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State Legislators for Progressive Health Care Reform: The Letter

In 2009, legislators working with Progressive States Network joined together to form State Legislators for Progressive Health Care Reform. Over 1,000 state legislators signed letters urging the Obama Administration and Congress to pass comprehensive health care reform legislation, including the choice of a public health insurance plan.
984 signers from 50 states
Additional State Letters in Support of Reform: Connecticut, New Mexico

Letter text

Dear President Barack Obama, Speaker Nancy Pelosi, Senate Majority Leader Harry Reid, and Members of the 111th US Congress:

As leaders in state legislatures across the country, we urgently call on President Obama and the U.S. Congress to take up and pass comprehensive health care reform in 2009.

The serious problems with health care in America ‚ ever-rising costs, limited access, inconsistent quality, and waste and inefficiency ‚ converge in the states. The effects of these problems stress state budgets, exhaust family resources, result in lost worker productivity, stifle entrepreneurial spirit, and literally cause tens of thousands of deaths each year.

Our disjointed health care system has formed a choke-hold on our economy, limiting job growth and economic development. We cannot fix the economy without fixing health care.

Over the past decade, state legislatures have debated and implemented a myriad of reforms to bring affordability, quality and fairness to health care in America ‚ designing solutions that reflect each state‚ unique economic, social, and geographic features. States play a vital role in the health care for hundreds of millions of Americans, by administering and helping to fund public programs like Medicaid and SCHIP, enacting innovations to expand access to public and private coverage, and serving as watchdogs of health insurance companies and other players.

Yet, states cannot achieve guaranteed affordable health care for all without the investment, leadership and partnership of the federal government. Successful reform requires robust federal-state collaboration.

Key priorities for reform are reflected in recent state initiatives and public opinion polls which show that Americans want more choices and options for quality health care. Americans recognize that the private sector alone has proven incapable of creating a high-quality, fair, and accountable health care system that works for all families. Therefore, a key priority for reform is the choice of a public health insurance plan that is available to businesses, individuals, and families. Another key priority is strengthening and expanding the Medicaid program with the help of enhanced federal support so that it can serve all low-income Americans. Related priorities include: guaranteeing affordability for individuals and businesses; preserving consumer choice of doctors; eliminating racial, ethnic, gender, and rural health disparities; ensuring shared responsibility among employers, individuals and government in financing health care; and, cost containment strategies that eliminate waste and inefficiency and improve quality, especially for people with chronic illnesses.

Failure to pass national comprehensive health reform now will further jeopardize state and local budgets, undermining public services like education, public safety, and transportation infrastructure. The recently passed economic recovery package includes a number of positive health care measures, but these do not remove states from the critical list. Achieving a high-performing, affordable and quality health care system for all US residents is central to a sustainable economic recovery and to the health and financial security of all families, businesses, and governments.

We, the undersigned, call on President Obama and the Congress to enact bold and comprehensive health care reform this year, based on these principles and a strong federal-state collaboration, and pledge our support as state legislators and allies in pursuit of guaranteed, high quality, affordable health care for all.

This letter was developed in consultation with national health care reform advocates, including the AFL-CIO, AFSCME, Community Catalyst, Families USA, Herndon Alliance, National Women's Law Center, Northeast Action, SEIU, and Universal Health Care Action Network.

Signers

ALABAMA - 2
Rep. Merika Coleman (AL)
Rep. Patricia Todd (AL)

ALASKA - 8
Rep. Robert Buch (AK)
Rep. Mike Doogan (AK)
Sen. Johnny Ellis (AK), Member, AKS Health & Social Services Committee
Sen. Hollis French (AK)
Rep. Berta Gardner (AK)
Rep. David Guttenberg (AK), Minority Whip
Rep. Elizabeth Kerttula (AK)
Rep. Chris Tuck (AK)

ARIZONA - 26
Sen. Amanda Aguirre (AZ), Member, Healthcare & Medical Liability Reform Committee
Rep. Ed Ableser (AZ), Member, Health and Human Services Committee
Rep. Olivia Cajero Bedford (AZ)
Rep. Jack Brown (AZ), Minority Leader Pro Tem
Sen. Meg Burton Cahill (AZ)
Rep. Chad Campbell (AZ), Minority Whip
Rep. Cloves Campbell (AZ)
Rep. Tom Chabin (AZ)
Rep. Steve Farley (AZ)
Rep. Patricia Fleming (AZ)
Sen. Jorge Garcia (AZ), Minority Leader
Rep. Martha Garcia (AZ)
Sen. Albert Hale (AZ), Member, Appropriations Subcommittee on Health and Welfare
Rep. Matt Heinz (AZ)
Rep. Phil Lopes (AZ), Member, Health and Human Services Committee
Rep. David Lujan (AZ), Minority Leader
Sen. Debbie McCune Davis (AZ)
Rep. Barbara McGuire (AZ)
Rep. Ben Miranda (AZ)
Rep. Lynne Pancrazi (AZ)
Sen. Rebecca Rios (AZ), Assistant Minority Leader
Rep. Kyrsten Sinema (AZ), Assistant Minority Leader
Rep. Anna Tovar (AZ)
Rep. Nancy Young Wright (AZ)

ARKANSAS - 6
Rep. Richard Carroll (AR)
Sen. Joyce Elliott (AR)
Rep. Steve Harrelson (AR)
Sen. David Johnson (AR)
Rep. Lindsley Smith (AR)
Rep. Kathy Webb (AR)

CALIFORNIA - 5
Asm. Bob Blumenfield (CA)
Asm. Jared Huffman (CA)
Asm. Dave Jones(CA), Chair, Health Committee
Sen. Mark Leno (CA), Member, Health Committee; Chair, Subcommittee on Health, Human Services, Labor and Veterans Affairs
Asm. Fiona Ma (CA)

COLORADO - 20
Rep. Dennis Apuan (CO)
Sen. Morgan Carroll (CO), Member, Senate and Joint Houses Health & Human Services Committees
Rep. Lois Court (CO)
Rep. Mark Ferrandino (CO)
Rep. Randy Fischer (CO), Deputy Majority Whip
Sen. Joyce Foster (CO)
Rep. Sara Gagliardi (CO), Vice Chair, Health and Human Services Committee
Rep. Dickey Lee Hullinghorst (CO)
Rep. John Kefalas (CO), Member, Health and Human Services Committee
Rep. Jeanne Labuda (CO)
Rep. Claire Levy (CO), Majority Whip
Rep. Beth McCann (CO)
Rep. Michael Merrifield (CO)
Rep. Joe Miklosi (CO)
Sen. Linda Newell (CO), Member, Health & Human Services Committee
Rep. Sal Pace (CO), Assistant Majority Caucus Chair
Rep. Su Ryden (CO)
Rep. Judy Solano (CO)
Rep. Max Tyler (CO), Member, Health & Human Services Committee
Rep. Edward Vigil (CO)

