Advocacy Training Session

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Advocacy Training Session Given to the American Academy of Cerebral Palsy and Developmental Medicine, Reach for the Stars, and the Cerebral Palsy International Research Foundation by AAP Department of Federal Affairs Staff Sept. 21, 2010 Washington, DC

Agenda 8:30 a.m. Welcome and Introductions 8:45 a.m. Advocacy 101: What is Advocacy and Why Does it Matter? 9:45 a.m. Lobbying 101: How to Meet with Your Members of Congress 10:30 a.m. Overview of Cerebral Palsy Appropriations Request 10:45 a.m. Role Play/Mock Meeting with Your Legislator 11:45 a.m. Q&A/Lunch

Advocacyis the pursuit of influencing outcomes -including public policy and resource allocation decisions -that directly affect people s s lives.

Advocacy: the The Myths Facts Advocacy Advocacy can can be be intimidating empowering Advocacy can be uncomfortable enjoyable Policymakers may can be seem moved not to by care your about passion your issues and perspective One constituent can t have make a much huge of impact an impact Advocacy Advocacy can doesn t be time-consuming have to be time-consuming We shouldn t have to do this policymakers should just Policymakers do the right often thing can t see the problem, much less the solution Even if you do it, nothing changes When you do it right, everything changes

Politics is the Art of thepossible The only certainties are: If you don t try, you won tsucceed; If you don tadvocate your own cause,no one else will; and If you don t become advocates for theprograms and issues you care about,others will take precedence.

Your Voice Makes a Difference to Members of Congress Congressional decision-making: Before members of Congress make decisions, they will ask staff, How s the mail running on this? Value of communication: Communicating with constituents allows members of Congress and their staff to gauge support for proposals. Sometimes it's the one phone call or e-mail from a pediatrician like you that calls attention to an issue critically important to voters in a member of Congress district. Importance of your voice and vote: Members of Congress are in office because of their constituents; those who don't respond to their constituents needs quickly get defeated in the next election.

Advocate for Your Cause: Federal Funding for CP Research & Surveillance If They Could, They d d Call Congress Themselves

Three Branches of U.S. Government Congress: Senate & House of Representatives State and local legislators Executive Branch: Administration/White House & federal agencies State and local government agencies Courts: U.S. Supreme Court & federal courts State and district courts

Jan. 3, 2009 Jan. 3, 2011

United States Senate 100 U.S. Senators: 57 Democrats, 41 Republicans and 2 Independents

United States Senate Overview: Upper house of the U.S. legislature Together with the House of Representatives, makes up the U.S. Congress Each state = 2 U.S. senators, regardless of population Staggered six-year terms (1/3 up for re-election this November) Several exclusive powers not granted to the House, including confirming appointments of Cabinet secretaries, federal judges, other federal executive officials

United States Senate Leadership: President of the Senate: U.S. Vice President Joe Biden President Pro Tempore: Sen. Daniel Inouye (D-Hawaii) 2nd highest-ranking Senate official after U.S. VP In VP s absence, may preside over the Senate Third in line for succession of U.S. Presidency, after VP and Speaker of the House Nancy Pelosi (D-California) Majority Leader:Sen. Harry Reid (D-Nevada) and Minority Leader: Sen. Mitch McConnell (R-Kentucky) Two U.S. senators elected by each party to lead the majority andthe minority caucus Serve as the chief Senate spokespeople for their parties By rule, Majority Leader has priority to speak on the Senate floor

Party Affiliations in the U.S. Senate (July 16, 2010 present): 57 Democrats 2 Independents, caucusing with Democrats 41 Republicans

