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From time to time TTP will supply information on how to effectively deal with the New Jersey Legislature.
HOW A BILL BECOMES A LAW
1. Idea Developed
A
legislator decides to sponsor a bill, sometimes at the suggestion of a
constituent, interest group, public official or the Governor. The
legislator may ask other legislators in the same House to join as co-sponsors.

2. Bill Drafted
At
the legislator's direction, the Office of Legislative Services, a
non-partisan agency of the Legislature, provides research and drafting
assistance, and prepares the bill in proper technical form.
3.
Bill Introduced
During
a session, the legislator gives the bill to the Senate Secretary or
Assembly Clerk, who reads the bills title aloud. This is known as the
first reading. The bill is printed and released to the public.
4. Committee Reference
The Senate
President or Assembly Speaker usually refers the bill to a
committee for review, but may send the bill directly to second reading in
order to speed its consideration.
5.
Committee Action
When scheduled by the
chair, the committee considers the bill at a meeting open to the public.
The committee may report the bill to the House as is, with amendments, or
by a substitute bill. If not considered or reported, the bill remains in
committee.
6.
Second Reading
When the bill is
reported to the floor (or referred directly without committee review), its
title is read aloud for the second reading. The bill is eligible for
amendment on the floor. After the bill is given third reading, the House
must vote to return it to second reading for any further amendments.
7.
Third Reading

When
scheduled by the President or Speaker, the bill is given third reading and
considered on the floor. The bill may not go through second and third
reading on the same day, except by an emergency vote of 3/4 of the members
(30 votes in the Senate, 60 in the Assembly).
8.
House Veto
The
bill passes when approved by a majority of the authorized members (21
votes in the Senate, 41 in the Assembly) and is sent to the other House.
If final vote is not taken, the bill may be considered at another time or
may be returned to a committee by a vote of the House.
9.
Second House
The
bill is delivered to the second House where it goes through the same
process. If the second House amends the bill, it is returned to the first
House for a vote on the changes. A bill receives legislative approval when
it passes both Houses in identical form.
10.
Governor’s Action
After
final passage, the bill is sent to the Governor. The Governor may sign it,
conditionally veto it (returning it for changes) or veto it absolutely.
The Governor may veto single line items of appropriation bills. Bills
passed in the last 10 days of a two-year session may be "pocket
vetoed."
11.
Law
A
bill becomes law upon the Governor's signature or after 45 days if no
action is taken. If vetoed, a bill may become law if the Legislature
overrides the veto by a 2/3 vote (27 in the Senate, 54 in the Assembly). A
law takes effect on the day specified in its text or, if
unspecified, July 4th following its passage.
I.
Characteristics of Effective Legislative Testimony
Good preparation (including preparation
for questions)
Speaker
clearly identified and accessible
Accurate
facts, sources, and documents of positions
Case
examples which are appropriated and which help make the point
“To
the point”: and concise; “Brief is good”
Length
– as long as necessary, no longer
Quality
and articulateness of the position
(Keep
the discussion at a high, dignified level)
Positive
tone, avoiding “ad-hominem” arguments
Presentation/Delivery
(audible/persuasive)
and
appearance (nicely printed);
identified
the issues, time, place and
hearing
officials for future reference.
II. SPECIAL CONSIDERATIONS
For EFFECTIVE TESTIMONY
(The variables which affect the strength
and impact of the testimony.)
Ž
The political/emotional nature of the legislation (routine,
emotional, etc...)
Ž
The scope/complexity of the issue
Ž
Merit of legislation (good bill vs. poorly conceived legislation)
Ž
Special interests who are also interested in the bill on either
side
Ž
The state of the bill in process (newly filed, re-filed, held over
from past years)
Ž
The officials holding the hearing (governor, legislators, special
commissioners, etc ...)
Ž
How sophisticated the hearing officers are
Ž
Likelihood the bill will pass this year, next year, or in future
years
Ž
Audience (supporters, foes, print or broadcast media)
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Extent to which questions will be asked of the testifier
III.
RULES TO FOLLOW
IN
PRESENTING TESTIMONY
- Courtesy
to the Chair and everyone else.
- Identify
yourself (and your organization) to the Chair
- Testify
to the Chair, not the audience.
