Welcome! This is YOUR Day on the Hill

1. Welcome! This is YOUR Day on the Hill

2. Plan for Today 8:30 Welcome 8:35 Kim Edens – ADA/MDA Public Policy org structure 8:45 Pat Adams MDH Dir of SHIP Initiatives 9:30 LouanneKaupa RD for SHIP/School Nutrition 10:00 Stephanie/Ann – Federal Health Reform & Minnesota RD/DTRs 10:30 Margaret Anderson Kelliher – Lessons in Leadership for Public Policy advocates 11:00-11:15 Relocate - group 11:15- 12:00 Review of MDA Legislative Priorities followed by small group discussion & visit planning. 12:00 – Representative John Benson 12:15 Lunch in the Great Hall – meet/greet Legislators 1:00-3:00 Visits to Legislators

3. Cont. Plan for Today Optional: 1) 1:55 Guided Tour of the Capitol starts promptly at 2:00 (45 minutes). Meet at the information desk on 1st floor OR 2) 2:00 Website 101 MDA, ADA, MN Legislature (30 minutes) Wrap up: • Return reporting forms and evaluations • Pick up your CEU form

4. Overview of ADA • Founded in 1917 • World’s largest organization of food and nutrition professionals • Committed to improving the nation’s health • And advancing the profession of dietetics through research, eduction and advocacy.

5. ADA: Who We Are • MISSION: Empowering members to be the nation’s food and nutrition leaders • VISION: Optimizing the nation’s health through food and nutrition.

6. Membership • 75% of ADA’s 70,000 members are Registered Dietitians (RDs) • 4% are Dietetic Technicians, Registered (DTRs) • Other members: consultants, educators, researchers and students. • ~½ of all ADA members hold advanced academic degrees.

7. What Does ADA Do? • Provide Reliable and Evidence-based Nutrition Information for the Public • Accrediting Undergraduate and Graduate Programs • Credentialing Dietetics Professionals • Advocating for Public Policy (including ADA PAC) • Publishing a Peer-reviewed Periodical • Giving Back: the ADA Foundation

8. MDA Grassroots NetworkPublic Policy Panel and MDA’s Grassroots Affiliate Structure • Erin Gonzalez – Public Policy Coordinator • Kim Edens - State Policy Representative • Alisa Krizan - State Regulatory Specialist • Kristine Schmitz – State Reimbursement Rep • Each District has a point person identified (president or policy rep) to coordinate grassroots action for ADA/MDA action alerts. • MDA Public Policy Committee has member reps in many key areas including Health Care Reform, Diabetes Basket of Care, Farm to School, etc. Join us anytime, we are stronger together!

9. ADA Public Policy connections • ADA’s Government Relations Office is located in Washington DC, minutes from the Capitol. Our Minnesota connection is Mary Pat Raimondi, VP of Strategic Policy and Partnerships Mary Pat (on right) and colleague Jeanne at the White House for Christmas Party

10. Doing your part to advocate • Responding to MDA/ADA Action Alerts is essential. This is how we mobilize as a professional organization to make a difference. • MDA Public Policy Committee? Welcome mat is always out. Come for a “test drive” meeting soon.

11. Federal Health Reform under the Patient Protection & Affordability Act A turning point for our profession

12. Federal Health Reform – RD/DTR opportunities Opportunity is missed by most people because it is dressed in overalls and looks like work. Thomas Edison Opportunities multiply as they are seized. Sun Tzu Difficulties mastered, are opportunities won. Winston Churchill

13. Goals of the Affordable Care Act (ACA)  • Provide coverage for uninsured Americans • Improve affordability and stability of insurance for those who already have it • Control health care costs, reduce the federal budget deficit • Introduce a wellness-based health system

14. ACA – bending the arch from a health care system of “rescue” toward one of prevention • The primary determinants of health status are well defined – socioeconomic; education; workplace; environment AND quality affordable food. • The ACA Prevention and Public Health Fund is the first federal initiative to promote healthy living on a national scale. • Unless prevention takes center stage, the US will continue to spend too much and get too little.

15. We know how to fix this • Shift from the current fee-for-service payment model • Focus on preventive care and wellness • Create a patient-centered approach to treating multiple chronic diseases • Coordinate delivery systems. More primary care providers, medical homes, and community-based health centers

16. The RD/DTR Reality • Inclusion of nutrition does not automatically equate to inclusion of RDs or DTRs • Does not guarantee any enhanced professional roles or new opportunities reserved specifically for RDs or DTRs; and • We’re not alone, we have competition.

