July 2017 Town Hall

66th Town Hall Meeting
July 2017
At the request of constituents,
ongoing meetings have been
scheduled as a result of the initial
meetings held in July 2011.
Representative
Pamela A. DeLissio
Listen. Consider. Represent.

Goals of my Town Hall
Meetings
1. Inform constituents about how
the legislative process works.
2. Dialogue about current
legislative initiatives.
3. Identify other state related
concerns.
Representative Pamela A. DeLissio
July 2017 Listen. Consider. Represent.

Committee Assignments
2017-2018
O Aging and Older Adult Services
O Agriculture and Rural Affairs
O Children and Youth
O Health
O State Government
July 2017
Listen. Consider. Represent.
Our Discussion
Quick Budget Update

&
HB1688
Pennsylvania Health Care Plan

2017-2018 State Budget Update
O Spending plan - $32 billion
O Gov. Wolf has allowed HB218 to lapse
into law without his signature
O Constitutionally mandated to deliver
balanced budget
O $2 billion deficit in current budget

O Lets Get the PA State Budget Done
O https://www.youtube.com/watch?v=e-
ADw0ZP6jI&list=PL07F6E314CAFF12D2

O Governor D (1)
O Senate Republicans (34)
O Senate Democrats (16)
O House Republicans (121)
O House Democrats (82)

O Concept of borrowing
O Sustainable, recurring revenue?
O Expanded gaming
O Video Gaming Terminals (VGT)
O Mini casinos
O Internet gaming
O Sports betting
O Marcellus Shale
O Not funding non-preferreds ($600 million)
O Closing the Delaware Loophole
O PIT last raised in 2004
O SUT last raised in 1968

Premise (Health Care is a Right)
We hold these truths to be self-evident, that all men are
created equal, that they are endowed by their Creator with
certain unalienable Rights, that among these are Life,
Liberty and the pursuit of Happiness. That to secure
these rights, Governments are instituted among Men,
deriving their just powers from the consent of the governed,
That whenever any Form of Government becomes
destructive of these ends, it is the Right of the People to
alter or to abolish it, and to institute new Government,
laying its foundation on such principles and organizing its
powers in such form, as to them shall seem most likely to
effect their Safety and Happiness.

O Tonights discussion is about how to
provide health care to all our citizens
O What do citizens want?
O What are citizens willing to pay for?
O How should it be structured?
O Universal Health Care
O Single Payer Health Care

Definition
O Universal health coverage:
O Universal health coverage (UHC) means that all people
and communities can use the promotive, preventive,
curative, rehabilitative and palliative health services they
need, of sufficient quality to be effective, while also
ensuring that the use of these services does not expose
the user to financial hardship. World Health
Organization (WHO)
O Single-payer health coverage:
O Single-payer national health insurance, also known as
Medicare for all, is a system in which a single public or
quasi-public agency organizes health care financing, but
the delivery of care remains largely in private hands.
Physicians for a National Health Program (PNHP)

O List of industrialized nations with single payer
O Single payer history in U.S.
O Single payer history in PA
O HB1688 is a work in progress

Different System Types

U.S. History of Single Payer
O Rep. John Conyers (D), Michigan has introduced
HR676, the Expanded & Improved Medicare For
All Act in every Congressional Session since
2003. HR676 is also referred to as the The United
States National Health Care Act
O It was introduced this Session on January 24th,
2017
O To date, it has 115 cosponsors
O All cosponsors are in the Minority Party

States that introduced Single Payer Legislation
O California O New Mexico
O Colorado O New York
O Delaware O Ohio
O Hawaii O Oregon
O Illinois O Pennsylvania
O Maine O Rhode Island
O Maryland O South Carolina
O Massachusetts O Vermont*
O Minnesota O Washington
O Montana * Vermont is the only state that has
O Nevada had legislation fully pass but has yet
to be enacted there.

PA History of Single-Payer
O 2005-2006:
O SB1085 Sen. Ferlo (D), District 38
O HB2722 Rep. Bebko-Jones (D), District 1
O 2007-2008:
O SB300 Sen. Ferlo
O HB1660 Rep. Manderino (D), District
194

O 2009-2010
O SB400 Sen. Ferlo
O HB 1660 Rep. Manderino
O 2011-2012:
O SB400 Sen. Ferlo
O HB2551 Rep. Payton (D), District 179
O 2013-2014:
O SB400 Sen. Ferlo

O 2015-2016:
O HB1688 Rep. DeLissio (D), District 194
O 2017-2018:
O HB1688 Rep. DeLissio

