1. Introduction to Health Policy Prepared by: Nathaniel Schlicher, MD, JD Legislative Advisor Emergency Medicine Residents’ Association

2. Why Are You Here? Maybe… –Have to be –Need the hours –Better than a shift Or Maybe… –Want to make a difference –Want to guide change –Care about health reform

3. Objectives What is Advocacy? Legislative Process SGR Medical Malpractice Reform Health Care Reform Getting Involved

4. Advocacy Politics =

5. Advocacy is… Speaking for a cause, often for a vulnerable person

6. US!

7. What is Advocacy to You? Calling Consultants Getting that Test Free Care for All Hospital Boards Medical Staff Meetings Overcrowding Solutions State Laws Regulations Federal Policy Reimbursement

8. Why Should We Care? EMTALA

9. $138,300 / year per ER Physician $12,300 / year Average Physician

10. On call Specialists Medical Home CLOSED

11. We Need a Seat at this Table! President Obama’s Health Reform Summit Ensure multiple voices are heard

12. The Legislative Process

14. The Start Bill is Introduced Referred to Committee Referred to a Subcommittee Bart Gordon (HR 1188) Energy and Commerce Ways and Means Subcommittee On Health in both Committees

15. The Hearings Subcommittee Hearings –Report out or Table it Committee Hearings –Report out or Table it Full Chamber Considers –Approve, Defeat, Refer Back, or Table it Second House Consideration

16. The Home Stretch Compromise –Amendments referred back to original chamber –Conference committee Presidential Consideration –Sign –Veto –No Action Pass –Pocket Veto

17. Getting Involved

18. EMRA 35th year of existence –More than 9,000 members –33% of all ACEP Health Policy Committee Legislative Advisor Advocacy Handbook

19. ACEP Projects 911 Network Speakers Bureau Access to Emergency Medical Services Act of 2009 S. 468 / H.R. 1188 Jen Wiler

20. ACEP Committees Federal Governmental Affairs Committee State Legislative / Regulatory Committee Medical-Legal Committee

21. NEMPAC Election Cycle 2 years –2 million dollar goal Ranking –1 – Anesthesiology (3.12M) –2 – Orthopedics (2.37M) –3 – Radiology (1.70M) –4 – Ophthalmology (1.69M) –5 – Emergency Med (1.68M) Give-a-shift Goal –$1000 / attending –$100 / resident

22. You May Be Involved But… Rally your group / residency / friends Give a Lecture / Journal Club on Advocacy Become a Spokesperson Give your Time and Money

23. Want More Information?

24. Other Advocacy Resources Advocacy Webinar Recorded May 21, 2009 –Target Audience: Junior Faculty –Speakers: Nathan Schlicher and Gordon Wheeler ACEP Blog: –Thecentralline.org –Rotating Bloggers Advocacy Toolbox on ACEP and EMRA

25. Take Away Points Advocacy is a core competency for us Get involved, we need you! Medical Malpractice Liability Reform may live SGR Solution Not Patch is Needed Health Care Reform Results Coming Soon!

26. Many Perspectives to Keep in Mind