On Sunday, May 22, 2016 at 7pm EST, we will have a conference call to prepare for the statewide lobby day in Albany for the New York Health Act on Tues. May 24th, 2016. Join us to help prepare for the big day! Call #(302) 202-1110 Conference Code: 298370 Questions? Email annette@nyhcampaign.org

1. ADVOCACY FOR
THE NEW YORK
HEALTH ACT
2016 STATEWIDE LOBBY
DAY
MAY 24TH - ALBANY

2. 1) Travel Logistics/
Schedule of the
day
2) What to do
before, during,
and after the
meeting with
your legislators
3) Policy and
Politics of the
New York Health
Act
WHAT DO I NEED TO
KNOW?

3. LOGISTICS/SCHEDULE
1) Make sure you are registered at nyhcampaign.org or
contact Katie at katie@pnhpnymetro.org
2) Catch the bus in one of two places:
• 7:00am Manhattan: 33rd St btw 7th and 8th Ave
• 7:00am Bronx: 3544 Jerome Ave
3) Coming from outside NYC? Register and we will be in
touch about transportation options! Carpools coming
together around the state!

4. SCHEDULE FOR THE DAY
10:00am - Registration, Coffee and Bagels @ 1199/SEIU's Conference
Room, 155 Washington Ave, Albany, NY
10:15am - Briefing for the day (same location as registration)
11:30am - Rally for universal health care at West Capital Park!
1 - 3:30pm - Meetings with legislators on the New York Health Act
7:00pm – Back in NYC
SEE THE MAP IN YOUR MATERIAL PACKET

5. PRO TIPS
• Pack a lunch to save money or plan to eat at the food
court or at the food trucks outside.
• Security: You will have to pass through metal detectors
and have any bags scanned through an x-ray machine.
Sharp objects, such as pocket knives and nail clippers will
not be allowed into the building.
• You will likely have to go through security to get from the
press conference to your meetings. Please allow at least
20 minutes for security delays.

6. WHAT TO WEAR?

7. WHO WILL I MEET
WITH ON 5/24?
• We are working on finalizing the schedule and teams now. You will have
the schedule a few days before and there will be time to meet with your
group on the bus or in advance of your meetings to strategize.
• You will receive a background sheet with a photo of the representatives
you are scheduled to meet with as part of your lobby materials.
• The planning team decided to target Senators who have not yet
endorsed, Assembly members who did not vote for the bill, and
Assembly members who voted for the bill but could use some extra
support.
• You may be meeting with a staff person if the legislator is not available.
This can be as important or sometimes more important because of the
influence staff has on positions the legislator takes.
• Make sure to note who you met with on the lobby visit report form
and get their business card for follow up.

8. MEETINGS CONT’D
• Meetings usually last between 15 and 30 minutes, but
sometimes longer!
• Most meetings will be in the office of the legislator, in the
LOB (Legislative Office Building) or the Capitol Building
(CAP) – See the map
• Sometimes meetings will be noted as “off the floor”
• This means that you will go to the Assembly or Senate
Chambers and request the legislator meet you outside to hold
the meeting in the hallway
• You will ask the Sgt of Arms to request the member’s meet
with you as scheduled and they will pull the member of the
floor. It’s a different kind of meeting, maybe you will have only
5 minutes so be prepared to make the ask up front and
quickly

9. ORGANIZING YOUR
TEAM
When you meet with your team, take a few minutes to decide
who will take on the following roles:
• Who will facilitate the meeting and make sure it stays on
track?
• Who will share a personal story?
• Who make the “ask” or demands of the legislator or staff
person?
• Who will take notes and submit the report back form?
Make sure you have the legislator packet from PNHP NY
Metro to give to the legislator or his/her staff.
Plan to debrief after the meeting with your group.

10. WHAT ARE WE
ASKING?
1) Will you cosponsor the New York Health Act?
• If they say yes, ask them to fill out the form and submit it to Assembly
Member Gottfried or Senator Perkins
• If the meeting is going really well…ask if they will reach out to their
colleagues who aren’t yet cosponsors?
• Will you appear at a community event to show your support?
• How else can we help you build support for this issue in your district?
2) If they won’t cosponsor at this time, ask “will you vote for it when it in
the Assembly when it comes up again this session?” or “will you vote for
it in your Senate Committee when it comes up for vote in the future?”
3) If no to both 1 and 2…ask why not?
• Note the concerns from the representative on the report back form in
your packet
• Ask them if there are any groups that they think we should be working
with in their districts to move them on this issue.
• Do not feel you have to have all the answers. Take note and make
sure they know we will follow up with them. Practice saying, “Good
question. We will get back to you on that.”

11. FOLLOW UP
• Submit the lobby visit report back form in your
packets
• Send a thank you note by email
• Send follow up information based on your
conversation
• Consider staying in touch and forwarding
important information regarding the issue as it
comes up

12. POLICY & POLITICS OF
THE NEW YORK HEALTH
ACT
Why is this issue still so
important to us?
1) Many people still uninsured
2) Healthcare costs keep going
up, preventing people from
getting the care they need,
when they need it.

