Supporting Key Legislative and Policy Changes - Revision history

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Snkennedy3327: Snkennedy3327 moved page Adopt Key Legislative and Policy Changes to Improve Response to the Epidemic to Supporting Key Legislative and Policy Changes

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Snkennedy3327 moved page Adopt Key Legislative and Policy Changes to Improve Response to the Epidemic to Supporting Key Legislative and Policy Changes

Pkalch at 09:08, 16 December 2020

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Pkalch at 22:37, 14 December 2020

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Pkalch at 22:20, 14 December 2020

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 '''Direct Lobbying'''<br/> Direct lobbying refers to direct communication and meetings with policy makers, most often governors, mayors, county executives, and the legislative branch at all levels of government. This key activity provides the opportunity to meet with decision makers and their staff to discuss the desired policy goals, the benefits and support, address any likely opposition, and gauge the receptiveness of the policymakers.<br/> Opportunities for direct lobbying often take place during the legislative session, which varies from jurisdiction to jurisdiction.&nbsp; Some advocates and interest groups will organize a "lobby day" where members converge in Washington, state capitols, or with local legislative bodies to advocate for desired policy objectives.&nbsp; When the legislative body is not in session, advocates can meet with their representatives at their local offices.&nbsp; A good resource on the process of influencing policy can be found here.
-'''Lobbying Rules and Restrictions'''<br/> Lobbying rules vary widely between levels of government and across all states.&nbsp; It is, therefore, important to know how lobbying is defined and what the restrictions are in the jurisdiction you are involved with.&nbsp; Some fundamentals include:<br/> 501(c)3 organizations (tax-exempt nonprofits) have some restrictions on lobbying in the government. This guide explains federal laws on non-profit lobbying for policy changes.&nbsp;
+'''Lobbying Rules and Restrictions'''<br/> Lobbying rules vary widely between levels of government and across all states.&nbsp; It is, therefore, important to know how lobbying is defined and what the restrictions are in the jurisdiction you are involved with.&nbsp; Some fundamentals include:
 The IRS defines direct lobbying as: "A direct lobbying communication is any attempt to influence any legislation through communication with: Any member or employee of a legislative body; or Any government official or employee (other than a member or employee of a legislative body) who may participate in the formulation of the legislation, but only if the principal purpose of the communication is to influence legislation."

