1. October 13, 2010 4:30 – 5:30 pm Preview of 2011 Legislative Session More Success – More Stress? Len McComb, Lobbyist, WSHA/AWPHD Randy Revelle, Senior Vice President, Policy & Advocacy, WSHA Lisa Thatcher, Lobbyist, WSHA/AWPHD

2. Washington State Hospital Association Preview of the 2011 Legislative Session : More Stress  More Success? Randy Revelle Len McComb Lisa Thatcher WSHA 78th Annual Meeting October 13, 2010

3. Washington State Hospital Association 3 3 Washington State Legislature WSHA Policy Priorities Washington State Budget Political Action Committee Outline of the Presentation

4. Washington State Hospital Association 4 Washington State Legislature

5. Washington State Hospital Association 5 5 2010 Legislative Session Difficult, exhausting, and stressful One of the most successful in WSHA’s history Outstanding teamwork by members and staff The 2011 legislative session will be even more challenging

6. Washington State Hospital Association 6 6 Democratic Leadership Frank Chopp Speaker of the House Frank Chopp Speaker of the House Kelli Linville House Ways and Means Chair Kelli Linville House Ways and Means Chair Eileen Cody House Health Care Chair Eileen Cody House Health Care Chair Lisa Brown Senate Majority Leader Lisa Brown Senate Majority Leader Margarita Prentice Senate Ways and Means Chair Margarita Prentice Senate Ways and Means Chair Karen Keiser Senate Health Care Chair Karen Keiser Senate Health Care Chair

7. Washington State Hospital Association 7 7 Republican Leadership Gary Alexander House Ranking Appropriations Gary Alexander House Ranking Appropriations Cheryl Pflug Senate Ranking Health Care Cheryl Pflug Senate Ranking Health Care Joe Zarelli Senate Ranking Ways and Means Joe Zarelli Senate Ranking Ways and Means Mike Hewitt Senate Minority Leader Mike Hewitt Senate Minority Leader Richard DeBoldt House Minority Leader Richard DeBoldt House Minority Leader Doug Ericksen House Ranking Health Care Doug Ericksen House Ranking Health Care

8. Washington State Hospital Association 8 8 Key Legislative Races: State Senate DistrictSenatorChallenger 6 th Marr (D)Baumgartner (R) 30 th Eide (D)Moore (R) 41 st Gordon (D)Litzow (R) 44 th Hobbs (D)Schmidt (R) 45 th Oemig (D)Hill (R) 47 th Kauffman (D)Fain (R) 48 th Tom (D)Bennett (R)

9. Washington State Hospital Association 9 9 Key Legislative Races: State House DistrictRepresentativeChallenger 2 nd Campbell (R)Wilcox (R) 6 th Driscoll (D)Ahern (R) 17 th Probst (D)Peck (R) 21 st Lilas (D)Scott (R) 25 th Morrell (D)Zeiger (R) 26 th Seaquist (D)Richards (R) 28 th Green (D)Wagemann (R) Kelly (D)O’Ban (R)

10. Washington State Hospital Association 10 Key Legislative Races: State House (Continued) DistrictRepresentativeChallenger 35 th Haigh (D)Griffey (R) Finn (D)Simpson (R) 41 st Maxwell (D)Dunbar (R) 42 nd Linville (D)Buys (R) 45 th Goodman (D)Hastings (R) 47 th Simpson (D)Hargrove (R) Open seats: 1 st (2), 17 th, 24 th, 30 th, and 40 th

11. Washington State Hospital Association 11 WSHA Policy Priorities

12. Washington State Hospital Association 12 2011 WSHA Policy Priorities (Preliminary list) Insurance Nurse staffing Adverse events reporting Regulatory reform Federal health care reform

13. Washington State Hospital Association 13 Washington State Budget

14. Washington State Hospital Association

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16. Washington State Hospital Association 16 Current Budget Situation The 2009-2011 budget deficit was $11.6 billion. State revenues continue to decline; more people need help from the state Future: Drastic cuts to services announced to balance current budget; –$520 million in across-the-board cuts –Additional cuts in the supplemental budget At least a $4 billion deficit is projected for the 2011- 2013 biennium. Much of the budget is protected and cannot be cut.

17. Washington State Hospital Association 17 Who Has Authority to Do What? Governor: Across-the-board cuts No discretion in what areas to cut Legislature: Line item budget changes Additions and cuts Raise revenues Transfer funds 17

18. Washington State Hospital Association 18 Initiatives on the November Ballot 1053: Restore two-thirds voting requirement for revenue increases 1082: Privatize Worker’s Compensation 1098: Establish an income tax on high wage earners 1100, 1105: Privatize liquor stores 1107: Repeal taxes on candy, gum, bottled water, and soda

19. Washington State Hospital Association 19 2011 WSHA Budget Priorities Medicaid/hospital assessment State health insurance Mental health Medicaid optional services Supplemental payments Increased/new fees

20. Washington State Hospital Association Political Action Committee

21. Washington State Hospital Association 21 Washington Hospital PAC In 2001, WSHA membership urged PAC expansion PAC donations – plus WHS profits and WSHA investments – make WSHA a major player. Excellent success in 2008 elections (96 percent of supported federal/state candidates were elected)

22. Washington State Hospital Association 22 Washington Hospital PAC (continued) Very good results in 2009: 475 individuals from 91 hospitals/systems contributed $137,076. Significant PAC donations increased WSHA’s access and influence. 2010 PAC goal is $145,000 from 500 donors. We have raised more than $105,000.

23. Washington State Hospital Association 23 Washington Hospital PAC (continued)

24. Washington State Hospital Association 24 We Need Your Help! Stay in contact with your legislators and arrange a hospital visit this year Answer calls to action in Inside Olympia or action alerts Talk to community leaders about hospitals and health care Educate reporters/editorial boards Contribute generously to the Washington Hospital PAC!

25. Washington State Hospital Association 25 Thank you! Questions and Comments Contact Information: Lori Martinez Policy/Advocacy Coordinator lorim@wsha.org 206-577-1838