1. Legislative Update December 2014 WCOMO

2. 2014 Election Results No substantial change in make-up of Senate Democrats control House with 50 seats –1 seat vacant Initiative 1351 passes 2

3. State Budget Timeline Sep & NovRevenue Forecasts Nov 4Election Day Nov/DecGovernor 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

4. 2015 – 2017 Budget State must produce a balanced budget $1B budget shortfall  McCleary Decision - $1.2 – $1.8B  I-1351 - ~$2B

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 Safety Net Programs Workforce Shortage: Re-fund and Expand State Loan Repayment Program Support Behavioral Health Integration Affordable Coverage: Support Evaluation of Affordability and Continuity of Care

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 us on Facebook and follow us on Twitter Take action yourself. Pass it on.

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