Post on 29-Dec-2015
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Preparing for the 2002
Legislative Session
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Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Presenters
Randy Revelle
TayaBriley
Cassie Sauer
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Purpose of the Web Conference
• To get WSHA, AWPHD, and STAT! members ready for the 2002 legislative session
• To give you the latest information
• To let you know WSHA and AWPHD plans and get your advice
• To help you know where and how to get more information
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Poll: Recent Advocacy
• Since the last session adjourned, have you:
written a letter or e-mail, or made a phone call to a legislator?
met with a legislator or staff in his or her office?
had a legislator or staff visit your hospital?
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
The LegislatureThe GovernorThe Budget
The LegislatureThe GovernorThe Budget
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
• Major shift since 2001
• Democratic Governor
• One vote Democratic majority in Senate
• Two vote Democratic majority in House
Balance of Power in Olympia
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Senate Leadership
• Majority Leader: Sid Snyder (D-Long Beach)
• Minority Leader: Jim West (R-Spokane)
• Ways and Means chair: Lisa Brown (D-Spokane)
• Ways and Means minority: Dino Rossi (R-Issaquah)
• Health Care chair: Pat Thibaudeau (D-Seattle)
• Health Care minority: Alex Deccio (R-Yakima)
Senator West
Senator Snyder
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
House Leadership
• Speaker: Frank Chopp (D-Seattle)
• Minority Leader: Clyde Ballard (R-Wenatchee)
• Appropriations chair: Helen Sommers (D-Seattle)
• Appropriations minority: Barry Sehlin (R-Whidbey)
• Health Care chair: Eileen Cody (D-Seattle)
• Health Care minority: Tom Campbell (R-Roy)
Speaker Chopp Clyde Ballard
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Every Vote Counts
• Votes will be close
• Each member has one vote
• Your Senators and House members are important, even if not in a leadership position
• Don’t know who they are? Contact Cassie Sauer, 206/216-2538 or cassies@wsha.org
• www.leg.wa.gov can find your district with your zip code
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Growth in State Spending: 2001 - 2003 Biennium
14%
11%
8%
3%2%
0%
2%
4%
6%
8%
10%
12%
14%
16%
Health Care OtherHumanServices
Debt Service K-12 All Others
Pe
rce
nt
Gro
wth
5.9 % 601 Spending Limit
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
State Budget Challenge
$21,550
$21,800
$22,050
$22,300
$22,550
$22,800
$23,050
2001-2003 2002 - 2003 changes
LostRevenue
Original Budget$22.8
Billion
Supplemental Budget $300 Million
September forecast:$95 million decrease
November forecast:$779 million decrease
I-747 (property tax):$25 million decrease
Federal estate tax:$20 million decrease
Available Revenue$21.9 Billion
K-12 growth, tort, fires, and other
Millions
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
WithoutFixing a $1.25 Billion Hole
Without Major Hospital Cuts
$21,550
$21,800
$22,050
$22,300
$22,550
$22,800
$23,050
2002 - 2003 changes
LostRevenue
Supplemental Budget $300 Million
Available Revenue$21.9 Billion
Millions
Available Revenue$21.9 Billion
Available Revenue$21.9 Billion
$566 Million in cuts $246 in
Human Services
Return ferry and rail costs to transportation budget: $125 million
Use of reserves:$152 million
Money transfers: (ProShare, tobacco fund, etc): $252 million
New revenue (lottery, taxes, etc.): $169 million
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Other Features of Governor’s Budget
Proposal
• Delays vendor rate and state salary increases
• Eliminates I-695 replacement funding for localgovernment and public health
• Increases state employee share of health premiums
• Eliminates entire programs and hundreds of jobs
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Elimination of MI, GA-U, and ADATSA
Fee Increases
CHIP wait list for kids
BHP co-payment increases
Adult dental and vision cuts
Just because Governor didn’t choose them doesn’t mean they won’t reappear
NotAgency Budget Cut Options
Not Adopted by the Governor
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Includes $28 million to increase Medicaidpayment for physicians and ambulances
Medicaid outpatient rates cut
Hospital rate increases delayed
Nursing home rates cut
Medical interpreters funding eliminated
Tobacco prevention and control funds diverted
Women, Infants, and Children (WIC) cut
Governor’s Health Care Budget Proposals
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Questions?
