Government Affairs and Advocacy 2015 Update and Priorities 1 Presenters Name Here

4 General Advocacy Goals MISSION: To Prevent and Cure Diabetes and Improve the Lives of All People Affected by Diabetes 1.Increase federal and state funding for diabetes prevention, treatment and research 2.Prevent diabetes 3.Improve the availability of accessible, adequate and affordable health care 4.Eliminate discrimination against people with diabetes 2

Victories Increase federal funding- diabetes research & programs: –Added $51 million in FY2014 and $5.4 million in FY2015 to funding for diabetes research at the National Institute of Diabetes, Digestive and Kidney Diseases (NIDDK) –Increased funding at the Center for Disease Control’s Division of Diabetes Translation by $76 million, a 125% increase –Provided $20 million over FY2014 and 2015 for the National Diabetes Prevention Program –Reauthorized the Special Diabetes Program providing $300 million, half for research on type 1 diabetes and half for programs in American Indian and Alaska Native communities 3

Victories Expanded Success in the Safe at School Campaign 5 more states (Alabama, Kentucky, Ohio and Tennessee, and North Dakota) meet the key tenets of the Association’s Safe at School campaign by providing access to insulin and glucagon and appropriate diabetes self-management. 4 other states strengthened their school laws and policies. 27 states now meet the main tenets of the Safe at School campaign, an increase of 12 states in the last 3 years. A landmark joint statement from the ADA, the American Nurses Association, its California affiliate, and the California School Nurses Organization states it is a safe and effective practice for unlicensed school personnel to be trained to administer insulin and other diabetes medications when such care is permitted by a physician’s order. 4

Victories Focused Advocacy Efforts on Those at High Risk Created new Diabetes Disparities Action Council to address unique needs of American Indian/Alaskan Native populations and build an advocacy base within urban and tribal communities Engaged media to reach high risk communities through key blogs and interviews, an on-line policy chat hosted Diabetes Hand Foundation, and webinars and town halls hosted by the Administration and partners such as Telemundo. Lead by our Science and Medicine Division, collaboration with the Asian American, Native Hawaiian and Pacific Islander Diabetes Coalition resulted in a new position statement lowering the recommended Body Mass Index for screening Asian Americans for diabetes. Passed first bill to establish a Commission on Health Disparities in the District of Columbia. 5

Victories Advocated for Public Policies to Prevent Diabetes Successfully advocated for proven diabetes prevention programs through the National Diabetes Prevention Program, securing additional funding for the program and providing evidence of cost savings through coverage by Medicare. Obtained the broad coverage in the final rules on menu labeling in chain restaurants and vending machines. Efforts to create a loophole in important school lunch standards were defeated. Primary prevention laws passed in six states promote access to healthy environments for children and adults in the school, community, and workplace setting. 6

Federal Tier I Priorities In all areas, there is an ongoing commitment to ending health disparities. Federal Funding for Diabetes Research & Programs CDC: Division of Diabetes Translation NIH: National Institute of Diabetes and Digestive and Kidney Diseases National Diabetes Prevention Program Special Diabetes Programs Diabetes research at the Department of Defense and Veterans Health Administration 7

Federal Tier I Priorities In all areas, there is an ongoing commitment to ending health disparities. Health Insurance Public and private - provide access to the services, tools and education necessary to meet the needs of people with diabetes and prediabetes. Advocate for improved delivery of care through system reforms that lead to high quality, effective, efficient, and collaborative care for people with diabetes. Prevention At the federal level, our focus in prevention is on the primary prevention of type 1 and type 2 diabetes Discrimination Ensure laws and policies result in fair treatment of people with diabetes, focusing on employment and the Safe at School campaign.

State Tier I Priorities In all areas, there is an ongoing commitment to ending health disparities. Health Insurance Coverage/Protection: Public & private health insurance options: –Services, tools & education needed to meet needs of people with diabetes & prediabetes  Includes Affordable Care Act & Medicaid Diabetes Cost Reduction Acts –Oppose efforts to repeal or create loopholes Discrimination Issues: Safe at School Legislation Private and Commercial Driver’s Licenses 9

Fighting for Fairness Where: – Schools & Day Care Centers – Employment – Prisons and Jails – Public Places (restaurants, airports) What: Provide information, training and resources – to prevent or stop discrimination: –For people with diabetes and families –For lawyers, health care professionals, and advocates –For schools, employers, and corrections facilities 10

GETTING HELP 1.VISIT: Free resources for people with diabetes, families, employers, schools, law enforcement or public institutions 2.CALL: DIABETES ( ) ADA’s National Center for Information and Support Representative will send a specialized packet of information, including a form to request help from a legal advocate If challenges persists, the discrimination information/ assistance form can be mailed, ed, or faxed Individuals who feel they are currently experiencing discrimination or who have questions about their legal rights are routed to one of our Legal Advocates, who provide case-specific information and resources DIABETES 11

Advocates in Action Calendar CLB support is crucial to success All activities are designed to support goals in our 2012 – 2015 Strategic Plan Identifies 8 broad, year-round goals: Specific “calls to action” Local advocacy engagement tactics Specific training and support each month: For CLB advocacy chairs, other volunteer leaders and local staff Online support library – realignment 12

Year-round Broad Goals Update and engage Community Leadership Board (CLB) members in advocacy Include an advocacy component in every local event or program Engage Members of Congress and state legislators in their home district Focus on communities hardest hit by diabetes Promote advocacy messaging through local traditional and social media channels Build capacity and mobilize hometown advocates Help those affected by diabetes discrimination Recruit and fundraise for local Advocates in Action Step Out Teams 13

Advocates in Action CLB Support For all CLB members: Recruit for & build advocacy committee & subcommittee Meet with elected officials - to learn how: June 2015 webinar Open Invitation: Advocates in Action Webinars For CLB Event Chairs: Use online Access Easy Advocacy Checklists Include Advocacy early in event-planning process Spread the news about our resources and efforts Participate in February Webinar For CLB Communications Chairs: Support getting out Advocacy messages through traditional & social media Access online webinars related to Media Outreach Editorial Calendar: distributed Feb 1 Explore resources at: 14

Help Recruit Others! Recruiting hometown advocates: Provide opportunities for people to sign up and to take action at all events Identify community members with relationships with elected officials & invite them to be diabetes advocates Recruit health care professionals and attorneys for legal advocacy networks 15 Recruitment cards for Legal Advocacy networks.

Raise your voice! Advocacy Action Center Sign up to receive advocacy updates and alerts at: – Timely information on federal and state legislation: Suggested messages for elected officials alerts so you can make your voice heard on time- sensitive issues 16

Questions? Go to: Call: Advocacy Chair Call: DIABETES Center for Information and Community Support 17