“Deficit Reduction” isn’t going away. How do we hold safety net programs harmless?<br />Featuring:<br />Emily Campbell, Pu...
Emily Campbell The Center for Community Solutionsecampbell@CommunitySolutions.com<br />
The budget process at the state and federal levels are both similar and different<br />DIFFERENCES<br />Ohio must balance ...
Most of the federal budget goes toward defense, social security, and major health programs<br />Source: Center on Budget a...
Ohio has a powerful congressional delegation<br />Republican Study Commission<br />CHAIR: Jim Jordan (R-04)<br />Joint Sel...
Constituents and their representatives often have more influence than they realize.<br />If your Member/Senator has not al...
A few principles can provide a unified voice from Ohio’s advocates.<br />Protect vulnerable populations<br />No global spe...
Federal Debt Ceiling Discussions and Ohio:<br />Danger for Ohio’s critical services/<br />Pressing need for a balanced app...
Joint Committee must find $1.2 trillion in additional deficit reduction.  Threats:  <br />Massive cuts in Medicare, Medica...
Federal spending in Ohio’s state safety net budgets<br />Aging<br />Alcohol and Drug Addiction<br />Source:  Policy Matter...
Federal spending in Ohio’s state safety net budgets<br />Developmental Disabilities<br />Department of Health<br />Source:...
Federal spending in Ohio’s state safety net budgets<br />Job & Family Services<br />Department of Mental  Health<br />Sour...
Three key messages to our legislators:<br />Support a balanced approach to deficit reduction and shared sacrifice. <br />R...
Medicare and Medicaid Under the Debt Ceiling Agreement <br />Cathy LevineExecutive Director of UHCAN-Ohioand Co-Chair of O...
Debt Ceiling Compromise<br /><ul><li>First stage: Caps immediately placed on discretionary spending, saving $917 billion o...
Second stage: Bipartisan Joint Committee cuts $1.2 – 1.5 trillion in spending over 10 years, backed up with automatic cuts...
Across-the-board cuts to Medicare are limited to 2%  (about $10 billion) of the program’s costs and can only come from cut...
Raise Medicare cost-sharing (in the original “grand bargain”)</li></ul>Possible Medicaid Cuts<br /><ul><li>Shift more cost...
Repeal of Maintenance of Effort requirement in the ACA (was earlier proposed in the State Flexibility Act)
“Blended Medicaid Match Rate,” (Reducing the 100% federal match for newly eligible Medicaid recipients to a weighted rate ...
Utilization of Affordable Care Act tools, such as “Health Homes” to coordinate care and improve outcomes.
But, MUST RAISE REVENUES OR THESE COST CUTS ARE NOT SUFFICIENT!</li></ul>Resources:  The Insider (Community Catalyst); Say...
Affordable Care Act At Risk<br />ACA Expansions of 2014 are jeopardized by:<br /><ul><li>Block-granting Medicaid or elimin...
Medicare entitlement changes </li></li></ul><li>Nora NeesDirector of Child & Senior NutritionOhio Association of Second Ha...
What Can We Do About It?<br /><ul><li>Partnerships
Media
Showing up</li></ul>All politics is local and your voice is powerful!<br />
September & October<br />September is Hunger Action Month!<br /><ul><li>National raising awareness and mobilization
Paper Plate Project </li></ul>Local Hunger Summits<br /><ul><li>Monday, September 26th: Pike, Ross, Scioto Counties
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AOF webinar 08.24.11

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The purpose of the webinar was to better understand the importance of federal budget advocacy.

The slides touch the principles of deficit reduction and our shared messaging strategy. The slides also connect you to resources to frame the conversations that need to happen in our communities and with lawmakers in the coming months.

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  • TALK ABOUT DEBT VS. DEFICIT
  • Interviews of congressional staff from Oct to Dec, 2010, released earlier this year. Also asked about state or district offices and findings were comparable.Notice that the second most influential activity is communication from a constituent representative. That’s you!Some of the most extraordinary achievements in recent decades – for the environment, social justice, community renewal, consumer protection, public safety, and civil rights – have come about because nonprofits were willing to take their rightful place at the policymaking table.
  • The federal budget deficit has expanded as a result of wars waged, taxes cuts and the Great Recession. Congress already cut $900 billion in discretionary spending without any revenue contribution. The Committee should not consider cuts in social programs without equal increases in revenues. While slowing national and international economic conditions indicate the ongoing need to stimulate demand, deficit reduction is instead on the legislative fast track. If deficit reduction must be addressed and addressed now, it should be as broadly imposed as possible, including reductions in tax cuts and war spending.
  • This slide, from United Way but sent by CBPP, compares key areas that will be discussed by the Committee.