O Tonights discussion is about how to provide
health care to all our citizens
O What do citizens want?
O Currently, ACA:
O Does not exclude pre-existing conditions
O No lifetime cap
O Covered on parents plan until 26 y/o
O Defines essential services

O ACA Essential Services:
O Ambulatory patient services (outpatient services)
O Emergency services
O Hospitalization
O Maternity and newborn care
O Mental health and substance use disorder services, including behavioral
health treatment
O Prescription drugs
O Rehabilitative and habilitative services (those that help patients acquire,
maintain, or improve skills necessary for daily functioning) and devices
O Laboratory services
O Preventive and wellness services and chronic disease management
O Pediatric services, including oral and vision care

O What are citizens willing to pay for?
O How much are citizens willing to pay?
O Cost control
O Equipment
O Pharmaceuticals
O Administrative
O Advertising/Marketing

O How should it be structured?
O Income tax?
O Employer participation?

HB1688

HealthCare4AllPA
O HealthCare4AllPA is a non-profit organization,
founded in 2006 to educate people on single
payer and secure a true comprehensive universal
health care system for every citizen of
Pennsylvania.
O Their mission is to educate the public, as well as

our elected officials, on why we need to improve
upon our current health care system, and to
support and encourage legislation.

Economic Impact Study (EIS)
O Paid for by HealthCare4AllPA
O Conducted in 2013
O Authored by:
O Gerald Friedman, Ph.D.
O Department of Economics
O University of Massachusetts at Amherst
O Can be found on HealthCare4AllPA website

Possible Outcomes of Single Payer
O Individuals:
O Elimination of job-lock
O Elimination of premiums, co-pays,
deductibles and out-of-pocket expenses
O Potential property tax reduction due to
savings to municipalities and school districts
O Potential increase in net income for the
bottom 85% of working Pennsylvanians

O Businesses:
O Maintain job creation in health care sectors of
the PA economy
O Potential savings on health care benefits
O Ability to hire regardless of health care
benefits
O Declining payroll costs
O Lower cost for vehicle and liability insurance
O Lower workers compensation
O Elimination of COBRA obligations

O Businesses (continued):
O Tort reform
O Removal of retiree health care costs, or
legacy costs
O Promotion of true free and open market
principles at the provider level, not the
insurance company level

Tracking Legislation
O To view and track legislation:
O PA General Assembly Website:

O www.legis.state.pa.us/
O On the website, you can obtain information about

legislation, see how members voted, view Committee
information and the House calendar, sign up for
legislative updates and anything else related to the PA
General Assembly.

Tracking Legislation
O To view and track legislation:

Advocacy
O Contact your legislators
O Write
O Fax
O Email
O Telephone
O Social Media
O It is helpful to know the bill number, the committee the bill is

in and any other pertinent information.

Advocacy
O Contact legislators in their capacity as members of a
specific committee
O I have already contacted my representative and am
contacting you in your capacity as a _______ committee
member
O A reminder to be realistic
O Acknowledgment from a legislators office that they have
received your correspondence

Advocacy
O Get involved with organizations important to you
O VOTE!

Redistricting
O Congressional redistricting occurs
every 10 years in tandem with the
census.
O The next census is in 2020
O The next redistricting is in 2021
O Current redistricting is plagued by
partisan politics

Redistricting Reform Pledge

Redistricting
O Districts per our State
Constitution are to be compact,
contiguous and keep
communities whole.
O The following slides are
examples of gerrymandered
districts.
U.S. Representative Pat Meehan
7th District

U.S. Representative Lou Barletta
11th District

U.S. Representative Brendan Boyle
13th District

State Senator Vincent Hughes
7th District

State Representative Pam DeLissio
194th District

Redistricting Reform
O Legislation has been proposed to reform
how redistricting happens in PA.
O SB22 13 cosponsors to date
O HB722 96 cosponsors to date
O Redistricting reform will require a
Constitutional amendment.
O Redistricting reform may have an
opportunity to move forward at this time.

Fair Districts PA is a coalition of citizens and nonprofits, led by
Common Cause PA and the League of Women Voters, who believe
that in American democracy, elections should represent the will of
all the people, not just the politicians, and should provide citizens
with meaningful choices in electing representatives. They believe
Pennsylvania needs to reform its redistricting rules and make the
process of drawing districts impartial, transparent, and accountable,
promoting competitive elections and partisan fairness so that our
government truly is of, by and for the people.
www.FairDistrictsPA.com
/FairDistrictsPA General Facebook Page

Fair Districts PA Philadelphia Facebook Group for Philadelphia
@FairDistrictsPA

The Committee of Seventy supports redistricting
reform. Their website also contains information
about redistricting.
www.seventy.org/issues/redistricting

