1. 1 ACC Advocacy: Introductions and Current State Issues

2. 2 Current Advocacy Structure

3. 3 State Advocacy Forecast

4. 4 Legislation Already in Play ARKANSAS: SB 51 - Would require disclosure of investment, ownership, or contractual interest by health care providers who refer patients for various diagnostic services. ARIZONA: HB 2376 - Requires "medical services" to be performed by the "appropriate specialties.” KENTUCKY: Lt. Governor (and physician) David Mongiardo to push for EMR VIRGINIA: Governor Tim Kaine has proposed increase in tobacco tax

5. 5 Lt. Governor’s Challenge

6. 6 “YOUR HEART IS IN YOUR HANDS” Coordinating Committee: Lt. Gov. Barbara O' Brien (CO) - Chairman Lt. Gov. Bill Bolling (VA) - Member Lt. Gov. Dr. Daniel Mongiardo (KY) - Member Lt. Gov. Rick Sheehy (NE) - Member Participating states: Lt. Governor Bill Bolling, (VA) Sec. of State Jan Bewer (AZ) Lt. Governor Daniel Mongiardo (KY) Lt. Governor Rick Sheehy (NE) Lt. Governor Jim Folsom (AL) Lt. Governor Barbara O'Brien (CO) Lt. Governor Andre Bauer (SC) Lt. Governor Diane Denish (NM) Lt. Governor Sean Parnell (AK) Lt. Governor Patty Judge (IA) Lt. Governor Peter Kinder (MO)

7. 7 Upcoming Advocacy Events Arizona Legislative Day: February 2-3 Indiana Legislative Day: February 11-12 Nevada Legislative Day: March 4-5 National Lieutenant Governors Association Meeting: March 11-13 Alabama Legislative Day: March 25-26 ACC Annual Scientific Session Ohio Legislative Day: May 4-5

8. 8 SAVE THE DATE! Sept. 13-15, Washington, D.C. Analysis of complex health policy issues Meetings with legislators and regulatory experts Political experts, seasoned policy veterans Networking opportunities with colleagues ACC Legislative Conference

9. 9 Chapter Affairs Extranet members.acc.org/extranet

10. 10 members.acc.org/extranet Chapter Affairs Extranet

11. 11 Legislative Tracking on the Extranet members.acc.org/extranet

12. 12 Legislative Tracking on the Extranet members.acc.org/extranet

13. 13 Advancing Quality Cardiovascular Care through… Science Education Advocacy

14. 14 The Path to Power Cardiologists must work together to fulfill the advocacy component of ACC’s mission: Combining voices to impact the political process Combining resources to send a powerful message to Congress Combining power to preserve healthcare

15. 15 ACC PAC Mission Contribute to the campaigns of those Members of Congress who support the College’s legislative agenda Gain BETTER access to high profile legislators, especially committee chairs and leadership Build grassroots and fundraising potential to bring about election results favorable to our advocacy goals

16. 16 ACC PAC Criteria for Political Contributions The PAC Board considers the following criteria in determining political disbursements: 1. Leadership position 2. Committee assignment 3. Past voting record on OUR issues 4. Medical profession: MD, DO, etc. 5. Personal relationship with ACC member 6. Likelihood to win – polls, district

17. 17 ACC PAC : Disbursements to Candidates in the 2006 Election Cycle (2005 and 2006) Contributions made to 120 candidates, leadership PACs and party committees Total of $441,100 disbursed 74% given to Republicans 26% given to Democrats

18. 18 ACC PAC: Disbursements to Candidates in the 2008 Election Cycle (2007 and 2008) Contributions made to over 250 candidates, leadership PACs and party committees Total of $997,289 disbursed 56% given to Democrats 44% given to Republicans Our influence is growing, but our competitors are still giving more

19. 19 Why Contribute to ACC PAC? 100% of your personal contributions are used to support the election of pro-physician candidates to Congress Currently, only 7% of our members contribute to ACC PAC Other specialty groups have better-funded PACs, giving them an advantage at the decision making table: more funds = greater access

20. 20 Where do we stand? Physician Specialty PAC Receipts 2008 Cycle

21. 21 1American Medical Association$2,482,412 2American Society of Anesthesiologists$2,443,784 3American Dental Association$2,000,525 4American Association of Orthopaedic Surgeons$1,944,606 5American College of Radiology$1,349,536 6American College of Emergency Physicians$1,192,387 7American Academy of Ophthalmology$1,082,687 8College of American Pathologists$788,317 9American College of Surgeons Professional Association$787,098 10American Osteopathic Information Association$691,451 11American Academy of Family Physicians$631,175 12American College of Cardiology$558,501 13American Psychiatric Association$540,532 14American College of Obstetrics and Gynecology$522,786 15American Academy of Dermatology$511,423 16American Academy of Neurological Surgeons$436,515 17American Urological Association$322,541 18The Society of Thoracic Surgeons$316,346 19American Academy of Otolaryngology-HNS$310,912 20Society of Plastic Surgery$227,566

22. 22 Giving to ACC PAC Only U.S. members can donate to the PAC Need personal funds, not corporate- only personal contributions can be used for political giving ACC PAC can solicit from over 25,000 Members –In 2005, ACC PAC raised $625,726 1,541 Contributors –In 2006, ACC PAC raised $522,628 1,200 Contributors –In 2007, ACC PAC raised $607,135 1,731 Contributors –In 2008, ACC PAC raised $646,602 1,862 Contributors

23. 23 ACC PAC: Financial Overview 2008 Election Cycle: $1,253,737 raised in 2007 and 2008 (includes both “hard” and “soft” receipts) 2,707 individuals contributed Average per contributor = $463

24. 24 ACC PAC Goals : 2009 $1000 from 1000 Campaign 100% BOT Participation 100% BOG Participation Improve hard dollar ratio (36% of 2008 contributions were soft dollars) Increase number of contributors (1,862 in 2008)

25. 25 For more information… Please visit: www.accpacweb.org

26. 26 For more information… Or contact: Nick Morse Associate Director, Political & Legislative Affairs nmorse@acc.org 202-375-6372