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Health Center Advocacy
         101
This presentation includes…
1. Defining “lobbying”
2. Understand legal do’s and
don’ts for 501(c)3 non-profits
3. Learn practical plans
for implementing
successful grassroots
outreach and impact
4. Understand the power and importance of grassroots!
Can Health Centers Lobby?

                  YES!
• You cannot use ANY federal funds to lobby
• Keep lobbying expenses below 5% of your
  organization’s time and effort
Elected official decisions are
important to CHCs and CHC patients
        Other Grants/
         Contracts
            10%
                                          Medicaid/CHIP
                                                          Income
                                              29%
                                                          Sources for
   Federal                                                Health Centers
    28%

                                          Medicare
                                            6%

             Self Pay             State
                        Private   13%
              12%         2%
What Is Lobbying?
Advocating the
enactment or defeat
of pending or
proposed federal,
state, or local
legislation or
referendum.
Two types of lobbying:
1) Direct lobbying: Communicating directly with
the official’s office
Two types of lobbying:
                 2) Grassroots lobbying:
                 Urging others to
                 communicate with an
                 official
What is advocacy?
• Acting in support of
a belief, policy, or
cause.

• Giving voice on behalf
 of another.

• The support or
  recommendation of policy.
The Rules: Dos and Don’ts
DO                                     DON’T
 Voter Registration
                                       x Endorse a candidate for office
 Voter Education
                                       x Give resources to candidates
 Distribute Sample Ballots, Guides
                                       x Rate candidates on your issue
 Co-sponsor Candidate Forums
                                       x Tell people how to vote
 Educate the Candidates
 Remind People to Vote
 Help on Election Day
 Recruit Poll Workers
 Support or Oppose Ballot Questions
What is your #1 goal when you
meet with an elected official?

To get them to remember
that they actually met
with you!
Goals
1. Can someone get the target on the phone?
2. Can you get the target to your center (how often)?
3. How often is the center in the media?
4. How many local organizations/elected officials do something
   CONCRETE to support you?
5. How many grassroots advocates do you have? How active are
   they?
6. How many voters have you registered? Do they vote?
7. How much of what you ask your targets for do you get?
Effective Advocacy
Effective advocacy has one requirement: ACTION
Simply discussing issues, challenges, and plans is NOT effective
advocacy

To be an effective advocate & attain your goals you MUST
 Make advocacy an ongoing commitment and priority
 Translate discussions, plans, and
passions into moveable actions
 Make your voice and perspective
  heard and understood
Effective Advocacy = Power
Grassroots advocacy is about BUILDING POWER
   Power is NOT measured by the number of advocates on a list

   Power is NOT measured by the number of small (or even large) victories we win

    Power must be measured by
      our ability to successfully
      advance our own agenda
     and to make it unthinkable
      that any other political or
     special interest would ever
         want to take us on.
Organizing Grassroots Advocacy
1. Advocacy Has to be an Organizational Commitment
   The Board Must Take the Lead – a formal commitment to time and resources is
   essential. Create an Advocacy Committee with a Chair – Board and staff need to be
   included.

2. Advocacy Has Rules
  Know the Rules. It’s hard to break the rules, but you can do it if you don’t know what
  they are.

3. Advocacy Needs to be done Face to Face
  Plan to get your local, state and federal
  officials (and their staff) to your Center on
  a regular basis

4. Advocacy Needs Numbers
Organizing Grassroots Advocacy
5. Advocacy Needs a Megaphone
Learn how to use the media

6. Advocacy Needs Friends
Look for ways to reach out to other
organizations in your community
on a regular basis

7. Advocacy Needs Votes
Empower your health center by making sure
your patients and staff are registered to vote and that they vote!

8. Advocacy Doesn’t Stop When the Whistle Blows
Your goal is to build permanent power to influence any issue that affects your center, at any level
      of government.
Relative Effectiveness of Advocacy
Communications
1. A visit to your health center
2. A personal meeting back home
3. A personal meeting in Washington
4. Personal telephone calls
5. Personalized Letters (faxed)
6. Personalized emails
7. Template emails (ineffective unless in volume)
Taking Action
Nothing Beats Face To Face Advocacy – Get in front of elected officials and
get them to your health center

Personal Stories Matter - Collect compelling stories from patients and staff

Not Everyone Has A Computer - Petitions and letters give everyone a chance
to advocate

For Those Who Are Online – Ask for their
help! Use social media to share action alerts

Vote! – Encourage others to vote, too
Speaking of Taking Action…
Campaign For America’s Health Centers sends Action Alert emails
so YOU can connect with your elected officials to ask them to help
your health center with funding and other policy matters.

                             1) SIGN UP
                             to receive action alert emails
                             http://www.saveourchcs.org/join-the-campaign.cfm

                             2) TAKE ACTION
                             when you receive an email!
                             3) ASK OTHERS
                             to sign up and take action, too!
Contact us!

Send your health center grassroots advocacy
questions to

      grassroots@nachc.com
Learn more

 www.SaveOurCHCs.org

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Health Center Advocacy 101

  • 2. This presentation includes… 1. Defining “lobbying” 2. Understand legal do’s and don’ts for 501(c)3 non-profits 3. Learn practical plans for implementing successful grassroots outreach and impact 4. Understand the power and importance of grassroots!
  • 3. Can Health Centers Lobby? YES! • You cannot use ANY federal funds to lobby • Keep lobbying expenses below 5% of your organization’s time and effort
  • 4. Elected official decisions are important to CHCs and CHC patients Other Grants/ Contracts 10% Medicaid/CHIP Income 29% Sources for Federal Health Centers 28% Medicare 6% Self Pay State Private 13% 12% 2%
  • 5. What Is Lobbying? Advocating the enactment or defeat of pending or proposed federal, state, or local legislation or referendum.
  • 6. Two types of lobbying: 1) Direct lobbying: Communicating directly with the official’s office
  • 7. Two types of lobbying: 2) Grassroots lobbying: Urging others to communicate with an official
  • 8. What is advocacy? • Acting in support of a belief, policy, or cause. • Giving voice on behalf of another. • The support or recommendation of policy.
  • 9. The Rules: Dos and Don’ts DO DON’T  Voter Registration x Endorse a candidate for office  Voter Education x Give resources to candidates  Distribute Sample Ballots, Guides x Rate candidates on your issue  Co-sponsor Candidate Forums x Tell people how to vote  Educate the Candidates  Remind People to Vote  Help on Election Day  Recruit Poll Workers  Support or Oppose Ballot Questions
  • 10. What is your #1 goal when you meet with an elected official? To get them to remember that they actually met with you!
  • 11. Goals 1. Can someone get the target on the phone? 2. Can you get the target to your center (how often)? 3. How often is the center in the media? 4. How many local organizations/elected officials do something CONCRETE to support you? 5. How many grassroots advocates do you have? How active are they? 6. How many voters have you registered? Do they vote? 7. How much of what you ask your targets for do you get?
  • 12. Effective Advocacy Effective advocacy has one requirement: ACTION Simply discussing issues, challenges, and plans is NOT effective advocacy To be an effective advocate & attain your goals you MUST  Make advocacy an ongoing commitment and priority  Translate discussions, plans, and passions into moveable actions  Make your voice and perspective heard and understood
  • 13. Effective Advocacy = Power Grassroots advocacy is about BUILDING POWER Power is NOT measured by the number of advocates on a list Power is NOT measured by the number of small (or even large) victories we win Power must be measured by our ability to successfully advance our own agenda and to make it unthinkable that any other political or special interest would ever want to take us on.
  • 14. Organizing Grassroots Advocacy 1. Advocacy Has to be an Organizational Commitment The Board Must Take the Lead – a formal commitment to time and resources is essential. Create an Advocacy Committee with a Chair – Board and staff need to be included. 2. Advocacy Has Rules Know the Rules. It’s hard to break the rules, but you can do it if you don’t know what they are. 3. Advocacy Needs to be done Face to Face Plan to get your local, state and federal officials (and their staff) to your Center on a regular basis 4. Advocacy Needs Numbers
  • 15. Organizing Grassroots Advocacy 5. Advocacy Needs a Megaphone Learn how to use the media 6. Advocacy Needs Friends Look for ways to reach out to other organizations in your community on a regular basis 7. Advocacy Needs Votes Empower your health center by making sure your patients and staff are registered to vote and that they vote! 8. Advocacy Doesn’t Stop When the Whistle Blows Your goal is to build permanent power to influence any issue that affects your center, at any level of government.
  • 16. Relative Effectiveness of Advocacy Communications 1. A visit to your health center 2. A personal meeting back home 3. A personal meeting in Washington 4. Personal telephone calls 5. Personalized Letters (faxed) 6. Personalized emails 7. Template emails (ineffective unless in volume)
  • 17. Taking Action Nothing Beats Face To Face Advocacy – Get in front of elected officials and get them to your health center Personal Stories Matter - Collect compelling stories from patients and staff Not Everyone Has A Computer - Petitions and letters give everyone a chance to advocate For Those Who Are Online – Ask for their help! Use social media to share action alerts Vote! – Encourage others to vote, too
  • 18. Speaking of Taking Action… Campaign For America’s Health Centers sends Action Alert emails so YOU can connect with your elected officials to ask them to help your health center with funding and other policy matters. 1) SIGN UP to receive action alert emails http://www.saveourchcs.org/join-the-campaign.cfm 2) TAKE ACTION when you receive an email! 3) ASK OTHERS to sign up and take action, too!
  • 19. Contact us! Send your health center grassroots advocacy questions to grassroots@nachc.com

Hinweis der Redaktion

  1. YES, and you should. More than 75% of a health centers’ budget is determined by federal, state and local government’s decisions. However, there are limits to what non-profits can do. First of all, you cannot use ANY federal funds to lobby. Second, you should keep lobbying expenses below 5% of your organization’s time and effort.
  2. There are two types of lobbying, and health centers should use both when appropriate. Direct lobbying means you are communicating directly with the official’s office. Grassroots lobbying means you are urging others to communicate with an official. Both are critical to making an impact with your elected official.