17. Minnesota moment for prevention • Under ACA $500 million distributed in 2010 to states/communities. • Potential MN opportunities: • School based health clinics • Medicare – CMS demonstration project • CMS coverage for Medicare patients now waives copayments and deductibles for MNT & 100% coverage for prevention services. Dietitians are listed as “medical professionals” for Annual Wellness Visit.

18. Minnesota moment for prevention • Potential MN opportunities, cont’d: • Healthy Aging, CDC grant program (contact MN Dept of Health, or County government office) • State Insurance Exchange • Small Business Employee Wellness Grants. • Requires committed, resourceful, savvy RD/DTR with drive and entrepreneurship.

19. Review of MDA 2011 Legislative Priorities

20. Minnesota Dietetic Association’s Public Policy Cornerstones: • Healthcare Access and Reform • Access to Safe & Healthy Food • Chronic Disease Prevention

21. The Minnesota Dietetic Association supports the following: 1. Continue funding for Statewide Health Improvement Program (SHIP)– to lower obesity rates and reduce tobacco use through community-based strategies led by local community health boards and tribal organizations Call to action: SHIP grants have employed many of our members around the state. SHIP will end in June 2011 if the legislature fails to fund it again. SHIP interventions are projected to save an estimated $1.9 billion in Minnesota by 2015. MDA strongly supports continued funding for SHIP.

22. Another talking point… Investing $10/per person/per year in proven community-based programs to increase physical activity, improve nutrition, and prevent tobacco use could save the country more than $16 billion annually within 5 yrs— This is a return of $5.60 for every $1. In Minnesota, the investment would save $316 million within 5 yrs – a return of $6.20 for every $1.

23. The Minnesota Dietetic Association supports the following: 2. Maintain funding and support for Minnesota’s Health Reform Initiatives including health care home certification, payment reform, clinic learning collaboratives, and baskets of care to achieve best practices with medical cost control. Call to “RD/DTR” action: MNT & nutrition services should absolutely be included, but requires RD/DTRs to engage and advocate at the local clinic level.

24. The Minnesota Dietetic Association supports the following: 3. Expand access and improve coverage for low income adults and children through affordable healthcare options; a recent example being enrolling Minnesota in the early expansion of Medicaid as part of federal health reform. Awareness: The early expansion of Medicaid authorized by Governor Dayton helps our poorest residents get health care.

25. The Minnesota Dietetic Association supports the following: 4. Ensure that scope of practice for licensed dietitians and licensed nutritionists is protected to optimize the health of our citizens using recognized evidence-based, cost effective approaches within Minnesota’s multi-disciplinary healthcare arena. Call to Action: Ask our Legislators to oppose the inclusion of “clinical nutrition” in the upcoming Chiropractic licensure bill on the basis of client/patient safety and unsubstantiated qualification.

26. The Minnesota Dietetic Association supports the following: 5. Maintain current state funding for school meals as many Minnesota families struggle financially and they depend on school meals to supply a significant portion of their children’s nutritional needs. Call to Action: MDA supports maintaining current funding for school meals.

27. The Minnesota Dietetic Association supports the following: 6. Sustain state funding for food shelf and food stamp outreach programs during these severe economic times. Call to action:MDA supports Senator Barb Goodwin’s appropriations bill SF70 for food shelf program and food stamp outreach.

28. Anatomy of a Visit • Start with a “Thank You” • Introduce yourself, where you are from. • Explain why you are visiting…. • Participating in MN Dietetic Association Legislative Day at the Capitol • Getting the word out about MDA Legislative prioritiesand how we can work together to make Minnesota better, healthier.

29. Anatomy of a Visit Share a bit about what you do and why you care. Review MDA’s legislative priorities – or focus just 1 or 2. This is where a personal story can have the greatest impact Leave them with the MDA Legislative Priority handout.

31. Anatomy of a Visit • Provide your business card if available. • Get on their mailing/email list. • Thank them for their time, interest. • Sending a thank you after your visit – a nice touch and highly recommended

32. Navigating websites http://www.leg.state.mn.us/ http://www.eatrightmn.org/ http://www.eatright.org/ http://www.youtube.com/user/MNHouseInfo http://www.healthcare.gov/index.htm l http://www.house.leg.state.mn.us/htv/programa.asp?ls_year=87&event_id=3197