  • AOF webinar 08.24.11

    1. 1. “Deficit Reduction” isn’t going away. How do we hold safety net programs harmless?<br />Featuring:<br />Emily Campbell, Public Policy Fellow, Center for Community Solutions <br />Wendy Patton, Senior Associate, Policy Matters Ohio (PMO)<br />Cathy Levine, Executive Director, UHCAN Ohio, Co-Chair of Ohio Consumers for Health Coverage<br />Nora Nees, Director of Child and Senior Nutrition, Ohio Association of Second Harvest Foodbanks (OASHF)<br />
    2. 2. Emily Campbell The Center for Community Solutionsecampbell@CommunitySolutions.com<br />
    3. 3. The budget process at the state and federal levels are both similar and different<br />DIFFERENCES<br />Ohio must balance its budget, the feds can run a deficit<br />Ohio budgets for two years, the feds budget every year<br />Ohio’s fiscal year runs July 1 – June 30, the federal fiscal year runs Oct 1– Sept 30<br />Ohio’s budget and appropriations are in one bill, the feds do them separately<br />Ohio must meet it’s “deadline”, the feds can pass continuing resolutions<br />SIMILARITIES<br />Process begins with the introduction of executive budget in February<br />Departments testify near the beginning of the process<br />Committee activity is important<br />There are multiple bills that comprise the budget<br />The budgets are evaluated by a non-partisan legislative body (CRS for Fed, LSC for Ohio)<br />Have a statutory “deadline”<br />
    4. 4. Most of the federal budget goes toward defense, social security, and major health programs<br />Source: Center on Budget and Policy Priorities<br />
    5. 5. Ohio has a powerful congressional delegation<br />Republican Study Commission<br />CHAIR: Jim Jordan (R-04)<br />Joint Select Committee on Deficit Reduction<br />Rob Portman (R)<br />Speaker of the House<br />John Boehner (R-08)<br />House Agriculture Committee<br />Marcia Fudge (D-11)<br />Jean Schmidt (R-02): CHAIR, Nutrition & Horticulture Subcommittee<br />Senate Agriculture Committee<br />Sherrod Brown (D): <br />Nutrition Subcommittee<br />CHAIR, Jobs, Rural Economic Growth & Energy Innovation Subcommittee<br />House Appropriations Committee<br />Marcy Kaptur (D-09): Agriculture Subcommittee, Transportation & HUD Subcommittee<br />Senate Appropriations Committee<br />Sherrod Brown (D): Health, Education, Labor & Pensions Subcommittee<br />House Budget Committee<br />Tim Ryan (D-17)<br />Marcy Kaptur (D-09): CHAIR, Nutrition & Horticulture<br />House Education & Workforce Committee<br />Dennis Kucinich (D-10): Health, Education, Labor & Pensions Subcommittee<br />Senate Banking, Housing & Urban Affairs Committee<br />Sherrod Brown (D): Housing, Transportation, and Community Development Subcommittee<br />House Oversight & Government Reform Committee<br />Michael Turner (R-03) <br />Dennis Kucinich (D-10) <br />Jim Jordan (D-04): CHAIR, Regulatory Affairs, Stimulus Oversight & Government Reform Subcommittee<br />Senate Budget Committee<br />Rob Portman (R)<br />House Ways & Means Committee<br />Pat Tiberi (R-12) CHAIR, Subcommittee on Select Revenue<br />House Energy & Commerce Committee<br />Bob Latta (R-05): Health Subcommittee<br />
    6. 6. Constituents and their representatives often have more influence than they realize.<br />If your Member/Senator has not already arrived at a firm decision on an issue, how much influence might the following advocacy strategies directed to the Washington Office have on his/her decision?<br />Source: Congressional Management Foundation<br />
    7. 7. A few principles can provide a unified voice from Ohio’s advocates.<br />Protect vulnerable populations<br />No global spending caps<br />Take a balanced approach<br />
    8. 8. Federal Debt Ceiling Discussions and Ohio:<br />Danger for Ohio’s critical services/<br />Pressing need for a balanced approach<br />Wendy Patton, Policy Matters Ohio<br />wpatton@policymattersohio.org<br />
    9. 9. Joint Committee must find $1.2 trillion in additional deficit reduction. Threats: <br />Massive cuts in Medicare, Medicaid, and key economic security programs; <br />Additional cuts in such key areas such as education, environmental protection, research, and veterans programs;<br />Tax breaks for the wealthiest, special-interest tax breaks for the largest corporations protected at the expense of ordinary Americans; <br />Increase in poverty and inequality, leaving millions of ordinary Americans struggling to make ends meet.<br />
    10. 10. Federal spending in Ohio’s state safety net budgets<br />Aging<br />Alcohol and Drug Addiction<br />Source: Policy Matters Ohio based on Ohio LSC Budget in Detail (with 2011 actual exp.)<br />
    11. 11. Federal spending in Ohio’s state safety net budgets<br />Developmental Disabilities<br />Department of Health<br />Source: Policy Matters Ohio based on Ohio LSC Budget in Detail (with 2011 actual exp.)<br />
    12. 12. Federal spending in Ohio’s state safety net budgets<br />Job & Family Services<br />Department of Mental Health<br />Source: Policy Matters Ohio based on Ohio LSC Budget in Detail (with 2011 actual exp.)<br />
    13. 13. Three key messages to our legislators:<br />Support a balanced approach to deficit reduction and shared sacrifice. <br />Reducing the deficit without revenue savings would require massive cuts in Medicare, Medicaid, and other key programs that provide economic security for millions of Americans while protecting tax cuts for millionaires and special interest tax breaks for powerful corporations and others with high-priced lobbyists.<br />Deficit reduction should not increase poverty or worsen income inequality – a key tenet of the bipartisan Bowles-Simpson deficit reduction commission. <br />
    14. 14.
