Effective Communications with Congressional Staff

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Effective Communications with Congressional Staff Nicole Kunko ASTHO Chief of Public Policy Former Professional Staff, House Appropriations Subcommittee On Labor, HHS, and Education (2001-2010) Population Association of America April 1, 2011

Who Lobbies in the Health Sector? Hospitals and universities Health departments States, counties, and cities Employers and business organizations Unions Medical professional associations Research organizations PhRMA and medical device companies Insurance plans Individual doctors, nurses, and other medical professionals. Patients and their families

Who Does Congress Listen To? CONSTITUENTS Employers from their district Local officials Experts Coalitions, associations, and unions Administration officials

Advocacy Roles Participate in agenda setting process Participate in a Hill Day or other similar event Develop/sustain Hill relationships Become a go to resource for Members/staff Host visits back at home for Members and staff Participate in Hill briefings/meetings Proactively provide articles, reports, data Provide impact information on proposed legislation and budgets Provide subject matter expertise to support initiatives

Effective Legislative Strategy Identifying tangible, realistic goals Recognize Washington is in budget cutting mode Targeting key legislators and officials In this case, those who make funding decisions Timing and capitalizing on opportunities

Reorganization of Congress 87 House Republican Freshmen have proven to be a voting block that can buck Leadership. In the Senate, Minority Leader McConnell and Moderate Democrats up for reelection will force a more conservative direction. (2/3 of the senators up in 2012 are Democrats).

Targeting Players: Understanding Budget, Appropriations, and Authorizing Asking the right people for the right things... Congress is organized by committees, which have different functions Ability of Members to help you depends on the committees they sit on, time, and interest

Role of Committees Budget Committee sets broad overall annual spending limits. Appropriations Committee set funding levels for annual discretionary spending on a program-by-program basis with input from the Administration through the President s Budget request. Authorizing Committees create programs (establish purpose, eligibility, funding targets) and provide direct spending for mandatory or entitlement programs such as Medicare or SCHIP.

House Committees Agriculture Appropriations Armed Services Budget Education and the Workforce Energy and Commerce Ethics Financial Services Foreign Affairs Homeland Security House Administration Judiciary Natural Resources Oversight and Government Reform Rules Science, Space, and Technology Small Business Transportation and Infrastructure Veterans' Affairs Ways and Means Permanent Select Intelligence

Senate Committees Agriculture, Nutrition, and Forestry Appropriations Armed Services Banking, Housing, and Urban Affairs Budget Commerce, Science, and Transportation Energy and Natural Resources Environment and Public Works Finance Foreign Relations Health, Education, Labor, and Pensions Homeland Security and Governmental Affairs Judiciary Rules and Administration Small Business and Entrepreneurship Veterans' Affairs Indian Affairs Select Committee on Ethics Select Committee on Intelligence Special Committee on Aging

12 Appropriations Subcommittees Agriculture (FDA) Commerce Justice Science Defense (DoD healthcare) Energy and Water Financial Services State, Foreign Operations (global health, PEPFAR) Homeland Security Interior and Environment (IHS, EPA) Labor, HHS, Education (HRSA, NIH, CDC, CMS) Legislative Branch Military Construction/Veterans Affairs Transportation, HUD

House Committee on Appropriations Rep. Hal Rogers (R-KY) - Chair Rep. Norm Dicks (D-WA) Ranking Member

Senate Committee on Appropriations Sen. Dan Inouye (D-HI) - Chair Sen. Thad Cochran (R-MS) Ranking Member

Typical Appropriations Schedule 1st Mon. Feb. President submits budget to Congress Feb - May Hearings March/April Wish lists due to Subcommittees May - June Sub & Full Committee markups June - July Floor action August Recess (presentation of Chairman s bill and amendments) Sept- Dec Conference Committee Send bill to President October 1 Fiscal year begins (bill enacted or begin continuing resolutions)

Chief Opportunities to Influence the Process Jan-April 15 Impact Budget Resolution to Raise Health Funding (Function 550) Budget Committee February-March Deadlines for funding requests to appropriations committee Appropriations Committee Fall Appropriations conference committees meet Congressional Session Can advance authorizing legislation at any point Authorizing Committees

The Congressional Appropriations Decision Makers Subcommittee Chairman and Ranking Member (Draft the bill and report) Full Committee Chairman and Ranking Member Subcommittee Members or Full Committee Members of the Leadership Members of a Caucus (such as rural health) Any Member of the House or Senate

Staffers Roles and Responsibilities Chief of Staff/Administrative Assistant District Director (back home) Legislative Director (legislation) Legislative Assistants (legislation, ie, health LA) Legislative Correspondents (mail) Scheduler (Member s daily schedule) Press Secretary

Typical Office Visit Timeline 1 minute, get to know staff background, introductions From the state? Prior experience with issues? 2 minute overview of the programs. Key programs, needs, and impacts on state and communities. 10 minute presentation of particular issue papers 3 minutes for questions. ELEVATOR PITCH