1. Will Pittz, Executive Director, Washington Community Action Network

2. Washington CAN has taken on three hospital systems around the state: -Spokane -Tacoma -Seattle In all these places – and statewide – people still struggle under hospital debt after implementation of the ACA… …and hospitals still engage in abusive and predatory practices.

6. Model agreement by Washington CAN & Alliance for a Just Society: 1. Sets eligibility levels that protects many people from debt 2. Makes hospital responsible for checking eligibility 3. Bars hospital from using aggressive debt collection tactics 4. Requires one-page application without excess requirements 5. Covers both hospitals and others providing services in hospitals 6. Lets people apply for free or discounted care at any time 7. Requires hospital to talk to patients about free care whenever it communicates about billing, finances, or insurance

7. 1. Makes hospitals refund money and fix bad credit reports 2. Includes an appeals process 3. Requires translation and interpretation 4. Makes hospitals post signs around the hospital 5. Requires staff training and dedicated enrollment counselors 6. Creates a community oversight board 7. Includes data broken down by race, gender, language, and LGBT status

8.  400 doors knocked on  184 surveys gathered  200 hospital accountability contacts  35 medical debt stories collected  Leadership team developed  2 hospital actions  2 community meetings  2 meetings with executives  Agreement on key issues

13.  Base-building strategies  Background research  Stage one: Building public support Labor-community coalition Public forums/hearings

14. Stage two: Push for a meeting with executives Escalations that raise public heat and build leverage, such as:  White paper on bad practices  Exposing hospitals breaking the law  Yard signs  Challenging hospital expansion