    15. 15. Medicare and Medicaid Under the Debt Ceiling Agreement <br />Cathy LevineExecutive Director of UHCAN-Ohioand Co-Chair of Ohio Consumers for Health Coverage(614)-456-0060uhcanohio.org<br />
    16. 16. Debt Ceiling Compromise<br /><ul><li>First stage: Caps immediately placed on discretionary spending, saving $917 billion over 10 years. Medicare and Medicaid are entitlements, and aren’t cut in this phase
    17. 17. Second stage: Bipartisan Joint Committee cuts $1.2 – 1.5 trillion in spending over 10 years, backed up with automatic cuts effective January 1, 2013 if Congress doesn’t reach agreement. Medicaid exempted from the automatic cuts. </li></li></ul><li>Second Stage –<br /> What’s at Stake?<br /><ul><li>So Medicaid is protected if the automatic cuts go into effect; what about Medicare?
    18. 18. Across-the-board cuts to Medicare are limited to 2% (about $10 billion) of the program’s costs and can only come from cuts to providers and insurers.</li></li></ul><li>Second Stage – <br />What’s Really At Stake<br />There will be tremendous pressure on Congress to come up with a deal, to avoid automatic cuts, 50% of which would come from the defense budget.<br />Possible Medicare Cuts:<br /><ul><li>Raise Medicare eligibility age (in the original “grand bargain” proposal)
    19. 19. Raise Medicare cost-sharing (in the original “grand bargain”)</li></ul>Possible Medicaid Cuts<br /><ul><li>Shift more costs to the states
    20. 20. Repeal of Maintenance of Effort requirement in the ACA (was earlier proposed in the State Flexibility Act)
    21. 21. “Blended Medicaid Match Rate,” (Reducing the 100% federal match for newly eligible Medicaid recipients to a weighted rate for all Medicaid beneficiaries) This could lead to erosion of support for the Medicaid expansion in the Affordable Care Act.</li></li></ul><li>What needs to be done to cut Medicaid and Medicare costs?<br /><ul><li>Payment reform – pay for outcomes, not volume of services, e.g. reduce payments to hospitals for hospital-acquired harm.
    22. 22. Utilization of Affordable Care Act tools, such as “Health Homes” to coordinate care and improve outcomes.