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 '''Example of Advocacy Strategies within the Legislative Process'''<br/> The following illustrates some of the partnerships and strategies used to pass an important piece of legislation in the state of Illinois:
-Illinois SB2928 is a current law with the common name "Lake County Prescription Drug Disposal Pilot Program" which had been adopted in 2014 and is currently still functioning, losing its Pilot portion of title in 2015. [17][18] It has been shown to be a model by which many organizations and local governments can partner with one another to improve outcomes in drug recovery and disposal efforts. [19] The lead Project Coordinator Bill Gentes, has as a result, been awarded CADCA's Advocate of the Year.[20] The following steps were used in the creation, adoption, and advocacy for this bill that allowed successful passing of it within the 98th general assembly:
+Illinois SB2928<ref>https://ilga.gov/legislation/billstatus.asp?DocNum=2928&GAID=12&GA=98&DocTypeID=SB&LegID=79014&SessionID=85</ref> is a current law with the common name "Lake County Prescription Drug Disposal Pilot Program" which had been adopted in 2014 and is currently still functioning, losing its Pilot portion of title in 2015.&nbsp;&nbsp;It has been shown to be a model by which many organizations and local governments can partner with one another to improve outcomes in drug recovery and disposal efforts. The lead Project Coordinator Bill Gentes, has as a result, been awarded CADCA's Advocate of the Year.
-&nbsp;
+&nbsp;The following steps were used in the creation, adoption, and advocacy for this bill that allowed successful passing of it within the 98th general assembly:
 *Investigation of Previous Regulation and Legislation - As is shown in the Securing Public-Private Partnerships section, it is required that one reviews current legal standings to determine if advocacy for amendment is required to allow for a more proactive approach to drug prevention to exist.&nbsp;
-*Partnering with Local Law Enforcement - As stated by Gentes at an interview "“circling back to law enforcement and telling them, ‘look, you guys dropped off 500 pounds and I want to tell you want that means,” makes it easy for those police departments to then get their mayors, and their village boards invested in the process."[21] In many jurisdictions, it is regulated that only police forces may collect excess pharmaceutical products, which increases the need to partner with Local Law Enforcement even more. [22]
+*Partnering with Local Law Enforcement - As stated by Gentes at an interview "“circling back to law enforcement and telling them, ‘look, you guys dropped off 500 pounds and I want to tell you want that means,” makes it easy for those police departments to then get their mayors, and their village boards invested in the process."In many jurisdictions, it is regulated that only police forces may collect excess pharmaceutical products, which increases the need to partner with Local Law Enforcement even more.&nbsp;
-*Gaining support of Local and Community Leaders - Primarily through the method discussed in Partnering with Local Law Enforcement and through advocacy and education efforts, to have a bill passed one must show support at the local level as well as demonstrable results of local programs to garner such support. As Stated in the Route 50 Article: "Another goal for Gentes was to uncover and take advantage of the data coming out of the collection boxes. When scheduled substances are found within the boxes, the contents and amount is noted. This isn’t merely a measure to satisfy curiosity. Rather, Gentes uses the data collected as a tool to recruit new police departments to the program, and to remind participating police departments that their efforts are making a difference....'look, you guys dropped off 500 pounds and I want to tell you want that means,” makes it easy for those police departments to then get their mayors, and their village boards invested in the process.'"[23]
+*Gaining support of Local and Community Leaders - Primarily through the method discussed in Partnering with Local Law Enforcement and through advocacy and education efforts, to have a bill passed one must show support at the local level as well as demonstrable results of local programs to garner such support. As Stated in the Route 50 Article: "Another goal for Gentes was to uncover and take advantage of the data coming out of the collection boxes. When scheduled substances are found within the boxes, the contents and amount is noted. This isn’t merely a measure to satisfy curiosity. Rather, Gentes uses the data collected as a tool to recruit new police departments to the program, and to remind participating police departments that their efforts are making a difference....'look, you guys dropped off 500 pounds and I want to tell you want that means,” makes it easy for those police departments to then get their mayors, and their village boards invested in the process."
-*Securing Public-Private Partnerships - Walgreens has been approached by Gentes and worked to create Prescription Drop Off and Secure Sites with partnership with local police forces and legislature. Currently expanding their drop off points to several states, there appears to be an issue with a need to review current laws regarding drug disposal. [24] This has as a result increased the capacity of the project and accompanying police force in collection efforts.&nbsp;
