66 th Town Hall Meeting July 2017

Transcription

1 66 th Town Hall Meeting At the request of constituents, ongoing meetings have been scheduled as a result of the initial meetings held in July Representative Pamela A. DeLissio

2 Goals of my Town Hall Meetings 1. Inform constituents about how the legislative process works. 2. Dialogue about current legislative initiatives. 3. Identify other state related concerns. Representative Pamela A. DeLissio

3 Committee Assignments OAging and Older Adult Services OAgriculture and Rural Affairs OChildren and Youth OHealth OState Government

4 Our Discussion Quick Budget Update & HB1688 Pennsylvania Health Care Plan

5 State Budget Update O Spending plan - $32 billion O Gov. Wolf has allowed HB218 to lapse into law without his signature O Constitutionally mandated to deliver balanced budget O $2 billion deficit in current budget

6 State Budget Update O Let s Get the PA State Budget Done O ADw0ZP6jI&list=PL07F6E314CAFF12D2

7 State Budget Update O Governor D (1) O Senate Republicans (34) O Senate Democrats (16) O House Republicans (121) O House Democrats (82)

8 State Budget Update O Concept of borrowing O Sustainable, recurring revenue? O Expanded gaming O Video Gaming Terminals (VGT) O Mini casinos O Internet gaming O Sports betting O Marcellus Shale O Not funding non-preferreds ($600 million) O Closing the Delaware Loophole O PIT last raised in 2004 O SUT last raised in 1968

9 Premise (Health Care is a Right) We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness. That to secure these rights, Governments are instituted among Men, deriving their just powers from the consent of the governed, That whenever any Form of Government becomes destructive of these ends, it is the Right of the People to alter or to abolish it, and to institute new Government, laying its foundation on such principles and organizing its powers in such form, as to them shall seem most likely to effect their Safety and Happiness.

10 Premise (Health Care is a Right) O Tonight s discussion is about how to provide health care to all our citizens O What do citizens want? O What are citizens willing to pay for? O How should it be structured? O Universal Health Care O Single Payer Health Care

11 Definition O Universal health coverage: O Universal health coverage (UHC) means that all people and communities can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship. World Health Organization (WHO) O Single-payer health coverage: O Single-payer national health insurance, also known as Medicare for all, is a system in which a single public or quasi-public agency organizes health care financing, but the delivery of care remains largely in private hands. Physicians for a National Health Program (PNHP)

12 Premise (Health Care is a Right) O List of industrialized nations with single payer O Single payer history in U.S. O Single payer history in PA O HB1688 is a work in progress

13

14 Different System Types

15 U.S. History of Single Payer O Rep. John Conyers (D), Michigan has introduced HR676, the Expanded & Improved Medicare For All Act in every Congressional Session since HR676 is also referred to as the The United States National Health Care Act O It was introduced this Session on January 24th, 2017 O To date, it has 115 cosponsors O All cosponsors are in the Minority Party

16 States that introduced Single Payer Legislation O California O Colorado O Delaware O Hawaii O Illinois O Maine O Maryland O Massachusetts O Minnesota O Montana O Nevada O New Mexico O New York O Ohio O Oregon O Pennsylvania O Rhode Island O South Carolina O Vermont* O Washington * Vermont is the only state that has had legislation fully pass but has yet to be enacted there.

17 O : PA History of Single-Payer O SB1085 Sen. Ferlo (D), District 38 O HB2722 Rep. Bebko-Jones (D), District 1 O : O SB300 Sen. Ferlo O HB1660 Rep. Manderino (D), District 194

18 PA History of Single-Payer O O SB400 Sen. Ferlo O HB 1660 Rep. Manderino O : O SB400 Sen. Ferlo O HB2551 Rep. Payton (D), District 179 O : O SB400 Sen. Ferlo

