California Academy of Audiology - PowerPoint Presentation

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California Academy of Audiology:2018 Year in Review at the Capitol

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Silvio Ferrari and Nick Brokaw, Sacramento Advocates, Inc.Slide2

Table of ContentsLegislative InfluencesElection Year PreviewPolitical Issues and StrategyPlanning Ahead

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Legislative Influences3Slide4

It began with firm Democratic control CA Democratic Party w/ Control of 2/3rds of the Seats in the Legislature + All Statewide OfficesUnder Gov. Brown’s leadership, Dems passed a $52 billion transportation package (“the gas tax”)Democratic Leadership Vowing to Resist the Trump Administration on Key IssuesBudget Deficit Turned to $8.8 Billion Surplus

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Then came the scandals, resignations and recall.Scandals: Three in the wake of the “Me Too Movement”Resignation: One due to health concernsRecall: Orange County Democratic Senator Newman replaced by Republican Ling Ling Chang, a former Member of the Assembly

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Senate26 Democrats; 14 RepublicansChanges in Leadership:Pro Tem: Toni Atkins (D-San Diego) replaced Kevin De Leon

Minority Leader: Pat Bates (R-Laguna Nigel) replaced Jean Fuller in March, 2017

Appropriations Chair: Anthony

Portantino

(D-La

Cañada

Flintridge) replaces

Ricardo Lara

Health Chair: Dr. Richard Pan (D-Sacramento) recently replaced Dr. Ed Hernandez

Assembly

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55 Democrats; 25 Republicans

Changes in Leadership:

Minority Leader: Brian

Dahle

(R-Bieber) replaced Chad Mayes in Aug. 2017Slide7

Term LimitsMembers may now serve 12 years in one house, and lawmakers first elected in 2014, may serve thru 2026.The Assembly Speaker Anthony Rendon (D-Lakewood) may serve through 2024.Asm

. Minority Leader Brian Dahle (R-Bieber), may serve through 2024.

The Speaker Pro Tem Toni Atkins (D-San Diego), may serve through 2024.

Sen. Minority Leader Pat Bates (R-Laguna Nigel) can serve through 2022.

Significantly, 32

Assemblymembers

and 8 Senators will be termed out in 2024.

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Election Year Preview8Slide9

Newsom v. Cox…and other, down ballot races

Election Year Preview

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POLITICAL ISSUES AND STRATEGY10Slide11

SB 198

AB 1801

CA Department of Health Care Services

POLITICAL ISSUES AND

STRATEGY

Political Issues

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IssueSB198 would have allowed hearing aid dispensers to perform cerumen management and tympanometry, adversely impacting the scope of practice of California audiologists.

Senator

Galgiani

B&P Members and Staff

Coalition Building

Senator Hill

Success!!

SB 198 (

Galgiani

D-Stockton)

Tactics

Dr.

Raggio

, Dr. White and the Sac Advocates team met with lawmakers, staff and mobilized a broad coalition of stakeholders to oppose the bill.

Result

The bill was rendered a “two-year bill” in Senate B&P Committee, meaning it could have been re-introduced this year

After meeting with lawmakers, and key staff this year, we were again able to stop this bill, Senator

Galgiani

decided not to re-introduce the legislation!

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Issue

Would require the Department of Health Care Services to establish a Commission on Cytomegalovirus (CMV) Public Education and Testing (Commission). The Commission would examine research and data relating to CMV and identify possible public educational resources to inform pregnant women and women who may become pregnant about CMV. The Commission would include an audiologist.

Asm

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Nazarian

Health Com.

Approps

Com.

Testimony

So far, so good!

AB 1801 (

Nazarian

D-Sherman Oaks

)

Tactics

CAA has worked with the author’s office and provided support testimony and policy letters of support in key committees.

Result

Despite opposition by the powerful California Medical Association, our coalition successfully moved this bill through the Legislature. The bill is now off to the Governor’s desk.

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IssuesThere are numerous longstanding policy and communication issues impacting DHCS’s California Children’s Services and California audiologists.

DHCS Outreach

Quarterly Meetings

Follow-up

TBD

DHCS Outreach

Tactics

Sacramento Advocates has facilitated a quarterly meetings between CAA and DHCS’s California Children’s Services to address:

Earmold

Reimbursement Equity, Improving Communication Between CCS and Providers. Improving Communication Between

MediCal

and CCS, and Synthesizing

MediCal

and CCS Requirements as Appropriate

Result

To Be Determined

…

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Planning Ahead15Slide16

We Need You!We can never have too many activists. Please engage and tell us what you think.

CAA has an activist, diverse board, a core group of current Board members, former board members, and well-placed, outspoken audiologists who have been very effective for CAA when it has mattered most.We have private practitioners, academicians, non-profit clinic operators, practitioners in hospitals, among others.

Most importantly, we have members who somehow find the time to take on critical public policy challenges in addition to their day jobs and family lives.

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CAA has accomplished significant public policy victories in recent years:

Expanding the scope of practice to include cerumen management

Elevated the practice act to require a doctoral degree for state licensure

Eliminated Hearing Aid Dispensers Board, and then Hearing Aid Dispensers Committee, and replacing the Committee with the Speech Language Pathology, Audiology and Hearing Aid Dispensers Board, while ensuring audiologists can dispense hearing aids as part of sole license

Champion bill to enable to California State University

Systerm

to offer AUD degree to address acute shortage of California audiologists

Defeat bill which would have forced those who dispense hearing aids in California to discuss the value and use of

telecoils

Provide input on gubernatorial appointments, at the request of Gov. Brown

Defeated several bills which would have narrowed our scope of practice

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CAA works closely with Democrats and Republicans

Two members of the Assembly acknowledge that they are hearing impaired and love their audiologists. One Senator is an old family friend of a member of CAA. Relationships like these matter!Who do you know? All partisan persuasions are welcome!

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Opportunities in 2018 and Beyond

We continue to educate lawmakers by taking positions on issues and testifying at the Capitol.

We will build on this in the fall of 2018 and beyond.

We have done all of this without a significant PAC. We need your help to keep it growing!

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Thank you!20