CONNECTICUT - 45
Rep. Andres Ayala (CT) Member, Joint Committee on Public Health
Rep. Theresa Conroy (CT), Member, Public Health Committee
Rep. Michelle Cook (CT)
Rep. Chris Donovan (CT), Speaker of the House
Rep. Elizabeth Esty (CT), Member, Public Health Committee
Rep. Kim Fawcett (CT)
Rep. Mae Flexer (CT)
Rep. Steve Fontana (CT), Co-Chair, Insurance & Real Estate Committee
Rep. Henry Genga (CT)
Rep. Linda Gentile (CT), Vice-Chair, Public Health Committee
Rep/ John Geragosian (CT), Majority Caucus Chair
Rep. Bob Godfrey (CT), Deputy Speaker
Rep. Ted Graziani (CT)
Rep. Auden Grogins (CT), Member, Public Health Committee
Sen. Toni Harp (CT), Deputy President Pro Tempore
Rep. John Hennessy (CT)
Rep. Gary Holder-Winfield (CT), Member, Human Services Committee
Rep. Ed Jutila (CT)
Rep. Marie Kirkley-Bey (CT)
Rep. Barbara Lambert (CT)
Rep. Matthew Lesser (CT), Member, Public Health Committee
Rep. Joan Lewis (CT), Assistant Majority Leader
Rep. Christopher Lyddy (CT), Member, Joint Committee on Public Health
Sen. Andrew Maynard (CT)
Rep. David McCluskey (CT), Deputy Speaker of the House
Rep. Denise Merrill (CT), Majority Leader
Rep. Joseph Mioli (CT)
Rep. Russ Morin (CT)
Rep. Tim O'Brien (CT), Member, Public Health Committee
Rep. Melissa Olson (CT), Deputy Majority Leader; Member, Public Health Committee
Rep. Chris Perone (CT)
Sen. Edith Prague (CT), Assistant President Pro Tempore
Rep. Lonnie Reed (CT)
Rep. Peggy Reeves (CT)
Rep. Elizabeth Ritter (CT), Co-Chair, Public Health Committee
Rep. Jason Rojas (CT)
Rep. Kevin Ryan (CT), Member, Public Health Committee
Rep. Ezequiel Santiago (CT)
Rep. Peggy Sayers (CT), Deputy Majority Leader
Sen. Gayle Slossberg (CT), Vice Chair, Joint Committee on Public Health
Sen. Andrea L. Stillman (CT), Deputy Majority Leader; Member, Public Health Committee
Rep. Peter Tercyak (CT), Member, Public Health Committee
Rep. Jack Thompson (CT), Assistant Majority Whip; Member, Human Services Committee
Rep. Diana Urban (CT)
Rep. Peter Villano (CT)
Rep. Toni Walker (CT), Chair, Human Services Committee
Rep. Roberta Willis (CT)
Rep. Elissa Wright (CT)
Rep. Bruce "Zeke" Zalaski (CT)

DELAWARE - 1
Rep. Bradford Bennett (DE)
FLORIDA - 4
Rep. Ronald Brise (FL)
Rep. Keith Fitzgerald (FL), Member, Health and Family Services Policy Council
Rep. Mark Pafford (FL), Member, Full Appropriations on General Government & Health Care
Rep. Elaine Schwartz (FL), Ranking Minority Member, Healthy Seniors Appropriations; Member, Health and Family Services Policy Council Committee

GEORGIA - 14
Rep. Stacey Abrams (GA)
Rep. Kathy Ashe (GA)
Rep. Stephanie Benfield (GA)
Sen. Robert Brown (GA), Minority Leader
Sen. Gloria Butler (GA), Member, Health and Human Services Committee
Rep. Gloria Frazier (GA)
Rep. Pat Gardner (GA), Member, Appropriations Subcommittee on Health
Sen. Emanuel Jones (GA)
Rep. Sheila Jones (GA), Member, Health and Human Services Committee
Rep. Ralph Long (GA)
Rep. Alisha Morgan (GA), Member, Health and Human Services Committee
Sen. Nan Orrock (GA), Member Ex-Officio, Health and Human Services Committee
Rep. Rashad Taylor (GA)
Rep. Brian Thomas (GA)

GUAM - 2
Sen. Frank Aguon, Jr. (GU)
Sen. Matt Rector (GU)

HAWAII - 5
Sen. Rosalyn Baker (HI)
Rep. Denny Coffman (HI)
Rep. Bob Herkes (HI)
Rep. Michael Magaoay (HI)
Rep. Roy Takumi (HI)

IDAHO - 5
Rep. Donna Boe (ID)
Rep. Wendy Jaquet (ID), Minority Leader
Rep. Phylis King (ID)
Sen. Nicole LeFavour (ID), Member, Health and Welfare Committee
Rep. Anne Pasley-Stuart (ID)

ILLINOIS - 3
Rep. Barbara Flynn Currie (IL)
Sen. William Delgado (IL), Chair, Public Health Committee
Rep. Susana Mendoza (IL)

INDIANA - 4
Sen. Sue Errington (IN), Ranking Minority Member, Health and Provider Services Committee; Member, Subcommittee on Public Health
Rep. Matt Pierce (IN)
Rep. Mara Candelaria Reardon (IN)
Sen. Vi Simpson (IN), Member, Health & Provider Services

IOWA - 53
Rep. McKinley Bailey (IA)
Rep. John Beard (IA)
Sen. Joe Bolkcom (IA), Member, Human Services Committee; Assistant Majority Leader
Sen. Thomas Courtney (IA), Majority Whip
Sen. Jeff Danielson (IA), President Pro Tempore
Sen. Robert Dvorsky (IA)
Rep. Gene Ficken (IA)
Sen. Eugene Fraise (IA)
Rep. Marcella Frevert (IA)
Rep. Mary Gaskill (IA)
Rep. Elesha Gayman (IA), Assistant Majority Leader
Sen. Michael Gronstal (IA), Majority Leader
Sen. Tom Hancock (IA)
Sen. Jack Hatch (IA), Co-Chair, Health and Human Services Appropriations Subcommittee; Assistant Majority Leader
Sen. William Heckroth (IA), Assistant Majority Leader
Rep. Lisa Heddens (IA), Co-Chair, Health and Human Services Appropriations Subcommittee; Member, Human Services Committee
Sen. Robert Hogg (IA)
Rep. Bruce Hunter (IA), Member, Human Services Committee
Sen. Pam Jochum (IA)
Rep. Jerry Kearns (IA)
Sen. Jack Kibbie (IA), Senate President
Sen. Keith Kreiman (IA)
Rep. Bob Kressig (IA)
Rep. Vicki Lensing (IA)
Rep. Jim Lykam (IA)
Rep. Larry Marek (IA)
Sen. Matt McCoy (IA)
Rep. Pat Murphy (IA), Speaker of the House
Rep. Rick Olson (IA)
Rep. Tyler Olson (IA), Member, Human Services Committee
Rep. Eric Palmer (IA)
Sen. Herman Quirmbach (IA), Member, Human Services Committee
Sen. Amanda Ragan (IA), Chair, Human Resources Committee; Vice-Chair, Health and Human Services Appropriations Subcommittee
Rep. Nathan Reichert (IA)
Sen. Becky Schmitz (IA), Vice-Chair, Human Resources Committee; Member, Health and Human Services Appropriations Subcommittee
Sen. Brian Schoenjahn (IA)
Rep. Thomas Schueller (IA)
Sen. Joe Seng (IA)
Rep. Mark Smith (IA), Chair, Human Resources Committee; Member, Health and Human Services Appropriations Subcommittee
Sen. Steve Sodders (IA)
Rep. Sharon Steckman (IA), Member, Human Services Committee
Sen. Roger Stewart (IA)
Rep. Kurt Swaim (IA)
Rep. Dick Taylor (IA)
Rep. Todd Taylor (IA)
Rep. Phyllis Thede (IA)
Rep. Roger Thomas (IA)
Rep. Roger Wendt (IA), Member, Human Services Committee
Rep. John Whitaker (IA)
Rep. Wesley Whitead (IA)
Rep. Nate Willems (IA)
Rep. Cindy Winckler (IA)
Rep. Ray Zirkelbach (IA)

KANSAS - 4
Rep. Sydney Carlin (KA), Member, Aging and Long-Term Care Committee
Rep. Delia Garcia (KS)
Rep. Annie Kuether (KS)
Rep. Connie O'Brien (KS)