- Make
sure everyone can hear you.
- Explain
your position quickly.
- Offer
a short (single summary) restating your position
- Accept
questions and answer as accurately as possible.
(If you do not know the answer or have the correct information,
offer to present it to the Chair as soon as possible.)
- Bring
copies of the testimony (at least for each member of the panel, plus
others for staff/press). Usually
20 copies are sufficient.
- Prepare
to be a brief as possible.
“If I had more time, I would have
written you more briefly.”—Cicero
IV.
PUBLIC SPEAKING
Content
1.
Entertain: Must keep audience interested
2.
Inform: Audience
must learn and remember facts presented.
Teach them information they don’t know or have forgotten and
should recall.
3. Persuade.
Induce the audience to think, feel or act in a manner selected by
the speaker. (Formulate new
beliefs or strengthen existing ones.
A.
General: the broad objective or intention of the speech
ELEMENTS
OF CONTENT
B. Specific:
The speaker determines the particular reaction the speech should
prompt. Specify what the
audience should know, feel, believe or do.
1.
Speeches should contain only one central idea.
2.
The objective should be clear and concise
3.
Words should be accurate and simple.
The subject and approach should make the audience want to hear the
speech.
Methods
of Delivery
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Method
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Advantages
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Disadvantages
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Suggestions
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1.
Memorized: Every word is committed to memory. Speech is delivered from memory.
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Allow careful
organization of ideas. Choice
of specific and accurate terminology.
Permits contact with audience.
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Mechanical
delivery. Risk lack of
vocal variety. Danger
of forgetting.
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Practice
delivering memorized speech. Concentrate
on conversational quality rather than what comes next.
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2.
Manuscript: Speaker reads the speech (in some instances this type of
delivery may be essential and appropriate when statistics or
teaching topics is involved.
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Allows careful
selection of style and materials.
No strain on memory. Can
be circulated.
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Reading may fail
to establish contact and rapport with audience.
Speaker can become reader, rather than a person sharing
ideas.
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Write speech for
listeners, not readers. Practice
speech out loud. Concentrate
on presentation techniques. Communicate
ideas, not words.
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3.
Extemporaneous: Speech
is delivered from a clear outline, is carefully planned and
thoroughly practiced, but not memorized.
Speaker follows the outline but uses ideas, not words, as the
speeches road map.
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Well prepared.
Carefully organized for delivery.
Can adapt and respond to audience.
Best method for beginning speakers.
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Requires lengthy
and specific preparation. Speaker
occasionally can become lax with terminology.
Danger of losing thought and wandering from the outline.
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Know the
objectives of your speech. Concentrate
on eye contact. Avoid
over use of notes. Learn
main points, sub-points and supporting material and practice them
our out load.
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4.
Impromptu: Speech given without advance notice of specific
preparation. Speaker
must tie ideas together quickly.
A speaker who knows how to prepare when time is not a factor
can adapt when time is a factor.
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Methods
of Preparation
Preparation is usually prompted by several items: Opportunity or
Obligation to speak; Occasion and Audience; and Research.
- Opportunity
or Obligation
1.
You discover need to speak out and you know objective and topic.
2.
You are asked to speak or are assigned to speak and you are given a
topic or you can select a topic.
- Audience
and Occasion: A consideration of the occasion and the audience may
help in the preparation and help determine general and specific
purposes. Gear your speech towards your type of audience.
1
Audience: Consider its needs, attitudes, experience, age, range,
intelligence, education, social, professional, religious affiliations,
etc...
2
Occasion: Celebration, political meeting, rally, dinner, etc...
- Sources
of Research
1. Primary source of materials is yourself, your experience,
your background and your
personality.
2. Secondary sources are other people, books, articles, etc...
3
Once information is gathered you must determine what you will use.
Purpose
of
speech determinations content, not research. It is difficult to omit
material already prepared, but it is often necessary.
2.
Speech Format
PRELIMINARY REMARKS (PRIOR TO SPEECH)
- Acknowledge personal
invitation and/or express gratitude for opportunity to speak.
- Protocol Recognizing
VIP’s, appropriate acknowledgement, etc…
- Put audience at ease
with casual comments, joke, story, etc…
FORMAL SPEECH
I.
