1. The findings and conclusions in this presentation are those of the author and do not necessarily represent the views of the CDC. The Federal Framework on Advocacy Magon M. Saunders, MS, RD, LD Division of Diabetes Translation

2. The Big Picture  Diabetes Programs use Federal Funds  There are restrictions on the use of Federal Funds.  There are opportunities to use Federal Funds to advocate for public health issues including diabetes.  Diabetes Programs use Federal Funds  There are restrictions on the use of Federal Funds.  There are opportunities to use Federal Funds to advocate for public health issues including diabetes.

3. The Federal Frame AR-12 and DHHS Restrictions  CDC grantees and their sub-tier contractors are prohibited from Using Federal funds for lobbying Congress or any Federal agency… Using Federal funds for publicity or propaganda purposes… Using Federal funds to influence action regarding a particular piece of legislation…or inducing the public to contact representatives to support or oppose pending legislative proposals…  CDC grantees and their sub-tier contractors are prohibited from Using Federal funds for lobbying Congress or any Federal agency… Using Federal funds for publicity or propaganda purposes… Using Federal funds to influence action regarding a particular piece of legislation…or inducing the public to contact representatives to support or oppose pending legislative proposals…

4. Lobbying is: Influencing Policy Makers influencing action on a specific piece of pending legislation ( or direct or indirect inducement of the public to contact policy makers to support or oppose) Influencing Policy Makers influencing action on a specific piece of pending legislation ( or direct or indirect inducement of the public to contact policy makers to support or oppose)

5. Lobbying  Grassroots lobbying – inducing the public to contact representatives to support or oppose pending legislative proposals.  Direct lobbying – any action that influences legislators or staff to support or oppose pending legislative proposals.  Grassroots lobbying – inducing the public to contact representatives to support or oppose pending legislative proposals.  Direct lobbying – any action that influences legislators or staff to support or oppose pending legislative proposals.

6. Activities That Are Lobbying  Scheduling and meeting with a legislator to discuss a specific pending proposal.  Providing a legislator with materials that promote a specific piece of legislation.  Creating postcards to be sent to legislators opposing a specific pending proposal.  Using federal funds to pay a contractor to promote a specific pending piece of legislation.  Using federal funds to support coalition lobbying activities.  Scheduling and meeting with a legislator to discuss a specific pending proposal.  Providing a legislator with materials that promote a specific piece of legislation.  Creating postcards to be sent to legislators opposing a specific pending proposal.  Using federal funds to pay a contractor to promote a specific pending piece of legislation.  Using federal funds to support coalition lobbying activities.

7. Activities That Are NOT Lobbying  Responding to requests from legislators for analysis of public health implications of pending legislation.  Creating and distributing policy briefs that provide information about a public health issue.  Producing and disseminating research results.  Representing the department of health before a legislative committee.  Responding to requests from legislators for analysis of public health implications of pending legislation.  Creating and distributing policy briefs that provide information about a public health issue.  Producing and disseminating research results.  Representing the department of health before a legislative committee.

8. Advocacy is: Educating Policy Makers : the general promotion of an idea or cause through education, coalition-building and partnerships Educating Policy Makers : the general promotion of an idea or cause through education, coalition-building and partnerships

9. CDC Funds Public Health Advocacy:  Enhancing prevention  Collecting and analyzing data  Publishing and disseminating research/surveillance data  Implementing prevention strategies  Conducting community outreach services  Providing leadership and training  Fostering safe and healthy environments  Enhancing prevention  Collecting and analyzing data  Publishing and disseminating research/surveillance data  Implementing prevention strategies  Conducting community outreach services  Providing leadership and training  Fostering safe and healthy environments

10. What is the Work of Diabetes Programs? Partnership Development Assessment & Strategic Planning Quality Care Improvement Diabetes Surveillance Raising the Profile of Diabetes Workforce Development Technical Assistance

11. Advocacy is a Public Health Service  Inform, educate and empower (policy makers, stakeholders and public) about public health issues.  Mobilize partnerships and action to identify and solve public health problems.  Develop policies and plans to support individual and community health efforts.  Inform, educate and empower (policy makers, stakeholders and public) about public health issues.  Mobilize partnerships and action to identify and solve public health problems.  Develop policies and plans to support individual and community health efforts.

12. Inform and Educate  Local and State Activities: Health information, education and promotion Health communication Accessible health information and resources Partnerships to extend reach  Local and State Activities: Health information, education and promotion Health communication Accessible health information and resources Partnerships to extend reach

13. Mobilize  Local and State Activities Identify stakeholders and increase awareness Build Coalitions Convene and Facilitate Partnerships  Local and State Activities Identify stakeholders and increase awareness Build Coalitions Convene and Facilitate Partnerships

14. Develop Policies and Plans  Policy Making vs. Policy Development: Related but not interchangeable Lawmakers make policy Public health partners help develop and implement policy.  Policy Making vs. Policy Development: Related but not interchangeable Lawmakers make policy Public health partners help develop and implement policy.