KENTUCKY - 1
Rep. Brent Yonts (KY)
LOUISIANA - 1
Rep. Rickey Hardy (LA)
MAINE - 52
Rep. Herbert Adams (ME)
Sen. Justin Alfond (ME)
Sen. Philip Bartlett (ME), Senate Majority Leader
Rep. Henry Beck (ME)
Rep. Seth Berry (ME), Majority Whip
Sen. Lawrence Bliss (ME)
Rep. Anna Blodgett (ME)
Rep. Andrea Boland (ME)
Sen. Peter Bowman (ME)
Sen. Joseph Brannigan (ME), Chair, Health and Human Services
Rep. Sheryl Briggs (ME)
Rep. Mark Bryant (ME)
Rep. Steven Butterfield (ME)
Rep. Emily Cain (ME)
Rep. James Campbell (ME), Member, Health and Human Services Committee
Rep. Michael Carey (ME)
Rep. Alan Casavant (ME)
Sen. Margaret Craven (ME)
Rep. Patsy Crockett (ME)
Rep. Timothy Driscoll (ME)
Rep. Robert Eaton (ME)
Rep. Mark Eves (ME)
Rep. Sean Flaherty (ME)
Rep. Elsie Flemings (ME)
Rep. Adam Goode (ME), Member, Joint Standing Committee on Insurance and Financial Services
Rep. Anne Haskell (ME)
Rep. Teresea Hayes (ME)
Rep. Jon Hinck (ME)
Rep. Robert Hunt (ME)
Rep. Melissa Innes (ME)
Rep. Peter Kent (ME)
Rep. Charles Kruger (ME)
Rep. W. Bruce MacDonald (ME)
Rep. Veronica Magnan (ME)
Rep. James Martin (ME)
Rep. Jeffrey McCabe (ME)
Rep. Elizabeth "Lisa" Miller (ME)
Rep. Wayne Mitchell (ME)
Rep. Mary Nelson (ME)
Rep. Andrew O'Brien (ME)
Rep. Leila Percy (ME)
Rep. Anne Perry (ME), Chair, Joint Standing Committee on Health and Human Services
Rep. Matthew Peterson (ME), Member, Health and Human Services Committee
Rep. Hannah Pingree (ME), Speaker of the House
Rep. Diane Russell (ME)
Rep. Linda Sanborn (ME)
Rep. Michael Shaw (ME)
Rep. Sara Stevens (ME)
Rep. Peter Stuckey (ME), Member,Health and Human Services Committee
Rep. Sharon Treat (ME), Chair, Joint Standing Committee on Insurance and Financial Services
Rep. Richard Wagner (ME)
Rep. Joan Welsh (ME)

MARYLAND - 54
Del. Saqib Ali (MD)
Del. Charles Barkley (MD)
Del. Pamela Beidle (MD)
Del. Elizabeth Bobo (MD)
Del. William Bronrott (MD), Deputy Majority Whip
Del. Alfred Carr (MD)
Del. Virginia Clagett (MD)
Sen. George Della (MD)
Del. Kathleen Dumais (MD)
Del. Brian Feldman (MD), Member, Access to Mental Health Services Committee
Sen. Jennie Forehand (MD), Deputy Majoirty Whip
Del. C. William Frick (MD)
Sen. Brian Frosh (MD)
Del. Barbara Frush (MD)
Del. Jim Gilchrist (MD)
Del. Ana Sol Gutierrez (MD), Member, Subcommittee on Health and Human Resources
Sen. David Harrington (MD), Member, Access to Mental Health Services Committee
Del. Sue Hecht (MD)
Del. Anne Healey (MD)
Del. Henry Heller (MD)
Del. Sheila Hixson(MD)
Del. Marvin Holmes (MD), Deputy Majority Whip
Del. Carolyn Howard (MD), Deputy Speaker Pro Tempore
Del. James Hubbard (MD), Member, Health and Government Operations Committee; Chair, Subcommittee on Public Health and Long Term Care
Del. Tom Hucker (MD)
Del. Jolene Ivey (MD)
Del. Anne Kaiser (MD)
Del. Stephen Lafferty (MD)
Del. Susan Lee (MD), Deputy Majority Whip
Sen. Mike Lenett (MD), Member, Joint Committee on Health Care Delivery and Financing; Member, Education, Health, and Environmental Affairs Committee
Del. Gerron Levi (MD)
Sen. Richard Madaleno (MD), Vice Chair, Subcommittee on Health, Education, and Human Resources
Del. Roger Manno (MD)
Sen. Nathaniel McFadden (MD)
Del. Heather Mizeur (MD), Member, Health and Human Resources Appropriations Subcommittee
Del. Peter Murphy (MD)
Sen. C. Anthony Muse (MD)
Del. Shirley Nathan-Pulliam (MD), Member, Health and Government Operations Committee; Chair, Subcommittee on Minority Health Disparities
Del. John Olszewski (MD)
Sen. Paul Pinsky (MD)
Del. Victor Ramirez (MD)
Sen. Jamie Raskin (MD)
Del. Kirill Reznik (MD), Member, Health & Government Operations
Del. Craig Rice (MD)
Del. Barbara Robinson (MD)
Sen. James Robey (MD)
Sen. Jim Rosapepe (MD), Member, Subcommittee on Health; Assistant Deputy Majority Whip
Del. Dana Stein (MD)
Del. Shawn Tarrant (MD), Member, Health and Government Operations Committee
Del. Herman Taylor (MD)
Del. Frank Turner (MD)
Del. Veronica Turner (MD), Member, Health & Government Operations; Member, Joint Committee on Health Care Delivery & Financing
Del. Kris Valderrama (MD)
Del. Jeff Waldstreicher (MD)

MASSACHUSETTS - 31
Rep. Willie Mae Allen (MA)
Rep. Steven D'Amico (MA), Member, Joint Committee on Health Care Financing
Rep. Cory Atkins (MA)
Rep. Ruth B. Balser (MA), Vice Chair, Public Health; Member, Mental Health & Substance Abuse
Rep. Jennifer Benson (MA)
Rep. William Brownsberger (MA)
Sen. Sonia Chang-Diaz (MA)
Sen. Kenneth Donnelly (MA)
Sen. James Eldridge (MA)
Rep. Mark Falzone (MA)
Rep. Jonathan Hecht (MA), Member, Health Care Financing Committee
Sen. Patricia Jehlen (MA) Member, Joint Committe on Health Care Financing
Rep. Jay Kaufman (MA)
Sen. Thomas Kennedy (MA)
Rep. Peter Kocot (MA)
Rep. Jason Lewis (MA), Member, Joint Committee on Public Health; Member, Joint Committee on Health Care Financing
Rep. Barbara L'Italien (MA)
Rep. David Linsky (MA)
Rep. Liz Malia (MA) Chair, Joint Committee on Mental Health & Substance Abuse
Rep. Matthew Patrick (MA), Member, Joint Committee on Health Care Financing
Rep. Denise Provost (MA)
Sen. Stanley Rosenberg (MA)
Rep. John Scibak (MA)
Rep. Carl Sciortino (MA), Member, Joint Committee on Health Care Financing
Rep. Frank Smizik (MA)
Rep. Marie St. Fleur (MA)
Rep. Benjamin Swan (MA)
Rep. Timothey Toomey (MA), Member, Public Health Committee
Sen. Steven Tolman (MA) Rep. Alice Wolf (MA), Chair, Joint Committee on Elder Affairs
Rep. Marty Walz (MA)

MICHIGAN - 11
Rep. Fred Durhal (MI)
Sen. Gilda Jacobs (MI), Vice Chair, Families and Humans Services Committee; Member, Health Policy Committee
Rep. Deb Kennedy (MI)
Rep. Mark Meadows (MI)
Rep. Fred Miller (MI)
Rep. Mike Simpson (MI)
Rep. Alma Wheeler Smith (MI)
Sen. Samuel "Buzz" Thomas (MI), Minority Floor Leader
Rep. Rashida Tlaib (MI)
Rep. Mary Valentine (MI), Member, Health Policy
Rep. Rebekah Warren (MI)

