State and Federal Legislative Platform October 17, 2017 Cyndy Comerford, Policy and Planning Manager San Francisco Department of Public Health Office of Policy & Planning
2 Overview • Background • Summary of 2017 State Legislative Session • Key Federal Updates • Emerging Legislative Issues • Draft 2018 SFDPH Federal and State Legislative Plans
3 Background What does our state and federal legislative platform do? • Serves as a policy guide to align City/SFDPH mission to serve and protect the health of all San Franciscans. • Allows SFDPH to make recommendations to the City to take positions on state and federal legislation.
SFDPH Policy Review and 4 Advancement of State and Federal Policy Health Commission SFDPH legislative plan Policy issue or proposal PHD/SFHN/Central Admin Internal Review Policy & Planning Review Mayor’s Office of Legislative Affairs Advocacy and position advancement
5 2017 State Legislative Session Legislature Composition Legislative Session Senate (27 D/ 15 R) October 15, 2017 ended President the first year of a two year Gavin Newsom (D) legislative cycle. Over President pro tempore 2,500 bills introduced, Kevin de Leon (D) approximately 600 went to Assembly (54 D/ 25R) the Governor’s Desk for President signature. Bills that did not Anthony Rendon (D) advance may move forward President pro tempore in the second session. Kevin Mullin (D)
6 2017 State Legislative Session 2017: 178 Bills Tracked V Chaptered/ e 14 Active Did Not Move Forward t Signed in to Law o Did Not Positions e d Move 97 65 14 Forward Key topic areas: Medi-Cal, medical and adult use cannabis, immigration/sanctuary cities, climate change, substance misuse and treatment, criminal justice, supportive housing, asthma prevention, childhood poisoning prevention, parental leave, HIV/AIDS, automated speed enforcement, and food assistance and safety *Counts will change as several bills await the Governor’s approval or veto. The last day for the Governor to sign legislation into law or veto them is Oct 15 th .
7 Key Federal Issues Repeal/Replace Sanctuary Affordable Cities Health Care Act Hospital 340B Drug Preparedness Program Program
8 ACA Repeal & Replace Recap BCRA, “Skinny Repeal” No vote on the Graham- and straight repeal fail in Cassidy bill . Budget Revised version the Senate Resolution Expires of bill passed by AHCA Introduced . House Jan 3, June 22, Sept Oct 2017 2017 March 24, 2017 11, 2017 10, 2017 June Sept Oct May July JAN March Jan 2017 2017 2017 2017 2017 2017 2020 2017 March 6, 2017 Week of Sept 23, 2017 May 4, 2017 July 23, 2017 Budget Withdrawn Graham-Cassidy Introduced Trump Executive BCRA Introduced Resolution on before House Order allowing ACA repeal – vote Health Insurance “Concurrent Across State lines Resolution 3” . introduced – . passed by House & Senate 12/19/2017
9 Sanctuary Cities On 1/13/17, Mayor Lee launched On 3/7/17, SF passed legislation to the Equity and Immigrant prohibit City employees from Services Campaign to serve the cooperating with any government legal needs of the City’s program that requires the creation of a immigrant community and list, registry or database of persons on promote partnerships with the basis of their religious affiliation, community-based national origin, or ethnicity . organizations. On 1/31/17, San Francisco sued On 4/25/17, a federal judge issued a President Trump for his preliminary injunction which blocks the Executive Order which threatens government from enforcing the to withhold federal funding from Executive Order. sanctuary cities. Mayor’s Office has been convening city departments and community organizations, to ensure that all San Franciscans, including immigrants, continue to access services in their communities.
10 2018 Legislative Plan Process • Start with 2017 Platform QUESTIONs TO ASKED : • Input from Deputy Director/ Director of Mental health What are priority policy issues/areas your branch is Policy and Planning expecting to face in 2017? Interagency coordination • Draft platform reviewed at Integration Are there specific policies that your branch would Steering Committee like to see move forward? • Draft platform presented to the Health Are there specific policies that your branch would Commission and opportunity to provide oppose? feedback. Adopted by HC. For the issues identified above, what collaboration, if • Plans reviewed by Mayor’s Office. any, is needed? • Plans approved by State Legislative Committee.
11 Key Issues on Legislative Platform Affordable Housing, Homelessness, and Supportive Housing Behavioral Health – Mental Health & Substance Use Restorative Justice and Improved Jail Health 02 Climate Change and Justice / Preparedness Disease surveillance Maternal, Child and Adolescent Health Environmental health Chronic disease prevention & management Hospital and County Health Funding Communicable disease prevention & control HIV programs and funding Tobacco control Population Health and Prevention Cannabis Vision Zero Health Care Reform / ACA Healthy eating & active living Emergency Medical Services Medi-Cal Funding for prevention and disparities
12 Timeline for Legislative Process State • The second year of a two year session begins January 2018. New bills introduced Jan/Feb. Budget introduced Jan and signed in June. Federal • Legislation tied more to the election cycle. Federal budget cycle is an complex/political process. Federal budget CR ends Dec.
13 Questions & Feedback Legislation and adjudication must follow, and conform to, the progress of society. ~ Abraham Lincoln
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