legislation, regulation, oh my! what government affairs can do for you! geralyn trujillo, mpp...
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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
Back to Basics
Government Affairs and State Affiliates…..
….a primer on how we can work together!
First Things First
Who we are
What we do
Our issues and concerns
Government Affairs Division (GAD)
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
ASHP Government Affairs Team
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])
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.“
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
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
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
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.
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)
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
But enough about us!
What does this mean to you?
State Legislation and Regulation
ASHP PrioritiesAffiliate Priorities
Finding the Overlap
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
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
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
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)
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)
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
State Legislation and Regulation
ASHP PrioritiesAffiliate Priorities
Finding the Overlap
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!
State Legislation and Regulation
ASHP PrioritiesAffiliate Priorities
Finding the Overlap
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
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
State Legislation and Regulation
ASHP PrioritiesAffiliate Priorities
Finding the Overlap
So…..we all agree
Affiliate and ASHP priorities and proposed legislation/regulation converge!
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.
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
Collaborative Advocacy
California Compounding
Florida Pharmacy technician training
programs
South Carolina Pharmacy technicians
Texas Modernization of pharmacy
regulations
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!
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
We’re here to help!
And remember – if you have any questions, concerns, or issues…..let us know!
Questions?
Geralyn Trujillo, MPP
Director, State Government Affairs
301-664-8687