+*Securing Public-Private Partnerships - Walgreens has been approached by Gentes and worked to create Prescription Drop Off and Secure Sites with partnership with local police forces and legislature. Currently expanding their drop off points to several states, there appears to be an issue with a need to review current laws regarding drug disposal. &nbsp;This has as a result increased the capacity of the project and accompanying police force in collection efforts.&nbsp;
-*Advocating for Adoption from State Officials - Through previous methods listed, especially community advocacy efforts, the proposal was adopted as a bill partly through the efforts of sponsor Senator Terry Link, and went on to receive unanimous support. [25]
+*Advocating for Adoption from State Officials - Through previous methods listed, especially community advocacy efforts, the proposal was adopted as a bill partly through the efforts of sponsor Senator Terry Link, and went on to receive unanimous support.&nbsp;
-*Securing Funding For A Statewide Program - In the Example of SB2928, funding would be secured in law through the Illinois EPA with the rationale that disposal of such materials would prevent drugs from tainting local water supplies, though it should be noted that labor and supplies were primarily used from local Law Enforcement Departments. [26][27]
+*Securing Funding For A Statewide Program - In the Example of SB2928, funding would be secured in law through the Illinois EPA with the rationale that disposal of such materials would prevent drugs from tainting local water supplies, though it should be noted that labor and supplies were primarily used from local Law Enforcement Departments.&nbsp;
-'''Examples of Federal, State, and Local Initiatives by Topic'''<br/> States and localities vary widely on what types of laws are implemented across multiple policy areas. Below are a few examples that can provide your community coalition with some ideas on what has been passed in other states and localities.
+'''Examples of Federal, State, and Local Initiatives by Topic'''<br/> States and localities vary widely on what types of laws are implemented across multiple policy areas. <ref>https://www.fda.gov/media/147152/download</ref>Below are a few examples that can provide your community coalition with some ideas on what has been passed in other states and localities.
 '''Prevention and Reduced Access to Prescription Medications'''
-*New Jersey - New Jersey's Prescription Monitoring Program
+*New Jersey - New Jersey's Prescription Monitoring Program&nbsp;<ref>https://www.njconsumeraffairs.gov/pmp/</ref>
-*California (Alameda County) - Local ordinances that require drug manufacturers to establish and fund a drug disposal program.[8]
+*California (Alameda County) - Local ordinances that require drug manufacturers to establish and fund a drug disposal program.&nbsp;<ref>https://library.municode.com/ca/alameda_county/codes/code_of_ordinances?nodeId=TIT6HESA_CH6.53ALCOSADRDIOR</ref>
-*Connecticut - Statute enacted May 2016: Seven-day limit for new opioid prescriptions for adults and all opioid prescriptions for kids. Exceptions for chronic and cancer pain, palliative care, and clinical judgement.[9]&nbsp;
+*Connecticut - Statute <ref>https://www.cga.ct.gov/2016/ACT/pa/2016PA-00043-R00HB-05053-PA.htm</ref>enacted May 2016: Seven-day limit for new opioid prescriptions for adults and all opioid prescriptions for kids. Exceptions for chronic and cancer pain, palliative care, and clinical judgement.
-*Illinois - Statute enacted September 2015: Schedule II prescriptions limited to a 30-day supply (with exceptions). Allows multiple prescriptions up to a 90-day supply if the prescriber meets specified conditions.[10]
+*Illinois - Statute enacted September 2015: Schedule II prescriptions limited to a 30-day supply (with exceptions). Allows multiple prescriptions up to a 90-day supply if the prescriber meets specified conditions.<ref>https://www.ilga.gov/legislation/publicacts/99/PDF/099-0480.pdf</ref>
 '''Harm Reduction'''
-*AmfAR Opioid & Health indicators Database - Syringe Access Locations&nbsp;
+*AmfAR Opioid & Health indicators Database - Syringe Access Locations&nbsp;<ref>https://opioid.amfar.org/indicator/num_SSPs</ref>
-*National Harm Reduction Coalition - Resources for Syringe Access and Policy
+*National Harm Reduction Coalition - Resources for Syringe Access and Policy<ref>https://harmreduction.org/issues/syringe-access/landscape-report/</ref>
-*Rhode Island - Fentanyl Testing Strip Program
+*Rhode Island - Fentanyl Testing Strip Program<ref>https://preventoverdoseri.org/fentanyl-test-strips/</ref>
 '''Access to Treatment and Protecting Treatment Services'''
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 '''Federal Government - Affordable Care Act (2010)''' - More than 20 million people received support to get mental health and substance abuse treatment through the 2010 ACA.[15] If it is repealed and its replacement does not offer the same coverage many people will be unable to get to access treatment for addiction. The New York Times’ Editorial Board states that "repealing the healthcare law is likely to exacerbate the crisis."[16
-California legislation has a process for reducing treatment fraud and waste.&nbsp;