13. More than 2 million
Uninsured in New York State
(Population figures in thousands)
Medicare
2,750
Medicaid
5,300
AC
ACA Marketplace
Insurance
415Uninsured 2,052
Individual Insurance
270
Employer-based
Insurance
8,500
Source: Census Bureau 2014. NYS Dept. of Health 2015

14. UNINSURED

15. MILLIONS REMAIN UNINSURED…
Millions
Note: The uninsured include about 5 million undocumented immigrants.
Source: Congressional Budget Office
53 54 55 56 56 56 56 57 58 58
37
32
26 25
26 26
53 53
41
36
30 29 29 29
0
20
40
60
80
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Before the ACA
ACA 2010
ACA Post-Supreme Court

16. UNDERINSURANCE IS NOW THE NORM

17. What’s Covered

18. 16%
21%*
35%*
40%
46%
50% 49%
58%*
61%
63%
6%
8% 9%
13%*
17%
22%*
26%
28%
32%
39%*
10%
12%*
18%*
22%*
27%*
31%
34%
38%
41%
46%
0%
10%
20%
30%
40%
50%
60%
70%
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
All Small Firms (3-199 Workers)
All Large Firms (200 or More Workers)
All Firms
* Estimate is statistically different from estimate for the previous year shown (p<.05).
NOTE: These estimates include workers enrolled in HDHP/SOs and other plan types. Average general annual health plan deductibles for PPOs, POS plans, and HDHP/SOs are for in-network
services.
SOURCE: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2006-2015.
MORE AND MORE WORKERS FACE DEDUCTIBLES OF $1,000
OR MORE (SINGLE COVERAGE)

20. 0
1000
2000
3000
4000
5000
6000
7000
8000
9000
80 82 84 86 88 90 92 94 96 98 00 02 04 06 08 10
US
SWIZ
NOR
NETH
GER
CAN
FRA
SWE
AUS
UK
NZ
0
2
4
6
8
10
12
14
16
18
20
80 82 84 86 88 90 92 94 96 98 00 02 04 06 08 10
US
FRA
NETH
SWIZ
GER
CAN
NZ
UK
NOR
SWE
AUS
IT DOESN’T HAVE TO BE THIS WAY.
EVERY OTHER COUNTRY COVERS ALL
THEIR CITIZENS, AND SPENDS HALF OF
WHAT WE DO.
Note: $US PPP = purchasing power parity.
Source: Organization for Economic Cooperation and Development, OECD Health Data, 2013 (Paris: OECD, November 2013).
Total expenditures on health
as percent of GDP
$8,508
$3,182
17.7%
8.9%
Average spending on health per
capita ($US PPP)

21. WHAT MAKES THE DIFFERENCE?
Unlike in the US -- in every one of these countries, government
has a central role in:
• Funding the system
• Overseeing and regulating coverage and pricing
• Guaranteeing universal coverage
Our own experience with Federally-run Medicare shows the
beneficial effects of a government-funded and regulated
system:
• Reliable, predictable financing
• Slower cost growth
• Transparent decisionmaking

22. THE PROBLEM, AND
THE ANSWER
• The Affordable Care Act will not
solve the central problem of our
health care system: continually
rising, unaffordable cost.
• We can do better, through a system
where government has a central role
and can cover everyone at less cost.

24. Health Care Reform in
New York State:
New York Health Act
A5062/S3525
• A SINGLE STATE FUND COVERS EVERY RESIDENT:
UNIVERSAL COVERAGE
• COMPREHENSIVE BENEFITS
• NO FINANCIAL BARRIERS TO CARE: NO DEDUCTIBLES
OR CO-PAYS
• MEDICARE AND MEDICAID INTEGRATED INTO NY
HEALTH
• FUNDED BY PROGRESSIVE STATE PREMIUMS ALONG
WITH EXISTING FEDERAL AND STATE FUNDS
COVERS EVERYONE -- COSTS LESS!
Passed
92-52
in 2015

25. Eligibility
• Every resident of NYS covered
• No barriers due to age, sex, income,
wealth, employment, or health status
• No regressive insurance premiums
• No payments at time of service
• No deductibles, no co-pays
New York Health Act

26. Comprehensive Benefits
• Primary & Preventive Care
• Inpatient and Outpatient Hospital Care
• Prescription Drugs
• Dental, Vision, & Hearing Care
• Free choice of doctor, including
primary care physician (PCP) and
specialists, and hospital
New York Health Act

27. Provider Reimbursement
• All providers paid in full by New York
Health, with no charges to patients
• New reimbursement methods will be
developed to replace fee-for-service
payments
• Rates negotiated with provider
organizations
New York Health Act