Democrats: U.S. Senate Appropriations Committee DANIEL K. INOUYE Hawaii, Chairman PATRICK J. LEAHY Vermont TOM HARKIN Iowa BARBARA A. MIKULSKI Maryland HERB KOHL Wisconsin PATTY MURRAY Washington BYRON DORGAN North Dakota DIANNE FEINSTEIN California RICHARD J. DURBIN Illinois TIM JOHNSON South Dakota MARY L. LANDRIEU Louisiana JACK REED Rhode Island FRANK R. LAUTENBERG New Jersey BEN NELSON Nebraska MARK PRYOR Arkansas JON TESTER Montana ARLEN SPECTER Pennsylvania SHERROD BROWN Ohio Republicans: THAD COCHRAN Mississippi, Vice Chairman CHRISTOPHER S. BOND Missouri MITCH MCCONNELL Kentucky RICHARD C. SHELBY Alabama JUDD GREGG New Hampshire ROBERT F. BENNETT Utah KAY BAILEY HUTCHISON Texas SAM BROWNBACK Kansas LAMAR ALEXANDER Tennessee SUSAN COLLINS Maine GEORGE VOINOVICH Ohio LISA MURKOWSKI Alaska

U.S. House of Representatives 435 voting U.S. Representatives: 255 Democrats, 178 Republicans, 2 vacancies

U.S. House of Representatives Overview: Lower house of the U.S. legislature Together with the Senate, makes up the U.S. Congress Each state = representation in the House in proportion to its population Each state is entitled to at least one Representative 435 voting representatives Two-year terms (entire House up for re-election this November) Several exclusive powers: Initiate revenue bills Impeach officials Elect President in case of Electoral College deadlock

U.S. House of Representatives Leadership: Speaker of the House: Nancy Pelosi (D-California) Leader of the majority party Presiding officer of the chamber elected by the members of the House Majority Leader:Rep. Steny Hoyer (D-Maryland) Leader of the party that has a majority of the seats in the House (currently at least 218 of the 435 seats) Minority Leader: John Boehner (R-Ohio) Minority counterpart to Majority Majority Whip:Rep. Jim Clyburn (D-South Carolina) Minority Whip: Eric Cantor (R- Virginia) Keeps track of all legislation Ensures that all party members are present for important votes House Speaker Nancy Pelosi, Majority Leader Steny Hoyer, and Education and Labor Committee Chairman George Miller confer with President Barack Obama at the Oval Office in 2009.

Party Affiliations in the U.S. House of Representatives 435 members plus 6 non-voting members Democratic Party (255) Republican Party (178) 2 vacancies

Democrats: U.S. House Appropriations David R. Obey, Wisconsin, Chairman Norman D. Dicks, Washington Alan B. Mollohan, West Virginia Marcy Kaptur, Ohio Peter J. Visclosky, Indiana Nita M. Lowey, New York José E. Serrano, New York Rosa L. DeLauro, Connecticut James P. Moran, Virginia John W. Olver, Massachusetts Ed Pastor, Arizona David E. Price, North Carolina Chet Edwards, Texas Patrick J. Kennedy, Rhode Island Maurice D. Hinchey, New York Lucille Roybal-Allard, California Sam Farr, California Jesse L. Jackson, Jr., Illinois Carolyn C. Kilpatrick, Michigan Allen Boyd, Florida Committee Chaka Fattah, Pennsylvania Steven R. Rothman, New Jersey Sanford D. Bishop Jr., Georgia Marion Berry, Arkansas Barbara Lee, California Adam Schiff, California Michael Honda, California Betty McCollum, Minnesota Steve Israel, New York Tim Ryan, Ohio C.A "Dutch" Ruppersberger, Maryland Ben Chandler, Kentucky Debbie Wasserman Schultz, Florida Ciro Rodriguez, Texas Lincoln Davis, Tennessee John T. Salazar, Colorado Patrick J. Murphy, Pennsylvania

Republicans: U.S. House Appropriations Committee Jerry Lewis, California, Ranking Member C.W. Bill Young, Florida Harold Rogers, Kentucky Frank R. Wolf, Virginia Jack Kingston, Georgia Rodney P. Frelinghuysen, New Jersey Todd Tiahrt, Kansas Zach Wamp, Tennessee Tom Latham, Iowa Robert B.Aderholt, Alabama Jo Ann Emerson, Missouri Kay Granger, Texas Michael K. Simpson, Idaho John Abney Culberson, Texas Mark Steven Kirk, Illinois Ander Crenshaw, Florida Dennis R. Rehberg, Montana John R. Carter, Texas Rodney Alexander, Louisiana Ken Calvert, California Jo Bonner, Alabama Steven C. LaTourette, Ohio Tom Cole, Oklahoma

Engaging with Members of Congress: What to Know Know your audience Know the context Know your message

Know Your Audience What committees does your member of Congress sit on? Is he/she on the Appropriations Committee? Have you met with this legislator before? Is your member up for re-election? Does the member have any personal ties to CP?