+California legislation has a process for reducing treatment fraud and waste.&nbsp;<ref>https://www.hmpgloballearningnetwork.com/site/behavioral/news-item/policy/calif-bill-targets-profiteering-addiction-treatment-dialysis-industries</ref>
-'''Criminal Justice Reform and De-criminalization.&nbsp;'''<br/> Good Samaritan Laws provide immunity from criminal prosecution for drug crimes to those who use drugs and those who act in good faith and call emergency services during an overdose.[6] The Policy Surveillance Program provides an interactive database of current Good Samaritan Laws in the U.S. As of July 2016, 35 states and Washington D.C. had Good Samaritan Laws in place.[7]
+'''Criminal Justice Reform and De-criminalization.&nbsp;'''<br/> Good Samaritan Laws provide immunity from criminal prosecution for drug crimes to those who use drugs and those who act in good faith and call emergency services during an overdose.&nbsp;The Policy Surveillance Program provides an interactive database of current Good Samaritan Laws in the U.S. As of July 2016, 35 states and Washington D.C. had Good Samaritan Laws in place.<ref>https://www.ncbi.nlm.nih.gov/books/NBK542176/</ref>
 *Oregon - Recent State Initiative to De-criminalize almost all narcotics:&nbsp; Measure 110, passed by a majority of statewide voters in November 2020, decriminalizes the possession of marijuana and small amounts of "harder" drugs including cocaine and methamphetamine and reduces criminal penalties for larger amounts.&nbsp; A good summary of the measure can be found here.
-*Washington State - Law Enforcement Assisted Diversion
+*Washington State - Law Enforcement Assisted Diversion&nbsp;<ref>https://kingcounty.gov/depts/community-human-services/mental-health-substance-abuse/diversion-reentry-services/lead.aspx#:~:text=The%20Law%20Enforcement%20Assisted%20Diversion,behavioral%20health%20needs%20or%20poverty.</ref>
 '''Recovery Support Services'''
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 Governments at all levels will frequently create their own set of policy goals to address a particular issue.&nbsp; This has been true for several public health issues including the current opioid epidemic.&nbsp; This process typically involves bringing numerous stakeholders together to provide education and input in coordination with government representatives who initiate the process and finalize the set of policy objectives.
-*&nbsp;Rhode Island's Strategic Plan on Addiction and Overdose
+*&nbsp;Rhode Island's Strategic Plan on Addiction and Overdose<ref>https://health.ri.gov/news/temp/RhodeIslandsStrategicPlanOnAddictionAndOverdose.pdf</ref>
-*Massachusetts’s Recommendations of the Governor's Opioid Working Group
+*Massachusetts’s Recommendations of the Governor's Opioid Working Group<ref>https://www.mass.gov/lists/governors-opioid-addiction-working-group</ref>
-President Biden and Vice President Harris’ Year One Drug Policy Priorities - On April 1, 2021, President Biden and Vice President Harris released their administration's Drug Policy Priorities for the upcoming year. President Biden has made clear that addressing the overdose and addiction epidemic is an urgent priority for his administration.
+President Biden and Vice President Harris’ Year One Drug Policy Priorities<ref>https://www.whitehouse.gov/wp-content/uploads/2021/03/BidenHarris-Statement-of-Drug-Policy-Priorities-April-1.pdf?fbclid=IwAR2TBk34U_XRqlqK_pAYnUd_9f7zY3IbCQI9KxI6S5eYeRJdFzl9B09hZ84&utm_source=Faces+%26+Voices+of+Recovery&utm_campaign=1c12da631e-november-2020-advocacy-policy_COPY_01&utm_medium=email&utm_term=0_3410cda480-1c12da631e-382685157</ref> - On April 1, 2021, President Biden and Vice President Harris released their administration's Drug Policy Priorities for the upcoming year. President Biden has made clear that addressing the overdose and addiction epidemic is an urgent priority for his administration.
 Priorities include:
@@ Line 151: / Line 151: @@
 = Available Tools and Resources =
-'''National Advocacy Groups'''<br/> Below are some examples of national advocacy groups:
+*FedUp! - A grassroots coalition formed in 2012 that seeks action from the federal government to end the public health epidemic created by opioids.&nbsp; FedUp accepts no money from pharmaceutical corporations and 100% of the donations they receive are directly applied to managing the costs of hosting their FedUp! rallies.<ref>https://feduprally.org/</ref>
+*Department of Health & Human Services Guidebook for State by State Opioid Prescribing Guidelines-<ref>https://www.azdhs.gov/documents/prevention/womens-childrens-health/injury-prevention/opioid-prevention/appendix-b-state-by-state-summary.pdf</ref>
-*FedUp! - A grassroots coalition formed in 2012 that seeks action from the federal government to end the public health epidemic created by opioids.&nbsp; FedUp accepts no money from pharmaceutical corporations and 100% of the donations they receive are directly applied to managing the costs of hosting their FedUp! rallies.
+*National Council For Behavioral Health - National Organization the advocates for mental health and substance use policies.<ref>https://www.thenationalcouncil.org/policy-agenda/</ref>
-*National Council For Behavioral Health - National Organization the advocates for mental health and substance use policies.
+*National Harm Reduction Coalition.&nbsp; Advocates for numerous harm reduction approaches.<ref>https://harmreduction.org/</ref>
 &nbsp;