19 PA History of Single-Payer O : O HB1688 Rep. DeLissio (D), District 194 O : O HB1688 Rep. DeLissio

20 Premise (Health Care is a Right) O Tonight s discussion is about how to provide health care to all our citizens O What do citizens want? O Currently, ACA: O Does not exclude pre-existing conditions O No lifetime cap O Covered on parents plan until 26 y/o O Defines essential services

21 Premise (Health Care is a Right) O ACA Essential Services: O O O O O O O O O O Ambulatory patient services (outpatient services) Emergency services Hospitalization Maternity and newborn care Mental health and substance use disorder services, including behavioral health treatment Prescription drugs Rehabilitative and habilitative services (those that help patients acquire, maintain, or improve skills necessary for daily functioning) and devices Laboratory services Preventive and wellness services and chronic disease management Pediatric services, including oral and vision care

22 Premise (Health Care is a Right) O Tonight s discussion is about how to provide health care to all our citizens O What are citizens willing to pay for? O How much are citizens willing to pay? O Cost control O Equipment O Pharmaceuticals O Administrative O Advertising/Marketing

23 Premise (Health Care is a Right) O Tonight s discussion is about how to provide health care to all our citizens O How should it be structured? O Income tax? O Employer participation?

24 HB1688

25 HealthCare4AllPA O HealthCare4AllPA is a non-profit organization, founded in 2006 to educate people on single payer and secure a true comprehensive universal health care system for every citizen of Pennsylvania. O Their mission is to educate the public, as well as our elected officials, on why we need to improve upon our current health care system, and to support and encourage legislation.

26 Economic Impact Study (EIS) O Paid for by HealthCare4AllPA O Conducted in 2013 O Authored by: O Gerald Friedman, Ph.D. O Department of Economics O University of Massachusetts at Amherst O Can be found on HealthCare4AllPA website

27 Possible Outcomes of Single Payer O Individuals: O Elimination of job-lock O Elimination of premiums, co-pays, deductibles and out-of-pocket expenses O Potential property tax reduction due to savings to municipalities and school districts O Potential increase in net income for the bottom 85% of working Pennsylvanians

28 Possible Outcomes of Single Payer O Businesses: O Maintain job creation in health care sectors of the PA economy O Potential savings on health care benefits O Ability to hire regardless of health care benefits O Declining payroll costs O Lower cost for vehicle and liability insurance O Lower workers compensation O Elimination of COBRA obligations

29 Possible Outcomes of Single Payer O Businesses (continued): O Tort reform O Removal of retiree health care costs, or legacy costs O Promotion of true free and open market principles at the provider level, not the insurance company level

30 Tracking Legislation O To view and track legislation: O PA General Assembly Website: O O On the website, you can obtain information about legislation, see how members voted, view Committee information and the House calendar, sign up for legislative updates and anything else related to the PA General Assembly.

31 Tracking Legislation O To view and track legislation:

32 O Contact your legislators O Write O Fax O O Telephone O Social Media Advocacy O It is helpful to know the bill number, the committee the bill is in and any other pertinent information.

33 Advocacy O Contact legislators in their capacity as members of a specific committee O I have already contacted my representative and am contacting you in your capacity as a committee member O A reminder to be realistic O Acknowledgment from a legislator s office that they have received your correspondence

34 Advocacy O Get involved with organizations important to you O VOTE!

35 Redistricting O Congressional redistricting occurs every 10 years in tandem with the census. O The next census is in 2020 O The next redistricting is in 2021 O Current redistricting is plagued by partisan politics

36 Redistricting Reform Pledge

37 Redistricting ODistricts per our State Constitution are to be compact, contiguous and keep communities whole. OThe following slides are examples of gerrymandered districts.

38 U.S. Representative Pat Meehan 7 th District

39 U.S. Representative Lou Barletta 11 th District

40 U.S. Representative Brendan Boyle 13 th District

41 State Senator Vincent Hughes 7 th District

42 State Representative Pam DeLissio 194 th District

43 Redistricting Reform O Legislation has been proposed to reform how redistricting happens in PA. O SB22 13 cosponsors to date O HB cosponsors to date O Redistricting reform will require a Constitutional amendment. O Redistricting reform may have an opportunity to move forward at this time.