15. Develop Policies and Plans  State Activities: Systematic Public Health Planning (surveillance, data reporting, PH measures and tracking) Systematic PH Planning (strategies and actions that guide local and state public health improvement plans)  State Activities: Systematic Public Health Planning (surveillance, data reporting, PH measures and tracking) Systematic PH Planning (strategies and actions that guide local and state public health improvement plans)

16. Policies Affect the Prevention or Control of Diabetes By:  Increasing Access to Services  Increasing quality in the provision of services  Implementing supportive policies for people with diabetes (reimbursement, supportive environments, systems changes and transformations) By:  Increasing Access to Services  Increasing quality in the provision of services  Implementing supportive policies for people with diabetes (reimbursement, supportive environments, systems changes and transformations)

17. Diabetes Programs Lead Advocacy  Identify and coordinate roles of partners.  Collect, analyze and disseminate data e.g.,develop reports/fact sheets.  Serve as a scientific resource to policymakers, business leaders, health practitioners, and the media.  Serve as a convener and facilitator to release timely scientific information and data to the at- large diabetes community in the state.  Identify and coordinate roles of partners.  Collect, analyze and disseminate data e.g.,develop reports/fact sheets.  Serve as a scientific resource to policymakers, business leaders, health practitioners, and the media.  Serve as a convener and facilitator to release timely scientific information and data to the at- large diabetes community in the state.

18. Diabetes Programs Lead Advocacy  Participate in coalitions and serve as a valuable resource for scientific information.  Lead health education campaigns and mobilize local health departments.  Serve as a representative of the State Health Department to assure development and implementation of policies that protect the health of the public.  Participate in coalitions and serve as a valuable resource for scientific information.  Lead health education campaigns and mobilize local health departments.  Serve as a representative of the State Health Department to assure development and implementation of policies that protect the health of the public.

19. Advocacy Partners  Understand the potential latitude of partners and diabetes coalitions: Partners not supported by federal grant funds may lobby for specific diabetes legislation. Coalitions not supported by federal funds may lobby. Partners may engage in advocacy AND lobbying.  Understand the potential latitude of partners and diabetes coalitions: Partners not supported by federal grant funds may lobby for specific diabetes legislation. Coalitions not supported by federal funds may lobby. Partners may engage in advocacy AND lobbying.

20. Opportunities for Coalitions to Advocate  Create and implement a Policy Agenda Plan.  Disseminate fact sheets and policy briefs.  Create and implement an Advocacy Plan.  Activate stakeholders around an issue.  Build credibility as a resource on diabetes.  Be the state voice on prevention and control of diabetes.  Create and implement a Policy Agenda Plan.  Disseminate fact sheets and policy briefs.  Create and implement an Advocacy Plan.  Activate stakeholders around an issue.  Build credibility as a resource on diabetes.  Be the state voice on prevention and control of diabetes.

21. Policy Development and Advocacy Work!  Inform, Educate and Empower Build Awareness – Be Credible  Mobilize Partnerships and Action Build Coalition - Raise the Voice on Diabetes  Develop Policies and Plans Be Strategic – Implement and Evaluate  Inform, Educate and Empower Build Awareness – Be Credible  Mobilize Partnerships and Action Build Coalition - Raise the Voice on Diabetes  Develop Policies and Plans Be Strategic – Implement and Evaluate

22. TAKE HOME MESSAGES  DPCPs should work to advocate for public health.  CDC funds can be used to advocate, but not to lobby.  DPCP can play a variety of policy roles (Scientific resource, Convener, Facilitator, etc.)  Build processes and plans around the EPHS.  Build partnerships at all levels to address this issue.  Preparation is everything.  Prepare, Prepare. Prepare!!!  DPCPs should work to advocate for public health.  CDC funds can be used to advocate, but not to lobby.  DPCP can play a variety of policy roles (Scientific resource, Convener, Facilitator, etc.)  Build processes and plans around the EPHS.  Build partnerships at all levels to address this issue.  Preparation is everything.  Prepare, Prepare. Prepare!!!

23. A Quote To Consider  Surround yourself with the best people you can find, delegate authority, and don't interfere as long as the policy you've decided upon is being carried out. Ronald Reagan Ronald Reagan  “Great partnerships and preparation will always make one ready for success. Prepare”. Magon  Surround yourself with the best people you can find, delegate authority, and don't interfere as long as the policy you've decided upon is being carried out. Ronald Reagan Ronald Reagan  “Great partnerships and preparation will always make one ready for success. Prepare”. Magon

24. Contact Information  Magon M Saunders  2877 Brandywine Road, Room 5719  Atlanta, GA 30341  770-488-5214  msaunders@cdc.gov msaunders@cdc.gov  Magon M Saunders  2877 Brandywine Road, Room 5719  Atlanta, GA 30341  770-488-5214  msaunders@cdc.gov msaunders@cdc.gov