MINNESOTA - 44
Sen. Ellen Anderson (MN)
Sen. Linda Berglin (MN), Chair, Health and Human Services Budget Division
Rep. Kathy Brynaert (MN)
Rep. Lyndon Carlson (MN)
Rep. Jim Davnie (MN)
Sen. Scott Dibble (MN)
Rep. Al Doty (MN)
Rep. Patti Fritz (MN), Member, Health Care and Human Services Finance Division Committee; Member, Health Care and Human Services Policy and Oversight Committee
Rep. Paul Garnder (MN), Member, Health Care and Human Services Policy and Oversight Committee
Rep. Alice Hausman (MN)
Rep. Jeff Hayden (MN)
Rep. Frank Hornstein (MN)
Rep. Melissa Hortman (MN)
Rep. Larry Hosch (MN)
Rep. Sheldon Johnson (MN)
Rep. Phyllis Kahn (MN)
Rep. Jeremy Kalin (MN)
Rep. Kate Knuth (MN)
Sen. Gary Kubly (MN)
Rep. Carolyn Laine (MN), Member, Health Care & Human Services Policy & Oversight Committee
Sen. Ron Latz (MN)
Rep. Tina Liebling (MN), Vice Chair, Health Care and Human Services Policy and Oversight Committee
Rep. Bernie Lieder (MN)
Rep. Diane Loeffler (MN), Member, Health Care and Human Services Policy and Oversight Committee; Assistant Majority Leader
Sen. Tony Lourey (MN)
Rep. Carlos Mariani (MN)
Rep. Sandra Masin (MN)
Rep. Terry Morrow (MN)
Sen. Mee Moua (MN)
Rep. Joe Mullery (MN)
Rep. Erin Murphy (MN), Member, Health Care and Human Services Policy and Oversight Committee
Rep. Jerry Newton (MN)
Rep. Michael Paymar (MN)
Sen. Lawrence Pogemiller (MN)
Sen. Yvonne Prettner Solon (MN), Member, Health and Human Services Budget Division Committee; Member, Health, Housing and Family Security Committee
Rep. Roger Reinert (MN)
Rep. Brita Sailer (MN)
Rep. Bev Scalze (MN), Member, Health Care and Human Services Finance Division Committee
Rep. Linda Slocum (MN)
Rep. Loren Solberg (MN)
Rep. Paul Thissen (MN), Chair, Health Care & Human Services Policy & Oversight
Rep. Jean Wagenius (MN)
Rep. John Ward (MN)
Sen. Chuck Wiger (MN)

MISSISSIPPI -1
Rep. Mary Coleman (MS)
MISSOURI - 17
Rep. Don Calloway (MO)
Rep. Chris Carter (MO), Member, Healthcare Transformation Committee
Sen. Rita Days (MO), Assistant Minority Floor Leader
Rep. Michael Frame (MO)
Rep. Tishaura Jones (MO), Member, Appropriations - Health, Mental Health and Social Services Committee; Member, Health Insurance Committee
Sen. Jolie Justus (MO), Member, Health, Mental Health, Seniors and Families Committee
Rep. Jason Kander (MO)
Rep. Jeanne Kirkton (MO), Member, Health Care Transformation; Member, Appropiations - Health
Rep. Sam Komo (MO)
Rep. Margo McNeil (MO), Member, Health Care Policy Committee
Rep. Charlie Norr (MO)
Rep. Jeanette Oxford (MO)
Rep. Paul Quinn (MO)
Rep. Jill Schupp (MO)
Rep. Mary Still (MO)
Rep. Rachel Storch (MO), Democratic Caucus Deputy Whip
Rep. Mike Talboy (MO)

MONTANA - 26
Rep. Dick Barrett (MT)
Rep. Paul Beck (MT)
Rep. Anders Blewett (MT)
Rep. Forrestina "Frosty" Calf Boss Ribs (MT)
Sen. Gary Branae (MT)
Rep. Mary Caferro (MT), Vice Chair, Human Services Committee
Rep. Margarett Campbell (MT)
Rep. Jill Cohenour (MT)
Rep. Robyn Driscoll (MT)
Sen. Ron Erickson (MT)
Rep. John Fleming (MT)
Rep. Julie French (MT), Member, Human Services Committee; Majority Whip
Rep. Betsy Hands (MT)
Rep. Teresa Henry (MT), Chair, Joint Appropriations Subcommittee on Health and Human Services
Rep. Sue Malek (MT)
Rep. Margaret MacDonald (MT)
Rep. Dave McAlpin (MT)
Rep. Pat Noonan (MT), Member, Human Services Committee
Rep. Carolyn Pease-Lopez (MT), Member, Subcommittee on Health and Human Services
Rep. Jennifer Pomnichowski (MT)
Rep. Michele Reinhart (MT)
Rep. Diane Sands (MT)
Sen. Carolyn Squires (MT)
Sen. Carol Williams (MT), Senate Minority Leader
Rep. Franke Wilmer (MT)
Sen. Jonathan Windy Boy (MT)

NEBRASKA - 4
Sen. Tanya Cook (NE)
Sen. Ken Haar (NE)
Sen. Danielle Nantkes (NE)
Sen. Jeremy Nordquist (NE)

NEVADA - 7
Sen. Maggie Carlton (NV)
Sen. Bob Coffin (NV)
Asm. Ellen Koivisto (NV)
Asm. Mark Manendo (NV)
Sen. David Parks (NV)
Asm. Peggy Pierce (NV), Vice Chair, Health and Human Services Committee
Asm. Ellen Spiegel(NV), Member, Health and Human Services Committee

NEW HAMPSHIRE - 53

Rep. Susan Almy (NH)
Rep. Catriona Beck (NH)
Rep. William Brennan (NH)
Rep. Robert Bridgham (NH), Member, Health, Human Services and Elderly Affairs Committee
Rep. Suzanne Butcher (NH), Member, Health, Human Services and Elderly Affairs Committee
Rep. Edward Butler (NH)
Rep. Timothy Butterworth (NH)
Rep. William Butynski (NH)
Rep. Daniel Carr (NH)
Sen. Jacalyn Cilley (NH)
Rep. John Cloutier (NH)
Rep. Robert Cushing (NH)
Rep. John DeJoie (NH)
Rep. Rich DiPentima (NH), Member, Health, Human Services and Elderly Affairs Committee
Rep. Susan Ford (NH)
Sen. Martha Fuller Clark (NH), Senate President Pro Tem
Rep. Jill Shaffer Hammond (NH)
Rep. Valerie Hardy (NH)
Rep. Timothy Horrigan (NH)
Rep. Charlotte Houde-Quimby (NH)
Rep. Pamela Hubbard (NH)
Rep. Naida Kaen (NH)
Sen. Sylvia Larsen (NH), President of the Senate
Rep. Steven Lindsey (NH)
Rep. Patrick Long (NH)
Rep. Jim McClammer (NH)
Rep. Evalyn Merrick (NH), Member, Health, Human Services and Elderly Affairs Committee
Rep. Kate Miller (NH), Member, Health, Human Services and Elderly Affairs Committee
Rep. Marcia Moody (NH)
Rep. Lori Movsesian (NH)
Rep. Susi Nord (NH)
Rep. Jessie Osborne (NH)
Rep. Phillip Preston (NH)
Rep. Robin Read (NH)
Rep. Kris Roberts (NH)
Rep. Michael Rollo (NH)
Rep. Cindy Rosenwald (NH), Chair, Health, Human Services and Elderly Affairs Committee
Rep. Trinka Russell (NH), Member, Health, Human Services and Elderly Affairs Committee
Rep. Tara Sad (NH)
Rep. Donna Schlachman (NH)
Rep. Dianne Schuett (NH)
Sen. Kathleen Sgambati (NH), Chair, Health and Human Services Committee
Rep. Gilman Shattuck (NH)
Rep. Stephen Shurtleff (NH)
Rep. Carla Skinder (NH)
Rep. Suzanne Smith (NH)
Rep. James Splaine (NH)
Rep. Robert Thompson (NH)
Rep. Joy Tilton (NH), Member, Health, Human Services & Elderly Affairs Committee
Rep. Charles Townsend (NH)
Rep. Frank Tupper (NH)
Rep. Lucy McVitty Weber (NH)
Rep. Charles Yeaton (NH)

NEW JERSEY - 2
Asm. Herb Conaway (NJ), Chair, Health and Senior Services Committee
Sen. Shirley Turner (NJ), President Pro Tempore