League of Women Voters
The League of Women Voters is a citizens organization
that has fought since 1920 to improve government and
engage all citizens in the decisions that impact their
lives.
The centerpiece of the Leagues efforts remain to

expand participation and give a voice to all Americans.
They do this at all three levels of government, engaging
in both broad educational efforts as well as advocacy.
www.lwv.org

Common Cause PA
Common Cause Pennsylvania (CCPA) is a government reform
organization in Pennsylvania. They are a non-profit, non-partisan,
citizen-led advocacy organization working to hold government
accountable and make government responsive to the needs of its
citizens. For over four decades CCPA has worked to build a better
democracy at the state, local and national levels through citizen
action. CCPA provides leadership through grassroots organizing,
creative coalition building, aggressive lobbying, in-depth research,
public education, and when necessary, through litigation.
www.commoncause.org/states/pennsylvania

Voting Turnout
O Voter turnout in non-presidential election years
O Voter turnout percentage by county:
County 2013 2014 2015
Philadelphia 12% 37% 26%
Montgomery 24% 48% 32%
O Voter turnout in presidential election years

O Voter turnout percentage by county:
County 2012 2016

Philadelphia 64% 66%
Montgomery 75% 78%

Voting Improvements
O Optional Vote By Mail
O No excuse absentee ballots
O Youth Voter Preregistration

O 16 and 17 year olds would register through PennDOT or
their high school in advance of turning 18
O In-Person Early Voting
O 33 states and the District of Columbia offer their voters
choice through in-person early voting
O Same-Day Voter Registration
O Currently, PA cuts off registration 30 days before an
election

Voting Improvements
Keystone Votes is a nonpartisan coalition
of advocacy and community organizations
joined together to launch a coordinated
campaign to update Pennsylvanias
election system.
www.keystonevotes.org

Campaign Finance
O For State elected offices, there is no
contribution limit by individuals, PACs or any
other entity permitted to contribute.
O For Federal elected offices, an individual can

donate $2,700 per election to a candidate
committee.
O In 2010, an individual contributed $100,000

to the PA Republican Gubernatorial candidate.

Campaign Finance
O Public Financing
O 13 states offer public funds to political candidates for
state offices
O Candidates who accept public funding must limit their
expenditures
O Matching funds are traditionally provided by
candidates who fundraise from private sources, with
certain $ limits placed upon them
O Clean elections candidates participate in
campaigns with only public funds no fundraising

Campaign Finance
O www.Campaignfinance.state.pa.us
O The PA Dept. of State's Website posts
campaign finance reports filed by
candidates for statewide, legislative and
judicial offices, and political committees
registered in PA.
O Reports filed by local candidates or
political committees can be viewed by
contacting the county Board of Elections.
January 2014

Bills by the Numbers
Session House Senate Total Total Signed
Introduced by Governor
2017-2018 1, 622 799 2,421 44
2015-2016 2,379 1,361 3,740 313
2013-2014 2,554 1,514 4,068 337

Resolutions by the Numbers
Session House Senate Total
2017-2018 434 169 603
2015-2016 1,110 489 1,599
2013-2014 1,098 503 1,601

Voter Registration
Where it all begins
O October 10, 2017 Deadline to REGISTER for
November Municipal General Election
O October 31, 2017 Last day to apply for absentee
ballot
O www.votespa.com to obtain an absentee ballot application
and find your polling place
O November 3, 2017 Last day absentee ballot can be

RECEIVED by County Election Office
O November 7, 2017 General Election Day, polls open
7:00 AM to 8:00 PM

Online Voter Registration
register.votesPA.com

Join Your Local Civic!
Civic engagement begins where we live. Are
you a member of your local civic?
Application forms in the back and in my

District Office.
Blueprint for Civic Associations in the 194th

Internship project
www.pahouse.com/DeLissio
January 2014

Apprise
Health Insurance
Counseling
3rd Tuesday of the Month
August 15th
September 19th
October 17th
January 2014

PennWATCH
is your window into Pennsylvania state
government. Using the tools on this
website, you can find in-depth information
about the state budget and revenues, how
that money is being spent and the results
your tax dollars are achieving.
www.pennwatch.pa.gov
January 2014

How We Voted
www.legis.state.pa.us
Updates on Budget
www.pahouse.com/HACD - Democratic
www.pabudget.com - Republican
www.budget.state.pa.us - Governor
January 2014

State House & Senate
Sessions
Committee Hearings &
State Judiciary
proceedings on PCN
Comcast - 186
Verizon - 9
January 2014

Elected Officials City/County - Philadelphia
O Councilman Curtis Jones District 4
Roxborough Office
O 5462 Ridge Avenue., Philadelphia, PA 19128
O 215-685-2547
City Hall Office

