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Rebecca Farley and Kirsten ReedNational Council for Behavioral Health
Get Ready for Hill Day: Essentials for Your Capitol Hill Visits
Contact: [email protected]
202.684.7457
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Goals of Hill Day
• Educate policymakers
• Build and nurture support for behavioral health issues
• Demonstrate the commitment of the community
• Have fun!!!!
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Schedule Overview: Monday
• 7:30am: Breakfast & Check-in• 8:30am–12:00pm: Medicaid in the 113th Congress, Kelly
Whitener Excellence in Mental Health Act: An Update
from the Hill, Alex Sheff & Louis Agnello Future Directions of U.S. Health Policy,
Susan Dentzer Health Reform, Essential Community
Providers, and Parity: Putting the Pieces Together for Behavioral Health, Dr. Eugene Freund, CCIIO
• 12:00pm–1:00pm: Lunch
Susan Dentzer
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“A” Breakout Sessions• A1. Mental Health First Aid in the States: A
Toolkit for Action: Lee Johnson & Emily Jenkins• A2. Perspectives on Parity from Managed Care:
Pamela Greenburg, Marianne Burdison, Adam Easterday, Bradley Lerner
• A3. Tools for Success on the Hill: Laurie Markle • A4. Realizing the Promise of Health IT for
Behavioral Health: Michael R. Lardiere
Monday Schedule (cont.)
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“B” Breakout Sessions• B1. CBHCs: What Are They and Why Should I
Care? Laura Heebner, Deborah Ekstrom, Rebecca Farley
• B2. Get Your Clients Enrolled, Jenny Sullivan • B3. Advanced Messaging: Effective
Communications in an Era of Budget Cuts, Catherine Finley
Monday Schedule (cont.)
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Monday Schedule (cont.)
• 3:30pm–4:00pm White House Update, Sarah Bianchi
• 4:00pm–5:00pm The 2013 Hill Day Asks: Summary and Discussion, Chuck Ingoglia, Al Guida, & Catherine Finley
• 5:30-7:00 p.m. Capitol Hill Reception
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• 7:30am–9:00am Breakfast and State Delegation Meet-up
• 9:00am–9:30am Hill Day Send-off
• 9:30am–10:00am Capitol Steps Photo
• 10:00am–5:00pm Hill Visits!
• 5:00pm – 7:00pm Attendee Reception, Sponsored by MHRRG/Negley
Schedule Overview: Tuesday
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Capitol Hill Reception
• This year’s Legislators of the Year are: Behavioral Health Champion
Sen. Mark Begich (AK)
Legislators of the YearSen. Kelly Ayotte (NH)Sen. Roy Blunt (MO)Sen. Marco Rubio (FL)Rep. Ron Barber (AZ)Rep. Lynn Jenkins (KS)Rep. Leonard Lance (NJ)
Sen. Mark Begich
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Capitol Hill Reception (cont.)
Exceptional Individual AchievementSue Abderholden, NAMI-MN
Outstanding Organizational Leadership
The Carter Center Mental Health Program
Visionary Leadership by an Elected Official
California Senator Darrell Steinberg
Lifetime Achievement in AdvocacyRon Brand
This year’s Advocacy Leadership Award winners are:
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What issues will we talk to our Members of Congress
about?
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ISSUE: The community behavioral health safety net is strained for funding and other resources, limiting Americans’ access to care.• The coverage expansions under healthcare reform will lead
to increased demand in services, greater provider accountability for health outcomes
• States have cut over $4 billion from behavioral health services over the last 4 years
• Reimbursements are not sufficient in most places to cover the actual cost of providing services
• Lack of a definition for community behavioral health means no data, standards of care
Hill Day Asks
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ASK: Please cosponsor the Excellence in Mental Health Act (S. 264/H.R. 1263).• Creates federal definition/criteria for Certified Community
Behavioral Health Centers (CBHCs)• Improves Medicaid reimbursement for CBHC services• Makes CBHC services mandatory in Medicaid• Supports modernization/construction of CBHCs.
Sen. Debbie Stabenow, D-MI
Sen. Roy Blunt, R-MO
Rep. Doris Matsui, D-CA
Rep. Leonard Lance, R-NJ
Hill Day Asks
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Hill Day Asks
ISSUE: Community behavioral health organizations can’t access federal payments for their use of health information technology.• Behavioral health organizations are not
currently eligible for federal health IT incentives – and many types of BH providers are also excluded. People who receive care at CBHOs will not benefit from the benefits
of HIT usage Limits communication among behavioral health, primary care, and
other providers
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ASK: Please Co-sponsor the Behavioral Health Information Technology Act (H.R. 2957)• H.R. 2957 makes BH facilities and
certain providers eligible for payments Expands the list of eligible professionals to
include clinical psychologists Allows mental health and substance abuse
treatment facilities that have at least 10% their patient volume attributable to Medicaid recipients to receive facility payments Rep. Tim Murphy, R‐PA
Sen. Sheldon Whitehouse, D‐RI
Hill Day Asks
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Hill Day Asks
ISSUE: Lack of awareness about behavioral health conditions creates stigma and reduces access to care.• More than 20% of Americans will experience a mental
health or substance use condition annually. • While many Americans know how to administer first aid
and seek medical help should they come across a person having a heart attack, few are trained to provide similar help to someone experiencing a mental health or substance abuse crisis.