NEW MEXICO - 23
Rep. Elias Barela (NM)
Rep. Gail Chasey (NM)
Rep. Eleanor Chavez (NM)
Sen. Carlos Cisneros (NM)
Rep. Nathan Cote (NM), Legislative Health & Human Services Committee
Sen. Dede Feldman (NM), Chair, Legislative Health and Human Service Committee
Sen. Stephen Fischmann (NM)
Rep. Miguel Garcia (NM)
Rep. Karen Giannini (NM)
Sen. Eric Griego (NM)
Sen. Linda M. Lopez (NM)
Rep. Patricia Lundstrom (NM)
Rep. James Roger Madalena (NM)
Rep. Ken Martinez (NM), House Majority Floor Leader
Sen. Cisco McSorley (NM)
Rep. William O'Neill (NM)
Sen. Gerald Ortiz y Pino (NM), Advisor, Legislative Health and Human Service Committee
Rep. Danice Picraux (NM), Legislative Health & Human Services Committee
Rep. Debbie Rodella (NM)
Rep. Nick Salazar (NM)
Rep. Edward C. Sandoval(NM)
Rep. Mimi Stewart (NM), Chair, Health and Government Affairs Committee
Sen. David Ulibarri (NM)

NEW YORK - 8
Asm. James Brennan (NY)
Asm. Adriano Espaillat (NY), Member, Committee on Insurance
Sen. Liz Krueger (NY)
Asm. Joseph Lentol (NY)
Asm. Barbara Lifton (NY), Member, Mental Health Committee
Asm. Joan Millman (NY)
Sen. Suzi Oppenheimer (NY)
Sen. Eric Schneiderman (NY)

NORTH CAROLINA - 36
Rep. Alma Adams (NC)
Sen. Charles Albertson (NC)
Rep. Kelly Alexander (NC)
Rep. Martha Alexander (NC), Vice Chair, Mental Health Reform Committee; Member, Health Committee
Rep. Larry Bell (NC)
Rep. Alice Bordsen (NC)
Rep. Angela Bryant(NC)
Rep. Tricia Cotham (NC), Member, Health Committee
Sen. Charlie Dannelly (NC)
Sen. Katie Dorsett (NC), Vice Chair, Health Committee
Rep. Beverly Earle (NC), Chair, Mental Health Reform Committee; Vice Chair, Health Committee
Rep. Jean Farmer-Butterfield (NC)
Rep. Susan Fisher (NC)
Rep. Rosa Gill (NC)
Rep. Rick Glazier (NC), Member, Health Committee; Member, Mental Health Reform Committee
Rep. Melanie Goodwin (NC)
Sen. Steve Goss (NC), Member, Health Committee
Rep. Phil Haire (NC)
Rep. Larry Hall (NC)
Rep. Pricey Harrison (NC)
Rep. Sandra Spaulding Hughes (NC), Member, Health Care Committee
Rep. Verla Insko (NC), Chair, Health Committee
Sen. Ed Jones (NC), Member, Mental Health & Youth Services
Sen. Ellie Kinnaird (NC), Co-Chair, Mental Health & Youth Services Committee; Member, Health Care Committee
Rep. Marvin Lucas (NC)
Rep. Paul Luebke (NC)
Rep. Nick Mackey (NC)
Sen. Floyd McKissick (NC)
Rep. Annie Mobley (NC)
Rep. Earline Parmon (NC) Member, Health Care Committee; Member, Mental Health Reform Committee
Sen. William Purcell (NC)
Sen. Tony Rand(NC), Senate Majority Leader; Member, Health Care Committee
Rep. Ray Rapp (NC), Vice Chair, Health Care Committee
Rep. Deborah K. Ross (NC), Minority Whip
Sen. Josh Stein (NC), Member, Health Care Committee
Rep. Cullie Tarleton (NC)
Rep. Jennifer Weiss (NC), Member, Health Care Committee

NORTH DAKOTA - 9
Sen. Tom Fiebiger (ND)
Rep. Richard Holman (ND), Member, Human Services Committee
Rep. Lee Kaldor (ND)
Rep. Jerome Kelsh (ND)
Sen. Aaron Krauter (ND)
Sen. Tim Mathern (ND)
Sen. Carolyn Nelson (ND)
Sen. Ryan Taylor (ND)
Rep. Lonny Winrich (ND)

OHIO - 5
Rep. Edna Brown (OH), Chair, Subcommittee on Human Services
Rep. Ted Celeste (OH)
Rep. Michael Foley (OH)
Rep. Robert Hagan (OH), Member, Health Committee
Sen. Dale Miller (OH)

OKLAHOMA - 4
Rep. Ryan Kiesel (OK), Member, Public Health Committee
Rep. Al McAffrey (OK)
Rep. Jeannie McDaniel (OK)
Sen. Jim Wilson (OK), Member, Health & Human Resources Committee

OREGON - 17
Rep. Phil Barnhart (OR)
Rep. Elizabeth Terry Beyer (OR)
Rep. Peter Buckley (OR)
Rep. Ben Cannon (OR)
Rep. Michael Dembrow (OR), Member, Health Care Committee; Member, Human Services Committee
Sen. Jackie Dingfelder (OR)
Rep. Mitch Greenlick (OR), Chair, Health Care Committee
Rep. Chris Harker (OR), Vice Chair, Health Care Committee
Sen. Mark Hass (OR)
Rep. Betty Komp (OR)
Rep. Nancy Nathanson (OR)
Rep. Tobias Read (OR)
Sen. Diane Rosenbaum (OR), Assistant Majority Leader
Rep. Chip Shields (OR)
Rep. Jefferson Smith (OR)
Rep. Carolyn Tomei (OR), Chair, Human Services Committee
Rep. Brad Witt (OR)

PENNSYLVANIA - 18
Rep. Mark Cohen (PA)
Rep. Eugene Depasquale (PA)
Rep. Todd Eachus (PA), House Majority Floor Leader
Rep. Richard Grucela (PA)
Rep. Patrick Harkins (PA)
Sen. Vincent Hughes (PA)
Rep. Babette Josephs (PA)
Rep. Keith McCall (PA), Speaker of the House
Rep. Barbara McIlvaine Smith (PA), Member, Health and Human Services Committee
Sen. Robert Mellow (PA)
Rep. Phyllis Mundy (PA)
Sen. Michael O'Brien (PA)
Sen. Michael O'Pake (PA)
Rep. Tony Payton (PA), Member, Health and Human Services Committee
Rep. Joseph Preston (PA)
Rep. Josh Shapiro (PA)
Rep. Chelsa Wagner (PA)
Rep. Rosita Youngblood (PA)

PUERTO RICO - 1
Sen. Luz Arce (PR)
RHODE ISLAND - 42
Rep. Edith Ajello (RI)
Rep. Joseph Almeida (RI)
Rep. Samuel Azzinaro (RI), Member, Health, Education, and Welfare Committee
Sen. Elizabeth Crowley (RI)
Rep. Roberto DaSilva (RI)
Rep. Elizabeth Dennigan (RI)
Sen. Frank Devall (RI)
Rep. Grace Diaz (RI), Secretary, Health, Education and Welfare Committee
Sen. Louis DiPalma (RI)
Rep. Frank Ferri (RI), Member, Health, Education and Welfare Committee
Rep. Christopher Fierro (RI)
Sen. Hanna Gallo (RI)
Rep. Alfred Gemma (RI), Member, Health Care Oversight; Member, Joint Committee on Healthcare Oversight
Rep. Joanne Giannini (RI)
Sen. Maryellen Goodwin (RI)
Rep. Scott Guthrie (RI)
Rep. Arthur Handy (RI), Member, Health, Education and Welfare Committee
Rep. Joy Hearn (RI), Member, Health, Education and Welfare Committee
Sen. Paul Jabour (RI)
Sen. Charles Levesque (RI), Member, Health and Human Services Committee
Sen. Erin Lynch (RI)
Rep. Peter Martin (RI)
Sen. John McBurney (RI)
Sen. Michael McCaffrey (RI)
Rep. Joseph McNamara (RI), Chair, Health, Education and Welfare Committee; Member, Joint Committee on Healthcare Oversight
Sen. Joshua Miller (RI), Member, Health and Human Services Committee
Rep. J. Patrick O'Neill (RI)
Rep. Edwin Pacheco (RI)
Sen. M. Teresa Paiva Weed (RI), Senate President; Member, Joint Committee on Healthcare Oversight
Sen. Rhoda Perry (RI), Chair, Health and Human Services Committee; Member, Joint Committee on Healthcare Oversight
Sen. Juan Pichardo (RI), Secretary, Health and Human Services Committee; Member, Joint Committee on Healthcare Oversight
Rep. Amy Rice (RI)
Rep. Michael Rice (RI)
Rep. Deborah Ruggiero (RI), Member, Health, Education and Welfare Committee
Rep. David Segal (RI)
Rep. Patricia Serpa (RI)
Rep. Mary Ann Shallcross-Smith (RI)
Rep. Raymond Sullivan (RI)
Sen. John Tassoni (RI), Member, Health Care Oversight Committee
Rep. Donna Walsh (RI)
Rep. Charles Weed (RI)
Rep. Anastasia Williams (RI)

SOUTH CAROLINA - 3
Rep. Anton Gunn (SC), Member, Medical, Military, Public and Municipal Affairs Committee
Rep. Jay Lucas (SC)
Rep. Anne Parks (SC)

SOUTH DAKOTA - 7
Rep. Elaine Elliott (SD)
Rep. Bernie Hunhoff (SD), Minority Leader
Sen. Sandy Jerstad (SD)
Rep. Larry Lucas (SD)
Rep. Eldon Nygaard (SD), Member, Health & Human Services Committee; Minority Whip
Rep. Darrell Solberg (SD)
Rep. Martha Vanderlinde (SD)

TENNESSEE - 6
Rep. Joe Armstrong (TN), Chair, Health and Human Services Committee; Chair, Joint Health Equity Committee
Rep. Tommie Brown (TN)
Rep. Kent Coleman (TN)
Sen. Beverly Marrero (TN), Secretary, General Welfare, Health and Human Resources Committee
Rep. Jeanne Richardson (TN), Member, Health and Human Resources Committee; Vice Chair, Subcommittee on Public Health and Family Assistance
Rep. Johnny Shaw (TN)

TEXAS - 35
Rep. Alma Allen (TX)
Rep. Roberto Alonzo (TX)
Rep. Rafael Anchia (TX)
Rep. Valinda Bolton (TX)
Rep. Norma Chavez (TX)
Rep. Ellen Cohen (TX), Member, Appropriations Subcommittee on Health and Human Services
Rep. Garnet Coleman (TX), Member, Public Health Committee
Rep. Yvonne Davis (TX)
Rep. Dawnna Dukes (TX), Vice Chair, Appropriations Subcommittee on Health and Human Services
Rep. Jim Dunnam (TX)
Sen. Rodney Ellis (TX)
Rep. Jessica Farrar (TX)
Rep. Pete Gallego (TX)
Sen. Mario Gallegos (TX)
Rep. Ana Hernandez (TX), Member, Human Services Committee
Rep. Abel Herrero (TX), Vice Chair, Human Services Committee
Rep. Scott Hochberg (TX)
Rep. Terri Hodge (TX)
Rep. Tracy King (TX)
Sen. Eddie Lucio, Jr. (TX)
Rep. Eddie Lucio III (TX)
Rep. Diana Maldonado (TX)
Rep. Marisa Marquez (TX)
Rep. Armando Martinez (TX)
Rep. Elliott Naishtat (TX), Vice Chair, Public Health Committee; Member, Human Services Committee
Rep. Dora Olivo (TX)
Rep. Solomon Ortiz Jr. (TX)
Rep. Eddie Rodriguez (TX)
Sen. Eliot Shapleigh (TX) Member, Health & Human Services Committee
Sen. Carlos Uresti (TX), Member, Health & Human Services Committee
Sen. Leticia Van de Putte (TX)
Rep. Sylvester Turner (TX)
Rep. Marc Veasey (TX)
Rep. Armando Walle (TX)
Sen. John Whitmire (TX)

UTAH - 4
Rep. Jackie Biskupski (UT)
Rep. Rebecca Chavez-Houck (UT), Member, Health and Human Services Appropriations Subcommittee
Rep. Christine Johnson (UT)
Rep. David Litvack (UT), Member, Health and Human Services Appropriations Subcommittee

VERMONT - 132
Rep. Janet Ancel (VT)
Rep. Margaret Andrews (VT), Member, Human Services Committee
Sen. Timothy Ashe (VT)
Rep. William Aswad (VT)
Rep. Kenneth Atkins (VT)
Rep. Sonny Audette (VT)
Sen. Claire Ayer (VT), Member, Health Access Oversight Committee
Sen. Susan Bartlett (VT)
Rep. Clem Bissonnette (VT)
Rep. Charles Bohi (VT)
Rep. Bill Botzow (VT)
Rep. Carolyn Branagan (VT)
Rep. Christopher Bray (VT)
Rep. Cynthia Browning (VT)
Rep. Mollie Burke (VT)
Sen. John Campbell (VT)
Rep. Margaret Cheney (VT)
Sen. Matthew Choate (VT), Clerk, Health and Welfare Committee
Rep. Alison Clarkson (VT)
Rep. Jim Condon (VT)
Rep. Chip Conquest (VT)
Rep. Michel Consejo (VT)
Rep. Sarah Copeland-Hanzas (VT), Member, Health Care Committee
Rep. Timothy Corcoran (VT)
Rep. Gale Courcelle (VT), Member, Human Services Committee
Sen. Ann Cummings (VT)
Rep. Susan Davis (VT)
Rep. David Deen (VT)
Rep. Dennis Devereux (VT)
Rep. Johannah Donovan (VT)
Sen. William Doyle (VT)
Rep. Sarah Edwards (VT)
Rep. Alice Emmons (VT)
Rep. Debbie Evans (VT)
Rep. Peter Fagan (VT)
Rep. Michael Fisher (VT), Co-Chair, Mental Health Oversight Committee; Vice-Chair, Human Services
Sen. Ed Flanagan (VT), Vice Chair, Health and Welfare Committee
Rep. William Frank (VT), Member, Health Access Oversight Committee; Member, Human Services Committee
Rep. Eldred French (VT)
Rep. Patsy French (VT), Member, Human Services Committee
Rep. Frank Geier (VT)
Sen. Harold Giard (VT)
Rep. Gary Gilbert (VT)
Rep. Maxine Grad (VT)
Rep. Adam Greshin (VT)
Rep. Sandy Haas (VT), Member, Human Services Committee
Sen. Robert Hartwell (VT)
Rep. Helen Head (VT)
Rep. Martha Heath (VT)
Rep. Mary Hooper (VT)
Rep. Steven Howard (VT)
Rep. Richard Howrigan (VT)
Rep. Tim Jerman (VT)
Rep. Willem Jewett (VT)
Rep. Mitzi Johnson (VT), Member, Mental Health Oversight Committee
Rep. Kathleen Keenan (VT)
Sen. M. Jane Kitchel (VT), Member, Health Access Oversight Committee
Sen. Sara Branon Kittell (VT), Member, Health and Welfare Committee
Rep. Warren Kitzmiller (VT)
Rep. Tony Klein (VT)
Rep. Diane Lanpher (VT)
Rep. Mark Larson (VT)
Rep. Joan Lenes (VT)
Rep. Lucy Leriche (VT), Member, Health Access Oversight; Assistant Majority Leader
Rep. Robert Lewis (VT)
Rep. William Lippert (VT)
Rep. Jason Lorber (VT)
Sen. Virginia Lyons (VT), Member, Health and Welfare Committee
Rep. Terry Macaig (VT)
Sen. Mark MacDonald (VT)
Rep. Steven Maier (VT), Chair, Health Care Committee
Rep. John Malcolm (VT)
Rep. Ann Manwaring (VT)
Rep. Michael Marcotte (VT)
Rep. Richard Marek (VT)
Rep. Cynthia Martin (VT)
Rep. Linda Martin (VT)
Rep. Jim Masland (VT)
Sen. Hull Maynard (VT)
Sen. Richard Mazza (VT)
Sen. Richard McCormack (VT)
Rep. Jim McCullough (VT)
Rep. Francis McFaun (VT)
Rep. Virginia Milkey (VT), Vice Chair, Health Care Committee
Rep. Alice Miller (VT)
Sen. Hinda Miller (VT)
Rep. Sue Minter (VT)
Rep. Mark Mitchell (VT)
Rep. Anne Mook (VT)
Rep. John Moran (VT)
Rep. Mike Mrowicki (VT), Member, Human Services Committee
Sen. Kevin Mullin (VT), Clerk, Health and Welfare Committee; Member, Health Access Oversight Committee
Rep. Floyd Nease (VT)
Rep. Betty Nuovo (VT)
Rep. Anne O'Brien (VT), Co-Chair, Health Access Oversight; Chair, Human Services Committee
Rep. Michael Obuchowski (VT)
Rep. Pat O'Donnell (VT), Member, Health Access Oversight Committee; Member, Human Services Committee
Rep. Scott Orr (VT), Member, Human Services Committee
Rep. Carolyn Partridge (VT)
Rep. Kathy Pellett (VT)
Rep. Peter Peltz (VT)
Rep. Paul Poirier (VT), Member, Health Care Committee
Rep. Dave Potter (VT)
Rep. Ann Pugh (VT)
Sen. Doug Racine (VT), Chair, Health and Welfare Committee; Co-Chair, Joint Committee on Mental Health Oversight; Member, Health Access Oversight
Rep. Kesha Ram (VT)
Sen. Philip Scott (VT)
Sen. Richard Sears (VT)
Rep. Ernest Shand (VT)
Rep. Dave Sharpe (VT)
Sen. Peter Shumlin (VT)
Rep. Megan Smith (VT)
Rep. Shap Smith (VT)
Rep. Robert South (VT)
Rep. Kristy Spengler (VT)
Rep. Tom Stevens (VT)
Rep. Donna Sweaney (VT)
Rep. Tess Taylor (VT)
Rep. George Till (VT)
Rep. Kitty Toll (VT)
Rep. Larry Townsend (VT)
Rep. Ira Trombley (VT), Member, Health Care Committee
Rep. Donald Turner (VT)
Rep. Linda Waite-Simpson (VT)
Rep. Kate Webb (VT)
Rep. Rachel Weston (VT)
Rep. Scott Wheeler (VT), Member, Health Care Committee
Sen. Jeanette White (VT), Co-Chair, Health Access Oversight; Member, Mental Health Oversight
Rep. Jeff Wilson (VT)
Rep. Suzi Wizowaty (VT), Member, Health Care Committee
Rep. John Zenie (VT)
Rep. David Zuckerman (VT)