O Room 404, City Hall, Philadelphia, PA 19107
O 215-686-3416
O Curtis.jones.jr@phila.gov
O Mayor Jim Kenney

O Office 215, City Hall Philadelphia, PA 19107
O 215-686-2181
O James.Kenney@phila.gov

Elected Officials County - Montgomery
O Commissioner Dr. Valerie Arkoosh, Chair
O val@montcopa.org
O Commissioner Joseph Gale

O joe@montcopa.org
O Commissioner Kenneth Lawrence

O ken@montcopa.org
O Office:
O One Montgomery Plaza, 425 Swede St. Norristown, PA 19401
O 610-278-3020

Elected Officials Township - Montgomery
O Commissioner Paul McElhaney Ward 3
O pmcelhaney@outlook.com
O 610-660-0725
O Commissioner George Manos Ward 9

O George@gtmanos.com
O 610-664-4534
O Commissioner C. Brian McGuire Ward 13

O cbrianmcguire@Comcast.net
O 484-270-8505
O Office:
O 75 E Lancaster Avenue, Ardmore PA 19003

Elected Officials - State
O PA State Senator Vincent Hughes District 7
District Office:
O 2401 N. 54th St., Philadelphia, PA 19131
O 215-879-7777
O hughes@pasenate.com
O PA State Senator Sharif Street District 3

District Office:
O 4458 Germantown Ave., Philadelphia, PA 19140
O 215-457-5200
O sharifstreet@pasenate.com
O PA State Senator Daylin Leach District 17

District Office:
O 601 S. Henderson Rd., Suite 208, King of Prussia, PA 19406
O 610-768-4200
O senatorleach@pasenate.com

Elected Officials - Federal
O U.S. Congressman Dwight Evans District 2
Philadelphia Office:
O 7174 Ogontz Ave., Philadelphia, PA 19138
O 215-276-0340
O https://evans.house.gov/contact/email
O U.S. Senator Bob Casey

Philadelphia Office:
O 2000 Market St., Suite 610, Philadelphia, PA 19103
O 215-405-9660
O www.casey.senate.gov/contact
O U.S. Senator Pat Toomey

Philadelphia Office
O U.S. Custom House, 200 Chestnut St., Suite 600, Philadelphia, PA 19106
O 215-241-1090
O www.toomey.senate.gov/?p=contact

Shadow Pam
O To set up a date to shadow Pam

in Harrisburg, call her
Harrisburg office
717-783-4945
January 2014

Stay Informed!
Website:
www.pahouse.com/DeLissio
Facebook:
/RepDeLissio
Twitter:
@RepDeLissio
Take out your phone like & follow now!

Sign Up for Email and Reminder-Call Updates:
Visit my website and click the Contact tab or email us your email
address at RepDeLissio@pahouse.net to sign up for emails. Make sure
we have the best phone number to contact you.

Septa Key Photo ID Cards
Come have your picture taken for new
senior SEPTA ID Cards on Wednesdays and
Thursdays in my office.
By appointment only.
Call my district office at 215-482-8726.

January 2014

PennDOT Vehicle Registration Renewal
My office is prepared to assist constituents with
the vehicle registration renewal process now that
PennDOT is no longer issuing stickers.
Please Bring:
O Current registration card
O Proof of insurance
O Credit Card
My staff will print out your new valid, updated card.
January 2014

Pam in the News
O 6/9/17 DeLissio supports PennDOT Henry Avenue Highway
Safety Improvement Plan
O 7/8/17 DeLissio proposal to post ChildLine number in

hospitals voted affirmatively I introduced an amendment to
HB1232 that would also require hospitals to display the ChildLine number
on a poster in high-traffic, public areas in a hospitals emergency
department.
O 7/14/17 DeLissio urges vote on shale tax - Support for a

severance tax is growing on both sides of the aisle.
January 2014

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Details TBA

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66th Town Hall Meeting

Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

Quick Budget Update

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

O HB1688 is a work in progress

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

O Their mission is to educate the public, as well as

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

O PA General Assembly Website:

O On the website, you can obtain information about

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

O It is helpful to know the bill number, the committee the bill is

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

O Get involved with organizations important to you

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

/FairDistrictsPA General Facebook Page

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

The centerpiece of the Leagues efforts remain to

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

Philadelphia 12% 37% 26%

Montgomery 24% 48% 32%

O Voter turnout in presidential election years

County 2012 2016

July 2017 Listen. Consider. Represent.

O Youth Voter Preregistration

July 2017 Listen. Consider. Represent.

July 2017 Listen. Consider. Represent.

O For Federal elected offices, an individual can