    23. 23. But, MUST RAISE REVENUES OR THESE COST CUTS ARE NOT SUFFICIENT!</li></ul>Resources: The Insider (Community Catalyst); Say Ahhh! (Georgetown University Center for Children and Families); Center on Budget and Policy Priorities.<br />
    24. 24. Affordable Care Act At Risk<br />ACA Expansions of 2014 are jeopardized by:<br /><ul><li>Block-granting Medicaid or eliminating MOE
    25. 25. Medicare entitlement changes </li></li></ul><li>Nora NeesDirector of Child & Senior NutritionOhio Association of Second Harvest Foodbanks(614) 221-4336, ext230www.oashf.org<br />
    26. 26. What Can We Do About It?<br /><ul><li>Partnerships
    27. 27. Media
    28. 28. Showing up</li></ul>All politics is local and your voice is powerful!<br />
    29. 29. September & October<br />September is Hunger Action Month!<br /><ul><li>National raising awareness and mobilization
    30. 30. Paper Plate Project </li></ul>Local Hunger Summits<br /><ul><li>Monday, September 26th: Pike, Ross, Scioto Counties
    31. 31. Tuesday, September 27th: Darke and Miami Counties
    32. 32. Wednesday, September 28th: Adams, Brown & Highland Counties
    33. 33. Thursday, September 29th: Gallia, Jackson, Vinton Counties
    34. 34. Friday, September 30th: Shelby, Logan Counties
    35. 35. Wednesday, October 19th: Hancock County
    36. 36. Friday, October 21st: Medina County
    37. 37. Date TBD:
    38. 38. Clark, Champaign & Logan
    39. 39. Licking County
    40. 40. Athens, Hocking, Meigs, Monroe, Morgan, Noble, Perry & Washington Counties
    41. 41. Friday, October 28th: Statewide Summit at Mid-Ohio Foodbank</li></ul>Want to learn more or participate?<br /><ul><li>Contact Danielle Gray at (614) 221-4336, ext. 239 or dgray@oashf.org</li></li></ul><li>Message<br />Perfect Storm<br />Recent recession was unique and effects are still being felt.<br />On the Rise:<br /><ul><li>Need
    42. 42. Unemployment
    43. 43. Gas Prices
    44. 44. Food Prices</li></ul>Going Down:<br /><ul><li>Available Food
    45. 45. Federal Commodities
    46. 46. Manufacturing Donations</li></ul>Further Impact:<br /><ul><li>Cuts to Federal Nutrition Programs
    47. 47. State and Local Budget Cuts
    48. 48. Limits on Charitable Giving</li></li></ul><li>Message<br />Positive Partnerships<br /><ul><li>Investments support job growth , a productive workforce, decreased health care costs and increased educational achievement.
    49. 49. Long history of leveraging all resources and partnerships with individuals, businesses, private and foundational giving.
    50. 50. We need strong federal partners to do their part. </li></li></ul><li>Learn More<br /><ul><li>If you are not on our list, you’ll be added to our e-news list.
    51. 51. Review and use our resources: http://www.advocatesforohio.org/resources
    52. 52. HHS news and Information:
    53. 53. Like us on facebook: http://www.facebook.com/advocatesforohio
    54. 54. Follow us on Twitter @Advocates4OH</li></li></ul><li>Ask Your Members of Congress to: <br /><ul><li>Support a deficit-reduction plan that protects programs that help children, families, seniors, and people with disabilities in need.
    55. 55. Oppose shifting costs to state and local government in Ohio. One-third of our state budget comes from the federal government.
    56. 56. Support fair, diverse, and stable revenues sufficient to fund these services and invest in Ohio’s future.
    57. 57. Communicate these concerns to Senator Portman and other members of the Super Committee</li></ul>Talking Points: http://advocatesforohio.org/perch/resources/TalkingPointsDebt-Reduction.pdf<br />
    58. 58. Take Action: <br />Discuss the importance of health, human service, and early care & education programs in the federal budget with your Members of Congress.<br /><ul><li>ACTION ALERT: Contact your Representative, Senator Portman and Senator Brown. http://go.advocatesforohio.org/p/dia/action/public/?action_KEY=7943
    59. 59. For contact info of Ohio offices, click here: http://advocatesforohio.org/perch/resources/ContactingMembersofCongress.pdf
    60. 60. Show up and/or speak out at a local public meeting. http://www.advocatesforohio.org/post?s=2011-08-08-members-of-congress-schedule-public-meetings</li></li></ul><li>Stay Involved: Mark Your Calendars<br /><ul><li>This Friday, August 26th at 11:00 AM: The White House Office of Public Engagement has scheduled a special call this Friday to talk with people from Ohio about the federal budget deficit/debt deal.
    61. 61. Wed, Aug 31, 3-3:30 pm: AOF Field Update Conference call with two staff members of the Coalition on Human Needs and check-ins from supporters across the state on public meetings
    62. 62. Next Webinar: Thurs, Sept 8, 1-2:15 pm: </li></ul>The U.S. Census Bureau will release its annual data about poverty, income, and health insurance in the U.S. on September 13th and 20th. Get ready to share the data with your community and your elected officials in a compelling way.<br />Speakers will include:<br /><ul><li>Debbie Weinstein (Executive Director, Coalition on Human Needs)
    63. 63. ArlocSherman (Expert, Center on Budget on Budget and Policy Priorities)</li></ul>Register Here: https://spreadsheets.google.com/spreadsheet/viewform?formkey=dF9JcjhLRFBMYmdmSGFzSFFDcGRjcEE6MQ<br />
    64. 64. Questions?Contact Us Advocates for Ohio’s Futurewww.advocatesforohio.org510 East Mound Street, Suite 200Columbus, OH 43215Fax: (614) 228-5150<br />Will Petrik<br />Outreach Director<br />wpetrik@advocatesforohio.org<br />614-602-2464<br />Scott Britton<br />Coordinator<br />sbritton@advocatesforohio.org<br />614-602-2463<br />

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