1. Legislative Advocacy WCOMO May 9 th, 2014

2. 2 First on Time Ending Since 2009!

3. 3 Grassroots Advocacy: Save Health Care in Washington 16,952 people sent messages to their legislators via the clinic card program 3,007 emails were sent to legislators from 3 calls to action 1 patient featured in a press event 1 patient’s story featured in the Seattle Times

4. 4 Grassroots Advocacy in Action! Healthy Washington Coalition holds rally to thank Governor Inslee and legislators for Medicaid expansion! Featured speakers are two patients from Sea Mar’s Olympia clinics

5. 5 Outcome of 2014 Session Funding for Medicaid Plan Choice Fix Movement toward behavioral health integration No Medicaid outreach funding Mostly* protected existing health care safety net

6. 6 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

7. 7 Budget Outlook Expected to Worsen More investment needed for K-12 education (McCleary decision) – Projected $2.8 billion shortfall 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

8. 8 Marijuana Revenue Still Murky I-502 passed in November 2012; 334 retail outlets set to open July 1 25% cannabis excise tax; distribution includes: – Substance abuse prevention and education, – Basic Health Plan Trust account (~50%), – Community Health Service Grants (~5%), and – General Fund Legislation allows HCA to spend I-502 BHP Trust account funding on Medicaid managed care premiums BienniumProjected Revenue ‘15-‘17$51.2M ‘17-‘19$138.5M

9. 9 www.SaveHealthCareinWA.org FAST — Online action is the fastest way to respond to the Legislature STRATEGIC — Legislators receive emails during critical points EASY — Sign up at the website Like us on Facebook Take action yourself. Pass it on.

10. 10 Questions? Katie Hewitt 206-652-7107 Katie.Hewitt@chnwa.org