Introduction (Capture and Assert)
A.
Get attention and interest of audience
B.
Declare the central idea of the speech
C.
Specify what the audience is “to”:
1.
Understand
2.
Accept
3.
Do
II.
Body (Support, i.e., any material that makes the idea believable
and
acceptable)
A.
Establish the central idea in the minds of the audience.
B.
Explain, clarify, substantiate and support the central idea.
III.
Conclusion
- Summarize the main
points of support.
- Challenge the audience.
- Express
connection/involvement.
- Re-Emphasize final idea.
Objective
of speech
REMEMBER:
LEAVE THEM WITH WHAT YOU WANT THEM TO REMEMBER!
3. Presentation
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EYE
FACTOR
1. Eye Communication
Proper
eye contact establishes a sense of one-on-one communication in a
large group, makes you less nervous, makes you appear confident,
helps you to focus your thoughts, gives you motivational power and
allows you to read audiences through individuals.
-Use
involvement rather than intimacy or intimidation.
-Count
to five when making eye contact.
-Beware
of "eye dart" (scared, impersonal).
-Beware
of "slow-blink." ("I don't want to be here.")
2. Posture and Movement
-Stand
tall.
-Watch
your lower body (rocking, on one hip, leaning).
-Get
in "ready" position (weight forward, knees slightly bent so you can bounce on the balls of your feet).
-Move
(don't get trapped behind lectern).
3. Dress and Appearance
-Be
Appropriate (dress up-wear basic colors).
-Dress
consciously, not out of habit.
-Men:
button your jacket.
4. Gestures and the Smile
-Find
your nervous gesture and stop making it.
-You
can't over-exaggerate.
-Phony smiles
don't work.
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ENERGY
FACTOR
5. Voice and Vitality
-Make
your voice naturally authoritative.
-Put
your voice on a roller coaster.
-Put
real feelings into your voice.
6. Words and
Non‑Words
-Build
your vocabulary.
-Paint
word pictures.
-Beware
of jargon.
-Find
your level of non-words (um, ah, etc.).
-Replace
non-words with something more powerful (the
pause, for example).
-Use
the power of the pause and don't be afraid of it
7. Listener Involvement
-Use
drama, such as through a strong opening.
-Maintain
eye communication.
-Move.
-Use
visuals.
-Ask
questions, even rhetorical ones.
-Use
demonstrations, samples, gimmicks.
-Create
interest through your own enthusiasm and involvement in the speech.
8. Humor
-Don't
tell jokes.
-Fun
is better than funny.
-Use
the humor in language.
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"THE NATURAL SELF"
-Think
"First Brain," i.e., consciously think about how your
presentation style will affect the
delivery of your message.
-Know your
strengths and weaknesses.
-Focus on one
skill at a time.
-Speak at every
opportunity.
-Get feedback.
-Use videotape.
-Take risks
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V. Useless Fundamentals
Some things taught
traditionally as "fundamentals" of public speaking are actually
quite useless and have the danger of lowering your potential to be
effective. Here are a few:
- Don't
be nervous: Right. And stop breathing, too. Even the most
effective public speakers are nervous. They just learned how to keep
it in check and channel it into energy that works for them--not
against them.
- Use
a podium: Why (unless you have to)? If you think of your audience
as channel-surfing television viewers, what do you think they'd do if
they saw a program featuring a speaker standing behind a podium?
- State
your objective: Who cares about your objective?
Members of your audience want to hear how what you say meets
their objective! (Related
point: Never, never, never, talk about how difficult it was to prepare
for your talk, how hard it's going to be to fit everything you have to
say into the allotted time, etc.
Nobody cares!)
- Speak
slowly: Do it and you'll drive people nuts because these people
live in a world where television news anchors speak between 165 and
195 words a minute!
- Tell
a joke to get started: No offense, but it's not as funny as you
think it is and you are not a comedian. Most jokes start speeches off
making everyone uncomfortable because immediately they put the
audience member in the position of feigning amusement at something
they don't find funny and may find offensive. A relevant true and
entertaining story is always better than "A pig and a chicken see
a sign advertising a breakfast special of ham and eggs . . . "
- Turn
the lights low to show your slides, etc.: Can you say "Nighty-Night?"