28. Financing
• Progressive graduated payroll premium,
80% employer, 20% employee
• Graduated premium on non-wage income for high-
income earners
• Federal Medicare and Medicaid funds
• NY Health pays Medicare Part B premiums &
local share of Medicaid
Bottom line: Premium on $50,000 wages ~ 6%;
current employer-based ins cost ~ 11% of wages
New York Health Act

29. Covering Everyone while Saving Money!
Additional Costs
Covering the uninsured and poorly-insured +1.4%
Elimination of cost-sharing +3.9%
Enhanced Medicare & Medicaid fees +3.8%
Savings
Reduced insurance administrative costs -9.9%
Reduced physician & hospital admin costs -7.2%
Bulk purchasing of drugs & devices -5.7%
Reduced fraud -1.9%
-24.7%
Source: Economic Analysis of the NY Health Act, Gerald Friedman, April 2015
4.0
11.2
10.8
26.0
-28.6
-20.7
-16.3
- 5.4
-71.0
2019 $B
Total Costs +9.1%
Total Savings
Net Savings -15.6% - 45

30. WHY BUSINESS SHOULD SUPPORT
THE NEW YORK HEALTH ACT
• Eliminates the cost and headaches of running a
health benefits program.
• Eliminates conflicts with employees and unions
over benefit cuts, givebacks, etc.
• Reduce the cost of providing health benefits.
• Eliminates competition from businesses that don’t
provide benefits.
• Produce a healthier, more productive work force.
• Make health care costs controllable and
predictable, eliminating a major source of business
uncertainty and barrier to planning.

31. New York Health is Affordable and
Sustainable
• Eliminates burden of unnecessary,
wasteful administrative costs
• Unified, simplified funding allows control
and planning of future costs
• Unified purchasing lowers drug and
equipment prices
• Coordinated planning of investment
allows savings on facilities & equipment

32. WHO SUPPORTS
SINGLE PAYER?
New York Health A.5062 (Gottfried), S.3525 (Perkins) has been endorsed
by a long list of organizations, including the New York State AFL-CIO, SEIU
1199, the New York State Nurses Association (NYSNA), Local 32BJ SEIU,
NY State United Teachers (NYSUT), United Federation of Teachers (UFT),
UNITEHERE! Local 150, UFCW Region 1 and Local 1500, Communications
Workers of America District 1 and Local 1180, IATSE Local 1, United Auto
Workers 9 & 9A, the Retail, Wholesale & Department Store Union (RWDSU),
RWDSU Local 338, UFCW, the Doctors Council SEIU, the Committee of
Interns and Residents SEIU, United University Professions, IATSE Local 1,
Utility Workers of America Locals 1 and 2, Restaurant Opportunities Centers
United, Make the Road/New York, VOCAL-NY, ACT UP/NY, African Service
Committee, Harlem United, Housing Works, New York Communities for
Change, MetroJustice of Rochester, Metro NY Health Care for All
Campaign, New York Immigration Coalition, the New York State Academy of
Family Physicians, the New York State American Academy of Pediatrics, and
the Public Health Association of NYC (PHANYC), Commission on the Public's
Health System (CPHS), Statewide Senior Action Council, the Green Party,
the Working Families Party, Citizen Action, along with 92 state legislators.

34. WHY SHOULD CONSERVATIVE
DEMOCRATS & REPUBLICANS SUPPORT
THE NEW YORK HEALTH ACT
• Affordable and Fair, businesses will save $
• Choice: Provides full choice of doctor or hospital to the
patient, with no out of network fees or charges
• Simple & Predictable: The funding mechanism provides
predictable costs for businesses, something the private
insurance system lacks
• Prevents “job-lock,” encouraging entrepreneurship
• A new documentary, FIX IT: Health Care at the Tipping
Point, makes the case for businesses to get behind single-
payer. You can find the link to the film in your resources
packet. Watch it at fixithealthcare.com

35. WHY IS IT IMPORTANT
TO YOU?
Take a minute to think about why this issue is going to make
a difference for you, your patients, your profession, your
family, your country.
Personal testimonials are a very powerful tool in lobbying.
Remember:
“One person is a tragedy; a million is a statistic.”
Illustrates shared values:
We can have a system that uses money wisely, that
prioritizes healthcare, that doesn’t bankrupt people just
because they are unfortunate enough to get sick.

36. NEW YORK HEALTH
• #BeyondACA
• #MedicareforAll
• #PassNYHealth
• #EverybodyInNobodyOut

37. FURTHER
PREPARATION
After viewing this presentation, take some time to review the
FAQs and materials in your packets.
Remember, you don’t have to have all the answers. It’s
important to be there and show your support, and any
questions that come up that you don’t know how to respond
to can be addressed at a later time.
Thank you!!!

38. QUESTIONS?
Katie Robbins, MPH
Executive Director
Physicians for a National Health Program NY Metro Chapter
330-618-6379
katie@pnhpnymetro.org