1. Legislative Update September 2014 WCOMO

2. State Budget Timeline Sep. & Nov.Revenue Forecasts Nov. 4Election Day Mid Dec.Governor releases budget proposal Jan. 12Legislative session begins – 105 days long Feb/MarchSenate and House each propose a budget April/MayBudgets passed by House and Senate May/JuneGovernor signs budget; legislature adjourns July 1New fiscal year starts

3. November Election House expected to remain Democratic Wrestling for control of the Senate - 3 main races to watch – 28 th – Tami Green running for Senate – 30 th – Eide leaving, Miloscia running as R – 48 th – Tom leaving, Habib running Class size initiative on the ballot

4. 2015 – 2017 Budget State must produce a balanced budget $1B budget shortfall  McCleary Decision - $1.5 – $2B Agencies asked to create budgets with 15% reductions

5. Increasing Medicaid Costs Silver tsunami: Baby boomers lead to more dual eligibles, pressuring state Medicaid long-term care budget Federal support for expansion phases down to 95% starting in CY 2017, state needs to pay 5% Welcome mat increases state costs above projections

6. Legislative Priority: Ensure Access to Care Protect Existing Programs Support Behavioral Health Integration Monitor the Exchange

7. Advocacy Tools That Work! –Stories personalize the issues –Clinic cards steadily get our message across –Emails can be forwarded to your contacts easily –Phone calls are nimble –Facebook & media stories spread the message

8. www.SaveHealthCareinWA.org FAST — Online action is a fast way to respond to the Legislature STRATEGIC — Legislators receive emails during critical points EASY — Sign up at the website Like on Facebook Take action yourself. Pass it on.

9. Questions? Carrie Glover, WithinReach Katie Hewitt, Community Health Network of WA