1. American Society of Anesthesiologists Political Action Committee (ASAPAC ) Resident Recruitment

2. Overview of ASAPAC Bi-partisan, non-ideological political voice of the ASA that was founded in 1991 to advocate political issues on behalf of ALL anesthesiologists. We are not RED, we are not BLUE, we are just working for you.

4. What is ASAPAC? Political arm of the American Society of Anesthesiologists Important tool in ASA’s lobbying efforts Allows anesthesiologists to participate in politics Separate segregated fund of the ASA Regulated by the Federal Election Commission (FEC) Supports candidates in Federal races, some state races

5. What is ASAPAC? 50,000 members/38,000 solicitable members* PAC founded in 1991 Oversight by 14 Member PAC Board Run on Fiscal Year 10/1-9/30 * Can only solicit American citizens and green card holders.

6. ASAPAC 10 Year Fundraising History

7. What is ASAPAC? Donor Levels – $1000+ Chairman’s Council – $500-$900 Circle of Distinction – $1-$499 Regular Donor – $20 Resident Donors

8. ASAPAC in Operation $3.5 million+ per election cycle fund FY 2014 Total: $1,934,222 A force to be reckoned with in Washington Membership directed 7,000+ donors per year Largest Physician PAC Top 100 PAC nationally

9. ASAPAC in Action PAC Board meets at the start of the election cycle Board meets quarterly Reviews recommendations from ASAPAC donors Washington, DC fundraisers Local fundraisers and check presentations (over 350 in 2014 cycle )

10. How the money is spent 2011-2012 Election Cycle – Raised: $3.5M (donors - 2011: 6,781/2012: 7,387) – Spent: $3M – Breakdown of Spending: 60.5% R – 39.5% D – Number of Races: 222 Total – 201 House, 19 Senate, 2 State 2013-2014 Election Cycle – Raised: $3.9M (2013: 7,659/2014: 7,867 donors) – Spent: $3.8M – Breakdown of Spending: 59% R – 41% D – Number of Races: 238 Total - 213 House, 19 Senate, 6 State

11. 2010 Elections: ASAPAC Best Win % 11 ANESTHESIOLOGISTS UP "The two groups with the best winning percentages in the analysis - the American Association of Orthopedic Surgeons and the American Society of Anesthesiologists - backed more Republicans than Democrats and took a chance on some GOP challengers. By contrast, the American Hospital Association PAC, which heavily supported Democratic incumbents, wound up with a 40% success rate.”

12. Future Generation: Residents

13. Accountability at the State Level ASAPAC Representative Resident ASAPAC Resident Representative

14. Anesthesiology’s Political Activity Political action is no longer a luxury –A necessity for our specialty Political activity allows us to: –Elect supporters of our specialty –Participate in the legislative process –Raise the visibility of anesthesiology ASAPAC is our specialty’s only formal vehicle for political involvement

15. Politics Help Shape Public Policy… Who gets elected Who is most effective in Washington Who has political visibility

16. …and Public Policy Affects Our Priorities VHA nursing handbook Medicare annual updates – SGR Rural pass-through Independent Payment Advisory Board (IPAB) repeal Drug shortages Truth and transparency Graduate Medical Education EHR and meaningful use And much, much more…

17. Example Issues VHA nursing handbook –The VA has proposed a policy that will remove Physician Anesthesiologists’ oversight of Nurse Anesthetists for anesthesia care within the VA. – At present, the AANA (American Association of Nurse Anesthetists) and other Advanced Practice Nursing Organizations have lobbied in favor of this change. –The ASA has aggressively countered this insisting that it makes anesthesia less safe for our veterans. –We need your help and voice to continue this legislative battle…

18. Example Issues Rural Pass-Through –Under the Centers for Medicare and Medicaid Services (CMS) current interpretation of the statute creating the “pass-through” program, eligible rural hospitals are not permitted to use the “pass-through” funds to employ or contract with physician anesthesiologists. –The ASA, supported by ASAPAC is working to change this and need your help…

19. Example Issues Truth and Transparency –Patients lack information about the wide variety of individuals who work in health care settings. They are confused by the increasing ambiguity of health care provider-related advertising, marketing, and degree titles. –A recent survey found that 44 percent of patients find it difficult to identify who is a licensed physician (M.D. or D.O.) or other provider. –The ASA, supported by ASAPAC is working to change this and we need your help…

20. For more information… The aforementioned issues are just the beginning… To learn more, please visit: –http://www.asahq.org/advocacy/federal- activitieshttp://www.asahq.org/advocacy/federal- activities

21. They Don’t Share Our Views… AANA Newspaper Advertisement

22. What’s next for you? Join ASAPAC! – Visit the “Advocacy” section of the ASA website – Or call (202) 289-2222 Stay informed – Follow key developments via the ASA Newsletter and web site Stay in touch – As we seek to identify key lawmakers, let us know if you’ve got a strong candidate for our specialty Get involved locally! – Attend a fundraiser, deliver an ASAPAC contribution, and meet with your lawmakers!

23. Noteworthy quotes: “The more anesthesiologists take part in government, the less government will take a part of anesthesiologists.” Unknown “Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it’s the only thing that ever has.” Margaret Mead

24. Top 10 reasons to support ASAPAC… 1.Responsibility to the specialty 2.Gives something back to anesthesiology 3.Gives resources to help elect supporters of our specialty 4.Allows anesthesiologists to participate in the legislative process 5.Expands the political influence of the specialty of anesthesiology

25. …Top 10 reasons to support ASAPAC 6.It only takes 30 seconds to make your working voice heard in Washington! 7.Form of economic insurance—with low premiums 8.Be a productive/contributing part of the process 9.Nearly every aspect of our work is influenced by policy and regulations 10.If you don’t, who will?

26. For more information: Michelle Mathy in the ASA Washington Office, (202) 289-2222 m.mathy@asahq.org Mark Bicket at mark.bicket@gmail.com or any member of the Executive Boardmark.bicket@gmail.com ASAPAC at www.asahq.org/asapacwww.asahq.org/asapac