Get Ready for Hill Day: Essentials for Your Capitol Hill Visits - - PowerPoint PPT Presentation

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Rebecca Farley and Kirsten Reed National Council for Behavioral Health

Get Ready for Hill Day: Essentials for Your Capitol Hill Visits

Contact: Communications@TheNationalCouncil.org 202.684.7457

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Goals of Hill Day

• Educate policymakers
• Build and nurture support for behavioral

health issues

• Demonstrate the commitment of the

community

• Have fun!!!!

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Schedule Overview: Monday

• 7:30am: Breakfast & Check-in
• 8:30am–12:00pm:

 Medicaid in the 113th Congress, Kelly

Whitener

 Excellence in Mental Health Act: An Update

from the Hill, Alex Sheff & Louis Agnello

 Future Directions of U.S. Health Policy,

Susan Dentzer

 Health Reform, Essential Community

Providers, and Parity: Putting the Pieces Together for Behavioral Health, Dr. Eugene Freund, CCIIO

• 12:00pm–1:00pm: Lunch

Susan Dentzer

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“A” Breakout Sessions

• A1. Mental Health First Aid in the States: A

Toolkit for Action: Lee Johnson & Emily Jenkins

• A2. Perspectives on Parity from Managed Care:

Pamela Greenburg, Marianne Burdison, Adam Easterday, Bradley Lerner

• A3. Tools for Success on the Hill: Laurie Markle
• A4. Realizing the Promise of Health IT for

Behavioral Health: Michael R. Lardiere

Monday Schedule (cont.)

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“B” Breakout Sessions

• B1. CBHCs: What Are They and Why Should I

Care? Laura Heebner, Deborah Ekstrom, Rebecca Farley

• B2. Get Your Clients Enrolled, Jenny Sullivan
• B3. Advanced Messaging: Effective

Communications in an Era of Budget Cuts, Catherine Finley

Monday Schedule (cont.)

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Monday Schedule (cont.)

• 3:30pm–4:00pm White House Update, Sarah

Bianchi

• 4:00pm–5:00pm The 2013 Hill Day Asks:

Summary and Discussion, Chuck Ingoglia, Al Guida, & Catherine Finley

• 5:30-7:00 p.m. Capitol Hill Reception

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• 7:30am–9:00am

Breakfast and State Delegation Meet-up

• 9:00am–9:30am

Hill Day Send-off

• 9:30am–10:00am

Capitol Steps Photo

• 10:00am–5:00pm

Hill Visits!

• 5:00pm – 7:00pm Attendee Reception, Sponsored by

MHRRG/Negley

Schedule Overview: Tuesday

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Capitol Hill Reception

• This year’s Legislators
• f the Year are:

 Behavioral Health Champion

• Sen. Mark Begich (AK)

 Legislators of the Year

• Sen. Kelly Ayotte (NH)
• Sen. Roy Blunt (MO)
• Sen. Marco Rubio (FL)
• Rep. Ron Barber (AZ)
• Rep. Lynn Jenkins (KS)
• Rep. Leonard Lance (NJ)
• Sen. Mark Begich

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Capitol Hill Reception (cont.)

 Exceptional Individual Achievement

Sue Abderholden, NAMI-MN

 Outstanding Organizational

Leadership The Carter Center Mental Health Program

 Visionary Leadership by an Elected

Official California Senator Darrell Steinberg

 Lifetime Achievement in Advocacy

Ron Brand

This year’s Advocacy Leadership Award winners are:

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What issues will we talk to

• ur Members
• f Congress

about?

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ISSUE: The community behavioral health safety net is strained for funding and other resources, limiting Americans’ access to care.

• The coverage expansions under healthcare reform will lead

to increased demand in services, greater provider accountability for health outcomes

• States have cut over $4 billion from behavioral health services over

the last 4 years

• Reimbursements are not sufficient in most places to cover the

actual cost of providing services

• Lack of a definition for community behavioral health means no

data, standards of care

Hill Day Asks

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ASK: Please cosponsor the Excellence in Mental Health Act (S. 264/H.R. 1263).

• Creates federal definition/criteria for Certified Community

Behavioral Health Centers (CBHCs)

• Improves Medicaid reimbursement for CBHC services
• Makes CBHC services mandatory in Medicaid
• Supports modernization/construction of CBHCs.
• Sen. Debbie

Stabenow, D-MI

• Sen. Roy

Blunt, R-MO

• Rep. Doris

Matsui, D-CA

• Rep. Leonard

Lance, R-NJ

Hill Day Asks

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Hill Day Asks

ISSUE: Community behavioral health

• rganizations can’t access federal payments

for their use of health information technology.

• Behavioral health organizations are not

currently eligible for federal health IT incentives – and many types of BH providers are also excluded.