Know the Context What are the key concerns, motivations or interests of your member(s) of Congress? Election in six weeks No incumbent is safe Constituents concerns are being heard, especially now in advance of election Difficult economic environment for federal budgets Appropriations decisions are underway

Know Your Message Your message is the core statement of why your issue is important, and should be: Clear. Concise. Memorable and relatable. Persuasive. Repeat, Repeat, Repeat.

Know Your Message State your tie to the legislator (are you a constituent; from the member s state; work in the member s state, etc.?) State your position State your awareness of the fiscal challenges facing Congress this year State how CP impacts your state s children, doctors and resources

Know Your Message Why should policymakers care about the need for federal funding for CP research? Compelling data Lack of current federal resources Community interest/importance Personal stories

Know Your Message Don t worry about being an expert Focus on a few key points don t get caught up in the details Speak from the heart personalize what federal funding for CP research means to you

Coalitions Can Strengthen Your Advocacy Efforts AACPDM, RFTS, CPIRF Groups around the table today have already formed a coalition with a commitment to unified advocacy Who else can you work with to amplify your message? Hill visits: organizing by state and district What other groups are lobbying Congress for CP research funding? How can you work together? Parents and families in your community Other relevant child health groups and organizations Hospitals and health care facilities in your community

Why Use the Media to Advocate? Persuades decision-makers to act because they believe the public is paying attention. Increases the likelihood that more people will get involved because they are aware of the issue and how they can help change circumstances affecting the children they know and care about. Establishes credibility on behalf of your issue by demonstrating how that issue affects many people and deserves the public s attention.

Opinion-Editorials (Op-Eds) Guest editorial, typically by a community leader or prominent individual Read by legislators, community leaders 400-600 words Should be timely but does not have to be in response to a specific story No guarantee it will be published

Letters to the Editor Sent To the Editor of publication In response to editorial and/or news article Used to clarify a point, refute a charge, praise an initiative Typically less than 250 words Read by reporters, editorial board, legislators and community leaders No guarantee it will be published

Social Media Internet-based tools for sharing and discussing information Increasingly popular and effective way to inform large audiences about a cause or issue in a timely fashion From Twitterto Facebookto YouTubeto blogsto e-mail campaigns, social media has become an essential component in overall communications strategies

Next Steps Today, you will: Participate in a role-play exercise to learn how to meet with your members of Congress Conduct your Hill visits Follow-up with AACPDM on how your visits went From here, you will: Continue your advocacy: Stay in touch with your legislators Update them with any new data/research Write thank-you notes following your visits

The Ask: $10M for CP Research & Surveillance Currently, there is no known cure for CP, and in most cases, (based on current scientific knowledge) it is not preventable. Despite advances in genetics, obstetrics and neonatology, we STILL do not understand much more about the underlying causes or prevention of CP than we did half a century ago. CP is increasing in this country. A recent study indicates the prevalence of CP is now as high as 3.6 per 1,000 8 year-olds, a marked increase over previous reports of 2.0 per 1,000 live births. CP is one of the most common developmental disabilities in the United States, and is more common in any year than the many types of cancer, stroke, spina bifida or muscular dystrophy.

The Ask: $10M for CP Research & Surveillance Living with CP is expensive. The average lifetime cost for just one person with CP is estimated to be $1.5 million above and beyond the cost of living for an average U.S. citizen. It is estimated that the lifetime care and medical costs for all people with CP who were born in 2000 alone will total more than $13.5 billion. CP affects roughly 800,000 children, adolescents and adults in the United States, yet is grossly underfunded relative to other disorders. Sustained federal funding of $10 million will support CDC and NIH research to develop effective strategies for the prevention and treatment of CP.

Role Play