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 &nbsp;
 = Lobbying Rules and Restrictions =
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 (c)3 organizations (tax-exempt nonprofits) have some restrictions on lobbying in the government.&nbsp;[http://www.cadca.org/sites/default/files/resource/files/strat31.pdf This guide]&nbsp;explains federal laws on non-profit lobbying for policy changes.&nbsp;
-The IRS defines&nbsp;direct lobbying&nbsp;as: "A direct lobbying communication is any attempt to influence any legislation through communication with: Any member or employee of a legislative body; or Any government official or employee (other than a member or employee of a legislative body) who may participate in the formulation of the legislation, but only if the principal purpose of the communication is to influence legislation."
+The IRS defines&nbsp;direct lobbying&nbsp;as: "A direct lobbying communication is any attempt to influence any legislation through communication with: Any member or employee of a legislative body; or Any government official or employee (other than a member or employee of a legislative body) who may participate in the formulation of the legislation, but only if the principal purpose of the communication is to influence legislation."<ref>Treas. Reg. Sections 56.4911-2(b)(1)</ref>
 Direct Lobbying Communication is defined as: "Referring to specific legislation and reflects a view on such legislation."

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 &nbsp;
-== Criminal Justice Reform and De-criminalization. ==
 <u>Good Samaritan Laws</u>&nbsp;provide&nbsp;immunity from criminal prosecution for drug crimes to those who use drugs and those who act in good faith and call emergency services during an overdose.<sup class="reference">[6]</sup> The Policy Surveillance Program provides an [http://lawatlas.org/query?dataset=good-samaritan-overdose-laws interactive database] of current Good Samaritan Laws in the U.S. As of July 2016, 35 states and Washington D.C. had Good Samaritan Laws in place.<sup class="reference">[7]</sup>
-Oregon - Recent State Initiative to De-criminalize almost all narcotics:&nbsp; Measure 110, passed by a majority of statewide voters in November 2020, decriminalizes the possession of marijuana and small amounts of "harder" drugs including cocaine and methamphetamine and reduces criminal penalties for larger amounts.&nbsp;&nbsp;A&nbsp;good summary of the measure can be found [https://apnews.com/article/oregon-first-decriminalizing-hard-drugs-01edca37c776c9ea8bfd4afdd7a7a33e here].
+Oregon - Recent State Initiative to Decriminalize almost all narcotics:&nbsp; Measure 110, passed by a majority of statewide voters in November 2020, decriminalizes the possession of marijuana and small amounts of "harder" drugs including cocaine and methamphetamine and reduces criminal penalties for larger amounts.&nbsp;&nbsp;A&nbsp;good summary of the measure can be found [https://apnews.com/article/oregon-first-decriminalizing-hard-drugs-01edca37c776c9ea8bfd4afdd7a7a33e here].
 Washington State -&nbsp;[http://leadkingcounty.org/about/ Law Enforcement Assisted Diversion]

