legislation, regulation, oh my! what government affairs can do for you!

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Legislation, Regulation, Legislation, Regulation, Oh My! Oh My! What Government Affairs Can Do What Government Affairs Can Do For You! For You! Geralyn Trujillo, MPP Director, State Government Affairs ASHP October 2009

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Legislation, Regulation, Oh My! What Government Affairs Can Do For You!. Geralyn Trujillo, MPP Director, State Government Affairs ASHP October 2009. Back to Basics. Government Affairs and State Affiliates…. ….a primer on how we can work together!. First Things First. - PowerPoint PPT Presentation

TRANSCRIPT

Page 1: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

Legislation, Regulation, Oh My!Legislation, Regulation, Oh My!What Government Affairs Can Do For What Government Affairs Can Do For

You!You!

Geralyn Trujillo, MPPDirector, State Government Affairs

ASHPOctober 2009

Page 2: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

Back to Basics

Government Affairs and State Affiliates…..

….a primer on how we can work together!

Page 3: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

First Things First

Who we are

What we do

Our issues and concerns

Government Affairs Division (GAD)

Page 4: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

What Does That Mean To You?

How do we establish our priorities?

The Overlap – Affiliates, ASHP, and State Governments

A few questions and a few answers

Page 5: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

ASHP Government Affairs Team

Page 6: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

ASHP Government Affairs Team

Brian Meyer, Director ([email protected])

Justine Coffey, Federal Regulatory Affairs ([email protected])

Joe Hill, Federal Legislative Affairs ([email protected])

Geralyn Trujillo, State Affairs ([email protected])

Page 7: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

What is it we do?

From ASHP’s website

“ASHP's Government Affairs works to be your voice on the issues that matter most to your practice.  We regularly reach out to legislators and policy makers on both the state and national level to ensure that patients benefit from your expertise.“

Page 8: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

Government Affair’s Mission

To advocate ASHP policy before federal and state policymakers

To empower the membership to partner with ASHP and its state affiliates

To use grassroots and political action to achieve our objectives

Page 9: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

Federal Legislative Affairs

Focused efforts on Capital Hill

individual offices and staff

standing Committees (HELP, Finance, etc)

Participate in several coalitions, including the Leadership for Medication Management

Why do we care?

Congress WRITES the law

Page 10: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

Federal Regulatory Affairs

Focused efforts on agenciesDEA

Health and Human Services:

CMS

HRSA

FDA

Respond to federal register notices, comment on proposed rules, meet with agency staff and officials

Why do we care?

These bodies IMPLEMENT the laws

Page 11: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

State Government Affairs

Focused on the state legislative and regulatory bodies

Respond to both proposed legislation AND proposed regulation

Why do we care?

Pharmacy is regulated at the STATE level, meaning the state legislature and state Boards of

Pharmacy ARE the front-lines for the practice.

Page 12: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

ASHP’s Top Advocacy PrioritiesFederal Legislative:

Health Care Reform Provider Status (Medicare Part B, MTM) Reinstatement of PGY2 Residency Funding Loan Forgiveness for Pharmacists

Federal Regulatory: Reimbursement Issues (340B, Pharmacy Overhead) Medication Safety (REMs) Informatics and Technology

State: Workforce: Pharmacists and Pharmacy Technicians Quality Improvement and Medication Safety Generic Substitution Technology (EMR, Telepharmacy)

Page 13: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

Government Affairs

Working for the profession, at both the federal and state levels

Variety of issues – variety of responses

Contact us – we want to hear from you!

[email protected] http://www.ashp.org/government

Page 14: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

But enough about us!

What does this mean to you?

Page 15: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

State Legislation and Regulation

ASHP PrioritiesAffiliate Priorities

Finding the Overlap

Page 16: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

Finding the Overlap

There are three shaded areas:

- Affiliate priorities match-up with legislative or regulatory movement

- ASHP priorities match-up with legislative or regulatory movement

- Affiliate AND ASHP priorities match-up with legislative or regulatory movement

Page 17: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

It’s a balancing game

50 states

Proposed legislation (estimated) in 2010: 400-16,000 bills per state

Number of ASHP staff to assist states (monitoring and responding to bills, etc): 1

Page 18: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

How?

