1. 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

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

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

4. 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

5. 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

6. 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

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

8. 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

9. 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

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

11. 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.

12. 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.

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

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

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

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

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

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

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

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

21. 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

22. American Public Health Association Public Health Policy: Working with State and Local Policymakers November 3, 2006 Resources  National Conference of State Legislatures www.ncsl.org  Thomas / Library of Congress http://thomas.loc.gov/  Individual State Websites www.state.XX.us  APHA www.apha.org