAssociation for Professionals in Infection Control and Epidemiologyogy
Autism Science FoundationAutism Science Foundation
Every Child by TwoEvery Child by Two
Hepatitis B FoundationHepatitis B Foundation
Immunization Action CoalitionImmunization Action Coalition
National Alliance of State & Territorial AIDS DirectorsNational Alliance of State & Territorial AIDS Directors
National Association of Pediatric Nurse PractitionersNational Association of Pediatric Nurse Practitioners
Parents of Kids with Infectious Diseases (PKIDS)Parents of Kids with Infectious Diseases (PKIDS)
Partnership for PreventionPartnership for Prevention
Every Child by TwoEvery Child by Two
Hepatitis B FoundationHepatitis B Foundation
Immunization Action CoalitionImmunization Action Coalition
National Alliance of State & Territorial AIDS DirectorsNational Alliance of State & Territorial AIDS Directors
National Association of Pediatric Nurse PractitionersNational Association of Pediatric Nurse Practitioners
Parents of Kids with Infectious Diseases (PKIDS)Parents of Kids with Infectious Diseases (PKIDS)
Partnership for PreventionPartnership for Prevention
State and Local OrganizationsState and Local OrganizationsArizona Partnership for Immunization (Phoenix, AZ)California Immunization Coalition (Sacramento, CA)
Central Michigan District Health Department (Mt. Pleasant, MI)Childhood Immunization Coalition (Providence, RI)
City of Laredo Health Department (Laredo, TX)Greater Salt Lake Immunization Coalition (Salt Lake City, UT)
IHA of Ann Arbor (Ann Arbor, MI)Illinois Maternal & Child Health Coalition (Chicago, IL)
Immunization Coalition of Tompkins County (Ithaca, NY)Immunization Coalition of Washington, DC
Immunization Task Force - Metro Omaha (Omaha, NE)Oregon Adult Immunization Coalition (Portland, OR)
The Immunization Partnership (Cypress, TX)Tulsa Area Immunization Coalition (Tulsa, OK)
Washington Chapter, American Academy of Pediatrics (Mercer Island, WA)Wisconsin Chapter, American Academy of Pediatrics (Kimberly, WI)
WithinReach (Seattle, WA)
ResourcesThe Arizona Partnership for Immunization
http://www.whyimmunize.org/
Thank you!