American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 Working With State and Local Policymakers Christie L. Hager, J.D., M.P.H. Chief Health Counsel Office of Speaker Salvatore F. DiMasi Massachusetts House of Representatives

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 Three Branches of Government

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 POLICY LAW Legislation Regulation

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 Options for Policy Change  Statute –Initiative Petition  Regulation  Executive Order  Stakeholder Collaboration

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 Know Where YOU Are Variations among state legislatures –Full- vs. Part-Time –Term Limits Municipalities –Local public health infrastructure

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 Local Public Health Authorities  City and Town Councils  Boards of Health  Health Officers

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 Boston’s First Health Officer

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 Effective Advocacy  Know your elected officials… …and make sure they know you  Legislators and other elected officials are people, too  Research history, incl. voting records

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 Effective Advocacy  Brevity and clarity of message  Full and honest disclosure  Know the landscape and cover the waterfront  Connect the dots

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 Appropriations  Budget cycle  Emergency or deficiency appropriations

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 The Kingdon Model of Agenda Setting From: JW Kingdon. Agendas, Alternatives, and Public Policies, Second Edition.

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 From: Beaufort B. Longest, Jr., Health Policymaking in the United States, Third Ed.

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 Politics, Politics, Politics

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 State Legislative Research

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 Congressional Research

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 Areas of Law  Facility Regulations  Professional Scope of Practice  Antitrust  Eminent Domain  Contracts  Insurance

American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 Resources  National Conference of State Legislatures  Thomas / Library of Congress  Individual State Websites  APHA