44 Redistricting Reform Fair Districts PA is a coalition of citizens and nonprofits, led by Common Cause PA and the League of Women Voters, who believe that in American democracy, elections should represent the will of all the people, not just the politicians, and should provide citizens with meaningful choices in electing representatives. They believe Pennsylvania needs to reform its redistricting rules and make the process of drawing districts impartial, transparent, and accountable, promoting competitive elections and partisan fairness so that our government truly is of, by and for the people. /FairDistrictsPA General Facebook Page Fair Districts PA Philadelphia Facebook Group for

45 Redistricting Reform The Committee of Seventy supports redistricting reform. Their website also contains information about redistricting.

46 League of Women Voters The League of Women Voters is a citizens organization that has fought since 1920 to improve government and engage all citizens in the decisions that impact their lives. The centerpiece of the League s efforts remain to expand participation and give a voice to all Americans. They do this at all three levels of government, engaging in both broad educational efforts as well as advocacy.

47 Common Cause PA Common Cause Pennsylvania (CCPA) is a government reform organization in Pennsylvania. They are a non-profit, non-partisan, citizen-led advocacy organization working to hold government accountable and make government responsive to the needs of its citizens. For over four decades CCPA has worked to build a better democracy at the state, local and national levels through citizen action. CCPA provides leadership through grassroots organizing, creative coalition building, aggressive lobbying, in-depth research, public education, and when necessary, through litigation.

48 Voting Turnout O Voter turnout in non-presidential election years O Voter turnout percentage by county: County Philadelphia 12% 37% 26% Montgomery 24% 48% 32% O Voter turnout in presidential election years O Voter turnout percentage by county: County Philadelphia 64% 66% Montgomery 75% 78%

49 Voting Improvements O Optional Vote By Mail O No excuse absentee ballots O Youth Voter Preregistration O 16 and 17 year olds would register through PennDOT or their high school in advance of turning 18 O In-Person Early Voting O 33 states and the District of Columbia offer their voters choice through in-person early voting O Same-Day Voter Registration O Currently, PA cuts off registration 30 days before an election

50 Voting Improvements Keystone Votes is a nonpartisan coalition of advocacy and community organizations joined together to launch a coordinated campaign to update Pennsylvania s election system.

51 Campaign Finance O For State elected offices, there is no contribution limit by individuals, PACs or any other entity permitted to contribute. O For Federal elected offices, an individual can donate $2,700 per election to a candidate committee. O In 2010, an individual contributed $100,000 to the PA Republican Gubernatorial candidate.

52 O Public Financing Campaign Finance O 13 states offer public funds to political candidates for state offices O Candidates who accept public funding must limit their expenditures O Matching funds are traditionally provided by candidates who fundraise from private sources, with certain $ limits placed upon them O Clean elections candidates participate in campaigns with only public funds no fundraising

53 Campaign Finance O O The PA Dept. of State's Website posts campaign finance reports filed by candidates for statewide, legislative and judicial offices, and political committees registered in PA. O Reports filed by local candidates or political committees can be viewed by contacting the county Board of Elections. January 2014

54 Bills by the Numbers Session House Senate Total Introduced Total Signed by Governor , , ,379 1,361 3, ,554 1,514 4,

55 Resolutions by the Numbers Session House Senate Total , , , ,601

56 Voter Registration Where it all begins O October 10, 2017 Deadline to REGISTER for November Municipal General Election O October 31, 2017 Last day to apply for absentee ballot O to obtain an absentee ballot application and find your polling place O November 3, 2017 Last day absentee ballot can be RECEIVED by County Election Office O November 7, 2017 General Election Day, polls open 7:00 AM to 8:00 PM

57 Online Voter Registration register.votespa.com

58 Civic engagement begins where we live. Are you a member of your local civic? Application forms in the back and in my District Office. Blueprint for Civic Associations in the 194th Internship project January 2014 Join Your Local Civic!