- Cover
all the bases: And your audience will remember nothing.
- Make
it flow: At one time, smooth, immaculate language and transitions
probably was effective. But this is the age of television. Break it
up. Be choppy. Jolt people.
- Summarize
at the end: No.
Summarize all the way through to make people remember what you
have said.
- Keep
control at all times: Loosen up, Captain Queeg. Let the audience
wrangle if it wants to. They'll enjoy it more, and you'll come across
as someone confident enough with yourself and what you have to say to
give the audience some intellectual freedom.
*Material
adapted from I Can See You Naked by
Ron Hoof, 1992, Andrews and McMeel
VI.
Writing Speeches
After carefully
following the rules for position papers, writing a speech should not be
difficult as long as you follow these rules:
Outline the major
points you want to emphasize.
Write down these points
and number them in terms of proper sequence.
After each point,
outline specific comments that you plan on making.
Use quotes and data to
back up your major points.
A speech is more than
an emotional appeal to the legislature; they must be sold on the merits of
your case.
An oral delivery in a
public hearing or committee meeting should be no more than five to ten
minutes long.
CONCISE AND SIMPLE IS
GOOD.
Double space the
speech.
Notes can be written in
the margins id additional comments need to be made to refute a point made
by a prior witness.
Always have at least
two persons proof read the speech.
Practice the speech to
ensure a smooth delivery.
Time
yourself giving the speech to make sure it is not to long.
VII.
Writing Position Papers
When writing a position
paper check your paper against the following check list to make sure it is
correct:
Check for misspelled words.
- Check
for proper grammar.
- Avoid
contractions (i.e., can't, won't).
- The
paper should be between five to eight pages.
- Make
sure you have included background information on the issue
- Hard
facts and data must be included to back up your opinion.
- What
impact will this proposed legislation have on the budget?
- Avoid
using technical and specialized terms that the legislature may not be
familiar with.
- Format
the paper so specific points are enhanced.
- Use
charts and other mechanisms to illustrate the point.
- Write
clearly and to the point.
- Provide
definitions if necessary.
- Anticipate
questions and be ready to answer them.
- Papers
should always be written in pro-con-pro format. (Presenting the
oppositions arguments and pointing out the weaknesses of those
arguments.)
VIII.
Examples of Good and Bad Testimony
1.
Poor Testimony
Mr.
Chairman and Members of the Committee.
My
name is John Q. Public and I work for the thousands of elderly in this
State, especially the ones with Medicare.
First,
I want to object to the fact that only six out of eleven Committee members
cared enough about this legislation to attend the hearing. I waited three
hours to testify. The least you could all do is be here. However, I am
very grateful to you, Mr. Chairman, for letting me speak.
Right
now a lot of these people have to pay balance bills for their medical
care. Balance bills are for charges that Medicare won't pay for because
the doctors can bill patients whatever they want and force their patients
to make up the difference.
Balance
billing costs elderly in this State millions of dollars according to the
government. We know that the biggest offenders are cataract doctors and
the surgeons and their buddies in the operating room. It's not the family
doctors who are doing it so much as the specialists.
The
elderly on fixed incomes are being hit hard by enormous bills they can't
pay. Thousands are afraid to go to the doctor because they think they will
get a large balance bill.
We
learned from the advance registration list that Dr. William Smith,
President of the State Medical Society, will also testify on the bill.
You're going to hear the doctors insist that the law is unconstitutional,
or that physicians will flee the state if it passes. Others will tell you
that doctors will refuse to treat Medicare patients if the bill passes.
But we know what their motives are, and frankly, they're all lying - and
they know it.
Despite
what they'll tell you, states that have banned balance billing haven't had
a single problem. Even the courts endorse the legislation.
Therefore,
I have shown you why we must have this bill. I expect you to provide our
elderly with the same support they show you on Election Day.
Thank
you.
2. Good
Testimony
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Testimony of John Q. Public
President
State Association of Councils on Aging
in support of A(or S)‑300
"An Act to Prohibit Balance Billing of Medicare
Beneficiaries in this State"
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Name, title and purpose is clearly
stated in the hading
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Mr.
