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Cavarocchi Ruscio Dennis Associates
Advocacy:Understanding the Process
(or How do I gain a fair advantage?)
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What We’ll CoverWhat We’ll Cover
Why Am I Here?
How Does Congress Work?
Appropriations:Where the Rubber
Meets the Road
How Do I Make a Difference?
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““Why Am I Here?”Why Am I Here?”
Gain a better understanding of the legislative process
Learn when to get involved—and howPut my role into better perspective
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“The only thing necessary for the triumph of evil is for good people to do nothing.”
-Edmund Burke
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“Government is a trust, and the officers of the government are trustees; both are created for the benefit of the people”
-Henry Clay
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Why Lobby the Federal Government?Why Lobby the Federal Government?
To promote the interests of SGIM, patients & general public
Enable individuals to do together what they can’t do as effectively alone
Because it’s where the $$ is!!!
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What Are We Asking For?What Are We Asking For?
Fair & equitable Medicare reimbursement policies
Adequate funding for health professions training
Support for health services research
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Where The Action IsWhere The Action Is
“All legislative powers herein granted shall be vested in a Congress of the United States, which shall consist of a Senate and House of Representatives.”
Article 1. Section 1.
U.S. Constitution
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Congressional PowersCongressional Powers
“Tax, pay debts, provide defense...and
make laws to carry out the provisions
of the Constitution.” Article 1.
Section 8.
U.S. Constitution
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Cavarocchi Ruscio Dennis Associates
Congressional Powers (cont)
“No money shall be drawn from the treasury, but in consequence of appropriations made by law.”
Article 1. Section 9
U.S. Constitution
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How’s Congress Organized?How’s Congress Organized?
Leadership
Personal Offices
Committees
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Key CommitteesKey Committees
Authorizing Committees: Set overall policy, program framework, and continuing oversight
House Energy & Commerce (Dingell/Barton)Senate Health, Education, Labor & Pension
(HELP) (Kennedy/Enzi)
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Key Committees (cont)
Entitlement committees: Set overall policy, program framework, and continuing oversight for Medicare & Medicaid
House Ways & Means (Rangel/McCrery) House Energy & Commerce (Dingell/Barton) Senate Finance (Baucus/Grassley)
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Cavarocchi Ruscio Dennis Associates
Key Committees (cont.)
Budget committees: Formulate and guide overall fiscal policy
House Budget Committee (Spratt/Ryan)Senate Budget Committee (Conrad/Gregg)
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Key CommitteesKey Committees (cont.) (cont.)
Appropriations Committees: Provide funds, wield some latitude over policy
House Labor, HHS & Education (Obey/Walsh)Senate Labor, HHS & Education
(Harkin/Specter)
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How a Bill Becomes LawHow a Bill Becomes Law
INTRODUCTION COMMITTEEACTION
FLOOR ACTION ENACTMENT INTO LAW
Bill introduced in House
Referredto House
committee, whichholds hearings and
recommendspassage
House debatesand passes
Billintroducedin Senate
Referredto Senate
committee, whichhold hearings and
recommendspassage Senate debates
and passes
House and SenateMembers confer,
reach compromiseon all differences
between the two versions
Houseand Senate
approvecompromise
Presidentsigns
into law or vetoes
Legislation oftenbegins as similarproposals in both
houses
All bills mustbe approved by theHouse and SenateIn identical form
before they can besent to thepresident
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Cavarocchi Ruscio Dennis Associates
Advocacy ToolsAdvocacy Tools
SGIM Communications to CongressCapitol Hill Day-February 25, 2009Ongoing lobbyingGrassroots contacts throughout the year
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The Appropriations ProcessThe Appropriations Process
President submits budget plan (February)Budget committees develop spending limits;
Appropriations committee hold hearings (March - May)
Congress adopts overall spending plan (May 15)
Appropriations committees begin “mark-up” (May)
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The Appropriations Process The Appropriations Process (cont.)(cont.)
House and Senate begin to vote on appropriations bills (June - July)
House-Senate conference committee resolves differences (September - October)
House and Senate ratify compromises (October)
Bills sent to President for approval
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