1. Friends of Colorado Hospitals Political Action Committee 2015 CAMPAIGN

2. CHA and Friends PAC Friends of Colorado Hospitals is CHA’s political action committee (“Friends PAC”) Enables CHA to develop stronger relationships with policymakers, which supports CHA’s advocacy efforts on behalf of Colorado hospitals Funds raised provide support to a broad, bipartisan range of candidates statewide who support the interests of Colorado hospitals  Partnership with AHAPAC supports Colorado candidates for U.S. House and Senate

3. CHA is your advocate – but needs support and engagement from hospital members Political engagement is an opportunity to influence outcomes and add important knowledge and expertise to the debate Political Action

4. Workforce Hospitals and health systems directly employ more than 75,000 people in our state. Why Advocate for Your Hospital? Economic Impact Colorado’s hospital and health systems provide $5.3 billion in payroll and benefits and create an overall $26.5 billion in direct and indirect economic activity for the state.

5. Why Advocate for Your Hospital? Government budgets and programs impact Colorado hospitals more than ever More than 50 percent of Colorado inpatient days are reimbursed through government programs In past five years, Medicaid beneficiaries have more than doubled to 1.2 million - or 1 in 5 - Coloradans Since 2010, federal government cuts have reduced total FFS revenue by 10 percent In the past two years, Colorado’s Hospital Provider Fee (HPF) has provided Colorado hospitals more than $541 million

6. Policy experts and lobbyists in Denver and Washington, D.C. develop relationships with key partners to advance members’ interests CHA provides technical expertise, as well as written and verbal testimony on key issues, and communicates with members CHA is a strong, well-respected and trusted source of information CHA Advocacy Experts and Tools State Federal

7. Advocacy: 2015 Legislative Session On behalf of Colorado hospitals and health systems, CHA … Reviewed all 682 bills introduced during the session and actively tracked 80 pieces of legislation Took formal positions on 40 bills Actively engaged legislators and legislative committees in support or opposition Invested roughly 4,000 work hours over the 120-day session lasting from January to May Achieved a 92 percent success rate overall

8. Expanded Access to Care Improves access to – and payment for – telehealth services across the state Workforce Bills Clarified statute to expand access to behavioral health services for minors Eases the requirements for Advanced Practice Nurses to obtain prescriptive authority Allows EMS providers to work across state lines and better protects emergency medical care providers Examples: Legislative Victories

9. Successfully Defeated Legislation A bill that could have given unfair bargaining power to health insurance carriers during network contract negotiations by reducing incentives for being in-network A bill that threatened to eviscerate pharmacy networks by allowing patients to fill prescriptions at any pharmacy with no cost consequences A bill that required hospitals to list the amount attributable to the Hospital Provider Fee on each patient billing statement, which would have confused consumers A bill requiring all health care providers to routinely publish “direct pay” prices, or prices self-pay consumers pay out-of-pocket if not using insurance, which would have been duplicative and burdensome to hospitals Examples: Legislative Victories

10. Ongoing Challenges Funding Threats Proposals to cut reimbursement or divert funds from the Hospital Provider Fee Increased Regulation Attempts to change billing practices, require additional reporting or restrict charges And more …

11. Friends PAC provides access to lawmakers and an opportunity to tell the hospital story. To contribute, visit www.cha.com and click “Friends of Colorado Hospitals.” Questions? Email friends@cha.com 2015 goal: $100,000 Important dates: Campaign kickoff May 22 Contributor recognition Sept. 9-11 Contributions deadlineDec. 18 Friends PAC awards January 2016 Take Action Today