Press 14 on your phone
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
WSHA, STAT! and AWPHDPlans and Resources
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Updated Financial
Crisis Report
Coming Soon
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Hospitals Still Struggling Financially
-1.0%
0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
1995 1996 1997 1998 1999 2000
Rural Urban WA State
4-5% is bond raters’ healthy margin
Washington Hospital Operating Margins: 1995-2000
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
WSHA / AWPHD Policy Initiatives
Budget
AWPHD Bid Limit
Workforce Commission
Retroactive B&O Tax
Mandatory Overtime
Work Force Commission
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Retroactive B&O Tax
• WSHA successfully overturned Business and Occupation (B&O) tax in 2001
• Governor vetoed retroactive portion
• Significant financial impact on hospitals
• WSHA trying for a new bill acceptable to the Governor or a veto override
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Work Force Commission
Duties of commission:
• Strengthen training programs
• Improve image of health professions
• Reform regulations
• Streamline entry-to-practice regulations
• Support welfare-to-work and unemployment-to-work
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Mandatory Overtime
• Public relations problem
• Board directed new approach for WSHA
• Seeking compromise, a reasonable bill
• Goal to keep hospitals attractive as a place to work
• Allow for emergencies and flexibility
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
AWPHD Bid Limit
• $5,000 limit set in 1945 requires small projects to be bid publicly
• Red tape, expense, and inefficiency
• Propose raising bid limit to $50,000
• Restore flexibility for facility upgrades
• Promote efficient use of public funds
• Consistent with the original intent of the statute
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Policy/Advocacy Agenda
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Policy/Advocacy Issue Briefs
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
WSHA / AWPHD Lobbyists
Randy RevelleLisa ThatcherLen McComb
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Communication from WSHA
• Our main communication piece, coming to you weekly by e-mail:
• Anyone can receive -- encourage your staff, board members, and volunteers to sign up!
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Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
www.wsha.orgRedesigned and Easier to Use
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
www.awphd.orgRedesigned and Easier to Use
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
www.wastat.org
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
www.leg.wa.gov
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
www.access.wa.gov
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
How YOU Can Help
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Message to Legislators
• Basic message:
Hospitals are hurting financially.
State government is not the biggest problem. All the pressures mean that hospitals cannot absorb any more budget cuts.
We know there is a budget crunch in Olympia, but legislators cannot look to hospitals to absorb more cuts. Legislators have to look elsewhere.
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
• You don’t need to know all the facts and figures
• It’s okay to say, “I can get back to you”
• WSHA staff know the details
• We need your voice and your personal version of the story!
You Don’t Need to Know Everything to Advocate Effectively
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Why We Need Your Action
• Legislators will be thinking about salmon, forests, transportation, education, child abuse . . . hundreds of topics.
• Make sure hospitals and health care are on their list of priorities!
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
We Want Feedback!
• Let us know about your meetings with legislators BEFORE they happen
• Let us know what happened in your meetings and conversations with legislators
• Ask us to follow up if necessary
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Ideas for Action
• Call or e-mail legislators
• Go to Olympia to represent your hospital
• Arrange a meeting when legislators are home
• Host a dinner in Olympia with your council
• Educate your community; get them to speak
Washington State Hospital AssociationSTAT! Washington Hospitals in Crisis
Discussion / Q & A
• Want tips or help? Contact Cassie Sauer, 206/216-2538 or cassies@wsha.org
• We’re interested in your questions and comments!
• Press 14 on your phone to ask a question
Thank you for your participation
and your support!