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108 West State St., Trenton, NJ 08608 (across from State House)  

 

What's New at TTP

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)

Ž     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

 

Method

Advantages

Disadvantages

Suggestions

1.  Memorized:  Every word is committed to memory.  Speech is delivered from memory.

Allow careful organization of ideas.  Choice of specific and accurate terminology.  Permits contact with audience.

Mechanical delivery.  Risk lack of vocal variety.  Danger of forgetting.

Practice delivering memorized speech.  Concentrate on conversational quality rather than what comes next.

 

 

 

 

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.

Allows careful selection of style and materials.  No strain on memory.  Can be circulated.

Reading may fail to establish contact and rapport with audience.  Speaker can become reader, rather than a person sharing ideas.

Write speech for listeners, not readers.  Practice speech out loud.  Concentrate on presentation techniques.  Communicate ideas, not words.

 

 

 

 

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.

Well prepared.  Carefully organized for delivery.  Can adapt and respond to audience.  Best method for beginning speakers.

Requires lengthy and specific preparation.  Speaker occasionally can become lax with terminology.  Danger of losing thought and wandering from the outline.

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.

 

 

 

 

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.

 

 

 

 

Methods of Preparation

  

Preparation is usually prompted by several items: Opportunity or Obligation to speak; Occasion and Audience; and Research.

  1. 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.

  1. 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...

  1. 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)

  1. Acknowledge personal invitation and/or express gratitude for opportunity to speak.
  1. Protocol Recognizing VIP’s, appropriate acknowledgement, etc…
  2. 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

  1. Summarize the main points of support.
  2. Challenge the audience.
  3. Express connection/involvement.
  4. Re-Emphasize final idea.
Objective of speech

REMEMBER:  LEAVE THEM WITH WHAT YOU WANT THEM TO REMEMBER!


3.  Presentation

 

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.

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.

 

 

"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

 

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:

 

  1. 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.

 

  1. 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?

 

  1. 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!)

 

  1. 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!

 

  1. 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 . . . "

 

  1. Turn the lights low to show your slides, etc.: Can you say "Nighty-Night?"

 

  1. Cover all the bases: And your audience will remember nothing.

 

  1. 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.

 

  1. Summarize at the end:  No.  Summarize all the way through to make people remember what you have said.

 

  1. 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.
  • Use double spacing.
  • Format the paper so specific points are enhanced.
  • Use charts and other mechanisms to illustrate the point.
  • Write clearly and to the point.
  • Use simple language.
  • 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

 

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"

 

 

 

 

Name, title and purpose is clearly stated in the hading

 

 

 

Mr. Chairman (or Madam Chairwoman) and Members of the Committee:

 

Recognizes Committee

 

 

 

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.

 

 

 

Speaker is identified as a credible testifier on the subject. Explains how he will proceed.

 

 

 

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.

 

 

Speaker identifies that he represents legitimate constituents.

 

 

 

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.

 

 

States position clearly at the beginning. Leave no doubts.

 

 

 

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.

 

 

 

 

Introduces the subject clearly.

 

 

 

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.

 

 

 

 

 

Explanation of the problem carefully to demonstrate the legitimacy of the claim.

 

 

 

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.

 

 

 

 

Clear explanation of why there is a problem

 

 

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.

 

 

 

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.

 

 

 

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: