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Columbia University
Medical Center
Ross A. Frommer
Vice President for Government & Community Affairs and Associate Dean
Sandra Harris
Assistant Vice President for Government & Community Affairs
Presidential Trivia
1) Which President is related by blood to two other Presidents?
2) From which President do we get the phrase “OK”
3) Which Presidential autograph is worth the most?
4) Who is buried in Grant’s Tomb?
Lobbying --- What is it?
Congress shall make no law respecting an establishment of religion, or
prohibiting the free exercise thereof; or abridging the freedom of speech, or
of the press; or the right of the people peaceably to assemble, and to
petition the Government for a redress of grievances.
United States Constitution, Amendment I (1791)
Dan Hurley:
Gentle Pressure …Relentlessly Applied
Senator Mike Enzi:
If you are not at the table you are on the menu
And Why is it Important?
***Issues you care about – Access, Affordability, Diversity, PublicHealth
***Payment – Medicare, Medicaid, Exchanges
***Research – NIH, CDC, NSF, AHRQ
***Education – Title VII, Title VII, GME, Department of Ed. Programs
***Licensing – State
***Liability – State
***Regulation – FDA, USDOJ, ACA, Scope of Practice, EH&S
***Taxes and Fees – All levels
***Zoning and Safety – Local government
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Who Can Lobby?
***You!!!
***Companies
***Trade Organizations
***Non Profits
***Coalitions
***Columbia University
***http://policylibrary.columbia.edu/policy-governing-lobbying-activites
***Government Agencies and Employees
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Effective Lobbying
***Be Specific when possible
***Know the process and calendar, official and unofficial
***Have a rough idea of what things cost
***Everybody matters, constituents matter more
***Make use of the grass roots and the grass tops
***Have data. Do not have to be exact, but do need to be reliable
***Know the committee structure and who has particular interest/expertise
***Represent the larger group
***Make friends, not enemies, especially with those in power
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Effective Lobbying -- Continued
***Accept partial friends. Litmus tests are not productive
***Do not eat your own
***Make use of the press and social media – get pictures
***Advertise when possible and within resources.
***Be careful with protests
***Elections/Political landscape
***Fundraising
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Three Branches of Government
Executive
Legislative House and Senate
Judiciary
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How A Bill Becomes a Law
(or at least how it’s supposed to work)
Introduction
Committee Hearing
Mark – Up
Floor Vote
Conference Committee
Final Passage
Presidential Signature
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115th Congress
Senate: 52 Republicans, 46 Democrats, 2 Independents (D)
House: 237 Republicans, 193 Democrats (5 Vacancies)
The Republican Split
Freedom Caucus
31 Members
Chaired by Mark Meadows (R-NC)
More conservative than the rest of the caucus
Cause of Speaker Boehner’s downfall
Tuesday Group
50 plus Members, affiliated with the Republican Main Street Partnership
Chaired by Charlie Dent (PA), Tom MacArthur (NJ), and Elise Stefanik (NY)
More moderate than the rest of the caucus.
Budget Basics
***October 1st Fiscal Year
***Mandatory v. Discretionary
***Defense v. Non-Defense
Federal Budget
FY 17
Revenue: $3.64 trillion
Spending: $4.15 trillion
Deficit: $503 billion (2.6% of GDP)
Previous Years
FY 16
Revenue: $3.53 trillion
Spending: $3.99 trillion
Deficit: $460 billion (2.5% of GDP)
FY 15
Revenue: $3.18 trillion
Spending: $3.76 trillion
Deficit: $580 billion (3.2% of GDP)
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Discretionary Spending
***12 Appropriations Bills
***Subcommittee Allocations
***Due by September 30th
***In 2016 House passed 6, Senate 1
***Continuing Resolution
***Omnibus
***Riders
***Shutdown
NIH Funding
FY
NIH
12
$30.6 Billion
13 (post sequester)
$29.1 Billion
14
$30.0 Billion
15
$30.3 Billion
16
$32.1 Billion
17 (House)
$33.3 Billion
17 (Senate)
$34.1 Billion
17 Reduced Option
$30.4 Billion
18 Skinny Budget
$26.3 Billion
2018 -- The Two Year Itch
Senate
1902-2018
15
10
5
0
-5
-10
-15
R
R
D
R
R
R
D
R
R
D
D
R
R
D
R
R
D
R
D
R
1902
1910
1914
1922
1926
1930
1934
1946
1954
1962
1966
1970
1974
1978
1982
1990
1994
2002
2010
2018
House
1902-2018
20
10
0
-10
-20
-30
-40
-50
-60
-70
-80
-90
R
R
D
R
R
R
D
R
R
D
D
R
R
D
R
R
D
R
D
R
1902
1910
1914
1922
1926
1930
1934
1946
1954
1962
1966
1970
1974
1978
1982
1990
1994
2002
2010
2018
2018 Senate Races
2017/8 Gubernatorial Races
State Legislatures
April 22nd in Washington
Satellite marches across the country including New York
CUMC Bus to Washington
https://www.letskedaddle.com/events/7773 (code: bac6980d80b)
Contact Heidy Hernandez at 305-8060 or [email protected]
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