VIRGINIA - 6
Del. Kristen Amundson (VA), Member, Health, Welfare and Institutions Committee
Del. David Englin (VA), Member, Health, Welfare and Institutions Committee
Del. Delores McQuinn (VA)
Del. Jim Scott (VA)
Del. Patricia Ticer (VA)
Del. Jeion Ward (VA)

WASHINGTON - 65
Rep. Sherry Appleton (WA), Member, Health & Human Services Appropriations Committee
Rep. Brian Blake (WA)
Sen. Lisa Brown (WA), Majority Leader, Member, Health Care Costs and Access
Rep. Reuven Carlyle (WA)
Rep. Maralyn Chase (WA), Vice Chair, Environmental Health Committee
Rep. Frank Chopp (WA), Speaker of the House
Rep. Judy Clibborn (WA), Member, Health Care and Wellness Committee
Rep. Eileen Cody (WA), Chair, Health Care and Wellness Committee
Rep. Steve Conway (WA)
Rep. Mary Lou Dickerson (WA), Chair, Human Services Committee; Member, Environmental Health Committee
Rep. John Driscoll (WA), Vice Chair, Health Care & Wellness Committee
Rep. Hans Dunshee (WA)
Sen. Darlene Fairley (WA), Member, Health and Long Term Care Committee
Rep. Dennis Flannigan (WA)
Sen. Rosa Franklin (WA), Vice Chair, Health and Long-Term Care Committee; Member, Health Disparities Committee; President Pro Tempore
Sen. Karen Fraser (WA)
Rep. Roger Goodman (WA)
Rep. Tami Green (WA), Member, Health Care & Wellness Committee; Member, Human Services Committee
Rep. Kathy Haigh (WA)
Rep. Bob Hasegawa (WA)
Rep. Zachary Hudgins (WA), Majority Floor Leader; Member, Environmental Health Committee
Rep. Sam Hunt (WA)
Rep. Ross Hunter (WA)
Sen. Ken Jacobsen (WA)
Sen. Fred Jarrett (WA)
Rep. Ruth Kagi (WA)
Sen. Claudia Kauffman (WA)
Sen. Karen Keiser (WA), Chair, Health and Long-Term Care Committee
Rep. Phyllis Kenney (WA)
Rep. Steve Kirby (WA)
Sen. Adam Kline (WA)
Sen. Jeanne Kohl-Welles (WA)
Rep. Marko Liias (WA)
Sen. Chris Marr (WA), Member Health & Long-Term Care Committee; Member, Comprehensive School Health Reform
Rep. Marcie Maxwell (WA)
Sen. Rosemary McAuliffe (WA)
Rep. John McCoy (WA)
Sen. Joe McDermott (WA)
Rep. Mark Miloscia (WA), Member, Health & Human Services Appropriations
Rep. Dawn Morrell (WA), Member, Health Care and Wellness Committee
Sen. Ed Murray (WA), Majority Caucus Chair
Rep. Sharon Nelson (WA)
Rep. Al O'Brien (WA), Member, Human Services Committee; Member, Health & Human Services Appropriations Committee
Sen. Eric Oemig (WA)
Rep. Timm Ormsby (WA)
Rep. Tina Orwall (WA), Vice Chair, Human Services Committee
Rep. Jamie Pedersen (WA), Member, Health Care and Wellness Committee
Sen.Margarita Prentice (WA)
Sen. Craig Pridemore (WA)
Sen. Kevin Ranker (WA)
Sen. Debbie Regala (WA)
Rep. Christine Rolfes (WA), Member, Environmental Health Committee
Rep. Mary Helen Roberts (WA)
Sen. Phil Rockefeller (WA)
Rep. Sharon Tomiko Santos (WA), Majority Whip
Rep. Larry Seaquist (WA) Vice Chair, Health and Human Services Appropriations Committee
Rep. Mike Sells (WA)
Sen. Paull Shin (WA), Vice President Pro Tempore
Rep. Geoff Simpson (WA)
Rep. Larry Springer (WA)
Rep. Dean Takko (WA)
Rep. Kevin Van de Wege (WA)
Rep. Deb Wallace (WA)
Rep. Scott White (WA), Assistant Majority Whip
Rep. Brendan Williams (WA), Majority External Relations Leader

WEST VIRGINIA - 14
Del. Bonnie Brown (WV)
Del. Michael Ferro (WV)
Del. Barbara Fleischauer (WV), Member, Health and Human Resources Committee
Sen. Dan Foster (WV), Member, Heath & Human Resources Committee
Del. Nancy Guthrie (WV)
Sen. Jeffrey Kessler (WV)
Sen. William Laird (WV)
Del. Michael Manypenny (WV)
Del. Charlene Marshall (WV)
Del. Clif Moore (WV), Assistant Majority Whip
Del. Don Perdue (WV), Chair, Health and Human Resources Committee
Sen. Roman Prezioso (WV)
Sen. Randy White (WV)
Sen. Jack Yost (WV), Member, Health and Human Resources Committee

WISCONSIN - 34
Rep. Chuck Benedict (WI), Chair, Committee on Public Health
Rep. Terese Berceau (WI)
Rep. Penny Bernard Schaber (WI), Member, Health and Healthcare Reform
Rep. Spencer Black (WI)
Sen. Tim Carpenter (WI), Chair, Public Health, Senior Issues, Long-Term Care and Job Creation Committee
Sen. Spencer Coggs (WI), Member, Public Health, Senior Issues, Long-Term Care and Job Creation Committee
Sen. Jon Erpenbach (WI), Chair, Health, Health Insurance, Privacy, Property Tax Relief, and Revenue Committee
Sen. Dave Hansen (WI), Assistant Majority Leader
Rep. Gary Hebl (WI)
Rep. Steve Hilgenberg (WI)
Rep. Andy Jorgensen (WI)
Rep. Frederick Kessler (WI)
Sen. Patrick Kreitlow (WI)
Sen. John Lehman (WI), Majority Caucus Chairperson
Rep. Cory Mason (WI)
Sen. Mark Miller (WI)
Sen. Nick Milroy (WI)
Rep. Sandy Pasch (WI), Vice Chair, Public Health Committee; Member, Health and Healthcare Reform Committee
Rep. Mark Pocan (WI)
Rep. Sondy Pope-Roberts (WI)
Rep. Jon Richards (WI), Chair, Health and Healthcare Reform Committee
Sen. Fred Risser (WI)
Sen. Judith Robson (WI), Member, Health, Health Insurance, Privacy, Property Tax Relief, and Revenue Committee
Rep. Kelda Roys (WI), Vice Chair, Health and Healthcare Reform Committee
Rep. Donna Seidel (WI), Member, Health and Healthcare Reform Committee; Assistant Majority Leader
Rep. Christine Sinicki (WI)
Rep. Jim Soletski (WI)
Sen. Jim Sullivan (WI)
Rep. Robert Turner (WI)
Rep. Terry Van Akkeren (WI)
Sen. Kathleen Vinehout (WI), Member, Public Health, Senior Issues, Long-Term Care, and Job Creation Committee
Sen. Robert Wirch (WI)
Rep. Josh Zepnick (WI)
Rep. Ted Zigmunt (WI)

WYOMING - 1
Rep. Peter Jorgensen (WY)

***

Please email Susan Mottet for further information.


Priorities for Reform from the Legislative Letter

State legislators' key priorities for reform include:
  • Choice of a quality public health insurance plan that is available to businesses, individuals, and families.” This will provide Americans with more choice, which the public overwhelmingly supports (73%), and create competition in the highly consolidated health insurance industry.
    • In 36 states, three or fewer health insurers dominate the market, reports the Economic Policy Institute.i According to Federal Trade Commission guidelines, as The Urban Institute reports, 34 states have health insurance “markets highly concentrated and therefore of anti-trust concern.” These conditions enable insurance companies to not only “pass on health care costs to purchasers but to increase profitability at the same time” even while health care costs increase markedly faster than inflation.ii
    • 73% of "voters overwhelmingly want everyone to have a choice of private health insurance or a public health insurance plan," according to a January 2009 Lake Research Partners public opinion poll.iii
    • Private insurance spends two-and-a-half times more on administrative expenses than public programs, according to the Commonwealth Fund.iv
  • Strengthening and expanding the Medicaid program with the help of enhanced federal support so that it can serve all low-income Americans.”
    • Almost 59 million Americans who can’t afford insurance are covered by Medicaid.v It is the bedrock of the health care safety net.
    • Medicaid is one of the best and most cost-effective ways for states to broaden access to health care coverage. It brings in valuable federal dollars that have an economic multiplier effect on state economies.vi
  • Guaranteeing affordability for individuals and businesses.”
    • Medical bills are blamed for 60% of personal bankruptcies in the US, according to a Robert Wood Johnson Funded study. Having insurance does not necessarily protect families from the threat of bankruptcy, as 75% of these families had health insurance.vii
    • A 2008 Kaiser Family Foundation poll found that almost half of Americans reported delaying or foregoing needed medical care because of its cost.viii
    • Faced with rising premiums, employers are shifting costs to workers by increasing deductibles and worker premiums. Premiums for family coverage have doubled in ten years and 35% of workers in small businesses (3 to 199 employees) face a $1,000 deductible, up from 21% in 2008. Less than half of small firms with 3 to 9 workers now offer coverage.ix
  • Eliminating racial, ethnic, gender, and rural health disparities.
    • People of color in the US are less likely than whites to receive routine medical care as well as quality health care services.x
    • People of color are more likely than whites to be uninsured – 33.5% of Hispanics, 20.9% of African-Americans, and 12.2% of Whites lack health insurance.xi
    • Disparities in access to quality health care result in poorer health and a shorter lifespan. African-Americans are more likely than whites to die from complications caused by diabetes, 47 per 100,000 people to 22 per 100,000 people for whites.xii And, the life expectancy for African-Americans is five years shorter than it is for whites.xiii
  • Ensuring shared responsibility among employers, individuals and government in financing health care.”
    • All Americans and sectors of the economy have a stake in health care, and in ensuring we achieve a sustainable, affordable and quality health care system. An accessible and quality health care system will ensure the continued economic competitiveness of Americans businesses and workers in the international community, and support the entrepreneurial spirit of the American economy.
  • Cost containment strategies that eliminate waste and inefficiency and improve quality, especially for people with chronic illnesses.”
    • Quality and costs are inextricably linked. 78% of all health care costs are spent on people with chronic health care conditions. 20% of Medicare beneficiaries account for 2/3rds of Medicare spending.xiv Improving preventive care and treatment for chronic illnesses can reduce the escalating growth of health care costs.
    • The Institute of Medicine estimates that medical errors cost $17 billion to $29 billion each year.xv
    • According to the Commonwealth Fund, US administrative costs - as a share of total health care spending - are 30% to 70% higher than peer countries, including those with mixed public/private systems, which have universal coverage, better access to care, and better health outcomes.xvi
i Economic Policy Institute, April 2009, Why a public insurance plan is essential for health reform, http://bit.ly/Yv18a
ii Urban Institute, 2008, Can a Public Insurance Plan Increase Competition and Lower the Costs of Health Reform?, http://bit.ly/gPWIi
iii Lake Research Partners, January 2009, Voter support for a public health insurance plan, http://bit.ly/3mFeco
iv Commonwealth Fund, 2003, American Health Care: Why So Costly? http://bit.ly/199uQD
v Kaiser Family Foundation, Total Medicaid Enrollment, FY2006, http://bit.ly/BWkrk
vi Families USA, Medicaid: An Important Part of an Economic Stimulus Package, http://bit.ly/10guGD
vii Reuters, June 2009, Medical bills underlie 60 percent of U.S. bankrupts: study, http://bit.ly/136VF7
viii Kaiser Family Foundation, 2008, Americans Rank Health Care Near the Top of Their Economic Woes, http://bit.ly/K4wgJ
ix Kaiser Family Foundation, 2008, 2008 Employer Health Benefits Survey, http://bit.ly/16aUjj
x Institute of Medicine, 2002, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, www.iom.edu/?id=16740
xi Kaiser Family Foundation, 2007, Uninsured Rates for the Noneldery by Race/Ethnicity, http://bit.ly/c68dz
xii Kaiser Family Foundation, 2005, Number of Diabetes Deaths per 100,000 Population by Race/Ethnicity, http://bit.ly/P7jXQ
xiii Arizona Daily Star, August 2007, US now trails 41 other nations in life expectancy, http://bit.ly/18nKt5
xiv National Chronic Care Consortium, 2003, Check List for Chronic Care Reform, http://bit.ly/kTabe
xv The Commonwealth Fund, 2008, Who Pays for Medical Errors?, http://bit.ly/h6e2N
xvi The Commonwealth Fund, 2008, Why Note the Best? Results from the National Scorecard on US Health System Performance, http://bit.ly/noHAH

State Legislators for Progressive Health Care Reform: Press Releases and Media