Board Folder Contents November 2018 Page Description Dated Received 1 Table of Contents 2 Project SEARCH 10-18-18 3 How to be a Successful Advocate (CMHA) 10-23-18 31 A Vision for a World Class Public Mental Health System (CMHA) 10-24-18 37 Jackson County Board of County Commissioners Human Services 09-27-18 Committee Report for November 2018 43 Recipient Rights Advisory Council (RRAC) Meeting Minutes 10-25-18 46 LifeWays Board of Directors Meeting Attendance Report 10-26-18 50 LifeWays Board Executive Committee Meeting Minutes 11-01-18 52 LifeWays Internal Audit of Board-Approved Expenditures for Fiscal Year 11-01-18 2018 54 2018 County Health Rankings 11-05-18 75 Anatomy of: A Child; A Family; A Person; and A Community (Jackson 11-05-18 Collaboration Network) 79 Michigan Health Policy for the Incoming 2019 Gubernatorial Administration 11-07-18 95 2018 Election Results 11-07-18 108 Inpatient Data from the Certificate of Need Committee 11-15-18 116 Michigan’s Public Mental Health System Information (CMHA) 11-15-18 118 CMHA Connections Newsletter Fall 2018 11-16-18 11/2018 Board Folder Page 1 of 137 11/2018 Board Folder Page 2 of 137 How to be a successful ADVOCATE 11/2018 Board Folder Page 3 of 137 What is Advocacy? What is Advocacy? Advocacy = Education Telling a legislator how a policy affects constituents. Meeting with a government official to explain how a particular problem/issue is affecting a particular group or organization (the environment, mental health, schools, etc.) Using social media to get the word out about a cause/issue. Examples of advocacy – promote early childhood education, eliminate stigma related to mental health and addictions treatment. 2 11/2018 Board Folder Page 4 of 137 Advocacy Works! During the final 3 weeks of the FY19 budget negotiations we had nearly 5000 emails go to legislators regarding Section 298 and Autism services. Don’t depend on someone else speaking up for you. 11/2018 Board Folder Page 5 of 137 Advocacy Works! Compare the difference—over the past 8 years, campaign contributions given to current lawmakers: •Michigan Assoc of Health Plans & for-profit health plan executives have given OVER $1 million dollars. •CMH PAC has given around $40,000. 11/2018 Board Folder Page 6 of 137 Advocacy Works! Still, he said, the priority was given to local constituents. “If you came from back home and sat in my lobby, I talked to you without exception, regardless of the financial contributions,” Mulvaney said in his address to the American Bankers Association. 11/2018 Board Folder Page 7 of 137 As former Senate Majority Leader Everett Dirksen (R-IL) said… “When I feel the heat, I see the light.” 11/2018 Board Folder Page 8 of 137 Interacting with legislative offices Interacting with staff Put something in writing Most offices prefer e-mail vs. snail mail Easier to reply and track (send to state departments) Most of the written correspondences to offices is email (95/5) Know what outcome you are looking for Having facts straight Legislative process is complicated and can be confusing Keep it simple Be polite Staff is usually the gatekeeper for the member and can be a powerful advocate on your behalf. 11/2018 Board Folder Page 9 of 137 Interacting with legislative offices Interacting with legislators Stay on Message Keep it simple and to the point (5th grade level) Don’t assume they know what you are talking about 4000 – 5000 bills introduced Committee process Respect the Legislator’s time Give reasons for your position Explain how an issue would affect you, your family, your business, profession or local community they represent. Keep the Tone Positive and Constructive Know your audience (Republican / Democrat) Leave Fact Sheets Share your knowledge If you have specialized knowledge on an issue- share it! A concrete argument can be used by your legislator in determining the final outcome of a bill. Thank you 11/2018 Board Folder Page 10 of 137 Interacting with legislative offices Understanding a Legislators Schedule Schedules Legislators are in Lansing on Tuesdays, Wednesdays and Thursdays. Mondays and Fridays are in-district days Many legislators have in-district office/coffee hours (each week or month) In-district meetings are the best time to interact with your legislator(s) the days activities are usually not as busy (in Lansing they usually have meeting after meeting – it’s a more distracting environment) Legislator are usually more casual Legislative Session House session: Normally Tuesdays and Wednesdays at 1:30 p.m. and Thursdays at 12:00 noon. Senate sessions: 10:00 a.m. on Tuesdays, Wednesdays and Thursdays. Legislators also have committee meetings at various times of the day. 11/2018 Board Folder Page 11 of 137 Alternative Ways to Interact with legislative offices Most legislators