1. 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. Three Branches of Government
Executive
Legislative
Judicial

3. POLICY
LAW
Legislation
Regulation

4. Options for Policy Change
Statute
Initiative Petition
Regulation
Executive Order
Stakeholder Collaboration

5. Know Where YOU Are Variations among state legislatures
Full- vs. Part-Time
Term Limits
Municipalities
Local public health infrastructure

6. Local Public Health Authorities
City and Town Councils
Boards of Health
Health Officers

7. 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

8. Effective Advocacy Brevity and clarity of message
Full and honest disclosure
Know the landscape and cover the waterfront
Connect the dots

9. Appropriations
Budget cycle
Emergency or deficiency appropriations

10. The Kingdon Model of Agenda Setting
Problem
Policy
Political
From: JW Kingdon. Agendas, Alternatives, and Public Policies, Second Edition.

11. From: Beaufort B. Longest, Jr
From: Beaufort B. Longest, Jr., Health Policymaking in the United States, Third Ed.

12. State Legislative Research

13. Congressional Research

14. Areas of Law Facility Regulations Professional Scope of Practice
Antitrust
Eminent Domain
Contracts
Insurance

15. Resources National Conference of State Legislatures www.ncsl.org
Thomas / Library of Congress
Individual State Websites
APHA