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1 Shelley Fuld Nasso Lindsay Houff

2 Staging Your Impact Overview of Congress Advocate Perspective Congressional Staff Member Perspective The Meeting The Ask Practice & Make a Plan Role Play Exercise

3 House of Representatives 435 members Each Congressional district includes approximately 711,000 people Elected for two-year term Qualifications: U.S. citizen for at least 7 years At least 25 years old Resident of the district

4 House Leadership Speaker of the House Paul Ryan (R-WI) Majority Leader Kevin McCarthy (R-CA) Majority Whip Steve Scalise (R-LA) Minority Leader Nancy Pelosi (D-CA) Minority Whip Steny Hoyer (D-MD)

5 Senate Each state has two Senators Elected for six-year term Staggered elections one third every two years Qualifications: U.S. Citizen for at least 9 years At least 30 years old Resident of the state

6 Senate Leadership Majority Leader President of the Senate Mitch McConnell (R-KY) VP Mike Pence Majority Whip John Cornyn (R-TX) Minority Leader Chuck Schumer (D-NY) Minority Whip Richard Durban (D-IL)

7 115 th Congress House of Representatives 435 Representatives 241 Republicans 194 Democrats Senate 100 Senators 54 Republicans 44 Democrats 2 Independents

8 How a Bill (Usually) Becomes a Law 1. Introduction / committee assignment 2. Executive agency comments 3. Committee* hearings Expert testimony Advocacy organizations 4. Committee* mark-up Amendments 5. Committee* votes and issues report 6. Referral to full chamber for floor vote *or subcommittee

9 Key House Committees Ways & Means Medicare, Medicaid, Social Security Energy & Commerce Other Health Programs Appropriations Labor, HHS, Education Subcommittee (NIH, CDC)

10 Key Senate Committees Finance Medicare, Medicaid, Social Security Health, Education, Labor & Pensions (HELP) Other Health Programs Appropriations Labor, HHS, Education Subcommittee (NIH, CDC)

11 Structure of a Congressional Office Constituents Member of Congress Chief of Staff Scheduler Legislative Director Communications Dir. Staff Assistant Legislative Assistant Press Secretary Legislative Corr.

12 Rachel Ferraris CPAT Steering Committee Member

13 Zack Marshall Representative John Yarmuth (D-KY)

14 The Meeting Very brief introductions Name, city, connection to cancer, NCCS advocate Purpose of the meeting We are here to talk about ensuring cancer patients and survivors have access to affordable health insurance Discuss concerns with health reform efforts Make the ask

15 The Ask House how did they vote? If NO: Thank him/her, especially Republicans, who were under enormous pressure from party leadership. Offer to help with patient stories. How can I help? If YES: Express disappointment. Ask him/her to reconsider if/when Senate bill comes back to House. Senate Republicans Please vote NO on this bill. Democrats thank them for holding firm against efforts to repeal. Offer to help with patient stories. How can I help?

16 Responding to Sticking Points Obamacare is failing/imploding/broken. I promised constituents I would repeal/replace The Democrats/Republicans refuse to work with us. People in our district/state are concerned about high premiums and deductibles. Health policy experts say this bill will make costs go up for most people. The ACA is not perfect. Please work with your colleagues to fix it.

17 Legislative Visit Do s and Don ts Do s Be punctual Allow time to get through security Introduce yourself with a handshake, a smile, your full name, and where you are from in their district Share your story, make it personal Be courteous and friendly to everyone in the office Ask the Representative s position and why Follow up with a thank you by

18 Legislative Visit Do s and Don ts Don ts Don t overload the Congressional visit with too many issues or too much paper Don t expect your Representative, or their staff, to be a specialist on the issue Don t be afraid to say, I don t know, to a question asked of you you can follow up with a response Don t be offended if a legislator is unable to meet and requests that you meet with his/her staff Don t confront, threaten, pressure, or beg

19 Tweet to thank the member for meeting and re-iterate the ask Send thank you include responses to questions Follow-up with staff on action items Share meeting report with NCCS Following Member action, thank Member and staff After the Meeting

20 Maintaining Long-term Relationships Sign up for legislator s updates and follow on social media Check in with staff regularly Serve as a resource on cancer issues Invite to local cancer community events in hometown Thank for co-sponsoring legislation Schedule in-district meetings Attend town hall meetings

21 Meeting in the District

22 Face-to-Face with Congress: Before, During, and After Meetings with Legislators Key Findings 93% of House Schedulers surveyed indicated requests for meetings with lawmakers should be made 2-4 weeks in advance; 71% of participating House Chiefs of Staff expressed "no preference" for meeting location (Washington, D.C., versus the district); 94% of the House Chiefs of Staff felt a "1-2 page issue summary" left behind after a meeting is somewhat or very helpful, while only 18% said the same of a "5 page or greater length" document

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