The Potential Impacts of the Midterm Elections on Public Health December 6, :00 p.m. EST

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The Potential Impacts of the Midterm Elections on Public Health December 6, 2018 1:00 p.m. EST Co-sponsored by: 1

How to Use WebEx Q & A 1. Open the Q&A panel 2. Select All Panelists 3. Type your question 4. Click Send 2

Moderator Chelsea Gulinson, Staff Attorney, Network for Public Health Law Western Region J.D., Sandra Day O Connor College of Law, Arizona State University Research interests/areas of expertise: 3 Emergency Preparedness Opioid Crisis Reproductive Health and Technology Obesity Prevention Food Security

Presenter Sarah Somers, Managing Attorney, Network for Public Health Law Southeastern Office and the National Health Law Program J.D., University of Michigan Law School M.P.H., University of North Carolina Gillings School of Global Public Health Research interests/areas of expertise: Medicaid Child Health Managed Care in Medicaid Disability Rights 4

Presenter Elizabeth McCaman, Staff Attorney, the National Health Law Program J.D., Hastings College of the Law, University of California M.P.H., Harvard University Research interests/areas of expertise: Medicaid Private Insurance Scope of Practice Family Planning Reproductive Health Law 5

The Potential Impacts of the 2018 Midterm Elections on Public Health Sarah Somers

Shift in Control at the House of Representatives 7

Revised Legislative Agenda: ACA Repeal Medicaid Block Grants Medicaid Work Requirements

State Government : Flip from GOP to Democratic Governorships Legislatures Illinois Colorado Kansas Connecticut Maine Michigan Nevada Maine Minnesota New Mexico New Hampshire Wisconsin New York 9

Ballot Initiatives +6 Nebraska +25 +18 Utah +8 +32 Idaho +22 10

Senate remains unchanged and will continue to appoint judges

Executive Actions Will Continue 1115 Waivers in Medicaid Public Charge requirements Reproductive health issues

Supporters The Network for Public Health Law is a national initiative of the Robert Wood Johnson Foundation. 13

The Potential Impacts of the Midterm Election on Reproductive Health Network for Public Health Law December 6, 2018

Liz McCaman, JD, MPH Staff Attorney, National Health Law Program mccaman@healthlaw.org 202-621-1026 (direct line) Connect with the National Health Law Program online: www.healthlaw.org @NHeLProgram @NHeLP_org

Public Health, Reproductive Health, and Health Equity Public Health Health Equity Reproductive Rights Health Justice Reproductive Health Equity Rights Health Justice

Ballot Initiatives and Reproductive Health Oregon Measure 106 REJECTED: 64.5% against West Virginia Amendment 1 PASSED: 51.7% in favor Alabama Amendment 2 PASSED: 59% in favor Nevada State Question 2 PASSED: 56% in favor Massachusetts Question 3 PASSED: 69% in favor

State Legislatures and Reproductive Health Chambers swung blue CO Senate* CT Senate* ME Senate* MN House NH House & Senate+ NY Senate* Broken GOP supermajorities NC House & Senate MI Senate+ PA Senate *Gained Democratic trifecta + Fallen Republican trifecta

Governors and Reproductive Health Pro-Choice Governors (Re)Elected: Colorado s Jared Polis* Connecticut s Ned Lamont* Illinois J.B. Pritzker* Kansas Laura Kelly Maine s Janet Mills* Michigan s Gretchen Whitmer+ Nevada s Steve Sislolak* New Mexico s Lujan Grisham* New York s Andrew Cuomo* Wisconsin s Tony Evers *Gained Democratic trifecta + Fallen Republican trifecta Anti-Choice Governors (Re)Elected: New Hampshire s Chris Sununu+

Medicaid Litigation and Reproductive Health Medicaid Qualified Providers 42 U.S.C. 1396a(a) Requires participating states to include in their plans the ability of individuals to obtain services from any qualified provider Anti-Choice Executive Action States hostile to reproductive health have attempted to kick abortion providers and Planned Parenthood clinicians out of the state Medicaid program, claiming they are not qualified Issue Before SCOTUS Whether the Medicaid Act created an implied private right of action to challenge a state s determination that a provider is not qualified Up for Conference 11/30/18

Thank You!

How to Use WebEx Q & A 1. Open the Q&A panel 2. Select All Panelists 3. Type your question 4. Click Send 22

Thank you for attending For a recording of this webinar and information about future webinars, please visit networkforphl.org/webinars Key Public Health Initiatives: A Year in Review NEXT WEEK: December 13, 1:00 2:30 p.m. EST You may qualify for CLE credit. All webinar attendees will receive an email from ASLME, an approved provider of continuing legal education credits, with information on applying for CLE credit for this webinar. 23