October 13, 2010 4:30 – 5:30 pm Preview of 2011 Legislative Session More Success – More Stress? Len McComb, Lobbyist, WSHA/AWPHD Randy Revelle, Senior Vice President, Policy & Advocacy, WSHA Lisa Thatcher, Lobbyist, WSHA/AWPHD Preview of the 2011 Legislative Session: More Stress More Success? Randy Revelle Len McComb Lisa Thatcher WSHA 78th Annual Meeting October 13, 2010 Washington State Hospital Association Outline of the Presentation • Washington State Legislature • WSHA Policy Priorities • Washington State Budget • Political Action Committee Washington State Hospital Association 3 Washington State Legislature Washington State Hospital Association 4 2010 Legislative Session • Difficult, exhausting, and stressful • One of the most successful in WSHA’s history • Outstanding teamwork by members and staff • The 2011 legislative session will be even more challenging Washington State Hospital Association 5 Democratic Leadership Lisa Brown Senate Majority Leader Margarita Prentice Senate Ways and Means Chair Karen Keiser Senate Health Care Chair Frank Chopp Speaker of the House Kelli Linville House Ways and Means Chair Eileen Cody House Health Care Chair Washington State Hospital Association 6 Republican Leadership Mike Hewitt Senate Minority Leader Joe Zarelli Senate Ranking Ways and Means Cheryl Pflug Senate Ranking Health Care Richard DeBoldt House Minority Leader Gary Alexander House Ranking Appropriations Doug Ericksen House Ranking Health Care Washington State Hospital Association 7 Key Legislative Races: State Senate District 6th 30th 41st 44th 45th 47th 48th Senator Challenger Marr (D) Eide (D) Gordon (D) Hobbs (D) Oemig (D) Kauffman (D) Tom (D) Baumgartner (R) Moore (R) Litzow (R) Schmidt (R) Hill (R) Fain (R) Bennett (R) Washington State Hospital Association 8 Key Legislative Races: State House District 2nd 6th 17th 21st 25th 26th 28th Representative Campbell (R) Driscoll (D) Probst (D) Lilas (D) Morrell (D) Seaquist (D) Green (D) Kelly (D) Washington State Hospital Association Challenger Wilcox (R) Ahern (R) Peck (R) Scott (R) Zeiger (R) Richards (R) Wagemann (R) O’Ban (R) 9 Key Legislative Races: State House (Continued) District Representative Challenger 35th Haigh (D) Finn (D) Griffey (R) Simpson (R) 41st Maxwell (D) Dunbar (R) 42nd Linville (D) Buys (R) 45th Goodman (D) Hastings (R) 47th Simpson (D) Hargrove (R) Open seats: 1st (2), 17th, 24th, 30th, and 40th Washington State Hospital Association 10 WSHA Policy Priorities Washington State Hospital Association 11 2011 WSHA Policy Priorities (Preliminary list) • Insurance • Nurse staffing • Adverse events reporting • Regulatory reform • Federal health care reform Washington State Hospital Association 12 Washington State Budget Washington State Hospital Association 13 Washington State Hospital Association Washington State Hospital Association 15 Current Budget Situation • The 2009-2011 budget deficit was $11.6 billion. • State revenues continue to decline; more people need help from the state • Future: Drastic cuts to services announced to balance current budget; – $520 million in across-the-board cuts – Additional cuts in the supplemental budget At least a $4 billion deficit is projected for the 20112013 biennium. • Much of the budget is protected and cannot be cut. Washington State Hospital Association 16 Who Has Authority to Do What? • Governor: Across-the-board cuts No discretion in what areas to cut • Legislature: Line item budget changes Additions and cuts Raise revenues Transfer funds Washington State Hospital Association 17 Initiatives on the November Ballot • 1053: Restore two-thirds voting requirement for revenue increases • 1082: Privatize Worker’s Compensation • 1098: Establish an income tax on high wage earners • 1100, 1105: Privatize liquor stores • 1107: Repeal taxes on candy, gum, bottled water, and soda Washington State Hospital Association 18 2011 WSHA Budget Priorities • Medicaid/hospital assessment • State health insurance • Mental health • Medicaid optional services • Supplemental payments • Increased/new fees Washington State Hospital Association 19 Political Action Committee Washington State Hospital Association Washington Hospital PAC • In 2001, WSHA membership urged PAC expansion • PAC donations – plus WHS profits and WSHA investments – make WSHA a major player. Excellent success in 2008 elections (96 percent of supported federal/state candidates were elected) Washington State Hospital Association 21 Washington Hospital PAC (continued) Very good results in 2009: 475 individuals from 91 hospitals/systems contributed $137,076. Significant PAC donations increased WSHA’s access and influence. • 2010 PAC goal is $145,000 from 500 donors. • We have raised more than $105,000. Washington State Hospital Association 22 Washington Hospital PAC (continued) $160,000 $140,000 $120,000 $100,000 $80,000 $60,000 7 51 , 4 $4 $40,000 $20,000 0 00 , 8 $3 5 ,1 3 4 6 $ 2 10 , 5 $4 7 46 , 4 $8 7 55 , 1 $4 6 21 , 7 $8 8 25 , 7 $4 0 76 , 5 $8 0 00 , 3 $9 0 00 , 2 $5 0 00 , 2 $5 $0 2005 2006 2007 AHAPAC Washington State Hospital Association 2008 2009 2010 WHPAC 23 We Need Your Help! • Stay in contact with your legislators and arrange a hospital visit this year • Answer calls to action in Inside Olympia or action alerts • Talk to community leaders about hospitals and health care • Educate reporters/editorial boards • Contribute generously to the Washington Hospital PAC! Washington State Hospital Association 24 Thank you! Questions and Comments Contact Information: Lori Martinez Policy/Advocacy Coordinator lorim@wsha.org 206-577-1838 Washington State Hospital Association 25