59 January 2014 Apprise Health Insurance Counseling 3 rd Tuesday of the Month August 15 th September 19 th October 17 th

60 PennWATCH is your window into Pennsylvania state government. Using the tools on this website, you can find in-depth information about the state budget and revenues, how that money is being spent and the results your tax dollars are achieving. January 2014

61 How We Voted Updates on Budget - Democratic - Republican - Governor January 2014

62 State House & Senate Sessions Committee Hearings & State Judiciary proceedings on PCN Comcast Verizon - 9 January 2014

63 Elected Officials City/County - Philadelphia O Councilman Curtis Jones District 4 Roxborough Office O 5462 Ridge Avenue., Philadelphia, PA O City Hall Office O Room 404, City Hall, Philadelphia, PA O O Curtis.jones.jr@phila.gov O Mayor Jim Kenney O Office 215, City Hall Philadelphia, PA O O James.Kenney@phila.gov

64 Elected Officials County - Montgomery O Commissioner Dr. Valerie Arkoosh, Chair O val@montcopa.org O Commissioner Joseph Gale O joe@montcopa.org O Commissioner Kenneth Lawrence O ken@montcopa.org O Office: O One Montgomery Plaza, 425 Swede St. Norristown, PA O

65 Elected Officials Township - Montgomery O Commissioner Paul McElhaney Ward 3 O pmcelhaney@outlook.com O O Commissioner George Manos Ward 9 O George@gtmanos.com O O Commissioner C. Brian McGuire Ward 13 O cbrianmcguire@comcast.net O O Office: O 75 E Lancaster Avenue, Ardmore PA 19003

66 Elected Officials - State O PA State Senator Vincent Hughes District 7 District Office: O 2401 N. 54 th St., Philadelphia, PA O O hughes@pasenate.com O PA State Senator Sharif Street District 3 District Office: O 4458 Germantown Ave., Philadelphia, PA O O sharifstreet@pasenate.com O PA State Senator Daylin Leach District 17 District Office: O 601 S. Henderson Rd., Suite 208, King of Prussia, PA O O senatorleach@pasenate.com

67 Elected Officials - Federal O U.S. Congressman Dwight Evans District 2 Philadelphia Office: O 7174 Ogontz Ave., Philadelphia, PA O O O U.S. Senator Bob Casey Philadelphia Office: O 2000 Market St., Suite 610, Philadelphia, PA O O O U.S. Senator Pat Toomey Philadelphia Office O U.S. Custom House, 200 Chestnut St., Suite 600, Philadelphia, PA O O

68 Shadow Pam OTo set up a date to shadow Pam in Harrisburg, call her Harrisburg office January 2014

69 Stay Informed! Website: Facebook: /RepDeLissio Take out your phone like & follow now! Sign Up for and Reminder-Call Updates: Visit my website and click the Contact tab or us your address at to sign up for s. Make sure we have the best phone number to contact you.

70 Septa Key Photo ID Cards Come have your picture taken for new senior SEPTA ID Cards on Wednesdays and Thursdays in my office. By appointment only. Call my district office at January 2014

71 PennDOT Vehicle Registration Renewal My office is prepared to assist constituents with the vehicle registration renewal process now that PennDOT is no longer issuing stickers. Please Bring: O Current registration card O Proof of insurance O Credit Card My staff will print out your new valid, updated card. January 2014

72 Pam in the News O 6/9/17 DeLissio supports PennDOT Henry Avenue Highway Safety Improvement Plan O 7/8/17 DeLissio proposal to post ChildLine number in hospitals voted affirmatively I introduced an amendment to HB1232 that would also require hospitals to display the ChildLine number on a poster in high-traffic, public areas in a hospital s emergency department. O 7/14/17 DeLissio urges vote on shale tax - Support for a severance tax is growing on both sides of the aisle. January 2014

73 Next Town Hall: Details TBA

74 Comment Cards