Chairman (or Madam Chairwoman) and Members of the Committee:
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Recognizes
Committee
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My
name is John Q. Public and I am President of the State Association
of Councils on Aging. In the interests of time, I am submitting a
longer written statement with more extensive details, but I would
like to highlight my remarks briefly that part of the testimony
which is underlined.
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Speaker
is identified as a credible testifier on the subject. Explains how
he will proceed.
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We
represent the 500 units of local government which serve people 65
and over. At this time there are 850,000 people over 65 who are also
Medicare beneficiaries. An additional 31,000 people under 65
have Medicare because they are disabled or victims of
End‑Stage Renal Disease.
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Speaker
identifies that he represents legitimate constituents.
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On
behalf of the State Association of Councils on Aging, I respectfully
request that this Committee support Nor S)‑300 and release it
without amendments.
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States
position clearly at the beginning. Leave no doubts.
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Currently,
Medicare establishes an approved charge for every physician service
or procedure based on a Research Based Relative Value Scale
which considers the degree of difficulty, time, expertise, and
training and experience of the physician in determining the rate of
payment. This scale was refined over years of research and trial.
When the physician treats these older or disabled patients for a
service covered by Medicare, the doctor
will file a Medicare claim on behalf of this elder. Medicare
will then pay 80% of the approved charge. The patient (or the
patient's Medicare supplementary insurance) will pay the 20%
balance.
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Introduces
the subject clearly.
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However,
physicians are not restricted to the Medicare approved charge when
they bill. In fact, they may bill more than that amount and demand
payment of up to 15% beyond the Medicare approved charge. The
practice of charging and collecting the additional amount above the
100% approved charge is called "balance billing."
In
this State, according to the Health Care Financing Administration's
(HCFA) Office of Medicare B Reimbursements, a total of $9,434,576 in
charges above and beyond Medicare approved amounts, but within the
115% limit, were billed by physicians on behalf of their patients
between September 1, 1993 and September 1, 1994. These excess
charges may be passed along directly to Medicare patients. According
to HCFA, 86% of these excess charges were imposed by
anesthesiologists, radiologists, pathologists, ophthalmologists, and
orthopedic surgeons. Data indicted that 31 % of balance bills
occurred after cataract surgery. Only 5% of incidences were derived
from family practitioners. The average balance bill was $127.65.
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Explanation
of the problem carefully to demonstrate the legitimacy of the claim.
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From
this data, it is clear that most incidences of balance
billing‑occur as the result of surgery, where few patients are
able to select their "family anesthesiologist, radiologist, or
pathologist," or where
specialty care orthopedic services or ophthalmological treatment
is required.
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Clear
explanation of why there is a problem
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Many
older patients, limited to a fixed income, have found balance bills
oppressive and cumbersome, if not also unexpected. We believe that
they are also unfair since physician reimbursement is already
designed to give fair and equitable treatment to participating
physicians. The State Law School Medicare Advocacy Assistance
Program documented no less than 1,355 cases during the first nine
months of 1993 where patients with incomes below the federal poverty
limit either declined to seek service for needed surgeries because
of fear of balance billing or were sued for balance bills by their
physicians after treatment.
Three
states currently impose unilateral bans on balance billing (Rhode
Island, Massachusetts, and Pennsylvania). Two others have
qualified bans based on the income of the patients. These states
require physicians to agree to decline to balance bill as a
condition of licensure. The US Supreme Court has found this
legislation constitutional. Moreover, a survey of the state
units on aging in each of these states by the National Elderly Law
Center determined that the bans have been implemented without
administrative cost, disruption of service, or adverse impact on
Medicare beneficiaries.
According
to the Medical Societies of those states, there has been neither a
noticeable physician exodus nor a reluctance to continue to treat
Medicare patients, although under the law, no physician is required
to treat Medicare patients.
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Presentation
of well researched information to back up the position paper.
Anticipates
the opponent’s argument and refutes ft in a positive way without
mentioning their argument itself.
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In
summary, and these conclusions are documented in my longer written
statement, we believe that:
·
balance billing is unfair and inconsistent with the fair
and reasonable reimbursements provided by Medicare:
·
balance billing has placed an undue burden upon Medicare
beneficiaries:
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