 People who receive care at CBHOs will not benefit from the benefits

• f HIT usage

 Limits communication among behavioral health, primary care, and

• ther providers

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ASK: Please Co-sponsor the Behavioral Health Information Technology Act (H.R. 2957)

• H.R. 2957 makes BH facilities and

certain providers eligible for payments

 Expands the list of eligible professionals to

include clinical psychologists

 Allows mental health and substance abuse

treatment facilities that have at least 10% their patient volume attributable to Medicaid recipients to receive facility payments

• Rep. Tim Murphy, R‐PA
• Sen. Sheldon

Whitehouse, D‐RI

Hill Day Asks

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Hill Day Asks

ISSUE: Lack of awareness about behavioral health conditions creates stigma and reduces access to care.

• More than 20% of Americans will experience a mental

health or substance use condition annually.

• While many Americans know how to administer first aid

and seek medical help should they come across a person having a heart attack, few are trained to provide similar help to someone experiencing a mental health

• r substance abuse crisis.

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ASK: Please Co-sponsor the Mental Health First Aid Act (S. 153/H.R. 274)

Hill Day Asks

• $20 million in grants for MHFA training programs
• Eligible entities: states, political subdivisions of states,

tribes, tribal organizations, nonprofits

• Grants will be distributed across geographical regions, with

a focus on rural areas

• Elements of MHFA Act included in S. 689
• Rep. Ron Barber,

D‐AZ

• Rep. Lynn Jenkins,

R‐KS

• Sen. Mark

Begich, D‐AK

• Sen. Kelly

Ayotte, R‐NH

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ASK: Push for action on Mental Health Awareness & Improvement Act (S. 689)

• Reauthorizes existing mental health programs

(suicide prevention, child trauma, etc.)

• Provides $20 million for “mental health awareness

training”

 Defined as evidence-based programs for recognizing the signs

and symptoms of mental illness, providing education regarding treatment resources available in the community, and the safe de-escalation of crisis situations

• 22 bipartisan cosponsors in Senate; no

House companion bill

Hill Day Asks

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Hill Day Asks

ISSUE: Major spending cuts have been proposed as part of the 2014 budget, which would decimate behavioral health funding.

• FY2013 sequester has already reduced access to

treatment and supportive services for hundreds of thousands of people and sharply cut research funding.

• Additional cuts proposed in 2014 budget would further

harm these important programs.

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ASK: Support the Senate Appropriations Committee spending levels for FY2014

• Includes level funding or increases for:

 Primary-Behavioral Healthcare Integration grants  Mental Health First Aid  Substance Abuse Prevention and Treatment Block Grant  Mental Health Block Grant  Addictions and mental health research (NIMH, NIDA)  Supportive housing  Children’s mental health  Safe and healthy schools  And more!

Hill Day Asks

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How should you prepare?

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Be sure to bring…

• Plenty of business cards
• Shoes you can walk in
• For clothing, we recommend:

 Business casual for Monday’s sessions (light

sweaters/jackets recommended for cool indoor temps)

 Business attire (suits) for Tuesday’s Hill meetings  Tissues or a handkerchief to help you “freshen up” after

walking outside

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Tips and tricks for your Hill visits

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Why should I advocate?

• YOU are an expert!!
• Our elected officials WORK FOR

US!!

• The work you do is extremely

important

• Together, we can effect change

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What Your Elected Officials Can Do For You

• Sponsor legislation to help with a specific

issue facing the behavioral health system

• Offer amendments to current legislation to

accommodate specific needs

• Persuade their colleagues about the

importance of mental health and substance abuse treatment

• Offer and support funding increases

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Preparation prior to making contact

• Learn about the elected officials you will

be meeting:

 Do they support and value mental health and substance

abuse treatment?

 What are their key issues/interests?  Have they sponsored/supported any behavioral health

initiatives in the past?

• Memorize your Elevator Speech

 We serve ___ people in ___ counties in your district. We

employ ___ people and bring in $___ into your district. Our ask is ________.

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Always remember these 5 “B’s”…

• Be early
• Be professional
• Be friendly
• Be flexible
• Be respectful of staff (they are your

best allies!)

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Tips for Advanced Advocates

• Find something positive that your

legislator has done that you can mention appreciating.

 A great op-ed about supporting veterans with PTSD?  Supporting MH coverage for kids?  Great rapid-response to a recent natural disaster?

• Check out your social network

connections

 Did the staffer go to the same alma mater as your

CEO?

 Anyone on your board a donor or friend?

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• Follow up from your meeting with a thank you note,

and any additional information that may have been requested during the meeting.

• Invite staff and elected officials to visit your

programs/facilities

• Attend their in-district town hall meetings
• Thank them for supporting specific pieces of

legislation/funding increases

• Keep them informed of issues affecting your
• rganization

After Hill Day…

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The Big Picture

• Cultivating and nurturing

relationships with elected

• fficials and staff is never

a waste of time.

• Even people who initially

appear to have little interest in behavioral health, can end up being a huge asset in the future.

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Questions?

• Rebecca Farley

Director, Policy and Advocacy RebeccaF@thenationalcouncil.org

• Kirsten Reed

Policy Associate KirstenR@thenationalcouncil.org

• Website:

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