use social media as a way to communicate with the public Facebook & Twitter Many legislators post their votes and up coming community events on Facebook Easy way to track what they are doing in Lansing Other Newsletters If your agency does a monthly/quarterly newsletter ask your legislator to write a guest column. Be willing to put legislative newsletters or publications in your lobby. Events Make sure you invite your legislator(s) to your community events Agency Open House or annual meeting Walk-a-Mile In My Shoes Rally Quarterly breakfast meetings 11/2018 Board Folder Page 12 of 137 Impact of Term Limits Term limits cause turnover in Lansing every few years, requiring constituents like you to keep educating your lawmakers on issues impacting the mental health community. Legislators are in Lansing to represent their constituents. If you don’t communicate your message, they can’t convey it to the entire legislative body. Put a face on the issue Keep it local – its best to incorporate local examples and local impact Don’t assume they know the importance of the issue Medicaid expansion – many legislators said they only heard from constituents opposed to expansion. If an issue is important to you or your agency let them know. Communication is a two way street. Remember these are regular people, they just have a fancy title. 11/2018 Board Folder Page 13 of 137 Useful Information to stay informed Michigan Votes – plain language descriptions of every bill, amendment, and vote that takes place in the Michigan legislature. www.michiganvotes.org Michigan Legislature – copies of the bills, find the status, summaries, etc. www.legislature.mi.gov Michigan House of Representatives & Michigan Senate – find legislative contact information, committee and session calendars, and you can watch committees and session live. www.house.michigan.gov www.senate.michigan.gov 11/2018 Board Folder Page 14 of 137 Crystal Ball: 2018 Elections 11/2018 Board Folder Page 15 of 137 2018 Election – What’s at stake 11/2018 Board Folder Page 16 of 137 2018 Election – Blue Wave? All signs point to the election in 2018 being a VERY good one for Democrats – a Blue Wave… Since President Trump has taken office 35 state legislative seats (special elections) have flipped from Republicans to Democrats, many of these have been long time R seats. Republicans were 0-5 in high profile statewide elections last year Alabama US Senate Seat, New Jersey Governor, Virginia Governor, LG, & AG Republican lost the Pennsylvania – 18 Congressional District in March, a seat Trump won by over 20 points… Last week Speaker of the House Paul Ryan announced he is not running for re-election. History is on the Democrats side in 2018 Traditionally president's party generally loses ground in midterm elections. In midterms since 1862, the president's party has averaged losses of about 32 seats in the House and more than 2 seats in the Senate 1998, President Bill Clinton was +5 (approval rating of 66%) 2002, George W Bush was +6 (approval rating of 63%) 11/2018 Board Folder Page 17 of 137 President Trump Approval Rating 11/2018 Board Folder Page 18 of 137 Forecasting the race for the US House 11/2018 Board Folder Page 19 of 137 Forecasting the race for the US Senate 11/2018 Board Folder Page 20 of 137 Forecasting the race for the US Senate 11/2018 Board Folder Page 21 of 137 2018 Election – What’s at stake in Michigan Who’s on the ballot this year due to term limits Governor (Lt. Governor), Secretary of State , Attorney General – all will be new All state legislative offices (110 House & 38 Senate seats) 28 of 38 State Senate seats will be open due to term limits At least 40 House seats will be open Republicans current hold a 63-47 majority in the House and a 27-11 majority in the Senate. All legislative leadership positions will be open: Senate Majority and minority leaders Senate Floor Leader Speaker of the House House Floor Leader Full Appropriations Chairs in House and Senate Who else is on the ballot? US Senator Debbie Stabenow is up for re-election State Supreme Court Justices University Board of Regents As many as 3-4 ballot initiatives – legalize recreational use of marijuana, redistricting changes, prevailing wage changes (not on ballot) 11/2018 Board Folder Page 22 of 137 2018 Ballot Initiatives 11/2018 Board Folder Page 23 of 137 2018 Ballot Initiatives Details What changes would the ballot initiative make to laws governing marijuana in Michigan? Proposal 1 was designed to allow adults aged 21 years or older to possess and use marijuana for recreational purposes. Individuals would be permitted to grow up to 12 marijuana plants in their residences. The measure would create an excise sales tax of 10 percent, which would be levied on marijuana sales at retailers and microbusinesses.