How does ASHP determine these priorities?See the earlier slide on top advocacy issues!

Based upon discussions with members, state affiliates, policy councils, the Board of Directors, ASHP leadership, the Leadership Agenda, and staff

But how do you know about legislative and regulatory proposals?

YOU!

State Legislative Network

Subscription Services

Signing up for Board of Pharmacy newsletters and updates

Coalitions and other state-based organizations

Page 19: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

State Legislative Network

- A network of Affiliate legislative/professional affairs chairs, executives, leadership, and liaisons from the New Practitioners Forum and the Pharmacy Student Forum

- Meet monthly via conference call and annually during the Midyear Clinical Meeting

- We also have an online presence, through ASHP’s TeamSpace

- Every Affiliate needs to have a designated point person and every Affiliate should participate in the conversation!

- Need more info or want to be included? Just contact me directly ([email protected], 301-664-8687)

Page 20: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

Not Just Affiliate Partners

ASHP also works with other state organizations to educate, advocate, and promote the profession NCSL (National Conference

of State Legislatures) NAIC (National Association of

Insurance Commissioners) NCOIL (National Conference

of Insurance Legislators)

Page 21: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

Alliance for Pharmaceutical Care

Key coalition of 9 pharmacy organizations

Exhibit during the NCSL Legislative Summit every year

Opportunity for practitioners, students, and faculty to interact with state legislators and staff

July 2010 – Louisville, KY

Page 22: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

State Legislation and Regulation

ASHP PrioritiesAffiliate Priorities

Finding the Overlap

Page 23: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

So…..affiliate priorities overlap

Affiliate wants to respond

- Depends upon your membership desire, ability, and availability

- ASHP can provide some support- Background materials, limited research, guidance

- If you ask us, we will try to help!

Page 24: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

State Legislation and Regulation

ASHP PrioritiesAffiliate Priorities

Finding the Overlap

Page 25: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

So….ASHP priorities overlap

How does ASHP choose what to comment or respond to?- Is it a key priority? (example: pharmacy technicians)

- Is this a growing issue? Will the bill/regulation have impact across all the states?

What about the affiliate?- We engage with the affiliate, advising of our position and why

we wish to comment

- We provide updates on our status and share our drafted comments

- We include the affiliate in any follow-up

Page 26: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

So….ASHP priorities overlap

How does ASHP involve it’s members?

- Regular electronic newsletters and website updates

- Targeted email – done in conjunction with the state affiliate

- We also may target specific state leaders for help in outreach, education, and follow-up

Page 27: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

State Legislation and Regulation

ASHP PrioritiesAffiliate Priorities

Finding the Overlap

Page 28: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

So…..we all agree

Affiliate and ASHP priorities and proposed legislation/regulation converge!

Page 29: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

What do we do?

Coordinate, coordinate, coordinate! Maintaining communication is crucial!

What if we both care about the issue but our position is different? Communication is again paramount Very unlikely we would be on opposite sides Compromise is likely

Remember ASHP’s Mission ASHP believes that the mission of pharmacists is to help

people make the best use of medications.

Page 30: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

What ASHP can do for you

Write comment letters

Encourage ASHP members to contact legislators or Board of Pharmacy members

Assist in strategic communication and outreach

Draft, critique, and (sometimes) present formal statements

Page 31: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

Collaborative Advocacy

California Compounding

Florida Pharmacy technician training

programs

South Carolina Pharmacy technicians

Texas Modernization of pharmacy

regulations

Page 32: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

GAD and the Affiliates

We WANT and NEED your involvement Both at the Federal and State levels

Legislation and Regulation at both Federal and State levels have significant impact on the practice of pharmacy in your state

We are here to help!

Page 33: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

When it comes to the states

You are the best advocate!

Take advantage of ASHP opportunities State Legislative Network Meetings and Sessions

during ASHP Summer and Midyear Clinical Meetings

Volunteer during the NCSL Legislative Summit

Page 34: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

We’re here to help!

And remember – if you have any questions, concerns, or issues…..let us know!

Page 35: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

Questions?

Page 36: Legislation, Regulation, Oh My! What Government Affairs Can Do For You!

Geralyn Trujillo, MPP

Director, State Government Affairs

[email protected]

301-664-8687