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 Grassroots Lobbying Communication is defined as: "Referring to specific legislation; reflecting a view on such legislation; and encouraging the recipient of the communication action with respect to such legislation."&nbsp;
 = The Legislative Process =
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 #Advocating for Adoption from State Officials - Through previous methods listed, especially community advocacy efforts, the proposal was adopted as a bill partly through the efforts of sponsor Senator Terry Link, and went on to receive unanimous support. <sup class="reference">[25]</sup>
 #Securing Funding For A Statewide Program - In the Example of SB2928, funding would be secured in law through the Illinois EPA with the rationale that disposal of such materials would prevent drugs from tainting local water supplies, though it should be noted that labor and supplies were primarily used from local Law Enforcement Departments. <sup class="reference">[26]</sup><sup class="reference">[27]</sup>
 = Examples of Federal, State, and Local Initiatives by Topic =

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 &nbsp;
-State and localities vary widely on what times of laws are implemented across the multiple policy areas that impact&nbsp; &nbsp;Below are a few examples that can provide your community coalition with some ideas on what has been passed in other states and localities.
+= Examples of Federal, State, and Local Initiatives by Topic =
 == Prevention and Reduced Access to Prescription Medications ==

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 Grassroots Lobbying Communication is defined as: "Referring to specific legislation; reflecting a view on such legislation; and encouraging the recipient of the communication action with respect to such legislation."&nbsp;
 = The Legislative Process =
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 == Continued Funding (Budget and Appropriations) ==
-Even when a law or ordinance is passed and signed by the chief executive, advocacy efforts often do not end.&nbsp; This is due to the fact that legislation containing funding to implement programs is authorized (usually for a period of years), but there is still a budget and appropriations process that must be monitored over the authorization period.&nbsp; Typically the executive branch of government produces an annual budget that reflects their policy and spending priorities.&nbsp; The budget may or may not be approved by the legislative body.&nbsp; After this point the legislative body will take up annual appropriations bills, which set spending levels for all agencies and their programs.&nbsp; These bills often work through a the regular order of other legislation, but sometimes will have a different, often expedited process.&nbsp;&nbsp;
+Even when a law or ordinance is passed and signed by the chief executive, advocacy efforts often do not end.&nbsp; This is due to the fact that legislation containing funding to implement programs is authorized (usually for a period of years), but there is still a budget and appropriations process that must be monitored over the authorization period.&nbsp; Typically, the executive branch of government produces an annual budget that reflects their policy and spending priorities.&nbsp; The budget may or may not be approved by the legislative body.&nbsp; After this point the legislative body will take up annual appropriations bills, which set spending levels for all agencies and their programs.&nbsp; These bills often work through the regular order of other legislation, but sometimes will have a different, often expedited process.&nbsp;&nbsp;
-&nbsp;
+It is important for community coalitions and advocates to understand that funding for the agencies and programs they support can change through each step of the budget and appropriations process.&nbsp; There is a need to stay vigilant and ensure full funding is achieved.&nbsp; Advocates must stay in touch with their champions in the executive branch and legislature to keep informed of any changes and be ready to advocate just as vigorously as when it is done with new initiatives in order to restore any proposed cuts in funding.
 == Example of Advocacy Strategies within the&nbsp;Legislative Process ==

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 Advocacy efforts can move quickly during the committee process, as unexpected challenges may surface due to an unfriendly amendment that might weaken the bill and the policy impact desired.&nbsp; It is important to work with allies to carefully track this process and respond to any negative developments.
 == Consideration by the Full Body ==
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 As with the Committee process, advocacy must continue throughout the time in which a bill is considered by the full legislative body.&nbsp; At the state and federal levels, this can be a challenge with many steps involved and a larger number of legislators to contend with - some of whom my not be supportive.&nbsp; Again, it is critical to stay in constant contact with supporters within the legislative body to keep track of potential harmful amendments and keep count of likely supporters within the full body.&nbsp; At times advocacy efforts need to be focused on a handful of legislators who have reservations or are undecided.
 == Potential Veto and Override ==