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ACC Advocacy:Introductions and

Current State Issues

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Current Advocacy Structure

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State Advocacy Forecast

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Legislation Already in Play• ARKANSAS: SB 51 - Would require disclosure of

investment, ownership, or contractual interest by health care providers who refer patients for various diagnostic services.

• ARIZONA: HB 2376 - Requires "medical services" to be performed by the "appropriate specialties.”

• KENTUCKY: Lt. Governor (and physician) David Mongiardo to push for EMR

• VIRGINIA: Governor Tim Kaine has proposed increase in tobacco tax

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Lt. Governor’s Challenge

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Lt. Governor’s Challenge

“YOUR HEART IS IN YOUR HANDS” Coordinating Committee:

Lt. Gov. Barbara O' Brien (CO) - ChairmanLt. Gov. Bill Bolling (VA) - Member

Lt. Gov. Dr. Daniel Mongiardo (KY) - MemberLt. Gov. Rick Sheehy (NE) - Member

Participating states:Lt. Governor Bill Bolling, (VA)

Sec. of State Jan Bewer (AZ)Lt. Governor Daniel Mongiardo (KY)

Lt. Governor Rick Sheehy (NE)Lt. Governor Jim Folsom (AL)

Lt. Governor Barbara O'Brien (CO)Lt. Governor Andre Bauer (SC)

Lt. Governor Diane Denish (NM)Lt. Governor Sean Parnell (AK)Lt. Governor Patty Judge (IA)

Lt. Governor Peter Kinder (MO)

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Upcoming Advocacy Events• Arizona Legislative Day: February 2-3

• Indiana Legislative Day: February 11-12

• Nevada Legislative Day: March 4-5

• National Lieutenant Governors Association Meeting: March 11-13

• Alabama Legislative Day: March 25-26

• ACC Annual Scientific Session

• Ohio Legislative Day: May 4-5

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SAVE THE DATE!SAVE THE DATE!Sept. 13-15, Washington, D.C.Sept. 13-15, Washington, D.C.• Analysis of complex health policy issues• Meetings with legislators and regulatory experts• Political experts, seasoned policy veterans • Networking opportunities with colleagues

ACC Legislative Conference

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Chapter Affairs Extranet

members.acc.org/extranet

10members.acc.org/extranet

Chapter Affairs Extranet

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Legislative Tracking on the Extranet

members.acc.org/extranet

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Legislative Tracking on the Extranet

members.acc.org/extranet

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Advancing Quality Cardiovascular

Care through…Science

Education

Advocacy

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The Path to PowerCardiologists must work together to fulfill the advocacy component

of ACC’s mission:•Combining voices to impact the political process•Combining resources to send a powerful message to Congress•Combining power to preserve healthcare

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ACC PACMission

• Contribute to the campaigns of those Members of Congress who support the College’s legislative agenda

• Gain BETTER access to high profile legislators, especially committee chairs and leadership

• Build grassroots and fundraising potential to bring about election results favorable to our advocacy goals

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ACC PAC Criteria for Political Contributions

The PAC Board considers the following criteriain determining political disbursements:1. Leadership position2. Committee assignment 3. Past voting record on OUR issues4. Medical profession: MD, DO, etc.5. Personal relationship with ACC member6. Likelihood to win – polls, district

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ACC PAC : Disbursements to Candidates in

the 2006 Election Cycle

(2005 and 2006)• Contributions made to 120

candidates, leadership PACs and party committees

• Total of $441,100 disbursed• 74% given to Republicans• 26% given to Democrats

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ACC PAC: Disbursements to Candidates in

the 2008 Election Cycle

(2007 and 2008)• Contributions made to over 250

candidates, leadership PACs and party committees

• Total of $997,289 disbursed• 56% given to Democrats• 44% given to Republicans• Our influence is growing, but our

competitors are still giving more

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Why Contribute to ACC PAC?

• 100% of your personal contributions are used to support the election of pro-physician candidates to Congress

• Currently, only 7% of our members contribute to ACC PAC

• Other specialty groups have better-funded PACs, giving them an advantage at the decision making table: more funds = greater access

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Where do we stand?

Physician Specialty PAC Receipts2008 Cycle

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1 American Medical Association $2,482,412

2 American Society of Anesthesiologists $2,443,784 3 American Dental Association $2,000,525

4 American Association of Orthopaedic Surgeons $1,944,606 5 American College of Radiology $1,349,536 6 American College of Emergency Physicians $1,192,387 7 American Academy of Ophthalmology $1,082,687 8 College of American Pathologists $788,317 9 American College of Surgeons Professional Association $787,098 10 American Osteopathic Information Association $691,451 11 American Academy of Family Physicians $631,175

12 American College of Cardiology $558,501 13 American Psychiatric Association $540,532 14 American College of Obstetrics and Gynecology $522,786 15 American Academy of Dermatology $511,423 16 American Academy of Neurological Surgeons $436,515 17 American Urological Association $322,541 18 The Society of Thoracic Surgeons $316,346 19 American Academy of Otolaryngology-HNS $310,912 20 Society of Plastic Surgery $227,566

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Giving to ACC PAC• Only U.S. members can donate to the PAC • Need personal funds, not corporate- only

personal contributions can be used for political giving

• ACC PAC can solicit from over 25,000 Members

– In 2005, ACC PAC raised $625,726• 1,541 Contributors

– In 2006, ACC PAC raised $522,628• 1,200 Contributors

– In 2007, ACC PAC raised $607,135• 1,731 Contributors

– In 2008, ACC PAC raised $646,602• 1,862 Contributors

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ACC PAC: Financial Overview

2008 Election Cycle:• $1,253,737 raised in 2007 and 2008

(includes both “hard” and “soft” receipts)

• 2,707 individuals contributed• Average per contributor = $463

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ACC PAC Goals: 2009

• $1000 from 1000 Campaign • 100% BOT Participation• 100% BOG Participation• Improve hard dollar ratio

(36% of 2008 contributions were soft dollars)

• Increase number of contributors(1,862 in 2008)

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For more information…

Please visit:www.accpacweb.org

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For more information…Or contact:Nick Morse

Associate Director, Political & Legislative Affairs

nmorse@acc.org202-375-6372