1. Columbia University Medical Center
Ross A. Frommer
Vice President for Government & Community Affairs and Associate Dean
Sandra Harris
Assistant Vice President for Government & Community Affairs

2. Presidential Trivia
Which President is related by blood to two other Presidents?
From which President do we get the phrase “OK”
Which Presidential autograph is worth the most?
Who is buried in Grant’s Tomb?

3. Lobbying What is it?
Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances.
United States Constitution, Amendment I (1791)
Dan Hurley:
Gentle Pressure …Relentlessly Applied
Senator Mike Enzi:
If you are not at the table you are on the menu

4. And Why is it Important?
***Issues you care about – Access, Affordability, Diversity, PublicHealth ***Payment – Medicare, Medicaid, Exchanges ***Research – NIH, CDC, NSF, AHRQ ***Education – Title VII, Title VII, GME, Department of Ed. Programs ***Licensing – State ***Liability – State ***Regulation – FDA, USDOJ, ACA, Scope of Practice, EH&S ***Taxes and Fees – All levels ***Zoning and Safety – Local government

5. Who Can Lobby?
***You!!! ***Companies ***Trade Organizations ***Non Profits ***Coalitions ***Columbia University *** ***Government Agencies and Employees

6. Effective Lobbying
***Be Specific when possible ***Know the process and calendar, official and unofficial ***Have a rough idea of what things cost ***Everybody matters, constituents matter more ***Make use of the grass roots and the grass tops ***Have data. Do not have to be exact, but do need to be reliable ***Know the committee structure and who has particular interest/expertise ***Represent the larger group ***Make friends, not enemies, especially with those in power

7. Effective Lobbying -- Continued
***Accept partial friends. Litmus tests are not productive
***Do not eat your own
***Make use of the press and social media – get pictures
***Advertise when possible and within resources.
***Be careful with protests
***Elections/Political landscape
***Fundraising

8. Three Branches of Government
Executive Legislative House and Senate Judiciary

9. How A Bill Becomes a Law (or at least how it’s supposed to work)
Introduction Committee Hearing Mark – Up Floor Vote Conference Committee Final Passage Presidential Signature

10. 115th Congress
Senate: 52 Republicans, 46 Democrats, 2 Independents (D) House: 237 Republicans, 193 Democrats (5 Vacancies)

11. The Republican Split
Freedom Caucus 31 Members Chaired by Mark Meadows (R-NC) More conservative than the rest of the caucus Cause of Speaker Boehner’s downfall Tuesday Group 50 plus Members, affiliated with the Republican Main Street Partnership Chaired by Charlie Dent (PA), Tom MacArthur (NJ), and Elise Stefanik (NY) More moderate than the rest of the caucus.

12. Budget Basics
***October 1st Fiscal Year ***Mandatory v. Discretionary ***Defense v. Non-Defense

13. Federal Budget
FY 17 Revenue: $3.64 trillion Spending: $4.15 trillion Deficit: $503 billion (2.6% of GDP)

14. Previous Years
FY 16 Revenue: $3.53 trillion Spending: $3.99 trillion Deficit: $460 billion (2.5% of GDP) FY 15 Revenue: $3.18 trillion Spending: $3.76 trillion Deficit: $580 billion (3.2% of GDP)

22. Discretionary Spending
***12 Appropriations Bills ***Subcommittee Allocations ***Due by September 30th ***In 2016 House passed 6, Senate 1 ***Continuing Resolution ***Omnibus ***Riders ***Shutdown

23. NIH Funding FY NIH 12 $30.6 Billion 13 (post sequester) $29.1 Billion14
$30.0 Billion 15
$30.3 Billion 16
$32.1 Billion
17 (House)
$33.3 Billion
17 (Senate)
$34.1 Billion
17 Reduced Option
$30.4 Billion
18 Skinny Budget
$26.3 Billion

24. The Two Year Itch

25. 2018 Senate Races

26. 2017/8 Gubernatorial Races

27. State Legislatures

28. April 22nd in Washington Satellite marches across the country including New York CUMC Bus to Washington (code: bac6980d80b) Contact Heidy Hernandez at or