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ASK: Please Co-sponsor the Mental Health First Aid Act (S. 153/H.R. 274)
Hill Day Asks
• $20 million in grants for MHFA training programs• Eligible entities: states, political subdivisions of states,
tribes, tribal organizations, nonprofits• Grants will be distributed across geographical regions, with
a focus on rural areas• Elements of MHFA Act included in S. 689
Rep. Ron Barber, D‐AZ
Rep. Lynn Jenkins, R‐KS
Sen. Mark Begich, D‐AK
Sen. Kelly Ayotte, R‐NH
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ASK: Push for action on Mental Health Awareness & Improvement Act (S. 689)• Reauthorizes existing mental health programs
(suicide prevention, child trauma, etc.)• Provides $20 million for “mental health awareness
training” Defined as evidence-based programs for recognizing the signs
and symptoms of mental illness, providing education regarding treatment resources available in the community, and the safe de-escalation of crisis situations
• 22 bipartisan cosponsors in Senate; no House companion bill
Hill Day Asks
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Hill Day Asks
ISSUE: Major spending cuts have been proposed as part of the 2014 budget, which would decimate behavioral health funding.• FY2013 sequester has already reduced access to
treatment and supportive services for hundreds of thousands of people and sharply cut research funding.
• Additional cuts proposed in 2014 budget would further harm these important programs.
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ASK: Support the Senate Appropriations Committee spending levels for FY2014• Includes level funding or increases for: Primary-Behavioral Healthcare Integration grants Mental Health First Aid Substance Abuse Prevention and Treatment Block Grant Mental Health Block Grant Addictions and mental health research (NIMH, NIDA) Supportive housing Children’s mental health Safe and healthy schools And more!
Hill Day Asks
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How should you prepare?
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Be sure to bring…• Plenty of business cards• Shoes you can walk in• For clothing, we recommend: Business casual for Monday’s sessions (light
sweaters/jackets recommended for cool indoor temps) Business attire (suits) for Tuesday’s Hill meetings Tissues or a handkerchief to help you “freshen up” after
walking outside
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Tips and tricks for your Hill
visits
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Why should I advocate?
• YOU are an expert!!• Our elected officials WORK FOR
US!!• The work you do is extremely
important • Together, we can effect change
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What Your Elected Officials Can Do For You
• Sponsor legislation to help with a specific issue facing the behavioral health system
• Offer amendments to current legislation to accommodate specific needs
• Persuade their colleagues about the importance of mental health and substance abuse treatment
• Offer and support funding increases
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Preparation prior to making contact
• Learn about the elected officials you will be meeting: Do they support and value mental health and substance
abuse treatment?What are their key issues/interests? Have they sponsored/supported any behavioral health
initiatives in the past?
• Memorize your Elevator SpeechWe serve ___ people in ___ counties in your district. We
employ ___ people and bring in $___ into your district. Our ask is ________.
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Always remember these 5 “B’s”…
• Be early• Be professional• Be friendly• Be flexible• Be respectful of staff (they are your
best allies!)
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Tips for Advanced Advocates• Find something positive that your
legislator has done that you can mention appreciating. A great op-ed about supporting veterans with PTSD? Supporting MH coverage for kids? Great rapid-response to a recent natural disaster?
• Check out your social network connections Did the staffer go to the same alma mater as your
CEO? Anyone on your board a donor or friend?
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• Follow up from your meeting with a thank you note, and any additional information that may have been requested during the meeting.
• Invite staff and elected officials to visit your programs/facilities
• Attend their in-district town hall meetings• Thank them for supporting specific pieces of
legislation/funding increases• Keep them informed of issues affecting your
organization
After Hill Day…
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The Big Picture
• Cultivating and nurturing relationships with elected officials and staff is never a waste of time.
• Even people who initially appear to have little interest in behavioral health, can end up being a huge asset in the future.
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• #HillDay13• @nationalcouncil• Post photos to Facebook
Join the Conversation: Social Media at Hill Day 2013
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Director, Policy and [email protected]
• Kirsten ReedPolicy [email protected]
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