1. April 10, 2010 PNHP Los Angeles Chapter Meeting April 10, 2010

2. Agenda ✤ 1. Review of the 2010 health reform bill ✤ 2. PNHP California Report ✤ 3. PNHP Los Angeles Membership ✤ 4. Service- Boron workers, Remote Area Medical ✤ 5. Operation Single Payer training

3. Review of the 2010 Reform Bill ✤ 1) Immediate effects are here: http://docs.house.gov/energycommerce/IMMEDIATE_P ROVISIONS.pdf http://docs.house.gov/energycommerce/IMMEDIATE_P ROVISIONS.pdf ✤ 2) Timeline is at: http://docs.house.gov/energycommerce/TIMELINE.pdf http://docs.house.gov/energycommerce/TIMELINE.pdf

4. Review of the 2010 Reform Bill ✤ PNHP Response: ✤ http://www.pnhp.org/news/2010/march/pro-single-payer-doctors- health-bill-leaves-23-million-uninsured http://www.pnhp.org/news/2010/march/pro-single-payer-doctors- health-bill-leaves-23-million-uninsured ✤ PNHP Chart Comparison: ✤ http://www.pnhp.org/sites/default/files/docs/2010/Single-Payer- Reconciliation-Comparison-Table.pdf http://www.pnhp.org/sites/default/files/docs/2010/Single-Payer- Reconciliation-Comparison-Table.pdf

5. 2010 Reform Bill ✤ Obama’s Goals ✤ Affordable ✤ Accessible ✤ Quality

6. 2010 Reform Bill ✤ Insurance Reform ✤ 2010- Add Kids, Kids with preexisting conditions, No rescissions ✤ 2014- Preexist. conditions (All), No more caps, health ins. exchange ✤ Public Subsidies ✤ 2014- Medicaid Expansion (incl. higher pay), Health Insurance Exchange Subsidies ✤ Delivery Reform ✤ 2011- Increasing reimbursement for primary care ✤ 2012- Encouraging integrated health systems ✤ 2013- Bundling; 2014- Quality Reporting; 2015- Payment Advisory Board

7. Review of the 2010 Reform Bill ✤ Highlights ✤ Expanded Medicaid and Subsidies don’t start until 2014. ✤ CBO expects essentially no change in rising premiums. ✤ 447 billion transfer of public money to the private insurance industry over 10 years. ✤ Primary insecurity of system not removed- employer based insurance. ✤ Cannot control cost with the for profit private insurance model. ✤ Prior state attempts (Tennesee, Maine, Massachusetts, Washington, Vermont) at similar reform (mandates of private insurance) failed due to cost overruns.

8. PNHP California ✤ Seven Point Plan- http://pnhpcalifornia.org/wp- content/uploads/2010/04/Single-Payer-Can-Happen-2010.pdfhttp://pnhpcalifornia.org/wp- content/uploads/2010/04/Single-Payer-Can-Happen-2010.pdf ✤ PNHPCalifornia.org- http://pnhpcalifornia.org/http://pnhpcalifornia.org/

9. Membership • Chapter membership 929 • 7 new members Jan-Mar ’10 • Outreach results – emails, telephone calls • Draft membership recruitment sheet – Bruce Hector MD • Member activities

10. Remote Area Medical ✤ Where: Los Angeles Forum ✤ When: April 27-May 3 ✤ PNHP Contact: Jerry Helman, MD (jeromehelmanmd@gmail.com)jeromehelmanmd@gmail.com ✤ Register at www.ramfreeclinic.org www.ramfreeclinic.org

11. Operation Single Payer ✤ A political advocacy tool for the California single payer movement. ✤ 1) Connecting political strategy with local action. ✤ 2) Infrastructure to enhance local team building. ✤ http://pnhpcalifornia.org/2010/03/operating-room/ http://pnhpcalifornia.org/2010/03/operating-room/

12. Operation Single Payer ✤ Step 1- Strategic Leadership develops Action Alerts: ✤ PNHP National, PNHP California, State Strategy Group (Cal.) and Leadership Conference for Guaranteed Healthcare (Nat’l) ✤ Meet monthly, develop strategic political goals. ✤ Example: Visit legislators to inform them of new research on uninsured deaths. ✤ http://pnhpcalifornia.org/2010/03/operating-room/ http://pnhpcalifornia.org/2010/03/operating-room/

13. Operation Single Payer ✤ Step 2- Communicate Action Alerts to the grassroots: ✤ monthly conference calls ✤ email blasts ✤ website postings ✤ http://pnhpcalifornia.org/2010/03/operating-room/ http://pnhpcalifornia.org/2010/03/operating-room/

14. Operation Single Payer ✤ Step 3- Grassroots performs the action: ✤ District Leader gathers the district team members ✤ schedules the visit with the legislator’s office ✤ prepares: role play, handout, timeline ✤ meets legislator or chief of staff ✤ http://pnhpcalifornia.org/2010/03/operating-room/ http://pnhpcalifornia.org/2010/03/operating-room/

15. Operation Single Payer ✤ Questions ✤ What district am I in? ✤ How many hours will this take? ✤ Do I need to understand the political system? ✤ Who is on my team? ✤ Isn’t this already being done? ✤ http://pnhpcalifornia.org/2010/03/operating-room/ http://pnhpcalifornia.org/2010/03/operating-room/

16. Operation Single Payer ✤ A political advocacy tool for the California single payer movement. ✤ 1) Connecting political strategy with local action. ✤ 2) Infrastructure to enhance local coalition building. ✤ http://pnhpcalifornia.org/2010/03/operating-room/ http://pnhpcalifornia.org/2010/03/operating-room/