2. Welcome! Bienvenidos! U.S.-Mexico Border Health Commission Mexico City, Mexico March 17, 2005

3. Thank You! Centers for Disease Control and Prevention National Governors Association Association of State Health Officials Association of State and Territorial Chronic Disease Program Directors

4. NCSL’s Mission To improve the quality and effectiveness of U.S. state legislatures To promote policy innovation and communication among U.S. state legislatures To ensure U.S. state legislatures a strong, cohesive voice in the federal system

5. NCSL Overview Membership Organization Serves 50 State Legislatures and 6 Territories Serves 7500 Legislators and 35,000 Legislative Staff Provides research, technical assistance and consultations Coordinates educational seminars, Policy Institutes and Forums

6. Potential Outcomes Legislation Executive Orders Budget Proposals Educational Summits Funding Mechanisms Rules or Regulations Interagency Agreements Program/Policy Initiatives Informal Partnerships Task Forces

7. Participating States Arizona California New Mexico Texas Baja California Chihuahua Coahuila de Zaragoza Nuevo León Sonora Tamaulipas

8. Institute Objectives To increase state policymakers’ knowledge of chronic disease prevalence and prevention and strategies to reduce health disparities related to chronic diseases in the U.S.-Mexican border region. To increase state policymakers’ knowledge of risk factors related to chronic disease prevention (improved nutrition, increased physical activity and tobacco use reduction).

9. Institute Objectives (con't.) To explore roles that state legislators play to develop effective health promotion and chronic disease prevention policies in the U.S.-Mexican border region. To stimulate dialogue among U.S. state legislators, U.S. and Mexican state health department staff, and non-governmental organizations about chronic disease prevention in the U.S.-Mexican border region.

10. Policy Institute Design “Who Are These People and What Are We Doing Here?”

11. Team Composition U.S. State Senators and Representatives Cabinet Secretaries/Health Commissioners Border Health Office Directors Border Health Commissioners Chronic Disease Directors Mexican State Health Department Officials Facilitators assigned by NCSL

12. Faculty and National Experts Centers for Disease Control and Prevention Secretaria de Salud Diabetes Research Center, TX Tech Medical Center U.S. Mexican Border Health Commission Pan American Health Organization Conferencia Mexicana de Congresos y Legislatores Estatles Mexican Border State Legislator

13. Policy Institute Design “Who Are These People and What Are We Doing Here?”

14. Developing State Action Plans: How is it Done? Attend plenary sessions Meet and deliberate as teams three times Consult with faculty as desired Present Action Plans twice and receive feedback from faculty and peers All guided by facilitators assigned to each team

15. Developing State Action Plans: How is it Done? Conduct a Reality Assessment Identify and Prioritize Three Goals Develop Strategies to Accomplish Goals Define Specific Steps, Stakeholders, Resources and Timelines Determine How to Implement the Action Plan

16. Visualize the Action Plan

17. The Action Plan Itself

18. The Action Plan

19. Expectations Acknowledge diverse opinions, perspectives, interests and constituents of team members. Share existing or desired state or regional policies, programs, funding, problems relevant to chronic disease prevention. Share openly and solicit input from team members, peers and faculty. Compromise, negotiate and reach decisions by consensus.

20. Expectations Consult with faculty as desired. Present the developing Action Plan Saturday afternoon. Present the final Action Plan Sunday morning. Identify technical assistance needed. Leave the Institute prepared to implement the Action Plan. Set a date for team to meet after the Institute.

21. NCSL’s Health Promotion Program, Staff Contacts Janis Elaine Borton, Program Manager –303-856-1354; janis.borton@ncsl.org Leslie Robbins, Senior Policy Specialist –303-856-1517; leslie.robbins@ncsl.org Shannon Harper, Research Analyst –303-856-1369; shannon.harper@ncsl.org